A Journal of Clinical Dentistry-Heal Talk

13 & 15

Authors: Prof. (Dr.) Muralee Mohan Dr. Deepthi Shetty Dr. Tripthi Dr. Ashay Shah Dr. Dharnappa Poojary

Osteoma is a benign tumor composed of mature compact or cancellous bone. It is distinguished from common palatal and mandibular tori and buccal exostosis which are thought to be developmental or reactive origin in spite of being similar to osteomas histopathologically hence not believed to be true neoplasm. Osteoma arises from surface of the bone (periosteal) or located in the medullary bone (Endosteal) as a polypoid or sessile mass. They most common site is in the skull. They are frequently found in lingual surface of the mandible. We present a case of osteoma in the lingual side of the mandible in a 22 year old male patient which was managed by surgical excision.

14-15

Authors: Dr. Maya Dalaya Dr. Mahesh Ghadage Dr. Geeta Hatte

Computerized tomography is the technique which gives numerous advantages over traditional radiographic techniques. Benefits of this technique are further enlightened when a cone beam computerized technique introduced which has applications in dental practice mainly.In-office CT has many clinical applications for implant dental treatment. This article will outline the science of CBCT and provide clinical examples and advantages of an in-office CBCT device.

16-17

Authors: Dr. Karan Kapoor

Combination syndrome commonly occurs in patients with a completely edentulous maxilla opposed by a bilateral distal-extension removable partial denture.This syndrome poses a considerable challenge to dentists. The symptoms of the syndrome consist of anterior maxillary bone loss, mandibular bone loss, tuberosity overgrowth, and alveolar ridge canting. All of these effects render prosthetic treatment more difficult, and although it is preferable to use dental implants for functional support, complex cases still require conventional prosthetic treatments for medical or financial reasons. This clinical report presents the prosthetic restoration of vertical dimension and function of a patient exhibiting combination syndrome along with a discussion of relevant literature.

18-19

Authors: Dr. Sunil Kar Dr. Swarnav Pattnaik Dr. Debajyoti Bardhan Dr. Sangram Patro

Juvenile ossifying fibroma is a well defined clinical & histological entity that has been recently separated from the other fibroosseus lesions. The clinical & histological appearance bears a clear resemblance to the osteofibrous dysplasia of long bones. The juvenile ossifying fibroma is a subtype of the ossifying fibroma, a benign neoplasm with substantial growth potential. The term juvenile ossifying fibroma is used in literature to name two microscopically distinct fibro osseous lesion of the craniofacial skeleton. The histologic pattern can be described as under two headings - 1. Trabecular juvenile ossifying fibroma(TrJOF) 2. Psammomatoid juvenile ossifying fibroma (PsJOF) A rare & unusual case of Psammomatoid juvenile ossifying fibroma of mandible in a female patient aged 11yrs is reported here.

19 & 29

Authors: Dr. Shravan Rathi Dr. Deepa Shori Dr. Somya Rathi Dr. Swapnil Pande Dr. Nomal Shah

Perforation through the floor of the pulp chamber into the furcation of any tooth is a serious problem, and is the most common cause for failure in root canal treatment. The outcome of the perforation repair is not a highly predictable procedure and sometimes may result in extraction of the tooth.

20-21

Authors: Dr. Charushila S. Sardar Dr. Omkar Shetty Dr. Asha Rathod Dr. Aashish Jain

Dental implants are a functional and esthtetic solution to partial and complete edentulism. The initial success rate of this treatment modality is 90-95%, but the treatment modality is not free of complications. One of the rare yet severe complication is implant fracture. Implant failures may be sorted into groups by the timing of their appearance or by the origin of failure. Fractures belong to the group of late complications caused by a mechanical overload. Overload may be caused by inappropriate seat of the superstructure, in line arrangement of the implants heavy occlusal load, location of the implant and the size of implant or metal fatigue. Int this article various factors that may lead to fractures are discussed.

