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Oral manifestations of parathyroid disorders and its dental management
Sanjeev Mittal, Deepak Gupta, Sahil Sekhri, Shivali Goyal
January-June 2014, 3(1):34-38
Parathyroid hormone plays an important role in the metabolism of calcium and phosphorus, so, influence the mineralization of bone and teeth. Parathyroid disorder may lead to hyper or hyposecretion of hormone, which results in various oral manifestations. Common oral manifestations in patients with hyperparathyroidism (HPT) are brown tumor, loss of bone density, soft tissue calcification, and dental abnormalities. In hypoparathyroidism, the dental abnormalities are a delay or cessation of dental growth and development, paresthesia of the tongue or lips and alteration of the facial muscles. Dentist can easily diagnose the parathyroid disorders owing to their particular oral manifestations and radiographic finding. Dental management of patients with HPT involves a higher risk of bone fracture, whereas in hypoparathyroidism the caries control is the main concern. It is the important that the dentist be aware of the risks and difficulties that may arise during the dental management of these patients.
  31,740 2,016 5
Nonfluoride remineralization: An evidence-based review of contemporary technologies
Dheeraj D Kalra, Rinku D Kalra, Prajna V Kini, CR Allama Prabhu
January-June 2014, 3(1):24-33
Since past few years, there have been many strategies to combat dental caries, erosion, hypersensitivity, and many other oral conditions. The last decade has seen many advanced researches in the field of dentistry. The scope of dentistry has evolved from only a curative one to a largely preventive one. There have been technologies available for the minimal invasive cure of dental caries, early diagnosis and early reversal of the initial carious lesion using nonoperative techniques. There has also more focus being made to treat dental caries as a process rather than curing the lesion only. The role of saliva, demineralization and remineralization has been better understood. The aim of this paper is to review the contemporary nonfluoridated systems available for remineralization therapy and ideas for their implementation into clinical practice. A search of articles from "PubMed" and "Medline" and databases like Google and Google scholar, ScienceDirect and Wiley with the keywords remineralization, demineralization, nonfluoridated demineralizing agents was conducted in the month of August 2012 out of a total 114 articles, 86 articles have been used in the present evidence-based review.
  10,041 1,614 2
Applications of Corticosteroids in Dentistry
Jatan Sanghavi, Amita Aditya
January-June 2015, 4(1):19-24
Corticosteroids, since their introduction in the 1940s, have become one of the most widely prescribed class of drugs. They belong to a class of chemicals that includes steroid hormones that are produced naturally in the adrenal cortex of vertebrates and analogous to those that are synthesized in laboratories. They have been used extensively in managing many oral diseases, due to their excellent anti-inflammatory and immuno-modulatory effects. However, considering their potential and significant side-effects, they are sometimes termed as the "double-edged sword" in the field of medicine. Their successful use depends upon the comprehension of the disease process. This includes an appropriate diagnosis, a clear view of the desirable treatment outcome and understanding of whether the treatment is aimed at the management of a chronic disease or enhanced resolution of a short-term condition. The possible beneficial effects of systemic corticosteroids must be weighed against probable risks. This article is aimed at reviewing the use of corticosteroids in the treatment of various oral conditions and lesions, and deriving a certain protocol for the same.
  9,528 1,280 1
Journey of bone graft materials in periodontal therapy: A chronological review
Jitendra Kumar, Vaibhav Jain, Somesh Kishore, Harish Pal
January-June 2016, 5(1):30-34
Bone, the basic building block of the healthy periodontium, is affected in most of the periodontal diseases and can be managed either by mechanically recontouring it or by grafting techniques, which encourages regeneration where it has been lost. Bone replacement grafts are widely used to promote bone formation and periodontal regeneration. Bone grafting, placing bone or bone substitutes into defects created by the disease process, acts like a scaffold upon which the body generates its own, new bone. A wide range of bone grafting materials, including bone grafts and bone graft substitutes, have been applied and evaluated clinically, including autografts, allografts, xenografts, and alloplasts. This review provides an overview of the clinical application, biologic function, and advantages and disadvantages of various types of bone graft materials used in periodontal therapy till date with emphasis on recent advances in this field.
