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\def\RunningAuthor{Keerthi Sasanka et al.}
\firstPage{726}
\articleType{Original Article}
\receivedDate{01 Oct 2020}
\acceptedDate{20 Dec 2020}
\revisedDate{15 Dec 2020}
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\title{\textbf{Awareness on innovative techniques in dentistry among dental patients}}
\author{Soorya~Ganesh\textsuperscript{1},  
            Keerthi~Sasanka\textsuperscript{*}\textsuperscript{2}, 
            Vishnu~Priya~V.\textsuperscript{3}~\\[5pt]{\textsuperscript{1}Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai {\textendash} 600 077, Tamil Nadu, India}~\\{\textsuperscript{2}Department of Prosthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai {\textendash} 600 077, Tamil Nadu, India}~\\{\textsuperscript{3}Department of Biochemistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai {\textendash} 600 077, Tamil Nadu, India}}

\begin{abstract}
For decades, going to the dentist was considered an undesirable experience. It involved sitting under a bright light and having your mouth invaded with a variety of tools. Even though dental health was very important to your overall health and for having a nice smile, among other benefits, many people chose to steer clear of dental visits because of how uncomfortable it was for them. Fortunately, new technological advancements are making trips to the dentist quicker, easier, less painful and more reliable. Due to these advancements, the dental industry was growing rapidly and looking much different than it did in past years. A greater emphasis on treatment and prevention will mean fewer caries (cavities) in patients and less risk of periodontal disease. Similar to innovation within other health care professions, these new technologies will have a huge impact on how dental professionals treat their patients and how people take care of their oral health at home. 
\end{abstract}\def\keywordstitle{Keywords}

\begin{keywords}advancements,\newline experience,\newline tools,\newline oral health
\end{keywords}
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\makeatletter{\raggedright\textsuperscript{*}Corresponding Author\par Name:\ Keerthi~Sasanka~\\ Phone:\ ~\\  Email:\ keerthis.sdc@saveetha.com
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\section{Introduction}
"Innovation was defined as a new idea, creative thoughts, and new imagination was a form of device or method" \unskip~\citep{972539:21125139}. Innovation was also viewed as the application of better solutions which meet new requirements, unarticulated needs \unskip~\citep{972539:21125157}. Use of pre-program equipment is dental restoration, for dental surgeries and to the extent which are the pre-program toothbrushes \unskip~\citep{972539:21125152}. Patients would like to prefer the latest treatment done with advanced equipment \unskip~\citep{972539:21125141,972539:21125152}. Understanding the latest development and trends in dentistry make it easier for the patients and precision of the treatment \unskip~\citep{972539:21125131}. It was a scientific treatment, reliability and less pain. \unskip~\citep{972539:21125160}

Previous research was as minimal intervention dentistry-a new frontier in clinical dentistry \unskip~\citep{972539:21125146}. A new technique to determine the vertical dimension of occlusion from anthropometric measurements of fingers \unskip~\citep{972539:21125149}. Evaluation of dental ceramics in the twentieth century \unskip~\citep{972539:21125132}. 

If the dentists do not upgrade him/her, patients will not receive the upgraded treatment, which was relatable, painless and safer \unskip~\citep{972539:21125142}. These are previous research compared with this study \unskip~\citep{972539:21125150}.

This research was needed to know about the amplitude of the patients \unskip~\citep{972539:21125130}. Because of internet connectivity, it has made the patient's much more knowledge so, with this survey, we can understand the patient's knowledge ability \unskip~\citep{972539:21125130,972539:21125143}.
    
\section{Materials and Methods}
This study involved in the online survey among dental patients, which was all over the dental patients in this country. The 100 people involved in this survey, the online survey made using google forms. It was a simple random sampling method, elected to minimize sampling bias in which sample was collected randomly from common people in Chennai. This survey was done on the people visiting dental so that practicing dentist has the knowledge that the patients are well-informed of the advancement in dentistry, it can be generalized. The data collection was arranged in an order. The questionnaire are standardized questionnaires consisting of knowledge, time, management, interest and understanding. The data collection software was google forms. The data manipulation through excel spreadsheet output variables. The method of representation of each output variables are the random variables. (Figure~\ref{f-cbc80d3b5fd6}) 
    
\section{Results and Discussion}
The results are based on the survey reports,15 questions were asked, and all the questions were answered by the 100 respondents. No questions were skipped in this survey. In the analysed results, we are able to understand that the people will get to know more about the innovation in dentistry.


