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2013| July-September | Volume 4 | Issue 3
Online since
September 18, 2013
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CASE REPORTS
Platelet-rich fibrin-mediated revitalization of immature necrotic tooth
Navin Mishra, Isha Narang, Neelam Mittal
July-September 2013, 4(3):412-415
DOI
:10.4103/0976-237X.118379
PMID
:24124320
Contemporary studies have shown that the regeneration of tissues and root elongation is possible in necrotic immature permanent teeth. The purpose of this case report is to add a new vista in regenerative endodontic therapy by using platelet rich fibrin for revitalization of immature non vital tooth. An 11year old boy with the history of trauma was diagnosed with the pulpal necrosis and symptomatic apical periodontitis in tooth #21. Intra oral periapical radiograph showed open apex and associated immature supernumerary tooth with respect to tooth #21. Access preparation and minimal instrumentation was done to remove necrotic debris under copious irrigation with 2.5% sodium hypochlorite. Triple antibiotic paste was packed in the canal for four weeks. During second visit, 5 mL of whole blood was drawn from the medial cubital vein of the patient and blood was then subjected to centrifugation at 2400 rpm for 12 minutes for the preparation of Platelet rich fibrin (PRF) utilizing Choukroun's method. Triple antibiotic paste was removed and canal was dried. PRF clot was pushed to the apical region of tooth #21 using hand pluggers. Three milimetres of Mineral trioxide (MTA) was placed in cervical part of the root canal and permanent restoration was done three days later. Clinical examination at 6 and 12 months revealed no sensitivity to percussion and palpation in tooth #21and it responded positively to both electric pulp and cold tests. Radiographic examination showed resolution of periapical rarefaction, further root development and apical closure of the tooth #21 and its associated supernumerary tooth. On the basis of successful outcome of the present case it can be stated that PRF clot may serve as a scaffold for regeneration of necrotic immature teeth.
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ORIGINAL ARTICLES
Estimation of prostaglandin E
2
levels in gingival crevicular fluid in periodontal health, disease and after treatment
A Kishore Kumar, N Ravindra Reddy, Madhu Babu, P Mohan Kumar, Venkat Subba Reddy, C Vinay Chavan
July-September 2013, 4(3):303-306
DOI
:10.4103/0976-237X.118354
PMID
:24124294
Background
and Objectives:
Initial research has shown a positive correlation between the severity of periodontal disease (PD) and prostaglandin E
2
(PGE
2
) concentrations in gingival crevicular fluid (GCF). However, there are no enough reports to correlate the PGE
2
concentrations in GCF in periodontal health, disease and after treatment. Hence, the present study is aimed to estimate the levels of PGE
2
in GCF in periodontal health, disease and after periodontal therapy.
Materials
and
Methods:
A periodontal examination and collection of GCF by extracrevicular method was performed in 25 subjects selected randomly and categorized into three groups on the basis of plaque index, gingival index, probing pocket depth and clinical attachment level. Group I (healthy) consists of 10 subjects, Group II (chronic periodontitis) consists of 15 patients and Group III (after treatment group) consists of 15 patients of Group II. PGE
2
levels were estimated in GCF samples by using the enzyme linked immunosorbent assay.
Results:
All clinical parameters improved significantly after therapy (
P
< 0.001). PGE
2
was detected in all the samples. Highest mean PGE
2
concentrations in GCF were obtained for Group II while the lowest concentrations were seen in Group I and Group III. Statistically significant difference was found between the levels of PGE
2
at Group-II and Group-III (
P
< 0.05).
Conclusion:
There is a substantial increase in the concentrations of PGE
2
as PD progresses. Since PGE
2
levels in GCF are positively correlated with gingival index, plaque index, probing pocket depths and clinical attachment levels, PGE
2
may be considered as a "Novel Biomarker" in PD progression. However, controlled, longitudinal studies are needed to confirm this possibility.
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3,599
326
Moisture-tolerant resin-based sealant: A boon
Prasanna Kumar Bhat, Sapna Konde, Sunil N Raj, Narayan Chandra Kumar
July-September 2013, 4(3):343-348
DOI
:10.4103/0976-237X.118394
PMID
:24124301
Background and Objectives:
Pit and fissure sealants are highly effective in preventing occlusal caries. The present study clinically evaluated and compared the retention and development of caries when sealed with moisture-tolerant resin-based sealant, conventional resin-based sealant with and without a bonding agent, and Glass Ionomer Cement Sealant in young permanent teeth.
