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CASE REPORTS
A rare presentation of mucocele and irritation fibroma of the lower lip
BN Rangeeth, Joyson Moses, Veera Kishore Kumar Reddy
April-June 2010, 1(2):111-114
DOI:10.4103/0976-237X.68596  PMID:22114395
The effects of chronic local irritation have been seen commonly in the form of fibroma or mucocele in children. We report a nine year old girl with the chief complaint of multiple swellings in the lower lip which was diagnosed both clinically and histologically as fibroma and mucocele. Surgical excision was done under local anesthesia with no post-operative complications. To our knowledge there was no other occurrence, either at the same site or at different locations, involving these two lesions in the oral mucosa.
  20,546 693 2
An altered cast procedure to improve tissue support for removable partial denture
Chandrashekar Sajjan
April-June 2010, 1(2):103-106
DOI:10.4103/0976-237X.68600  PMID:22114393
Free-end saddles are liable to be displaced under occlusal pressure. This is as a result of the displaceability of the mucosa. The altered cast technique is employed to try and prevent this by making an impression of the mucosa under controlled pressure. The metal framework was constructed on a cast produced by a mucostatic impression material. Base plates were then constructed in self-cured acrylics on the framework in the saddle areas, and these are close fitting. Border molding was carried out; impression was made with zinc oxide eugenol impression paste. In the laboratory, the free-end saddle areas on the master cast are sectioned off. The denture is then positioned on the model and the new saddle areas are poured. The resulting model represents the free-end saddle areas under conditions, which mimic functional load. Denture construction then continues as normal. The distribution of loading of the free-end saddles is improved and denture is more stable.
  15,603 813 3
Capillary hemangioma or pyogenic granuloma: A diagnostic dilemma
MM Rachappa, MN Triveni
April-June 2010, 1(2):119-122
DOI:10.4103/0976-237X.68593  PMID:22114397
Pyogenic granulomas and hemangiomas of oral cavity are well-known benign lesions. Although pyogenic granuloma is known to show a striking predilection for the gingiva and capillary hemangioma for lips, check, and tongue, palatal occurrence of these lesions is extremely rare. The clinical diagnosis of such an uncommon occurrence can be quite challenging as they sometimes may mimic more serious lesions such as malignancies. The purpose of this article is to report an unusual case of benign tumor occurring on hard palate which was clinically diagnosed as pyogenic granuloma and histopathologically as capillary hemangioma.
  12,425 906 5
Surgical treatment of odontogenic keratocyst by enucleation
Mamta Singh, KC Gupta
October-December 2010, 1(4):263-267
DOI:10.4103/0976-237X.76398  PMID:22114435
Although odontogenic keratocysts (OKCs) are benign, they are often locally destructive and tend to recur after conservative surgical treatment. They must therefore be distinguished from other cysts of the jaw. Keratocysts possess outpouchings and microscopic daughter cysts from which recurrences may arise. Histologic examination is essential for diagnosis since the appearances on roentgenograms and at operation usually do not reveal the true nature of the lesion. Since many non-dental surgeons and pathologists are unaware of OKCs, a case is presented in which surgical treatment was by original conservative method. Decompression causes a reduction in the cyst volume with new bone formation so that the structures impinged upon (e.g., teeth, nerves) are completely free.
  12,045 516 -
Full-mouth rehabilitation of a case of generalized enamel hypoplasia using a twin-stage procedure
Aswini Kumar Kar, Hari Parkash, Veena Jain
April-June 2010, 1(2):98-102
DOI:10.4103/0976-237X.68601  PMID:22114392
The dilemma confronting many dentists today is that innovations and well-defined specializations have greatly enlarged the treatment realm for tooth preservation as well as tooth replacement. The objectives should be preservation of the remaining tooth structure, restoration of optimum function, esthetics with least invasive procedures, cost effective, and short treatment time. The number of remaining natural teeth is one of the most widely used method for evaluating oral health and the prosthetic treatment of patients with a mutilated dentition. Though the treatment of these patients can be complex, but there are some important principles applicable in most cases. This case report demonstrates a satisfying full mouth rehabilitation using the Hobo and Takayama twin-stage procedure for a patient with esthetically and functionally compromised dentition. The final prosthesis with this twin-stage technique ensured a restoration with a predictable posterior disclusion and anterior guidance in harmony with the condylar path.
