Background and Objectives: Little information is available on the role of Vitamin D as a micro-nutrient deficiency with masticatory muscle efficiency and its effect on the function of removable prosthesis. The aim of this study was to evaluate the role of vitamin D on masticatory muscle activity among completely edentulous patients and its effect on the retention of removable complete dentures (RCDs). Materials and Methods: A non-randomized clinical control trial was conducted on completely edentulous patients (60.53 ± 7.01 years) in the Indian population between 2017 and 2019. Subjects were evaluated for temporomandibular disorders according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Serum Vitamin D (S Vit D) levels, Ultrasonography (USG), and surface Electromyography (sEMG) readings of the masseter muscle were recorded at enrolment (Level 0), after 3 months of Vitamin D therapy (Level 3), and after consecutive 3 months of maintenance therapy, i.e., after 6 months from baseline (Level 6). The fabrication of new RCDs was done for all after the enrolment, and the retention of RCDs was assessed by asking a question regarding denture retention and asking respondents to mark their satisfaction on a 5-point Likert scale. Data were analysed using ANOVA, Paired’-test and Pearson correlation coefficients. A p-value less than 0.05 indicated a statistically significant association. Results: Between enrolment and a six-month follow-up, S Vit D levels showed an increase from 16.03 ± 5.68 ng/mL to 31.35 ± 9.28 ng/mL, showing an increase of 15.32 ± 9.38 ng/mL (95.57% rise). Statistically significant values were observed for USG and sEMG. Conclusions: Results showed that S Vit D affects masticatory muscle activity by improving its thickness and boosting its tonicity. Healthy muscles assist in the retention of RCDs, consequently aiding in mastication, speech, and phonetics, hence improving patient satisfaction. Clinical implication: Acknowledging the fact that the prevalence of Vitamin D deficiency is worldwide. We suggest Vitamin D therapy as a nutritional intervention among the elderly completely edentulous population, following dietary counselling, and consider Vitamin D therapy to be an adjunct to nutritional counselling for improving masticatory muscle activity and efficiency, which aids in RCD retention and stability. Consequently, improving oral health-related quality of life for individuals.

To understand the impact of oral rehabilitation of patients treated for head and neck cancer, it would be beneficial to describe the patient-reported problems related to fixed and removable prostheses with and without implants and which impairments are improved by the treatment.The aim of the present study was to evaluate the impact of oral rehabilitation with fixed versus removable prostheses with and without implants on Oral Health Related Quality of Life (OHRQoL) measured with OHIP-49 for patients treated with radiation therapy and/or ablative surgery.The study cohort included 51 patients (35 males, 16 females) with a mean age of 66 years. A significant improvement in OHRQoL was demonstrated after oral rehabilitation with fixed and removable dental prosthesis for patients after radiation and/or ablative jaw surgery. Thirty-nine of the 43 patients improved oral health related quality of life after prosthetic rehabilitation. Twenty-four patients improved with more than 20 points. The oral rehabilitation resulted in better appearance and chewing function.No significant effect between fixed versus removable prostheses and no significant effect of implant on the OHIP-score. This may be explained by a limited sample size, a great variation between the included patients and the validity of the OHIP-49 questionnaire measure to demonstrate patient-reported improvements or deterioration of a prosthetic treatment in this group of very functional compromised patients.

Abstract Aim: To find out the association between oral health related behavior and dental caries   Methods: A cross-sectional study was conducted on the 6-7-year-old students of Wilsonian school, DFT was clinically assessed at the first visit and a validated questionnaire was distributed among the parents of the students. The questionnaire consists of the three main questions, one regarding the tooth brushing Frequency that was  assessed by the following question: “How many times a day does your child brush his/her teeth?” with the answers of “twice or more/day,” “once/day,” “less than once/day,” and “do not know.” These answers were recorded as “twice or more/day; coded 1” and “less than twice/day (including ‘do not know’); coded 2”. Another question regarding the drinking sugar-sweetened beverages frequency was assessed by the following question: “How often does your child drink sugar-sweetened beverages?” with the answers of “several times/month or never; coded 1,” “once/week; coded 2,” “2- 3 times/week; coded 3,” “4-6 times/week; coded 4,” “once/day; coded 5” and “twice or more/day; coded 6.” .The Third question was regarding “Snack-eating habits” that was assessed by the following question: “When does your child eat snacks?” with the answer of “does not eat snacks; coded 1,” “eats snacks at a set time; coded 2” and “eats snacks freely whenever he/she wants; coded 3.” Results: Poor oral behavior was  associated with higher DFT after adjusting for all covariates Toothbrushing frequency, frequency of drinking sugar-sweetened beverages and snack-eating habits (OR=1.49,CI-1.17-1.89) (OR=2.01,95% CI=1.27,3.18) and (OR=1.83,95%CI=1.14,2.92) associated with DFT, Conclusions: improving children’s oral health behavior might decrease their dental caries by Strengthening their self-control. KEYWORDS Child, child dentistry, dental caries, oral health behavior

The role of a prosthodontist in the management of facial cleft patients is the restoration of feeding, respiration, facial harmony, dental harmony and phonation. This case report presents the fabrication of an appliance for a pediatric patient with congenital median facial cleft who had sleep apnea due to the absence of nasal septum, which is a rare condition, with a unique method that fulfilled the patient's needs and improved quality of life. The patient also had median cleft lip and premaxilla along with hypertelorism.

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