Materials and Methods:
A total of 80 healthy cooperative children aged 6-9 years who were at high caries risk with all four newly erupted permanent first molars were included in the study. Teeth were divided into 4 groups using a full-factorial design, and each of the molars was sealed with the four different sealant material. Evaluation of sealant retention and development of caries was performed at 6 and 12 months using Modified Simonsen's criteria. The data obtained were tabulated and subjected to statistical analysis using Kruskal-Wallis Test and Mann-Whitney Test.
Result and Conclusion:
The result from the present study indicated that moisture-tolerant resin-based sealant could be successfully used as a pit and fissure sealant because its hydrophilic chemistry makes it less technique sensitive and simplifies the sealant application procedure.
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15
5,018
470
4-Hydroxy-2-nonenal, an oxidative stress marker in crevicular fluid and serum in type 2 diabetes with chronic periodontitis
AR Pradeep, Esha Agarwal, Pavan Bajaj, Nishanth S Rao
July-September 2013, 4(3):281-285
DOI
:10.4103/0976-237X.118342
PMID
:24124291
Objective:
Chronic periodontitis (CP) is a common, chronic inflammatory disease initiated by bacteria, which has an increased prevalence and severity in patients with type 2 diabetes mellitus (t2 DM). A variety of reactive oxygen species are able to cause direct damage to proteins, deoxyribonucleic acid, carbohydrates and lipids. Lipid peroxidation is always combined with the formation of reactive aldehydes like 4-Hydroxy-2-nonenal (HNE). The purpose of this study was to determine the presence of the HNE-His adducts levels in serum and gingival crevicular fluid (GCF) in t2 DM among CP subjects and to find an association, if any.
Materials
and
Methods:
A total of 40 subjects (20 males and 20 females) were selected based on their clinical parameters into three groups: Group 1 (10 healthy), Group 2 (15 subjects, CP without t2 DM), Group 3 (15 subjects, CP with t2 DM). Serum and GCF samples were collected to estimate the levels of the HNE-His adducts by the enzyme linked immunosorbent assay.
Results:
The mean HNE-His adducts concentration both in serum and GCF was highest for Group 3 followed by Group 2 and least in Group 1.
Conclusions:
All samples in each group tested positive for HNE-His adducts assay. Serum and GCF HNE-His adducts concentration both in t2 DM with CP and non-diabetic CP subjects were higher than the healthy controls. Further large scale longitudinal studies should be carried out to confirm positive correlations.
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264
Surface remineralization potential of casein phosphopeptide-amorphous calcium phosphate on enamel eroded by cola-drinks: An
in-situ
model study
Navneet Grewal, Vinod Kudupudi, Sukrit Grewal
July-September 2013, 4(3):331-337
DOI
:10.4103/0976-237X.118385
PMID
:24124299
Aim:
The aim of this study was to investigate the remineralization potential of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) on enamel eroded by cola drinks.
Subjects
and
Methods:
A total of 30 healthy subjects were selected from a random sample of 1200 children and divided into two groups of 15 each wherein calcium and phosphorus analyses and scanning electron microscope (SEM) analysis was carried out to investigate the remineralization of enamel surface. A total of 30 non-carious premolar teeth were selected from the human tooth bank (HTB) to prepare the
in-situ
appliance. Three enamel slabs were prepared from the same. One enamel slab was used to obtain baseline values and the other two were embedded into the upper palatal appliances prepared on the subjects' maxillary working model. The subjects wore the appliance after which 30 ml cola drink exposure was given. After 15 days, the slabs were removed and subjected to respective analysis.
Statistical Analysis Used:
Means of all the readings of soluble calcium and phosphorous levels at baseline,post cola-drink exposure and post cpp-acp application were subjected to statistical analysis SPSS11.5 version.Comparison within groups and between groups was carried out using ANOVA and F-values at 1% level of significance.
Results:
Decrease in calcium solubility of enamel in the CPP-ACP application group as compared to post-cola drink exposure group (
P
< 0.05) was seen. Distinctive change in surface topography of enamel in the post-CPP-ACP application group as compared to post-cola drink exposure group was observed.