  9,799 1,751 1
REVIEW ARTICLE
Hypohyperdontia: Agenesis of three third molars and mandibular centrals associated with midline supernumerary tooth in mandible
Sivakumar Nuvvula, M Kiranmayi, G Shilpa, S.V.S.G. Nirmala
July-September 2010, 1(3):136-141
DOI:10.4103/0976-237X.72775  PMID:22114403
Agenesis of teeth in a patient who also presents with a supernumerary tooth is one of the rare numerical anomalies in human dentition. Agenesis of third molars was shown to be associated with other missing permanent teeth. A review of literature on hypodontia including third molar agenesis, hyperdontia and a concomitant presence of these two conditions which is termed as hypohyperdontia is presented along with a case showing agenesis of three third molars, both mandibular central incisors and a midline supernumerary tooth.
  9,549 893 14
CASE REPORTS
Extensive physiologic melanin pigmentation on the tongue: An unusual clinical presentation
Sunira Chandra, Vaishali Keluskar, Anjana Bagewadi, Kunal Sah
July-September 2010, 1(3):204-206
DOI:10.4103/0976-237X.73205  PMID:22114419
Pigmented lesions are commonly found in the oral cavity. Pigmentation has a multifactorial etiology. Most of the oral pigmentations are physiologic but sometimes it can be a precursor of severe diseases. Evaluation of a patient presented with a pigmented lesion should include a full medical and dental history, extraoral and intraoral examinations and even in some cases biopsy and laboratory investigations are required. In this article, we report a case of extensive physiologic pigmentation on the tongue in a 32-year-old female patient, posing a diagnostic challenge.
  8,846 348 1
Management of a severely resorbed mandibular ridge with the neutral zone technique
S Chandra Shekar
January-March 2010, 1(1):36-39
DOI:10.4103/0976-237X.62521  PMID:22114376
The loose and unstable lower complete denture is one of the most common problems faced by denture patients. One of the methods used to solve this problem is the neutral zone technique. The neutral zone is the area where the displacing forces of the lips, cheeks, and tongue are in balance. It is in this zone that the natural dentitions lie and this is where the artificial teeth should be positioned. This area of minimal conflict may be located by using the neutral zone technique. The artificial teeth can then be set up in the correct positions.
  7,219 1,216 1
Aesthetic approach for anterior teeth with enamel hypoplasia
Josué Martos, Andréa Gewehr, Emanuele Paim
April 2012, 3(5):82-85
DOI:10.4103/0976-237X.95112  PMID:22629075
Enamel hypoplasia is a developmental defect of the enamel that is produced by a disturbance in the formation of the organic enamel matrix, clinically visible as enamel defects. Disorders that occur during the stages of enamel development and maturation reduce the amount or thickness of the enamel, resulting in white spots, tiny grooves, depressions and fissures in the enamel surface. The complexity and intensity of the dental deformity lesions will conduct the ideal treatment-associating conservative techniques. This article presents a case report of a restorative treatment of enamel hypoplasia using hybrid composite resin to mask color alteration and enamel defects. An aesthetic appearance that respects the tooth polychromatic and the self-esteem of the patient can be achieved with this approach.
  7,986 406 1
Management of mandibular body fractures in pediatric patients: A case report with review of literature
Baby John, Reena R John, A Stalin, Indumathi Elango
October-December 2010, 1(4):291-296
DOI:10.4103/0976-237X.76406  PMID:22114443
Mandibular fractures are relatively less frequent in children when compared to adults, which may be due to the child's protected anatomic features and infrequent exposure of children to alcohol related traffic accidents. Treatment principles of mandibular fractures differ from that of adults due to concerns regarding mandibular growth and development of dentition. A case of a 4.5-year-old boy with fractured body of mandible managed by closed reduction using open occlusal acrylic splint and circum mandibular wiring is presented. This article also provides a review of literature regarding the management of mandibular body fracture in young children.