  5,391 1,338 -
Andrew's Bridge System: An Esthetic Option
Prajakta Bhapkar, Amit Botre, Preethy Menon, Priyanka Gubrellay
January-June 2015, 4(1):36-40
Loss of teeth often results in loss of a variable amount of adjacent soft and hard tissue. Complete esthetic surgical replacement of the lost tissues is difficult and unpredictable, particularly when a greater degree of the residual ridge has been lost due to trauma, congenital defects or other pathologic process. Fixed-removable partial dentures are particularly indicated for patients with extensive supportive tissue loss and when the alignment of the opposing arches and/or esthetic arch position of the replacement teeth create difficulties for placement of a conventional fixed partial denture. This case report shows the fabrication of a fixed-removable partial denture using the Andrews Bridge philosophy wherein a removable prosthesis is retained by a bar and sleeve attachment to fixed retainers on the either side of the edentulous space. This prosthesis is designed to meet the requirements for esthetics, comfort, phonetics, hygiene, and favorable stress distribution to the abutments and soft tissue.
  5,810 801 -
Monomorphic adenoma: A rare benign neoplasm of the minor salivary gland: Case report and review of literature
Harish S Kulkarni, Gayithri H Kulkarni, Shahanavaj I Khaji, Ehtesham Iqbal, Jyoti M Biradar
July-December 2014, 3(2):108-110
Monomorphic adenoma is a rare benign salivary gland epithelial tumor representing <3% of all tumors in general population, and more than 80% of them arise in the major salivary glands, mostly the parotid gland and rarely in upper lip, buccal mucosa - as observed in the present case. Monomorphic adenomas are defined as epithelial benign tumors of the salivary glands, which are not pleomorphic adenomas. Due to prognostic implications, differential diagnosis (adenocarcinoma, adenoid cystic carcinoma, basaloid squamous cell carcinoma, mucocele, sebaceous cyst, lipoma, nasolabial cyst, etc.,) is mandatory. The present case report describes a rare case of monomorphic adenoma involving minor salivary glands with added review the literature; discuss the diagnosis and management of this rare entity and special emphasis on the need for periodic follow-up, due to the important relapse potential and aggressivity of these lesions.
  6,039 347 -
Effect of direct and indirect face-bow transfer on the horizontal condylar guidance values: A pilot study
Aditi Mishra, Jayant Palaskar
January-June 2014, 3(1):8-12
Aims and Objectives: This study aimed to evaluate the effect of direct and indirect face-bow transfer on the horizontal condylar guidance (HCG) values obtained on the semi-adjustable articulator. Materials and Methods: A total of 15 subjects of age 20-30 years, of either sex were selected. Two sets of maxillary and mandibular casts were obtained. A single arbitrary face-bow record was used for mounting the maxillary casts by direct and indirect transfer for each subject. The mandibular casts were mounted using maximum intercuspation record. Protrusive records were made in Alu wax and used to program the directly and indirectly transferred casts. HCG values obtained from cephalometric records were taken as control. The data was subjected to ANOVA and Bonferroni post hoc test. Results: Mean values of HCG obtained in direct face-bow transfer were 24.93°, indirect transfer −27.66°, and cephalometric analysis −32.73°. One-way ANOVA test indicated that there was a significant difference between all the groups (P < 0.05). Tukey's test with Bonferroni's correction (P < 0.01) was significant for direct and indirect transfer (P = 0.008), and direct transfer and cephalometric readings (P = 0.0046). A nonsignificant difference was found between indirect transfer and cephalometric readings (P = 0.047). Conclusion : There is a statistically significant difference in HCG values obtained from direct and indirect face-bow transfer records. Lateral cephalograms gave higher mean HCG values than those obtained from protrusive records. Mean HCG values obtained from indirect face-bow transfers are significantly more than those obtained from direct transfers and are also closer to the values obtained from the lateral cephalograms.
