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Total quality management, now a well known idea, is a philosophy of Contents The author ix Preface x 1 Basics 1 The message of quality 1 Why quality?. Title Total Quality Management and Six Sigma; Author(s) Tauseef Aized eBook PDF files, and a ziiped PDF, MB; Language: English. information from relevant books and journals to put together this book. This effort was led this book. We acknowledge the services of Dr. Sharada Jayagovind, SSL, Total Quality Management (TQM) in Higher Education towards continuous.
The mean axial lengths of the two eyes were comparable amblyopic eyes Significant differences in total HOAs and those arising from the internal optics except spherical aberrations of the eye were noted between the two eyes.
There were no differences in the corneal HOAs. The total HOAs were comparable amongst the various refractive error groups for amblyopic and non-amblyopic eyes individually. Conclusion: There are significant differences in ocular HOAs between amblyopic and non-amblyopic eyes in children with anisometropic amblyopia. Comparison of higher order wavefront aberrations with four aberrometers p. Participants were between 19 and 69 years of age, and exclusion criteria were previous ocular surgery or trauma, contact lens wear within the preceding 2 weeks, and ocular or systemic disease.
Zernike coefficients of vertical and oblique trefoil, vertical and horizontal coma, and spherical aberration were analyzed in R software.
Results: In all, scans were captured in total, with a male-to-female ratio of A comparative study of preoperative and postoperative changes in corneal astigmatism after pterygium excision by different techniques p. A slight increase in the surface roughness was observed as the concentration of MA increased.
Burning mouth syndrome: A comparative cross-sectional study p. Multiple conditions have been attributed to a burning sensation. The aim of this study was to determine the role of age and sex in BMS.
Materials and Methods: A total of consecutive patients with BMS and 95 healthy patients without burning sensation were recruited in this study. Patients with BMS had experienced oral, burning sensations for at least 6 months without oral clinical signs, and with a normal blood count.
Multiple logistic regression analyses were utilized to define the main predictors. Results: Menopause, candidiasis, psychological disorders, job status, denture, and dry mouth were significantly frequent in BMS patients. Ultimately, age was defined as a critical predictor. Moreover, we can therefore predict that a year-old woman with psychological disorders is 25 times more likely to suffer from BMS than a man 10 years younger who has no psychological disorder.
Conclusion: Age and sex were the main predictors in BMS. Psychological disorders and candidiasis were significantly associated with the occurrence of BMS. Comparative study of the effect on apical sealability with different levels of remaining gutta-percha in teeth prepared to receive posts: An in vitro study p. Materials and Methods: A total of 80 freshly extracted human maxillary anterior teeth were decoronated, biomechanically prepared, and randomly divided into four groups; Group A and Group B served as positive and negative control with 10 teeth each.
Teeth in Group C and Group D were further subdivided into three subgroups depending on the length of remaining apical gutta-percha, i. Apical leakage was assessed using dye penetration method under stereomicroscope. Results: In both the Groups C and D, there was overall no statistically significant difference in leakage; however, Group C showed slightly more leakage than Group D. There was a statistically significant difference in leakage at 3 mm and 5 mm level in both groups. Conclusion: Although less microleakage occurred, the bioceramic sealers could not totally eliminate leakage.
Effect of preetching on microleakage with all-in-one adhesives using calcium-based desensitizers: An in vitro study p. Materials and Methods: Class V cavities were prepared on the buccal surfaces of extracted human premolars.
Group 1 — no desensitizer was applied and Groups 2 and 4 — desensitizer CCP-ACP and Novamin was applied, respectively, followed by the application of G-Bond and restored with composite restoration.
Groups 3 and 5 are same as Group 2 and 4, but preetching of enamel was done for 3 s after desensitizers application. The teeth were thermocycled and the specimens were examined for microleakage using methylene blue as a marker.
The teeth were sectioned buccolingually and evaluated for microleakage under stereomicroscope and the scores obtained were analyzed with Kruskal—Wallis and Mann—Whitney tests.
Conclusion: The application of calcium-containing desensitizers with selective etch enamel technique in all-in-one adhesives could be considered an advisable procedure to minimize microleakage.
Efficacy of intraosseous local anesthesia for restorative procedures in molar incisor hypomineralization-affected teeth in children p.
Hypersensitivity of the teeth and difficulty in achieving local anesthesia due to altered nerve potential affects the successful completion of the treatment. Aim: The aim of the study was to compare the anesthetic efficacy of the intraosseous IO anesthetic technique with conventional local infiltration technique in anesthetizing first permanent molars FPMs affected by MIH for restorative procedures in children.
Materials and Methods: This randomized controlled clinical trial recruited 54 MIH-affected mandibular or maxillary FPMs requiring restorations or stainless steel crowns. Onset, time required, and pain experienced for administration, need for repeat, efficacy of anesthetic technique, heart rate, and postoperative complications were recorded in both the groups. Collected data were subjected to statistical analysis.
