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“I526L” - Growth hormone receptor gene variant and its effect on craniofacial morphology
No full textObjectives & Setting: To investigate the influence of GHR (Growth Hormone Receptor) gene variant (I526L) on craniofacial morphology. The department of orthodontics, D.A.P.M.R.V.Dental College and Hospital, Bangalore, India.30 randomly selected subjects, aged 20-30 years who were patients at D.A.P.M.R.V.Dental College & Hospital, Bangalore. Materials and methods DNA was extracted from venous blood samples of all the subjects. The extracted DNA samples were subjected to polymerase chain reaction, where amplification of the selected gene segments was done and later these amplified products were subjected to restriction fragment length polymorphism using HpyCH4V restriction enzyme. Results were documented in specific bands with gel documentation centre. The effects of the gene variant on the 4 craniofacial morphologic parameters of anterior cranial base length, maxillary length, mandibular ramus length/height and mandibular length were obtained from lateral cephalograms and tabulated. Appropriate statistical analysis was carried out. Results The results indicated that the subjects with I526L variant of GHR gene had a significantly greater mandibular ramus height. GHR gene variant I526L could be a genetic marker for mandibular ramus height. Conclusion This study indicates that subjects with I526L variant of GHR gene had a significantly greater mandibular ramus height .GHR gene variant I526L could be a genetic marker for mandibular ramus height.  
The Orthodontic Management of Adult Patients with Congenitally Missing Teeth
Get PDFThe dental profession faces an increasing number of adult patients complaining from spaces due to congenitally missing teeth. Management of patients with missing teeth requires a careful and multidisciplinary treatment approach depending on the number of missing teeth and the skeletal severity of the case. Treatment of this kind of malocclusion can be approached by either opening the space for implant placement in place of missing teeth or by closing the space of missing teeth depending on the amount of space and the skeletal features accompanying such type of malocclusio
Management of Adjacent Multiple Gingival Recessions with Coronally Advanced Flap Root Coverage Procedure - A Case Report
Get PDFims & objectives: Multiple recession defects are routinely encountered in clinical practice and as such present a challenge for management. The goal of this case report is to evaluate the effectiveness of coronally advanced flap (CAF) in the treatment of multiple adjacent Miller Class I gingival recessions (MAGR). Case description: A patient with MAGR in teeth #11 to #13 was selected. Recession depth (RD), recession width (RW), height of keratinized tissue (HKT) and digital measurement of recession area (DRA) were measured at baseline and at 1, 3, 6, and 12 months post-surgery. Probing pocket depth (PPD) and clinical attachment level (CAL) were measured at baseline, 6 and 12 months post-surgery. Gingival thickness (GT) was recorded at baseline and 12 months post-surgery. Healing was uneventful. Twelve- months observations and measurements showed satisfying root coverage, a gingival margin that was harmonious with the neighboring teeth, and no change in HKT tissue or GT. Conclusion: Within the limitations of these clinical observations, it is suggested that CAF may be a valuable surgical procedure in the treatment of MAGR. However, the procedure does not seem to be an effective method to increase HKT or GT. 
A retrospective analysis of early implant failure of the Adin Touareg –X dental implant system
Get PDFNo single reason has been identified as a uniform causative factor of early implant failure (EIF). Because the current literature is sparse with regards to this phenomenon, a retrospective analysis of EIF for a novel dental implant system was carried out. Materials and methods: Data was collected from files of patients being treated at a dental teaching institution. Patient, implant and surgical variables were collected and analysed statistically. Results: 29 implants placed in 13 individuals with a mean age of 49.7 years. Survival rate was 92% among healthy patients and 75% among patients with co-morbidity. All implant failures were amongst patients with type 3 bone. Implants with a diameter of 3.5 mm and less recorded a survival rate of 87.5% and implants with a length of 10 mm and less recorded a survival rate of 90.9%. Conclusions: The presence of co-morbidity, implant diameter and bone quality affect the osseointegration success rate of the current system. Previous studies indicate that the unique implant surface on this system may contribute to enhanced healing in the early phases. Further research is required to substantiate these initial clinical results in a larger sample.  
Evaluation of oral hygiene practices and awareness among dental students in Namakkal district.
