Journal articles on the topic 'Poor dental aesthetics'

Dental diastema is a space or absence of contact between two consecutive teeth, which may represent an aesthetic embarrassment for the patient when smiling. For the aesthetic resolution of diastema some factors should be evaluated as, age of the patient, dental structure conservation, reversibility of treatment, cost and longevity. For closing diastema, for a long time, the clinical alternatives were the use of orthodontics and fixed prostheses. Currently, with composite resins, it is possible to reproduce natural characteristics of the teeth with a direct, reversible restorative technique, without the wear of healthy dental structure, with affordable cost, able to provide satisfactory aesthetic results. The aim of this study is to report a case of a patient diagnosed with inter incisor diastema and to present a literature review. Patient, male, 70 years old, was attended at oral clinic of Ingá University Center - Uningá, complaining about the aesthetics of his smile. Clinically, was observed the presence of a diastema between upper incisor, fracture of incisal edge of central incisors and poor dental positioning. A reverse planning of the case was carried out through diagnostic waxing. With aid of a silicone guide, the diastema was closed through reanatomizations in composite resin. After the proposed treatment, was possible to obtain a satisfactory aesthetic in the patient's smile. The closure of diastema, with the use of composite resins was able to provide a better contour to the teeth, closing the spaces present, resulting in an aesthetic and pleasant smile.

Today, in restorative and prosthodontic dental treatments, the focus is on aesthetics. This involves meeting the needs and expectations of the patient. Failures occur not only as a result of technical problems, but also as a result of poor communication with the patient. To avoid these scenarios that may obligate us to repeat the restoration from the beginning, we can obtain help by using Mock-up. Despite communication with the diagnostic and treatment planning step, Mock-up enables us to control the function of the end result without even beginning the work. It also enables us to do a minimal invasive tooth preparation. The aim of this study is to use Mock-up to show its effectiveness in communication, planning, and preparation to achieve the demanded aesthetic dental treatment. Materials and Methods: We prepared mock-up according to wax-up in the second meeting- the treatment planning step. We used a minimal invasive, mock-up guided, preparation technique from the Mock-up accepted by us and the patient. Results: This easy and practical method enabled us to avoid the intervention in the ultimate restoration. Our result is in accordance with those of other authors: we had minimal preparation, even some unprepared surfaces and satisfied patient. Conclusions: The use of Mock-up is a simple technique in aesthetic dentistry. Broadly in prosthodontics, it assures us that the work will be functionally and aesthetically successful.

Aim: This case report aimed to discuss the clinical sequence and the indications of the direct veneer technique with composite resin to mask a discolored tooth. Case report: A 18-year-old male patient attended a Dental School for treatment of the maxillary central incisors. During the initial examination, the patient reported a dental traumatism in childhood fracturing both teeth. Tooth 21 had already been endodontically treated, and the patient complained of the darkened color, while tooth 11 had been fractured for a long time. Results: Poor class IV composite resin restoration was found, showing rests of endodontic material on tooth 21 and class IV dental fracture on element 11. The elements were cleaned, restorative materials were removed and composite resin veneers were made using a silicone guide technique. Finishing and polishing were performed in the next session, reproducing some of the peculiar characteristics of young teeth, consistent with the patient's age, such as macro and microtextures. Conclusion: The use of direct veneers in composite resin proved to be efficient to restore the aesthetics of darkened and fractured teeth, restoring aesthetic satisfaction through the transformation of the patient's smile.

Amelogenesis imperfecta (AI) describes often severe, largely Mendelian biomineralisation defects of tooth enamel. AI enamel can be abnormally thin, soft, fragile, pitted and/or badly discoloured, resulting in major morbidity as patients have difficulty maintaining oral hygiene, experience low self-esteem due to poor aesthetics and report an inferior quality-of-life. Improved understanding of biomineralisation defects in AI would assist in clinical management of AI patients. Dental Volumetric Tomography (DVT, commonly known as Cone Beam CT scanning) is a diagnostic X ray based methodology that produces three -dimensional anatomical images of the skeletal tissues (including the teeth). The aim of this study was to investigate the use of DVT to provide detailed dental anatomy associated with AI. A Morita Veraviewpocs 3D R 100 was used to generate high definition 3D digital images of the maxillae of eight AI-affected volunteers (ethics approval N 440–B2-334 U.C.R.). Pulpal calcifications of varying size, Dens in Vaginitus, dental cysts, root fractures, retained teeth and anomalies in the position of the mandibular canal were all common findings. The data also revealed enamel surface irregularities in an unerupted tooth. In conclusion, use of DVT in AI would facilitate phenotyping by providing identification of dental/oral defects with greater accuracy and definition compared with conventional panoramic radiographs. The data could also be used to aid diagnostics, e.g. by permitting discrimination between hypoplastic enamel (diminished enamel volume) and hypomineralized enamel (failure of normal biomineralization). However, given the high costs associated with DVT and the radiation risks for individual patients, it is best indicated as a research tool for academic and clinical research proposes.

<p class="abstract"><strong>Background:</strong> The purpose of this study was to find the effect of chronic rhinosinusitis on dental malocclusion. A malocclusion is defined as an irregularity of the teeth or a mal relationship of the dental arches beyond the range of what is accepted as normal. Malocclusion may not be life-threatening, but it is an important public health issue as it compromises the health of oral tissues and also can lead to psychological and social problems. There are numerous studies in the literature about prevalence of the dental malocclusion but there is no study regarding association of CRS and malocclusion. Several factors related to malocclusion, such as anterior crowding, midline malalignment, and facial asymmetry, have strong effects on the perception of facial aesthetics, which influence the psychological development and in turn, influence social acceptance and self‑perception.</p><p class="abstract"><strong>Methods:</strong> This was a prospective cross-sectional observational study was conducted from September 2015 to August 2017 and 57 patients with diagnosis of having chronic sinusitis, were evaluated for dental occlusion. Malocclusion is then classified by angle’s classification. </p><p class="abstract"><strong>Results:</strong> Most patients of chronic rhinosinusitis had dental malocclusion in grade II, followed by grade I, then grade III.</p><p class="abstract"><strong>Conclusions:</strong> While treating the patients of CRS one must keep in mind that he may have class II malocclusion which may cause gum disease, poor oral hygiene, impaired speech, mastication and aesthetics of face and need orthodontics management as well.</p>

Fibrous dysplasia is a bone disorder whereby normal medullary bone is replaced by fibrous tissue. Many sites may be affected, including the craniofacial skeleton. A 33-year-old female presented at the Bristol Dental Hospital in 2007 complaining of a prominent and expanding lower jaw as well as poor aesthetics. She was diagnosed with craniofacial polyostotic fibrous dysplasia. In order to manage her concerns and the ongoing growth of the polyostotic lesions, a combined maxillofacial and restorative approach was utilized. After ten years of ongoing management and care, including surgery and dental rehabilitation, her primary concerns have been addressed. CPD/Clinical Relevance: The clinician should be able to understand the clinical and radiographic appearance of craniofacial fibrous dysplasia, how the condition can impact a patient and the complex management that may be involved.

BACKGROUND: The advanced periodontal disease is characterised by a strongly pronounced loss of attachment and reduction of the alveolar bone support, which leads to luxation, migration of the teeth, functional discomfort and poor facial aesthetics. CASE PRESENTATION: The aim of this paper is to present the case of a 26-year-old female patient, registered at the Clinic of Periodontology with highly expressed gingivitis, unsatisfactory periodontal status, presence of diastemas between the frontal teeth and attachment loss of 5-6 millimetres in different areas. We conducted a thorough classic periodontal treatment, as well as training for proper maintenance of oral hygiene, with frequent professional oral-prophylactic sessions, complemented with orthodontic treatment. Fixed orthodontic appliances were installed, and mild forces were applied for gradual levelling of the teeth, with constant control of the periodontal status. After 20 months of treatment, the patient was in retention. CONCLUSION: Orthodontic therapy of periodontally-affected teeth can begin only after exhaustive administration of a periodontal treatment. Orthodontic treatment as an addition to the periodontal restoration must be gradual with mild forces for an optimal dental response, thus helping to improve function, facial aesthetics and psychological confidence of adult patients.

Amelogenesis imperfecta (AI) is defined as an interruption of enamel formation due to genetic inheritance. To prevent malfunction of the masticatory system and an unaesthetic appearance, various treatment options are described. While restoration with a compomer in the anterior region and stainless steel crowns in the posterior region is recommended for deciduous dentition, the challenges when treating such structural defects in mixed or permanent dentition are changing teeth and growing jaw, allowing only temporary restoration. The purpose of this case report is to demonstrate oral rehabilitation from mixed to permanent dentition. The dentition of a 7-year-old patient with AI type I and a 12-year-old patient with AI type II was restored under general anesthesia to improve their poor aesthetics and increase vertical dimension, which are related to problems with self-confidence and reduced oral health quality of life. These two cases show the complexity of dental care for structural anomalies of genetic origin and the challenges in rehabilitating the different phases of dentition.

A complete denture is defined as a 'dental prosthesis which replaces entire dentition and associated structures of the maxilla and mandible'. Functions of complete Dentures include restoring aesthetics, mastication, and speech. When all the teeth within a jaw have been lost and need to be replaced, and it is an exclusively tissue-supported prosthesis if implants are not indicated. Tooth loss can occur due to many reasons, such as Dental caries, Periodontal disease, Trauma and Congenital disorders. So the aim of the study was to evaluate the ratio between the female and male patients in receiving the complete denture in dental college and Hospitals. Data of 423 patients records were and retrieved from total data of 86000 patients who visited between June 2019 and March 2020. The study parameters such as age, gender and patients who received complete denture were recorded and converted into excel sheets for tabulation, and the collected data were entered in SPSS and through Chi-square test. Results from the study revealed that prevalence among the males was 59.8% and among the females was 40.2%; distribution of complete denture among various age groups revealed 85.1% above 50 years and 14.9% below 50 years. The association between the age groups and the frequency of gender revealed Pearson Chi-Square Value-0.005;p&lt;0.05 Hence statistically significant. The study showed that male patients and patients above 50 years were more likely to be delivered with a complete denture. The study revealed the male predominance due to their poor oral hygiene.

Background: Missing or lost teeth after tooth extraction may lead to tooth decay and infection. Many cases of tooth loss will not be followed with prosthodontics or rehabilitative treatments. Patients might be aware of partial denture, however no concern to replace the missing teeth.Aims: This study was to determine the relationship between the levels of knowledge and interest in using the partial dentures.Methods: This study was an observational analytic survey with cross sectional design, conducted in October - November 2017. The work involved 60 patients who had pulled teeth at Kanina Dental Clinic, Yogyakarta, Indonesia, who had been selected using purposive sampling technique. Levels of knowledge and interest among the participants were assessed by a set of questionnaire. The data obtained was then analysed using Kendall's Tau test.Results: From the study, we found that 35 respondents had good knowledge and high interest to use partial dentures (58.3%), while the other 22 patients (40%) had been noted with less knowledge and poor maintenance. From Kendall's Tau test, we found a significant relationship between the patient's knowledge and partial removal denture maintenance of p value = 0.003. This study also highlights the role of patients’ peer to their decision to use the removable partial dentures.Conclusion: Respondents may consider loosing teeth affected to their physical aesthetics, masticatory system, and speaking comfort. Data shows the higher knowledge to the benefits of partial dentures the higher their interest in using removable partial dentures after tooth extraction.

