Contemporary Clinical Dentistry
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   2011| January-March  | Volume 2 | Issue 1  
    Online since April 12, 2011

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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.
  8,531 490 5
Ectopic eruption - A review and case report
Syed Mohammed Yaseen, Saraswati Naik, KS Uloopi
January-March 2011, 2(1):3-7
DOI:10.4103/0976-237X.79289  PMID:22114445
Ectopic eruption is a disturbance in which the tooth does not follow its usual course. The purpose of this manuscript is to provide a brief review regarding the incidence, etiology, classification and different management techniques used for correcting ectopically erupting permanent first molar. The following manuscript further presents a case report for correction of ectopically erupting mandibular left permanent f irst molar by using a simple and effective appliance by the author.
  6,867 932 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.
  6,546 365 7
Non-syndromic multiple impacted supernumerary teeth with peripheral giant cell granuloma
Pankaj Bansal, Sumidha Rohatgi, Archana Agnihotri, Ashish Gupta
January-March 2011, 2(1):41-44
DOI:10.4103/0976-237X.79309  PMID:22114454
Peripheral giant cell granuloma (PGCG) is a relatively frequent benign reactive lesion of the gingiva, originating from the periosteum or periodontal membrane following local irritation or chronic trauma. PGCG manifests as a red-purple nodule located in the region of the gingiva or edentulous alveolar margins. The lesion can develop at any age, although it is more common between the second and third decades of life, and shows a slight female predilection. PGCG is a soft tissue lesion that very rarely affects the underlying bone, although the latter may suffer superficial erosion. A supernumerary tooth is one that is additional to the normal series and can be found in almost any region of the dental arch. These teeth may be single, multiple, erupted or unerupted and may or may not be associated with syndrome. Usually, they cause one or the other problem in eruption or alignment of teeth, but may also present without disturbing the normal occlusion or eruption pattern. Management of these teeth depends on the symptoms. Presented here is a case of PGCG in relation to the lower left permanent first molar with three supernumerary teeth in the mandibular arch but no associated syndrome.
  5,609 229 1
Efficacy of benzydamine hydrochloride, chlorhexidine, and povidone iodine in the treatment of oral mucositis among patients undergoing radiotherapy in head and neck malignancies: A drug trail
G Roopashri, K Jayanthi, R Guruprasad
January-March 2011, 2(1):8-12
DOI:10.4103/0976-237X.79292  PMID:22114446
Background and Objectives: Oral mucositis is a common and debilitating complication of radiotherapy, which is associated with significant morbidity. It is therefore extremely important that mucositis be prevented, or at least treated to reduce its severity and sequelae. The objective of the study was to manage oral mucositis induced by radiotherapy and to reduce pain by using Benzydamine hydrochloride (0.15%), Chlorhexidine (0.2%), and Povidone iodine (5%). Results: Benzydamine hydrochloride was observed to be effective and delayed the development of severe form of mucositis and appears more efficient in the management of radiation-induced mucositis. Conclusion: Benzydamine hydrochloride (0.15%) is safe, well tolerated, helps not just in delaying the progression of mucositis but also reduces the intensity of pain.
  5,018 445 13
An unusual case report of bilateral mandibular radicular cysts
Niyanta S Joshi, SG Sujan, MM Rachappa
January-March 2011, 2(1):59-62
DOI:10.4103/0976-237X.79295  PMID:22114458
A radicular cyst is one of the most common odontogenic cysts of anterior maxilla, not commonly seen in adolescence. Here, we present a rare, atypical case, of bilateral radicular cysts of the mandibular posterior region in a 13-year-old girl. The patient management comprised surgical enucleation of cystic sac under general anesthesia followed by rehabilitation of the same area. The purpose of this article is to lay emphasis on the pedodontist's role in early diagnosis and treatment of such lesions.
  4,959 441 2
Estimation of total antioxidant capacity levels in saliva of caries-free and caries-active children
Reshma Dodwad, Anupama V Betigeri, BP Preeti
January-March 2011, 2(1):17-20
DOI:10.4103/0976-237X.79296  PMID:22114448
Background and Objectives: The purpose of this study was to evaluate total antioxidant levels in caries-free and caries-active children. Materials and Methods: The present study included one hundred and twenty healthy children who were divided into two groups; Group I and Group II, comprising of age groups 7 to 10 years and 11 to 14 years. respectively. Both the groups were then sub-divided equally according to gender. They were further divided into caries-free and caries-active children with 15 children in each group. Unstimulated saliva was collected by suction method. The samples were then analyzed for total antioxidant capacity. The data was then statistically analyzed using Student's t-test (unpaired). Results: The results revealed that the total antioxidant capacity of saliva increased significantly in caries-active children when compared to caries-free children. Conclusion: Within the limitation of this study, we can conclude that the physicochemical properties of saliva in particular total antioxidant capacity play a role in the development of caries.
