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RESEARCH ARTICLE
Richard Pereira, Sidheshwar G Phad

Comparative Evaluation of 0.2% Chlorhexidine Mouth Rinse with and without an Antidiscoloration System: A Clinical Study

[Year:2017] [Month:January-April] [Volumn:7 ] [Number:1] [Pages:75] [Pages No:53-56][No of Hits : 1008]


ABSTRACT

Introduction: Chlorhexidine (CHX) is considered the gold standard agent for its clinical efficacy in chemical plaque control. The addition of other active ingredients may even reduce the antiplaque effectiveness. New mouthwash containing CHX with addition of an antidiscoloration system (ADS), i.e., Plasdone K-29/32, that claims to bind to stains, increases their solubility in water and effects their removal; thus the mouthwash promises not only to prevent plaque formation but also to avoid staining.

Aim: To clinically evaluate the efficacy of a 0.2% CHX mouth rinse with and without an ADS.

Materials and methods: The present study was a tripleblinded, prospective, cohort, and crossover study. This study consisted of 15 subjects. Supragingival scaling and polishing were done and then subjects were asked to rinse with a randomly allocated mouthwash for 15 days. Subjects used either mouthwash A (0.2% CHX with ADS) or mouthwash B (0.2% CHX). After 15 days, the discoloration index and plaque index (PI) were recorded. After 15 days washout period, on the 30th day from baseline, supragingival scaling and polishing were carried out, and each subject used the subsequent mouthwash. On 45th day from baseline, the discoloration and PIs were recorded and comparisons were made.

Results: No significant difference in the PI between groups I and II mouthwash was seen (p≥0.05), whereas significant difference was found in the discoloration index between groups I and II mouthwash (p≤0.05).

Conclusion: The addition of Plasdone does not reduce the efficacy of CHX mouthwash. The current study also proved that CHX with ADS caused less staining than CHX alone.

Keywords: Antidiscoloration system, Chlorhexidine, Mouthwashes, Plasdone, Staining.

How to cite this article: Pereira R, Phad SG. Comparative Evaluation of 0.2% Chlorhexidine Mouth Rinse with and without an Antidiscoloration System: A Clinical Study. J Contemp Dent 2017;7(1):53-56.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL RESEARCH
Kunal Phodse, Vanitha U Shenoy, Priyanka S Machale

Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment

[Year:2017] [Month:May-August] [Volumn:7 ] [Number:2] [Pages:61] [Pages No:91-96][No of Hits : 702]


ABSTRACT

Introduction: Dental anxiety may be defined as a state of unpleasant feeling combined with an associated feeling of impending doom or danger from within than from without. Anxious patients are difficult to manage and tend to avoid treatment.

Aim: The aim of the study is to evaluate the level of dental anxiety among patients undergoing endodontic treatment.

Materials and methods: Consent form and a pro forma of questionnaire [Modified Dental Anxiety Scale (MDAS)] in three different languages were used. The patients undergoing endodontic treatment were first explained about the study and how the study would be carried out with a sample size of 250 patients. The minimum score of 5 and the maximum score of 25 was considered for evaluation. Cut off at 19 or above indicates a highly dentally anxious patient.

Statistical analysis: Analysis was done using the Student’s t-test and Kruskal-Wallis test.

Results: T here w ere s ignificant d ifferences i n t he l evel o f anxiety between male and female patients when the tooth was about to be drilled, when the teeth were about to be scaled, and when the local anesthetic was to be administered (p = 0.05, 0.02, and 0.06 respectively), except for anxiety levels a day prior to treatment and when patients were in the waiting room, which was not significant (p = 0.46 and 0.14 respectively).

Conclusion: In general, it was observed that patients are slightly anxious related to dental appointments and fairly anxious when related to treatments. Female patients tend to be more anxious than men, and patients in age group below 25 years are more anxious than other age groups.

Keywords: Dental anxiety, Endodontic treatment, Modified dental anxiety scale, Survey.

How to cite this article: Phodse K, Shenoy VU, Machale PS. Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment. J Contemp Dent 2017;7(2):91-96.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Nabila A Sedky

Assessment of Oral and Dental Health Status in Children with Cerebral Palsy: An Exploratory Study

[Year:2017] [Month:January-April] [Volumn:7 ] [Number:1] [Pages:75] [Pages No:1-11][No of Hits : 681]


ABSTRACT

Objectives: Evaluating oral and dental health status in Egyptian children with cerebral palsy (CP) in relation to gross motor skills and types of CP.

Materials and methods: Cross-sectional study was conducted at el-Shatby Hospital for Children, Alexandria, Egypt. Oral examination for 62 children with CP between the age range 3 and 12 years was performed, and decayed, missing, and filled permanent teeth (DMFT)/decayed and filled primary teeth (dft), simplified oral hygiene index (OHI-S), and modified gingival index (MGI) were charted. Maxillofacial defects, dental problems, and drooling of saliva were assessed. Children’s CP type, motor milestone, and gross motor skills were determined. All statistical analyses were carried out at p<0.05 and 0.01.

Results: About 84.0% of children had spastic quadriplegia, 41.9% were sit-supported, 32.3% had level IV Gross Motor Function Classification System (GMFCS), 29.0% had level V no maxillofacial defects, 14.5% had dentin exposure greater than one-third of the surface, and 22.6% had frequent/severe drooling saliva. Caries prevalence comprised 54.8%, 53.2% had poor oral hygiene (OHI-S), and 43.6% had severe gingival inflammation (MGI). The first best predictor variable for dft was “motor milestone” The GMFCS (levels IV and V) was the first best predictor variable for DMFT, OHI-S, and MGI.

Conclusion: The majority of children had dental caries, poor oral hygiene, and severe gingival inflammation. Children who were sit-supported, had no neck support, and stand-supported were suffering from dental caries (dft) more than children who were sitting and walking alone. Children with levels IV/V GMFCS were prone to have dental caries (DMFT), susceptible to suffer from bad oral hygiene, and older children experiencing severe gingivitis more than younger ones.

Keywords: Cerebral palsy, Dyskinetic, Monoplegia.