The purpose of the article is to conduct a study of the main problems of delivery of orthopedic care in dentistry. It is known that dental health determines the overall health of the body. The comfort of life of the population depends on their condition, since damaged teeth negatively affect the state of the digestive system and respiratory organs. As for the aesthetics of the appearance, here teeth have a special role, since they are able to provide both proper speech and the necessary level of human sociability. Thus, improving the quality of delivery of medical care is an important task for the industry today. The problem of the availability of orthopedic dentists exists only in those areas of the region where there is no orthopedic care encounters at all, or orthopedic care encounters are carried out by part-time doctors. Accordingly, it can be said that municipal dental clinics are generally provided with the necessary personnel. In this regard, one can talk about the need to improve the quality of treatment of dental diseases in polyclinics, primarily in terms of orthopedic care for the population. However, today there are frequent cases of return visits for orthopedic care due to its poor-quality during initial treatment. And the doctor’s task during second denture treatment is to avoid mistakes made earlier and to provide competent and highquality orthopedic services. The author concludes that the results of a study of the work of orthopedic units of the region showed a steady growth of most indicators year by year, but a number of economic problems were found during the analysis of the profitability reserves of orthopedic dental care. So, it is necessary to create a unified system for calculating the financial plan for the correct assessment of the status of orthopedic dental care for the population, to analyze the quality indicators for subsidized denture treatment, to introduce the concept of “prosthesis working lifespan”, which will establish the reasons and justify the terms of the second denture treatment.

Supernumerary tooth is one that is additional to the normal series and can be found in almost any region of the dental arch .Mesiodens is the most common type of supernumerary tooth found in the premaxilla between two central incisors. They may be single, multiple, unilateral or bilateral, erupted or unerupted in one or, both jaw. It usually results in oral problems such as malocclusion, food impaction, poor aesthetics, and cyst formation. Early diagnosis and treatment is suggested to prevent orthodontic and pathologic complications. This article highlights the orthodontic management of a case of twenty five year old Bangladeshi male with two supernumeraries- one is a supplemental tooth erupted in the oral cavity causing malocclusion and another impacted mesiodens near the nasal floor. The case was managed by a joint effort of maxillofacial surgeon and orthodontist. At first, maxillofacial surgeon removed the two supernumerary teeth. After healing the orthodontic correction was done with fixed appliance using multiloop edgewise technique. It took nearly 18 months to complete the treatment. The patient was happy with the new appearance and function. DOI: http://dx.doi.org/10.3329/bjodfo.v2i1.16002 Ban J Orthod & Dentofac Orthop, October 2011; Vol-2, No.1, 30-33

The use of complete dentures is not free of trouble. The dentures can produce severe side effects, which if left unchecked will produce, destabilization of occlusion, loss of retention, decreased masticatory efficiency, poor aesthetics, increase ridge resorption, tissue injury. The problems will progress till the stage where the patient will be considered ‘prosthetically maladaptive’ and cannot wear dentures any more. The interaction of prosthesis and oral environment has several apects. The surface properties of the prosthesis may affect plaque formation. Surface irregularities and microporosities can enhance microbial colonization. Plaque formation is also influenced by: design of prosthesis, health of adjacent mucosa, composition of saliva, salivary secretion rate, oral hygiene, denture wearing habits. Thus, a prosthesis may promote infection of the underlying mucosa, caries and periodontal diseases of the overdenture abutments, perimplantitis (inflammation of the peri-implantal membrane), chemical degradation or corrosion of prosthesis. All these disorders produced/ accelerated in the oral tissues due to the presence of a denture are grouped as sequelae of wearing complete dentures. Sequelae of complete denture wear can be divided into direct and indirect types depending on the effect of the prosthesis on the tissues are discussed and hence the current literature is reviewed. DOI: http://dx.doi.org/10.3329/bjdre.v3i2.16614 Bangladesh Journal of Dental Research & Education Vol.3(2) 2013: 51-56

Background: Health practitioners around the world are now dealing withincreasing health problems, including oral disease. One of them is tooth loss.Losing teeth can cause problems or disturbances in the main functions of teeth(mastication, aesthetics and phonetics). These conditions can be overcome byusing denture. If the loss of untreated teeth doesn�t restored using denture, it will cause the function of the missing tooth can not be restored, which will result in disruption of nutritional status and quality of life of the elderly. This study aimed to determine the relationship of tooth loss with nutritional status in elderly society in the Penatahan village Penebel Tabanan.Methods: The research was an observational analytic study with cross sectionalresearch design. Total sampling used with total sample 109 people. The datawere collected by filling the dental chart, measuring IMT and interview using theOHIP-14 questionnaire.Results: The results showed 65.1% respondents had loss <6 teeth, 42.2%respondents had obesity, 75.2% respondents observed poor quality of life. Dataanalyzed using kolmogorov smirnov obtained p = 0,952 for relationship betweentooth loss with nuturional status and p = 0.676 for relationship between useof denture with nutritional status. Chi square used to test relationship betweentooth loss with quality of life (p= 0,735) and use of denture with quality of lifeshowed p = 0,139.Conclusions: The conclusion is there is no relationship between tooth lossand use of denture with nutritional status and quality of life in elderly society inPenatahan Village Penebel Tabanan

<p>Dental ankylosis occurs by fusion of the root surface with the alveolar bone due to necrosis of the periodontal ligament. Local trauma, periapical infection, endocrine and metabolic disorders, excessive masticatory effort, poor eruptive force of the permanent successor and genetic alterations are some factors that can lead to ankylosis. Although there is not a known treatment for dentoalveolar ankylosis, there are alternative procedures, such as keeping the ankylosed tooth or its root, extraction followed by orthodontic closure, autotransplantation, implant, dento-osseous unit osteotomy or decoronation. The decoronation is a procedure which the crown of the ankylosed tooth is surgically removed below the cemento-enamel junction and the root is buried. After the procedure, a aesthetic maintainer of space is installed to prevent the space loss until the opportunity to provide a definitive rehabilitative treatment. Our aim is to report the case of patient LSM, female, 8 years-old, who came to the Oraldental Trauma Center of Federal University of Ceará after colliding against a wall. Avulsion of the dental element 21 occured and the tooth was stored in milk. The reimplantation occurred one hour after the injury. The treatment performed was decoronation and installation of a aesthetic and functional space maintainer. This case report presents a clinical follow-up of 6 months and 3 years of radiografic follow-up.</p>

Objective: to investigate the influence of the aesthetic component of dental health on the anxiety level and quality of life of socially active elderly patients. Patients and methods. A total of 32 patients aged 60 to 67 years who had a poor aesthetic appearance of the hard tissues of the front teeth were followed up. All the patients underwent determination of anxiety levels by the Spielberger–Hanin procedure and assessment of quality of life using an abbreviated 26-item version of the World Health Organization Quality of Life (WHOQOL-BREF-26) questionnaire; the updated Oral Health Impact Profile (OHIP-14) was also used. Aesthetic rehabilitation of vital front teeth was carried out using photo composite materials made in Russian and foreign countries. Results. Before treatment, the state anxiety scores were 54±1.4 scores; the trait anxiety ones were 41±1.2 scores; at 1 week after treatment, these were 42±0.5 and 39±0.6, respectively (p ≤ 0.05 for both indicators), and at 6 months, these were 44±0.5 and 43±0.7, respectively. Conclusion. The aesthetic component of dental health in socially active elderly patients is directly proportional to quality of life and inversely proportional to the level of trait or state anxiety. Russian and foreign photo composite restorative materials showed equal sustained performance.

The perception of dental aesthetic appearance may affect social interaction and psychological status, influencing dental needs and the search for treatments. Aim: To investigate the satisfaction with dental appearance and influencing factors among adolescents. Methods: The study was carried out among adolescents aged 14 to 19 years attending a private high school in Brazil. Data on demographic information, the perception of dental appearance, previous aesthetic treatments and wish to perform dental treatments were collected in the school. Data were analyzed using Pearson’s chi-square test or Linear Trend. Multivariate analysis was performed using the Poisson regression. Results: A total of 531 adolescents (Response rate = 98.3%) answered the questionnaire. The prevalence of dissatisfaction with dental appearance was 17.4%. Almost 65% had history of previous orthodontic treatment and 16% performed dental bleaching. Approximately 45% of children wished to undergo orthodontics and 54.8% to bleach their teeth. Dissatisfaction with dental appearance was associated with individuals unsatisfied with dental color (95% IC[1.73;4.32]), those perceiving poor dental alignment (PR3.16 95% IC[2.11;4.72]) and those wishing orthodontic treatment (PR2.9; 95% IC[1.79; 4.70]). Conclusions: The prevalence of dissatisfaction was considerable and was associated with aesthetic concerns such as tooth color, dental alignment and with the wish for orthodontics. In this young population, a large part of adolescents had already performed orthodontic and bleaching treatments and wished to perform those treatments again. Satisfaction with dental appearance could affect the adolescents’ behavior regarding search for dental treatment, thus causing possible overtreatment.

Background: To assess the periodontal health status among Koraga tribal community residing in Mangalore Taluk.Methods: The study subjects comprised of 400 Koraga tribal’s in the age range of 20-55 years living in Mangalore Taluk. The data regarding oral hygiene practices prevalent in the tribal population was collected by interviewing. Intra oral examination was carried out by using mouth mirror and CPI probe and included simplified oral hygiene index (OHI-S), community periodontal index (CPI), loss of attachment and dental aesthetic index (DAI).Results: Of the total population examined, 81% brushed once daily with 34% of the subjects using tooth paste and brush as oral hygiene aid while, the rest of them used a combination, with other indigenous methods. Majority of them used tobacco in the smokeless form (36%). The oral hygiene status was poor in 56% of the subjects. The present study showed that majority of the Koragas suffered from various gingival and periodontal diseases as assessed by community periodontal index. The dental aesthetic index indicated that 37.5 % of study subjects had very severe malocclusion.Conclusions: This group of people has a poor oral hygiene and periodontal status because they are deprived of the awareness and availability of treatment facilities. Their inappropriate oral hygiene practices, inadequate dental health resources and low socio-economic status are the major factors in this population to cause increased prevalence of periodontal disease.

This article draws on Donald Winnicott's understanding of human dependence and Ken Loach's film I, Daniel Blake (2015) to open up a new space between 'psychoanalysis' and 'politics'. Its starting-point is what Stuart Hall has described as the 'ferocious onslaught' on the post-war social-democratic settlement and its initial commitments to the idea of the 'full life' and 'social security for all'. Putting dependence at the heart of human experience, Winnicott's psychoanalysis is especially attuned to the individual and collective harms imposed by this new 'age of austerity'. 'Feeling Poor' explores the structures of material and psychic dispossession at work in contemporary regimes of austerity – in particular, the neoliberal denial of human dependence and vulnerability. What does the neoliberal world, its reformations of the social state, make of the primal situation of dependence – its terrors and dreads as well as its impulses towards culture and community? How might we reconceive vulnerability in solidarity rather than stigma? What might a psychoanalysis attuned to 'dependence as a living fact' contribute to the cultures of protest mobilized through the aesthetics of British social realism? Part of a wider exploration of the question of psychoanalysis and class, this article attempts to think about the symbolic functions of care embedded in the post-war welfare state and engages the potential of Winnicott's psychoanalysis as a means to social critique.

The dentist has a large role in geriatric health care for the ever increasing elder population with associated physical and neurological disorders. The Parkinson disease is progressive neurological disorder with resting tremor, bradykinesia, akinesia, and postural instability. The psychological components of disease include depression, anxiety, and cognitive deficiency. Poor oral hygiene, increased susceptibility for dental caries, and periodontal diseases predispose them to early edentulism. The number of Parkinson affected patients visiting dental clinic seeking complete denture is growing. This case report explains the steps involved in the complete denture rehabilitation of Parkinson patient. The effective prosthesis will help in alleviating functional, aesthetic, and psychological disabilities of the patient.

