Publications by authors named "Sunit K Jurel"

The accurate replacement of a missing eye with an ocular prosthesis that matches the healthy eye in terms of color and dimension of the sclera and iris is crucial for individuals who have lost an eye from trauma or cancer. A method is shown for precisely imitating the patient's sclera in terms of translucency from the patient's healthy eye for the prosthetic eye by creating custom translucency tabs. It is a straightforward, effective, and time-saving method of improving results during prosthesis fabrication.

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Statement Of Problem: The comparative accuracy of different color-matching methods for maxillofacial prostheses is lacking.

Purpose: This clinical study aimed to compare prosthesis color matching using the conventional trial and error method with that using the maxillofacial spectrophotometer method.

Material And Methods: Fifty-four Indian participants were enrolled based on skin color and divided into Light, Medium, and Dark groups (n=18).

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Statement Of Problem: Studies pertaining to the objective assessments of the efficacy of mandibular advancement device in patients with obstructive sleep apnea are scarce.

Purpose: The purpose of this clinical study was to evaluate the effect of MAD at two different horizontal positions of mandible on upper airway dimensions through computed tomography.

Material And Methods: Twenty-nine consenting participants satisfying predetermined inclusion and exclusion criteria were enrolled and an adjustable two-piece MAD was fabricated at 50% maximum mandibular protrusion and after 4 weeks was adjusted to 70% protrusion.

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Obstructive sleep apnea (OSA) is considered a major sleep-related breathing problem with an increasing prevalence rate. Retrospective studies have revealed the risk of various comorbidities associated with increased severity of OSA. This study aims to identify novel metabolic biomarkers associated with severe OSA.

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Maxillofacial defects not only create esthetic and functional problems for the patient but also have psychological and social impact on the patient. The present clinical report describes the management of a patient who had undergone partial maxillectomy, hemimandibulectomy, and partial resection of the lip on the left side. Rehabilitation of this patient was done using silicone lip prosthesis and maxillary obturator.

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Purpose: To compare concentration and release kinetics of osteocalcin and crestal bone loss under immediate and delayed loading conditions during osseointegration.

Materials And Methods: Forty-one patients who were indicated for rehabilitation with dental implants randomly received either implant with placement of permanent prosthesis after 3 months (delayed loading) or implant with placement of permanent prosthesis within 7 days (immediate loading). Radiographic assessment of crestal bone loss at the mesial and distal surface was done at 3, 6, and 12 months after implant placement.

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Statement Of Problem: Objective assessments of the effect of mandibular advancement device on patients with obstructive sleep apnea are lacking.

Purpose: The purpose of this clinical study was to compare levels of serum tumor necrosis factor alpha (TNF-alpha), Epworth Sleepiness Scale score, and Berlin Questionnaire score in patients with mild to moderate obstructive sleep apnea before and after treatment with a mandibular advancement device.

Material And Methods: Twenty participants diagnosed with mild to moderate obstructive sleep apnea based on polysomnography testing were enrolled.

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Aim: To compare speech intelligibility (SI), nasal resonance, and swallowing ability in maxillectomy patients with a customized obturator to the conventional obturator.

Settings And Design: Non-randomized controlled study.

Materials And Methods: Forty-eight maxillectomy patients were recruited and assessment of SI, nasal resonance, and swallowing ability was done at three situations: without obturator, with conventional obturator, and with customized obturator.

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Statement Of Problem: Clinical studies regarding satisfaction and occlusal forces with the complete denture in relation to the menopause are sparse.

Purpose: The purpose of this clinical study was to compare satisfaction levels and occlusal force with complete dentures in premenopausal and postmenopausal Indian women.

Material And Methods: Twenty premenopausal (group pre-MP) and 20 postmenopausal (group post-MP) completely edentulous participants were selected based on inclusion and exclusion criteria, and estradiol levels were measured.

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Purpose: Continuous positive air pressure (CPAP) is recommended for obstructive sleep apnea (OSA) with type 2 diabetes mellitus (T2DM) but cost and compliance are major barriers. A mandibular advancement device (MAD) may be an economical, feasible alternative to CPAP. Various studies have been published to recommend MAD as an alternative to CPAP for OSA, but not regarding its efficacy for patients having OSA as well as T2DM.

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Statement Of Problem: Because of the toxicity of vanadium in Ti-6Al-4V alloy, next generation of titanium alloys is proposed to focus on niobium-containing alloy, but for clinical applications, it is crucial for this alloy to bond with acrylic resins with or without the use of primers. However, literature was lacking about the effect of primers on bonding of autopolymerizing resins to Ti-6Al-7Nb.

