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   2013| October-December  | Volume 4 | Issue 4  
    Online since December 17, 2013

 
 
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CASE REPORTS
Full mouth rehabilitation of a patient with reduced vertical dimension using multiple metal ce ramic restorations
Ashish R Jain, Deepak Nallaswamy, Padma Ariga, Jacob Mathew Philip
October-December 2013, 4(4):531-535
DOI:10.4103/0976-237X.123066  PMID:24403804
Rehabilitation of a patient with severely worn dentition after restoring the vertical dimension is a complex procedure and assessment of the vertical dimension is an important aspect in these cases. This clinical report describes the full mouth rehabilitation of a patient who was clinically monitored to evaluate the adaptation to a removable occlusal splint to restore vertical dimension for a period 1 month and provisional restorations to determine esthetic and functional outcome for a period of 3 months. It is necessary to recognizing that form follows function and that anterior teeth play a vital role in the maintenance of oral health. Confirmation of tolerance to changes in the vertical dimension of occlusion (VDO) is of paramount importance. Articulated study casts and a diagnostic wax-up can provide important information for the evaluation of treatment options. Alteration of the VDO should be conservative and should not be changed without careful consideration.
  3,348 661 1
ORIGINAL ARTICLES
A new concept in hybridization: Bromelain enzyme for deproteinizing dentin before application of adhesive system
Raad Niama Dayem, Mona Adnan Tameesh
October-December 2013, 4(4):421-426
DOI:10.4103/0976-237X.123015  PMID:24403782
Objective: The objective of this study is to assess the deproteinizing effect of bromelain enzyme and compare it with neodymium-doped yttrium aluminum garnet (Nd:YAG) laser and 10% sodium hypochlorite (NaOCl) by using scanning electron microscope (SEM) and polarized microscope. Materials and Methods: A total of 60 extracted human upper premolars were selected to be given standardized buccal and lingual class V cavities. The teeth were divided into three groups each one consisted of 20 teeth. Thirty teeth were recruited for SEM study and the other 30 for polarized microscope. Group 1: Teeth were deproteinized with Nd:YAG laser, Group 2: Teeth were deproteinized with bromelain enzyme and Group 3: Teeth were deproteinized with 10% NaOCl. Results and Conclusions: Application of bromelain enzyme has led to removing collagen network and significantly decreased the global leakage scores of the adhesive system.
  3,202 306 -
School based oral health promotional intervention: Effect on knowledge, practices and clinical oral health related parameters
Arjun Gauba, Ikreet Singh Bal, Ashish Jain, Hitesh Chander Mittal
October-December 2013, 4(4):493-499
DOI:10.4103/0976-237X.123056  PMID:24403795
Background: No organized school oral health program is existent in India. Aim: The aim of this study is to test the feasibility and efficacy of an economical school oral health promotional intervention with educational and preventive components. Settings and Design: School oral health promotional intervention carried out in one of the randomly selected school and evaluated through short duration prospective model. Materials and Methods: A total of 100 children with an age range of 10-12 years with no previous history of dental intervention were enrolled. Interventions comprised of oral health education (delivered through lecture and demonstrations by an undergraduate dental student) and topical antibacterial therapy (fluoride varnish and povidone iodine). Outcomes consisted of Knowledge and practices (KAP) regarding oral health, clinical oral health related parameters such as plaque index (PI), gingival index (GI) and caries activity as per Modified Snyder's test. These were reported at baseline, 3 weeks and 6 months follow-up examination by a calibrated examiner. Statistical Analysis: McNemar Bowker's test, Student's t-test, Pearson Chi-square tests were used. Results: Highly significant (P < 0.001) improvements in KAP scores, PI scores, GI scores and caries activity were reported at 3 weeks and 6 months follow-up examination. Conclusion: This small economical school oral health program positively influenced oral health related practices and parameters of oral health such as oral cleanliness, gingival health and caries activity.
  2,779 466 5
CASE REPORTS
Modified quad helix appliance for thumb sucking and cross bite correction
C Vinay, V Sandeep, CH Hanumanth Rao, KS Uloopi, A Siva Kumar
October-December 2013, 4(4):523-526
DOI:10.4103/0976-237X.123064  PMID:24403802
Digit sucking habit is a learned pattern of behavior commonly seen in children of preschool age. Prolonged digit sucking beyond the preschool age, lead to the development of malocclusion such as anterior open bite, maxillary constriction and posterior crossbite. Treatment strategies include interception of habit and correction of the malocclusion. The present case report describes a modified quad helix appliance used successfully in a 9-year-old child to intercept thumb sucking habit and simultaneous correction of posterior crossbite. The appliance has the advantage of easy fabrication, being versatile and more patients compliant.
  2,617 480 -
ORIGINAL ARTICLES
Cephalometric norms for orthognathic surgery for North Indian population
Satinder Pal Singh, Ashok Kumar Utreja, Ashok Kumar Jena
October-December 2013, 4(4):460-466
DOI:10.4103/0976-237X.123041  PMID:24403789
Objective: The objective of this study is to establish the cephalometric hard tissue norm for orthognathic surgery for North Indian subjects. Materials and Methods: A total of 100 young adults which consists of 46 males and 54 females with the age range of 14-24 years with balanced facial profile and minimum arch length discrepancies were chosen for the study. Lateral cephalograms with teeth in occlusion were recorded and analyzed manually to establish the norm. The mean values of various cephalometric hard tissue variables for North Indian males and females were compared with those Caucasians. P < 0.05 was considered to be statistically significant. Results: All the cephalometric parameters for orthognathic surgery except mandibular length and lower incisor inclination were comparable among North Indian males and females. The mandibular length was significantly more among North Indian males than females (P < 0.05) and the inclination of lower incisors was significantly more among North Indian females than males (P < 0.05). However, many of the cephalometric parameters for orthognathic surgery were significantly different among North Indian and Caucasian males and females. Conclusion: The cephalometric norms for orthognathic surgery were established for North Indians and many measurements were different from those for Caucasians.