Conclusion:
CPP-ACP significantly promoted remineralization of enamel eroded by cola drinks as revealed by significant morphological changes seen in SEM magnification and spectrophotometric analyses.
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302
CASE REPORTS
Masson's hemangioma: A rare intraoral presentation
Anjali Narwal, Rajeev Sen, Virender Singh, Ambika Gupta
July-September 2013, 4(3):397-401
DOI
:10.4103/0976-237X.118363
PMID
:24124316
An otherwise healthy 19-year-old female patient had painless swelling in her left buccal mucosa. No precipitating factors were identified. Pathological analysis demonstrated the mass to be a Masson's hemangioma, a papillary proliferation of thin-walled capillaries intimately associated with thrombus. A very rare tumor occurring in oral cavity with only 80 cases being published in literature until date.
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261
ORIGINAL ARTICLES
Assessment of clinical outcomes of Roth and MBT bracket prescription using the American Board of Orthodontics Objective Grading System
Mahesh Jain, Joseph Varghese, Rohan Mascarenhas, Subraya Mogra, Siddarth Shetty, Nidhi Dhakar
July-September 2013, 4(3):307-312
DOI
:10.4103/0976-237X.118361
PMID
:24124295
Background:
There is always a need to assess whether small changes in bracket prescription can lead to visually detectable differences in tooth positions. However, with little clinical evidence to show advantages of any of the popularly used bracket systems, orthodontists are forced to make clinical decisions with little scientific guidance.
Aim:
To compare the orthodontic cases finished with Roth and MBT prescription using American Board of Orthodontics-Objective Grading System (ABO-OGS).
Settings and Design:
Department of Orthodontics, Post-graduate dental college, retrospective cross-sectional study.
Materials and
Methods:
Forty patients selected were divided into two groups of 20 patients each finished with straight wire appliance using Roth and MBT prescription, respectively. The examiner ability was assessed and calibrated by one of the ABO certified clinician to grade cases using the OGS.
Statistical Analysis:
Unpaired student
t
-test was used and
P
< 0.05 was accepted as significant.
Results and Conclusions:
MBT bracket group had a lower score of 2.60 points in buccolingual inclination and lower score of 1.10 points in occlusal contact category that was statistically significant when compared with Roth group. The difference in total ABO-OGS score was 2.65 points showing that the outcome for the MBT prescription was better than that of the Roth prescription, which is statistically significant, but with little or no clinical significance. It can be concluded that use of either one of the Roth and MBT bracket prescriptions have no impact to the overall clinical outcome and quality of treatment entirely depends on clinician judgment and experience.
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1,177
Incidence of post-operative pain following single visit endodontics in vital and non-vital teeth: An
in vivo
study
Sumita Bhagwat, Deepil Mehta
July-September 2013, 4(3):295-302
DOI
:10.4103/0976-237X.118352
PMID
:24124293
This clinical study was conducted to compare the post-operative pain following single visit endodontics in vital and non-vital teeth, with and without periapical radiolucency. A total of 60 adult patients requiring root canal therapy in anterior and premolar teeth were selected for this study. Single sitting root canal treatment was carried out and the subjects were recalled after 2 weeks and instructed to fill out a series of self-report questionnaires for responses about pain in the interim after 1 day, 2 day, 3 day, 1 week and 2 weeks. In vital teeth (Group I) 60% of the treated cases had pain, of which 36% had mild pain (non-significant) and 24% had moderate pain (significant). In non-vital teeth without periapical radiolucency (Group II) 64% of cases had pain, of which 48% had mild pain (non-significant) and 16% had moderate pain (significant). In non-vital teeth with periapical radiolucency (Group III) 32% of the cases had pain of which 24% had mild pain (non-significant) and 8% had moderate pain (significant). None of the teeth in any of the groups had severe pain. There was no statistical difference between incidence of pain in vital and non-vital teeth without periapical radiolucency. Non-vital teeth with periapical radiolucency exhibited relatively less pain as compared with non-vital teeth without periapical radiolucency, but the pain continued in a significant percent of teeth even after 2 weeks. Pain incidence dropped significantly within a period of 1 day to 2 weeks in vital teeth and non-vital teeth without periapical radiolucency. There was a tendency for less incidence of significant pain after a single visit root canal treatment in these groups. Results obtained were comparable with those obtained by several investigators.
