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Re-Attachment – A Conservative Esthetic Emergency Protocol
No full textInjury to anterior teeth is a relatively common event among children and teenagers. Dentists are confronted with managing dental trauma and restoring fractured teeth on a regular basis. Hence the technique that speed and simplify treatment, restore esthetics and improve long term success rate are therefore of potential value and should be considered. If an intact tooth fragment is present after trauma, the incisal edge reattachment procedure presents a conservative, simple and esthetic alternative. It also restores function, provides a positive psychological response and is a relatively simple procedure. Clinical trials have reported that reattachment using modern dentine bonding agents and resin system may achieve a functional and esthetic success .This article reports on two coronal tooth fracture cases that were successfully treated using tooth fragment reattachment
Analysis of the properties of commercially available silicone elastomers for maxillofacial prostheses
No full text Aim - Maxillofacial prosthetic materials are used to replace facial parts lost through disease or trauma. Silicone rubbers are the materials of choice. The aim of this study was to assess the properties of three new silicone rubber maxillofacial materials. Methods- Specimens of three commercially available maxillofacial materials were prepared in dental flasks according to manufacturers’ instructions. Tear strength, tensile strength, percentage elongation, hardness and water absorption were determined for each material. Result- Cosmesil high compliance had significantly higher tear strength than other materials and tensile strength was also higher than the other materials but not statistically significant. Hardness and percentage elongation were almost same for all the materials. Prestige elastomer had higher water absorption than the other two materials, but it was not statistically significant. Conclusion- None of the commercially available silicone rubber materials possessed ideal properties for use as a maxillofacial prosthetic material but within the limitations of present study, Cosmesil high compliance shows more favourable properties among the three materials. Key words- silicone rubber, maxillofacial prosthesis, mechanical properties,tear strength, hardness, water absorption
Evaluating the validity of interocclusal plaster records made while recording protrusive jaw relation using extraoral tracing device.
No full textAim and Objective - To evaluate the validity of plaster interocclusal records obtained in protrusive relation using extra-oral gothic arch tracing method and to observe the perforation or non-perforation in the protrusive records. Method – 30 protrusive interocclusal records were made after gothic arch tracing procedure. Samples were then evaluated for perforation or non-perforation. The non-perforated samples were then measured for thickness of plaster present in between the centre bearing plate and point, using measuring guage. Results - 23 (76.66%) records amongst the total 30, were non-perforated and 7 (23.33%) were perforated. Average thickness of plaster present in between the centre bearing plate and point in 23 non-perforated samples was found to be 0.63mm. Conclusion - Protrusive plaster records may be non-perforated as against the belief that it should be perforated. Proper instructions and guidance to the patient should be provided at the time of making protrusive records , also strict material manipulation instructions should also be followed by the operator while using interocclusal recording material, to obtain accurate records.  
The Use of Index of Orthodontic Treatment Need (IOTN) in Children with Special Needs
No full textABSTRACT Aim: To assess the need for orthodontic treatment in children with special needs. Method: The study group was 78 children with special needs attending special schools, 12–15 years of age. The Index of Orthodontic Treatment Need (IOTN) was used in order to estimate the orthodontic treatment need. Results: When the dental health component (DHC) of IOTN was considered, 6.4 per cent of children with special needs showed very great need treatment, 24.4 per cent great need treatment, 10.3 per cent moderate need treatment, 29.5 per cent little need treatment and 29.5 per cent no need treatment. The aesthetic component (AC) of IOTN in these children resulted in 16.7 per cent great need, 23.0 per cent moderate need, 60.3 per cent little or no need. There was significant correlation between DHC grade and AC grade for male (0.320) as well as female (0.701). But the differences between the IOTN values for the boys and girls were not statistically significant (p>0.05). Conclusion: This study suggests that a large proportion of the children with specials needs had very severe malocclusion where treatment is considered mandatory. Mentally disabled children have more orthodontic treatment needs than the treatment needs for sensory impaired children. Key words: Children with special needs, Index of orthodontic treatment need, Malocclusion
Management of mandibular fracture in children with open cap splint : A treatment modality
