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Myxoma of mandible – A case report with literature review
Get PDFThe odontogenic myxoma is an infiltrative benign tumor of bone that occurs almost exclusively in the jawbones and comprises 3% to 6% of odontogenic tumors. This neoplasm is mesenchymal and the myxomatous component is gelatinous in nature. Odontogenic epithelium may occur occasionally in the stroma. Although benign the odontogenic myxoma can cause considerable local destruction. An odontogenic myxoma occuring in the anterior mandible of an 18 year old male is reported here with literature review
Retentive aids in Maxillofacial prosthesis
No full textThe face is the central organ of sense, which plays crucial part in communication, expression of emotions and provides for a vital access route to respiration and GIT system. Therefore any disfigurement can lead to both physical and psychological problems. The challenging rehabilitation of the patient with disabilities of head and neck is attributed to acquired and congenital defects. However currently it’s possible to restore patients near normal form and function enabling them to lead a productive life, with the help of advanced, and improved prosthetic attachments. The various modes of retention of the maxillofacial prosthesis depends on the case requirement with respect to location and size of defects, resilience , possible undercut of adjacent tissue , the weight of fabricated maxillofacial prosthesis and anatomical factors such as undercuts and concavities. The review brings to light the different types of the attachments used in maxillofacial prosthesis
Local and systemic antioxidants in preeclamptic pregnant women with and without Periodontitis
No full textAIMS AND OBJECTIVES : To investigate the total antioxidant capacity and malondialdehyde level in serum & gingival crevicular fluid in preeclamptic and normotensive pregnant women with and without periodontal disease METHODS: A total of 60 pregnant patients whose age ranging from 20 - 35 years attending the Department of gynecology Rajah Muthiah Medical College and Hospital were selected for the present study and were divided into four groups as PREECLAMPTIC PREGNANT WOMEN WITH PERIODONTAL DISEASE, PREECLAMPTIC WITHOUT PERIODONTITIS, NORMOTENSIVE PREGNANT WOMEN WITH PERIODONTITIS AND NORMOTENSIVE WITHOUT PERIODONTITIS. Following clinical examination Gingival crevicular fluid and blood sample was collected to analyze total antioxidant capacity and malondialdehyde levels. RESULTS: Preeclamptic pregnant women had more periodontal involvement than normotensive pregnant women. The serum and gingival crevicular fluid total antioxidant capacity was lower in preeclamptic women with periodontal involvement than the normotensive and those without periodontitis whereas the levels of serum and gingival crevicular fluid malondialdehyde levels were higher in Preeclamptic Periodontitis individuals when compared with normotensive and those without Periodontitis. CONCLUSION Preeclamptic pregnant women have reduced antioxidants and increased oxidative stress and maternal Periodontal disease could worsen the condition. KEY WORDS: Antioxidants,Periodontitis, Preeclampsia, Oxidative stress Total word count- 192 word
Endodontic Management of Mandibular Second Premolar with Three Root Canals: A Case Report
Get PDFAims & Objectives: Endodontic treatment of mandibular premolars is a challenge due to their varying root canal morphology. Mandibular second premolars usually have a single root and a single root canal. The occurrence of three canals with three separate (type V, Vertucci) foramina in mandibular premolars is very rare. To manage such cases successfully, it is necessary to have knowledge of their basic clinical and radiographic anatomy, and possible anatomical variations. Thus, the purpose of this case report is to describe the endodontic treatment of a rare case of a mandibular second premolar with three distinct root canalspresent in a single root.Case description: A 25-year-old male patient was referred for endodontic treatment in the left mandibular second premolar. Digital radiographic examination of the involved tooth revealed an unusual, complex root canal anatomy showing presence of three canals in a single root. Its nonsurgical endodontic treatment was done successfully and the 2 week follow-up revealed that the tooth was asymptomatic.Conclusion: It was concluded that even in a tooth with complex root canal morphology such as a mandibular second premolar with three root canals, the conventional nonsurgical endodontic treatment can be successful and show adequate healing without any complications
Surgical stent for implant placement
No full textDespite significant advances in devices and techniques, placing dental implants in a correct position still remains a challenge.Proper implant placement has become less of a prosthetic dilemma with the use of surgical stent. A stent is an appliance used for radiographic evaluation during treatment planning for implant placement and during surgical procedures to locate optimal implant placement site.The stent with CT scan determines the optimal position and angulation of implant relative to occlusal load which were a major advancement as earlier the implant postion is guided by residual bone qualitystent provides communication between the surgeon and the restoring dentist.By the aid of stent,dental surgeon can reduce surgical trauma,reduced surgical time and increased patient comfort.The use of stents gives desired position and angulation of the implant so that the restorative phase of the treatment does not encounter problems that can compromise the esthetic outcome or complicate oral hygiene of the patien
Periosteal pedicled flap with vestibular deepening: A new approach for the management of gingival recession
