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Correlation of the Anteroposterior Relationships of the Dental Arch and Jaw-Base in subjects with Class I, Class II and Class III Malocclusions
No full textAims and Objectives: A Study was done to determine the correlation between the anteroposterior relationships of the dental arch and the anteroposterior relationship of the jaw-base as well as to compare the angular vs. linear measurements of the association between anteroposterior dental arch and jaw-base relationships Methods: Lateral cephalograms and study models of 276 untreated adult orthodontic patients representing Angles Class I, Angles Class II and Angles Class III malocclusions were taken. The patients were classified into Angle’s classes on the basis of the sagittal occlusal relationship between the maxillary and mandibular first permanent molars. ANB angle and Wits appraisal were measured on the radiographs which were indicative of the skeletal relationship. The two were then compared. Results: The Angle’s class I malocclusion group showed mildly class II skeletal bases, the Angle’s class II malocclusion group showed evident class II skeletal bases and Angle’s class III malocclusion group showed class III skeletal bases. The ANB angle and Wits appraisal showed a significant positive correlation when applied to the above three groups. Key Words: Cephalometrics; Orthodontics; Malocclusio
Prosthodontic Management of Papillon –Lefevre syndrome – A case report
No full textPapillon-Lefevre syndrome is a rare autosomal recessive condition in nature. It manifests as hyperkeratosis of the palms and soles along with destruction of the periodontal support of both the primary and secondary dentition. Periodontal destruction may be seen soon after the beginning of eruption of primary teeth resulting in loss of teeth at the age of 4-5 yrs and loss of permanent teeth at the age of 13-15 yrs. The third molars may be protected from the periodontal destruction and bone loss. An 18 year old male patient diagnosed with Papillon-Lefevre syndrome was referred to the Department of Prosthodontics, Rural Dental College and Hospital, Loni,for prosthetic rehabilitation. The extra-oral findings resembled the characteristic features of Papillon-Lefevre syndrome like palmar and plantar hyperkeratosis. Intra-oral examination revealed upper and lower edentulous arches except the fully erupted third molars in both the arches. A case report of such a rare condition occurring in a teenage patient and its prosthetic management for restoring the patient’s functional needs and social well being is presented in this article.Key Words: Papillon-Lefevre Syndrome, Prosthetic rehabilitation, Telescopic Dentur
Closed reduction of condylar fracture using cortical bone screws: Case Report
No full textTreatment of mandibular fractures commonly involves the use of arch bars in temporary maxillo-mandibular fixation (also called intermaxillary fixation) to aid bone plating, for the postoperative application of light elastic traction to correct minor occlusal discrepancies and intermaxillary fixation for post reduction immobilization. The purpose of this paper is to describe a quick and simple alternative for intermaxillary fixation.  
Fluoride and restorative materials
No full textFluoride release and uptake of four common dental restoratives mainly glass ionomer formulations, including a conventional glass ionomer and resin modified glass ionomer and one fluoride releasing composite resin Tetric Ceram] was evaluated. 12 Cylindrical specimens for each of the 4 materials were prepared following manufacturers instructions for manipulation and immersed independently in 25ml of artificial saliva and stored as 4 groups Group I to Group IV. Each group was further divided into 3 sub groups A, B, C. The saliva was changed every day in all the specimens. No treatment was carried out for the specimens in sub group A. The specimens were immersed in 2% sodium fluoride mimicking a fluoridated mouthwash for one minute before changing saliva in sub group B and the specimens were treated by brushing with a fluoridated dentifrice for two minutes before changing saliva in sub group C. The fluoride release was evaluated on the 1st, 7th and 28th day using a fluoride ion specific electrode. The results demonstrated that the conventional glass ionomer and the recently introduced caries stabilizing glass ionomer showed similar patterns and quantity of fluoride release, which was significantly higher than the resin modified glass ionomer, the compomer and the composite resin. The resin modified glass ionomer showed higher fluoride release than the compomer and the composite resin. All the formulations of glass ionomers showed fluoride uptake from the neutral sodium fluoride and the fluoridated dentifrice, by releasing increased amounts of fluoride after treatment, in comparison with the untreated group. However the composite resin showed no fluoride uptake
Management of Tooth Avulsion - Review and Case Report
No full textManagement of tooth avulsion in the permanent dentition often presents a challenge. Definitive treatment planning and consultation with specialists is seldom possible at the time of emergency treatment. Replantation of the avulsed tooth can restore esthetic appearance and occlusal function shortly after the injury. This article describes the management of a patient with an avulsed maxillary permanent incisor that had been reimplanted follwed by root canal and splinting. The replanted incisor retained its esthetic appearance and functionality after replantatio
