A Journal of Clinical Dentistry-Heal Talk

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.

02

Authors: Manthene Srinivasa Raju1, Farheen Ahmad2, Nadia Noor3, Arya Agarwal4

In recent days, pericoronitis its diagnosis and treatment became a difficult task in oral submucous fibrosis (OSMF) cases. Pericoronitis reported in majority of the osmf patients since the mouth opening is limited and maintaining oral hygiene its diagnosis and management of dental problems in these osmf patient has become a difficult task.

4

Authors: Bharti Sharma

SURFACE TREATMENT An implant is textured to make it suitable for enhancing;  BONE IMPLANT CONTACT (BIC) or  INDUCE OSSEOINTEGRATION AIM • Enhance cellular activity • Enhance cellular activity

02

Authors: Ravnitya Singh1, Supreet Singh2

The relationship between chronic hepatitis C virus infection (HCV) and oral lichen planus (OLP) is a current topic in the field of oral medicine. Many studies of this association have been made over time. The geographic variation of the hepatitis C prevalence proved to be an important factor influencing the statistical results of the studies analyzing the association of the oral lichen planus with the hepatitis C virus. Approaching this issue is not to be neglected. Treatment outcomes in patients with oral lichen planus associated with chronic hepatitis C virus are often unsatisfactory compared to patients suffering from idiopathic oral lichen planus. Also, the evolution of oral lesions is often fluctuating, with repeated periods of relapse according to the degree of liver function decompensation. Background therapy for liver disease itself may influence lichen planus lesions. Thus, during therapy with interferon and ribavir in oral lesions may appear or become acute.

03

Authors: Bidushi Ganguli1, Md. Jalaluddin2

Introduction: Implants can fail due to several causes, they can be failure to osseointegrate, defective prosthesis, fracture of the implant body,malposition implants that can damage vital structures, and peri-implant advanced loss of bone. Management of peri-implant complication is an important aspect in implant dentistry. Aim: The following case report demonstrates management of an early implant failure of an immediate implant using guided bone regeneration(GBR). Methodology: A 30 years old male patient underwent immediate implant placement w.r.t 11. After two weeks, he reported to the clinic with pain and suppuration. Then CBCT was advised, which revealed complete buccal bone resorption and compromised primary stability. The patient was treated surgically after an extensive study of the CBCT report. The implant was retrieved and re-implanted, placing the implant more palatally followed by GBR to treat the advanced bone loss. Thus, assisting in osseo integration. Result: Proper osseo integration was attained at 6 months follow-up followed by loading of the prosthesis. Conclusion: Guided bone regeneration is a pioneering method for the management of such implant complications.

03

Authors: Archita Datta Anuppriyanka I 1, Arundeep Kaur Lamba2 , Farrukh Faraz3 , Shruti Tandon4, 5, Sachin Dhingra6

Periodontal disease is multifactorial; therefore, determining the exact etiology of the same is critical when planning the treatment. Developmental disturbances of the teeth may manifest by variation in number, position, size, shape, eruption, or structure. It can be in generalized or localized form. Concrescence and enamel pearl are developmental anomalies that can cause periodontal pockets to persist by acting as a nidus for plaque accumulation and interfering with patient oral hygiene. This necessitates a proper diagnosis of such anomalies, which, although rare, necessitate suitable management to aid in periodontal therapy and maintenance.