  7,634 681 -
ORIGINAL ARTICLES
Comparative investigation of clinical/radiographical signs of mineral trioxide aggregate and formocresol on pulpotomized primary molars
Shivayogi M Hugar, Shobha D Deshpande
July-September 2010, 1(3):146-151
DOI:10.4103/0976-237X.72779  PMID:22114405
The objectives of this study were (1) to evaluate clinically and radiographically the effects of mineral trioxide aggregate (MTA) as a pulp dressing after coronal pulp amputation (pulpotomy) in primary molars, (2) to compare the effects of MTA and formocresol in pulpotomized primary teeth. Sixty primary mandibular molars of thirty healthy children aged between 5-8 years were treated by conventional pulpotomy technique. The teeth on the right side are assigned to MTA (Group A) and the left side for the Formocresol (Group B). The children were examined clinically and radiographically every 6 months over a period of 36 months. Results of present study revealed that both MTA and Formocresol has the same effect on the first as well as second primary molars, with chi-square value being 1.1483 (P ≥ 0.05). None of the teeth in either group showed any clinical pathology, showing 100% success rate but radiographically formocresol group showed one case of internal resorption that was regarded as failure in the present study. MTA seems to be more promising predictable with positive response in vital pulp therapy in future than formocresol pulpotomy except for the cost factor.
  7,475 569 6
Comparative evaluation of zinc oxide eugenol versus gelatin sponge soaked in plasma rich in growth factor in the treatment of dry socket: An initial study
US Pal, Balendra Pratap Singh, Vikas Verma
January-March 2013, 4(1):37-41
DOI:10.4103/0976-237X.111592  PMID:23853450
Purpose: The aim of this study was to report a comparison between the zinc oxide eugenol dressing and plasma rich in growth factor (PRGF) with gelatin sponge in the treatment of dry socket. Materials and Methods: This study comprised of 45 patients of dry socket in the span of one year. The patients were randomly divided into three groups on the basis of treatments: Group A (PRGF with gelatin sponge), group B (zinc oxide eugenol group), and group C (irrigation with sterile saline only). The clinical progress was noted at 1 st , 2 nd , 3 rd , 7 th , and 15 th day after the treatment. Results: Patient's healing was better in group A than in group B but symptomatic pain relief was faster in group B. Group C fared worst in both aspects. Conclusion: We conclude that PRGF with gelatin sponge might be a treatment of choice in the management of dry socket.
  7,595 411 3
CASE REPORTS
Compound composite odontome erupting into the oral cavity: A rare entity
Sunira Chandra, Anjana Bagewadi, Vaishali Keluskar, Kunal Sah
April-June 2010, 1(2):123-126
DOI:10.4103/0976-237X.68591  PMID:22114398
Odontomas are the most common odontogenic tumors. They are usually asymptomatic and are often discovered during routine radiography. Eruption of an odontome into the oral cavity is rare. Odontomas are the most common odontogenic tumors. They are usually asymptomatic and are often discovered during routine radiography. Eruption of an odontome into the oral cavity is rare. We report an unusual case of erupting compound composite odontoma. we report an unusual case of erupting compound composite odontoma.
  7,605 362 6
Turner's hypoplasia and non-vitality: A case report of sequelae in permanent tooth
PR Geetha Priya, John B John, Indumathi Elango
October-December 2010, 1(4):251-254
DOI:10.4103/0976-237X.76395  PMID:22114432
Hypoplasia is the result of disruption in the process of enamel matrix formation, which in turn causes defect in quality and thickness of enamel. Four cases of Turner's hypoplastic teeth with a previous history of trauma/infection in their primary predecessors at the age of 2-3 years have been reported. These hypoplastic teeth had turned non-vital without any carious insult, cavitation or further trauma. This article thereby stresses the importance of early detection of enamel hypoplasia and proper management at the earliest possible stage to enable an efficient prevention from clinically non-evident microbial invasion in the dentinal tubules and concomitant pulp pathosis.