WHO estimates health as complete physical, mental and social well-being. Clinical indicators of oral diseases are not entirely suitable to capture this concept of health. Standardized questionnaires have been developed to evaluate the physical, psychological, and social impact of oral conditions on an individual. Oral health-related quality of life (OHRQoL) identifies the impact of oral health on aspects of everyday life in terms of a person’s functional, social, and psychological well-being. The oral health impact profile (OHIP) is widely used to measure OHRQoL in adults, its short version includes 14 items (OHIP-14). The aim was to investigate how self-reported and clinically-assessed parameters of oral health are related to OHRQoL measured by OHIP-14 in dental students of UMSA. 101 third- and fourth-year dental students aged 19–26 years attending UMSA in Poltava, Ukraine, took a questionnaire in Ukrainian. The first part of the questionnaire includes information on age, sex, self-assessed oral health, self-assessed dental aesthetic, satisfaction with mouth and teeth, and oral health behaviour. Questions on oral health behaviour included regularity of dental visits and frequency of tooth brushing. All these items were categorized into different groups. The question on dental aesthetic had the response option “difficult to answer”. When that response was chosen (n = 2 questionnaires), this data was considered missing and the students were excluded from the analysis. The second part of the questionnaire included the OHIP-14 to measure OHRQoL. There were seven dimensions of negative impact on OHRQoL: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. There were two items for each dimension, which added up to a total of 14 items. Participants rated the frequency with which they experienced each of these items in the last 12 months using a 5-point Likert scale (“never” = 0, “hardly ever” = 1, “occasionally” = 2, “fairly often” = 3, and “very often” = 4). In addition, each item had the response option “I do not know”. When a student missed one answer or chose the option “I do not know” (for at least one item), the data was considered missing, and the student was excluded from the analysis (n=2). A clinical dental examination was performed. All permanent teeth were taken into consideration to measure dental caries experience using the DMF index. The Green-Vermillion index was applied for oral hygiene estimation. To assess the extent of gingivitis, the PMA index was used. The chi-square test was applied to compare the percentage of students with low and high OHRQoL between categories of self-reported oral health characteristics, and oral health behaviour. When comparing data on clinically-assessed oral health (the DMF, Green-Vermillion, and PMA indices), the Mann–Whitney U test was used for the two independent groups (with low and high OHRQoL). p-values<0.05 were considered as statistically significant. A total of 97 students were included in the statistical analysis, 43 of which were males and 54 were females. The highest mean scores in OHIP-14 were observed for the dimensions of physical pain (39,17%). Students with poor self-assessed oral health, poor self-assessed dental aesthetic, and who reported dissatisfaction with mouth and teeth more frequently fell into the group with low OHRQoL (p<0,05). The mean DMF was 5,41, Green-Vermillion hygienic index was 0,54, and РМА – 4,48%. However, a higher DMF index score, high Green-Vermillion index, and high PMA in students were not associated with low OHRQoL (р>0,5). In this study, the self-reported assessment of oral health affects the dental students' quality of life, while the clinical characteristics do not. Physical pain was the most frequently reported OHIP-14 dimension with an impact on OHRQoL. Poor self-assessed dental aesthetic and dissatisfaction with mouth and teeth were the strongest factors associated with low OHRQoL. The line of research pertaining to other parameters of oral health in youth that impact dental aesthetic and oral health, and thus oral health-related quality of life, is considered promising.

The reported clinical case describes the surgical procedure of ridge augmentation by using a “split crest” technique with a partial thickness flap and a subsequent implant-prosthetic rehabilitation aimed at treating a bilateral agenesis of the upper lateral incisors. In such cases with vestibule-palatal and mesial-distal scarce bone thicknesses associated with the need of a proper functional and aesthetic rehabilitation, the split crest technique is particularly suitable. In the case we reported, because of the poor bone thicknesses, we performed a minimally invasive split crest which allowed a correct insertion of the fixtures. This technique allowed us to achieve an optimal functional and aesthetic rehabilitation; moreover, we obtained a good emergency profile, ensuring the vitality of the close teeth and ensuring a good primary stability and the following osseointegration of dental implants.

Abstract Aim: The aim of this study was to evaluate the state of oral health and the self-perception of children regarding their oro-dental status, their knowledge and attitude towards oral health. Methods: A sample of 130 children (11-14 years) and one of their parents were asked to complete a Child Perception Questionnaire (CPQ11-14) in Sfântu Gheorghe, Romania. From these, 69 children were examined and data was recorded about Decayed-Missing-Filled Teeth (DMFT), oral hygiene, dental malposition and malocclusion, Aesthetic Component of Index of Treatment Need (AC-IOTN). Consent of the parents was obtained. Statistical analyses were performed. Results: The optimal score of CPQ evaluation is 96 and the maximum score achieved was 93, the minimum was 43. 78.10 average score can be graded as medium. As the data points out, most of the children and their parents have a medium knowledge and self-perception. The clinical examination underline the main problems: dental caries (62%), occlusal coloration (23%), dental malposition (17%), rooftop deep bite (14%), dental rotation and crowding (12%), dental plaque and tartar (10%). As far as the AC-IOTN is concerned, 48 of 69 children have no need for treatment, 18 have a high need for treatment, and 3 have a moderate need for treatment. Conclusions: Overall, the children and their parents have a poor oral health knowledge, which is reflected in the medium level of the achieved CPQ scores, in the clinical examination and can be associated with high levels of dental caries and malocclusion

The article examines how the Holocaust is addressed in the extreme right wing sections of the larger black metal culture. Drawing from an extensive pool of primary sources the authors analyse how the Holocaust features in song lyrics, album artworks and interviews with artists. They argue that references to the Holocaust in extreme right wing black metal follow the logic of the culture’s aesthetics, which regularly employ symbols of fantastic or factual atrocities in order to express statements of misanthrophy, hatred and male strength. At the same time, the references are non-metaphorical and in that sense political. The artists often do not attempt to minimize the magnitude of the Holocaust but they celebrate the event exactly for the brutality it represents. In other instances, the idea of Holocaust is approved while its factuality is denied. Historic denialism and affirmation of the Holocaust can go hand in hand. While crass antisemitic statements can be found in other extreme right wing cultural realms, extreme right black metal might be the cultural sphere in the contemporary western world that articulates the harshest type of antisemitism.

The presented paper concerns current knowledge of commercial and alternative photoinitiator systems used in dentistry. It discusses alternative and commercial photoinitiators and focuses on mechanisms of polymerization process, in vitro measurement methods and factors influencing the degree of conversion and hardness of dental resins. PubMed, Academia.edu, Google Scholar, Elsevier, ResearchGate and Mendeley, analysis from 1985 to 2020 were searched electronically with appropriate keywords. Over 60 articles were chosen based on relevance to this review. Dental light-cured composites are the most common filling used in dentistry, but every photoinitiator system requires proper light-curing system with suitable spectrum of light. Alternation of photoinitiator might cause changing the values of biomechanical properties such as: degree of conversion, hardness, biocompatibility. This review contains comparison of biomechanical properties of dental composites including different photosensitizers among other: camphorquinone, phenanthrenequinone, benzophenone and 1-phenyl-1,2 propanedione, trimethylbenzoyl-diphenylphosphine oxide, benzoyl peroxide. The major aim of this article was to point out alternative photoinitiators which would compensate the disadvantages of camphorquinone such as: yellow staining or poor biocompatibility and also would have mechanical properties as satisfactory as camphorquinone. Research showed there is not an adequate photoinitiator which can be as sufficient as camphorquinone (CQ), but alternative photosensitizers like: benzoyl germanium or novel acylphosphine oxide photoinitiators used synergistically with CQ are able to improve aesthetic properties and degree of conversion of dental resin.

The conoid teeth are anomalies of size and shape changing the harmony of smile, may affect self-esteem of the patients. The aim of this case report was describe a reanatomization of conoid teeth in a patient with epilepsy and mental deficit. A sixteen- years-old boy presented to Department of Pediatric Dentistry and Orthodontics at the Federal University of Rio de Janeiro, the with chief complaint of poor dental aesthetic due to small teeth. During the anamnesis, the upper lateral incisors showed reduced size and conoid shape, diastemas and harmful smile harmony. Therefore, the clinical conduct was performed with the aim of restore the self-esteem and allows a harmonic smile, by means of reshape with indirect composite resin.

Functional and esthetic final reconstruction of the cleft maxilla is still challenging. Current reconstructive and augmentation techniques do not provide sufficient bone and soft tissue support for the predictable rehabilitation with dental implants due to presence of maxillary bone critical size defects and soft tissue deficiency, scaring and poor vascularity. In this article the protocol for the use of 3D virtual surgical planning and microvascular tissue transfers for the reconstruction and rehabilitation of cleft maxilla is presented. Twenty-five patients (8 male/17 female) aged 14–41 years old with cleft-associated critical size defects were treated by 3D-virtual planned microvascular tissue transfers taken either from fibula, iliac crest, radial forearm, or medial femoral condyle. Follow-up lasted 1–5 years. No significant bone resorption (p > 0.005) nor volume loss of the graft was observed (p = 0.645). Patients received final permanent prosthetic reconstruction of the anterior maxilla based on 2–5 dental implants, depending on the defect severity. This is the first study presenting the use of virtual planning in the final restoration of the cleft maxilla with microvascular tissue transfers and dental implants. Presented protocol provide highly functional and aesthetic results.

As the population ages and life expectancy increases, clinicians today find themselves in the wake of an ever-growing demand for high-quality aesthetic dental treatment, by increasingly informed patients. The long-term success of both cosmetic and restorative dentistry is dependent on well designed restorations and the health of the periodontal tissues. Overhanging restorations, full crown restorations with poor marginal fit, and implant-supported prosthetics with inadequate hygiene access all increase the risk for periodontal sequelae and interproximal caries. When planning restorative treatment, consideration should be given to the restorative design, the need for hygiene access and the location of intended implants. In addition, the patient's manual dexterity and ability to manipulate oral hygiene aids is a crucial consideration, as is adequate access for the hygienist to manually debride and maintain the restorations.

Approaching bone defects of jaws treatments, hard and soft tissue augmentation could be considered as a goal for clinicians when performing dental implant placement. The increase in patients who want cosmetic treatment puts practitioners in an awkward position when choosing the best therapy to obtain the most desirable results. A private dentist referred a young patient to the Department of Implantology in Milan in order to place implants in the upper jaw. Radiographic evaluation of the two upper anterior incisors confirmed that the teeth had a poor prognosis The anterior ridge volume was clinically analyzed and several therapeutic choices were evaluated. Rapid extractions and immediate implant positioning were not considered due to the vertical and horizontal components of the bone defect. Therefore, the surgical team decided on increasing the bone volume by using slow orthodontic teeth extrusion technique. After 3 months of orthodontic treatment, the angular intra-bony defects of 1.1 tooth was completely healed. Implant guided positioning, associated with a small bone graft, showed optimal results at the time of healing screw placement. The soft tissue conditioning was obtained by a provisional acrylic crown. The final application of two integral ceramic crowns showed excellent aesthetic results. Radiographic investigation at a 24 month follow-up confirmed the integration of the dental implants and the recovery of the bone defects. Several safe surgical techniques are available today for reconstructing atrophic jaws. However, the same technique applied on the posterior area did not give the same predictable results as in the anterior areas of the jaw.

Introduction: This case report describes a conservative restorative approach in the management of severe generalized tooth wear. Case report: The male, aged 57 years, was mainly concerned with the poor appearance of his teeth with short and discolored upper incisors. History revealed that he suffered from gastric reflux for 25 years, for which he was prescribed Ranitidine and was advised to self-medicate with cider vinegar. Furthermore, he divulged that he ground his teeth at night and during the day and had a high intake of carbonated cola drinks. On examination, dentine was exposed in several areas, and to a significant extent, on the incisal aspects of the lower incisors, the palatal surfaces of the upper incisors, and the occlusal surfaces of the molars. Mandibular tori were present. The primary diagnosis was erosive tooth wear with elements of attrition and abrasion. The intervention included dietary advice and restoration with direct composite resin at an increased occlusal vertical dimension of 1.5mm on the retruded axis. The patient reported no functional problems and was pleased with the aesthetic result. Conclusion: Vinegar is promoted to have health benefits, especially with respect to glucose response, but the dental implications are overlooked. This paper reviews the literature on vinegar as a medicament and considers its role as a co-factor for erosion in this case. The clinical steps used to restore the eroded dentition by direct composite are described. The use of this approach is a safe, conservative and successful treatment option without recourse to complex and biologically costly conventional alternatives. The application of direct composite in tooth wear cases meets the European consensus requirements.

