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   Table of Contents - Current issue
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January-June 2018
Volume 7 | Issue 1
Page Nos. 1-52

Online since Monday, June 11, 2018

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EDITORIAL  

Research ethics p. 1
Jayant N Palaskar
DOI:10.4103/jdas.jdas_32_18  
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ORIGINAL ARTICLES Top

Derivation and validation of oral health impact profile-14 for odia-speaking adults Highly accessed article p. 3
Anurag Satpathy, Rohina Shamim, Rashmita Nayak, Epari Venkata Rao, Sandeep Kumar Panigrahi, Ruby Nanda
DOI:10.4103/jdas.jdas_44_16  
Background: Assessment of oral health-related quality of life (OHRQoL) is gaining importance. However, there is unavailability of such a tool in the linguistically and culturally different settings such as that of Odisha. The aim of this study was derivation and validation of Oral Health Impact Profile-14 (OHIP-14) for Odia-speaking adults. Methods: The OHIP-14 questionnaire was translated into the Odia language conforming to the standard cross-cultural translation methodology. The tool was validated and used for estimating the quality of life in 150 dental patients (36.31 ± 11.57 years; 77 males and 73 females). The internal consistency for reliability was measured using Cronbach's alpha. Construct validity of the instrument was checked with self-reported oral health and oral hygiene index scores. Results: Cronbach's alpha for the Odia version of the OHIP-14 was 0.862. The corrected item-total correlation coefficients ranged from 0.316 (functional limitation) to 0.674 (handicap). It was observed that patients with good self-perceived oral health had significantly lower OHIP-14od scores and those with poor oral hygiene had significantly greater OHIP-14od scores. Conclusion: Despite cultural variations, the translated Odia version of the OHIP-14 questionnaire is a reliable and valid instrument to measure the OHRQoL in the Odia-speaking adult population.
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Institutionalized elderly people oral health status and treatment needs assessment in kathmandu district p. 8
Sunita Khanal, Rosina Bhattarai, G Nagaraja Rao, Sujita Shrestha
DOI:10.4103/jdas.jdas_5_17  
Context: In Nepal, Senior citizens are the people who are 60 years and above as defined by the senior citizen act 2063. According to the 2011 census of Nepal, there were 2.1 million elderly inhabitants which constituted 8.1% of total population of Nepal. Aim: To assess the oral health status and treatment needs of institutionalized elderly people. Objectives: To assess the periodontal status, prosthetic status, and prosthetic needs and to compare community periodontal index and the loss of attachment (LOA) with age and gender. Setting and Design: A cross-sectional study was conducted in six different old age homes of Kathmandu district. Materials and Methods: The study was conducted among 200 elderly living in six old age homes of Kathmandu district after obtaining consent from the concerned authorities. The clinical findings were recorded using the World Health Organization Oral Health Assessment Form 1997. SPSS version 20 software was used for data analysis and P ≤ 0.05 was considered statistically significant. Results: Among 200 elderly examined, 69 (34.5%) were male and 131 (65.5%) were female. During probing, calculus was detected among 37.5% of people. The highest prevalence of LOA 4–5 mm was found among 40.5% of people. The prosthetic need was 83%, of which 20% required complete denture, 63% required partial denture. On applying Chi-square test, LOA score was found to be statistically significant between male and female (P = 0.015). Conclusion: The oral health status of the institutionalized elderly was found to be poor.
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Effect of handedness in professional dentists p. 13
Anu Arora, Pinky Saiya
DOI:10.4103/jdas.jdas_22_17  
Context: The availability of appropriate tools and equipment's according to the dominant hand is very important for safe and effective dental education and professional dental practice. Aims: To study the effect of handedness on professional practice in left and right handed dentists from Mumbai and Navi Mumbai. Settings and Design: Cross-sectional study of left handed and right handed dentists (including students pursuing final year in dentistry, interns, post graduate dentists and professional dentists) Subjects and Methods: A self devised questionnaire was drafted with due reference to the review of literature. The pre validated questionnaire was administered to the study subjects via a face-to-face method. Statistical Analysis: Descriptive analysis of the data was done using mean and standard deviations for quantitative data and proportions for qualitative data. Results: 53% of left handed were males rest 47% were females. Currently 53% of the left dominant dental population were using left sided dental chair however 83% would prefer to use left sided chair in their future practice. 93% of the left handed population did not receive suitable tools according to their hand preference. 80% did not receive the guidance based on hand preference during the educational years. 7% of right handed and 20% left handed dentists experienced injuries due to the right biased tools and/equipment's, whereas 7% suffered an injury due to right biased layout of work. 37% of the left handed population believed that their performance would be better if they would have been right hand dominant. Conclusions: Handedness was found to have profound effect in the professional work of dentists in both students studying dentistry as well as in professional dentists.
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REVIEW ARTICLES Top

