Journal of Contemporary Dentistry

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2019 | January-April | Volume 9 | Issue 1

EDITORIAL

Vanitha U Shenoy

World Oral Health Day: Journey from Oral Health to Mouth Health

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/jcd-9-1-iv  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Jolanta Aleksejuniene, Arunas Rimkevicius, Alina Puriene, Ruta Rasteniene

Self-perceived Oral Health, Satisfaction with Overall Health and Quality of Life Comparisons between Patients with Oral Lichen Planus and their Matched Controls

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:7] [Pages No:1 - 7]

Keywords: General health, Oral lichen planus, Quality of life, Self-reported oral health

PDF  |  DOI: 10.5005/jp-journals-10031-1248  |  Open Access |  How to cite  | 

Abstract

Background: Oral lichen planus (OLP) is one of the most prevalent oral mucosal diseases. Aims: The aim of this study is to compare the quality of life, self-perceived oral health, satisfaction with health, and their potential predictors in OLP patients and their matched controls. Materials and methods: The study included 132 cases and 133 controls matched to cases by age, gender, and urbanization. The information about disease-related outcomes and predictors was acquired from a structured questionnaire and supplemented with interviews. Results: OLP patients had worse self-perceived oral health and lower quality of life and were less satisfied with their health as compared to their matched controls. The worse self-reported oral health was predicted by having OLP (OR = 3.9), oral disease\'s negative impact on daily life (OR = 3.0), and disease\'s impediment to eating (OR = 3.8). Lower satisfaction with overall health was predicted by having multiple systemic conditions (OR = 1.4) and reporting an oral disease\'s negative impact on daily life (OR = 2.6). The only significant predictor for dissatisfaction with the quality of life was reporting the oral disease\'s negative impact on daily life (OR = 2.4). Conclusion: Oral disease\'s negative impact on daily life was a significant predictor for all three-study outcomes: worse self-reported oral health, lower satisfaction with overall health, and lower quality of life.

RESEARCH ARTICLE

Shweta Choudhary, Ajit Kumar, Himanshu Arora

Effect of Age, Gender, and Mental Attitude on Complete Denture Satisfaction in North Indian Population

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:5] [Pages No:8 - 12]

Keywords: Denture satisfaction, Prosthodontic treatment, Oral health impact profile

PDF  |  DOI: 10.5005/jp-journals-10031-1245  |  Open Access |  How to cite  | 

Abstract

Purpose: Patient satisfaction is currently the decisive factor regarding the overall success of prosthodontic treatment in complete denture wearers. The aim of the study is to assess the effects of factors as age, gender, and mental attitude of a patient on the denture satisfaction. Materials and methods: A total of 200 patients who attended the outpatient department during a span of 2 years, for the fabrication of new complete dentures, were selected for the study. The dentures were fabricated by a single clinician, using a standardized technique for fabrication of conventional maxillary and mandibular complete denture. To rate the satisfaction after the therapy, Oral Health Impact Profile (OHIP)-EDENT (for edentulous) covering seven subscales or domains was used. The outcomes from the survey were correlated with participant gender, age, and mental attitude. Results: A total of 200 participants were recruited for the study, of which 83 were males and 117 females. The males with low OHIP scores showed significantly higher satisfaction level with their dentures as compared to females. The level of satisfaction was significantly higher in the oldest age group when compared to their youngest counterparts. Based on the mental attitude, philosophical patients were the most satisfied with their dentures among the four categories. Conclusion: Within limitations, it could be said that factors like gender, age, and mental attitude of the patient do have an influence on overall satisfaction with complete denture eventually affecting the prognosis of the treatment rendered.

RESEARCH ARTICLE

Aarti B Madhaswar, VK Ravindranath, Vivek Patni, Divij Joshi, Amol Chandrakant Mhatre, Prateek Navratan Daga

Comparative Evaluation of Frictional Resistance of Three Different Types of Passive Self-ligating Ceramic Brackets Using Coated and Uncoated Stainless Steel and Nickel Titanium Arch Wires: An In Vitro Study

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:4] [Pages No:13 - 16]

Keywords: Damon clear, Friction, Self-ligating brackets,Ceramic

PDF  |  DOI: 10.5005/jp-journals-10031-1249  |  Open Access |  How to cite  | 

Abstract

Aim: The present study was aimed to evaluate and compare the frictional characteristics of three newly introduced passive ceramic self-ligating brackets (SLBs), Damon clear, Truklear, and Cabriolet, using coated and uncoated stainless steel (SS) and nickel titanium (NiTi) archwires. Materials and methods: Fifteen maxillary right central incisor brackets of dimension 0.022” × 0.028” slot: five brackets, each of Damon Clear, Cabriolet, and Truklear brackets. Thirty coated and uncoated SS and NiTi archwires were part of the study. Results: The frictional resistance (FR) with three different passive self-ligating ceramic brackets was studied using three different types of SS and NiTi archwires based on their coating. The Damon Clear bracket showed less FR, while the highest FR was observed for the Truklear bracket when using various types of NiTi archwires; the Truklear bracket showed less FR, while the highest FR was observed for the Cabriolet bracket. Conclusion: FR with three passive SLBs when carried out with the Damon Clear bracket showed less FR, while the Truklear bracket showed the highest FR; and when the study was carried out using NiTi archwire, the Truklear bracket showed less FR, while the Cabriolet bracket demonstrated the highest FR.