Aims In the front of the mouth, the treatment of such a bony defect carries the risk of a poor aesthetic outcome. High patient expectations, combined with the difficulty of recreating a large mass of viable bone in which a dental implant will be biomechanically stable is a real challenge. Purpose of treatment The intention of this treatment was to replace the patient's chronically infected upper right incisor with a dental implant that was both biomechanically and aesthetically stable for the long term. Method Four months after extraction of the upper right central incisor, under local anaesthetic, a bone block was harvested from the right retromolar area of the patient's mandible and grafted into the defect. This was secured with a single bone screw. Small deficiencies between the block and the host site were filled in using bovine derived particulate bone (Bio Oss®, Geistlich Biomaterials, Wolhuser, Germany). A resorbable porcine derived membrane (Bio-Gide®, Geistlich Biomaterials, Wolhuser, Germany), held in position by two bone tacks (Frios®, Friadent, Mannheim, Germany), was used to stabilse the graft. Following close clinical and radiographic monitoring of graft maturation, the bone screw was removed at three months and one week later the implant placed. A bone level impression was taken at surgery, and the implant left submerged for four months before exposure and abutment connection. After a further period of two months to facilitate soft tissue contouring the definitive crown was cemented. Conclusion The implant tooth has been in trouble free function for eighteen months. In that period, the marginal bone levels and gingival margin around the implant have remained stable and aesthetically satisfactory.

Endodontic treatment is often the first-line procedure to manage the immediate or long-term aftermath of dental trauma, particularly in cases of luxation or avulsion. Failure to manage trauma in the short or medium term leads to significant functional or aesthetic consequences, especially in the adolescence period. Under this specific conditions, endodontic treatment could provide a temporary solution by keeping teeth with poor prognosis on the arch while waiting for better anatomical conditions for implantology. This clinical case aimed to describe the management of a maxilla-facial dental trauma and the following consequences in a 10-year-old male patient. Clinical and radiological examination showed complete extrusive luxation of 11 and 21 and intrusive luxation of 12 and 22. Endodontic treatment of 11 and 21 was performed six months after the trauma. Two years later, the patient was referred to the endodontic department because pink spot lesions appeared on 12 and 22 due to cervical invasive resorptions (class III for 12 and class II for 22). Endodontic treatment of 12 and filling with resin composite of 22 were performed. During the following two years, complication management finally led to placement of four OBI® (Euroteknika, Sallanches, France)-type mini-implants after avulsion of all four maxillary incisors. Palliative endodontic treatment helped maintain the prosthetic space and the volume of supporting tissue needed for future implant placement. The interest of using delaying procedures (palliative endodontic treatments and mini-implants) was to allow the patient to complete growth. Managing early treatment failure of trauma in adolescents has to be pluridisciplinary and should take into account the evaluation of the treatment’s difficulty, the prognosis of the endodontic treatment, the available bone volume and the pubertal growth stage.

Background: Incidence of dental avulsion is 1-11% of all dental injuries to the permanent dentition, with the maxillary central incisor being the most frequently involved tooth. The age group of 7-10 years appears to be most affected. If the avulsed teeth are not treated immediately, they can have a significant negative impact on the child such as functional, aesthetic and psychological disorder. Purpose: The aims of this case reports was to discuss the important role of storage medium that can influence the success of replantation treatments of avulsion teeth. Case Management: The first phase of treatment was an extra oral root canal treatment and were repositioned into the socket. Clinical and radiographic control was carried out periodically for 2 months. Discussion: Delayed replantation has a poor long-term prognosis. The periodontal ligament will be necrotic and not expected to heal. The goal in delayed replantation is to restore the tooth to the dentition for esthetic, functional, and psychological reasons and to maintain alveolar contour. Conclusion: This case reports showed the important role of storage medium that can influence the success of replantation treatments of avulsion teeth.

<p><strong>Abstract</strong></p><p>Color and Design Principles of User Interface (UI) in “Bukaloka” Mobile Apps. Color is a determining factor for the success of UI design. UI design is a visual display that is very important to build interaction because the audience doesn’t return to visit poor- looking applications. “Bukaloka” is a digital startup that focuses on the phenomenon of Indonesian tourism. Color doesn’t affect the loading speed, so it is used to attract the attention of the audience. The application of color creates aesthetic design if it is guided by the design principles. The aim of this research is to describe colors and analyze the application of colors based on Surianto Rustan’s theory of design principles. The research method is descriptive qualitative. Data collected by observation, interview, documentation, and literature. The results revealed the UI design consisted of 11 types of colors. The color doesn’t reflect emphasis, sequence, and unity, but only reflects the balance. The colors of “Bukaloka” UI design haven’t fulfilled the design aesthetics.</p><p> </p><p><br /><strong>Abstrak</strong></p><p>Warna dan Prinsip Desain User Interface (UI) dalam Aplikasi Seluler “Bukaloka”. Warna merupakan faktor penentu keberhasilan desain UI ketika berinteraksi dengan audiens. Desain UI adalah tampilan visual yang berperan penting membangun interaksi karena audiens tidak akan kembali mengunjungi aplikasi berpenampilan jelek. “Bukaloka” merupakan startup digital yang fokus pada fenomena pariwisata Indonesia. Warna tidak mempengaruhi kecepatan loading, sehingga dimanfaatkan untuk menarik perhatian audiens. Penerapan warna menciptakan desain estetis apabila berpedoman pada prinsip desain, yaitu emphasis, sequence, balance, dan unity. Penelitian ini bertujuan mendeskripsikan warna dan menganalisis penerapan warna. Metode penelitian adalah deskriptif kualitatif. Warna desain UI dideskripsikan secara detail, kemudian penerapan warna dianalisis berdasarkan teori prinsip desain Surianto Rustan. Data dikumpulkan dengan metode observasi, wawancara, dokumentasi, dan kepustakaan. Hasil penelitian mengungkapkan desain UI terdiri dari 11 jenis warna. Warna tersebut tidak mampu mencerminkan emphasis, sequence, dan unity. Penerapan warna hanya mencerminkan balance. Warna desain UI “Bukaloka” belum memenuhi estetika sebuah desain.<br /><br /></p>

Objective: To determine whether a relationship exists between the aesthetic scores given to photographic records of the nasolabial region of patients with repaired unilateral cleft lip and palate (UCLP) and the 5-Year Olds’ Index scores of study models for the same participants. Design: Retrospective study. Setting: University of Bristol Dental Hospital, United Kingdom. Participants: Patients with nonsyndromic UCLP previously enrolled in the Cleft Care UK (CCUK) Study. Methods: The CCUK participants, who had both study models and photographs (frontal and worm’s eye view), were identified and their records retrieved. These were rated by 2 consultants and 2 senior registrars in orthodontics. The 5-Year Olds’ Index was used to score the study models, and at a separate sitting, a 5-point Likert scale was used to score the cropped frontal and worm’s eye view photographs of the same children. The results were analyzed using intraclass correlation coefficients and Cohen κ. Main Outcome Measures: Correlation between the aesthetic scores of the photographic views and the concordant 5-Year Olds’ Index scores of the study models. Results: The intraclass correlation coefficient scores showed very poor agreement between the photographic views and their concordant study models. The level of inter- and intra-rater reliability was strongest when scoring the study models. Conclusions: There was no agreement between the scores given to various photographic views and their corresponding study models. Scoring the study models using the 5-Year Olds’ Index was the most reliable outcome measure for this age-group.

ABSTRACT Introduction: Orthodontic treatment aims at oral health and restoration of function as main objectives, however, psychological and social effects end up being the main reason for the demand for treatment. Objective: To determine the association between the oral health-related quality of life (OHRQoL), the need for orthodontic treatment and bullying among Brazilian teenagers. Methods: This was a cross-sectional epidemiological study. To assess the malocclusion, the Dental Aesthetic Index was used. And the Oral Health Impact Profile-14 was used to analyze the OHRQoL. The Kidscape questionnaire was used to investigate cases of bullying. The following variables were also included: previous orthodontic treatment and a desire to fix the teeth to improve one’s appearance. Multivariate analysis was performed using logistic regression considering the poor OHRQoL as a response variable. Results: 815 teenagers participated in the study. There was a statistically significant association between oral health-related quality of life and the variables: previous orthodontic treatment (p= 0.0270), desire to fix the teeth (p< 0.0001), sex (p= 0.0309), history of being a victim of bullying (p< 0.0001), frequency of bullying episodes (p= 0.0170), and consequences of bullying (p< 0.0001). The following were considered as risk factors for poor OHRQoL: lack of previous orthodontic treatment (OR = 2.191) and negative consequences of bullying (OR = 3.042). Conclusion: The need for orthodontic treatment was not associated with the OHRQoL; however, bullying and previous orthodontic treatment had a statistically significant association with this variable.

Semarang city has two canals which was developed to decrease the flood risk happened since 19th century, those are known as Banjir Kanal Timur (BKT) and Banjir Kanal Barat (BKB). Both canals which are made connected to Sungai Garang are served as primary drainages that flow directly to the sea. The weak regulation of limitation zone (e.g. riverfront) caused many violations done by people around the area by built houses or places for working along BKT riverfront. Many buildings are made as houses (i.e. commonly used by the poor) drives domestic waste dumped in the river. This is one of many driving forces caused flooding in Semarang City (i.e. the nature factor is erosion happen in BKT river upstream). Those problems caused sedimentation in BKT downstream and indirectly caused the water spilled to the settlement around the river. The development by Eco-Riverwalk Village Concept are implemanted as an effort to improve the ecology aspect in riverfront area by build a linear park as a new identity of Kelurahan Mlatiharjo Riverfront. Linear park is the implemantation of ‘riverwalk’ concept (i.e. the walkable zone along the river) and improve the aesthetic value in case study area.

This paper presents the study of the intervention for the acoustic correction of a modern church. The investigated church was built in the 1960s, with a brutalist style and with a squared plan. The hard materials, including a marble floor and hard plastered walls, were responsible for its reverberation time of over 5 s, resulting in poor speech comprehension. As common in worship spaces, the acoustic improvement interventions were challenged by the denial of covering the walls and the vault with conventional sound-absorbing materials due to aesthetic and architectural reasons. In order to carry out an adequate acoustic correction, while involving minimal interventions, the possibility of using light sound absorbing ceiling sheets was analyzed. The study is divided into three phases: Firstly, the acoustic characteristics of the current building were measured; then, new materials for adequate sound absorption were studied; finally, acoustic simulations were used to evaluate the effects on the acoustic characteristics for different intervention scenarios. The final room was able to shorten its reverberation time to about 2.0 s.

Objective To determinate the association among socioeconomic status subject’s mother’s level of educational attainment, dental visits, and malocclusion in mixed dentition with on the OHRQoL of eight-to-ten-year-old children. Methods A cross-sectional study conducted, in 2019, on Mexican children from households of different socioeconomic status (SES). The prevalence of malocclusion was evaluated using the Dental Aesthetic Index (DAI), while the SES of the participants’ households was evaluated using the three categories (corresponding to a high, middle, or low-income household) stipulated by the Consejo Nacional de Población (CONAPO or National Population Council). Oral Health-related Quality of Life (OHRQoL) was evaluated using the Child Perceptions Questionnaire (CPQ8-10). Poisson regression models were performed for the analysis of the data obtained. Results A total of 79.4% of the subjects presented some type of malocclusion in mixed dentition, which was, by severity, as follows: definite (31.3%); severe (25.6%); and, very severe (22.5%). The Poisson regression model revealed a greater negative impact on the following four CPQ8-10domains for children with severe/very severe malocclusion [RR]: oral symptoms [2.78]; functional limitations [2.72]; emotional well-being [2.59]; and, social well-being [3.99]. A greater impact on the four CPQ8-10domains was found for children from a low-income household than for children from a high-income (p < 0.001) household. Furthermore, poor oral hygiene, lack of dental visits, and the mother’s level of educational attainment (<9 years) were found to have a negative impact on OHRQoL. Conclusion The findings of the present study demonstrated that the severity of malocclusion was associated with a greater negative impact on the OHRQoL of children, while those children who face greater health inequalities are likely to report a greater negative impact on their OHRQoL.