Results: Onset was significantly faster and pain experienced during administration was significantly lower with IO technique. Need for repeat of anesthesia was significantly more with infiltration Local infiltration failed to produce profound anesthesia in IO anesthesia profoundly anesthetized Conclusion: IO local anesthesia was found to be an effective and safe technique to achieve profound anesthesia in MIH-affected teeth in children in comparison to local infiltration.
Assessment of survival rate of dental implants in patients with bruxism: A 5-year retrospective study p.
Systemic conditions such as diabetes, hypertension, and bruxism affect the success rate. The present study was conducted to assess complications in dental implants in bruxism patients. Materials and Methods: This 5-year retrospective study was conducted on patients dental implants who received implants during the period and followed up for 5 years from June to June Among these patients, had bruxism habit. Dental radiographs or patients' recalled records were evaluated for the presence of complications such as fracture of implant, fracture of ceramic, screw loosening, screw fracture, and decementation of unit.
Results: In males and females, implants and implants were inserted, respectively.
A total of screw-type and cemented-type fixations had complications. Complications were seen in single crown 45 , partial prostheses , and complete prostheses The common complication was fracture of ceramic 70 in cemented-type fixation and fracture of ceramic 85 in screw-type fixation.
The failure rate was Conclusion: Bruxism is a parafunctional habit which affects the survival rate of dental implants. There is requirement to follow certain specific protocols in bruxism patients to prevent the developing complications.
Effect of laser etching and spark erosion on retention and resistance of partial veneer crown copings luted with adhesive resin cement p. In this study, we wanted to explore the potential of two new surface treatment modalities laser etching and spark erosion for improving the longevity of partial veneer crowns.
Material and Methods: Conventional partial veneer crown preparation was done on 90 extracted premolars by a single operator. All the samples used in the study were divided into three groups. Group A were samples to be treated by sandblasting alone, Group B were samples to be treated by sandblasting followed by laser etching, and Group C were samples to be treated by sandblasting followed by spark erosion. The prepared teeth were randomly allotted to the three groups and subgroups using lot method.
Partial veneer crown copings were fabricated for testing retention and resistance.
Castings in each subgroup were luted with resin cement to their respective tooth preparations. Retention and resistance testing of samples were done with the use of an Instron Universal testing machine. Conclusion: Within the limitation of this study, it can be concluded that the combination of spark erosion and sandblasting significantly improves the retention and resistance values of partial veneer crown.
This study helps to provide better knowledge about the surface treatment required for success of partial veneer crowns. Dermatoglyphic analysis in parents with cleft children: A comparative study p. But it would be beneficial if probable expression can be proved in prior generations, so that genetic counseling and other preventive measures can be undertaken.
The aim of the study is to determine variations in dermatoglyphics of prior generations which would serve as bench markers to predict the occurrence of cleft in off springs.
Materials and Methods: A total of parents aged between years were selected and divided into two groups - Group A consisted of parents with cleft children and Group B comprised of parents with at least 2 healthy children who met the inclusion criteria. Dermatoglyphic prints were collected by ink method and evaluated for pattern types, total ridge count and palm prints were evaluated for a-b ridge count, atd angle and asymmetry. The ratio of nonscientific members ethicist, philosopher, and layperson in the IEC composition was incredibly low.
This study also reveals the professionally biased and noncompliance with schedule Y guideline in relation to the representation of lawyers, ethicists, and nonscientific members. Impact of educational intervention on knowledge, attitude and awareness of good clinical practice among health care providers p.
To ensure the credibility of data and the safety and well-being of the patients Good clinical practice GCP guidelines play an important role. At present, we have little knowledge about awareness of GCP guidelines among health care providers in India. Aim: To assess the level of awareness, and perception of the health care providers toward GCP and subsequent change in these after a dayer training session on GCP guidelines.
Settings and Design: A cross-sectional descriptive questionnaire-based study was conducted amongst health care providers, that is, doctors, dentists, nurses of a Tertiary Health Care and Teaching Institute. Materials and Methods: Participants were given descriptive questionnaire; they completed the questionnaire before and after undergoing a day training program in GCP guidelines.
Statistical Analysis Used: The impact of the effectiveness of educational intervention among healthcare professionals was evaluated by two-tailed Z-test. Results: Out of participants, 80 were medical doctors, 20 dental doctors, and 20 nurses. A dayse training program on GCP guidelines was found to increase positive attitudes toward various aspects of clinical trials. Conclusion: A day's training program on GCP guidelines may help to increase the knowledge as well as awareness about principles and techniques of clinical research, which will increase the credibility of clinical research in the country.
Clinical trials in dentistry in India: Analysis from trial registry p.