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CASE REPORTS
Habitual biting of oral mucosa: A conservative treatment approach
Sarabjot Kaur Bhatia, Ashima Goyal, Aditi Kapur
July-September 2013, 4(3):386-389
DOI
:10.4103/0976-237X.118357
PMID
:24124312
Chronic biting of oral mucosa is an innocuous self inflicted injury, commonly seen in children suffering from developmental and psychological problems and has rarely been reported in normal unaffected individuals. The management strategies vary from counseling, prescription of sedatives to different prosthetic shields. The paper highlights the efficacy of a simple approach using soft mouth guard in the management of self inflicted lesions due to habitual biting of oral mucosa in two normal healthy children.
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6,358
590
Implant rehabilitation of partial maxillectomy edentulous patien
Mahesh E Gowda, Murali S Mohan, Kamal Verma, ID Roy
July-September 2013, 4(3):393-396
DOI
:10.4103/0976-237X.118362
PMID
:24124314
Edentulous patients with maxillectomy defects present a significant challenge for prosthetic rehabilitation and the adaptive capabilities of the patient as retention is highly compromised. Hence, the option of using endosseous implants to increase obturator retention has been used. A patient of mucormycosis of the left maxilla was treated with surgical excision. After satisfactory healing, definitive implant supported magnet retained prosthesis was fabricated for the patient. Implants with magnetic units offer a practical method of improving the retention of obturators provided acceptable prosthetic protocols are followed for the rehabilitation.
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4,243
371
ORIGINAL ARTICLES
Comparison of the diagnostic accuracy of direct digital radiography system, filtered images, and subtraction radiography
Wilton Mitsunari Takeshita, Lilian Cristina Vessoni Iwaki, Mariliani Chicarelli Da Silva, Liogi Iwaki Filho, Alfredo De Franco Queiroz, Lucas Bachegas Gomes Geron
July-September 2013, 4(3):338-342
DOI
:10.4103/0976-237X.118391
PMID
:24124300
Background:
To compare the diagnostic accuracy of three different imaging systems: Direct digital radiography system (DDR-CMOS), four types of filtered images, and
a
priori
and
a posteriori
registration of digital subtraction radiography (DSR) in the diagnosis of proximal defects.
Materials and Methods:
The teeth were arranged in pairs in 10 blocks of vinyl polysiloxane, and proximal defects were performed with drills of 0.25, 0.5, and 1 mm diameter. Kodak RVG 6100 sensor was used to capture the images.
A posteriori
DSR registrations were done with Regeemy 0.2.43 and subtraction with Image Tool 3.0. Filtered images were obtained with Kodak Dental Imaging 6.1 software. Images (
n
= 360) were evaluated by three raters, all experts in dental radiology.
Results:
Sensitivity and specificity of the area under the receiver operator characteristic (ROC) curve (Az) were higher for DSR images with all three drills (Az = 0.896, 0.979, and 1.000 for drills 0.25, 0.5, and 1 mm, respectively). The highest values were found for 1-mm drills and the lowest for 0.25-mm drills, with negative filter having the lowest values of all (Az = 0.631).
Conclusion:
The best method of diagnosis was by using a DSR. The negative filter obtained the worst results. Larger drills showed the highest sensitivity and specificity values of the area under the ROC curve.
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8
4,658
396
The effect of pouring time on the dimensional accuracy of casts made from different irreversible hydrocolloid impression materials
Supneet Singh Wadhwa, Richa Mehta, Nidhi Duggal, Kamlesh Vasudeva
July-September 2013, 4(3):313-318
DOI
:10.4103/0976-237X.118368
PMID
:24124296
Aims and Objectives:
To determine the time dependent accuracy of casts made from three different irreversible hydrocolloids.
Materials and Methods:
The effect of delayed pouring on the accuracy of three different irreversible hydrocolloid impression materials - Regular set CA 37(Cavex, The Netherlands), regular set chromatic (Jeltrate, Dentsply), and fast set (Hydrogum soft, Zhermack Clinical) was investigated. A brass master die that contained two identical posts simulating two complete crown-tapered abutment preparations with reference grooves served as a standardized master model. A total of 120 impressions were made using specially prepared stock-perforated brass tray with 40 impressions of each material. The impressions were further sub-grouped according to four different storage time intervals: 0 min (immediately), 12 min, 30 min, and 1 h. The impressions were stored at room temperature in a zip-lock plastic bag. Interabutment and intraabutment distances were measured in the recovered stone dies (Type IV, Kalrock) using a profile projector with an accuracy of 0.001 mm. The data so obtained was analyzed statistically.