How to cite this article: Sedky NA. Assessment of Oral and Dental Health Status in Children with Cerebral Palsy: An Exploratory Study. J Contemp Dent 2017;7(1):1-11.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Chetna D Sirsat, Vivek Patni, Prateek Daga, Divij Joshi

Nonextraction Treatment of Class I Malocclusion having Anterior Crowding and Multiple Canine Impactions

[Year:2017] [Month:September-December] [Volumn:7 ] [Number:3] [Pages:54] [Pages No:169-173][No of Hits : 634]


ABSTRACT

Canine impaction is a condition wherein the tooth is embedded in the alveolus and is locked in by bone, teeth, or other structures, leading to difficulty in eruption. In this study, we present a case report of a 15-year-old female patient with a straight profile, class I skeletal and dental relationship, over retained deciduous teeth, severe anterior crowding in both the arches, and impacted canine in maxillary arch on both the sides and in mandibular arch on the right side. Extraction of deciduous teeth was done prior to fixed appliance therapy. After leveling and alignment using fixed appliance, surgical exposure of impacted canines was done using open flap surgical technique. Canines were brought into occlusion using conventional orthodontic technique. In mandibular arch, space for lingually placed lateral incisor was created using nickel-titanium (NiTi) open coil spring. Results achieved after decrowding and getting impacted canines into normal occlusion are presented.

Keywords: Class I, Crowding, Impacted canines, Nickel- titanium open coil spring, Open flap surgical technique.

How to cite this article: Sirsat CD, Patni V, Daga P, Joshi D. Nonextraction Treatment of Class I Malocclusion having Anterior Crowding and Multiple Canine Impactions. J Contemp Dent 2017;7(3):169-173.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Kushal N Gandhi, Sabita M Ram

A Comparative Evaluation of the Marginal and Internal Fit of Laboratory-fabricated Monolithic Zirconia Crowns using Direct and Indirect Methods of Scanning: An in vitro Study

[Year:2017] [Month:January-April] [Volumn:7 ] [Number:1] [Pages:75] [Pages No:22-27][No of Hits : 572]


ABSTRACT

Aim: To evaluate the marginal and internal fit of laboratoryfabricated monolithic zirconia crowns using direct and indirect methods of scanning.

Materials and methods: A stainless steel master model was selected, which included stainless steel die, outer cap, and inner cap. The study was divided into two groups. In group I, direct method of scanning was carried out in which the stainless steel die was scanned directly with chairside scanner, and in group II, impression of the stainless steel die was made and gypsum die was fabricated, which was then subjected to scanning. Zirconia blanks or blocks were milled, sintered, and polished to obtain 10 zirconia crowns of each group. Replica technique was used to evaluate fit of crowns by using light body as cement analog. The crowns were then sectioned, viewed under a stereomicroscope, and each predetermined region was measured and evaluated for marginal and internal fit.

Results: The descriptive statistics showed that the mean marginal fit for indirect method was higher compared with that for direct method. The results of paired-sample t-test revealed that mean marginal and internal fit for indirect method was on the upper side of the scale, whereas the mean for the direct method is on the lower side of the scale. Thus, the difference in the means of two methods was quite large and likely to be significant.

Conclusion: The results did show better marginal and internal fit in crowns fabricated by the direct method; however, the crowns fabricated by the indirect method had more discrepancy, but were in the clinically acceptable limit.

Clinical significance: The present study would serve as a useful guide in deciding which method of scanning would give a better marginal and internal fit of monolithic zirconia crowns for longevity of restorations.

Keywords: Computer-aided design/computer-aided manufacturing, Monolithic, Replica technique.

How to cite this article: Gandhi KN, Ram SM. A Comparative Evaluation of the Marginal and Internal Fit of Laboratory-fabricated Monolithic Zirconia Crowns using Direct and Indirect Methods of Scanning: An in vitro Study. J Contemp Dent 2017;7(1):22-27.

Source of support: Dental Ceramists Pvt. Ltd., Pradhan Dental Centre

Conflict of interest: None


 
CASE REPORT
Sushrut Vaidya, Srivalli Natrajan, Sneha Kadam

Primary Non-Hodgkin’s Lymphoma involving Parotid Gland: A Rare Entity

[Year:2017] [Month:January-April] [Volumn:7 ] [Number:1] [Pages:75] [Pages No:71-75][No of Hits : 560]


ABSTRACT

Non-Hodgkin’s lymphomas constitute 25 to 40% of all lymphomas. The gastrointestinal tract is the most common site followed by the head and neck area. Salivary gland involvement is a very rare entity and is involved in 0.5 to 5% of all cases. Among all the major salivary glands, the parotid gland is commonly involved followed by the submandibular glands. Misdiagnosis often leads to unnecessary diagnostic procedures, which leads to delay in initiation of appropriate treatment. It is often difficult to diagnose the distinction between lymphoma developing primarily in the parotid gland tissue and in the intraparotid lymph nodes. As per the reports, primary tumors of the parotid gland show no characteristic features on diagnostic imaging, reflecting none of their histological findings. We represent a case of a 61-year-old female who presented with painless, gradually increasing mass in the right parotid region. Imaging studies were suggestive of an infiltrative mass lesion involving right the parotid gland. The patient underwent superficial parotidectomy along with the excision of the part of the deep lobe posterior to submandibular gland with facial nerve preservation. Histopathology of the resected specimen shows infiltrates of lymphocytes into the glandular parenchyma destroying its normal lobular organization and disrupting the normal glandular architecture.

Keywords: Non-Hodgkin’s lymphoma, Parotid gland, Salivary gland.

How to cite this article: Vaidya S, Natrajan S, Kadam S. Primary Non-Hodgkin’s Lymphoma involving Parotid Gland: A Rare Entity. J Contemp Dent 2017;7(1):71-75.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL RESEARCH
Hakan Eren, Halil T Yuksel, Beste Inceoglu, Emine S Kursun, Sebahat Gorgun

Comparison of Visual Examination, Bite-wing Radiography, and Fiberoptic Transillumination on Caries Detection

[Year:2017] [Month:May-August] [Volumn:7 ] [Number:2] [Pages:61] [Pages No:77-81][No of Hits : 545]


ABSTRACT

Introduction: The detection of carious lesions in the initial stages of development is very important to prevent the occurrence of cavitation. Visual examination and the use of a dental probe, bite-wing radiography, and fiberoptic transillumination (FOTI) have long been recommended for this purpose. Visual examination and probing of suspected lesions are useful for detecting occlusal caries, but achieve no gain of sensitivity and might cause irreversible tooth damage. Bite-wing radiography helps to detect approximal lesions better than clinical examination and probing the lesion. But the diagnostic performance of bite-wing radiography at approximal and occlusal sites is different. The FOTI is a quick and inexpensive method that can enhance visual examination of all tooth surfaces.
The aim of this in vivo study is to compare FOTI with bitewing radiography and visual examination in the detection of approximal and occlusal caries.

