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   2012| September-December  | Volume 3 | Issue 3  
    Online since April 29, 2013

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Orthodontic care of medically compromised patients
Sandhya Maheshwari, Sanjeev Kumar Verma, Juhi Ansar, KC Prabhat
September-December 2012, 3(3):129-137
Advances in the treatment of medical conditions have resulted in long-term disease-free survival. Consequently, many of these patients are now seeking orthodontic therapy. This article will discuss various systemic diseases, their effect on orthodontic treatment and the recommended methods to avoid the potential problems that may arise.
  56,004 2,312 3
Group function occlusion
Venus Sidana, Neeta Pasricha, Monika Makkar, Satpreet Bhasin
September-December 2012, 3(3):124-128
The study of occlusion involves not only the static relationship of teeth but also their functional interrelationship and all components of the masticatory system. Anterior guidance is essential to a harmonious functional relationship in natural dentition and is critical to functional occlusion. Anterior guidance can be categorized as canine guided and group function. Both techniques are divergent in philosophy and technique. The purpose of this article is to review group function occlusion. The group function occlusion on working side distributes the occlusal load and prevents teeth on non working side from being subjected to the destructive, obliquely directed forces.
  16,705 1,758 1
Comparative assessment of sodium chloride, sodium bicarbonate dissolved in vinegar and hydrogen peroxide as bleaching agents to reduce intrinsic dental stains: In vitro study
Rohit Miglani, Gundabaktha Nagappa Karibasappa, Arun Suresh Dodamani, Girija Balaraddi Mallana, K Rajeshwari
September-December 2012, 3(3):151-155
Purpose : With the increasing concern for aesthetics, dentists are working hard to give their patient what is called the 'perfect smile'. Discolouration of teeth is an aesthetic problem, which requires effective treatment. Bleaching is the simplest, common most effective treatment to reduce the stains, but unfortunately which is not within the reach of all individuals. Hence an attempt has been made to evaluate the effectiveness of various indigenous agents like sodium chloride, sodium bicarbonate dissolved in vinegar containing 4% acetic acid and hydrogen peroxide, as bleaching agents to reduce intrinsic dental stains. Materials and Methods : Forty extracted premolars having mild degree of dental fluorosis were selected and thoroughly cleaned with pumice slurry. All the polished 40 teeth were randomly divided into 4 groups each containing 10 teeth. Bleaching was performed on ten teeth per group by immersing them in solutions containing either 1.5% hydrogen peroxide, 10% w/v of sodium chloride + vinegar containing 4% acetic acid, 10% w/v of sodium bicarbonate + vinegar containing 4% acetic acid or distilled water for 5 minutes each. The intrinsic colour of teeth was measured with a spectrophotometer using the standard L*a*b* colour scale and the shade was evaluated at day 0, 7, 14 and 21. Results: Compared to baseline tooth colour, hydrogen peroxide and sodium chloride dissolved in vinegar were significantly effective in removing the intrinsic tooth stain ( P < 0.001) where as sodium bicarbonate dissolved in vinegar demonstrated no significant change. Conclusions: Sodium chloride dissolved in vinegar was more effective at reducing intrinsic tooth stain than sodium bicarbonate dissolved in vinegar.
  5,877 276 -
Carpal tunnel syndrome: An occupational hazard
Ramesh Nadiger, Saquib Shaikh, Sagar J Abichandani
September-December 2012, 3(3):138-144
Background: The authors wanted to evaluate the comprehensive literature on carpal tunnel syndrome and find out if there is any correlation with dentists having a higher prevalence of its occurrence and finding out the scientific literature involving carpal tunnel syndrome among dentists. Materials and Methods: A review of dental literature involving carpal tunnel syndrome was undertaken. Details appearing in the literature prior to 1995 was reviewed in a comprehensive manner and the literature post 1995 was reviewed electronically. Results: The prevalence of carpal tunnel syndrome is higher in dental professionals involving various facets of dental specialties. Conclusions: Abnormal postures, including muscle imbalances, muscle necrosis, trigger points, hypo mobile joints, nerve compression, and spinal disk herniation or degeneration may result in serious detrimental physiological changes in the body. These changes often result in pain, injury, or possible neuro-skeletal disorders. Clinical Implications: Dentists have an increased risk of carpal tunnel syndrome and precautions and care should be exercised to prevent detrimental irreversible changes to occur in the body.