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\caption{\boldmath {The age group from 12 years to 47 years of age in which 45\% of participants answered are in 12-19 years, 45\% of the participants answered are in 20-35 years age group and 10\% of the participants answered are in 35 years and above}}
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\caption{\boldmath {This pie chart represents gender distribution}}
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\caption{\boldmath {The bar graph showing correlation of gender about their experience of dental treatment}}
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\caption{\boldmath {This pie chart represents patients who have been to dental offices}}
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\caption{\boldmath {This pie chart represents the dental treatment experience in dental office}}
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\caption{\boldmath {The bar graph showing correlation of gender about their experience of pain during dental procedures}}
\label{f-8ed3924278de}
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\caption{\boldmath {This pie chart represents the procedures which were painful while treating patients}}
\label{f-2ba1944d7d41}
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\caption{\boldmath {The bar graph showing correlation of gender for suggesting dental treatments for friends and relatives. }}
\label{f-e1ba4bc229a3}
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\caption{\boldmath {The suggestion of treatments with friends and relatives if the dental treatment was without pain}}
\label{f-833e83088147}
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\caption{\boldmath {The patients getting a needle prick without pain}}
\label{f-a217980876d3}
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\caption{\boldmath {This pie chart represents about patients making an impression which would not lead to gagging}}
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\caption{\boldmath {The bar graph showing correlation of gender about the advanced intra oral scanner, which can be made as an alternative method to make an impression}}
\label{f-7ce888bef4c4}
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\caption{\boldmath {This pie chart represents about the patients using alternative impression method}}
\label{f-82db54162905}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/613ab782-ab77-423a-b93d-44b536522416-upicture14.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/613ab782-ab77-423a-b93d-44b536522416-upicture14.png}{\includegraphics{images/613ab782-ab77-423a-b93d-44b536522416-upicture14.png}}{}
\makeatother 
\caption{\boldmath {The bar graph showing correlation of gender about innovative techniques in dentistry, whether these techniques reduce the working time in the dental treatment}}
\label{f-52ad1ceeab22}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/63b329bc-cabc-4468-a5ab-45a37f7ab7ac-upicture15.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/63b329bc-cabc-4468-a5ab-45a37f7ab7ac-upicture15.png}{\includegraphics{images/63b329bc-cabc-4468-a5ab-45a37f7ab7ac-upicture15.png}}{}
\makeatother 
\caption{\boldmath {This pie chart represents about the reduction of working time in dentistry to treat patients}}
\label{f-7cec427d15cc}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/80b67ca0-6ad1-4768-a083-d38254466be5-upicture16.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/80b67ca0-6ad1-4768-a083-d38254466be5-upicture16.png}{\includegraphics{images/80b67ca0-6ad1-4768-a083-d38254466be5-upicture16.png}}{}
\makeatother 
\caption{\boldmath {The bar graph showing correlation of responses based on gender about the allowance of robots }}
\label{f-a929cd25644b}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/909c04c9-9179-4352-a67b-d84bb3f63155-upicture17.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/909c04c9-9179-4352-a67b-d84bb3f63155-upicture17.png}{\includegraphics{images/909c04c9-9179-4352-a67b-d84bb3f63155-upicture17.png}}{}
\makeatother 
\caption{\boldmath {This pie chart represents the allowance of robots working with less pain power and precision in dentistry}}
\label{f-9569a1392685}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/a60cdfdf-3249-49d7-9ac2-ecc2e695353d-upicture18.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/a60cdfdf-3249-49d7-9ac2-ecc2e695353d-upicture18.png}{\includegraphics{images/a60cdfdf-3249-49d7-9ac2-ecc2e695353d-upicture18.png}}{}
\makeatother 
\caption{\boldmath {The bar graph showing correlation of gender about laser treatment, whether it will be painful or not}}
\label{f-9864d1e6781d}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/b0782afd-d30c-4e24-a948-5f08ae981674-upicture19.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/b0782afd-d30c-4e24-a948-5f08ae981674-upicture19.png}{\includegraphics{images/b0782afd-d30c-4e24-a948-5f08ae981674-upicture19.png}}{}
\makeatother 
\caption{\boldmath {This pie chart represents about lasers in dentistry}}
\label{f-25b51c29a8ce}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/ebbeb89a-25b5-48ec-aa18-6ad9507a86e2-upicture20.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/ebbeb89a-25b5-48ec-aa18-6ad9507a86e2-upicture20.png}{\includegraphics{images/ebbeb89a-25b5-48ec-aa18-6ad9507a86e2-upicture20.png}}{}
\makeatother 
\caption{\boldmath {This pie chart states the opinion of laser treatment will be painful or not}}
\label{f-e896ba56945d}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/5da30a57-c96c-4afc-bb6a-4aa80257c5e9-upicture21.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/5da30a57-c96c-4afc-bb6a-4aa80257c5e9-upicture21.png}{\includegraphics{images/5da30a57-c96c-4afc-bb6a-4aa80257c5e9-upicture21.png}}{}
\makeatother 
\caption{\boldmath {This pie chart represents the advantages of lasers in dentistry}}
\label{f-1c87e777650c}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/1acc16ab-48ad-4eeb-ba75-45bc432c1d06-upicture22.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/1acc16ab-48ad-4eeb-ba75-45bc432c1d06-upicture22.png}{\includegraphics{images/1acc16ab-48ad-4eeb-ba75-45bc432c1d06-upicture22.png}}{}
\makeatother 
\caption{\boldmath {This pie chart represents the innovative techniques which would be comfortable in dentistry}}
\label{f-8fc24ee9a4dd}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/222a4e63-6c87-4ccb-bede-19dbb3f3c80f-upicture23.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/222a4e63-6c87-4ccb-bede-19dbb3f3c80f-upicture23.png}{\includegraphics{images/222a4e63-6c87-4ccb-bede-19dbb3f3c80f-upicture23.png}}{}
\makeatother 
\caption{\boldmath {This pie chart represents robots in dentistry which was introduced in the medical field.}}
\label{f-6c45284544e6}
\end{figure}
\egroup