Materials and methods: A total of 46 patients without missing teeth and dentures in the posterior region of jaws were examined for the evaluation of all premolar and molar teeth contacts. Three blinded practitioners examined the patients. First one evaluated radiologically, second one visually, and the last one evaluated with FOTI.

Results: According to statistical results, bite-wing radiograph had the highest sensitivity. However, evaluation with FOTI had acceptable results to detect approximal caries.

Conclusion: Study of the results has shown that clinically FOTI is an adjunct method for detection of approximal caries.

Keywords: Bite-wing radiography, Caries, Fiberoptic transillumination.

How to cite this article: Eren H, Yuksel HT, Inceoglu B, Kursun ES, Gorgun S. Comparison of Visual Examination, Bite- wing Radiography, and Fiberoptic Transillumination on Caries Detection. J Contemp Dent 2017;7(2):77-81.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Jaishree A Rijhwani, Vineet V Kini, Richard Pereira, Seema Yadav

Free Gingival Autograft and Subepithelial Connective Tissue Graft for the Treatment of Gingival Recession: A Brief Review and Report of Three Cases

[Year:2016] [Month:September-December] [Volumn:6 ] [Number:3] [Pages:75] [Pages No:225-232][No of Hits : 4126]


ABSTRACT
Gingival recession is the migration of the free gingival margin apical to the cementoenamel junction. There are various factors contributing toward gingival recession apart from periodontal disease that include faulty tooth brushing, tooth position or malaligned teeth, high muscle or frenal attachment, alveolar bone dehiscence, orthodontic forces, and iatrogenic factors leading to problems of esthetics, hypersensitivity, and root caries.
Several periodontal plastic surgical techniques have been introduced in the previous literature aiming to correct marginal tissue recessions, the predictability of which depends upon careful evaluation of the defect type, presence of attached gingiva, keratinized tissue width, and presence of single or multiple gingival recessions. The use of free gingival graft (FGG) and subepithelial connective tissue graft (SCTG) in root coverage is indicated for the treatment of single or multiple gingival recessions. Although both FGGs and SCTGs provide significant reduction in recession depth and clinical attachment gain for Miller’s Class I and II gingival recession defects, SCTG seems to offer root coverage with a better color match between donor and recipient site tissue rendering better esthetics. Considering the advantages and disadvantages of FGG and SCTG in root coverage procedures, the following case reports describe the clinical results using FGG by Miller’s technique, and using SCTGs by technique of Langer and Langer, and Zabalegui tunnel technique for the treatment of gingival recession.
Keywords: Free gingival autograft, Gingival recession, Root coverage, Subepithelial connective tissue graft.
How to cite this article: Rijhwani JA, Kini VV, Pereira R, Yadav S. Free Gingival Autograft and Subepithelial Connective Tissue Graft for the Treatment of Gingival Recession: A Brief Review and Report of Three Cases. J Contemp Dent 2016;6(3):225-232.
Source of support: Nil
Conflict of interest: None


 
Guest Editorial
Davis Thomas

Sleep Medicine Training for the Dentist?

[Year:2016] [Month:May-August] [Volumn:6 ] [Number:2] [Pages:56] [Pages No:iv][No of Hits : 3922]


ABSTRACT

Sleep Medicine Training for the Dentist?

The last 50 years have seen explosive advances in science and medicine, particularly in general and dentistry. Quite a few paradigms in both, these sciences have changed and continue to change. Case in point: When I was an undergraduate student in dentistry in the early 1990s and even further down the road, clinical findings, such as linea alba bucca, scalloped tongue, generalized attrition, visibility of posterior pharyngeal space, “abfractions,” etc. were merely documented by studious students and slipped into oblivion for the rest of the time.


 
CASE REPORT
Ritesh Balasaheb Pawar, Sumanthini V Margsahayam, Vanitha U Shenoy, Saimanaaz Abdul Hakeem Shaikh

Management of a Traumatized Open Apex Tooth with a Combination of Mineral Trioxide Aggregate Apical Plug and Platelet-rich Fibrin Apical Matrix

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:57-62][No of Hits : 1564]


ABSTRACT

The absence of a natural apical constriction in permanent tooth makes endodontic treatment a challenge. Traditionally, calcium hydroxide was used for inducing the formation of an apical barrier. Currently, mineral trioxide aggregate (MTA) has shown promising results for apexification procedures. In an open apex, it is imperative to limit the MTA placement within the confines of the root canal for predictable healing. The placement of an internal matrix may limit the extrusion to some extent. Many materials can be used as internal matrix such as collagen membrane, calcium sulphate, hydroxyapatite, freeze dried bone, and platelet-rich fibrin (PRF) among others. This case report presents a successful demonstration of the management of an open apex using MTA placed over an internal apical matrix of PRF.

Keywords: Apexification, Mineral trioxide aggregate, Open apex, Platelet-rich fibrin.

How to cite this article: Pawar RB, Margsahayam SV, Shenoy VU, Shaikh SAH. Management of a Traumatized Open Apex Tooth with a Combination of Mineral Trioxide Aggregate Apical Plug and Platelet-rich Fibrin Apical Matrix. J Contemp Dent 2016;6(1):57-62.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Nabila Ahmed Sedky

Assessment of Knowledge, Perception, Attitude, and Practices of Expectant and Lactating Mothers regarding their own as well as their Infants’ Oral Health in Qassim Province, Kingdom of Saudi Arabia

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:24-37][No of Hits : 1413]


ABSTRACT

Objectives: Assessing knowledge, perception, attitude, and practices of pregnant/lactating mothers concerning their own and their infants’ oral health in relation to their oral health status and educational level.