  5,143 800 -
Ossifying fibroma of the maxilla: An uncommon tumor presenting diagnostic and management dilemma for the clinician: A rare case report
Shahanavaj I Khaji, Shreyas Shah, Mukesh R Baheti
January-June 2014, 3(1):53-57
Ossifying fibromas form a part of the spectrum of fibro-osseous lesions of the jaws. They are rare, benign, nonodontogenic tumors that are commonly seen in the head, and neck region. Ossifying fibroma of the jaw is a benign fibro-osseous lesion that is a part of larger family of fibro-osseous lesions that includes - juvenile aggressive ossifying fibroma, psammomatous ossifying fibroma, extragnathic ossifying fibroma of the skull. Patients generally present with a history of painless expansion of a tooth bearing portion of the mandible, whereas the lesions of the maxilla are less common. Benign fibro-osseous of the maxilla constitutes a varied group of lesions with a common histologic characteristic: The substitution of normal bone by tissue composed of collagen and fibroblasts with variable amounts of mineralized substance that may be bone, cementum or both. In the present case, we hereby report a 35-year-old male patient who presented with painless swelling over middle one third of face - left side since 8 months. Patient had no significant medical history in the previous past (history of trauma 6 years earlier). Panoramic radiography revealed rounded mixed type of image over left side of posterior maxilla in relation to 23, 24, 25, 26 region, respectively. An incisional biopsy was carried out which yielded a definitive diagnosis of ossifying fibroma of the maxilla. Management of the lesion was carried out by taking into account the benign nature, growth pattern, and behavior of the lesion clinically and radio graphically with regular and periodic follow-up postoperatively.
  4,204 367 -
Forced orthodontic extrusion for anterior traumatized teeth by a simplistic approach
Sameer Sidhagouda Patil, Ajay Sidharth Panicker, Ajit Hindlekar, SR Srinidhi, Ajinkya Dhumal, Ketan Vhora
July-December 2014, 3(2):111-113
The management of patients with traumatic injuries to their dentition is an integral part of the general dental practice. Anterior teeth with fractures that extend subgingivally require a complex treatment plan that addresses biologic, esthetic, and functional factors, such as mastication and speech. Treatment of crown fractures often requires a multi-disciplinary approach. However, crown-root fractures with fracture line below the gingival attachment or alveolar bone crest present restorative difficulties. This case report presents a 24-year-old male who reported with fractured upper right lateral and central incisors and upper left central incisor following road traffic accident. On clinical examination, it was observed that the upper right lateral incisor had a horizontal fracture at the cervical one-third level with the fracture line extending subgingivally, mid crown fracture of right central incisor and incisal fracture of left central incisor. All the traumatized teeth were first treated endodontically, and then referred to our department for orthodontic extrusion before permanent crown placement.
  3,894 467 -
Use of propolis in pediatric dentistry
Seema Malhotra, Vinay Kumar Gupta
July-December 2014, 3(2):93-98
Pediatric age groups are the ones that are more susceptible to a drug. Complications/side effects due to the use of man-made drugs have paved way for the natural products for pharmacotherapeutic purposes. Propolis, a natural resinous substance shows dental application based on its antimicrobial, anti-inflammatory and immunomodulating effects. An alternative to gold standard drugs propolis is easy to use, patient friendly, and easily accessible.
  3,442 646 -
The changing phase of prosthodontics: Nanotechnology
Anne Gopinadh, Manne Prakash, Kalluri Lohitha, Kadiyala Krishna Kishore, Anche Sampath Chowdary, J. Ravi Rakesh Dev
July-December 2015, 4(2):78-83
Science is presently undergoing a great evolution, taking humanity to a new era: The era of nanotechnology. Nanotechnology is the field of science and technology pertaining to the creation and use of materials or devices at nanometer scale. Nanoscale is small in size, but its potential is vast. Since 1990s, nanotechnology has been exploited for potential medical and dental applications. Nanotechnology has numerous applications in the field of nanomedicine, nanomaterials, nanorobotics, implantology, and biotechnology. Nanomaterials in dentistry can be metals, ceramics, polymers, implant modifications, and composite materials that demonstrate novel properties when compared with conventional materials due to their nanoscale features. The present article focuses on the various applications of nanotechnology in the field of dentistry, especially prosthodontics.
