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Interdisciplinary approach toward treatment of oral submucous fi brosis: A review
No full textOral submucous fi brosis (OSMF) is a chronic, progressive, pre-cancerous condition of the oral mucosa, which is associated with betel quid chewing habit. Reduced mouth opening might aff ect an individual to candidal and bacterial growth, and this can further predispose tooth and supporting structures to dental caries and periodontal diseases. The purpose of this review was to highlight interdisciplinary approach mainly periodontal/ endodontic/prosthodontic treatment considerations in OSMF patients. Search for periodontal/endodontic/prosthodontic treatment considerations in OSMF patients retrieved only fi ve case reports related to both edentulous patients aff ected with OSMF and endodontic management in an OSMF patient. Two studies regarding periodontal status in OSMF patients
Isolated gingival recession coverage by Lateral pedicle Graft procedure: A case report
Get PDFAbstract Aims and objectives: The coverage of denuded roots represents one of the challenges of periodontal treatment as clinician is not only required to treat disease and improve function but also cope with ever demanding esthetics of patients. Amongst the several technique is the laterally positioned flap, Case description: A 19 year old female patient presented with Miller class I gingival recession in tooth no 31.Her main concern was unpleasant elongated tooth appearance of front tooth. As adjacent tooth showed good periodontal condition with adequate keratanized gingival and no interproximal bone loss, Lateral pedicle graft procedure was selected. Conclusion : Post treatment assessment showed complete root coverage and an excellent aesthetic outcome of Lateral pedicle graft root coverage procedure of an isolated gingival recession  
Pre-operative evaluation of oral microflora in cleft palate patients below and above 1 year age groups
No full textObjectives: The objective was to evaluate the oral microflora in cleft palate patients before cleft closure among patients under 1 year age (Group I) and among patients above 1 year age (Group II).Materials and Methods: The palatal swabs were taken during 1 day pre-operative period. These swabs were incubated at 37°C for 48 h. The data were analyzed using Fisher exact test.Results: Normal oral microflora was predominant during 1 day pre-operative period. The predominant pathogenic microflora isolated in Group I was Klebsiella and Pseudomonas aeruginosa in Group II.Conclusion: Most of the samples showed normal oral microflora, although pathogenic microflora was slightly more in Group II when compared to Group I
3D virtual planning of temporomandibular joint ankylosis using computed tomography a case report in a 4-year-old female patient
Get PDFAnkylosis is a Greek word meaning a stiff joint. Temporomandibular joint (TMJ) ankylosis is the development of complete or incomplete limitation of movement of the TMJ by bone or fi brous tissue. The etiology and treatment of TMJ ankylosis have been well documented in the literature, with trauma and infection being the leading causes.Radiographically, ankylosis presents features that facilitate the diagnosis. However, its visualization is not precise involving conventional radiographic technique. With the evolution of radiographic techniques, computed tomography (CT) became an essential tool in the diagnosis of the ankylosis of TMJ and presented a valid reconstructed image of an ankylosis. The aim of this paper is to report a case of TMJ ankylosis in a 4-year-old girl and describe the importance tomographic images related ankylosis of TMJ by threedimensional (3D) CT, using several slices as axial, coronal, and 3D reformatted images as a guide for presurgical treatment planning of an ankylosis
Plastination revisited: A teaching aid in oral pathology
No full textBackground: Plastination was invented in 1977 at the University of Heidelberg by Doctor Gunther Von Hagens. Plastination is a unique combination of science, technological phenomenon in association with cultural aspects of life and death. Plastinated specimens have become an ideal tool for teaching in anatomy, pathology, and surgery faculties. Hence, we attempted this research to examine the effi cacy of plastination technique in the study of soft tissue specimens for teaching purpose and teeth specimens to study root canal morphology and associated pathology. We have also attempted to produce dry, durable, odorless, life-like, maintenance-free oral pathology museum specimens for teaching and learning purposes. Materials and Methods: Formalin fi xed ten soft tissue, and 20 teeth specimens were selected for the study. Dehydration of soft tissue specimens was performed by using 60% and absolute alcohol. Clearing was done by using acetone. Both types of specimens were plastinated by using reactive polymer made up from xylene and disposable plastic tea cup mixture. Specimens were kept for drying under sunlight. Results: Plastination off ered odorless, maintenance free, durable, non-hazardous tissue specimens. The procedure of plastination resulted in shrinkage in soft tissue specimens, but no appreciable changes were noted in teeth specimens. Conclusion: Plastination proved to be a beautiful admixture of science and art aimed for education and teaching purpose. Diff erent colors used to highlight the pathology helped in easy assessment of the specimens to the observer
Interdisciplinary rehabilitation of a rotated tooth with an intraosseous defect- A case report with two year follow up.