ABSTRAK Kawasan pegunungan Rinjani, khususnya resort Setiling Batukliang Utara Kabupaten Lombok Tengah memiliki fungsi biologi, ekologis, dan estetika serta sosial-ekonomi bagi masyarakat sekitar hutan. Deforestrasi sering dikaitkan dengan tingkat kemiskinan masyarakat sekitar hutan, sehingga dengan diberikannya Hutan Kemasyarakatan (HKm) di wilayah tersebut dapat meningkatkan pendapatan masyarakat dan menekan kemiskinan. Penelitian ini telah dilaksanakan dengan menggunakan metode deskriptif-eksploratif-partisipatif dengan mengkombinasikan studi dokumen, wawancara terstruktur, indepth interview, serta diskusi kelompok terarah (FGD) terbatas. Penelitian dilakukan desa Aik Berik dan Desa Setiling dengan jumlah responden sebanyak 40 orang, dengan juga melibatkan tokoh masyarakat di wilayah tersebut. Data yang telah dikumpulkan dianalisa secara deskriptif analisis pendapatan rumahtangga dan pendapatan per kapita yang kemudian digunakan untuk menganalisis tingkat kesejahteraan masyarakat berdasarkan tiga standar yang berbeda, yaitu Sajogyo, BPS, dan Bank Dunia. Hasil studi menunjukkan bahwa: 1) rata-rata total pendapatan rumahtangga masyarakat sekitar hutan mencapai Rp. 20.057.950 yang terdiri dari Rp. 13.597.950 (67,79%) dari sektor pertanian dan Rp. 6.460.000 (32,21%) dari sektor non pertanian dengan pendapatan per kapita sebesar Rp. 4.667.549,- per tahun; 2) berdasarkan kriteria BPS, masyarakat sekitar hutan di kecamatan Batukliang Utara masuk kategori tidak miskin, selanjutnya berdasarkan kriteria Sayogyo menghasilkan kategori hampir miskin, dan Kriteria bank Dunia manghasilkan kategori miskin, sehingga ketiganya memberikan tingkat kesejahteraan yang relatif berbeda; 3) Adanya Hkm telah mampu meningkatkan kesejahteraan masyarakat sekitar hutan karena mampu meningkatkan pendapatan per kapita masyarakat sebesar 22,18 persen dan telah mampu mengentaskan kemiskinan 7,5 sampai 22,5 persen. Oleh karena itu disarankan agar perbaikan ekonomi masyarakat sekitar hutan harus dipercepat melalui pola pembinaan dan pengembangan pada bidang-bidang usaha yang menjadi kekuatan utama mereka yaitu kehutanan, peternakan, dan perkebunan serta juga mendorong peningkatan kegiatan perdagangan dan ekonomi produktif skala rumahtangga. ABSTRACT The Rinjani mountain region, especially the North Batukliang Setiling resort of Central Lombok district holds functions biological, ecological, and aesthetical and socio-economic functions for the community near the forest. Deforestation is often associated with the level of poverty of the community near the forest, so that introduction of the Community Forest (HKm) in the region may increase people's income and reduce poverty. This research has been carried out using a descriptive-exploratory-participatory method by combining document studies, structured interviews, in-depth interviews, and limited focus group discussions. The research was conducted at the villages of Aik Berik and Setiling with 40 respondents, as well as community leaders in the area. The collected data was analyzed descriptively by analysis of household income and per capita income which was then used to analyze the level of community welfare based on three different standards, namely Sajogyo, BPS, and the World Bank. The results of the study show that: 1) the average total household income of the community near the forest reaches Rp. 20,057,950 consisting of Rp. 13,597,950 (67.79%) from the agricultural sector and Rp. 6,460,000 (32.21%) from the non-agricultural sector with a per capita income of Rp. 4,667,549, - per year; 2) based on BPS criteria, the community around the forest in the North Batukliang sub-district is categorized as not poor, then based on the Sayogyo criteria produces an almost poor category, and the World Bank Criteria produce a poor category, so the three provide relatively different levels of welfare; 3) The presence of Hkm has been able to improve the welfare of the community near the forest because it is able to increase the per capita income of the community by 22.18 percent and has been able to alleviate poverty 7.5 to 22.5 percent. Therefore, it is suggested that the economic improvement of the community near the forest should be accelerated through policy interventions in business sectors which are on their main strengths, namely forestry, livestock, and plantations, as well as in non agricutural sector such as trade and other economic activities (such as home agroindustry).

Pendahuluan: Lansia adalah kelompok masyarakat berusia di atas 60 tahun dan mengalami proses penuaan seperti perubahan fisik, kognitif, psikososial, maupun rongga mulut. Salah satu perubahan rongga mulut yang terjadi adalah kehilangan seluruh gigi yang dapat ditatalaksana dengan menggunakan Gigi Tiruan Lengkap (GTL) yang berfungsi untuk memperbaiki fungsi estetik, fonetik, dan mastikasi. Salah satu faktor penting dalam menjaga kebersihan GTL yaitu pemberian instruksi secara lisan dan tulisan untuk membentuk perilaku pasien ke arah yang lebih baik. Penelitian ini bertujuan untuk menganalisis perbedaan perilaku lansia sebelum dan sesudah diberikan instruksi pembersihan GTL secara lisan dan tulisan. Metode: Jenis penelitian ini eksperimental dengan rancangan one group pre and post test menggunakan kuesioner berisikan 15 pertanyaan dan total responden sebanyak 25 lansia di Panti Wredha Wisma Mulia dengan 16 wanita dan 9 pria. Pengambilan data dilakukan sebanyak 2 kali pertemuan dengan individu yang sama yaitu hari pertama kunjungan dan 2 minggu setelah kunjungan pertama. Perilaku lansia dinilai dari kuesioner dan dianalisis menggunakan uji Wilcoxon Signed Rank. Hasil: Perilaku awal pasien GTL lansia termasuk kategori buruk dan mengalami peningkatan ke kategori baik setelah diberikan instruksi lisan dan tulisan berupa leaflet dengan nilai uji Wilcoxon Signed Rank didapatkan nilai p=0,000. Simpulan: Terdapat perbedaan perilaku lansia sebelum dan sesudah pemberian instruksi instruksi lisan dan tulisan dalam bentuk leaflet pembersihan gigi tiruan lengkap, dimana perilaku pasien berubah ke arah yang lebih baik yang dinilai dari data sebelum dan sesudah diberikan. ABSTRACTIntroduction: Elderly are a group of people aged over 60 years and experiencing the ageing process in the physical, cognitive, psychosocial, and oral aspects. One of the changes in the oral cavity is teeth loss, which can be managed using a complete denture to improve aesthetic, phonetic, and masticatory functions. One of the essential factors in maintaining complete denture hygiene is delivering proper verbal and non-verbal instructions to improve the patient’s behaviour. This study was aimed to analyse the differences in the behaviour of the elderly before and after educated with verbal and non-verbal complete denture cleaning instructions. Methods: Experimental research with a one group pre- and post-test design using a questionnaire containing 15 questions was conducted towards 25 elderly respondents in Wisma Mulia Nursing Home, 16 females and 9 males. Data collection was carried out in 2 meetings with the same individual—the first day of the visit and two weeks after. The behaviour of the elderly was assessed from a questionnaire and analysed using the Wilcoxon Signed-Rank test. Results: The initial behaviour of the elderly with complete denture was in the poor category and increased to the good category after being educated with verbal and non-verbal instructions in the form of leaflets with a Wilcoxon Signed Rank test value, p=0.000. Conclusions: There are differences in the behaviour of the elderly before and after being educated with verbal and non-verbal instructions in the form of complete denture cleaning leaflets, where the patient’s behaviour changes for the better, which is assessed from the data before and after education.

Latar belakang: Budaya membangun rumah di bantaran sungai apabila tidak diiringi dengan pemeliharaan sanitasi lingkungan, berpotensi mengakibatkan pencemaran sungai. Kondisi ini juga dapat menghasilkan berbagai permasalahan sanitasi lingkungan pada permukiman di bantaran sungai oleh tingginya aktivitas di wilayah bantaran sungai serta buangan rumah tangga. Kondisi ini yang tampak di Kecamatan Sebrang Ulu I Kota Palembang Propinsi Sumatera Selatan. Sehingga tujuan penelitian ini ialah untuk mengkaji karakteristik sanitasi lingkungan pemukiman serta program dan kebijakan yang berlaku bagi pemukiman di bantaran Sungai Musi Kecamatan Sebrang Ulu I Kota Palembang.Metode: Penelitian ini menggunakan mix method, yaitu pengumpulan data dilakukan secara kuantitatif yaitu analisis spasial menggunakan Geographic Information System (GIS), serta kualitatif melalui observasi dan wawancara. Penelitian dilakukan di 6 Kelurahan di Kecamatan Sebrang Ulu I Kota Palembang, dengan sampel sebanyak 150 orang warga dan 13 orang informan yang berasal dari masing-masing kelurahan serta petugas dinas kesehatan. Hasil:Kondisi sanitasi sumber air dan SPAL seluruh responden tidak memenuhi syarat kesehatan. Mayoritas jamban keluarga (96,7%) dan tempat penampungan sampah (92,7%) yang dimiliki responden dalam kondisi tidak memenuhi syarat kesehatan. Program penyehatan lingkungan pemukiman khususnya rumah sehat yang diterima oleh masyarakat yang tinggal di bantaran Sungai Musi ialah berupa kunjungan oleh petugas kesehatan setempat. Serta tidak adanya kebijakan terkait pemukiman di bantaran Sungai Musi Kecamatan Sebrang Ulu I Kota PalembangSimpulan: Masih buruknya kondisi sanitasi dasar di Pemukiman bantaran Sungai Musi di Kecamatan Sebrang Ulu I Kota Palembang, serta belum optimalnya program penyehatan lingkungan pemukiman yang telah dilakukan oleh petugas kesehatan setempat. ABSTRACTTitle: Study of Settlement Environmental Sanitation in The Bank Of Musi River, Palembang CityBackground: The culture of building houses on river banks if not accompanied by the maintenance of environmental sanitation could potentially cause pollution in the river, as well as generate various environmental sanitation problems in settlements along the riverbanks. This was due to the high level of activity in the river banks as well as household discharges, which disrupts the aesthetics and function of the river. This condition was also evident in the Sebrang Ulu I Subdistrict, Palembang City, South Sumatra Province.So the purpose of this study is to examine the sanitation characteristics of the residential environment and the programs and policies that apply to settlements on the banks of the Musi River, Sebrang Ulu I District, Palembang City.Methods: This study uses the mixed method. Data collection is carried out quantitatively, namely spatial analysis using Geographic Information System (GIS), a qualitative manner through observation and interviews. The study was conducted in 6 Outlands in Sebrang Ulu I Sub-District, Palembang City, with a sample of 150 residents and 13 informants from each of the outpatients and health service officers.Results: The sanitation conditions of water sources and SPAL all respondents did not meet health requirements. The majority of family latrines (96.7%) and garbage shelters (92.7%) owned by respondents in conditions do not meet health requirements. The program to restructure the residential environment, especially the healthy houses received by the people living on the banks of the Musi River, is in the form of visits by local health workers. The absence of policies related to settlements on the banks of the Musi River in the Sebrang Ulu I Sub-District, Palembang CityConclusions: The poor condition of basic sanitation in the settlements of the Musi River banks in the Sebrang Ulu I Sub-district, Palembang City, as well as the lack of optimal environmental sanitation programs that have been carried out by local health workers.