Materials and methods: Anonymous self-administered questionnaire, 317 completed it, response rate = 90.57%. It constituted sections for demography, evaluating oral health knowledge during pregnancy/postpartum, saliva-sharing behavior of mother with baby, infant-feeding practices, and perception of oral health knowledge and attitudes. Oral health condition was measured using decayed, missing, and filling, papillary, marginal, and attached gingiva, and simplified oral hygiene indices. Four scores were constructed from participants’ responses to interpret results.

Results: Fair oral hygiene, moderate gingivitis, and caries index was the oral health status, with negative correlation with educational level. About 66.88% had poor perception and practices toward their oral health during pregnancy, with significant difference and negative correlation with oral health status. Significant difference (P<0.001) & positive correlation was detected regarding knowledge about causes of oral/ dental problems and oral health attitude in relation to level of education with 58.68% poor knowledge and negative attitude. Above three quarters had poor knowledge and practices and negative attitude for their infants’ oral health, with significant result and positive correlation with educational level. Poor perception (54.26%) was recorded regarding causes of oral/ dental diseases, methods of tooth cleaning, and types and benefits of using toothpaste in relation to oral health status with a significant difference and negative correlation.

Conclusion: Data revealed that expectant and lactating mothers had poor knowledge, perception and practices, and negative attitude toward their oral health during pregnancy and postpartum as well as their children’s oral health.

Keywords: Attitude, DMFT index, Expectant and lactating mothers, Knowledge, Perception, Practices, OHI-S index, Oral health, PMA index.

How to cite this article: Sedky NA. Assessment of Knowledge, Perception, Attitude, and Practices of Expectant and Lactating Mothers regarding their own as well as their Infants’ Oral Health in Qassim Province, Kingdom of Saudi Arabia. J Contemp Dent 2016;6(1):24-37.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Alok Rajendra Shah, Girish Karandikar, VK Ravindranath, Manish Sonawane, Amol Mhatre

A Comparative Study of Reliability and Accuracy of Manual and Digital Lateral Cephalometric Tracing

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:15-18][No of Hits : 1391]


ABSTRACT

Objective: The aim of this study was to assess the reliability and accuracy of several types of lateral cephalometric attributes commonly used: angular measurements, linear measurements, and ratio when using digital cephalometric software (Nemoceph) with manual tracing method.

Materials and methods: Sample size consisted of 26 lateral cephalometric radiographs. All cephalograms were subjected to both manual and digital cephalometric analysis by the same examiner. Digital analyses were performed on Nemotec digital imaging software. Cephalograms were assessed for a total of 17 cephalometric attributes. The results were assessed using Student’s t-test.

Results: Six out of 17 measurements, that is, sella, nasion, B point, ANB, incisor mandibular plane angle, mandibular plane angle, L1-NB, and Jarabak ratio, showed statistically significant difference between the manual and digital methods.

Conclusion: Digital measurements obtained with Nemotec digital imaging software were found to be comparable to the manual method for most of the variables used in clinical practice.

Keywords: Cephalometric measurements, Cephalometric tracing, Digital imaging.

How to cite this article: Shah AR, Karandikar G, Ravindranath VK, Sonawane M, Mhatre A. A Comparative Study of Reliability and Accuracy of Manual and Digital Lateral Cephalometric Tracing. J Contemp Dent 2016;6(1):15-18.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Jyoti B Nadgere, Suyog Kisanrao Masram, Sabita M Ram, Naisargi P Shah

Rehabilitation of a Patient with Immediate Complete Denture

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:90-95][No of Hits : 1316]


ABSTRACT

Patient’s desire to have a replacement with complete dentures before losing all their natural teeth, this is important for the psychology of the patient. Patients with gross mobility of the teeth needing replacement with complete denture without going through a period of edentulousness has become mandatory for a prosthodontist to treat. An immediate denture is a treatment of choice for such patients. A case report is being presented for a patient with flared, prominent, mobile anterior teeth treated with a successful immediate denture.

Keywords: Immediate complete denture, Interim prosthesis.

How to cite this article: Nadgere JB, Masram SK, Ram SM, Shah NP. Rehabilitation of a Patient with Immediate Complete Denture. J Contemp Dent 2016;6(1):90-95.

Source of support: Nil Conflicts of interest: None


 
RESEARCH ARTICLE
Varun Rajeev Kunte, Ajay Ramesh Bhoosreddy, Seema Ajay Bhoosreddy, Atul Ashok Pandharbale, Manila Rajaram Shinde, Bhushan Sukhdeo Ahire

Alveolar Bone Dimensions of Mandibular Posterior Teeth using Cone Beam Computed Tomography: A Pilot Study

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:9-14][No of Hits : 1245]


ABSTRACT

Aim: The aim of this study was to analyze bone dimensions of the dentate posterior mandible using cone beam computed tomography (CBCT).

Objectives: The objectives of this study were

  • To measure thickness of buccal and lingual bone walls in mandibular posterior teeth using CBCT.
  • To measure alveolar bone width in mandibular posterior teeth using CBCT.

Materials and methods: Ten CBCT scans were included in the study (n = 65 teeth). Thicknesses of buccal and lingual walls were measured at MP1 and MP2. Alveolar width was assessed at most coronal detected alveolar bone (BW1) and at superior border of mandibular canal (BW2). Vertical distance between BW1 and BW2 was measured (H). Data were tabulated and results were statistically analyzed using unpaired t test.

Results: The study showed that there was an increase in bone wall thickness from 1st premolar to 2nd molar for buccal and lingual alveolar plates. Lingual bone walls were thicker than buccal bone walls at MP1 and MP2 for all teeth. Bone width for premolars was considerably less than bone width of molars.

Conclusion: Careful preoperative analysis using CBCT is important to assess need of bone augmentation procedures. As the bone thickness and width in the molar region is more adequate, prognosis of implants placed in molar region may be better.

Clinical significance: Analysis of bone dimensions is of utmost importance for successful outcome of bone augmentation procedures in implant treatment.

Keywords: Alveolar bone dimensions, CBCT, Implants Mandibular posterior teeth.