21-22

Authors: Dr. Shruti D. Nayak Dr. Amarnath Shenoy Dr. Gary Ignatius Dr. U.S. Krishna Nayak

Nano technology is used in almost all fields including dentistry. Nano robots, nano spheres, nano fibres etc are being introduced into dentistry also. This field has remarkable potential that can bring considerable improvements to human health, enhanced use of natural resources and reduced environmental pollution. However Nanotechnology can become controversial also because the long term effects of nano particles in humans is still not known.

22-23

Authors: Dr. Tanu Mahajan Dr. Kshitij Dwivedi

The resorbed mandibular ridge has always been a challenge for a prosthodontist. The difficulty one faces in the fabrication of a complete denture for a substantially resorbed mandibular ridge is no stranger to a clinician. For years, several methods and techniques have been suggested by various authors and several textbooks for this one particular condition. By the amount of techniques, methods and literature available for achieving a retentive stable mandibular denture we can understand the magnitude of troubles a clinician has faced over the past, up until recently.

23-24

Authors: Dr. Sumit Gupta Dr. Nandini Gupta

In dentistry, root canal treatment remains an ingrained part of our professional culture. It would be highly surprising for any dentist not to recommend root canal treatment as a dental procedure. The only alternative to endodontics is extraction, and most health conscious patients are now willing to keep their teeth. Over the years root canal treatment and gutta-percha have become synonymous but the fact remains that gutta-percha obturated teeth may show failure in due course of time. This can be attributed to the relatively weak disinfecting properties of gutta-percha cones.

24-25

Authors: Dr. Naresh Sharma Dr. Diksha Saini

Child abuse has occurred since the dawn of history. Child abuse and neglect occurs in a range of situations, for a range of reasons. Child abuse starts even before birth; feticide or more appropriately female feticide is still being followed religiously in many parts of India.

25

Authors: Dr. Saloni Kumari Dr. Swati Dhingra Dr. Vijay Raghavan Dr. Ranjana Garg

Abstract: Odontogenic cysts are 2nd most common type of developmental tooth cysts. These cysts with epithelial lining arise from the structures involved in the tooth development or their remnants that lie entrapped within the bone or in the gingival tissues, such as dentigerous cysts and keratocysts. Here we present a case of dentigerous cyst occurring in a young female, screened during routine radiographic examination.

26

Authors: Dr. Tarun Sharma Dr. Tarun Rana Dr. Anant Jyoti Dr. Richa Aggarwal

Bonding in lingual orthodontics is till date the most troublesome job in lingual orthodontic technique. For this many laboratory procedures have illustrated but they require larger inventory, precision and time. So we have developed a new and an easy method of bonding in lingual orthodontics that is accurate, less time consuming and inventory is easily available.

27-28

Authors: Dr. Cherry Anmol Dr. Charushila S. Sardar Dr. Omkar Shetty Dr. Sumeet Soni Dr. Swapnil Chaudhary

Fashion is an ever changing world & the rules of their dynamics also apply to dentistry. Previous years dentistry was something that was equated only with pain, fear & discomfort. But gradually times have charged. Dentistry & dental treatments are now one of the necessary aspects of a healthy life. And down the line fashion aspects are also getting incorporated into it. Body art & tattoos have been a fad globally for many years, but now Tooth tattoo is the latest vogue. These days youngsters are going gage about getting their tooth tattooed. Dental tattoos are soon catching up in India too. This article is presenting types of tattoos & various designs of tattoos.

28-29

Authors: Dr. Ajay Kumar Gupta Dr. Amit Kumar

Most dentists are not aware of the considerable benefits that Botox has in therapy for cosmetic and dental treatment. There are many innovative, minimally invasive uses being found for Botox in dentistry. it is certainly time to recognize that dentists can be just as proficient in injections than any of these healthcare providers as dentists have much greater expertise in the oral and maxillofacial areas and are also trained to be experts in the muscles of mastication and the muscles of facial expression, which routinely receive these treatments.

29

Authors: Dr. Bhushan Bhagat Dr. D.G. Adwani Dr. M.V. Naphade Dr. Ankur Gupta

A 30-year old male reported with central giant cell granuloma of mandible, the entire lesion was excised and curetted keeping the lower border of the mandible intact. The postoperative period was uneventful. The recall visit after 6 months showed good signs of healing and new bone formation especially at the lower border and angle of mandible which were badly affected.