CASE SERIES

Huzaifa Ezzy, Amit Gaikwad, Sabita Ram, Naisargi Shah, Jyoti Nadgere, Janani Iyer

Full-mouth Rehabilitation of Worn Dentition by Hobo Twin-stage Philosophy: A Case Series

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:8] [Pages No:17 - 24]

Keywords: Full-mouth rehabilitation, Hobo Twin-stage, Tooth wear

PDF  |  DOI: 10.5005/jp-journals-10031-1246  |  Open Access |  How to cite  | 

Abstract

Esthetic and functional restoration of the severely worn dentition represents a significant clinical challenge to the dentist. Diagnosis is most important in treatment planning. A systematic, phase wise approach is of utmost importance in full-mouth rehabilitation. Over time, various concepts and philosophies to attain reconstruction and rehabilitation of the entire dentition have been proposed. This article focuses on the phase-by-phase treatment of two patients with worn dentition by the Hobo Twin-stage procedure.

CASE SERIES

Akash More, Sumanthini Margashayam, Vanitha Shenoy, Saima Khan, Gorakh Beble

Endodontic Failure due to Variations in Root Canal Anatomy in Permanent Mandibular Incisors—A Case Series and Retrospective Pilot Study

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:7] [Pages No:25 - 31]

Keywords: Mandibular, Retreatment,Endodontics, Incisors

PDF  |  DOI: 10.5005/jp-journals-10031-1247  |  Open Access |  How to cite  | 

Abstract

The success of endodontic therapy depends on complete debridement and disinfection of the root canal system. Root canal therapy is based on accessing all areas in a root canal with mechanical and chemical means. Permanent mandibular incisors are generally perceived as teeth with a single root canal but the existence of a second canal has been pointed out. Inability to locate and disinfect the second canal in mandibular incisors leads to persistent periapical inflammation and failure of root canal treatment. Once this canal is located during the endodontic retreatment of these teeth, resolution of symptoms occurs. This case series will highlight the nonsurgical retreatment of permanent mandibular central and lateral incisors where the main cause of failure was a missed canal. In addition, a retrospective pilot study was carried out to find the endodontic failure of mandibular incisors owing to a missed canal. It was also observed that 73% of teeth had a single canal and 27% had a complex canal anatomy. A retrospective pilot study was carried out using seventy-five mandibular incisors that were indicated for root canal treatment and were evaluated using digital radiographs. It was also observed that 73% of teeth had a single canal and 27% had a complex canal anatomy. This case series will highlight the nonsurgical retreatment of permanent mandibular central and lateral incisors where the main cause of failure was a missed canal. It also throws light on different techniques to diagnose presence of a missed canal if any.

CASE REPORT

Priyanka V Patil, Amita Navalkar

Von Recklinghausen's Disease Type I—A Case Report

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:5] [Pages No:32 - 36]

Keywords: Café au lait spots, Cutaneous neurofibromas, Neurofibromatosis type I, Plexiform neurofibroma

PDF  |  DOI: 10.5005/jp-journals-10031-1244  |  Open Access |  How to cite  | 

Abstract

Neurofibromatosis type I (NFI), also called Von Recklinghausen\'s disease, is a rare genetic disorder characterized by the development of multiple benign tumors of nerves and the skin (neurofibromas) and areas of abnormally decreased or increased coloration (hypo- or hyperpigmentation) of the skin. Areas of abnormal pigmentation typically include pale tan or light brown discolorations (café au lait spots) on the skin of the trunk and other regions as well as freckling, particularly under the arms (axillary) and in the groin (inguinal) area. Such abnormalities of skin pigmentation are often evident by 1 year of age and tend to increase in size and number over time. At birth or early childhood, affected individuals may have relatively large benign tumors that consist of bundles of nerves (plexiform neurofibromas). Individuals with NFI may also develop benign tumor-like nodules of the colored regions of the eyes (Lisch nodules) or tumors of the optic nerves (second cranial nerves), which transmit nerve impulses from the innermost, nerve-rich membrane of the eyes (retina) to the brain. We present a case of a 33-year-old male patient who reported at the Department of Oral Medicine, Diagnosis, and Radiology with multiple cutaneous tumors since childhood, café au lait pigmentation in the axilla and back, and radiographic features such as fusiform enlargement of the mandibular canal suggestive of Von Recklinghausen\'s disease type I.