  3,344 708 1
Unconventional pontics in fixed partial dentures
Mansi Manish Oswal, Manish Sohan Oswal
July-December 2016, 5(2):84-88
Clinical success of fixed prosthodontics is dependent in part upon the type of pontic design. The selection of pontic design plays an important role in the outcome of the treatment. At present, there are many different pontic designs and materials present in the market. For some patients, one pontic may have an advantage over another and the choice is a matter of preference with the operator. It is recognized that clinical circumstances will require infinite variations. Hence, the present study briefs about the unconventional pontic designs which can be used on regular basis for better clinical results.
  3,477 491 -
Entrepreneurship in dentistry
Jayant N Palaskar
July-December 2014, 3(2):69-69
  1,292 2,449 -
Natural tooth pontic with splinting of periodontally weakened teeth using fiber-reinforced composite resin
Gauri Srinidhi, Srinidhi Surya Raghavendra
January-June 2014, 3(1):43-46
Replacement of missing anterior teeth due to periodontal reasons is challenging due to the poor support of abutment teeth. This prevents the use of fixed partial dentures (FPDs). Fiber-reinforced splinting provides a viable alternative to the dentist while choosing a treatment plan in replacing missing anterior teeth in periodontally compromised patients as opposed to conventional modalities like FPDs or removable partial dentures. Replacing missing teeth using either patient's own tooth or a denture tooth as pontic can be done by splinting adjacent teeth with fiber reinforced composite. The splinting has an additional advantage of stabilizing adjacent mobile teeth. This case report details the case selection, procedure with follow-up of a case where the natural extracted tooth of the patient was used as pontic to replace a missing anterior tooth. The splinting was done with fiber reinforced composite resin. Fiber-reinforced composite resin splinting of patient's extracted natural tooth is economical, fast, and easy to use chairside technique with the added benefit of periodontal stabilization.
  3,315 400 -
Treatment of skeletal class II malocclusion with the combination of twin-block and combination-pull headgear
Sameer S Patil, Sandesh S Baralay, Sheetal S Potnis
July-December 2014, 3(2):102-104
The patient was a girl with a Class II division 1 malocclusion, a large overjet, an excessively deep overbite, and a slightly increased mandibular plane angle. Treatment started with the Twin-block appliance combined with combination-pull headgear to promote growth of the mandible, restrain the maxilla in the anteroposterior plane, and improve her profile. This was later, followed by fixed appliance therapy.
  3,045 520 -
Cochrane systematic review protocols
Jayant N Palaskar
July-December 2015, 4(2):63-64
  919 2,378 -
Management of traumatically intruded permanent maxillary lateral incisor - Case report and review of literature
Deepak Sharma, Pravesh Jhingta, Vinay Kumar Bhardwaj, Ashu Bhardwaj
January-June 2016, 5(1):46-49
Primary etiologic factors of trauma in the permanent dentition are bicycle accidents, sports accidents, falls, and fights. From the standpoint of therapy, anatomy, and prognosis, five different types of luxation lesions are recognized: Concussion, subluxation, extrusive luxation, lateral luxation, and intrusive luxation. Intrusive luxation is apical displacement of tooth into the alveolar bone. The tooth is driven into the socket, compressing the periodontal ligament, and commonly causes a crushing fracture of the alveolar socket. It is considered one of the most severe luxation injuries to affect permanent teeth. Intrusion injuries are often associated with severe damage to the tooth, periodontium, and pulpal tissue. The rare occurrence of this injury, 0.3–1.9% in the permanent dentition, has resulted in limited studies to support suggested treatment regimens. Clinical treatment for intrusion is especially difficult because of the severe complications accompanying it. These complications include pulp necrosis or obliteration, inflammatory root resorption, ankylosis, replacement root resorption, and loss of marginal bone support. Hence, the aim of presenting this case report of intrusive luxation is to highlight the importance of prompt care and root canal dressing and discuss the several treatments proposed to reposition the intruded teeth.
