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Palato-gingival groove (PGG) - An enigma
No full textAim: To treat the palatogingival groove, an endo-perio entity with conservative and surgical endodontic approach.Objective: Potential use of flowable composite and root canal therapy along with intentional reimplantation in the treatment of palatogingival groove in maxillary lateral incisors.Case description: Two cases with unilateral and bilateral PGG have been reported. The study demonstrates the use of flowable composite in resolving the bilateral PGG and RCT followed by intentional reimplantation in treating the unilateral PGG.Conclusion: The cases reported utilize conservative and surgical endodontic approach for an endo perio lesion. The results demonstrate how these techniques may optimally help to maintain a tooth whose location in the arch is very critical
Prevalence of dental caries and oral hygiene practices in children with cleft lip and/or palate
No full textObjectives To assess the prevalence of dental caries and oral hygiene practices in children with cleft lip and/or palate in the age group of 3-10 years, and compared with non-cleft controls.Study design The study was conducted on 105 children with cleft lip and/or palate in the age group of 3 to 10 years, and was matched with 120 non-cleft children. A modified WHO oral health assessment form (1997) was used and a questionnaire was given to the mothers of cleft lip and/or palate children.Results No significant difference was observed between the cleft and non-cleft groups with respect to the proportion of dental caries (χ2=0.72 p=0.40). All the cases and controls used tooth brush and tooth paste to clean their teeth. 95% of cases and 92.5% of controls brushed their teeth without any assistance by the parent or guardian. 69.52% of cases and 57.5% of controls rinsed their oral cavity after each meal/snack.Conclusion Prevalence of dental caries was more in cleft lip and/or palate children compared to normal children.Keywords; SMILE TRAIN; WHO proforma 1997; cleft lip and/or palat
Leiomyosarcoma of mandible: A case report and review of literature
No full textOne challenging feature of head and neck pathology is that a dizzying array of spindle cell lesions occurs here which ranges all the way from reactive, malignant to very aggressive forms. The aim of this article is to describe a rare case of leiomyosarcoma (LMS) of the mandible with immunohistochemical analysis that was useful in making the final diagnosis.A 65-year-old woman was referred to our institute for evaluation of a swelling on the right side of the facial region. This lesion presented a fast growth in the last 6 months. Intraoral examination showed a firm, fixed, red colored mass with no lymph nodes involvement. The radiographic examination showed a multiple radio-opaque nodules in right mandibular region with pathological fracture. Microscopic examination of the mandibular lesion showed spindle cells exhibiting moderately enlarged and pleomorphic nuclei with coarse, unevenly dispersed chromatin. Neoplastic cells expressed strong immunopositivity for Muscle- Specific Actin, Smooth muscle actin and are negative for Desmin and S-100 protein. Ki-67 proliferation index is <1%. These findings were consistent with the diagnosis of leiomyosarcoma
Periodontal Regeneration-An appraisal
No full textIrrecersible loss of periodontal tissues to periodontitis can be treated by therapeutic intervention which can induce periodonal regeneration. Conventional therapy involves repair with no repair of cementum. For decades attempts have been made to develop clinical procedures which might lead to predictable periodontal regeneration. The Guided Tissue Regeneration and the Emdogain have shown some amount of regeneration but not predictable pperiodontal regeneration. These are the First Generation Periodontal Regeneration therapies. The tissue engineering approach with gene therapy are considered the Second Generation Periodontal Regeneration therapy. The nano technology and rapid prototyping methods may form the Third Generation Periodontal Regeneration therapy
Digital imagery: reality or fakery
No full text“Seeing is believing” as the old adage goes, is no longer relevant to the field of dentistry in contemporary times where technological advances in softwares have facilitated the ulterior manipulation of digital radiographs as well as digital photographic images. This article attempts to highlight the software tools utilized to perpetuate digital image fraud as also the identification techniques and preventive measures to eliminate the same
Comparative Biochemical Analysis of Cell Membrane Fatty Acids in Oral Leukoplakia and Clinically Healthy Oral Epithelium.
No full textOral cancer is a result of relatively long process of progressivedysplastic changes of the normal cells to the abnormal one. Theincidence of precancer and cancer of the oral cavity is likely tocontinue to increase even on crudely logistical grounds. Butunfortunately most of the precancerous lesions and cancers arediagnosed in later stages. It is generally accepted that malignantcells have the decreased cohesiveness and loss of contactinhibition. In the present study, attempt has been made to analyzealteration in fatty acid composition in leukoplakia, the mostcommon precancerous lesion and its comparison with clinicallyhealthy oral epithelium.Keywords: Fatty acid analysis, Premalignant lesion, Leukoplaki
Mesiodens- A collective report of 11 cases with review of literature
No full textMesiodens is a supernumerary tooth located in the anterior maxilla, placed palatally, labially or in between the maxillary central incisors. It may be single or paired, erupted or impacted and at times even inverted. Eleven different presentations of mesiodens are reported
Dentigerous (Follicular) Cyst – A Case Report
No full textThe dentigerous cyst represents 33% of all odontogenic cysts. It is generally associated with impacted tooth and develops after the complete formation of the crown. A dentigerous cyst encloses the crown of an unerupted tooth, attaching to the neck of the tooth and grows by expansion of its follicles. The World Health Organization classifies it as a developmental cyst.It develops in response to an accumulation of fluids either between the reduced enamel epithelium and enamel or between the layers of the enamel organ. The mechanism of development of dentigerous cyst has until now remained unclear. It has been recently been reported that the inflammation progressing from the root apex of the deciduous teeth brings development of the cyst around the unerupted permanent teeth. This hypothesis suggests that deciduous teeth treated with root canal therapy or with severe caries may potentially become involved in development of dentigerous cysts.Key words ; Follicular cyst, Developmental cys
Coronal Flap Anchorage- A cost effective alternative to GTR?
No full textIn Coronally anchored flap (CAF) histological observations by few researchers found new attachment in furcation lesions. We report clinical changes in human intrabony lesions with coronal flap anchorage. Two sites in a patient are included in this report. At one site CAF was performed. At one site flap was sutured at crestal level. Gain in probing attachment averaged 4.0mm with CAF site compared to flap sutured at crestal level. The combination of crown anchorage and root demineralization in the treatment of intrabony lesions appeared as effective in obtaining bone fill as when additional enhancing procedures such as bone grafts or collagenous membranes were used. More studies are needed to find out if this regenerative procedure should become included among therapeutic approaches in the management of intrabony lesions.Keywords: Coronally anchored flap, intrabony lesions, crown anchorage, root demineralizatio
Prosthodontic rehabilitation of hemi mandibulectomy patient with magnet retained overdenture - A case report
Get PDFProsthetic rehabilitation of a maxillofacial patient poses a very daunting task for a prosthodontist, to restore his appearance and functions as the individual. The role of prosthodontist becomes important in fabricating prosthesis, which is functionally and esthetically acceptable by the patient. Here, a case is presented where the patient had to undergo partial resection of his right side of the mandible due to squamous cell carcinoma. Magnets were used as they offered a variety of advantages to be used as overdenture abutments. KEY WORDS: hemimandibulectomy, magnets, overdentures