  5,327 402 -
Cleidocranial dysplasia
Romila Goyal, Harjit Kaur, Anup Singh Virdi
September-December 2012, 3(3):176-179
Cleidocranial dysplasia previously known as cleidocranial dysostosis is a rare hereditary disease characterized by abnormalities in the skull, jaws, and shoulders as well as in the dentition. The disease usually follows an autosomal dominant mode of transmission. This disease concerns the dental surgeon as there are a large number of impacted and supernumerary teeth.
  4,481 243 -
...How does dentistry fit you?
Ranjan Malhotra
September-December 2012, 3(3):121-122
  1,561 3,062 -
Plexiform ameloblastoma of the maxilla with extension to sinonasal cavity: Presenting with loosening of teeth
Sankappa P Sinhasan
September-December 2012, 3(3):172-175
Ameloblastomas are locally aggressive jaw tumors with a high propensity for recurrence that are believed to arise from remnants of odontogenic epithelium, lining of odontogenic cysts, and the basal layer of the overlying oral mucosa. The unusual presenting symptoms, as well as the highly destructive nature of these lesions when arising in the maxilla, make them worthy of consideration in the differential diagnosis of nasal and maxillary masses. We present a rare case of right maxillary ameloblastoma in a 48 year old male patient who presented with the main complaint of loosening of molar teeth. History also revealed unilateral nasal obstruction of long duration about which the patient was least concerned. The computed tomography scan revealed a soft tissue polypoidal mass in the right maxillary sinus involving alveolar arch of the maxilla, with expansion of sinus and erosion of posterolateral wall. Initial biopsy confirmed ameloblastoma, which was followed by excision of the tumor by radical surgery. The case represents an unusual presentation of a rare odontogenic tumor.
  3,607 325 -
A unique case of trauma from occlusion: TMJ fibrous ankylosis
Ashish Chaturvedi, Monali Rawal
September-December 2012, 3(3):156-160
The temporomandibular joint is one of the most important yet most poorly understood joint of the human body. In a study, it was found that about 59% (56.6% males and 62.5% females) of subjects exhibit one or more signs of TMJ dysfunction. Although there are relatively few patients who develop such a degenerative change in TMJ that requires a surgical intervention; yet small adhesions, fibrous ankylosis, and other age changes like subluxation etc., are common findings. Conservative management protocol can provide favorable and long lasting solution. Complete ankylosis is a very rare finding, so the decision to opt for conservative techniques or a more permanent surgical cure is highly controversial, since in most of the cases the problem is an incidental finding, therefore proper clinical diagnosis, accurate radiological assessment, judgment of the prognosis and winning the patient's confidence are all important components in the management of these cases.
  3,345 355 -
Benign cementoblastoma
Srikanth Mohan Shastry, Vamshi Krishna Ravikanti, Mallesh Kumar Thoondla, Saloni Rahul Gupta
September-December 2012, 3(3):165-167
Cementoblastoma is a rare tumor representing only 1-8% of all odontogenic tumors. It is derived from odontogenic ectomesenchyme of cementoblast origin that forms cementum layer on the roots of a tooth. It is also called cementoma. Benign cementoblastomas are predominantly seen in young individuals. The tumor usually involves an erupted permanent tooth affecting most commonly the first permanent molar.