How to cite this article: Kunte VR, Bhoosreddy AR, Bhoosreddy SA, Pandharbale AA, Shinde MR, Ahire BS. Alveolar Bone Dimensions of Mandibular Posterior Teeth using Cone Beam Computed Tomography: A Pilot Study. J Contemp Dent 2016;6(1):9-14.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Shailesh Nareshkumar Kokal, Suraj Arjun Ahuja, Nareshkumar T Kokal, Haemant A Baonerkar

Clinical Experience with Osteosynthesis of Subcondylar Fractures of the Mandible using Delta Plate

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:63-66][No of Hits : 1235]


ABSTRACT

Mandibular condyle fractures are one of the most frequent injuries of the facial skeleton. The option for open treatment of mandibular condyle fractures has become more favorable since osteosynthesis materials were developed in the past few decades. However, the rigid fixation techniques of treating condyle fractures remain one of the controversial issues in maxillofacial trauma. Several techniques and plate types such as adaption miniplates, minidynamic compression plates, resorbable plates, and double plates have been evaluated biomechanically in various experimental and clinical studies. The present case report is to evaluate the clinical use of indigenously developed titanium delta-shaped miniplate in open reduction and internal fixation of subcondylar fracture.

Keywords: Delta plate, Osteosynthesis of condyle, Subcondylar fracture.

How to cite this article: Kokal SN, Ahuja SA, Kokal NT, Baonerkar HA. Clinical Experience with Osteosynthesis of Subcondylar Fractures of the Mandible using Delta Plate. J Contemp Dent 2016;6(1):63-66.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Naisargi P Shah, Amit Mahadeo Gaikwad, Sabita M Ram, Jyoti B Nadgere

Masking Conventional Metallic Cast Post for Enhancing Esthetics

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:85-89][No of Hits : 1161]


ABSTRACT

Loss of tooth structure occurs due to caries, endodontic treatment, or fracture caused by trauma; restoring these teeth is difficult task for a clinician. Post and core is an option for teeth when excessive tooth structure is lost and teeth need to be restored with crown and bridge procedure. They can be prefabricated post with composite built up or a one-piece custom-made post. The custom-made cast metal post and core have disadvantage due to their color that imparts grayish hue to overlying ceramic restorations. Masking the metal core can enhance the esthetic of all ceramic restorations that are placed over the cast post and core. A case report is being presented where the metallic core was masked with ceramic built up on labial surface of metal core.

Keywords: All ceramic restorations, Lithium disilicate, Metal cast post, Post and core.

How to cite this article: Shah NP, Gaikwad AM, Ram SM, Nadgere JB. Masking Conventional Metallic Cast Post for Enhancing Esthetics. J Contemp Dent 2016;6(1):85-89.

Source of support: Nil

Conflict of interest: None


 
Case Report
Adil Gandevivala, Dinesh H Shah, Sunil Sidana, Akram Khan

Modified Rhomboid Flap for Reconstruction of Defect of Cheek after Excision of Basal Cell Carcinoma

[Year:2016] [Month:May-August] [Volumn:6 ] [Number:2] [Pages:56] [Pages No:154-156][No of Hits : 1007]


ABSTRACT

The cheek is a very important part of the human face because it is the largest part and is essential in terms of both esthetics and functionality. Basal cell carcinomas (BCCs) are most common skin malignancy found in Caucasians and rarely in Asians. Treatment can range from topical medications, curettage, Mohs micrography, cryosurgery, laser surgery and excision. Defect left after excision can be cosmetically disfiguring. Options for reconstruction after excision of the lesion are skin graft and local flaps. We present a case of BCC of the cheek which was reconstructed with modified rhomboid flap.

Keywords: Cheek defect, Reconstruction, Rhomboid flap.

How to cite this article: Gandevivala A, Shah DH, Sidana S, Khan A. Modified Rhomboid Flap for Reconstruction of Defect of Cheek after Excision of Basal Cell Carcinoma. J Contemp Dent 2016;6(2):154-156.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Jatan Patel, Rajesh Sethuraman, Paranjay Prajapati, Jayanti Patel

Effect of Complete Denture Rehabilitation on Oral Health-related Quality of Life in Completely Edentulous Patients

[Year:2016] [Month:September-December] [Volumn:6 ] [Number:3] [Pages:75] [Pages No:166-170][No of Hits : 988]


ABSTRACT
Context: Oral conditions and their impacts on quality of life (QoL) are now important as a tool to evaluate patients’ perception of treatment offered to them. There are various indexes used as a tool to assess the QoL of the individual. The general oral health assessment index (GOHAI) is a proven and reliable index to assess the oral health and its impact on oral healthrelated quality of life (OHRQoL). Aim: To evaluate the effect of complete denture rehabilitation on OHRQoL in completely edentulous patients.
Settings and design: The study compares the improvement of OHRQoL of 50 completely edentulous patients enrolled in the study, after rehabilitation of them with conventional complete dentures.
Materials and Methods: Hindi version of the GOHAI was used as evaluation tool for OHRQoL.
Statistical analysis: Wilcoxon signed-rank test was applied to assess changes in GOHAI score before and after rehabilitation with a complete denture.
Results: The GOHAI score was seen to be increased from 22.30 ± 1.67 to 27.48 ± 1.13 (p-value < 0.000), which was highly significant.
Conclusion: The GOHAI is an example of a patient-based assessment of oral health problems commonly affecting older adults. The GOHAI assessment indicates improvement in chewing. The highest change between pre- and postinsertion scores was 92.75% for biting or chewing any kind of food.
Keywords: Complete denture, Geriatric oral health assessment index, Oral health-related quality of life.
How to cite this article: Patel J, Sethuraman R, Prajapati P, Patel J. Effect of Complete Denture Rehabilitation on Oral Health-related Quality of Life in Completely Edentulous Patients. J Contemp Dent 2016;6(3):166-170.
Source of support: Nil
Conflict of interest: None


 
CASE REPORT
Prateek Navratan Daga, Girish R Karandikar, VK Ravindranath, Sachin Doshi

Correction of Skeletal Sagittal Dysplasia using Twin Block Traction Technique

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:75-79][No of Hits : 988]


ABSTRACT

The primary concern of the patient as well as their parent seeking orthodontic treatment is the sagittal relationship of the dentition and jaws. Twin block is the most common functional appliance used successfully in correction of growing patient with skeletal class II malocclusion. However, the method of using extraoral traction in combination with twin block appliance (twin block traction technique) is to reinforce the functional component for correction of a class II sagittal relationship. A 12-year-old male patient reported to the Department of Orthodontics with a chief complaint of forwardly placed upper front teeth. With the help of clinical examination, cephalometrics, and diagnostic records, the diagnosis of the patient was confirmed as skeletal class II maxillomandibular relationship with prognathic maxilla and retrognathic mandible with a vertical growth pattern. The patient was treated with twin block appliance along with headgear. The appliance design and postfunctional results are demonstrated in the following case report. Although twin block with high-pull headgear is known to produce favorable results in mixed dentition, the same was observed in permanent dentition during growth phase. Combination of twin block appliance with high pull headgear gave the desired results.