Results:
Results of this study showed no statistically significant differences in the accuracy of casts obtained at different time intervals.
Conclusion:
Because it is not always possible to pour the impression immediately in routine clinical practice, all irreversible hydrocolloid materials studied could be stored in a zip-lock plastic bag for upto 1 h without any significant distortion.
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3,852
390
Evaluating the clinical and esthetic outcome of apically positioned flap technique in augmentation of keratinized gingiva around dental implants
Vineela Katam Reddy, Harinath Parthasarathy, Priya Lochana
July-September 2013, 4(3):319-324
DOI
:10.4103/0976-237X.118378
PMID
:24124297
Purpose:
Dental implants though a successful treatment modality there exists controversies regarding the relationship between the adequacy of the keratinized gingiva (KG) and peri-implant health. The presence of an adequate amount of peri-implant KG reduces gingival inflammation and hence soft-tissue augmentation should be frequently considered. Among the various periodontal plastic surgical procedures, the apically displaced flap increases the width of keratinized tissue with reduced patient morbidity. The current study aims at evaluating the esthetic improvement in KG around dental implants applying apically positioned flap (APF) technique.
Materials and Methods:
A total of 10 endosseous dental implants were placed in eight systemically healthy patients. APF surgery was performed at the implant site on the buccal aspect either at the time of implant placement (one stage surgical protocol) or during the implant recovery stage (two stage surgical protocols) for increasing the width of KG and reviewed until 12 weeks post-operatively. The width of KG was evaluated at baseline and at the end of 12 weeks after surgery. Paired
t
-test was performed to evaluate the changes in the width of KG at baseline and at 12 weeks post-operatively. In addition, soft-tissue esthetic outcome was assessed by using visual analog scale (VAS).
Results:
The mean width of KG at baseline was 1.47 mm and 12 weeks post-operatively was 5.42 mm. The gain in KG from baseline was 3.95 mm with the
P
value of 0.000, which was highly statistically significant. The assessment of esthetic outcome using VAS gave an average score of 7.1 indicating good esthetics.
Conclusion:
The technique of APF yielded a significant improvement in keratinized tissue, which is both functionally and esthetically acceptable.
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440
CASE REPORTS
Lip reposition surgery: A new call in periodontics
Tejal Sheth, Shilpi Shah, Mihir Shah, Ekta Shah
July-September 2013, 4(3):378-381
DOI
:10.4103/0976-237X.118353
PMID
:24124310
"Gummy smile" is a major concern for a large number of patients visiting the dentist. Esthetics has now become an integral part of periodontal treatment plan. This article presents a case of a gummy smile in which esthetic correction was achieved through periodontal plastic surgical procedure wherein a 10-12 mm of partial-thickness flap was dissected apical to mucogingival junction followed by approximation of the flaps. This novel technique gave excellent post-operative results with enormous patient satisfaction. This surgical chair-side procedure being one of its kinds with outstanding results is very rarely performed by Periodontists. Thus, a lot of clinical work and literature review with this surgical technique is required. To make it a routine surgical procedure this technique can be incorporated as a part of periodontal plastic surgery in the text. Hence, we have put forward experience of a case with critical analysis of the surgical technique including the limitations of the technique.
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5
7,175
892
Clinical spectrum of silver - Russell syndrome
Sapna N.K. Varma, Balagopal R Varma
July-September 2013, 4(3):363-365
DOI
:10.4103/0976-237X.118346
PMID
:24124306
Silver - Russell syndrome is a clinically and genetically heterogenous condition characterized by severe intrauterine and postnatal growth retardation, craniofacial disproportion and normal intelligence downward curvature of the corner of the mouth, syndactyly and webbed fingers. Diagnosis of Silver - Russell syndrome remains clinical; no definite etiology or specific tests have been established. In the recent years, it has been shown that more than 38% of patients have hypomethylation in the imprinting control region 1 of 11p15 and one-tenth of patients carry a maternal uniparental disomy of chromosome seven. The pathophysiological mechanisms resulting in the Silver - Russell phenotype remain unknown despite the recent progress in deciphering the molecular defects associated with this condition. This case report describes the clinical features of Silver - Russell syndrome in a father and daughter.