Computer-aided design and computer-aided manufacturing ceramic biomaterials in dentistry: Past to present p. 18
Teerthesh Jain, Amit Porwal, Bhushan R Bangar, Siddhant B Randive, Kunal P Vaishnav, Kunal Walkar, Abhishek Singh Nayyar
DOI:10.4103/jdas.jdas_28_17  
Esthetic dentistry, driven by a high demand for esthetically appealing and naturally looking restorations, especially, all-ceramic restorations, has become a segment of dentistry which has experienced tremendous improvements in the recent years. The increasing use of polycrystalline alumina and zirconia as framework materials and the increasing popularity and variety of computer-aided design and computer-aided manufacturing (CAD-CAM) systems seem to be mutually accelerating trends. In fact, CAD-CAM technology opens up a new opportunity for dental biomaterials scientists in the research field. Newer and improved materials are available at every moment. The present review gives an overview on the different materials available in ceramics used in dental CAD/CAM technology. A search of English language peer-reviewed literature was undertaken using MEDLINE and PubMed with a focus on CAD-CAM ceramic articles published between 1996 and 2014. A hand search of nonindexed literature was, also, completed. Search terms included: CAD/CAM; All Ceramics; Zirconia. The literature demonstrates that multiple all-ceramic materials and systems are currently available for clinical use and there is not a single universal material or, system for all clinical situations.
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Aloe vera as denture cleanser p. 23
Yogeshwari S Isadkar, Sangeeta J Palaskar, Bindiya Narang, Anirudha R Bartake
DOI:10.4103/jdas.jdas_44_17  
Aloe vera has shown multiple uses in dentistry. Aloe vera has been long time used for its many beneficial properties. It is still in use for wide range of ailments. It promotes rapid wound healing and pain relief. It has antimicrobial, antioxidant, anti-inflammatory, antiaging, anticancer, immune modulating, and moisturizing effects. This article is about the different properties of Aloe vera, with special emphasis on its denture cleansing property.
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Management of maxillary posterior inadequate ridge height for prosthetic rehabilitation p. 27
Diganta Manohar Thube, Nihal Dattatray Devkar, Akshay Ramesh Vibhute, Divya Sanjay Agarwal, Praful Dhiraj Walke
DOI:10.4103/jdas.jdas_2_18  
The rehabilitation of patients affected by posterior maxillary atrophy by the aid of implant-supported fixed prosthesis presents a challenge in many cases. The available residual alveolar ridge is insufficient for the placement of dental implants because of alveolar bone resorption, pneumatization of the maxillary sinus, or their combination. Maxillary sinus floor augmentation is the treatment of choice in such cases. Sinus lift procedure can be carried with or without simultaneous implant placement. Recently, various newer techniques have been introduced for sinus floor elevation such as antral membrane balloon elevation, water lift technique, and piezosurgery. Furthermore, short implants and zygomatic implants can also be done in severe posterior atrophied maxilla.
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CASE REPORTS Top

