Journal of Dental Specialities

98-101

Authors: Upasana Tyagi, Ipseeta Menon, Deepa Tomar, Avnish Singh, Jyoti Goyal.

Aim: To assess the association between maternal oral health literacy and their preschoolers’ oral health outcomes in Muradnagar. Materials and Method: Among the preschool children of Muradnagar, a cross-sectional study was conducted to assess the association between maternal oral health literacy and their preschoolers’ oral health outcomes. The examiner for interviewing mothers and for the clinical examination of children was single trained calibrated. Rapid Estimate of Adult Literacy in Dentistry (REALD-30) was used to measure maternal oral health literacy. Mother`s socio-demographic variables, oral health related knowledge and behavior was recorded using a structured questionnaire. Clinical examination of the children was done by using Visible biofilm index, Modified gingival index and WHO dentition status 2013. SPSS software version 18 was used for statistical analysis. Results: 48% of the children were males, among the 197 Mother/Child Pairs examined. REALD-30 scores and clinical oral health status of the child (p<0.05) showed a significant relationship. Conclusion: Maternal oral health literacy significantly modifies oral health status of their preschoolers.

108-111

Authors: Arpit Shah, Romil Shah, Neha Vyas, Nitu Shah.

Introduction: Oral mucosal lesions are the most common lesions encountered by the dentist or physician during oral health screening. Oral submucous fibrosis is a common potentially malignant disorder associated with limited mouth opening due to fibrosis and muscle changes in the submucosa. The present study was carried out to compare the two surgical interventions for Oral submucous fibrosis using conventional scalpel technique and diode laser technique for the surgical excision of the fibrotic bands to improve the mouth opening for the patients and also to assess the post-operative pain and healing. Aims and Objectives: The present study was designed to analyze two treatment modalities of Oral submucous fibrosis using diode laser and scalpel surgery and to compare the outcome of both the interventions regarding postoperative pain and mouth opening. Materials and Method: A total of 20 patients (16 males and 4 females) were included in the study. The patients were divided equally and randomly into the treatment groups i.e., conventional scalpel technique and diode laser in a continuous mode after obtaining prior informed consent. Patients in Group A were treated with conventional scalpel technique while in group B were treated using Diode laser technique and followed up for a period of 3 months periodically. Results: The mean age of the study group was 32±15.38 years. The results of the present study showed significant changes in the mouth opening (pre-operative and post-operative comparison) for both the groups using One-way ANOVA and Bonferroni correction. Study groups also reflected highly significant difference for Post-operative pain assessed in VAS scale using Paired “t-test”.Conclusion: Fibrectomy with diode laser is an effective method with several advantages over the traditional methods and can safely be done in the patients with advanced stage of Oral submucous fibrosis. Diode lasers can be used as alternative instruments for excisional biopsies of oral soft tissue lesions. Intra- and postoperative complications are rare, with minor bleeding being the only complication observed during surgical procedures.

119-121

Authors: Sujeet Khiste, Bharat Gupta, Nikita Ramachandran, Nikita Ranade, Aalia Patrawala, Saniyah Shaikh, Bh

Introduction: Periodontal disease is a multi-factorial condition that has been predominantly seen in areas where dental health care facilities are limited. Rural areas in Maharashtra are currently deprived of adequate dental care facilities. Aim: The purpose of the present study was to evaluate the prevalence of periodontal disease in the rural population of Raigad district of Maharashtra state in India. Materials and Method: 400 subjects from Raigad district were randomly examined for prevalence of periodontal disease. Subjects were divided into following groups: 15-24 years, 25-44 years, 45-64 and 65-74 years. CPI score for the selected individuals were recorded and the data was analyzed. Results: It was observed that as the age increased, the CPI score also increased. While CPI score 2 (calculus) was most predominant in age groups 15-24 years, CPI score 3 (pathological pocket of 4-5 mm) was more common in the age groups 25-44 years &45-64 years. CPI score 4 (pathological pocket of >6 mm) was the highest in age groups 65-74 years. Conclusion: There is a high prevalence of periodontitis in the selected population. The severity of periodontitis was seen to increase with increase in age.

128-130

Authors: Nitin Malik, Ruchika Gupta Dewan, Sonal Soi Sharma, Rohit Kochhar.

Aim: The objective of this study was to compare the micro leakage in Class I cavity preparations restored with different tooth colored materials. Materials and Method: Standardized Class I cavity were made in 30 human premolar teeth. Specimens were randomly divided into four groups comprising of 10 samples each (n=10). Group I: Teeth were without any restorative material (Control). Group II: Restored with a nano ionomer, Group III: Restored with a silorane composite, Group IV: Restored with SDR. All specimens were immersed in 2% methylene blue dye. The specimens were sectioned and evaluated for microleakage under stereomicroscope. Results: Group IV (SDR) showed lesser microleakage than P90 followed by Ketac N100. Conclusion: It was concluded that SDR (Smart Dentin Replacement) had the lowest level of micro leakage amongst all the groups.

