A Journal of Clinical Dentistry-Heal Talk

02

Authors: Dr. Nandita Gogoi

Nanotechnology is the manipulation of matter in the molecular and atomic levels. Its concept was first elaborated in 1955 by the late Nobel Prize winning physicist, Richard P. Feynman. Nanotechnology in dentistry is a research on a new approach towards dentistry, using nanosized restorative materials, nanodimensional drugs and newer technologies with nanomachines.

03

Authors: Dr. Gaurav Gupta1, Dr D.K Gupta2, Dr. Priyanka Gupta3, Dr. Neeraj Chandra4

A dentigerous cyst usually results due to the enlargement of the follicular space of the whole or part of the crown of an impacted or unerupted tooth and is attached to the neck of the tooth. A dentigerous cyst encircles the crown of an unerupted tooth by expansion of its follicle. It results from alteration of reduced enamel epithelium after the completion of amelogenesis which causes fluid accumulation between epithelium and tooth crown. Dentigerous cyst being the second most common odontogenic cyst which constitutes around 20- 24% of all the odontogenic cysts involving the jaws. This case report presents conservative treatment modality for 35 year-old male patient, diagnosed with a dentigerous cyst in association of impacted mandibular third molar. The patient was treated with a minimal invasive approach.

03

Authors: Dr. Sonia Godara1, Dr. Sukhvinder Singh Rana2, Dr. Deepa Walia3

The most common cause of salivary gland obstruction is sialolithiasis. Salivary calculi or sialolith or salivary stone can occur in any salivary gland duct but most commonly it is seen in submandibular gland's duct. This case report discusses diagnosis and surgical management of a large sialolith.

04

Authors: Dr. Karn Singh1, Dr. Gazal Srivastava2, Dr. Pooja Kumari3, Dr. Gajendra Kumar Vats4

Background Bell's palsy is a rare symptom of hypertension. We describe a case of childhood hypertension of underlying renovascular etiology presenting as recurrent Bell's palsy. Case Presentation A 2-year-old male was admitted to hospital for severe hypertension. His solepresenting symptom was recurrent episodes of Bell's palsy The elevated blood pressure was noted incidentally during anaesthesia assessment for magnetic resonance imaging of the brain. He was otherwise healthy, and had not had blood pressure measuremented during assessments prior to hospitalilization. On admission, blood pressure was 220/120 mm Hg, with evidence for moderate concentric left ventricular hypertrophy indicating both a chronic process and end organ damage from his hypertension. The patient's blood pressure was initially managed with labetalol and nitroprusside, and later he was converted to enalapril (0.5 mg/kg/day), amlodipine (0.5 mg/kg/day), minoxidil (0.625 mg/kg/day) and metoprolol (2.5 mg/kg/day). A duplex right kidney with stenosis of the cranial of the two renal arteries was diagnosed using 99mTc MAG3 scintigraphy with ACE inhibitor, Doppler renal ultrasound and MR angiography.) The patient is awaiting angiography for further management while being normotensive on the medications named above.

04

Authors: Dr. Sukhvinder Singh Rana1, Dr. Sonia Godara2, Dr. Deepa Walia3

Coronavirus disease (COVID-19) is caused by one of the new strain of Coronavirus (SARS-CoV-2) which was initially discovered in December 2019 in Wuhan city of China. The common symptoms of this disease are fever, cough and shortness of breath. As a professional we are going through a situation that we have not seen before. Oral & Maxillofacial surgeon are facing dilemmas over patients and treatment selection, safety of medical personal and patients and the most appropriate use of available resource in our hospitals. This advice guideline discusses the medical protection measures required in the outpatient clinic as well as in Operation Theater in oral and maxillofacial surgery department. The aim of this article is to provide a brief overview of virology, diagnostic test, transmission route, incubation period, clinical manifestation and treatment of corona virus. In addition, the main goal of this article is that we have to make certain recommendation/guideline on patient selection, procedure selection and discussing the measures to be taken to prevent the spread of virus at our workplace during this era of pandemic.

06

Authors: Dr. Anil K Tomer1, Dr. Ruchi Gupta2 , Dr. Hysum Mushtaq3

Dental amalgam has been phased-down throughout the world. 2020 is the year of eradication of use of amalgam in dentistry. Alternative restorative materials with improved properties are the need for future. Restorative dentistry must strongly promote the prevention of dental caries to reduce the need for restorative materials and emphasize the best management practices for all materials in use.Use of dental amalgam for restoration during the past 10 years or so, the awareness and recognition of the environmental implications of mercury have increased and dentistry has gained further attention as being a source of contamination of the environment. In addition, within the dental profession and the oral health research community the interest of serving patients through the use of alternative dental restoration materials has grown markedly.