Abstract Objective The aim of this research was to examine the attitudes and perceptions of dentofacial aesthetics among different age groups. Materials and Methods The sample consisted of elementary-school students from the city of Sarajevo, Bosnia and Herzegovina, and their parents. This study included 314 subjects: 157 children and 157 parents. The children’s group consisted of 85 (54.14%) males and 72 (45.85%) females, aged 9 to 15 years. Statistical Analysis Descriptive statistics were used to determine frequency distribution and percentages for all variables. A chi-squared (x 2) test was used to determine the association between variables and a p-value < 0.05 was considered significant for all the differences and associations. Results For the dentofacial appearance with no teeth irregularity or with severe teeth irregularity, an analysis of variance (ANOVA) (post-hoc tests—Tukey’s HSD) indicated that the difference is not statistically significant (p = 0.06) relative to rank matching between all three subject groups.For dentofacial appearance with mild teeth irregularity, an ANOVA (post-hoc tests—Tukey’s HSD) showed statistical difference (p = 0.07) between the teenage group of subjects relative to pre-teenage group of subjects and adult group of subjects. Conclusion Attitudes about desirable and acceptable dental aesthetics differ in younger children compared with older children and parents. Ten years old children find good function with poor aesthetics more pleasing, while 14 years old children find aesthetics with bad function as more pleasing.

Aim: This study is aimed at ascertaining the level of knowledge and challenges associated with the practice of dental implants among dental practitioners in selected hospitals in South East, Nigeria. Study Design: the study employed cross sectional study design. Place and Duration of Study: The research was carried out within six months (September 2018 to March 2019) in selected hospitals and clinics in South-East, Nigeria. Methodology: Data were collected using structural pretested questionnaire administered to 117 purposefully selected consenting respondents (Dental Professionals). Data were analyzed descriptively and inferentially using SPSS version 20. The hypotheses were tested at 0.05 level of significance and data generated were subjected to percentage findings presented by the use of tables. Data collected were analyzed and discussed. Result: the result affirmed female respondents were more than male with 59.0%, indicating Dental Therapist as majority in proportion with 64%. On quality of implant shows 64.9% and 56.4% on comfort and function which indicates it as a good quality, 64.9% poor availability and 49.6% awareness and knowledge. While inferentially, using Pearson Chi-Square showed a significant relationship of 177.552; df = 16 @ P=0.05 between profession of respondents and knowledge of dental implant materials/devices types while using ANOVA showed a significant relationship with F =42.147; df =4 @ P=.05; knowledge of dental implant materials and assessment of dental implant to aesthetics on oral cavity, F =77.760; df =4 @ P=.05 and knowledge of dental implant materials and assessment of dental implant to retention on oral cavity, F =54.985; df =4 @ P=.05. Conclusion: from the results obtained, accredited dental implant as an appliance capable of obviating most of dentures shortcomings which depends on contra-indication and indication of it, and its challenges in the profession. Although there are challenges associated with dental implant awareness and application in Nigeria. Recommendations and tips on successful further studies were given.

Background: The customized prosthesis is a new method for the reconstruction of large mandibular defects. The ability of dental rehabilitation to improve masticatory functions while maintaining the aesthetics of the main anatomy of the patient's jaw. But the most important problem with all custom prosthesis is the poor performance of screw fixation strength the connections at the bone-plate interface. Materials and Methods: This study was performed to investigate the effect of the number and layout of screws to improve the strength of the bone–prosthesis interface. Due to the inherent variability of input parameters, Analysis of the biomechanical performance of screw fixation strength, a probabilistic finite element method approach has been used. Random input parameters include mechanical properties of the cortical bone, cancellous bone, titanium alloy (Ti6Al4V), and bite force. The layout of the screws was designed in 6 models. Criteria for evaluating the biomechanical performance of screw fixation strength include maximum stress and strain of von Mises cortical bone around the screws. The Monte-Carlo method was used for finite element simulation. Results: The most critical screw in all models is screw No.1, which by increasing the number of screws and correcting the layout shape, the values of maximum stress and strain in the bone around screw No.1 has decreased by 26.7% and 46.3%, respectively, and increased the reliability of the screw connection performance by 25% and 28%, respectively. Conclusion: Finally, in the reconstruction of a large lateral mandibular defect by the customized prosthesis, the strength of the prosthesis to connect to the remaining mandible bone can be improved by increasing the number and modifying the layout of the screws.

Introduction: Smiles can be improved by veneering teeth using a relatively conservative technique. The appearance of veneers and smile design has not been previously investigated in the UAE. This study aimed to assess the aesthetic preferences of different smile designs rated by a group of prosthodontic residents and specialists. Methods: A questionnaire was devised asking about demographic details such as age and gender as well as clinical experience before and after graduation. Images of ten cases who had ceramic veneers fitted on their anterior teeth were included in the questionnaire. There were two images for each case: smiling with lips shown and close-up with retracted lips and cheeks. A total of seven questions regarding the appearance for each case were posed to each rater. Each question had a 5 point Likert rating scale from poor to excellent. All residents in prosthodontics at HBMCDM and UAE recognized specialists in prosthodontics were invited to participate. The specialists were recruited from the DHA/CPQ database. Result: A total of 25 dentists rated the 10 cases. There were 12 residents and 13 specialists, 40% were from the UAE and 60% from other countries. The residents were significantly younger than the specialists with mean ages of 29.4 years and 43.0 years respectively (p<0.001). Ten raters were male and 15 female. An overall amalgamated mean score was calculated for each case by summing all 7 individual scores for the 7 questions by rater. Males rated case 8, visible papillae following lip contour, significantly more highly than females (p<0.004). The overall ranking of the 10 cases was determined by gaining a mean % score for each case by summing the Likert scores for all seven questions and dividing by the maximum score of 35 per case. Both the residents and specialists agreed that case 9 (long teeth contacting the lower lip) was the most pleasant (68%) and that case 5 (midline discrepancy) was the most unattractive (39%). Overall, cases 9 and 6 were the most pleasing and cases 5 and 10 were the most displeasing. Conclusion: The residents and prosthodontic specialists were mostly in agreement when rating the esthetics of several different smile designs. Symmetry and the upper lip just covering the upper gingival margins were the most pleasing whilst a non-coincident midline and gingival inflammation were deemed the most unattractive.

Abstract: The main purpose of using denture is to restore the aesthetic function, speech function, and masticatory function which are disturbed due to tooth loss. Unclean oral condition can cause the oral cavity become susceptible to caries and periodontal disease. Poor behavior to maintain dental and oral hygiene of removable denture users plays an important role in the occurrence of these two diseases. Removable denture that is kept unclean is harmful to the hard tissue as well as the soft tissue of the oral cavity. This study aimed to determine the behavior of removable denture maintenance among Kema II villagers in Kema. This was a descriptive study with a cross sectional design. There were 62 respondents as samples. The results of the behavior score of denture hygiene maintenance were as follows: score of knowledge was 552; score of attitude was 581; and score of action was 572. Conclusion: The behavior to maintain the removable denture hygiene of Kema II villagers which included knowledge, attitude, and action was classified as poor category.Keywords: behavior, maintenance of hygiene dentures, removable dentureAbstrak: Tujuan utama penggunaan gigi tiruan yaitu untuk memulihkan fungsi estetik, fungsi bicara, serta fungsi pengunyahan yang terganggu akibat kehilangan gigi. Kondisi rongga mulut yang kurang terjaga kebersihannya dapat menyebabkan rongga mulut rentan terhadap karies dan penyakit periodontal. Perilaku pemeliharaan kebersihan gigi dan mulut yang kurang baik dari pengguna gigi tiruan lepasan berperan penting pada terjadinya kedua penyakit tersebut. Gigi tiruan lepasan yang kurang terjaga kebersihannya bukan saja menimbulkan gangguan pada jaringan keras gigi namun juga pada jaringan lunak mulut. Penelitian ini bertujuan untuk mengetahui perilaku pemeliharaan kebersihan gigi tiruan lepasan pada masyarakat Desa Kema II Kecamatan Kema. Jenis penelitian ialah deskriptif dengan desain potong lintang. Sampel berjumlah 62 responden. Hasil penelitian menunjukkan skor pengukuran perilaku pemeliharaan kebersihan gigi tiruan yang terdiri dari skor pengetahuan sebesar 552; skor sikap sebesar 581; dan skor tindakan sebesar 572. Simpulan: Perilaku pemeliharaan kebersihan gigi tiruan lepasan masyarakat Desa Kema II Kecamatan Kema yang meliputi pengetahuan, sikap dan tindakan kesemuanya tergolong kurang baik.Kata kunci: perilaku, pemeliharaan kebersihan gigi tiruan, gigi tiruan lepasan