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4
5,496
269
Oncologic profile of maxillary odontogenic myxoma: A rare case
Reena Radhikaprasad Sarkar
July-September 2013, 4(3):374-377
DOI
:10.4103/0976-237X.118351
PMID
:24124309
Odontogenic myxoma (OM) is an ectomesenchyme derived neoplasm, almost exclusively found in jaws. This article presents a maxillary OM with a brief review of the molecular and proteomic antecedents of OMs, capturing its histopathogenesis.
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3,256
205
ORIGINAL ARTICLES
Atomic force microscopy and scanning electron microscopy evaluation of efficacy of scaling and root planing using magnification: A randomized controlled clinical study
Ranjana Mohan, Sudhanshu Agrawal, Mohan Gundappa
July-September 2013, 4(3):286-294
DOI
:10.4103/0976-237X.118347
PMID
:24124292
Aim:
A randomized controlled clinical study was undertaken to evaluate the effectiveness of scaling and root planing (SRP) by using Magnifying Loupes (ML) and dental operating microscope (DOM).
Materials and Methods:
A total of 90 human teeth scheduled for extraction from 18 patients aged between 25 and 65 years suffering from generalized chronic severe periodontitis were randomly assigned to three treatment groups. Group 1 consisted SRP performed without using magnification (unaided), Group 2-SRP with ML and Group 3-SRP with DOM. Following extractions, samples were prepared for (i) evaluation of surface topography by atomic force microscopy, (ii) presence of smear layer, debris by scanning electron microscopy (iii) elemental analysis by energy dispersive X-ray analysis. Data was subjected to statistical analysis using analysis of variance,
post-hoc
(Tukey-HSD) and Chi-square test.
Results:
Statistically significant (
P
< 0.001) difference was found among the different treatment groups. Group 3 was the best while Group 1 was the least effective technique for SRP. Order of efficacy in terms of the surface was found to be - Palatal < Lingual < Distal ≅ Mesial < Buccal. Efficiency in mandibular to maxillary teeth was found to be significant (
P
< 0.05), also anterior to posterior teeth (
P
< 0.05).
Conclusion:
Magnification tools significantly enhance the efficacy of supragingival and subgingival SRP.
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CASE REPORTS
Telescopic overdenture: Perio-prostho concern for advanced periodontitis
Roma Goswami, Puneet Mahajan, Amit Siwach, Ankur Gupta
July-September 2013, 4(3):402-405
DOI
:10.4103/0976-237X.118366
PMID
:24124317
The crown- and sleeve-coping denture is a removable prosthesis that is supported by both selectively retained teeth and the residual ridge or mucosa. It is a versatile and successful means of achieving long-term restoration of a partially edentulous jaw. Insertion and removal of the denture and routine oral hygiene are easy to perform. The beneficial results of this form of treatment can be considered for a wide variety of clinical applications for the severely advanced periodontitis case. This paper presents a case report on the prosthetic rehabilitation of a partially edentulous patient with a telescopic overdenture for the mandible and complete denture for the maxilla.
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3
7,851
914
Pachyonychia congenita tarda: A rare case report
Ganapathi Moger, MC Shashikanth, KT Chandrashekar, Sophia Kurein
July-September 2013, 4(3):409-411
DOI
:10.4103/0976-237X.118374
PMID
:24124319
Pachyonychia congenita is a rare, but well-characterized autosomal dominant disorder of keratinization. It usually begins within the first few months of life. Here, we are presenting a rare case, which started at the age of 10 years of life and is known as pachyonychia congenita tarda. The case is being reported for its rarer occurrence as the patient had oral leukokeratosis and angular cheilosis present in the same type of the syndrome (Jadassohn-Lewandowsky syndrome), which is still uncommon.
