Factors Affecting the Learning of Fixed Prosthodontics Course by Students at Kermanshah University of Medical Sciences

AIM: The objective of this study was to investigate the factors affecting the learning of fixed prosthodontics course from the viewpoint of students and faculty members of Kermanshah Dentistry School. MATERIAL AND METHODS: This research was a descriptive-analytical study conducted using the convenient sampling method. A total of 72 students and 5 faculty members were included in the study. Data were collected using a researcher-made questionnaire containing two sections. The first section consists of demographic information, and the second section consists of 14 questions to evaluate the factors affecting the learning of the fixed prosthodontics course. RESULTS: From the students’ point of view, there was a significant relationship between the effect of using clinical points during a teaching on the learning efficacy of the fixed prosthodontics course and gender (P = 0.028). There was a statistically significant relationship between the level of professor's knowledge regarding the modern educational methods on the learning of fixed prosthodontics course (P = 0.034). The factor of displaying and implementing practical work on the real patient was considered important by students, and having knowledge about modern educational methods was considered important by faculty members. CONCLUSIONS: It is recommended that appropriate educational planning be implemented to enhance students’ practical work on the real patient and increase professors’ knowledge about modern educational methods

A Randomized Triple-Blind Clinical Trial of the Effect of Low-Level Laser Therapy on Infiltration Injection Pain in the Anterior Maxilla

Objective: To evaluate the level of pain experienced during infiltration anesthesia of the anterior maxilla following low-level laser therapy (LLLT) with 810-980 nm wavelengths. Material and Methods: In the current triple-blind clinical trial, 84 patients received a total of 168 infiltration anesthesia injections (1.8 mL of 2% lidocaine plus 1:100,000 epinephrine) in the anterior maxilla. Each patient received two injections into the buccal mucosa of the right and left central incisors with a two-week interval. One injection was performed after LLLT, while the other injection was administered conventionally without laser. The pain level was measured immediately after injection using a visual analog scale (VAS). Results: There was a significant difference in the pain level experienced with and without LLLT, such that the mean pain score following LLLT was significantly lower than that without LLLT (p<0.05). No significant difference was found in the pain level between laser and no laser groups in males, but the difference in this regard was significant in females (p<0.05) and female patients experienced a significantly lower level of pain following LLLT. Conclusion: The low-level laser therapy can be successfully used to decrease the level of pain experienced during infiltration anesthesia of the anterior maxilla

Applying the Taguchi Method to the Optimization of Anticancer Activity of Bacterial Alginate-CuO Bionanocomposite

AIM: In recent decades, despite various types of cancer inflicting many people worldwide, the existing therapies are not satisfactory and have many side effects. The present study was conducted to optimise the synthesis of novel alginate-CuO nanocomposite with utmost anticancer activity. METHODS: In this study, 9 nanocomposites were designed using Taguchi method and three factors including copper oxide nanoparticles, alginate biopolymer and stirring times were assessed at three different levels. The anticancer activity of the synthesised nanocomposites was evaluated on the MCF-7 cell line using the MTT method. Using the Qulitek-4 software, we determined the optimum conditions for the synthesis of alginate-CuO nanocomposite with the highest anticancer activity. RESULTS: The results indicated that all three factors (copper oxide, alginate and stirring time) were effective on the anticancer activity of the alginate-CuO nanocomposite. Also, the nanocomposite produced under the conditions of experiment 9 (8 mg/ml of copper oxide, 2 mg/ml of alginate and 60 min of stirring time) provided the highest growth inhibition rate as 75.63% against cancer cells. CONCLUSION: The synthesised alginate-copper oxide nanocomposites in this study showed a significant anticancer effect. Therefore, the synthesised nanocomposite under optimal conditions can be used in the design of new anticancer drugs

The Role of Nanomaterials in the Treatment of Diseases and Their Effects on the Immune System

