A Journal of Clinical Dentistry-Heal Talk

2

Authors: Dr. Rohan Khare

A14 year old male patient reported to the dept with an impacted canine. On examination, canine exposure using LASER was decided. Soft tissue diode laser was set to gingivectomy mode (0.8 W setting) at continuous pulsation mode. The tissue was excised and COE Pak was given. Patient was recalled after 10 days. On examination, the healing was proper and further orthodontic treatment was initiated.

3

Authors: Manu Rathee1, Pritish Dixit2, Maqbul Alam3, Prachi Jain4, Sarthak Singh Tomar5, Kritika Diwan6

An intermediate abutment also known as a lone standing abutment or pier abutment is defined as a natural tooth or implant abutment that is located between terminal abutments that serve to support a fixed or removable dental prosthesis. If a rigid connector is used and occlusal load is applied on the abutment teeth at one end of fixed partial denture (FPD), it will tend to lift the other end like a Class I lever causing stress on the terminal abutments and ultimately failure of the FPD.Therefore, non-rigid connector is employed to diminish the forces instead of the usual rigid connector. This case report describes the prosthetic rehabilitation of missing maxillary first premolar and first molar using a five unit fixed dental prosthesis with a digitally designed and fabricated non-rigid connector

3

Authors: Dr. Yesh Sharma1, Dr. Kailash Asawa2, Dr. Mridula Tak3

A patient reported to the Department office Public Health Dentistry with a chief complaint of missing upper and lower teeth since 5 months. Patient gives history of exfoliation of teeth due to trauma 5 months ago. Patient undergone surgery of fracture of maxilla and mandible 5 months ago from Hospital, Udaipur.

3

Authors: 1Arjit Vihan, 2Rajendragouda Patil, 3Ambika Murari, 4Himani Singh

A 22-year-old female patient reported to the Department of Oral Medicine and Radiology of Kothiwal Dental College and Research Centre with a complain of swelling in right side of the face since 1 month. Swelling was associated with pain. Pain was gradual in onset, moderate in intensity, intermittent in nature. No aggravating and relieving factors. Eventually pain was associated with pus discharge which increased on chewing and subsides on itself.

4

Authors: Preeti Sangwan1, Tushti Upadhyayand2

Introduction: Case Report: Uniqueness of the Case: intentional replantation following endodontics may be an option when surgical access is very limited or presents unacceptable risks. It has been proposed as an alternative to retrograde endodontic procedure. The purpose of replantation is to prevent permanent loss of the tooth and to replace the landscape of the mouth. Any tooth that can be a traumatically removed can be a potential candidate for intentional replantation. A 14-year-old girl reported to our department with pain in lower right back tooth region with a history of failed endodontic procedure. Intraoral IOPA was taken, fractured instrument was seen at apical third of the canal. Tooth was intentionally removed a traumatically and treated endodontically, splinting was done. intentional replantation is considered as a last resort for preserving the tooth. It is a predictable method when tooth removed a traumatically.

4

Authors: Preetika Yadav, Riddhi Sidhmukh, Priti Deswal, Vivek Sharma, Chandrika Saini

Malocclusion are the most common conditions affecting the esthetics during the mixed dentition period of children. The objective of the treatment should be conservative, economical, and comfortable to the patient, with satisfaction being the major treatment outcome. The purpose of this case report is to describe the economical easy management technique in a boy aged 11 years, for correction of midline diastema and anterior single crossbite by a removable appliance incorporating a split labial bow and a z-spring, respectively and correcting both problems simultaneously with single appliance in 3 months with final alignment finishing with the help of sectional bracketing.

5

Authors: Dr Neha Gaur1 Dr Lalit Kumar2 Dr Shefali Singla3 Dr Manisha Khanna4

A 59 years old male patient reported to the Department of Prosthodontics with chief complaint of replacement of missing teeth. Pre-operative intra-oral assessment revealed #13 and #16 splinted together with a metallic bar and two implants with secured healing abutments wrt #23 and #25 region. The mandibular arch was already restored with splinted PFM crowns along with a cast partial denture with two precision attachments. A tooth-implant supported overdenture was planned. Faulty tooth supported bars were removed and new bars with precision attachments were fabricated based on established vertical dimension. The female housings were picked up in the denture base followed by teeth arrangement, wax-up and try-in. Insertion was done and patient was thoroughly examined in follow-up appointments after 24 hours, 1 week, 15 days and 1 month.