\bgroup
\fixFloatSize{images/17b3f169-666e-4680-ba01-7e65f44d4a21-upicture24.png}
\begin{figure}[!htbp]
\centering \makeatletter\IfFileExists{images/17b3f169-666e-4680-ba01-7e65f44d4a21-upicture24.png}{\includegraphics{images/17b3f169-666e-4680-ba01-7e65f44d4a21-upicture24.png}}{}
\makeatother 
\caption{\boldmath {This pie chart represents the opinion of this survey}}
\label{f-590e7337bbbc}
\end{figure}
\egroup
From Figure~\ref{f-63682f4ef019}, Male participants were 53\% (green) and female participants were 47\% (red). From Figure~\ref{f-b805b63c5672}, Chi-square test was analysed and the p-value was 0.005 ({\textless}0.05 indicating statistically significant). From Figure~\ref{f-e0e50e893f01}, 82\% of the participants answered "Yes" (green) and 18\% of the participants answered "No" (red). From Figure~\ref{f-0692f37d976b}, 72\% of the participants answered "Good"(red) and 28\% of the participants answered "Bad" (blue).

From Figure~\ref{f-8ed3924278de}, Chi-square was analysed and the p-value was 1.173 ({\textgreater}0.05 indicating statistically not significant). From Figure~\ref{f-2ba1944d7d41}, 42\% of the participants answered getting injection (red), 35\% answered scaling (yellow), and 17\% answered other surgical procedures (orange). From Figure~\ref{f-e1ba4bc229a3}, Chi-square test was analysed and the p-value was 0.120 ({\textgreater}0.05 indicating statistically not significant). 

From Figure~\ref{f-833e83088147}, "Yes" was answered by 75\% (green) and "No" was answered by 25\% (red) of the participants. From Figure~\ref{f-a217980876d3}, "Yes" was answered by 79\% (green)and "No" was answered by 21\% (red) of the participants.

From Figure~\ref{f-b3df39bda421}, 71\% of the participants answered "Yes"(green) and 29\% of the participants answered "No" (red). From Figure~\ref{f-7ce888bef4c4}, Chi-square test was analysed and the p-value was 0.645 ({\textless}0.05 indicating statistically not significant). From Figure~\ref{f-82db54162905}, 78\%of the participants answered happy (blue) and 22\% of the participants answered unhappy (green). From Figure~\ref{f-52ad1ceeab22}, Chi-square test was analysed and the p-value was 0.010 ({\textgreater}0.05 indicating statistically significant). From Figure~\ref{f-7cec427d15cc}, 74\% of the participants answered "Yes" (red) and 26\% of the participants answered "No"(blue).