138-141

Authors: Mohit Mangla, Lily Rajput, Amit Kumar, Pradeep Sharma, Vidhi C. Rathi, Sanjeev Kumar.

Introduction: Mental foramen is a minute circular/oval shaped opening present bilaterally in the anterior surface of the body of the mandible. The mental foramen marks the termination of mandibular canal in the mandible, through which the inferior alveolar neurovascular bundle passes. Evaluation of the position of the mental foramen in various surgical procedures like fracture of body of mandible, nerve lateralization procedure, dental implant, orthognathic surgery etc. helps in preventing damage to neurovascular bundle thus preventing paresthesia of lower lip, gums and lower anterior teeth. The aim of this study was to determine the position of the mental foramen in the Muradnagar-Ghaziabad population using digital panoramic radiographs in order to keep a record of the variations of the morphologic features of the mental foramen in anethnic population of Muradnagar. Materials and Method: A total of 1000 digital orthopantomogram of 635 male and 365 female patients within the age group of 15 to 55years were collected and the position of mental foramen along the vertical and horizontal axis was analyzed. Results: The most common position of mental foramen was found to be in line with second premolar tooth (51%), in the horizontal axis and along the vertical axis, it was inferior to the apex of second premolar (68.1%). Conclusion: This Study supports the earlier literature regarding the position of mental foramen among north Indian population and suggests that variations are present between populations of different geographical areas.

148-151

Authors: Sandeep K. Bhullar, Viniti Goel, Amandeep Bhullar, Lakshay Goyal, Vijita Mehta, Tarun Nanda, Mallika.

The oral rehabilitation of patients after loss of teeth has made much progress in recent times. Whenever there is an inadequate vestibular depth present to maintain oral hygiene and to increase the retention and stability of the denture, deepening of the vestibule is considered. The vestibular depth depends on various factors such as age, physical status, amount and consistency of mucous membrane, amount of alveolar and basal bone, positon and tension of adjacent muscles, presence of bony projections and ridges and neurovascular foramina. One of the main objectives of periodontal therapy is to achieve an area which permits an optimal level of oral hygiene. A shallow labial vestibule hampers the proper placement of a tooth brush. As a result, a decreased depth of the vestibule is often associated with plaque accumulation and consequently marginal gingival inflammation. Vestibuloplasty is the surgical procedure whereby the oral vestibule is deepened by changing the soft tissue attachments. The most common procedures in vestibuloplasty are submucosal vestibuloplasty, secondary epithelial vestibuloplasty, soft tissue graft vestibuloplasty and Edlanplasty. Although vestibular depth extension procedure remains relatively painless under local anesthesia on the first day of surgery, there is a subtle increase in pain on the second day relative to the first. The present study was conducted to measure and compare pain by 3 different scales i.e., visual analogue scale, numerical rating scale, faces rating scale in vestibular extension procedure done by scalpel, laser and electrocautery. The pain was measured at baseline, 1 day post-operative, 1 week post-operative. Data thus collected was put to statistical analysis.

156-159

Authors: Richa, Neeraj Kumar.

Dental traumatic injuries in primary teeth are common in younger children. Root fractures in deciduous teeth are considered as a rare entity among all the dental traumatic injuries. These cases highlight the conservative management of intra alveolar root fracture in primary anterior teeth which were stabilized with multi-flex wire using composite resin. Patients were followed till the eruption of permanent successors. During follow ups, the patients were asymptomatic, roots of the deciduous teeth showed normal physiologic resorption and permanent teeth erupted in their normal position without any developmental defects related to the permanent teeth.

164-165

Authors: Nidhi Agarwal, Manpreet Kour, Ashish Anand.

Teeth present at the time of birth are termed as natal teeth and most of them represent the early eruption of normal primary teeth. Its occurrence is a rare condition and when present can be associated with numerous clinical complications. Due to this, majority of natal teeth are prematurely lost or extracted and the presence of retained natal teeth is uncommon. The purpose of this case report is to document a rare case of retained natal teeth in a 3 year old child and to highlight the importance of the periodic examination program in such cases.

169-171

Authors: Razeena Salam, Jagadish Pai, Anish Varkey, Amit Walvekar.

Peripheral ossifying fibroma (POF) is a type of non-neoplastic gingival enlargement which shows areas of calcification or ossification. It is reactive lesion which usually arises from interdental gingiva and mostly in the anterior maxillary region. It is most commonly seen in females of second decade. The etiology can be secondary to trauma or any other local irritating factors. Differential diagnosis of POF includes pyogenic granuloma and peripheral giant cell granuloma. Careful diagnosis of peripheral ossifying fibroma is important to avoid unnecessary aggressive therapy. The definitive diagnosis is done by using histopathological examination. A conservative surgical treatment which includes the excision of lesion provides an excellent prognosis. A rare case of a 21 year old female patient with peripheral ossifying fibroma in lower front tooth region of the mouth is presented here.