32-34

Authors: Dr. Pallav Ganatra Dr. Chandulal Dhalkari

• Context: Endocrine system plays an important role as a part of complex multifactorial interrelationships that maintain the homeostasis of the periodontium. Effects of increased endogenous hormones like progesterone and estrogen on gingival tissues have been documented however literature of effect of exogenous hormonal supplement on gingival tissues during pregnancy is scarce. • Aims: To evaluate gingival status of pregnant females on exogenous hormonal therapy. • Settings and Design: This observational study was conducted in Obstretics department of Government Medical College. • Methods and Material: Gingival status was assessed using oral hygiene index–simplified, modified gingival index, papilla bleeding index and gingival enlargement index for 20 pregnant females who were on exogenous hormonal supplement and compared with 20 pregnant females without any exogenous hormonal therapy. • Statistical analysis used: unpaired t-test • Results: There was statistically significant increase in oral hygiene index-simplified, modified gingival index and papilla bleeding index (P<0.05) except gingival enlargement index score (P>0.05) in pregnant females on exogenous hormonal therapy compared with controls • Conclusion: The combined effect of exogenous and endogenous hormones during pregnancy may exaggerate gingival response against microbial plaque.

33-34

Authors: Dr. Prriya Porwal Dr. Poonacha K.S. Dr. Steffi Dhillon Dr. Anshula Deshpande

Technological advances in dental materials and the approach to their use need to be considered for treating mutilated primary teeth. The introduction of new system such as polyethylene fibres can be reinforced using composite resin and used as post. The approach toward treating these teeth has yielded convincing and best results. A three year old child reported to the department of Paedodontics and Preventive Dentistry with the chief complaint of severely destroyed upper anterior tooth due to trauma that occurred before one year. After pulpectomy, the primary maxillary left central incisor was reinforced using polyethylene fibres as short post and restored using celluloid strip crown. It can be concluded that polyethylene fibres can be used as a short post in severely decayed/ fractured primary anterior teeth which has considerable advantages over other type of posts and would help in reestablishing function, shape and esthetics for the child.

35-36

Authors: Dr. Priyanka Shitole Dr. Varsha Rathod Dr. Prajakta Rao

Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. It predominantly occurs in second decade of life in young females, possible because of the vascular effects of female hormones. Clinically oral pyogenic granuloma is a smooth or lobulated exophytic lesion pedunculated or sometimes sessile base, which is usually hemorrhagic. The purpose of the article is to describe a case of Pyogenic Granuloma.

35-36

Authors: Dr. Manik Saha Dr. Kanchan Das

Accidental displacement of mandibular 3rd molar into the pterygomandibular space during extraction is a rare complication.This article is to report a case of a lower 3rd molar displaced into the pterygomandibular space during an unsuccessfull surgical intervention.A 50 yrs old male patient referred to our Dept. of dental Surgery by a Dental Surgeon for unsuccessful attempt to remove the left lower 3rd molar about seven days back with the of complaints of pain & restricted mouth opening. On eaxamination,partial trismus & missing lower last left molar was observed.Immediately O.P.G X-ray was done & revealed that the 3rd molar was into the perygomandibular space.Under antibiotic coverage & local anesthesia the displace tooth was removed successfully by bi-manual palpation & retracting the lingual mucoperiostium.The post operative period was uneventful & the patient recovered without any sequel..

37-38

Authors: Dr. Gaurav Khurana Dr. Shalini Gupta Dr. Vasumati Patel

Surgical periodontal therapy has evolved by leaps and bounds over the years, however, sutures have been of prime importance in all of the surgical periodontal therapy. Many clinicians, considering its advantages and disadvantages, have considered sutures a double-sided sword. Sutures are considered the gold standard for wound closure in periodontal surgery, however, its has its own limitations like being time consuming, possible risk of infection, chances of formation of snail track ulcer, scarring of the tissue, requires technical skill. These drawbacks led to the development of various alternatives such as staples, adhesive tapes, and tissue adhesives likecyanoacrylates and fibrin glue have been become popular because of their perceived ease of placement. Tissue adhesives like human fibrin glue offer a unique and novel means of wound closure since they may result in equivalent tensile strength, improved esthetics of the scar, and lower infection rates when compared with sutures, adhesive tapes and staples. Another advantage of tissue adhesives is that the patient does not need to visit doctor again for removal at a later date, thereby avoiding wound disruption and potential reactivity. This review article aims to shed more light on the potential and dynamics of the next generation tissue adhesive i.e. fibrin glue.