No full textChildren(below 13 yrs of age) are usually susceptible to cranio facial trauma because of their greater cranial mass to body ratio.When compared to adults, the pattern of fractures and frequency of associated injuries are similar but the overall incidence is much lower. Treatment is usually performed without delay and can be limited to observation or closed reduction in non-displaced or minimally displaced fractures. Operative management should involve minimal manipulation and may be modified by the stage of skeletal and dental development. Open reduction and rigid internal fixation is indicated for severely displaced fractures. When tooth buds within the mandible do not allow internal fixation with plates and screws, this can be achieved with a mandibular cap splint fixed to the teeth, to the mandible with circum-mandibular wire. Children require long-term follow-up to monitor potential growth abnormalities.Keywords: mandibular fracture, maxillofacial injuries, open cap splin
Dentistry & Ayurveda V - An evidence based approach
Get PDFAyurvedic medications have stood the test of time and since time immemorial been used for various ailments. Recently there is renewed interest in use of various ayurvedic drugs for oral and dental health. . Plants and natural products from time immemorial used for their pharmacological applications viz., antiulcerogenic, wound healing, anti-inflammatory, antimicrobial, antioxidant properties etc. This article attempts to review the recent studies undertaken to use of natural products for oral diseases and also looks into the multitude prospects and perspectives of ayurveda in dentistry.Keywords: Ayurveda, dentistry, natural products, complementary/integrative medicin
Attachment retained removable partial denture: A Clinical Report.
No full textAttachment-retained RPD is not an outdated treatment modality. It is even more contemporary in today's appearance-oriented society than when it was first introduced. There is significant number of patients who could benefit from this treatment option, both short and long term. However, lack of proper knowledge, overwhelming number of attachments available in the market, multiple adjustments and repairs are making dentist reluctant to offer and provide attachment-retained RPD to their patients. The purpose of this article is to provide an overview and a simplified approach to this treatment modality by a clinical case report
Hemisection- A Window Of Hope For A Perishing Tooth
Get PDFMandibular first molars are the most commonly extracted teeth due to dental caries and periodontal disease. These teeth are the major standpoint for occlusion, and also have a wide peri-cemental area. Hence, any defect in the root either mesial or distal, extraction is the most common treatment planned. Under specific conditions, only the diseased part of the tooth can be extracted after an endodontic treatment. A modified fixed partial denture design is fabricated to splint the remaining portion of the tooth to adjacent teeth. This procedure though donting can be easily achieved and maintained successfully
Bruxism: Prevalence among Software Professionals
Get PDFBackground: Software professionals perform boundary-spanning activities and are always at the fear of job security and cost cut-offs. These characteristics of the software professionals are bound to have massive impact on their healthy living. Many studies have related bruxism with stress. Thus, this study is conducted to know the prevalence of bruxism among software professionals. Aims: To know the prevalence of bruxism among software professionals. Methods: A total of 232 randomly selected software professionals working for NASSCOM registered Bangalore based software companies were considered for the study. A questionnaire was specially developed to know the study subject’s demographic data, self reported bruxism data, details on personal habits and other details. The bruxism was recorded as per the ASDA clinical research diagnostic criteria for bruxism. The data was subjected to statistical analysis. Results: In the study sample, prevalence of bruxism was 35.5% with no difference between genders. Bruxism rarely occurs alone. Conclusion: The prevalence of bruxism in the study population is 35.5%.The results of this study raise an important concern about the prevalence of bruxism among software professionals
Clinical use of cryotherapy to treat oral inflammatory hyperplasia
Get PDFAims & Objectives: The aim of this study was to evaluate a protocol for clinical use of cryosurgery in the treatment of oral inflammatory hyperplasia. Trans and postoperative pain and duration of surgery were also assessed. Methods: Twelve patients underwent liquid nitrogen cryotherapy with a closed probe. Two 60-second treatment applications were performed, and thawing was allowed to proceed for 2 minutes. Results: Cure of hyperplasia was achieved in six patients (successful group), whereas three patients had no decrease in the size of the lesion (unsuccessful group). Three patients did not return for follow-up. Conclusion: It is possible to conclude that cryosurgery is an effective therapy for up to 12-mm long pedunculated hyperplasias and can be considered an alternative, useful, fast and painless method for treatment of inflammatory hyperplasia