Juvenile ossifying fibroma of the mandible: A case report and review p. 34
Akhilesh Kumar Singh, Naresh Kumar, Shreya Singh, Arun Pandey, Vishal Verma
DOI:10.4103/jdas.jdas_26_17  
Juvenile ossifying fibroma is a benign lesion similar to an ossifying fibroma, although more aggressive and of earlier onset. Clinically, it is a slowly growing asymptomatic swelling causing facial asymmetry, but the tumor can progress to a considerable size. Nonaggressive tumors can be managed conservatively, but aggressive lesions may require salvage procedures to prevent recurrence. We present a case of 3-year-old boy with slow growing, firm, nontender swelling of left lower jaw region. The nodular mass obliterated the buccal vestibular region and led to difficulty in mastication and speech. The tumor was treated by en bloc excision through intraoral mandibular vestibular approach.
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Improving the ocular esthetics of a patient with custom-made ocular prosthesis fabricated using digital photograph p. 38
Brajendra S Tomar, Sunil Kumar Mishra, GS Chandu, Ramesh Chowdhary, Shubhra Singh
DOI:10.4103/jdas.jdas_41_17  
The exact matching of the artificial eye prosthesis with contralateral eye is the main aim of any maxillofacial prosthodontist to achieve adequate esthetics. Ocular prosthesis can be given as stock eye shell or by modifying a stock eye by making an impression of the ocular defect. Another method is a fabrication of custom-made eye prosthesis by sclera painting or using digital photograph. Advantages of custom-made eye prosthesis are well established over stock eye shell so, this article presents a case report of patient-wearing stock eye shell with poor esthetics, and the same was replaced with custom-made eye prosthesis fabricated using an image taken with the digital statutory liquidity ratio camera to gain the superior ocular esthetics.
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Lobulated capillary hemangioma: A series of 3 cases with review of literature p. 42
Harshal Varpe, Amit Mhapuskar, Santosh Jadhav, Darshan Hiremutt, Shubhangi Gaikwad, Ajinkya Deshmukh
DOI:10.4103/jdas.jdas_38_17  
Enlargements of soft tissue of the oral mucosa often present a diagnostic challenge because a diverse group of pathologic processes can produce such lesions. Lobulated capillary hemangioma of oral mucosa is a well-known benign lesion occurring most commonly on gingiva. Diagnosis of such lesions becomes difficult many times as an enlargement may represent a variation of normal anatomic structures, inflammation, cysts, developmental anomalies, and neoplasm. Some of these lesions are reactive in nature. This article focuses on a series of three similar cases on gingiva, clinically diagnosed as “pyogenic granuloma” and histopathologically as “lobulated capillary hemangioma.”
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Oral pregnancy tumor p. 47
Swet Nisha, Avinash Bettahalli Shivamallu, Usha Hedge
DOI:10.4103/jdas.jdas_18_17  
Oral health care in pregnancy is a critical issue which needs to be addressed by the patient, gynecologist and dentist. There are hormonal changes which occur during the pregnancy and leads to changes in oral flora making the oral cavity more susceptible to oral infections and inflammation. Timely referral by the gynecologist to the dentist can minimize the oral health issues related to pregnancy. Patient education and oral prophylaxis are beneficial for both the patient and fetal care. This case report highlights pregnancy tumor in the second trimester of pregnancy which was excised after parturition due to its persistence.
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P-Cincher: A modified band contouring plier p. 51
Pravinkumar S Marure, Amit Prakash, Raju Umaji Patil
DOI:10.4103/jdas.jdas_5_18  
This article presents modification of band contouring plier into arch wire cinching plier (P-Cincher), which is easy to modify and user-friendly. The conventional method for arch wire bending is by heating and bending of distal ends of the arch wire with the help of light wire plier or Weingart plier, this method of arch wire bending is time-consuming, and it may loosen bands or debonding of bondable buccal tube while cinching. This plier is designed to overcome disadvantages of conventional method, and it will definitely help in faster and effective cinching of arch wire.
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