Get PDFABSTRACT Treating gingival recession defects is one of the goals of periodontal therapy, and the efficacy of the various techniques is important considerations for determining success in such cases. Various techniques have been advocated for recession coverage and to increase the width of attached gingiva. In spite of these numerous techniques, a graft which has its own blood supply, can be harvested adjacent to the recession defect was the long term need of periodontists. Periosteum is a highly vascular connective tissue, with abundant regeneration potential. This case report describes a single stage technique to increase the width of attached gingiva and recession coverage by vestibular deepening combined with periosteal pedicled flap. Keywords: Periosteal pedicle flap, gingival recession, Vestibular deepenin
Crestal bone loss around Bredent blueSKY® implants in mandibula: one year prospective clinical study
No full textAims & Objectives: Early crestal bone loss has been described in the crestal region of successfully oseointegrated implants, regardless of surgical approaches, and can range from loss of marginal bone to complete failure of the implant. The aim of the study was to analyze the amount of crestal bone loss of the mandible around 73 implants type Bredent blueSKY® of different diameters. Methods: Dental panoramic radiographs were made before surgery, immediately after surgery and after one year of functional loading, using Ortopantomograph type Kodak 8000 c, XJAM530. The measurements were performed using software Kodak dental software 6.11.7.0. Results: The difference between the mesial and distal resorption around implant diameter 3.5 x 10 mm in mandible on the right side was not statistically significant (p = 0.638) and also on the left side was not statistically significant (p = 0,523). The difference between mesial and distal resorption around implant size 4.0 x 8 mm in mandible on the right side was not statistically significant (p = 0.196) and also on the left side was not statistically significant (p = 0,456). Conclusion: Crestal bone resorption was greater mesially than distally, although the differences were not statistically significant.  
Oral Health in a Group of Celiac Patients: A Clinical and Radiographic Study
No full textAim: To assess oral health in a group of celiac disease (CD) patients including their oral mucosal, dental and periodontal findings , and pertinent radiographic measurements. Material & Methods: The test group included 52 CD patients and 30 age and gender matched healthy controls. Intra-oral hard , soft tissue and periodontal examination, including recording of plaque index (PI), papillary bleeding index (PBI), and probing pocket depth (PPD), were performed. Panoramic radiographs were taken, with recording of mandibular cortex width (MCW), mandibular cortex index ( MCI: cortical shape) , and panoramic mandibular index (PMI). Results: CD patients had significantly more enamel defects and aphthous-like ulcers than controls. PI scores did not reveal any significant difference between test group and controls; whereas PBI and PPD scores were significantly higher in CD patients. In CD patients, no correlation was found between studied periodontal parameters, whereas PI was correlated to PBI and PPD in healthy controls. Osteoporotic changes were detected in the body of the mandible in CD patients as evidenced by decreased MCW and PMI scores, and higher number and percent of MCI C2 and C3 scores. Conclusions: Oral findings and panoramic imaging may be helpful in early diagnosis of CD patients. Key Words: Celiac. Enamel hypoplasia. Osteoporosis. Aphthous. Panoramic radiograph
Non-syndromic multiple supplemental supernumerary teeth in permanent dentition: a case report
Get PDFAim and objectives: "Supernumerary teeth" is an infrequent developmental alteration that appears in any area of dental arches and can affect any dental organ. Multiple supernumerary teeth can be associated with several syndromes; however, this issue is rare in individuals with no other associated diseases or syndromes. Case description: We documented a case of non-syndromic multiple supplemental supernumerary teeth in the three quadrants and premaxillary region of permanent dentition of an adult male patient, an incidental findings during routine radiographic examination. Likewise, there are several principal factors should be considered in treatment plan priority are the patient age, developmental dentition stage of both permanent teeth and supernumerary ones and alterations in the eruption, position or integrity of the permanent dentition. Conclusion: regular clinical and radiographic controls particularly for supernumerary teeth in mandibular premolar regions and extraction only the conical erupted supernumerary tooth in the right maxillary quadrant due to the implant replacement was suggested
Successful endodontic management of Type II root canal anatomy in all mandibular incisors using CBCT as a diagnostic tool. - A Case Report.
No full textThe root canal anatomy of mandibular incisors can present a number of variations. Varying number of the root canals in different teeth, their anatomy and interconnections have been studied and reported in the literature. This case report illustrates the different configuration and successful non-surgical endodontic management of complex canal systems in all four mandibular incisors. CBCT imaging revealed all 4 mandibular incisors having two canals. Endodontic intervention resulted in successful treatment of this unusual canal morphology. Multiple canals in the mandibular incisor teeth individually have been reported in literature, but the highlight of this case report being of two canals in all 4 mandibular incisors in single individual and CBCT used as a diagnostic tool