Sharipov Salim Salomovich, Khabilov Nigman Luqmanovich, Shukurova Umida Abdurasulova, Salimov Odilkhon Rustamovich and Khabilov Bekzod Nimanovich
Objective:The restoration of the vertical dimension of occlusion (VDO) plays a critical role in functional rehabilitation and esthetic outcomes for edentulous patients. This study aimed to compare the clinical effectiveness of three prosthetic approaches—conventional, individualized, and CAD/CAM- milled complete dentures—in maintaining VDO, enhancing muscle activity, and improving patient satisfaction.
Materials and Methods:Thirty edentulous patients (aged 55–75) were randomly divided into three groups (n = 10):
Group A:Conventionalacrylicdentures
Group B: Individualized dentures (phonetic and esthetic methods)
Group C: CAD/CAM-milled digital dentures
VDO was evaluated at five time points (baseline, post-insertion, 1, 3, and 6 months) using phonetic, esthetic, and mechanical techniques. Masseter EMG activity and patient satisfaction (5-point Likert scale) were also assessed. Statistical analysis included ANOVA and paired t-tests (p < 0.05).
Results:Group C demonstrated the most stable VDO (mean variation: ±0.6 mm), followed by Group B (±1.2 mm) and Group A (±2.1 mm). EMG recordings showed significantly higher masticatory muscle activity in Groups B and C compared to Group A. Patient satisfaction scores were highest in Group C, particularly in aesthetics (4.8) and comfort (4.7), with statistically significant differences among groups (p < 0.01).
Conclusion:CAD/CAM-milled dentures provide superior outcomes in VDO preservation, functional performance, and patient-reported satisfaction compared to conventional and individualized methods. The integration of digital technologies in complete denture fabrication enhances treatment predictability and patient-centered care. Clinicians are encouraged to adopt CAD/CAM or individualized approaches where appropriate to optimize long-term rehabilitation in edentulous patients.
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RAMCHANDRA MANDA
Background:-Patient rights are fundamental in healthcare to ensure ethical treatment and informed decision-making. Despite legal frameworks promoting patient rights in India, awareness remains limited, especially in rural areas. This study assesses patient awareness regarding their rights, treatment costs, and healthcare information at JMF’s ACPM Medical College Dhule.
Methods:-A cross-sectional study was conducted at JMF’s ACPM Medical College Dhule. A total of 84 patients from different outpatient departments were surveyed using a structured questionnaire. Data were collected anonymously, ensuring confidentiality.
Results:-Findings indicate that a significant proportion of patients lacked awareness about their healthcare rights. In our study, 72.6% of patients did not know their doctor\\\\\\\'s name, and 83.3% were unaware of their doctor\\\\\\\'s qualifications. Additionally, 73.8% of patients did not know the expected cost of their treatment. Alarmingly, 89.3% of patients were unaware of their own health condition, and 85.7% had never seen a patient rights board displayed in the hospital. These findings highlight the need for improved patient education and transparent communication in healthcare settings.
Conclusions:The study highlights a significant gap in patient awareness regarding their rights and healthcare costs. Targeted educational interventions and improved communication between healthcare providers and patients are needed to bridge this knowledge gap.
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