PurposeTo design and implement flipped clinical training for undergraduate dental students in removable complete denture treatment and predict its effectiveness by comparing the assessment results of students trained by flipped and traditional methods.MethodsFlipped training was designed by shifting the learning from clinics to learning center (phase I) and by preserving the practice in clinics (phase II). In phase I, student-faculty interactive session was arranged to recap prior knowledge. This is followed by a display of audio synchronized video demonstration of the procedure in a repeatable way and subsequent display of possible errors that may occur in treatment with guidelines to overcome such errors. In phase II, live demonstration of the procedure was given. Students were asked to treat three patients under instructor’s supervision. The summative assessment was conducted by applying the same checklist criterion and rubric scoring used for the traditional method. Assessment results of three batches of students trained by flipped method (study group) and three traditionally trained previous batches (control group) were taken for comparison by chi-square test.ResultsThe sum of traditionally trained three batch students who prepared acceptable dentures (score: 2 and 3) and unacceptable dentures (score: 1) was compared with the same of flipped trained three batch students revealed that the number of students who demonstrated competency by preparing acceptable dentures was higher for flipped training (χ2=30.996 with p<0.001).ConclusionThe results reveal the supremacy of flipped training in enhancing students competency and hence recommended for training various clinical procedures.

Osteomas are benign osteogenic lesions of the bone. When this involves the maxilla and requires resection, maxillectomy defect results and this in turn leads to compromised function in terms of mastication, speech and also psychological well-being. Definitive obturator prosthesis fabricated with maximum extension and incorporation of proper design rehabilitates the patient by improving masticatory efficiency, increasing speech clarity, improves the esthetics, thereby enhancing the overall quality of life. This case report presents one such case of a rare intraoral peripheral cancellous osteoma affecting the maxilla and its prosthetic rehabilitation following surgical resection

The loss of continuity of the lower jaw following surgical excision of tumor results in deviation of remaining mandibular segment toward the resected side. Swallowing, speech, mastication, and mandibular movements are adversely affected by mandibular surgery. Prosthetic rehabilitation plays a major role in these patients, by fabricating the whole array of prostheses to meet specific patient needs. This case report describes about the patient diagnosed with squamous cell carcinoma of alveolus on the left side. The patient had undergone hemimandibulectomy followed by soft tissue reconstruction. As a result, mandible deviated to the affected side with trismus due to scar contraction. Second surgery was planned to remove the scar tissue and to improve mouth opening. Few days following second surgery, guiding flange prosthesis was fabricated to reduce the deviation and to guide the mandible close to occlusion. After three months, a removable cast partial prosthesis was fabricated, for the defect side which was supported by a wing to compensate for lack of underlying structures. It is imperative to provide such patients with guiding flange prosthesis three to four weeks after surgical management to guide mandible to occlusion and minimize the mandibular deviation. Failure to do so will complicate the occlusion. Subsequently patient can be rehabilitated with removable prosthesis to restore the function

Background: Obstructive sleep apnea (OSA) was estimated to affect 15% to 30% of males and 5% to 15% of females with prevalence increasing with progressive tooth loss and its early identification can reduce the sequalae of OSA. Apneahypopnea index is confirmatory but unsuitable for clinical settings to detect OSA and concise screening tools are required to detect OSA in edentulous patients. Aim: To evaluate the impact of soft palate visibility and tongue position on incidence of OSA among edentulous patients. Methodology: Thirty two edentulous participants aged between 30 and 65 years were grouped as partially edentulous (PE) and completely edentulous (CE). STOP-BANG Questionnaire (SBQ) was used to assess the scores in OSA risk factors. Mallampati score assessed soft palate visibility. Wright's Classification graded tongue position. Spearmann test evaluated the correlation between the soft palate visibility and tongue position on the OSA scores. Mann-Whitney U test evaluated influence of tooth loss and gender on OSA scores. Results: Positive correlation existed between Mallampati scores, Wright's classification and OSA scores (p < .05). CE participants and male participants had more OSA scores at (p < .05) and (p < .01).Conclusions: SBQ and Mallampati score can assist in chairside screening of OSA. Early screening for OSA in edentulous patients will direct for early intervention and prevent unforeseen sequalae.