  4,535 456 10
Primary gingival tuberculosis: A rare clinical entity
Geeti Gupta, BP Khattak, Vipin Agrawal
January-March 2011, 2(1):31-33
DOI:10.4103/0976-237X.79313  PMID:22114451
Tuberculosis is a specific granulomatous infectious disease and a major cause of death in developing countries. Primary gingival tuberculosis is extremely rare and forgotten entity. Oral lesions usually appear as secondary to primary tuberculosis infection elsewhere. The lesion may take the form of nodules, ulcers, or elevated fissures. We report a case of primary tuberculosis of gingiva, manifesting as gingival enlargement with ulceration and discharge. Diagnosis was based on histopathologic examination, complete blood count, chest X-ray, and immunologic investigations with detection of antibodies against Mycobacterium tuberculosis. With the recent increase in the incidence of tuberculosis, this case report also emphasizes the need for clinicians to be aware of this possibility, consider tuberculosis in the differential diagnosis of gingival enlargement, and thus, play a role in the early detection of this disease.
  4,234 333 3
Mucopolysaccharidosis type I Hurler-Scheie syndrome: A rare case report
Ramesh Tatapudi, M Gunashekhar, P Suryanarayana Raju
January-March 2011, 2(1):66-68
DOI:10.4103/0976-237X.79287  PMID:22114460
Mucopolysaccharidosis I (MPS I) is a rare inherited disorder that belongs to a group of clinically progressive disorders and is caused by the deficiency of the lysosomal enzyme, α1 -iduronidase. MPS I has been recently classified into a severe (Hurler syndrome) and an attenuated type (Hurler-Scheie and Scheie syndromes). The purpose of this article was to describe a rare case of MPS type I, attenuated type (Hurler-Scheie) affecting a 15-year-old Indian child.
  4,254 260 3
Activator reloaded - Myofunctional appliance at its best
Anil S Malik, Abhijeet S Karnik
January-March 2011, 2(1):45-48
DOI:10.4103/0976-237X.79301  PMID:22114455
Orthodontics from time immemorial has always been considered as the first speciality of dentistry. Diagnosis and treatment planning from Dr. Tweed's time always required extraction of four vital and functional premolar teeth. However, many patients, parents and general dentists have failed to understand that orthodontic treatment at an early age can help save the extraction teeth to achieve a full functional and esthetic harmonius dentition. Our case demonstrates a non-extraction orthodontic treatment plan of a developing skeletal Class II malocclusion. The results of this case show a successful correction of Class II molar malocclusion with excellent form and function, which resulted in improvement of the patient's frontal and facial profile, which, thereby boosted her personality and self-confidence.
  3,776 322 -
Peripheral osteoma of the maxilla: A rare case report
Kunal Sah, Alka Kale, H Seema, Vijaylaxmi Kotrashetti, BJ Pramod
January-March 2011, 2(1):49-52
DOI:10.4103/0976-237X.79299  PMID:22114456
Osteoma is a benign osteogenic lesion with a very slow growth, characterized by proliferation of either cancellous or compact bone. Depending on its location, osteoma may be classified as central, peripheral or extraskeletal type. Although peripheral osteomas of the upper jaw are rare, diagnosticians can however encounter them in their clinical practice, which are probably misdiagnosed. These should be considered in the differential diagnosis of any slow-growing, non-tender, bony hard, non-compressible, non-fluctuant and non-pulsatile swelling present on the Oral and Maxillofacial region. We report a rare case of maxillary peripheral osteoma in a 50-year-old female patient. To best of our knowledge this is the eleventh case of maxillary osteoma reported in the English language literature.
  3,805 253 2
Comparative evaluation of the effectiveness of electronic dental anesthesia with 2% lignocaine in various minor pediatric dental procedures: A clinical study
Abhishek Dhindsa, IK Pandit, Nikhil Srivastava, Neeraj Gugnani
January-March 2011, 2(1):27-30
DOI:10.4103/0976-237X.79305  PMID:22114450
One of the most distressing aspects of dentistry for pediatric patients is the fear and anxiety caused by the dental environment, particularly the dental injection. The application and induction of local anesthetics has always been a difficult task, and this demands an alternative method that is convenient and effective. Electronic dental anesthesia, based on the principal of transcutaneous electric nerve stimulation (TENS), promises to be a viable mode of pain control during various pediatric clinical procedures. Therefore, the aim of the present study was to evaluate the effectiveness of TENS and to compare its efficacy with 2% lignocaine during various minor pediatric dental procedures. Pain, comfort and effectiveness of both the anesthetics were evaluated using various scales and no significant difference was observed between 2% lignocaine and TENS in the various pain scales, while TENS was perceived to be significantly effective in comfort and efficacy as judged by the operator and quite comfortable as judged by the patient himself/herself.