1. Guy Debord in the Land of the Long WeekendIt’s the weekend – leisure time. It’s the interlude when, Guy Debord contends, the proletarian is briefly free of the “total contempt so clearly built into every aspect of the organization and management of production” in commodity capitalism; when workers are temporarily “treated like grown-ups, with a great show of solicitude and politeness, in their new role as consumers.” But this patronising show turns out to be another form of subjection to the diktats of “political economy”: “the totality of human existence falls under the regime of the ‘perfected denial of man’.” (30). As Debord suggests, even the creation of leisure time and space is predicated upon a form of contempt: the “perfected denial” of who we, as living people, really are in the eyes of those who presume the power to legislate our working practices and private identities.This Saturday The Weekend Australian runs an opinion piece by Christopher Pearson, defending ABC Radio National’s Stephen Crittenden, whose program The Religion Report has been axed. “Some of Crittenden’s finest half-hours have been devoted to Islam in Australia in the wake of September 11,” Pearson writes. “Again and again he’s confronted a left-of-centre audience that expected multi-cultural pieties with disturbing assertions.” Along the way in this admirable Crusade, Pearson notes that Crittenden has exposed “the Left’s recent tendency to ally itself with Islam.” According to Pearson, Crittenden has also thankfully given oxygen to claims by James Cook University’s Mervyn Bendle, the “fairly conservative academic whose work sometimes appears in [these] pages,” that “the discipline of critical terrorism studies has been captured by neo-Marxists of a postmodern bent” (30). Both of these points are well beyond misunderstanding or untested proposition. If Pearson means them sincerely he should be embarrassed and sacked. But of course he does not and will not be. These are deliberate lies, the confabulations of an eminent right-wing culture warrior whose job is to vilify minorities and intellectuals (Bendle escapes censure as an academic because he occasionally scribbles for the Murdoch press). It should be observed, too, how the patent absurdity of Pearson’s remarks reveals the extent to which he holds the intelligence of his readers in contempt. And he is not original in peddling these toxic wares.In their insightful—often hilarious—study of Australian opinion writers, The War on Democracy, Niall Lucy and Steve Mickler identify the left-academic-Islam nexus as the brain-child of former Treasurer-cum-memoirist Peter Costello. The germinal moment was “a speech to the Australian American Leadership Dialogue forum at the Art Gallery of NSW in 2005” concerning anti-Americanism in Australian schools. Lucy and Mickler argue that “it was only a matter of time” before a conservative politician or journalist took the plunge to link the left and terrorism, and Costello plunged brilliantly. He drew a mental map of the Great Chain of Being: left-wing academics taught teacher trainees to be anti-American; teacher trainees became teachers and taught kids to be anti-American; anti-Americanism morphs into anti-Westernism; anti-Westernism veers into terrorism (38). This is contempt for the reasoning capacity of the Australian people and, further still, contempt for any observable reality. Not for nothing was Costello generally perceived by the public as a politician whose very physiognomy radiated smugness and contempt.Recycling Costello, Christopher Pearson’s article subtly interpellates the reader as an ordinary, common-sense individual who instinctively feels what’s right and has no need to think too much—thinking too much is the prerogative of “neo-Marxists” and postmodernists. Ultimately, Pearson’s article is about channelling outrage: directing the down-to-earth passions of the Australian people against stock-in-trade culture-war hate figures. And in Pearson’s paranoid world, words like “neo-Marxist” and “postmodern” are devoid of historical or intellectual meaning. They are, as Lucy and Mickler’s War on Democracy repeatedly demonstrate, mere ciphers packed with the baggage of contempt for independent critical thought itself.Contempt is everywhere this weekend. The Weekend Australian’s colour magazine runs a feature story on Malcolm Turnbull: one of those familiar profiles designed to reveal the everyday human touch of the political classes. In this puff-piece, Jennifer Hewett finds Turnbull has “a restless passion for participating in public life” (20); that beneath “the aggressive political rhetoric […] behind the journalist turned lawyer turned banker turned politician turned would-be prime minister is a man who really enjoys that human interaction, however brief, with the many, many ordinary people he encounters” (16). Given all this energetic turning, it’s a wonder that Turnbull has time for human interactions at all. The distinction here of Turnbull and “many, many ordinary people” – the anonymous masses – surely runs counter to Hewett’s brief to personalise and quotidianise him. Likewise, those two key words, “however brief”, have an unfortunate, unintended effect. Presumably meant to conjure a picture of Turnbull’s hectic schedules and serial turnings, the words also convey the image of a patrician who begrudgingly knows one of the costs of a political career is that common flesh must be pressed—but as gingerly as possible.Hewett proceeds to disclose that Turnbull is “no conservative cultural warrior”, “onfounds stereotypes” and “hates labels” (like any baby-boomer rebel) and “has always read widely on political philosophy—his favourite is Edmund Burke”. He sees the “role of the state above all as enabling people to do their best” but knows that “the main game is the economy” and is “content to play mainstream gesture politics” (19). I am genuinely puzzled by this and imagine that my intelligence is being held in contempt once again. That the man of substance is given to populist gesturing is problematic enough; but that the Burke fan believes the state is about personal empowerment is just too much. Maybe Turnbull is a fan of Burke’s complex writings on the sublime and the beautiful—but no, Hewett avers, Turnbull is engaged by Burke’s “political philosophy”. So what is it in Burke that Turnbull finds to favour?Turnbull’s invocation of Edmund Burke is empty, gestural and contradictory. The comfortable notion that the state helps people to realise their potential is contravened by Burke’s view that the state functions so “the inclinations of men should frequently be thwarted, their will controlled, and their passions brought into subjection… by a power out of themselves” (151). Nor does Burke believe that anyone of humble origins could or should rise to the top of the social heap: “The occupation of an hair-dresser, or of a working tallow-chandler, cannot be a matter of honour to any person… the state suffers oppression, if such as they, either individually or collectively, are permitted to rule” (138).If Turnbull’s main game as a would-be statesman is the economy, Burke profoundly disagrees: “the state ought not to be considered as nothing better than a partnership agreement in a trade of pepper and coffee, callico or tobacco, or some other such low concern… It is a partnership in all science; a partnership in all art; a partnership in every virtue, and in all perfection”—a sublime entity, not an economic manager (194). Burke understands, long before Antonio Gramsci or Louis Althusser, that individuals or social fractions must be made admirably “obedient” to the state “by consent or force” (195). Burke has a verdict on mainstream gesture politics too: “When men of rank sacrifice all ideas of dignity to an ambition without a distinct object, and work with low instruments and for low ends, the whole composition [of the state] becomes low and base” (136).Is Malcolm Turnbull so contemptuous of the public that he assumes nobody will notice the gross discrepancies between his own ideals and what Burke stands for? His invocation of Burke is, indeed, “mainstream gesture politics”: on one level, “Burke” signifies nothing more than Turnbull’s performance of himself as a deep thinker. In this process, the real Edmund Burke is historically erased; reduced to the status of stage-prop in the theatrical production of Turnbull’s mass-mediated identity. “Edmund Burke” is re-invented as a term in an aesthetic repertoire.This transmutation of knowledge and history into mere cipher is the staple trick of culture-war discourse. Jennifer Hewett casts Turnbull as “no conservative culture warrior”, but he certainly shows a facility with culture-war rhetoric. And as much as Turnbull “confounds stereotypes” his verbal gesture to Edmund Burke entrenches a stereotype: at another level, the incantation “Edmund Burke” is implicitly meant to connect Turnbull with conservative tradition—in the exact way that John Howard regularly self-nominated as a “Burkean conservative”.This appeal to tradition effectively places “the people” in a power relation. Tradition has a sublimity that is bigger than us; it precedes us and will outlast us. Consequently, for a politician to claim that tradition has fashioned him, that he is welded to it or perhaps even owns it as part of his heritage, is to glibly imply an authority greater than that of “the many, many ordinary people”—Burke’s hair-dressers and tallow-chandlers—whose company he so briefly enjoys.In The Ideology of the Aesthetic, Terry Eagleton assesses one of Burke’s important legacies, placing him beside another eighteenth-century thinker so loved by the right—Adam Smith. Ideology of the Aesthetic is premised on the view that “Aesthetics is born as a discourse of the body”; that the aesthetic gives form to the “primitive materialism” of human passions and organises “the whole of our sensate life together… a society’s somatic, sensational life” (13). Reading Smith’s Theory of Moral Sentiments, Eagleton discerns that society appears as “an immense machine, whose regular and harmonious movements produce a thousand agreeable effects”, like “any production of human art”. In Smith’s work, the “whole of social life is aestheticized” and people inhabit “a social order so spontaneously cohesive that its members no longer need to think about it.” In Burke, Eagleton discovers that the aesthetics of “manners” can be understood in terms of Gramscian hegemony: “in the aesthetics of social conduct, or ‘culture’ as it would later be called, the law is always with us, as the very unconscious structure of our life”, and as a result conformity to a dominant ideological order is deeply felt as pleasurable and beautiful (37, 42). When this conservative aesthetic enters the realm of politics, Eagleton contends, the “right turn, from Burke” onwards follows a dark trajectory: “forget about theoretical analysis… view society as a self-grounding organism, all of whose parts miraculously interpenetrate without conflict and require no rational justification. Think with the blood and the body. Remember that tradition is always wiser and richer than one’s own poor, pitiable ego. It is this line of descent, in one of its tributaries, which will lead to the Third Reich” (368–9).2. Jean Baudrillard, the Nazis and Public MemoryIn 1937, during the Spanish Civil War, the Third Reich’s Condor Legion of the Luftwaffe was on loan to Franco’s forces. On 26 April that year, the Condor Legion bombed the market-town of Guernica: the first deliberate attempt to obliterate an entire town from the air and the first experiment in what became known as “terror bombing”—the targeting of civilians. A legacy of this violence was Pablo Picasso’s monumental canvas Guernica – the best-known anti-war painting in art history.When US Secretary of State Colin Powell addressed the United Nations on 5 February 2003 to make the case for war on Iraq, he stopped to face the press in the UN building’s lobby. The doorstop was globally televised, packaged as a moment of incredible significance: history in the making. It was also theatre: a moment in which history was staged as “event” and the real traces of history were carefully erased. Millions of viewers world-wide were undoubtedly unaware that the blue backdrop before which Powell stood was specifically designed to cover the full-scale tapestry copy of Picasso’s Guernica. This one-act, agitprop drama was a splendid example of politics as aesthetic action: a “performance” of history in the making which required the loss of actual historical memory enshrined in Guernica. Powell’s performance took its cues from the culture wars, which require the ceaseless erasure of history and public memory—on this occasion enacted on a breathtaking global, rather than national, scale.Inside the UN chamber, Powell’s performance was equally staged-crafted. As he brandished vials of ersatz anthrax, the power-point behind him (the theatrical set) showed artists’ impressions of imaginary mobile chemical weapons laboratories. Powell was playing lead role in a kind of populist, hyperreal production. It was Jean Baudrillard’s postmodernism, no less, as the media space in which Powell acted out the drama was not a secondary representation of reality but a reality of its own; the overheads of mobile weapons labs were simulacra, “models of a real without origins or reality”, pictures referring to nothing but themselves (2). In short, Powell’s performance was anchored in a “semiurgic” aesthetic; and it was a dreadful real-life enactment of Walter Benjamin’s maxim that “All efforts to render politics aesthetic culminate in one thing: war” (241).For Benjamin, “Fascism attempts to organize the newly created proletarian masses without affecting the property structure which the masses strive to eliminate.” Fascism gave “these masses not their right, but instead a chance to express themselves.” In turn, this required “the introduction of aesthetics into politics”, the objective of which was “the production of ritual values” (241). Under Adolf Hitler’s Reich, people were able to express themselves but only via the rehearsal of officially produced ritual values: by their participation in the disquisition on what Germany meant and what it meant to be German, by the aesthetic regulation of their passions. As Frederic Spotts’ fine study Hitler and the Power of Aesthetics reveals, this passionate disquisition permeated public and private life, through the artfully constructed total field of national narratives, myths, symbols and iconographies. And the ritualistic reiteration of national values in Nazi Germany hinged on two things: contempt and memory loss.By April 1945, as Berlin fell, Hitler’s contempt for the German people was at its apogee. Hitler ordered a scorched earth operation: the destruction of everything from factories to farms to food stores. The Russians would get nothing, the German people would perish. Albert Speer refused to implement the plan and remembered that “Until then… Germany and Hitler had been synonymous in my mind. But now I saw two entities opposed… A passionate love of one’s country… a leader who seemed to hate his people” (Sereny 472). But Hitler’s contempt for the German people was betrayed in the blusterous pages of Mein Kampf years earlier: “The receptivity of the great masses is very limited, their intelligence is small, but their power of forgetting is enormous” (165). On the back of this belief, Hitler launched what today would be called a culture war, with its Jewish folk devils, loathsome Marxist intellectuals, incitement of popular passions, invented traditions, historical erasures and constant iteration of values.When Theodor Adorno and Max Horkheimer fled Fascism, landing in the United States, their view of capitalist democracy borrowed from Benjamin and anticipated both Baudrillard and Guy Debord. In their well-know essay on “The Culture Industry”, in Dialectic of Enlightenment, they applied Benjamin’s insight on mass self-expression and the maintenance of property relations and ritual values to American popular culture: “All are free to dance and enjoy themselves”, but the freedom to choose how to do so “proves to be the freedom to choose what is always the same”, manufactured by monopoly capital (161–162). Anticipating Baudrillard, they found a society in which “only the copy appears: in the movie theatre, the photograph; on the radio, the recording” (143). And anticipating Debord’s “perfected denial of man” they found a society where work and leisure were structured by the repetition-compulsion principles of capitalism: where people became consumers who appeared “s statistics on research organization charts” (123). “Culture” came to do people’s thinking for them: “Pleasure always means not to think about anything, to forget suffering even where it is shown” (144).In this mass-mediated environment, a culture of repetitions, simulacra, billboards and flickering screens, Adorno and Horkheimer concluded that language lost its historical anchorages: “Innumerable people use words and expressions which they have either ceased to understand or employ only because they trigger off conditioned reflexes” in precisely the same way that the illusory “free” expression of passions in Germany operated, where words were “debased by the Fascist pseudo-folk community” (166).I know that the turf of the culture wars, the US and Australia, are not Fascist states; and I know that “the first one to mention the Nazis loses the argument”. I know, too, that there are obvious shortcomings in Adorno and Horkheimer’s reactions to popular culture and these have been widely criticised. However, I would suggest that there is a great deal of value still in Frankfurt School analyses of what we might call the “authoritarian popular” which can be applied to the conservative prosecution of populist culture wars today. Think, for example, how the concept of a “pseudo folk community” might well describe the earthy, common-sense public constructed and interpellated by right-wing culture warriors: America’s Joe Six-Pack, John Howard’s battlers or Kevin Rudd’s working families.In fact, Adorno and Horkheimer’s observations on language go to the heart of a contemporary culture war strategy. Words lose their history, becoming ciphers and “triggers” in a politicised lexicon. Later, Roland Barthes would write that this is a form of myth-making: “myth is constituted by the loss of the historical quality of things.” Barthes reasoned further that “Bourgeois ideology continuously transforms the products of history into essential types”, generating a “cultural logic” and an ideological re-ordering of the world (142). Types such as “neo-Marxist”, “postmodernist” and “Burkean conservative”.Surely, Benjamin’s assessment that Fascism gives “the people” the occasion to express itself, but only through “values”, describes the right’s pernicious incitement of the mythic “dispossessed mainstream” to reclaim its voice: to shout down the noisy minorities—the gays, greenies, blacks, feminists, multiculturalists and neo-Marxist postmodernists—who’ve apparently been running the show. Even more telling, Benjamin’s insight that the incitement to self-expression is connected to the maintenance of property relations, to economic power, is crucial to understanding the contemptuous conduct of culture wars.3. Jesus Dunked in Urine from Kansas to CronullaAmerican commentator Thomas Frank bases his study What’s the Matter with Kansas? on this very point. Subtitled How Conservatives Won the Heart of America, Frank’s book is a striking analysis of the indexation of Chicago School free-market reform and the mobilisation of “explosive social issues—summoning public outrage over everything from busing to un-Christian art—which it then marries to pro-business policies”; but it is the “economic achievements” of free-market capitalism, “not the forgettable skirmishes of the never-ending culture wars” that are conservatism’s “greatest monuments.” Nevertheless, the culture wars are necessary as Chicago School economic thinking consigns American communities to the rust belt. The promise of “free-market miracles” fails ordinary Americans, Frank reasons, leaving them in “backlash” mode: angry, bewildered and broke. And in this context, culture wars are a convenient form of anger management: “Because some artist decides to shock the hicks by dunking Jesus in urine, the entire planet must remake itself along the lines preferred” by nationalist, populist moralism and free-market fundamentalism (5).When John Howard received the neo-conservative American Enterprise Institute’s Irving Kristol Award, on 6 March 2008, he gave a speech in Washington titled “Sharing Our Common Values”. The nub of the speech was Howard’s revelation that he understood the index of neo-liberal economics and culture wars precisely as Thomas Frank does. Howard told the AEI audience that under his prime ministership Australia had “pursued reform and further modernisation of our economy” and that this inevitably meant “dislocation for communities”. This “reform-dislocation” package needed the palliative of a culture war, with his government preaching the “consistency and reassurance” of “our nation’s traditional values… pride in her history”; his government “became assertive about the intrinsic worth of our national identity. In the process we ended the seemingly endless seminar about that identity which had been in progress for some years.” Howard’s boast that his government ended the “seminar” on national identity insinuates an important point. “Seminar” is a culture-war cipher for intellection, just as “pride” is code for passion; so Howard’s self-proclaimed achievement, in Terry Eagleton’s terms, was to valorise “the blood and the body” over “theoretical analysis”. This speaks stratospheric contempt: ordinary people have their identity fashioned for them; they need not think about it, only feel it deeply and passionately according to “ritual values”. Undoubtedly this paved the way to Cronulla.The rubric of Howard’s speech—“Sharing Our Common Values”—was both a homage to international neo-conservatism and a reminder that culture wars are a trans-national phenomenon. In his address, Howard said that in all his “years in politics” he had not heard a “more evocative political slogan” than Ronald Reagan’s “Morning in America”—the rhetorical catch-cry for moral re-awakening that launched the culture wars. According to Lawrence Grossberg, America’s culture wars were predicated on the perception that the nation was afflicted by “a crisis of our lack of passion, of not caring enough about the values we hold… a crisis of nihilism which, while not restructuring our ideological beliefs, has undermined our ability to organise effective action on their behalf”; and this “New Right” alarmism “operates in the conjuncture of economics and popular culture” and “a popular struggle by which culture can lead politics” in the passionate pursuit of ritual values (31–2). When popular culture leads politics in this way we are in the zone of the image, myth and Adorno and Horkheimer’s “trigger words” that have lost their history. In this context, McKenzie Wark observes that “radical writers influenced by Marx will see the idea of culture as compensation for a fragmented and alienated life as a con. Guy Debord, perhaps the last of the great revolutionary thinkers of Europe, will call it “the spectacle”’ (20). Adorno and Horkheimer might well have called it “the authoritarian popular”. As Jonathan Charteris-Black’s work capably demonstrates, all politicians have their own idiolect: their personally coded language, preferred narratives and myths; their own vision of who “the people” might or should be that is conjured in their words. But the language of the culture wars is different. It is not a personal idiolect. It is a shared vocabulary, a networked vernacular, a pervasive trans-national aesthetic that pivots on the fact that words like “neo-Marxist”, “postmodern” and “Edmund Burke” have no historical or intellectual context or content: they exist as the ciphers of “values”. And the fact that culture warriors continually mouth them is a supreme act of contempt: it robs the public of its memory. And that’s why, as Lucy and Mickler’s War on Democracy so wittily argues, if there are any postmodernists left they’ll be on the right.Benjamin, Adorno, Horkheimer and, later, Debord and Grossberg understood how the political activation of the popular constitutes a hegemonic project. The result is nothing short of persuading “the people” to collaborate in its own oppression. The activation of the popular is perfectly geared to an age where the main stage of political life is the mainstream media; an age in which, Charteris-Black notes, political classes assume the general antipathy of publics to social change and act on the principle that the most effective political messages are sold to “the people” by an appeal “to familiar experiences”—market populism (10). In her substantial study The Persuaders, Sally Young cites an Australian Labor Party survey, conducted by pollster Rod Cameron in the late 1970s, in which the party’s message machine was finely tuned to this populist position. The survey also dripped with contempt for ordinary people: their “Interest in political philosophy… is very low… They are essentially the products (and supporters) of mass market commercialism”. Young observes that this view of “the people” was the foundation of a new order of political advertising and the conduct of politics on the mass-media stage. Cameron’s profile of “ordinary people” went on to assert that they are fatally attracted to “a moderate leader who is strong… but can understand and represent their value system” (47): a prescription for populist discourse which begs the question of whether the values a politician or party represent via the media are ever really those of “the people”. More likely, people are hegemonised into a value system which they take to be theirs. Writing of the media side of the equation, David Salter raises the point that when media “moguls thunder about ‘the public interest’ what they really mean is ‘what we think the public is interested in”, which is quite another matter… Why this self-serving deception is still so sheepishly accepted by the same public it is so often used to violate remains a mystery” (40).Sally Young’s Persuaders retails a story that she sees as “symbolic” of the new world of mass-mediated political life. The story concerns Mark Latham and his “revolutionary” journeys to regional Australia to meet the people. “When a political leader who holds a public meeting is dubbed a ‘revolutionary’”, Young rightly observes, “something has gone seriously wrong”. She notes how Latham’s “use of old-fashioned ‘meet-and-greet’campaigning methods was seen as a breath of fresh air because it was unlike the type of packaged, stage-managed and media-dependent politics that have become the norm in Australia.” Except that it wasn’t. “A media pack of thirty journalists trailed Latham in a bus”, meaning, that he was not meeting the people at all (6–7). He was traducing the people as participants in a media spectacle, as his “meet and greet” was designed to fill the image-banks of print and electronic media. Even meeting the people becomes a media pseudo-event in which the people impersonate the people for the camera’s benefit; a spectacle as artfully deceitful as Colin Powell’s UN performance on Iraq.If the success of this kind of “self-serving deception” is a mystery to David Salter, it would not be so to the Frankfurt School. For them, an understanding of the processes of mass-mediated politics sits somewhere near the core of their analysis of the culture industries in the “democratic” world. I think the Frankfurt school should be restored to a more important role in the project of cultural studies. Apart from an aversion to jazz and other supposedly “elitist” heresies, thinkers like Adorno, Benjamin, Horkheimer and their progeny Debord have a functional claim to provide the theory for us to expose the machinations of the politics of contempt and its aesthetic ruses.ReferencesAdorno, Theodor and Max Horkheimer. "The Culture Industry: Enlightenment as Mass Deception." Dialectic of Enlightenment. London: Verso, 1979. 120–167.Barthes Roland. “Myth Today.” Mythologies. Trans. Annette Lavers. St Albans: Paladin, 1972. 109–58.Baudrillard, Jean. Simulations. New York: Semiotext(e), 1983.Benjamin, Walter. “The Work of Art in the Age of Mechanical Reproduction.” Illuminations. Ed. Hannah Arendt. Trans. Harry Zorn. New York: Schocken Books, 1969. 217–251.Burke, Edmund. Reflections on the Revolution in France. Ed. Conor Cruise O’Brien. Harmondsworth: Penguin, 1969.Charteris-Black, Jonathan. Politicians and Rhetoric: The Persuasive Power of Metaphor. Houndmills: Palgrave Macmillan, 2006.Debord, Guy. The Society of the Spectacle. Trans. Donald Nicholson-Smith. New York: Zone Books, 1994.Eagleton, Terry. The Ideology of the Aesthetic. Oxford: Basil Blackwell, 1990.Frank, Thomas. What’s the Matter with Kansas?: How Conservatives Won the Heart of America. New York: Henry Holt and Company, 2004.Grossberg, Lawrence. “It’s a Sin: Politics, Post-Modernity and the Popular.” It’s a Sin: Essays on Postmodern Politics & Culture. Eds. Tony Fry, Ann Curthoys and Paul Patton. Sydney: Power Publications, 1988. 6–71.Hewett, Jennifer. “The Opportunist.” The Weekend Australian Magazine. 25–26 October 2008. 16–22.Hitler, Adolf. Mein Kampf. Trans. Ralph Manheim. London: Pimlico, 1993.Howard, John. “Sharing Our Common Values.” Washington: Irving Kristol Lecture, American Enterprise Institute. 5 March 2008. ‹http://www.theaustralian.news.com.au/story/0,25197,233328945-5014047,00html›.Lucy, Niall and Steve Mickler. The War on Democracy: Conservative Opinion in the Australian Press. Crawley: University of Western Australia Press, 2006.Pearson, Christopher. “Pray for Sense to Prevail.” The Weekend Australian. 25–26 October 2008. 30.Salter, David. The Media We Deserve: Underachievement in the Fourth Estate. Melbourne: Melbourne UP, 2007. Sereny, Gitta. Albert Speer: His Battle with Truth. London: Picador, 1996.Spotts, Frederic. Hitler and the Power of Aesthetics. London: Pimlico, 2003.Wark, McKenzie. The Virtual Republic: Australia’s Culture Wars of the 1990s. St Leonards: Allen & Unwin, 1997.Young, Sally. The Persuaders: Inside the Hidden Machine of Political Advertising. Melbourne: Pluto Press, 2004.

