Background: Dental caries is the most prevalent dental disease affecting human race. The etiology and pathogenesis of dental caries are known to be multifactorial. Studies have shown that removable partial dentures in the oral cavity increases the biofilm formation and consequently an increase in the occurrence of caries and periodontal diseases. There is a complex relationship between diabetes mellitus and dental caries. Patients with diabetes are more susceptible to oral sensory, periodontal, and salivary disorders which could increase the risk of developing new and recurrent dental caries. Therefore, the aim of the study was to assess the prevalence of dental caries among diabetic and non-diabetic acrylic removable partial denture wearers. Materials and Methods: Individuals participating in the study were partially edentulous and aged between 18 and 64 years. Patients were screened at Out patient department (OPD) in the Department of Prosthodontics JSSDCH, among which 60 patients were diabetic based on the random blood sugar level more than 160 mg/dl—30 patients were wearing RPD and 30 were without RPD. And 60 non-diabetic patients were selected among which 30 were wearing RPD and 30 without RPD. A total 120 patients were screened. Dental caries prevalence was assessed using Decayed, Missing, Filled (DMFT) index. Results: Diabetic group unrehabilitated with removable partial prosthesis showed significant difference in the number of missing teeth when compared to non-diabetic patients without removable prosthesis ( P < 0.05). Conclusion: Removable partial denture prosthesis had less impact on prevalence of dental caries with good oral hygiene, following post insertion RPD instructions and regular dental visits irrespective of diabetes.

Background: The purpose of this in vivo study was to compare the marginal and internal gap widths of monolithic zirconia crowns fabricated by CAD/CAM technique and metal-ceramic crowns fabricated by conventional technique. Materials and methods: 10 participants needing a single restoration were selected. Zirconia crowns using CAD/ CAM technology (Group A) (n=10) and metal-ceramic crowns (Group B) (n=10) using lost wax casting technique were fabricated for each selected tooth. The marginal and internal gaps of crowns were recorded using a replica technique with light body silicone material stabilized with a regular set putty. Each replica was sectioned buccolingually and mesiodistally and then evaluated at five predetermined sites. The points measured were PM for marginal gap, PA for axial gap, PAO for axio-occlusal transition gap and PO and PCO for occlusal gaps using a stereomicroscope at 30× magnification. The Paired Sample (t) test was used to detect significant differences between the two groups in terms of marginal and internal fit (α= 0.05). Results: The mean for the marginal gap was 77.42μm (±39.5μm) for Group A compared with 95.86μm (±55.12μm) for Group B. Mean values for internal gap was 87.24 (±21.7 µm) for Group A and 132.91 µm (± 50.63 µm) for Group B. Significant differences were observed between both the groups for marginal (p=.010) and internal (p=.000) fit. Conclusions: The CAD/CAM fabricated zirconia crowns demonstrated a better accuracy of fit when compared to metal-ceramic crowns fabricated by conventional technology.

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Purpose of Study: Bacterial biofilm-induced peri-implantitis has been one of the leading causes of implant failure. There are a plethora of local and systemic factors that have been studied at a depth and thereafter have been proven to have a contributory role in the overall disease progression. Epidemiological factors such as site specificity and gender stand to be two confounding factors that have insufficiency in the literature regarding their involvement in the same. Thus, the present article aims to address this gap in the literature and present conclusive evidence about the gender-based comparative evaluation of the microbial load of Aggregatibacter actinomycetemcomitans, one of the potential periodontopathogens for the disease progression, present in anterior versus posterior implant sites. Materials and Methods: Twelve patients (six males and six females) undergoing the implant prosthetic rehabilitation at two intraoral sites, one anterior and one posterior region, were selected as suitable subjects and the healing abutments as the clinical test samples. Culture-independent microbiological analysis was carried out for all the samples for quantification of A. actinomycetemcomitans. Results: The mean viable bacterial DNA count was 503076.49 copies/μL for the male subjects and 474587.85 copies/μL for the female subjects. Hence, there was no significant function correlating gender specificity and the viable bacterial DNA counts. The mean total of viable bacterial DNA counts for the anterior region (site 1) was 407087.17 copies/μL and for the posterior region (site 2) was 570577.17 copies/μL, irrespective of the gender. Thus, a highly significant difference was observed in the mean viable bacterial DNA counts between site 1 and site 2 (F = 20.214; P = 0.001) irrespective of the gender. Conclusion: There seems to be no gender-based predilection for the quantification of viable bacterial DNA counts for A. actinomycetemcomitans. However, a propensity for the presence of higher bacterial load of A. actinomycetemcomitans, one of the causative microorganisms of per-implant diseases, does exist for the implants placed in the posterior region as compared to those placed in the anterior region.