A Journal of Clinical Dentistry-Heal Talk

1

Authors: Dr. Ashwani Kumar1, Dr. Anupam Nagpal 2, Dr. Bhuvan Nagpal 3

Chronic irritational factors like plaque, calculus, overhanging margins, trauma and dental appliances are the major causes for reactive hyperplastic growths seen in the oral cavity. This paper reports a case of irritation fibroma in a 40-year-old female in relation to gingiva of 12, 13, 14 region. Excisional biopsy was done and diagnosis of irritational fibroma was rendered on the basis of histopathological evaluation.

1

Authors: Dr. Anil K Tomer1, Dr. Panna Mangat2, Dr. Akankshita Behera3, Dr. Nitish Mittal4

In order to achieve a successful endodontic treatment, the clinician must aim to establish a proper diagnosis and an appropriate treatment planning. A thorough idea about the root canal variation and canal configuration is of utmost necessity. Often incomplete or inadequate shaping and cleaning, leads to poorly obturated canals, thus allowing the moisture to the canal space

2

Authors: Dr. Shoborose Tantray1, Dr. Seema Sharma2, Dr. Nazima Nasrullah3

The human microbiome plays a significant role in oral health. Oral health is result of mutualistic interaction between different inter and intra species in host.The microbiota plays an important role in human health from entraining immune system development and maintaining homeostasis to influencing autoimmune diseases and allergies.

2

Authors: Dr. Mayank Singhal1, Dr. Nidhi Singhal 2, Dr. Neelesh Sonal 3

Odontomas generally appear as small, solitary or multiple radio-opaque lesions found on routine radiographic examinations. Traditionally, odontomas have been classified as benign odontogenic tumors and are subdivided into complex or compound odontomas morphologically1`. Compound odontomas commonly occur in the incisor-canine region of the maxilla and complex odontomas are frequently located in the premolar and molar region of both jaws. Occasionally, odontoma may cause disturbances in the eruption of teeth such as impaction, delay eruption or retention of primary teeth2. In general, odontomas occur more often in the permanent dentition and there are very few reports of odontomas associated with third molar teeth in the literature. In this case report; odontoma with impacted maxillary third molar in a adult patient, which are very rarely diagnosed associated with impacted third molar teeth, is presented.

2

Authors: Dr. Khushtar Haider1, Dr. Binita Srivastava2

The nature of tooth enamel is of inherent interest to dental professionals. The current-day clinical practice of paediatric dentistry involves the prevention of enamel demineralization, promotion of enamel remineralization, restoration of cavitated enamel where demineralization has led to cavitation, vital bleaching of dental enamel that has become discolored, and diagnosis and treatment of developmental enamel malformations, which can be caused by environmental or genetic factors. On a daily basis, dental health providers make diagnostic and treatment decisions that are influenced by their understanding of tooth formation. Developmental enamel defects, presenting as enamel hypoplasia or opacities are caused by damage or disruption to the developing enamel organ as a result of inherited and acquired systemic conditions. The high prevalence of these defects in the dentition demonstrates the vulnerability of the teeth to changes in the pre- and postnatal environment. The presence of enamel hypoplasia increases the risk of primary teeth to early childhood caries and tooth wear as the defective enamel is thinner, more plaque retentive and less resistant to dissolution in acid compared to normal enamel. Enamel hypoplasia patients are susceptible to the restorative cycle of replacement restorations like any other patient, but start with a distinct disadvantage. This article“Aesthetic Treatment Approach for Enamel Hypoplasia – A Case Report”. demonstrates a minimally invasive, relatively simple and cost-effective option for the aesthetic correction of a case of hypoplastic enamel with layered composite veneers.

2

Authors: Dr. Mamta Kaushik1, Dr. Roshni Sharma2, Dr. Soujanya3, Dr. Neha Mehra4, Dr. Mohammad Aleemuddin5

Patented IPN technology is at the heart of ever-Stick fibers. Ever-Stick fiber bundles have up to 4000 individually silanated E-glass fibers that are fully impregnated with resin. This fusion of fibres and resin forms the exceptionally strong, aesthetic and user-friendly Interpenetrating Polymer Network (IPN). Ever-stick transparent glass fiber post is one of the esthetic post where it can be flexed and can be incorporated in the compromised coronal tooth structure to stabilize Corono-Radicular assembly

3

Authors: Dr. Bhuvan Nagpal1, Dr. Jyoti Nagpal2, Dr. Jyotsana Nagpal3, Dr. Aditya Garg4, Dr. Anuradha Garg5, Dr. Anupam Nagpal6

As a result of economic development in industrial, infrastructure, medical, information technology and agriculture sector in India in the past 20 years, the citizens have become more content, lavish and comfortable but this has also affected the environment badly because of tremendous increase in environmental pollution as the rate of waste generation is very high in India. Waste product which is infectious, hazardous, and sometimes radioactive and is generated during the various medical related activities such as diagnosis, treatment and immunization is known as biomedical waste. Today, biomedical waste management has become one of major issue of concern in India taking into account the rate of growth of population and rapid urbanization. This paper includes biomedical waste, its classification and various practices adopted for its management. Biomedical waste may be solid or liquid and is generated majorly from hospitals and laboratories. Biomedical waste include discarded blood samples, sharps, unwanted microbiological cultures, identifiable body parts other human or animal tissue, used bandages and dressings, discarded gloves, other medical supplies that may have been in contact with blood and body fluids, and laboratory waste that exhibits the similar characteristics. Biomedical waste is distinct from normal trash or general waste. Medical facilities also generate hazardous chemicals and radioactive materials. While such wastes are normally not infectious; but they require proper disposal. Disposal of this waste is also an environmental concern, as many medical wastes are classified as infectious and could potentially lead to the spread of infectious disease. Biomedical waste must be properly managed and disposed of to protect the environment, general public and workers, especially healthcare and sanitation workers who are at risk of exposure to biomedical waste as an occupational hazard. Steps in the management of biomedical waste include generation, accumulation, handling, storage, treatment, transport and disposal.

3

Authors: Dr. Malvika Panchal Sharma1, Dr. Binita Srivastava2, Dr. Nidhi Gupta3, Dr. Natasha Gambhir4, Dr. Rashi Singh5

Restoration of severely damaged anterior teeth of a young toddler who has suffered from multiple tooth loss due to rampant early childhood caries is the greatest challenge for a pediatric dentist. Premature loss of anterior teeth has a great impact on child's psychology and behavior whereas premature loss of posterior teeth causes space loss which can lead to malocclusion and functional disturbances too. The aim of this paper is to describe the rehabilitation of primary anterior and posterior teeth in a 4 yr old child using a fixed, esthetic and functional appliance: A modified Groper's Appliance. These appliances are considered to be elective and their placement is generally by wish of the parents.