  7,339 332 -
Focal fibrous overgrowths: A case series and review of literature
Abhay P Kolte, Rajshri A Kolte, Tushar S Shrirao
October-December 2010, 1(4):271-274
DOI:10.4103/0976-237X.76400  PMID:22114437
Intraoral fibrous overgrowths of the soft tissues are relatively common and may be benign reactive or neoplastic lesions. A series of 10 lesions is presented which included pyogenic granuloma, fibroma and peripheral ossifying fibroma. Almost all the lesions occurred in the second and third decades and were present in the anterior segment of the jaws, with a distinct female predilection. Majority of these lesions were asymptomatic and the patients reported for treatment only due to the discomfort during function. Histopathologic examinations were done for diagnosis of these lesions. Surgical excision along with removal of causative irritants remains the treatment of choice. The extent of excision should depend on the severity of the lesion, as some of these lesions have a tendency for recurrence. All the patients in this series were closely followed up for a period of 2 years and showed no signs of recurrence.
  7,273 350 -
ORIGINAL ARTICLES
Effects of mineral trioxide aggregate and formocresol on vital pulp after pulpotomy of primary molars: An in vivo study
Brinda Godhi, PB Sood, Arun Sharma
October-December 2011, 2(4):296-301
DOI:10.4103/0976-237X.91792  PMID:22346156
Background: Preservation of pulp vitality is of utmost importance to the normal physiological functioning of tooth in situ and physiological process of exfoliation in a tooth affected by disease or trauma. Pulpotomy serves such a purpose using various medicaments applied directly on vital pulp. Aim: The aim of this study was to evaluate clinically and radiographically the effects of mineral trioxide aggregate (MTA) and formocresol (FC) as a pulp dressing after coronal pulp amputation (pulpotomy) in primary molars prospectively over a period of 1 year. Materials and Methods: Thirty-three healthy children, aged between 5 and 8 years, requiring pulp therapy were selected after clinical and radiographic assessment. A total of 50 maxillary and mandibular primary molars were treated by the conventional pulpotomy technique. The teeth were divided into two equal groups. In Group A, FC was used as the pulp dressing agent, and in Group B, MTA was used before restoration with stainless steel crowns. The research employed was a prospective study. The teeth treated were assessed postoperatively after 1, 3, 6 and 12 months. The observations were tabulated and statistically analyzed. Results: Clinically, both the groups showed 100% success at 1, 3, 6 and 12 months. At 3 months, the radiographic success rates of FC and MTA were 92% and 96%, respectively, and at 6 and 12 months, the radiographic success rates of FC and MTA were 88% and 96%, respectively. Conclusion: MTA showed a higher success rate than FC and may be a favorable material for pulpotomy in primary molars whose pulps have been compromised by a carious or mechanical pulp exposure
  6,862 715 10
Lateral cephalometry: A simple and economical clinical guide for assessment of nasopharyngeal free airway space in mouth breathers
Navneet Grewal, Alkesh V Godhane
April-June 2010, 1(2):66-69
DOI:10.4103/0976-237X.68589  PMID:22114385
Nasopharyngeal obstruction by adenoid enlargement is one of the main causes of mouth breathing. Cephalometric radiographs and rhinomanometric tests to evaluate nasal obstruction have been available for several decades. Various lines and areas have been interpreted by number of investigators to implicate the enlarged adenoid in a casual relationship with mouth breathing and the subsequent effect on vertical facial growth. The aim of this paper is to review lateral cephalometric tracing methods combined with newer Auto-cad surface area measurement program so that assessment of the nasopharyngeal free airway space can be done based on it, before more rigorous ear-nose-throat follow up is needed for the patient.
  6,802 585 4
CASE REPORTS
Fiber reinforced composite loop space maintainer: An alternative to the conventional band and loop
Ramakrishna Yeluri, Autar Krishen Munshi
April 2012, 3(5):26-28
DOI:10.4103/0976-237X.95099  PMID:22629061
The stainless steel band and loop appliance is the most commonly used fixed space maintainer in pediatric dentistry. But there are several disadvantages with this appliance such as the need for a cast or a working model, decalcification of the abutment tooth, loosening because of breakage or dissolution of the luting agent, tendency to get embedded in the soft tissue and the possibility of metal allergy. The purpose of this article is to present a simple, laboratory design of a "Fiber Reinforced Composite" (FRC) loop space maintainer and discuss the advantages over the traditional band and loop space maintainers.