3

Authors: Ravnitya Pal Singh1, Supreet Singh2

A dermoid cyst is a teratoma of a cystic nature that contains an array of developmentally mature, solid tissues. It frequently consists of skin, hair follicles, and sweat glands, while other commonly found components include clumps of long hair,pocketsof sebum, blood, fat, bone, nail, teeth, eyes, cartilage, and thyroid tissue. As dermoid cysts grow slowly and contain mature tissue, this type of cystic teratoma is nearly always benign. In those rare cases wherein the dermoid cyst is malignant, a squamous cell carcinoma usually develops in adults, while infants and children are usually present with an endodermal sinus tumor.

3

Authors: Vipul Srivastava1, Shally Mahajan2

The introduction of laser light as a source of amplified, stimulated emission of radiation, gave clinicians and researchers a chance and opportunity to obtain and use these high-powered light on biological tissues to create a new perspective for its application in healing and tissue regeneration. The use of laser light at power levels (specific wavelengths and power) have been documented to be capable of protein denaturation, water vaporisation and tissue ablation. The purpose of this article is to explain the mechanisms of action and to explore the uses of this group of lasers in general dental practice.

7

Authors: Anurag Satpathy

Artificial intelligence (AI) is revolutionizing various fields, including business, medicine, education, and the arts. In the medical field, AI has made remarkable progress. AI algorithms designed for medical imaging can analyze images to detect abnormalities, leading to more precise and timely diagnose. In dentistry, it is used in diagnostic imaging, dental analytics, treatment planning, virtual and augmented reality training, natural language processing for medical records, patient experience through chatbots, and oral hygiene with smart devices. In periodontics, AI is being explored for tasks such as diagnosing and predicting periodontally compromised teeth, severity prediction of chronic periodontitis, correlation with systemic health outcomes, and detection of periodontal bone loss in radiographic images.While AI holds great potential, it also poses challenges. Privacy, security, transparency, accountability, and the impact on economic inequality and job markets are important considerations.

02

Authors: Ruchi Gupta1, Kripa Krishna Kumar2, Martina George3, A Pritish K Reddy4, Anooja V Chandran5

Digital designs involve patient involvement in designing their own smiles, allowing for customization of smile designs based on individual needs and preferences that complement the morpho-physiological characteristics of the patient. This emotional connection with the patient increases their trust in the process and improves their acceptance of the planned treatment. This article is an attempt to highlight some important aspects of digital smile designing.

03

Authors: Vipul Srivastava1, Shally Mahajan2

Dentistry is one of the most inventory-intense profession that involves lot of finances, management and clinical skills. As Laser educators, often, we are asked what best laser is and what is best wavelength to work with? Honestly, till date there is no one answer to this question. Each wavelength has its own unique qualities. This article is an insight about all the wavelengths used in clinical dentistry so it can be helpful to the clinician to decide what to invest in his or her clinical practice to strengthen existing. Lack of expertise and skill can hinder to achieve desired results so proper education is a must

04

Authors: Kritika Diwan1, Manu Rathee2, Sarthak Singh Tomar3, Sandeep Singh4, Divakar S5, Sujata Chahal6

3D Printing is a new emerging technology which involves Computer Aided Designing and Computer Aided Manufacturing (CAD/CAM) of 3-Dimensional objects. In the recent few years there is increased use of digital technologies in healthcare sector. The 3D printing technology first used in dentistry to produce dental implants. Computer Aided Designing and Computer Aided Manufacturing (CAD/CAM) involves subtractive and additive manufacturing of object. This review article aims to discuss various types of computer aided additive manufacturing technology with their advantages and disadvantages

06

Authors: Shehla Rafique1, Dinesh Kumar Maddhesia2, Ankita Kedia 3, Anita Bishnoi4, Varun Kashyap5, Taruna Puri6, Ajay Kumar Gupta7, Mridul Khanduri8

Cephalometrics play a integral role in orthodontic diagnosis and treatment planning especially for sagittal skeletal discrepancies. Most patients are concerned about anteroposterior discrepancy, hence has received maximum attention in orthodontics. Therefore, number of analyses has been proposed over the years with varying degrees of reliability and success in assessing sagittal jaw relationships. It is absolutely essential that a clinician be aware of a range of analyses to be used in different situations. This review is to discuss various cepahlometric angular and linear geometric parameters for assessment of sagittal jaw relationship

3

Authors: Nymphea Pandit1, Deepika Bali2, Mohit Nara3, Shweta Saroha4, Shreshtha Gupta5, Aakanksha Gaba6.

The concepts, methods, and management of the issues related to gingival melanin pigmentation still need to be well defined. Melanin pigmentation is frequently caused by an aberrant deposition of melanin in the gingiva, making the gums seem black. This case report describes a simple and effective depigmentation technique using a diode laser which has produced good results with patient satisfaction. The Dummet oral pigmentation index (DOPI) was used to assess gingival hyperpigmentation intensity. This case report describes a simple and effective depigmentation technique using semiconductor diode laser surgery – for gingival depigmentation, which has produced good results and patient satisfaction. The diode laser is a reasonably safe, minimally invasive, and secure method for removing gingival hyperpigmentation.