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2
3,206
207
Osteosarcoma of mandible: Detailed radiographic assessment of a case
Piyush Arora, Farzan Rehman, KL Girish, Manpreet Kalra
July-September 2013, 4(3):382-385
DOI
:10.4103/0976-237X.118355
PMID
:24124311
Osteosarcoma (OS) is a malignant connective tissue tumor originating from bone and is the most common primary bone malignancy of long bones but seldom arises in jaw bones. Osteosarcoma of jaws is frequently seen arising in the second and third decade as compared to earlier occurrences in other bones and show a slight predilection for body of mandible. It is a highly malignant tumor with varied radiographic features. We present a case with detailed radiographic assessment using intraoral radiograph, computed tomography (CT), 3-D CT, CT angiography techniques and histological evaluation.
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Sturge-Weber syndrome with pyogenic granuloma
Viddyasagar P Mopagar, Shantanu Choudhari, Dwijendra Kocherlakota Subbaraya, Sudha Peesapati
July-September 2013, 4(3):360-362
DOI
:10.4103/0976-237X.118345
PMID
:24124305
Vascular lesions represent one of the rare disorders affecting overall quality of life of a child. A wide variety of these conditions are known, ranging from a simple nevus to life-threatening hemangiomas. These conditions make the treatment options more complex due to the fear of uncontrollable bleeding. The present case is one of the rare combinations of Sturge-Weber syndrome and pyogenic granuloma. Conditions of importance and treatment options keeping hemangioma in mind are discussed.
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Protostylid: A case series
S. V. S. G. Nirmala, Kumar Raja Gaddam, P Vimaladevi, Sivakumar Nuvvula
July-September 2013, 4(3):349-352
DOI
:10.4103/0976-237X.118338
PMID
:24124302
Human jaws and teeth display a high degree of morphological individuality as they represent personal, family and population characteristics. A protostylid is a supernumerary or accessory cusp located on the mesial half of the buccal surface on the molars that may seldom pose problems while its presence may not be a cause for alarm in most instances. This case report presents a rare finding of protostylid on the buccal surface of the primary molars in 4 children. From the perspective of forensic dentistry, this morphological feature, though uncommon, may be useful for classification and identification of victims in mass causalities and bite marks on bodies or inanimate objects.
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Removable molar power arm
Raj Kumar Verma, Ashok Kumar Jena, Satinder Pal Singh, Ashok Kumar Utreja
July-September 2013, 4(3):353-355
DOI
:10.4103/0976-237X.118341
PMID
:24124303
Attachment of force elements from the gingival hook of maxillary molar tubes during the retraction of the anterior teeth is very common in orthodontic practice. As the line of force passes below the center of resistance (CR) of molar, it results its mesial tipping and also anchorage loss. To overcome this problem, the line of force should pass along the CR of molar. This article highlights a method to overcome this problem by attaching a removable power arm to the headgear tube of molar tube during the retraction of the anterior teeth.
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ORIGINAL ARTICLES
A cephalometric study to ascertain the use of nasion as a guide in locating the position of orbitale as an anterior reference point among a population of South Coastal Karnataka
Chethan Hegde, Nikhil J Lobo, Krishna D Prasad
July-September 2013, 4(3):325-330
DOI
:10.4103/0976-237X.118382
PMID
:24124298
Context:
To ascertain the use of nasion as a guide in locating the position of orbitale as an anterior reference point in the face-bow transfer records in individuals having different facial types.
Aims:
This study evaluated the distance from the nasion to the orbitale using cephalometric measurements to ascertain the use of nasion as a guide in locating the position of orbitale as an anterior reference point in individuals having different facial types among a population of South Coastal Karnataka.
Subjects and Methods:
Anthropometric measurements were made on 61 subjects and they were classified into mesoprosopic, euryprosopic and leptoprosopic facial type groups based upon the prosopic index. Lateral cephalometric radiographs were taken and nasion to orbitale distance was measured. The collected data was tabulated and statistically analyzed.
Statistical Analysis Used:
The statistical test carried out was the analysis of variance test and correlations were checked for using Pearson's correlation test.
Results:
The study found the mean distance from nasion to orbitale was 24.25 mm with a standard deviation 4.26 mm. A good correlation was found between prosopic index and nasion to orbitale distance. No statistically significant variation in nasion to orbitale distance in individuals of different facial types was found.
Conclusions:
Although, variation exists it was not statistically significant. However, since a large range of measurements were found, prior evaluation using cephalometric radiographs may be necessary in certain individuals.