Keywords: Extraoral traction, High-pull headgear, Skeletal class II, Twin block,

How to cite this article: Daga PN, Karandikar GR, Ravindranath VK, Doshi S. Correction of Skeletal Sagittal Dysplasia using Twin Block Traction Technique. J Contemp Dent 2016;6(1): 75-79.

Source of support: Nil

Conflict of interest: None


 
Research Article
AS Anandakumar, R Sankari

Awareness about Periodontal Disease and Its Association with Systemic Disease among Medical Practitioners: A Pilot Study

[Year:2016] [Month:May-August] [Volumn:6 ] [Number:2] [Pages:56] [Pages No:104-107][No of Hits : 915]


ABSTRACT

Background: For decades, physicians and dentists have paid close attention to their own respective fields, specializing in medicine pertaining to the body and the oral cavity respectively. However, recent findings have strongly suggested that oral health may be indicative of systemic health. Currently, this gap between allopathic medicine and dental medicine is quickly closing, due to significant findings supporting the association between periodontal disease and systemic conditions.

Aim: The aim of the study is to evaluate knowledge of medical practitioners about periodontal disease and its association with systemic disease.

Materials and methods: This study was carried out using a self-reported questionnaires that was distributed to 120 practicing medical doctors of various fields. There were 68 male and 52 female doctors. Among which, 63 doctors have less than 10 years of experience, 47 doctors have 10 to 20 years, and 10 doctors have more than 20 years experience.

Conclusion: Although the vast majority of the medical doctors reported that they knew the relationship between periodontal disease and systemic health, this awareness was not supported by precise knowledge and failed to appropriate clinical practice. Interdisciplinary dental and medical training will likely be solution to the problem.

Keywords: Awareness, Periodontitis, Systemic conditions, Systemic diseases.

How to cite this article: Anandakumar AS, Sankari R. Awareness about Periodontal Disease and Its Association with Systemic Disease among Medical Practitioners: A Pilot Study. J Contemp Dent 2016;6(2):104-107.

Source of support: Nil

Conflict of interest: None


 
Research Article
Aditya A Kavlekar, Meena A Aras, Vidya Chitre

Treatment Concepts for Restoration of endodontically Treated Teeth: A Survey among General Practitioners, Prosthodontists, and Endodontists in India

[Year:2016] [Month:May-August] [Volumn:6 ] [Number:2] [Pages:56] [Pages No:129-136][No of Hits : 802]


ABSTRACT

Aim: To study the treatment concepts for restoration of endodontically treated teeth (ETT) among general practitioners, prosthodontists, and endodontists in India and to compare practices followed by practitioners in India with that of other countries.

Materials and methods: A questionnaire consisting of 16 multiple choice questions was formulated. It was handed out randomly to general practitioners, prosthodontists, and endodontists at respective national conferences by personal handouts. The questionnaire consisted of 16 multiple choice questions that focused on the treatment philosophies of post-endodontic restoration, materials, and techniques used.

Results: 70.7% general practitioners believe that a post reinforces ETT and reduces fracture probability and they placed posts more frequently as compared to prosthodontists and endodontists. 44.6% endodontists believed that ferrule does not increase the fracture resistance. Cast post and cores were preferred by 83.2% endodontists, whereas prefabricated posts were preferred by 78.4% general practitioners. Prosthodontists used cast posts and cores as well as prefabricated posts with relatively same frequency. 70.3% endodontists, 74.1% general practitioners, and 46.3% prosthodontists preferred tapered posts. 76.2% endodontists seal root filling after post space preparation, whereas 77.7% prosthodontists and 79.3% general practitioners do not seal the root filling. 81% prosthodontists and 74.1% general practitioners reported endodontic failure as the most frequent cause of failure, however, 79.2% endodontists reported loss of retention of posts.

Conclusion: Within the limitations of the present study, there were differences in knowledge and practices followed in restoration of ETT among the different specialties - prosthodontists, endodontists, and general practitioners studied in India and also when compared to other countries.

Keyword: Endodontically treated teeth, Post and core, Survey.

How to cite this article: Kavlekar AA, Aras MA, Chitre V. Treatment Concepts for Restoration of endodontically Treated Teeth: A Survey among General Practitioners, Prosthodontists, and Endodontists in India. J Contemp Dent 2016;6(2):129-136.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Divij Joshi, Vivek Patni, Girish Karandikar, VK Ravindranath

A New Technique for Precise Microimplant Placement

[Year:2016] [Month:September-December] [Volumn:6 ] [Number:3] [Pages:75] [Pages No:157-160][No of Hits : 776]


ABSTRACT
Aim: To explore a successful, much simpler, less cumbersome, and time-consuming technique for mini-implant placement.
Materials and Methods: Crimpable hook, intraoral periapical radiograph, 15 number surgical blade.
Results: Very simple and efficient technique for mini-implant placement.
Conclusion: The proximity of roots in mandibular arch is major risk factor for placements of mini-implants. With the help of this technique, the proper direction and orientation of the miniimplant to be placed can be evaluated.
Clinical significance: There is no additional armamentarium required for this technique with the least clinical time for the operator providing a very efficient way for mini-implant placement.
Keywords: Anchorage, Mini-implant, Orthodontic treatment, Temporary anchorage device.
How to cite this article: Joshi D, Patni V, Karandikar G, Ravindranath VK. A New Technique for Precise Microimplant Placement. J Contemp Dent 2016;6(3):157-160.
Source of support: Nil
Conflict of interest: None


 
CASE REPORT
Kushal N Gandhi, Sabita M Ram, Naisargi P Shah

Rejuvenating Smile with All-ceramic Crowns

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:80-84][No of Hits : 764]


ABSTRACT

Smile enhancement for a patient instills self-confidence by rendering an attractive smile. All-ceramic restorations have the potential to replicate the natural esthetics close to natural dentition, i.e. lacking in metal ceramic restorations. A young female patient unhappy with her smile was rehabilitated with all-ceramic restorations; thereby, the beauty of an individual within the functional and physiological functions could be restored. The final outcome with regard to esthetics and function was found to be good.