Cysticercosis cellulosae:A case report
No full textAbstractCysticercosis is a tissue infection in man caused after exposure to eggs of Taenia solium, the pork tapeworm and is primarily a food borne disease. It manifests itself in a generalised form with widespread involvement of the subcutaneous tissues, eyes, muscles and brain. Oral cysticercosis is a rare event, and it represents a difficulty in clinical diagnosis. This study reports a case of oral cysticercosis in a 25-year-old male patient who had an asymptomatic nodule in the left buccal mucosa. An excisional biopsy was carried out and the histopathologic examination revealed a cystic space containing a Taenia solium larva
Mandibular Tori - A Case Report & Review
No full textMandibular tori are bony exophytic growths that are present on the lingual aspect of the mandible, opposite to the bicuspids. They present in early midlife and tend to grow with age . Mandibular tori occur in 6-7% of the population. The etiology of exostosis is multi factorial including genetic and functional influences.The aim & objective of this case report and review is to inform practitioners about Torus Mandibularis – Indications for removal , Radiographic interpretation & its management.Types of Studies Reviewed:- The authors used PUBMED to find relevant English-language literature published in the period 1996 to 2011. They used combinations of the search terms tori, madibularis ,torus , madibularGenerally, surgical resection is not required for mandibular torus, as long as the condition remains asymptomatic. However, treatment is indicated when subjective symptoms such as discomfort, pain, articulation disorder, or problems in the insertion of dentures are present. 
Periodontal Considerations in the placement of Dental Implants
Get PDFThe creation of an esthetic implant restoration with gingival architecture that harmonizes with the adjacent dentition is a formidable challenge. The predictability of the peri-implant esthetic outcome may ultimately be determined by the patient’s own presenting anatomy rather than the clinician’s ability to manage state-of-the-art procedures. To more accurately predict the peri-implant esthetic outcome before removing a failing tooth, five diagnostic keys are discussed. These keys include relative tooth position, form of the periodontium, biotype of the periodontium, tooth shape and position of the osseous crest. KEYWORDS: Dental Implants, Periodontal, Peri-implan
Role of General Dental Practitioners in Smoking Cessation Programme
Get PDFTobacco use is a dental as well as a medical problem. Its use is the root cause of many oral health problems including periodontal disease and tooth loss. In the past few years, there has been an increasing awareness of the role of tobacco use in the prevalence and severity of periodontal disease. Like other health professions, dentistry has taken a stand against cigarette smoking. Dentists can use a variety of smoking cessation techniques to prevent the oral health problems associated with tobacco use. To carry out a minimal programme of antismoking measures, dentists in general practice can serve as a non-smoking role model for their patients, provide information about the health hazards of smoking, give advice and guidance, refer patients to cessation programmes, recommend cessation measures and monitor patients’ effort to quit smoking. Dental practice in 21st century has to increasingly move from a restorative orientation to one of a broader promotion of health and wellbeing
Distraction Osteogenesis In The Management Of Temporomandibular Joint Ankylosis; Series of cases.
Get PDF Patients with temporomandibular joint ankylosis commonly present with mandibular hypoplasia as a result of trauma to the temporomandibular joint, middle ear infection or due to various syndromes. There is a wide acceptance of the conventional osteotomies for treating temporomandibular joint ankylosis, but there are certain limitations pertaining to them. In order to overcome these limitations several new approaches with modifications have been introduced. One among these is the method of gradual bone elongation known as distraction osteogenesis. This process induces new bone formation along the vector of distraction force without requiring the use of a bone graft. This study was conducted on four patients (2 females and 3 males within the age group of 16-30 years) in which 3 patients had bilateral temporomandibular joint ankylosis and one patient with unilateral temporomandibular joint ankylosis.. These patients underwent surgical correction of temporomandibular joint ankylosis and mandibular hypoplasia using distraction osteogenesis with extra-oral distraction device under general anesthesia.In this study we have used extraoral device to achieve distraction more than 20 mm and to overcome the limitations of intra oral devices. This study concluded that distraction osteogenesis is the treatment of choice for the temporomandibular joint reconstruction and anterior linear advancement of the hypoplastic mandible in whom the mandibular advancement is highly difficult to be achieved by the conventional osteotomy procedures. The relapse rate over a period of 5 year is very minimal