38-39

Authors: Dr. Gurwant Kaur Dr. Nidhi Gupta Dr. N.C. Rao Dr. Sheilja

Stem cells are a booming field for the research and in dentistry, recent discoveries have isolated dental stem cells from the pulp of the deciduous and permanent teeth, from the periodontal ligament, and an associated healthy tooth structure, to cure number of diseases. This review highlights about the origin of stemcells, their properties, characteristics, different types with emphasis on their potential applications in field of dentistry.

40-41

Authors: Dr. Ankit Singhal Dr. Ridhi Garg

Whether for exercise, competition or the simple enjoyment of recreational activity, increasing numbers of health conscious people are involved in sporting activities. Dentistry plays a large role in treating oral and craniofacial injuries resulting from sporting activities. The prevention of both sports dental injuries and specific oral diseases in sports community are important aspects of the sports dentistry. The significance of various preventive strategies such as use of mouthguards and dietary counseling are described. The role of sports team dentist is well recognized in diagnosis, management and prevention of dental injuries and diseases in sports community. The sports team dentist also acts as the main source of research in sports dentistry. It is recommended that sports dentistry should be included in dental curricula at both undergraduate and postgraduate levels

41-42

Authors: Dr. Swapnil Wankhade Dr. Anand Tripathi Dr. Navin Hantodkar Dr. Amol Verulkar

Both friction (sliding) and frictionless (loop) mechanics are used for space closure in extraction therapy. In sliding mechanics, the wire and position of the bracket give control of tooth movement, whereas in a loop-spring system, control is built into the spring. Both methods have its own advantages and disadvantages. One of the major advantages of frictionless (loop) mechanics is that a known force system is delivered to teeth because there is no dissipation of force by friction. This is a case report of 16 year old female patient with a class I malocclusion in which canine retraction was done using Poul Gjessing Spring in three and half months after upper and lower premolars extraction with fixed mechanotherapy (ROTH 0.018).

43-45

Authors: Dr. Puneet Batra Dr. Rajiv K. Chugh Dr. Ashish Kumar Dr. Meenu Goel

Orthodontic treatment in adult patients is one of the most frequently encountered components involving interdisciplinary approach. In this article, we present a case report to aptly describe the benefits of adjunctive orthodontic treatment for restoration as well as function in a patient with periodontally compromised dentition.

44-45

Authors: Dr. Tanu Mahajan Dr. Shweta Saini Dr. D. Singh Dr. R. Sangur Dr. P.S. Chawla Dr. A. Mehrotra

The purpose of this article is to describe a technique for fabrication of combination implant crown and its cementation. To overcome the drawbacks of conventional implant crown, “Combination implant crown” is fabricated which has the advantages of both. This type of implant restoration has access hole on the occlusal surface. More esthetic and functional result can be achieved by minimizing the size of this “access hole” which enables total future retrievability. Cementation between implant crown and abutment reduces screw loosening through even force distribution. This literature illustrates the advantages and disadvantages of both conventional crowns and steps in fabrication of “Combination Implant Crown’’.

47-49

Authors: Dr. Himanshu Aeran Dr. Varun Kumar Dr. Vijay Nautiyal Dr. Shashank Uniyal

Implant supported overdenture is currently experiencing more popularity as a standard of care for the treatment of edentulous mandible. Clinical outcome of this treatment is significantly better and is also best suited for patients having severely resorbed ridges. The patients having financial limitations cannot afford adequate numbers of implant to ensure a fixed restoration, so the implant supported overdenture is a better treatment modality with high success rate and high degree of satisfaction. This case report describes a simple, economical method of placement of two implants in the mandibular interforaminal region and simplifies the chair side technique for incorporation of attachments with unsplinted ball abutments in conventional complete mandibular denture.