Keywords: All-ceramic restorations, Lithium disilicate, Smile enhancement.

How to cite this article: Gandhi KN, Ram SM, Shah NP. Rejuvenating Smile with All-ceramic Crowns. J Contemp Dent 2016;6(1):80-84.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Yashashri Sunil Chaudhari, Vishwas Madaan, Himani Gupta, Ashvini M Padhye

Is Resection a Panacea for managing Furcation Predicament? A Report of Two Cases

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:38-44][No of Hits : 764]


ABSTRACT

The presence of attachment loss in the furcation is one of the most serious anatomical sequels of periodontitis. Furcations are not accessible for professional debridement, as their entrance is small compared with the size of periodontal instruments, and they present with ridges, convexities, and concavities that make it difficult for clinicians to debride effectively. Advances in dentistry have provided the opportunity for clinicians to provide patients with the option of retaining their teeth in the long term. Such teeth can be useful as independent units of mastication or as abutments in simple fixed bridges. This article presents two cases of advanced furcation defects, which were treated by two different resective periodontal therapeutic modalities.

Keywords: Furcation, Resective, Tunneling.

How to cite this article: Chaudhari YS, Madaan V, Gupta H, Padhye AM. Is Resection a Panacea for managing Furcation Predicament? A Report of Two Cases. J Contemp Dent 2016; 6(1):38-44.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Ashvin Panditrao Wagh, Jyotsna Galinde

Oral Submucous Fibrosis

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:67-69][No of Hits : 762]


ABSTRACT

The pedicled buccal pad of fat has been widely used for the reconstruction of defect; application of this flap in the treatment of patient suffering from oral submucous fibrosis (OSMF) is reported here. The patient underwent incision of fibrotic bands and coverage of this buccal defect with buccal pad of fat. The surgical technique is described and the results suggest that this is a logical, reliable, and convenient technique for OSMF.

Keywords: Buccal pad of fat, Coronoidectomy, Oral submucous fibrosis.

How to cite this article: Wagh AP, Galinde J. Oral Submucous Fibrosis. J Contemp Dent 2016;6(1):67-69.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Abhishek Sanjay Ghule, Deepa Das Achath, Preeti Kanchan-Talreja, Sunanda Bhatnagar

Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:45-51][No of Hits : 735]


ABSTRACT

Fibroosseous lesions of the jaws, including juvenile ossifying fibroma (JOF), pose diagnostic and therapeutic difficulties due to their clinical, radiological, and histological variability. There are two histological varieties of it, one as psammomatoid type and second as trebacular type; here, we present a trebacular type, which is a rare variety. After the clinical examination, radiological and histological analysis, it was diagnosed as juvenile trebacular ossifying fibroma. Although JOF is an uncommon clinical entity, its aggressive local behavior and high recurrence rate means that it is important to make an early diagnosis, apply the appropriate treatment, and, especially, follow-up the patient over the long term.

Keywords: Fibroosseous lesions of the jaw, Juvenile aggressive trabecular ossifying fibroma, JOF.

How to cite this article: Ghule AS, Achath DD, Kanchan- Talreja P, Bhatnagar S. Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report. J Contemp Dent 2016;6(1):45-51.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
PS Vivek, VK Ravindranath, Girish Karandikar, Sachin Doshi, Amol Mhatre, Manish Sonawane

Frictional Characteristics of the Newer Low-friction Elastomeric Ligatures

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:19-23][No of Hits : 674]


ABSTRACT

Aim: The aim of this in vitro study was to investigate the efficiency of the new generation of elastomeric ligatures with innovative designs (Slide and AlastiK Easy-To-Tie) in reducing frictional resistance (FR) during sliding mechanics as compared with conventional ligatures.

Materials and methods: Sixty ligature samples divided into four groups were used for the study. Group A: QuiK-StiK (3M Unitek, Monrovia, CA, USA), Group B: AlastiK Easy-To-Tie (3M Unitek, Monrovia, CA, USA), Group C: Slide (Leone, Firenze, Italy), and Group D: SS ligatures 0.010” (Libral Traders, New Delhi, India). Universal Testing Machine, Instron was used for measuring FR at the bracket-wire interface.

Results: There was statistically significant difference in FR among all the four groups of ligatures tested (p < 0.001). Slide ligatures produced the least amount of FR followed by SS ligatures, Easy-To-Tie, and QuiK-StiK in the increasing order of the FR values registered.

Conclusion: Slide ligatures may represent a valid alternative to passive self-ligating brackets when minimal amount of friction is desired. Angulation introduced into the elastomeric ligatures reduces the friction in comparison to conventional elastomeric ligatures.

Keywords: Angulated elastomeric ligatures, Frictional resistance, Low-friction elastomeric ligatures, Slide ligatures.

How to cite this article: Vivek PS, Ravindranath VK, Karandikar G, Doshi S, Mhatre A, Sonawane M. Frictional Characteristics of the Newer Low-friction Elastomeric Ligatures. J Contemp Dent 2016;6(1):19-23.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Shikha Satish Bhatt, Shilpa Patel, Jigna Pathak, Niharika Swain

Osteosarcoma of Mandible

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:70-74][No of Hits : 666]


ABSTRACT

Osteosarcomas (OS) are malignant neoplasms of the bone that commonly affect the long bones with rare presentation in jaws. Osteosarcomas of jaws represent about 6 to 8% of all OS, with an incidence of approximately 1 in 1.5 million persons per year. Although the exact cause of OS is still unknown, defects in the retinoblastoma (RB) and p53 genes play an important role in the process. It is characterized histologically by anaplastic stroma with direct osteoid production. Here, we report a case of OS in a 30-year-old female, who came with a massive bony swelling in the right mandibular region.