  3,032 239 -
Study of palatal rugae pattern in gender identification
Pooja Balgi, Bhakti Bhalekar, Ketaki Bhalerao, Eesha Bhide, Sangeeta Palaskar, Pargatsingh Kathuriya
January-June 2014, 3(1):13-16
Aim: The aim was to determine the gender differences in rugae pattern with regards to the length, number, and shape. Materials and Methods: Fifty patients (25 males, 25 females) aged 30-50 years were randomly selected from the routine outpatient department at Sinhgad Dental College and Hospital. Maxillary impressions were made using alginate hydrocolloid and cast in dental stone. Palatal rugae pattern were then evaluated under the parameters such as length, number, and shape. Results: The association of rugae pattern (length, number, shape) and the gender was analyzed using Chi-square test for qualitative variable and t-test for quantitative variable. The average length of the rugae was greater in males than in females. The average numbers of rugae were same in both males and females. Straight pattern was commonly seen in females than in males. Analysis showed significant difference with parameters like length and shape (straight pattern) in both the males and females. Conclusion: As the analysis showed significant difference with the length and shape of rugae patterns in both males and females, rugoscopy, thereby could be an important tool for gender identification. The study will be continued with larger sample size to expand knowledge about gender differences in palatal rugae patterns.
  2,644 415 -
Methods to measure stability of dental implants
Shruti Digholkar, Venigalla Naga Venu Madhav, Jayant Palaskar
January-June 2014, 3(1):17-23
Dental implant treatment is an excellent option for prosthetic restoration that is associated with high success rates. Implant stability is essential for a good outcome. The clinical assessment of osseointegration is based on mechanical stability rather than histological criteria, considering primary stability (absence of mobility in bone bed after implant insertion) and secondary stability (bone formation and remodeling at implant-bone interface). However, due to the invasive nature of the histological methods various other methods have been proposed: Radiographs, the surgeon's perception, Insertion torque (cutting torque analysis), seating torque, reverse torque testing, percussion testing, impact hammer method, pulsed oscillation waveform, implant mobility checker, Periotest, resonance frequency analysis. This review focuses on the methods currently available for the evaluation of implant stability.
  2,366 477 2
An Alternative Technique for Cementation of Cast Post and Core Restoration
Bhushan Satish Gaikwad, Mayura S Badgujar
January-June 2015, 4(1):44-46
Cementation of cast post and core restoration involves the application of luting cement in the prepared post space which is intra radicular. Commonly an endodontic instrument, lentulo spiral, and rotary hand piece at slow speed is used. Occasionally, the luting cement does not reach the base or is not uniformly spread on to the walls of the prepared post space. The inefficiency of the luting cement to cover all the surfaces of the prepared post space results in a compromised post and core treatment. An alternate procedure using a disposable syringe and needle has been described to achieve better results.
  2,563 248 -
Comparison of conventional and digital cephalometric analysis: A pilot study
Hemlata Bhagwan Tanwani, Sheetal Sameer Potnis, Sandesh Satish Baralay, Sameer Sidagouda Patil
July-December 2014, 3(2):80-84
Aim: The aim of the study was to analyze and compare the manual cephalometric tracings with computerized cephalometric tracings using Burstone hard tissue analysis and McNamara analysis. Materials and Methods: Conventional lateral cephalograms of 20 subjects were obtained and manually traced. The radiographs were subsequently scanned and digitized using Dolphin Imaging software version 11.7. McNamara analysis and Burstone hard tissue analysis were performed by both conventional and digital method. No differentiations were made for age or gender. Data were subjected to statistical analysis. Statistical analysis was undertaken using SPSS 17.0 version (Chicago, Illinois, USA) statistical software program. A paired t-test was used to detect differences between the manual and digital methods. Statistical significance was set at the P < 0.05 level of confidence. Results: (A) From Burstone analysis variables N-Pg II Hp show statistically very significant difference, and ANS-N, U1-NF, N-B II Hp, L1-Mp, and Go-Pg shows the statistically significant difference. (B) From McNamara analysis variables Nasolabial angle and L1-APog show statistically significant differences and the Mandibular length shows the statistically very significant difference. Conclusion: According to this study, is reasonable to conclude that the manual and digital tracings show the statistically significant difference.