3

Authors: Gurleen Kaur Sandhu1

Dentigerous cysts are benign odontogenic cysts that are associated with the crowns of permanent teeth and rarely recur. They are usually single in occurrence and located in the mandible.Multiple cysts are reported in patients with conditions such as mucopolys - accharidosis and basal cell nevus syndrome. Here, we report a case of impacted maxillary cuspid with dentigerous cyst in a nonsyndromic patient.

3

Authors: Dinesh Thakran1, Ruby2

In1920, Bruggemann, arises in the lower part of nasolacrimal ducts.In 1969 Roed-Petersen, nasolacrimal duct are lined by pseudostratified columnar epithelium .In 1993,Klestadt suggested, they arise from junction of the globular process, the lateral nasal process and the maxillary process as a result of proliferation of entrapped epithelium along the fusion line. Nasolabial cyst is a non-odontogenic, soft tissue cyst characterized by its extra osseous location in the nasal alar region. It is synonymous with nasoalveolar cyst, nasal vestibule cyst, nasal wing cyst and mucoid cyst of the nose.Etiopathogenesis:Two theorieshave been suggested to explain the origin of nasolabial cyst. Klestadt in 1993 suggested that they arise from trapped epithelium at the point where the maxillary, medial nasal, and lateral nasal processes fuse which become inclusion cyst. However, a lack of evidence to support the idea of embryonic epithelial entrapment in this location prompted many researchers to discard this hypothesis.Bruggeman in 1920 had suggested that nasolabial cysts develop from remnants of the embryonic nasolacrimal ducts. This theory is supported by the fact that the nasolacrimal ducts are lined with pseudostratified columnar epithelium, which is the type of epithelium found in the nasolabial cyst cavity.

4

Authors: Anurag Satpathy

Several studies have offered clues pointing to lifestyle factors as the primary cause of poor health and disease control. Addressing patients' lifestyle concerns is the key to providing healthcare, especially oral healthcare(1). It has been hypothesized that dental professionals could help patients most with managing their chronic diseases if they paid more attention to patients’behavior Periodontal health refers to the state of the gums, bones, and other tissues that support the teeth(2). Good periodontal health means that these tissues are healthy and free from inflammation and infection.Maintaining good periodontal health is important for overall oral health and can help prevent tooth loss and other oral health problems(3).Self-care and lifestyle modifications are patient-performed therapies necessary to preserve periodontal health. Chronic periodontitis, like many other noncommunicable illnesses, can be managed by addressing some of the risk factors, which will have a positive impact on the patient's oral and general health. While this may seem simple in theory, many dentists lack the expertise, experience, and/or self-assurance necessary to assist their patients in making positive changes to their daily habits. There has been a rise in both interest and study on behavior change among those concerned with periodontal health. This is a concise overview of the research on periodontal health behavior interventions.

03

Authors: Gaurav Gupta1, Neelja Gupta2, Abhishek Khairwa3, Manohar Bhat4, Parth Shah5, Priyanka Gupta6

Joseph Priestley's discovered of nitrous oxide (N2O) in 1772. Nitrous oxide is the first modern anesthetics, was first manufactured in by this English chemist. Sir Humphrey Davy (1800) experimented with the physiological properties; he coined the term “laughing gas”. Dr. Horace Wells (1844)- Nitrous oxide was used for the first time as a dental anesthetic drug. Provision of General Anaesthesia is now limited and restricted to the hospital setting. Sedation for paediatric patients is an essential tool in anxiety management and is used as an adjunct to behaviour management. Inhalation sedation with nitrous oxide/oxygen sedation to reach a plane of relative analgesia may be administered easily and safely in children for general dental practice and is a potential alternative to general anaesthesia.

04

Authors: Divya Rai1 , Padmanidhi Agarwal2 , Shally Mahajan3

Ectodermal dysplasia is a rare hereditary disorder characterized by abnormal development of certain tissues and structures of ectodermal origin. This condition is of importance to dentists as it affects the teeth resulting in hypodontia or anodontia. It can also affect the skin, the lens or retina of the eye, parts of the inner ear, the development of fingers and toes, the nerves and other parts of the body. Apart from having difficulties in eating and speaking, young affected individuals can also feel that they look different from their peers, resulting in low self-esteem.The aim of this paper is to report one such case and discuss the etiology, genetis, clinical manifestations and treatment options of this hereditary disorder.