Objectives: To evaluate the effect of different metal primers on the shear bond strength of acrylic resin to Ti-6Al-7Nb.

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Finger amputations are common in accidents at home, work, and play. Apart from trauma, congenital disease and deformity also leads to finger amputation. This results in loss of function, loss of sensation as well as loss of body image.

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Statement Of Problem: Numerous studies of the efficacy of immediately placed implants have been published but only a few of the comparative analyses of the early loading of delayed versus immediately placed dental implants.

Purpose: The purpose of this pilot prospective clinical study was to evaluate and compare the outcomes of early loaded delayed versus immediately placed implants.

Material And Methods: Eighty-eight participants satisfying predefined inclusion and exclusion criteria were selected for this pilot prospective study of 3 years' duration after obtaining institutional review board approval and informed consent.

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Statement Of Problem: Few studies compare the radiographic changes in bone density associated with immediate implant loading protocols.

Purpose: The purpose of this longitudinal study was to quantitatively assess radiographic changes in alveolar bone density around immediate functionally and nonfunctionally loaded implants.

Material And Methods: A prospective longitudinal study was conducted in which 20 participants with partially edentulous mandibles received implants that were immediately loaded either functionally (IFL) or nonfunctionally (INFL).

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Ossifying fibroma of bone is a central neoplasm of bone and it is more common in young adult with marked predilection for mandible and also it is more common in female. Lesion is generally asymptomatic until growth produces a noticeable swelling and mild deformity. It presents an extremely variable roentographic appearance depending upon the stage of development.

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Foreign bodies are often encountered by oral and maxillofacial surgeons and may present a diagnostic challenge, due to many factors such as nature of foreign body material, the size of the object, difficult access and a close anatomical relationship of the foreign body to vital structures. There are foreign bodies like glass pieces, plastic materials, wooden pieces are not seen in routine radiographs and often misdiagnosed. To reduce the chances of complications presence of foreign body in the patients head and neck region must be thoroughly investigated by the surgeon.

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Purpose: To assess function by identifying changes in swallowing and masticatory performance in maxillary obturator prosthesis wearers.

Materials And Methods: Sixty subjects were recruited for the study, of which 20 were obturator wearers, 20 were completely dentulous and 20 had removable partial/complete dentures with similar Eichner's Index. Swallowing ability was evaluated with and without obturator using the "Water Drinking Test"; Masticatory performance was evaluated with the Sieve test; and maximum occlusal force was recorded with the help of a digital bite sensor.

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Studies have reported that masticatory function and occlusal force are low in edentulous patients, which brings about a change in the density, thickness, and alignment of bony trabeculae. However, studies that have quantitatively measured the differential cortical and medullary bone densities of the mandibular condyle in vivo remain rare. This study determined and compared the cortical and medullary bone density of the mandibular condyle in dentulous and edentulous jaws, using multidetector computed tomography (CT).

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Microstomia is a common occurrence in clinical practice that may hinder the conventional prosthetic treatment of edentulous patients. Oral augmentation exercises to increase the vertical opening and sectional or collapsible dentures have been described in the past, which have their own drawbacks and limitations. The present article highlights a new approach for rehabilitation of a patient with microstomia with cast lock and key attachments leading to greater ease for both the patient and the clinician.

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Objectives: The objective of the study was to assess the awareness and performance towards dental waste including mercury management policy and practices among the dental practitioners in North India.

Materials And Methods: An epidemiologic survey was conducted among 200 private dental practitioners. The survey form was composed of 29 self-administered questions frame based on knowledge, attitude, and those regarding the practices of dentists in relation to dental health-care waste management.

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Oral cancers have been one of the leading causes of deaths particularly in the developing countries. Prime reason for this high mortality and morbidity is attributed to the delay in diagnosis and prompt treatment. Relentless research in the field of oncology has led to the advent of novel procedures for the early detection of oral cancers.

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Loss of continuity of the mandible leads to deviation of the residual segment towards the surgical site and alteration in muscle function. This results in facial asymmetry and malocclusion. A corrective device known as 'guide flange prosthesis' is indicated to limit this clinical manifestation.

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This case report describes a series of four cases of different age group, in which a simplified approach was applied for positioning the iris disc on a custom made ocular prosthesis. For each of the patient, a pre-fabricated eye was selected; whose iris and pupil closely matched that of the natural eye. This was duplicated for use as a tray in impression procedure.

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