Nanotechnology has been widely exploited in recent years in various applications. Different sectors of medicine and treatment have also focused on the use of nanoproducts. One of the areas of interest in the treatment measures is the interaction between nanomaterials and immune system components. Engineered nanomaterials can stimulate the inhibition or enhancement of immune responses and prevent the detection ability of the immune system. Changes in immune function, in addition to the benefits, may also lead to some damage. Therefore, adequate assessment of the novel nanomaterials seems to be necessary before practical use in treatment. However, there is little information on the toxicological and biological effects of nanomaterials, especially on the potential ways of contacting and handling nanomaterials in the body and the body response to these materials. Extensive variation and different properties of nanomaterials have made it much more difficult to access their toxicological effects to the present. The present study aims to raise knowledge about the potential benefits and risks of using the nanomaterials on the immune system to design and safely employ these compounds in therapeutic purposes

A Randomized Triple-Blind Clinical Trial of the Effect of Low-Level Laser Therapy on Infiltration Injection Pain in the Anterior Maxilla

Objective: To evaluate the level of pain experienced during infiltration anesthesia of the anterior maxilla following low-level laser therapy (LLLT) with 810-980 nm wavelengths. Material and Methods: In the current triple-blind clinical trial, 84 patients received a total of 168 infiltration anesthesia injections (1.8 mL of 2% lidocaine plus 1:100,000 epinephrine) in the anterior maxilla. Each patient received two injections into the buccal mucosa of the right and left central incisors with a two-week interval. One injection was performed after LLLT, while the other injection was administered conventionally without laser. The pain level was measured immediately after injection using a visual analog scale (VAS). Results: There was a significant difference in the pain level experienced with and without LLLT, such that the mean pain score following LLLT was significantly lower than that without LLLT (p<0.05). No significant difference was found in the pain level between laser and no laser groups in males, but the difference in this regard was significant in females (p<0.05) and female patients experienced a significantly lower level of pain following LLLT. Conclusion: The low-level laser therapy can be successfully used to decrease the level of pain experienced during infiltration anesthesia of the anterior maxilla

Development of Undergraduate Research Skill: Critical Issue in Evidence-Based Dentistry

Evidence-based dentistry (EBD) is an approach to oral health care which helps to decision making in clinical practice. EBD is an integration of systematic assessments of clinically relevant scientific evidence, relating to the patient's oral and medical condition and history (1). It is a new model for dental education which is designed to increase current research into student education and practice and also help practitioners provide the best care for their patients (2). As part of the future of dental school education in many schools, it is an ideal way of preparing graduates for Evidence-based dentistry and subsequent independent practice (3).To better focus on clinical issues, dental guidelines should be assessed initially. Systematic reviews should be considered to serve as a basis for development of evidence-based guidelines. In order to provide the best present evidence, systematic reviews should be rigorous. The overall quality of evidence in coordinate with other factors (balance between treatment outcomes and side effects, patients’ variables, and cost-effectiveness of treatment) should be reassessed to determine the strength of new recommendations. This approach is supposed to lead in proper clinical guidelines and improved dental treatments (4). To achieve this goal one of the pivotal item is developing research skill of undergraduate students and particularly teachers and dental schools officials have an important role in curriculum development. Education should be initiated to discuss, develop, and implement a core curriculum for research development. Although research in medical education has a practical aspect, but it is of great significance to rely on fund a mental theories otherwise research outcomes will be superficial and uninteresting. Considering this point is necessary for researches with a problem oriented approach (5). If research in dental education continues to be a free service in dental schools it may promote student clinical decision, better judgment of basic science.Several researchers in medical education do primordial research. These researchers have been educated in medicine as their primary major and perform clinical research as well. However, when they started medical education, they were not prepared properly to lead research projects. These researchers have a tendency to transfer their experiences and understandings from their research field to the domain of medical education (5).We recommend to educators, school, and educational officials to initiate a curriculum for these dental research courses and improve this situation