Keywords: Osteoblastic variant, Osteosarcoma, Sunburst appearance.

How to cite this article: Bhatt SS, Patel S, Pathak J, Swain N. Osteosarcoma of Mandible. J Contemp Dent 2016;6(1):70-74.

Source of support: Nil

Conflict of interest: None


 
Case Report
Kehkashan E Azmi, Shilpa Patel, Jigna Pathak, Niharika Swain

Glandular Odontogenic Cyst Mimicker: A Novel Entity

[Year:2016] [Month:May-August] [Volumn:6 ] [Number:2] [Pages:56] [Pages No:145-148][No of Hits : 653]


ABSTRACT

Glandular odontogenic cyst (GOC) is an uncommon developmental odontogenic cyst of jaws with a frequency of approximately 0.2%. Because of its aggressive biological behavior including its malignant transformation potential, recently collaborative efforts by few researchers have laid down certain histopathological criteria segregating it from its mimickers which include dentigerous cyst, lateral periodontal cyst (LPC), or botryoid cyst, radicular cyst, and central low-grade mucoepidermoid carcinoma. Therefore, cautious histopathological evaluation is necessary of GOC mimickers in order to prevent its overdiagnosis. Here, we present a case of GOC mimicker in a 12-year-old male patient in left maxillary region.

Keywords: Glandular odontogenic cyst mimicker, Hobnail cell, Sialo-odontogenic cyst.

How to cite this article: Azmi KE, Patel S, Pathak J, Swain N. Glandular Odontogenic Cyst Mimicker: A Novel Entity. J Contemp Dent 2016;6(2):145-148.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Sabita M Ram, Ankita A Nigam, Jyoti B Nadgere, Naisargi P Shah

Management of Anterior Ridge Defect with Andrew’s Bridge

[Year:2016] [Month:September-December] [Volumn:6 ] [Number:3] [Pages:75] [Pages No:208-213][No of Hits : 628]


ABSTRACT
Residual ridge deformity after tooth loss is an expected outcome. The treatment of a patient with a history of trauma with loss of teeth and ridge defect is a significant challenge. This article presents a case of Seibert’s class III ridge defect in the maxillary anterior region, which was treated with a fixed-removable system, the Andrew’s bridge, for economical and time constraints. It requires a castable bar and sleeve attachment, which provides precision and retention while seating. It is primarily indicated where abutments are capable of supporting a fixed partial denture, but residual ridge shows severe loss.
Keywords: Fixed–removable prosthesis, Sleeve attachment, Seibert’s ridge defect.
How to cite this article: Ram SM, Nigam AA, Nadgere JB, Shah NP. Management of Anterior Ridge Defect with Andrew’s Bridge. J Contemp Dent 2016;6(3):208-213.
Source of support: Nil
Conflict of interest: None


 
REVIEW ARTICLE
Vikas K Jhingala, Pradeep Tangade, Himanshu Punia, Vipul Gupta, Vikas Singh, Monika Kalra, Suyash Chaudhary

Hypophosphatasia: Rare but there

[Year:2016] [Month:September-December] [Volumn:6 ] [Number:3] [Pages:75] [Pages No:184-188][No of Hits : 624]


ABSTRACT
Hypophosphatasia (HP) is an inherited disorder characterized by defective bone and teeth mineralization and deficiency of serum and bone alkaline phosphatase (AP) activity. For severe forms, disease frequency has been estimated at 1/100,000. Symptoms of the disease are highly variable in their clinical expression ranging from stillbirth with unmineralized bone to early loss of tooth without any bone symptoms. The transmission of severe form is autosomal recessive while milder forms get transmitted as dominant or recessive autosomal traits. The diagnosis can be done by performing serum AP assay and molecular analysis of the tissue-nonspecific alkaline phosphatase (TNSALP) gene.
Keywords: Alkaline phosphate, Disorder, Recessive.
How to cite this article: Jhingala VK, Tangade P, Punia H, Gupta V, Singh V, Kalra M, Chaudhary S. Hypophosphatasia: Rare but there. J Contemp Dent 2016;6(3):184-188.
Source of support: Nil
Conflict of interest: None


 
CASE REPORT
Rashmi V Bolli, MV Sumanthini, Vanitha U Shenoy, Aanchal M Agrawal

Management of Traumatized Open Apex Teeth with Mineral Trioxide Aggregate Apexification and Demineralized Freeze-dried Bone Allograft as Apical Matrix

[Year:2016] [Month:September-December] [Volumn:6 ] [Number:3] [Pages:75] [Pages No:194-199][No of Hits : 609]


Achievement of a perfect apical seal in the case of a traumatized nonvital open apex tooth is one of the most important factors affecting its long-term success. It can be treated surgically by placing a retrofill or by a nonsurgical approach by apexification. Currently, apexification with mineral trioxide aggregate (MTA) is the treatment of choice in such cases. Herein, due to large apical diameter, limiting the MTA within the canal space is challenging, making it imperative to use a suitable apical matrix. This case report demonstrates successful management of traumatized nonvital open apex teeth with MTA apexification using demineralized freeze-dried bone allograft apical matrix.
Keywords: Apexification, Dimineralized freeze-dried bone, Internal matrix, Mineral trioxide aggregate, Open apex.
How to cite this article: Bolli RV, Sumanthini MV, Shenoy VU, Agrawal AM. Management of Traumatized Open Apex Teeth with Mineral Trioxide Aggregate Apexification and Demineralized Freeze-dried Bone Allograft as Apical Matrix. J Contemp Dent 2016;6(3):194-199.
Source of support: Nil
Conflict of interest: None


 
CASE REPORT
Nikitha Narayanan, Jigna Pathak, Shilpa Patel, Niharika Swain

Adenomatoid Odontogenic Cyst: A Rare Case Report

[Year:2016] [Month:January-April] [Volumn:6 ] [Number:1] [Pages:100] [Pages No:96-99][No of Hits : 596]