  6,373 926 2
An unusual case report of generalized pulp stones in young permanent dentition
Surendrakumar K Bahetwar, Ramesh Kumar Pandey
October-December 2010, 1(4):281-283
DOI:10.4103/0976-237X.76403  PMID:22114440
Pulp stones are relatively frequent finding on bitewings and periapical radiograph, but their occurrence in the entire dentition is unusual. Such an unusual occurrence of generalized pulp stone was reported in a 13-year-old girl. The dental, medical and family histories as well as the findings from the clinical examination of the patient were not contributory. Biochemical analysis of the removed pulp calcification from one of the teeth during endodontic treatment showed large amount of calcium, phosphorus, and carbonate. However, metabolic evaluation of patient through liver function test, kidney function test , and blood investigation did not show any metabolic disorders. Patient was also evaluated for any systemic, syndromic or genetic involvement, but this was also non-contributing. Therefore, it is suggested that this unusual cases may be of idiopathic origin.
  6,933 295 -
Multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cyst
Ritesh R Kalaskar, Ashita R Kalaskar
January-March 2011, 2(1):53-58
DOI:10.4103/0976-237X.79297  PMID:22114457
Supernumerary teeth are the most common developmental dental anomaly resulting from hyperactivity of dental lamina, dichotomy, environmental factor, or polygenetic process of atavism. Supernumerary teeth present classical oral complication such as impaction of adjacent teeth, crowding, diastema formation, rotation, displacement of teeth, and occlusal interference. A dentigerous cyst associated with anterior supernumerary teeth (mesiodens) is rare and accounts for 5% of all dentigerous cysts. The present case reports describe the successful management of the impacted permanent maxillary central incisor positioned high in the vestibule. A combination of surgical and orthodontic techniques was employed to improve treatment outcome with greater hard and soft tissue preservation and to prevent psychological problems. In the surgical phase, supernumerary teeth and dentigerous cyst were removed. Subsequently traction was employed by bonding bracket on the labial surface using closed and open eruption techniques. Successively, fixed orthodontic treatment was started to align permanent maxillary central incisors in an occlusal plane. Thus, combination of surgical and orthodontic method can be the treatment of choice over surgical extraction, implant placement, and surgical repositioning.
  6,671 419 4
ORIGINAL ARTICLES
Comparison of transdermal diclofenac patch with oral diclofenac as an analgesic modality following multiple premolar extractions in orthodontic patients: A cross over efficacy trial
Hemant Bhaskar, Pranav Kapoor, Ragini
July-September 2010, 1(3):158-163
DOI:10.4103/0976-237X.72783  PMID:22114407
Aims: This study was performed to compare the degree of post operative analgesia, patient compliance, and frequency of adverse events with the use of oral diclofenac tablets and transdermal diclofenac patch following multiple premolar extractions in patients undergoing orthodontic treatment. Materials and Methods: Twenty young pre-orthodontic patients requiring bilateral maxillary and mandibular first premolar extractions were selected for the study. The right maxillary and mandibular first premolars were extracted first and 50 mg oral diclofenac sodium tablets were prescribed to be taken thrice a day for three days. In the next appointment, the contralateral first premolars were extracted and a 100 mg transdermal diclofenac patch was applied once a day for three days. Pain relief and pain intensity with both the diclofenac formulations was recorded for each of the three postoperative days using 5-point Verbal Pain Intensity and Pain Relief Score Charts. Results and Conclusions: Statistical analyses revealed that there was a gradual increase in pain relief scores and a gradual decrease in pain intensity scores with the use of oral diclofenac tablets as well as with the transdermal patch. However, subjects reported that they were more comfortable using the transdermal patch particularly due to the once-a-day application and lesser frequency of systemic adverse effects. Results of this study indicate that the transdermal diclofenac patch provides as potent analgesia as the oral diclofenac tablets with the added advantage of better patient compliance and may be used for routine post extraction analgesia.