Get PDFAim and objectives: The aim of this study was to evaluate oral hygiene practices and awareness among dental students from three dental colleges in Namakkal district. Materials and methods: A cross sectional study was conducted among dental students from three dental colleges in Namakkal district. The oral hygiene knowledge among the study group was assessed through a questionnaire, with 16 questions. Results: A total of 471 students took part in the study. 85% students used a combination of vertical and horizontal type of brushing. The use of mouthwash was only 41%. About 66% students visited a dentist only in case of oral or dental problems. 12% had bleeding on brushing, 5% had bad breath. Conclusion: Dental students themselves fall short of their expectation. Dental students need to follow proper oral hygiene practices properly in order to educate the general public
A SURVEY OF SURGICAL PROTOCOL PRACTICED BY DENTAL PRACTITIONERS FOR IMPLANT PLACEMENT IN BANGALORE (INDIA)
No full textPurpose: To present results of a survey to know the surgical protocol and associated materials used by dental professionals in Bangalore (Karnataka, India) for an efficacious implant practice. Materials and Methods: A questionnaire was distributed to 200 dentists. The survey specifically targeted dentists who place dental implants; those who reported that they did not place dental implants were excluded. The questionnaire requested information regarding the protocol adapted by dentists during surgical phase of implant placement. Results: A total of 104 respondents completed the survey. 12 surveys were partially completed and were not included in the results. Out of 104, 72 were dentists with a post graduation degree (M.D.S.) while 32 were general dental practitioners with only graduation degree (B.D.S.). Most of the respondents i.e. 68 practitioners had started practicing recently and had an experience of 10 years or less. Most dentists employ a simple OPG examination for planning an implant surgery. Conclusion: most of the dentists follow the well documented techniques which have been documented in the literature. These techniques may be useful in reducing errors in placement of dental implant and increasing implant success rates, especially for inexperienced practitioners, dental students, surgical residents and dental implant trainees
Oral health practices and awareness among patients attending the department of periodontics at J.K.K.N dental college and hospital, Komarapalayam.
No full textAims & objectives: Oral health is considered to be less important than general health in India. The awareness and knowledge about oral hygiene practices is poor among the public and it is neglected by them. This lack in knowledge about the oral hygiene may lead to oral diseases mainly periodontitis. Smoking and alcohol has an ill-effect on both oral and general health and the patients are not aware of the ill-effects smoking. So our aim was to create an awareness about the oral hygiene practices among the patients attending the department of periodontics at J.K.K.N dental college and hospital, Komarapalayam. Materials and methods: 450 patients were selected using a simple random sampling technique. A self‑constructed 17‑item close‑ended questionnaire was distributed to all subjects above 18 years. The results were analysed using percentage. Results: The result showed a fair knowledge about the oral hygiene practices and awareness about the ill-effects of smoking and alcohol among the people in Komarapalayam. Conclusion: We conclude that there is a need for motivating and educating the patients about the oral hygiene practices to prevent the oral diseases especially periodontitis.  
Oral Proliferative Verrucous Leukoplakia-A Case Report
Get PDFOral Proliferative verrucous leukoplakia (OPVL), an aggressive and rare form of leukoplakia, is a long term progressive condition which in the initial stages starts as a harmless benign lesion. Eventually it may progress over a period of time to become multifocal, exophytic and malignant. This stumper of a disease, ambiguous in etiology, diagnosis and management poses a challenge to the clinician and the pathologist. This lesion is refractory to treatment and more often than not, recurs. In this article, we describe a case that possibly may have represented an OPVL
Primary Tuberculous Lymphadenitis mimicking a Dental infection - A Dental Perspective
No full textLymphadenitis is a common extra pulmonary manifestation of tuberculosis. Diagnosis is often challenging frequently requiring a biopsy. A case of tuberculous lymphadenitis is presented here with histological emphasis with a message that dentists need to be aware of it as a differential diagnosis even in the absence of classical signs and symptoms of tuberculosis.  
Aesthetic management of a nonvital tooth with severe tissue destruction.
No full textPulpo periodontal lesion of long duration causes severe destruction of periodontal tissues which results in denudation of root surface refered to as mucosal fenestrations. Mucosal fenestrations are rarely reported and it requires an accurate diagnosis and meticulous treatment planning. Debridement and disinfection of the root canal and surgical management of the soft tissue and bony defect is required to cover the denuded root surface along with procedures for the maintainence of good oral hygiene. This is a case report of a forty eight year old woman presented with a discoloured incisor tooth and a chronic draining abscess with a history of road traffic accident of twenty years. Tooth had mobility within limits, was non tender with a labial gingival recession of seven mms. Root canal treatment followed by periapical surgery was done with the procedures involving filling of the bony defect with a combination of platelet rich fibrin and hydroxy apetite graft followed by guided tissue regeneration and a coronally positioned flap.There was a residual gingival recession after three months which was aesthetically managed by a modified metal ceramic crown. Recall after nine months showed the tooth with a healthy gingival tissue and was without any further recession