A Journal of Clinical Dentistry-Heal Talk

2

Authors: Dr Abhijeet Bhasin Dr Maggi Soni

The posterior maxilla presents several challenges in rehabilitation to the implant dentist . Implant dentistry has become an excellent treatment modality since its inception into the modern era of dentistry. When patients present with deficient alveolar ridges, it could jeopardize the application of implant dentistry . thedimensional alterations of the residual ridge as well as the pneumatization of the maxillary sinus occurring after tooth loss may lead to vertical and transversal bone deficiencies significantly limiting the insertion of implants of desired length and diameter The procedure of choice to restore this anatomic deficiency is maxillary sinus floor lift up. The purpose of this case report is to bring forward such technique which prevents perforation of sinus lining during implant placement by doing the sinus lifting with indirect approach through alveolar crest .

2

Authors: Dr. Sanju Malik1 , Dr. Manu Rathee2 , Dr. Prachi Jain3, Dr. Maqbul Alam4

Resorption of mandible is a chronic, progressive, irreversible biomechanical disease leading to loss of vertical dimension, loss of sulcular depth and decreased lower facial height. Residual ridge resorption becomes a very big challenge for a clinician during the fabrication of a complete denture. It’s difficult for the patient to adapt to the mandibular denture and frequently result in complain of loose denture. Recording the neutral zone is an effective approach for construction of denture in highly resorbed ridges and in patient with history of denture instability. The neutral zone technique is not new by any means but it is certainly a valuable one. This case report describes neutral zone technique for a patient with an atropic mandibular ridge and neuromuscular incoordination

2

Authors: DR. MAYANK SINGHAL, DR. NIDHI SINGHAL, DR.NEELESH SONAL

Alveolar osteitis (AO) is a well known complication which occurs after dental extraction. It is commonly known as Dry Socket. Its incidence is approximately 3% for all routine extractions and can reach over 30% for impacted mandibular third molars1. One of the great clinical challenges since the first case was reported has been the in consistence and differences in the various definitions of dry socket and the criteria used for diagnosis. The treatment of AO includes conventional methods like use of antibiotics, medicated gauze, gel, rinse. It is associated with postoperative pain in and around the extraction site, accompanied by a partially or totally disintegrated blood clot within the alveolar socket, with or without halitosis2,3. The main objective of this article is to provide a better basis for clinical management of the condition. In addition, the need for identification and elimination of the risk factors as well as preventive and symptomatic management of the condition are discussed.

3

Authors: Dr Richa Singh1 ,Dr. Akanksha Rastogi2, Dr. Darakhshan Sultan3

Major advances in impression materials and their application have occurred during the last decade, with greater emphasis being placed on rubber impression materials than on dental compound, zinc oxide-eugenol, and agar and alginate. The increased use of agar impression material as a result of the development of the agar alginate combination technique should level off and continue at a modest level.

3

Authors: Vivek Singh, Anuradha.P, Sahana .S,Manu Narayan,Sugandha Agarwal, Shweta Singh

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4

Authors: Nitin Bhatnagar, Amrinder S.Tuli

Gingival recession is commonly defined as the apical migration of the gingival margin over the cement enamel junction (CEJ) with the exposure of the root surface. A variety of surgical techniques have been developed throughout the years and many studies have been carried out to evaluate these techniques with regard to their predictability and amount of root coverage achieved. The aim of the present study was to clinically evaluate the use of chorion membrane with tunneling technique approach in management of multiple gingival recession defects as a root coverage procedure. 6 months after the surgery there was 70 % root coverage which was achieved along with gain in attachment level, reduction in recession depth , recession width , gingival index score and sulcus bleeding index score. where as in plaque index score , pocket depth and width of keratinized tissue no significant changes were observed.