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  Citation statistics : Table of Contents
   2010| July-September  | Volume 1 | Issue 3  
    Online since November 26, 2010

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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.
  14 11,338 936
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 9,342 620
Oral pregnancy tumor
Shailesh M Gondivkar, Amol Gadbail, Revant Chole
July-September 2010, 1(3):190-192
DOI:10.4103/0976-237X.72792  PMID:22114415
Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low-grade local irritation, traumatic injury, or hormonal factors. It predominantly occurs in the second decade of life in young females, possibly because of the vascular effects of female hormones. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic lesion manifesting as small, red erythematous growth on a pedunculated or sometimes sessile base, which is usually hemorrhagic. Although excisional surgery is the treatment of choice , some other treatment protocols such as the use of Nd:YAG laser, flash lamp pulsed dye laser, cryosurgery, intralesional injection of ethanol or corticosteroids, and sodium tetradecyl sulfate sclerotherapy have been proposed. We present the case of a 25-year-old pregnant woman with large oral pyogenic granuloma.
  6 4,009 371
Sturge - Weber syndrome: A case report
Namrata C Gill, Nandini Bhaskar
July-September 2010, 1(3):183-185
DOI:10.4103/0976-237X.72789  PMID:22114413
Sturge-Weber angiomatosis is a rare, nonhereditary developmental condition characterized by a hamartomatous vascular proliferation involving the tissues of brain and face. A report of a case with facial port wine stains, gingival overgrowth, and dilated ocular vessels is described.
  4 4,076 258
Chronic swelling from entrapment of acrylic resin in a surgical extraction site
Weiting Ho, Pin-Chuang Lai, John D Walters
July-September 2010, 1(3):193-195
DOI:10.4103/0976-237X.72793  PMID:22114416
When acrylic resin is inadvertently embedded in oral tissue, it can result in a pronounced chronic inflammatory response. This report describes a case in which temporary crown and bridge resin was forced into a surgical extraction site after the two adjacent teeth were prepared for a bridge immediately following extraction of a maxillary premolar. The patient experienced swelling at the extraction site over a ten month period despite treatment with antibiotics and anti-inflammatory drugs. After detection and removal of the foreign body, the symptoms resolved. The episode contributed to periodontal bone loss around an adjacent tooth. While morbidity of this nature is rare, this case reinforces the need to investigate persistent signs of inflammation and account for dental materials that are lost during the course of treatment.
  2 2,879 110
X-Ray diffraction and scanning electron microscopy-energy dispersive spectroscopic analysis of ceramõmetal interface at different firing temperatures
Monika Saini, Suresh Chandra, Yashpal Singh, Bikramjit Basu, Arvind Tripathi
July-September 2010, 1(3):152-157
DOI:10.4103/0976-237X.72781  PMID:22114406
Objective: Porcelain chipping from porcelain fused to metal restoration has been Achilles heel till date. There has been advent of newer ceramics in past but but none of them has been a panacea for Porcelain fracture. An optimal firing is thus essential for the clinical success of the porcelain-fused to metal restoration. The aim of the present study was to evaluate ceramo-metal interface at different firing temperature using XRD and SEM-EDS analysis. Clinical implication of the study was to predict the optimal firing temperature at which porcelain should be fused with metal in order to possibly prevent the occasional failure of the porcelain fused to metal restorations. Materials and Methods: To meet the above-mentioned goal, porcelain was fused to metal at different firing temperatures (930-990°C) in vacuum. The microstructural observations of interface between porcelain and metal were evaluated using X-ray diffraction and scanning electron microscopy with energy dispersive spectroscopy. Results: Based on the experimental investigation of the interaction zone of porcelain fused to metal samples, it was observed that as the firing temperature was increased, the pores became less in number as well as the size of the pores decreased at the porcelain/metal interface upto 975°C but increased in size at 990°C. The least number of pores with least diameter were found in samples fired at 975°C. Several oxides like Cr 2 O 3 , NiO, and Al 2 O 3 and intermetallic compounds (CrSi 2 , AlNi 3 ) were also formed in the interaction zone. Conclusions : It is suggested that the presence of pores may trigger the crack propagation along the interface, causing the failure of the porcelain fused to metal restoration during masticatory action.