  3,087 285 1
Nasal fiberoptic intubation: A savior during handling a pediatric difficult airway
Sunny Malik, Mamta Dubey, Vivek Batra, BK Naithani
September-December 2012, 3(3):180-182
We report a case of successful intubation via fiberoptic bronchoscope in a pediatric patient with a friable carcinoma oral cavity including the neck region posing difficulty in airway management. Out of the available airway devices from the basic MacIntosh laryngoscope to videolaryngoscopes to the life-saving surgical airway techniques, fiberoptic Intubation still remains to be the most successful method in experienced hands during handling of pediatric difficult airway.
  2,886 261 -
...Are dental implants ideal for teeth/tooth replacement???
Deepak Grover
September-December 2012, 3(3):123-123
  1,433 1,643 -
Management of external cervical resorption using mineral trioxide aggregate
Badami Vijetha, Janavathi Rangappa, S Kranthikumar Reddy, Nagaveni Aspalli
September-December 2012, 3(3):161-164
External cervical resorption (ECR) is a relatively uncommon form of external root resorption, which may occur in any tooth in the permanent dentition. It is not well-understood or well-known in the dental community. Characterized by its cervical location and invasive nature, this resorptive process leads to progressive and usually destructive loss of the tooth structure. It is often misdiagnosed, leading to improper treatment or unnecessary loss of the tooth. This article describes a case report of ECR and its management. The salient features were a large resorptive defect and localized fibrous growth located on the cervicopalatal aspect of maxillary right central incisor. Treatment included root canal therapy, surgical exploration, and restoration of the defect with mineral trioxide aggregate. The 1-year follow-up shows patient's tooth was asymptomatic and there was no evidence of progression of the resorptive process. Proper diagnosis and appropriate treatment are the keys to a successful outcome in the management of ECR.
  2,750 293 1
Comparative evaluation of fibrin clot adhesion to root modified with citric acid, tetracycline hydrochloride, minocycline, and ethylenediaminetetraacetic acid: An in vitro study
Ashutosh Nirola, Madhu Gupta, Priyanka Batra, Kanika Singla, Ruby Singla
September-December 2012, 3(3):145-150
Background: The objective of periodontal therapy is to convert periodontitis affected root surface into a surface which is biologically compatible for connective tissue adherence and attachment. The present study was to compare the efficacy of citric acid, ethylenediaminetetraacetic acid (EDTA), tetracycline hydrochloride (TTC-HCl), and minocycline as root conditioning agents in terms of fibrin clot adhesion to the dentinal surfaces under Scanning Electron Microscope (SEM). Materials and Methods: A total of 40 specimens were obtained from fresh extracted human teeth which were divided into four groups comprising 10 specimens in each group. The root conditioning agents used were: citric acid, EDTA, TTC-HCl, and minocycline. The root surfaces were planed and specimen blocks (7 × 5 mm) were obtained. They were subjected to various conditioning agents and then exposed to fresh blood which was allowed to clot. These specimens were then rinsed and subjected to SEM analysis. Results: The results showed that citric acid conditioned root specimens presented with the best fibrin clot adhesion than any other group. Conclusion: It was concluded that root conditioning agents have a significant role in periodontal wound healing and future new attachment.
  1,963 242 -
Cystic compound odontome in the anterior maxilla: A rare case report
Ritesh Rambharos Kalaskar, Ashita Ritesh Kalaskar, Chetan Arun Pol, Suvarna Krishna Ghige
September-December 2012, 3(3):168-171
Compound odontomes are the most common benign tumors of odontogenic origin. However, cystic compound odontome is rare, and diagnosis based on radiographic appearance is a challenge to overcome. Cystic compound odontome may attain larger size and have the potential to create complications such as root resorption, cortical bone destruction, neoplastic changes like ameloblastoma, retrograde infection, and pus discharge. Herein we report a rare case of cystic compound odontome in the anterior maxilla, which was surgically operated. However, we recommend delaying the surgery till the apical closure of the adjacent tooth to prevent complications like root fracture, damage to developing pulp, and dilacerations.
  1,648 207 -