  3,564 430 2
Oral rehabilitation of a patient with sub - total maxillectomy
Romesh Soni, Shitu Jindal, BP Singh, Neelam Mittal, TP Chaturvedi, DR Prithviraj
January-March 2011, 2(1):63-65
DOI:10.4103/0976-237X.79293  PMID:22114459
This clinical report describes oral rehabilitation of a patient with sub-total maxillectomy with palatine process of maxilla and horizontal plate of palatine bone intact to retain the maxillary obturator. Clinical examination has been performed to know the amount of favorable undercuts to be used for retention of the obturator for better functional efficiency. Successful prosthetic reconstruction of hemimaxillectomy defect is a challenging procedure that requires multidisciplinary expertise to achieve acceptable functional speech and swallowing outcomes. This article describes the oral rehabilitation of a patient with sub-total maxillectomy with a maxillary obturator. Oral rehabilitation of sub-total maxillectomy patient is a challenging task. Obturation of the defect depends on volume of the defect, and positioning of remaining hard and soft tissues to be used to retain, stabilize, and support the prosthesis. A maxillary obturator for edentulous patient must provide for retention, stability, support, patient comfort, and cleanliness.
  3,260 299 1
Comparing the reinforcing effects of a resin modified glassionomer cement, Flowable compomer, and Flowable composite in the restoration of calcium hydroxide-treated immature roots in vitro
S Prathibha Rani
January-March 2011, 2(1):21-26
DOI:10.4103/0976-237X.79298  PMID:22114449
One hundred and sixty human permanent central incisors were enlarged to a 120 file size after crown removal procedure to simulate immature teeth. The root canals were filled with calcium hydroxide and stored for 15 days (phase I), 30 days (phase II), 90 days (phase III), and 180 days (Phase IV). At the end of these selected time periods, calcium hydroxide was cleaned off the root canals of forty teeth that were randomly selected and obturated with gutta-percha points in the apical 2 mm of the root canals with a sealer. The specimens were further equally divided into four groups. Unrestored Group I served as control and the root canals of teeth in the other three group specimens were reinforced with resin modified glassionomer cement (RMGIC) (Group II), Flowable Compomer (Group III), and Flowable Composite (Group IV), respectively, using a translucent curing post. All specimens were subjected to compressive force using an Instron Testing machine, until fracture occurred. All the materials evaluated substantially reinforced the root specimens compared to the control. At the end of 180 days, Flowable composites showed maximum reinforcement compared to the other groups; however, no significant differences were found between the reinforcement capabilities of Flowable Compomer and RMGIC.
  2,961 245 2
Antimicrobial efficacy of an indigenously prepared caries removing gel
Priya Subramaniam, K Gilhotra
January-March 2011, 2(1):13-16
DOI:10.4103/0976-237X.79294  PMID:22114447
Objective: The aim of this study was to assess the anti-microbial efficacy of an indigenously prepared caries removing gel, in primary molars. Materials and Methods: Twenty teeth with broad occlusal cavitated lesions that fulfilled the clinical and radiographic criteria formed the study group. These teeth were subjected to chemomechanical method of caries removal, using an indigenously prepared caries removing gel. Prior to and following caries removal, the dentin samples were analyzed for total viable count and lactobacilli count. Results: The percentage of reduction in the total viable count was 92.4% and in the lactobacilli count it was 94.1%, which was statistically highly significant. Conclusion: Removal of carious tissue with a caries removing gel, a natural plant extract, proved to be efficient, easy to perform, and comfortable for the patient.
  2,673 363 2
Microstomia in a maxillectomy patient: A prosthetic challenge
Shushant K Garg, Sanjay Bansal, R Kumar Shireen
January-March 2011, 2(1):34-36
DOI:10.4103/0976-237X.79315  PMID:22114452
The provision of a satisfactory denture in case of reduced stomal inlet has always been a trouble for the patient and a challenge to the prosthodontist. Fabrication of complete and removable partial denture prosthesis requires accurate diagnostic impression and diagnostic casts for the development of custom trays and final impression. The decreased mouth opening, technically called "Microstomia," poses problems in tray selection, impression making, jaw records and denture insertion. The causes for microstomia are numerous, one major cause being the after-effect of radiation therapy. Whatever the cause, the ability to make impressions and jaw records becomes taxing. A variety of impression techniques using modifications in the nature of the tray and impression materials are required. The present case report highlights an innovative and different aspect of impression making and fabrication of an obturator prosthesis for a microstomic patient who underwent maxillectomy.
  2,280 250 -
Disasters? Natural or man-made
SG Damle
January-March 2011, 2(1):1-2
DOI:10.4103/0976-237X.79284  PMID:22114444
  2,071 158 1