Abstract: The stain is a pigmented deposits in the teeth surface and is one of the aesthetic problem. Smooking increaces one factor contributing to the occutence of multiple disordersin in the oral cavity, one of which can cause tooth stain on the tooth surface. The habit of smooking cigarettes include the type, duration of smooking and number of cigarettes smoked a day. The purpose of this study to determine the knowledge of stain teeth in smokers in kelurahan Bahu lingkungan V. This is a descriptive study with cross-sectional approach. The research instrumen used was a questionnaire containing some questions about stain teeth. The result is 25 of the subject (29,4%) have a good knowledge, 39 of the subject (45,9%)enough knowledge and 21 of the subject (24,7%) poor knowledge. Based on this study, the are some suggestions, one of it is to keep the good knowledge and reduce smooking to prevent the foemation of tooth stain on tooth surface. Keywords: stain of the teeth, knowledge, smoker. Abstrak: Stain gigi adalah deposit berpigmen pada permukaan gigi dan merupakan salah satu masalah estetik. Kebiasaan merokok meningkatkan salah satu faktor penyebab terjadinya beberapa kelainan di rongga mulut, salah satunya dapat menimbulkan stain gigi pada permukaan gigi. Kebiasaan merokok meliputi jenis rokok, lama merokok dan jumlah rokok yang dihisap per hari. Tujuan dari penelitian ini untuk mengetahui pengetahuan tentang stain gigi pada perokok di kelurahan Bahu lingkungan V. Penelitian ini bersifat deskriptif dengan pendekatan cross-sectional. Instrumen penelitian yang digunakan ialah kuesioner yang berisi tentang beberapa pertanyaan tentang stain gigi. Hasilnya ialah sebanyak 25 responden (29,4%) mempunyai pengetahuan baik, 39 responden (45,9%) mempunyai pengetahuan cukup dan 21 responden (24,7%) mempunyai pengetahuan kurang. Berdasarkan penelitian ini, terdapat beberapa hal yang disarankan antara lain mempertahankan pengetahuan yang sudah cukup baik dan mengurangi kebiasaan merokok agar tidak terjadinya pembentukan stain gigi pada permukaan gigi. Kata kunci: Stain gigi, pengetahuan, perokok.