The effect of virtual reality on reducing patients’ anxiety and pain during dental implant surgery

Abstract Background Dental anxiety and pain pose serious problems for both patients and dentists. One of the most stressful and frightening dental procedures for patients is dental implant surgery; that even hearing its name causes them stress. Virtual reality (VR) distraction is an effective intervention used by healthcare professionals to help patients cope with unpleasant procedures. Our aim is to evaluate the use of high-quality VR and natural environments on dental implant patients to determine the effect on reducing pain and anxiety. Methods Seventy-three patients having two dental implant surgeries participated in a randomized controlled trial. One surgery was with VR, and one was without. Anxiety was measured with the the State-Trait Anxiety Inventory and the Modified Dental Anxiety Scale tests. The pain was measured with the Numerical Rating Scales. Patient satisfaction, surgeon distress, memory vividness, and time perception were evaluated. Physiological data were collected with biofeedback and neurofeedback device. Results VR effectively reduced anxiety and pain compared to no VR. Physiological data validated the questionnaire results. Patient satisfaction increased, with 90.4% willing to reuse VR. VR reduced time perception and memory vividness. Conclusion Psychometric and psychophysiological assessments showed that VR successfully reduced patient pain and anxiety. More dental clinicians should use VR technology to manage patient anxiety and pain

Optimization of Antibacterial, Structures, and Thermal Properties of Alginate-ZrO2 Bionanocomposite by the Taguchi Method

Developing novel antibacterial chemicals is constantly necessary since bacterial resistance to antibiotics is an inevitable occurrence. This research aimed to find the ideal conditions for using antibacterial zirconia (ZrO2) NPs with polymer alginate nanocomposites. Using the Taguchi method, alginate biopolymer, zirconia NPs, and stirring time were utilized to construct nine nanocomposites. Analysis of Fourier transform infrared spectroscopy (FTIR), ultraviolet-visible (UV-vis), spectroscopy, X-ray diffraction (XRD), scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDX), transmission electron microscopy (TEM), and thermogravimetric analysis (TGA) indicated the development of nanocomposites with appropriate structural properties. Antibacterial efficacy against Streptococcus mutans (S. mutans) biofilm was the highest when the nanocomposite was formed under the circumstances of experiment 6 (zirconia 8 mg/ml, alginate 70 mg/ml, and 40 min stirring time). Alginate/zirconia bionanocomposites generated using the in situ technique proved efficient against S. mutans. Nanoparticles have a high surface-to-volume ratio and surface energy, which can cause them to agglomerate and make their antimicrobial effectiveness problematic. Using zirconia nanoparticles in an alginate polymer matrix in the form of nanocomposite can increase the stability of nanoparticles. Due to the advantageous antibacterial qualities of this bionanocomposite, it can be utilized in various medical materials and dental appliances

In vitro evaluation of anticancer activity of sodium hyaluronate-titanium dioxide bionanocomposite

The purpose of the current research is to optimize the synthesis of sodium hyaluronatetitanium dioxide nanocomposite with the highest anticancer activity. To this end, the Taguchi method was followed to design nine experiments with different ratios of sodium hyaluronate biopolymer, titanium dioxide nanoparticles and stirring times. The results of scanning electron microscopy (SEM) confirmed the synthesis of the nanoparticle and nanocomposite. The comparison of anticancer activity level of synthesized nanocomposites using MTT assay showed that the nanocomposite synthesized in the conditions of experiment 9 (8 mg/ml of titanium dioxide nanoparticles, 2 mg/ml of sodium hyaluronate biopolymer and 60 min stirring time) had the maximum anticancer activity against Michigan Cancer Foundation-7 (MCF-7) cell line. According to the results, the Taguchi method can be employed as an effective and useful strategy to save time and cost in order to determine the optimal conditions for the synthesis of sodium hyaluronate-titanium dioxide nanocomposite with the most favorable anticancer activity