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CASE REPORTS
Cherubism: Report of a case
Vikas Elias Kuruvilla, Varghese Mani, N Bilahari, Ranjith Kumar
July-September 2013, 4(3):356-359
DOI
:10.4103/0976-237X.118344
PMID
:24124304
Cherubism is an uncommon fibro-osseous disorder of the jaw that presents with varying degrees of involvement and tendency towards spontaneous remission. Children are normal at birth and the expanding jaw is noticed within the first year of life becoming progressively larger until the beginning of adolescence. Lesions are characterized by replacement of bone with fibrovascular tissue containing abundant multinucleated giant cells. Here, we describe a case of cherubism in a 4-year-old child with swelling on both sides of mandible with clinic radiographic features and suggestions for therapy.
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Bimaxillary unilateral gingival fibromatosis with localized aggressive periodontitis (eating the tooth at the same table)
Sharanabasappa Japatti, Anuradha Bhatsange, Manjunath Reddy, Satish Patil, Chidambar , Alka Waghmare
July-September 2013, 4(3):366-370
DOI
:10.4103/0976-237X.118348
PMID
:24124307
This case reports a unique presentation of two different clinical entities amidst few similarities and differences. Usually, aggressive periodontitis and gingival fibromatosis occur independently. Their simultaneous occurrence is rarely found. This report deals with the clinical features and management aspect of such a case.
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Management of impacted all canines with surgical exposure and alignment by orthodontic treatment
Radha Katiyar, Pradeep Tandon, Gyan P Singh, Akhil Agrawal, TP Chaturvedi
July-September 2013, 4(3):371-373
DOI
:10.4103/0976-237X.118350
PMID
:24124308
Canine impaction is a dental problem very often encountered in orthodontic practice. After the third molar, the canine is the most frequently impacted tooth. Bringing the impacted canine into a normal position is important for functional occlusion and the final esthetics of the orthodontic treatment. This article illustrates a peculiar case, in which all four permanent canines maintained their unerupted status at age of 16 years. All four impacted canines were surgically exposed, attachment bonded, traction given with K-9 spring and ideally positioned with fixed orthodontic mechanotherapy.
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Surgical treatment of odontogenic myxoma and facial deformity in the same procedure
Gabriela Mayrink, Anibal Henrique Barbosa Luna, Sergio Olate, Luciana Asprino, Marcio de Moraes
July-September 2013, 4(3):390-392
DOI
:10.4103/0976-237X.118359
PMID
:24124313
Odontogenic myxoma (OM) is an uncommon benign tumor with aggressive and invasive behavior. Predominant symptoms are usually slow and painless swelling, sometimes resulting in perforation of the cortical borders of the affected bone. In this paper, a case report of a patient with an OM on the right maxillary sinus and a vertical excess of maxilla will be presented. The treatment chosen was tumor resection in association with orthognathic surgery with biomodels assessment for surgical planning. A 3-year follow-up showed disease free and stability of the new position of maxilla. The international literature is evaluated to discuss this case report.
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A rare presentation of hybrid odontogenic tumor involving calcifying cystic odontogenic tumor and plexiform ameloblastoma
Snehal S Chaubey, Sunil S Mishra, Shirish S Degwekar, Saujanya Chaubey
July-September 2013, 4(3):406-408
DOI
:10.4103/0976-237X.118369
PMID
:24124318
A hybrid odontogenic tumor comprising two distinct lesions is extremely rare. We presented a hybrid odontogenic tumor composed of a calcifying cystic odontogenic tumor (CCOT) and a plexiform ameloblastoma. This tumor was observed in the anterior area of the mandible of a 17-year-old Indian male. Masses of ghost epithelial cells with the characteristics of CCOT were seen in the lining of the cyst. The odontogenic epithelia with the features of plexiform ameloblastoma were also observed.
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EDITORIAL
Life is a continuous journey of transformation?
SG Damle
July-September 2013, 4(3):277-278
DOI
:10.4103/0976-237X.118337
PMID
:24124289
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GUEST EDITORIAL
Oral disease care or Oral health care - which one shall have priority?
Felix Magri
July-September 2013, 4(3):279-280
DOI
:10.4103/0976-237X.118339
PMID
:24124290
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RETRACTION NOTICE
Retraction Notice
July-September 2013, 4(3):396-396
PMID
:24124315
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© 2010 Contemporary Clinical Dentistry | Published by Wolters Kluwer -
Medknow
Online since 10
th
March, 2010