  2,434 355 -
Diet & Nutrition in Geriatric Patients - A Matter of Concern?
Jayant Palaskar
July-December 2012, 1(2):44-44
Full text not available  [PDF]  [Mobile Full text]  [EPub]
  459 2,317 -
Ranula in an adolescent patient
Rashmi Singh Chauhan, Vivek Singh Chauhan, Dayanand Shirol, Gauri Lele
July-December 2014, 3(2):105-107
Ranula is a mucus extravasation cyst arising from the sublingual gland. The name "ranula" has been derived from the Latin word "rana" which means "frog." The swelling resembles a frog's translucent underbelly or air sacs. Ranula usually appears as a painless, fluctuant swelling. It usually occurs unilaterally and in young adults. This paper reviews and highlights a case report of ranula in the floor of the mouth that has been successfully treated by marsupialization. A 14-year-old female suffered from unilateral swelling in the floor of the mouth that had been enlarging slowly over the past 4 months. Conventional marsupialization was done. No complication was observed during the postoperative period, and there was no recurrence in the 24 months follow-up period.
  2,583 176 -
Evaluation of smile esthetics by photographic assessment of the dento-labio-gingival complex
Mundoor Manjunath Dayakar, Anna Shipilova, M Rekha
July-December 2015, 4(2):65-68
Context: The esthetics of a smile is determined by various factors including symmetry, anatomy and position of teeth, periodontal visibility, and musculoskeletal relationships. Aim: This study analyzed the dento-labio-gingival esthetic components of the smile, evaluating: (a) Amount of gingiva visible during natural smile and forced smile, (b) relationship between incisal edges of maxillary anterior teeth and upper border of lower lip, (c) deviation of dental midline from facial midline to right or left side. Materials and Methods: Photographs of 127 subjects were taken by standardizing by placing patients head in Frankfurt horizontal plane and photos were cropped uniformly. Analysis of the dento-labial-gingival esthetic components of the smile, evaluating the relationship between the curve formed by the incisal edges of anterior teeth that is, incisal line and the curve of the lower lip, whether the incisal line touches the lower lip, presence of overlap of the lower lip over the incisal edges or absence of touch and also the amount of periodontal visibility during natural smile and the forced smile was done using Microsoft PowerPoint. Result: During natural smile the most frequent smile line was class 4 that is, low smile line seen in 67% of participants and class 3 for forced smile that is, average smile line seen in 44% of participants. There was a highly significant prevalence for females to have more periodontal visibility during both natural and forced smile (P < 0.001).40% of participants had maxillary incisor edges slightly apart from the lower lip and 48% of participants had maxillary incisal edges in light contact with lower lip. No significant difference was seen between the two genders (P > 0.05). 78 % of subjects showed no deviation from the midline, 19.7 % of the subjects showed the deviation of midline toward the right, and 2.4% showed deviation toward the left. Conclusion: Harmony of the dento-labial-gingival complex is essential for a pleasing smile. Evaluating the smile of each patient using photographs, as well as radiographs and clinical data assures the clinician of the possibility of deciding what needs to be carried out and what can be done to treat a gummy or an assymetrical smile according to its etiology.
  1,742 969 -
Meta-analysis: Introduction and steps
Jayant N Palaskar
July-December 2016, 5(2):61-62
  729 1,967 -