  6,609 472 2
CASE REPORTS
Supernumerary teeth: Report of four unusual cases
Arun Kumar, Ritu Namdev, Lokesh Bakshi, Samir Dutta
April 2012, 3(5):71-77
DOI:10.4103/0976-237X.95110  PMID:22629072
Supernumerary tooth denotes duplication of tooth in the normal series. It is a developmental anomaly and has been argued to arise from multiple etiologies. These teeth may remain embedded in the alveolar bone or can erupt into the oral cavity. The supernumerary tooth might cause esthetic and/or functional problems, especially if it is situated in the maxillary anterior region. Complications reported were delayed or prevented eruption of succedaneous teeth, displacement or rotation, crowding of the affected region, abnormal diastema, dilacerations, cystic formation, and sometime eruption into the nasal cavity. In this case report, four unusual cases of supernumerary teeth that resulted in varying degrees of disturbances in permanent dentition are presented. Conservative surgical intervention and light orthodontic forces were used to bring the teeth into normal position with minimal disturbance to the surrounding oral structures.
  6,526 349 1
Management of anterior dental crossbite with removable appliances
Ayca Tuba Ulusoy, Ebru Hazar Bodrumlu
April-June 2013, 4(2):223-226
DOI:10.4103/0976-237X.114855  PMID:24015014
This case report describes the treatment of an 8-year-old girl with anterior dental crossbite using a series of removable appliances to bring the teeth into a normal position. Clinical presentation and intervention: A removable acrylic appliance with a bite plate incorporating a screw was used to correct the anterior dental crossbite and align the incisors. The subsequent eruption of the maxillary left lateral incisor on the palatinal side was treated with a second acrylic plate incorporating a labiolingual spring. After an 8-month period, the anterior crossbite involving multiple incisors was corrected.
  5,665 730 -
Nonsurgical healing of large periradicular lesions using a triple antibiotic paste: A case series
Sonali Taneja, Manju Kumari, Hari Parkash
January-March 2010, 1(1):31-35
DOI:10.4103/0976-237X.62519  PMID:22114375
The infection of the root canal system is considered to be a polymicrobial infection, consisting of both aerobic and anaerobic bacteria. Because of the complexity of the root canal infection, it is unlikely that any single antibiotic could result in effective sterilization of the canal. A combination of antibiotic drugs (metronidazole, ciprofloxacin, and minocycline) is used to eliminate target bacteria, which are possible sources of endodontic lesions. Three case reports describe the nonsurgical endodontic treatment of teeth with large periradicular lesions. A triple antibiotic paste was used for 3 months. After 3 months, teeth were asymptomatic and were obturated. The follow-up radiograph of all the three cases showed progressive healing of periradicular lesions. The results of these cases show that when most commonly used medicaments fail in eliminating the symptoms then a triple antibiotic paste can be used clinically in the treatment of teeth with large periradicular lesions.
  5,227 869 3
Orthodontic management of an impacted maxillary incisor due to odontoma
Rahul S Baldawa, Kiran C Khante, Jitendra V Kalburge, Vikrant O Kasat
January-March 2011, 2(1):37-40
DOI:10.4103/0976-237X.79312  PMID:22114453
Odontomas are a heterogeneous group of jaw bone lesions, classified as odontogenic tumors which usually include well-diversified dental tissues. Odontomas are the most common type of odontogenic tumors and generally they are asymptomatic. Two types of odontomas are described: compound and complex based on either the appearance of well-organized tooth-like structures (compound odontomas) or on a mass of disorganized odontogenic tissues (complex odontomas). Compound odontomas have a predilection for the anterior maxilla, whereas complex odontomas have a predilection for the posterior mandible. Odontomas frequently interfere with eruption of teeth leading to their impaction. This is a case report of a 14-year-old girl with an unerupted maxillary right central incisor due to a complex composite odontoma a rare occurrence in anterior maxilla. Surgical excision of the odontoma and orthodontic treatment to get the impacted maxillary right central incisor into alignment is discussed.
  5,558 312 7
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