CASE REPORT

Nishita Narendra Ranadive, Jyoti B Nadgere, Janani Iyer, Pinak J Rathi

Enhancing Retention Using Overdentures with Bar Attachment: A Case Report

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:7] [Pages No:37 - 43]

Keywords: Overdenture,Attachments, Hader bar

PDF  |  DOI: 10.5005/jp-journals-10031-1250  |  Open Access |  How to cite  | 

Abstract

Aim: The aim of this case report is to present a case with overdenture attachment. Background: Loss of teeth in the mandibular arch leads to increased resorption of the alveolar bone resulting in instability of the mandibular ridge. The principles of preventive prosthodontics enable us to preserve the remaining natural teeth and use them as abutments for added retention, improved proprioception, and masticatory efficiency. Case description: The patient was evaluated clinically and radiographically and a tentative jaw relation was recorded. The patient following extraction presented with maxillary completely edentulous arch and mandibular arch with 33, 34, 43, and 44. The abutment teeth were prepared to receive a bar attachment on 33 and 43 and dome-shaped preparation to receive metal copings on 34 and 44. Final impressions were made using zinc oxide eugenol paste and addition silicone impression material for the maxillary and the mandibular arch, respectively. Following the fabrication of the attachments, the jaw relation was recorded. Teeth arrangement was assessed and dentures were processed. Conclusion: The patient was successfully rehabilitated with a maxillary conventional complete denture and an overdenture attachment Hader bar with 33 and 43 to improve the stability of the mandibular denture. Clinical significance: This technique of overdenture attachment with the Hader bar allowed splinting of the abutment teeth along with stress distribution subsequently benefiting the patient psychologically.

CASE REPORT

Swapnagandha R Kate, Vivek J Patni

Chairside Fabrication of Biomometic Riding Pontic: A Case Report

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:2] [Pages No:44 - 45]

Keywords: Chairside, Orthodontic, Resin, Riding pontic

PDF  |  DOI: 10.5005/jp-journals-10031-1251  |  Open Access |  How to cite  | 

Abstract

Introduction: This article describes an efficient chairside method for immediate fabrication of an esthetically superior pontic, compared to an acrylic denture tooth, prior to extraction of a tooth due to any underlying reason. Discussion: Taking an impression of the patient\'s own individual tooth permits the orthodontist to create a pontic with precise anatomy, size, and esthetics. The total time for the procedure of pontic assembly is less than a few minutes. Conclusion: This small chairside procedure of pontic fabrication can go a long way in delivering esthetics as well in building up the confidence of the patient and that too in a very short time period. Clinical significance: Simple, easy, cost effective, and time-saving chairside procedure.

CASE REPORT

Shivani K Jamwal, Kirthi K Rai, Chatura K Ramakanth, Umashankara K Veerbhadrappa, Nelagondanahalli T Geetha

Multiple Odontogenic Keratocysts in Nonsyndromic Patients—A Case Report and Review of Literature

[Year:2019] [Month:January-April] [Volume:9] [Number:1] [Pages:7] [Pages No:46 - 52]

Keywords: NBCCS (Gorlin–Goltz syndrome), OKC,Mandible, Maxilla, Multiple odontogenic keratocysts

PDF  |  DOI: 10.5005/jp-journals-10031-1252  |  Open Access |  How to cite  | 

Abstract

Aim: The aim of this study is to highlight a behavioral pattern of odontogenic keratocysts (OKCs) in syndromic and nonsyndromic patients in terms of clinical course, genetic makeup, local destruction, management modalities, and recurrences such that detection in initial stages and intervention when done prevents extensive morbidity and a better quality of life. Background: OKC is a common developmental odontogenic cyst affecting the oral and the maxillofacial region, which arises from the dental lamina or its remnants. Multiple OKCs are usually seen in association with the nevoid basal cell carcinoma syndrome (NBCCS) but approximately 5% of the cases have multiple cysts without concomitant syndromic presentation. As it spreads by way of the bone marrow, it results in more destruction before any clinical manifestation appears. Although lesions are benign but are aggressive, locally destructive, and highly recurrent. Case description: A 15-year-old male patient, a rare case of nonsyndromic multiple OKCs, is presented here along with a review of literature with emphasis on the importance of thorough evaluation, diagnosis, treatment strategy, and strict follow-up. Conclusion: Although our case does not fulfill the major and minor criteria of syndrome, but considering the reported literature and clinical presentation, early age, multiple OKCs, involvement of both the jaws, cleft lip and cleft palate, and histological correlation, we suggest our case to be a partial expression of NBCCS. Clinical significance: Any case presenting with single or multiple OKCs should be thoroughly investigated locally and systemically for any other signs of NBCCS or other syndrome. A definite treatment protocol should be formulated depending on patient\'s age, number and size of lesion, remaining subsequent growth, and proximity to adjacent vital structures, to provide a better quality of life with a minimal amount of morbidity and kept on strict regular follow-up.

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