No full textIt has been a remarkable evolution of dentistry into its present state. From a need based and health driven treatment protocol it has shifted focus to cosmetic enhancement. Creation of an esthetic smile is a combined process involving the participation of various specialties to fulfill the patient’s expectations. There has been a shift in the practice of dentistry from a once multidisciplinary field wherein each specialist acted independently to an interdisciplinary approach which is a collaborative effort of each discipline and treatment protocols to get a predictable and optimal result. Periodontal therapy has evolved from the mainstays of scaling and root planing, osseous surgery, and mucogingival surgery to a more blossoming interest in facial esthetics, smile enhancement and cosmetic procedures. This paper is the report of an interdisciplinary treatment designed to enhance the prognosis of periodontally involved teeth and to improve the appearance of the esthetic zone. This case report clearly shows that the Interdental papilla completely covers the embrasure space and thereby preventing the occurrence of “Black Triangles” which is a nightmare for all periodontists. It also shows indirectly the amount of bone regeneration/ fill we could
Odontogenic ghost cell carcinoma: A rarity encountered
Get PDFOdontogenic ghost cell carcinoma (OGCC) is a rare neoplastic variant of calcifying odontogenic cyst, with aggressive clinical characteristics. A swelling in the jaws along with irregular destruction of the adjacent bone and local paresthesia are common symptoms.Microscopically, islands of varying size and anucleate cell clusters with homogenous, pale eosinophilic cytoplasm called ghost cells, admixed with sheets of tumor is seen.We present a rare case of OGCC occurring in the mandible of a 70-year-old male. This report carries a new message since prognosis is poor for OGCC but in the present case there was no evidence of recurrence after a 2-year follow-up
Guided tissue regeneration for treatment of lateral periodontal cyst: report of a case
No full textAbstract Aims and objectives: Lateral periodontal cyst( LPC) is a non inflammatory cyst on the lateral surface of the root of the vital tooth .It is generally asymptomatic which is treated by surgical cyst enucleation. Case description: In this case report, clinical, histological and radiographic findings of a 32 year old female patient is presented who reported to the Department of Periodontology, Faculty of Dentistry, Jamia Millia Islamia ; with a chief complaint of gingival swelling and mobility in relation to teeth 31 and 32. Management was done by surgical enucleation of cyst followed by Guided tissue regeneration. Use of collagen membrane and particulate hydroxyapatite lead to good amount of bone fill after 6 months . Conclusion: Satisfactory clinical and radiographic outcomes can be achieved in treatment of LPC by using principles of Guided tissue regeneration.  
Surgical treatment option for amlodipine infl uenced gingival overgrowth in the hypertensive patient
No full textDrug-influenced gingival overgrowth (DIGO) is an important clinical fi nding. A number of local and systemic factors such as plaque, hormonal changes, drug ingestion, heredity can cause or infl uence gingival overgrowth. Some anticonvulsants, immuno-suppressivedrugs and calcium channel blockers (CCBs) are known to cause gingival overgrowths in certain patients. Amlodipine which belongs to group of CCBs may induce gingival overgrowth in case of underlying infl ammatory component. A 38-year-old hypertensive female patient on amlodipine (10 mg/day, single dose orally) since 8 months, soughtdental attention because of the resultant gingival overgrowth. Clinical examination, medical history, and histological assessment further helped to formulate a diagnosis of DIGO. Six weeks after Phase I therapy and drug substitution, undisplaced fl ap surgery was performed. The patient’s gingiva seemed to be normal at 6 months follow-up visit, with no signs of recurrence
Treatment of a young adult with Class III malocclusion
No full textThe treatment of a young adult female (aged 15 years 3 months) with Class III malocclusion the patient was treated with an acrylic posterior bite plate with anterior expansion screw until passive over jet achieved. Standard edgewise fi xed appliances were used to align the teeth. The treatment resulted in Class I molar occlusion, an ideal overjet overbite, and the incisor angulation