  2 2,675 170
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.
  2 8,913 625
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.
  1 11,352 411
In vitro antimicrobial activity of root canal sealers and calcium hydroxide paste
Alessandro L Cavalcanti, Francisco I.R. Limeira, Eveline A.L.S. Sales, Ana A.G. Oliveira, Dened M.B. Lima, Ricardo D Castro
July-September 2010, 1(3):164-167
DOI:10.4103/0976-237X.72784  PMID:22114408
Aim: To evaluate the in vitro antimicrobial activity of different root canal sealers and calcium hydroxide (CH) paste. Materials and Methods: The sample was composed of two sealers (Fill Canal® and Sealer 26® ), one CH cement (Hydro C® ), and a CH paste. The agar diffusion test was performed in Petri dishes inoculated with the following microorganisms: Streptococcus salivarius, Streptococcus oralis, Streptococcus mitis, Lactobacillus casei, Streptococcus mutans, Candida albicans, Candida krusei, and Candida tropicalis. The diameters of the zones of microbial growth inhibition were measured after 24 h. The tests were performed in triplicate. Data were analyzed statistically by ANOVA and Tukey's test at 5% significance level. Results: Fill Canal® exhibited the largest mean zone of microbial growth inhibition against the Candida species and differed significantly from the other groups (P < 0.001). When inhibition was observed against S. mitis and S. oralis, the CH paste presented a larger mean zone of microbial growth inhibition than those of the other materials (P < 0.05). Regarding the inhibition of S. mutans, a statistically significant difference was observed only between the CH paste and Hydro C® (P < 0.05); the paste produced the largest mean zone of microbial growth inhibition against this microorganism. Regarding the inhibition of S. salivarius, Fill Canal® presented smaller mean zone of microbial growth inhibition than Sealer 26® and CH paste (P < 0.05). Conclusion: All the materials presented zones of microbial growth inhibition against all the test bacteria. Fill Canal® presented the largest mean zone of inhibition against the Candida species. For the Streptococcus cultures, none of the sealers presented inhibition superior to that of the CH paste.
  1 2,510 300
The language of pain: A short study
Arun Rathnam, Nidhi Madan, Neeti Madan
July-September 2010, 1(3):142-145
DOI:10.4103/0976-237X.72778  PMID:22114404
Background: Pain perception is a very controversial topic in child patients. It is affected by various factors such as fear, anxiety, previous experiences, parental factors, and pain threshold. The communication of such pain by the child to the parent is also very confusing with children having rudimentary and developing communication skills. A study to evaluate the pain perception of children and the parental understanding of the children's pain would be helpful in this scenario. The effect on behavior due to pain is also attempted in this particular study. Materials and Methods: A cross-sectional study of 100 children aged between 5-13 years accompanied by either parent was performed. Data collection was done with the help of questionnaires, which assessed the parental understanding of the child's pain. Pain perception recording was done with the Visual Analog Scale of Faces (VASOF). The behavior of the child was noted using the Frankl's behavior rating scale. Data was collated and statistical analysis was performed using the SPSS (version 10) software. Results and conclusion: The results show that parental factors such as education, work culture, influence parental understanding of pain. VASOF proves to be a reliable tool for pain perception in children. Behavior of the child shows a positive correlation to pain perception.
  1 4,997 363
Prosthetic rehabilitation of a Crouzon patient: A case report
Hanefi Kurt, Burç Gençel, Aydin C Kader
July-September 2010, 1(3):196-200
DOI:10.4103/0976-237X.72794  PMID:22114417
Crouzon syndrome is a rare genetic disorder, which can be defined as a variation of craniofacial dysostosis caused by the premature obliteration and ossification of two or more sutures. The growth pattern results in pseudoprognathism and malocclusions including an overcrowded or a widely spaced dentition. Specifically maxillary arch is narrow, high, and V-shaped. Cleft palate and bifid uvula are other possible features in the oral cavity. This report describes a non-surgical treatment model to overcome the remaining significant Class III intermaxillary relation and excessive tooth loss to recover function and aesthetics for a 25-year-old Crouzon patient.