From Figure~\ref{f-a929cd25644b}, Chi-square was analysed and the p-value was 0.750 ({\textless}0.05 indicating statistically not significant). From Figure~\ref{f-9569a1392685}, 55\% of the participants answered, "Yes"(red), and 45\% of the participants answered, "No"(blue). From Figure~\ref{f-9864d1e6781d}, Chi-square was analysed and the p-value was 2.206 ({\textless}0.05 indicating statistically not significant). From Figure~\ref{f-25b51c29a8ce}, 49\% of the participants answered "Yes"(green) and 51\% of the participants answered "No"(red). From Figure~\ref{f-e896ba56945d}, 56\% of the participants answered "Yes"(green) and 44\% of the participants answered, "No"(red).

From Figure~\ref{f-1c87e777650c}, 49\% of the participants answered "Yes" (green) and 51\% of the participants answered "No" (red). From Figure~\ref{f-8fc24ee9a4dd}, 71\% of the participants answered "Yes" (green) and 29\% of the participants answered "No"(red). From Figure~\ref{f-6c45284544e6}, 65\% of the participants answered. "Yes"(green) and 35\% of the participants answered "No"(red). From Figure~\ref{f-590e7337bbbc}, 70\% answered "Yes"(green) and 30\% of the participants answered "No" (red).

In this study, Red denotes good and blue denotes bad. Maximum responses were given by male students (53). The X-axis represents gender. Y-axis represents the number of counts. There is a significant difference in responses between gender. (Figure~\ref{f-b805b63c5672}, Figure~\ref{f-8ed3924278de}, Figure~\ref{f-e1ba4bc229a3}, Figure~\ref{f-7ce888bef4c4}, Figure~\ref{f-52ad1ceeab22}, Figure~\ref{f-a929cd25644b}, and Figure~\ref{f-9864d1e6781d})

In this survey, it was observed that the people answered "Yes" for the survey. The question was many people had been to dental offices 82\% of the people answered "Yes" and many people experienced more dental treatment. This study was among dental patients in which 100 people responded to this survey \unskip~\citep{972539:21125158,972539:21125156,972539:21125137}.

In the present study, it was compared with 15 pie charts containing questions like do you experience dental procedures and treatment without pain \unskip~\citep{972539:21125147}. In which most of the people answered ``Yes'' in the present study \unskip~\citep{972539:21125133,972539:21125147}. It was related to similar studies comparing with the present study. The first study which was compared was \unskip~\citep{972539:21125140}, and the second study was the \unskip~\citep{972539:21125134}. The third study was the \unskip~\citep{972539:21125148} and the last study compared with \unskip~\citep{972539:21125154}. In these citations, many of the people answered "Yes" for the similar 15 questions. \unskip~\citep{972539:21125138}

The results were based on survey reports. The limitation for this survey was operation bias, low sample size and population selected-patients visiting dental clinic \unskip~\citep{972539:21125145,972539:21125138}. The sample size was 100 people. This survey was taken under the age group between 18-70 years of age \unskip~\citep{972539:21125136}. 

This survey was taken to the people who are having knowledge about awareness in innovative dentistry. \unskip~\citep{972539:21125155} The main future scope of this topic is future innovation can be done, use of better instruments and more awareness on innovative techniques in dentistry. \unskip~\citep{972539:21125153}.

The top innovations in dentistry in dental professions are smart toothbrush, digital dentures, augmented reality, teledentistry and intraoral camera \unskip~\citep{972539:21125158,972539:21125156,972539:21125137}. Lasers dentistry are now being used in both diagnosis and treatment \unskip~\citep{972539:21125144,972539:21125159}. Dentists are using ``soft tissue lasers'' for minor gum surgery{\textemdash}but down the road, they may hand these procedures over to computers \unskip~\citep{972539:21125135}. ``Hard-tissue lasers'' could ultimately replace whining high-speed dental drills, removing tooth decay with the aid of tiny, digitally-controlled mirrors. \unskip~\citep{972539:21125151} However, the hefty price tag on these devices will have to come down before they are widely used. 

The limitation of the study is only 100 sample sizes. The future scope of the study is the innovation can be done, use of better instruments and more awareness on innovative techniques in dentistry.
    
\section{Conclusion}
Within the limitations of this study, it was observed that many people should know more about the innovations in dentistry and limitations of these techniques.

\textbf{Conflict of Interest}

The authors declare that they have no conflict of interest for this study.

\textbf{Funding Support}

The authors declare that they have no funding support for this study.
    

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