  - 3,858 268
Prosthetic management of an ocular defect
Siddesh Kumar Chintal, Chandra Shekar Sajjan
July-September 2010, 1(3):201-203
DOI:10.4103/0976-237X.72795  PMID:22114418
The disfigurement associated with the loss of an eye can cause significant physical and emotional problems. Various treatment modalities are available, one of which is implants. Although implant has a superior outcome, it may not be advisable in all patients due to economic factors. The present article describes the prosthetic management of an ocular defect with a custom-made ocular prosthesis.
  - 2,419 240
A single visit, reattachment of fractured crown fragment
RS Basavanna, Ravi Kapur, Neeraj Sharma
July-September 2010, 1(3):168-170
DOI:10.4103/0976-237X.72785  PMID:22114409
"Minimal intervention with maximum dentistry'' The immediate restorative technique resolving the acute problem of traumatic tooth fracture with pulpal involvement-An immediate fracture fragment reattachment using pre-fabricated fiber post with dual cure cement-A challenging, conservative, aesthetics, rehabilitating, functionally, and economically viable single visit procedure.
  - 2,404 308
Interdisciplinary management of a patient with a drug-induced gingival hyperplasia
Raghu Devanna, K Asif
July-September 2010, 1(3):171-176
DOI:10.4103/0976-237X.72786  PMID:22114410
Interdisciplinary treatment is becoming an ever-increasing part of modern-day orthodontic practice. This case report details the successful orthodontic-periodontal management of an epileptic patient with a significant drug-induced gingival hyperplasia. The problems that such patient's present are discussed before considering the specific orthodontic techniques employed. Recommendations are made for practitioners managing such cases.
  - 3,845 310
Craniofacial polyostotic fibrous dysplasia
Yadavalli Guruprasad, Chandan Prabhakar
July-September 2010, 1(3):177-179
DOI:10.4103/0976-237X.72787  PMID:22114411
An unusual case of fibrous dysplasia involving right craniofacial region in a female is reported. The clinical features, radiological findings, and treatment have been discussed.
  - 3,797 243
Endodontic management of a foreign body
Satish R Kalyan, Girija Sajjan
July-September 2010, 1(3):180-182
DOI:10.4103/0976-237X.72788  PMID:22114412
The discovery of a foreign object embedded in a tooth is relatively uncommon. Some people have a habit of placing foreign objects to remove food plugs from the teeth. However, occasionally, these objects may be lodged in the teeth. These foreign objects may act as a potential source of infection and may later lead to a painful condition. A detailed case history, clinical, and radiographic examination is required to ascertain the size, position, and likely composition of the object, and also difficulty involved in its retrieval. This paper describes the successful retrieval of stapler pin located in the apical portion of root canal by simple orthograde nonsurgical technique.
  - 2,303 226
Malunited fracture of the body and condyle of the mandible : A Case Report
Ramakrishna Yeluri, Sudhindra Baliga, Autar Krishen Munshi
July-September 2010, 1(3):186-189
DOI:10.4103/0976-237X.72790  PMID:22114414
Mandibular fractures are the most common facial fractures seen in hospitalized children and their incidence increases with age. Treatment options include soft diet, intermaxillary fixation with eyelet wires, arch bars, circummandibular wiring, or stents. Alternative options include open reduction and internal fixation through either an intraoral or extraoral approach. Many factors complicate the management of pediatric mixed-dentition mandibular fractures: tooth eruption, short roots, developing tooth buds and growth issues. One major factor is the inherent instability of the occlusion in the mixed deciduous-permanent tooth phase. This case report documents a child in mixed dentition period with a complication arising due to direct fixation of the fractured mandible.
  - 3,749 273
Energy boosters?
SG Damle
July-September 2010, 1(3):133-133
DOI:10.4103/0976-237X.72774  PMID:22114401
  - 1,339 123
For the sake of our health
Orlando Monteiro Da Silva
July-September 2010, 1(3):134-135
DOI:10.4103/0976-237X.72773  PMID:22114402
  - 1,708 109