  2,511 305 1
CASE REPORTS
Rootless teeth: Dentin dysplasia type I
Sangamesh G Fulari, Deepti P Tambake
October-December 2013, 4(4):520-522
DOI:10.4103/0976-237X.123063  PMID:24403801
A rare case of hereditary disturbance of dentine, Dentin dysplasia type I is presented, which is characterized by short or total absence of roots, obliterated pulp chambers, and peri-apical radiolucencies. It affects both primary and secondary dentition. Management of patients with dentinal dysplasia is difficult and requires a multidisciplinary approach. An overview of dentin dysplasia and its management along with a case report is discussed.
  2,577 223 3
ORIGINAL ARTICLES
Adrenomedullin, periodontitis, diabetes-unraveling the equivocal relationship: A clinicobiochemical cross-sectional study
A Suchetha, Akanksha Garg, P Lakshmi, Divya Bhat, N Sapna, SM Apoorva
October-December 2013, 4(4):454-459
DOI:10.4103/0976-237X.123040  PMID:24403788
Context: Antimicrobial proteins and peptides constitute a diverse class of host-defense molecules that act early to combat invasion and infection with bacteria and other microorganisms. Among the various antimicrobial peptides in the oral cavity, adrenomedullin (ADM), a cationic peptide, is found in gingival crevicular fluids (GCFs) in amounts twice as high in periodontal disease sites as healthy sites. Studies have also shown that plasma levels of ADM increased in patients with type 2 diabetes mellitus as compared with controls. Aims: This clinico-biochemical study was undertaken to try to decipher the probable link between ADM, diabetes and periodontitis. Materials and Methods: The study comprised of 90 patients who were divided into three groups based on community periodontal index scores and diabetes status. Probing pocket depth and clinical attachment level were measured in all subjects. GCF was collected from all the participants using micropipettes and blood samples were collected from subjects in Groups III, for analysis of glycated hemoglobin. ADM levels were measured in GCF samples by the enzyme-linked immunosorbent assay. Statistical Analysis Used: The data obtained were subjected to analysis of variance, Bonferroni test and Pearson's correlation. Results: An increase in GCF levels of ADM from periodontal health to disease and in periodontitis patients with type 2 diabetes was noted. Conclusions: Increase in GCF levels of ADM from periodontal health to disease and in periodontitis patients with type 2 diabetes reinforces the perio-systemic interlink concept.
  2,427 164 1
Evaluation of marginal leakage of different temporary restorative materials in Endodontics
Pedro Henrique Duarte França de Castro, Juliana Vianna Pereira, Emilio Carlos Sponchiado, André Augusto Franco Marques, Lucas da Fonseca Roberti Garcia
October-December 2013, 4(4):472-475
DOI:10.4103/0976-237X.123045  PMID:24403791
Aim: The aim of this study is to assess the coronal marginal leakage of three temporary restorative materials used for root canal sealing after endodontic treatment. Materials and Methods: A total of 88 single-rooted teeth were submitted to biomechanical preparation and filled by lateral condensation technique. After obturation process, the teeth were randomly separated into four groups, being two teeth of each group used as positive and negative control. Temporary sealing was performed as follows: GI - Clip F (VOCO); GII - Bioplic (Biodinβmica); GIII - Vitremer (3M ESPE) and GIV - Ketak N100 (3M ESPE). Next, the specimens were immersed into Indian ink for 30 and 60- days, being 10 specimens for each time interval and then submitted to diaphanization to verify the amount of coronal leakage using a measuring microscope. Results : Leakage mean values within the 30-day period were as follows: Vitremer (0.3 mm), Ketak N100 and Clip F (0.6 mm) and Bioplic (1.7 mm). Within the 60-day period, leakage means were 1.1 mm, 1.5 mm, 2.2 mm and 2.6 mm, respectively. Conclusions: None of the materials was capable of preventing marginal leakage within the 30- and 60-day period. In both time intervals, Bioplic presented the highest mean of leakage and Vitremer the lowest.
  2,243 342 2
Effect of different adhesion strategies on fiber post cementation: Push-out test and scanning electron microscopy analysis
Letícia Oliveria Saraiva, Thaiane Rodrigues Aguiar, Leonardo Costa, Lourenço Correr-Sobrinho, Leonardo Muniz, Paula Mathias
October-December 2013, 4(4):443-447
DOI:10.4103/0976-237X.123022  PMID:24403786
Aim: The aim of this study was to investigate the effect of phosphoric acid etching and the dentin pre-treatment with sodium hypochlorite (NaOCl) on the push-out bond strength between fiber post and root canal dentin. Materials and Methods: Root canals of 48 human incisors were selected, post spaces were prepared and assigned to four groups: G1-37% phosphoric acid (15 s); G2-5.25% NaOCl (2 min) +37% phosphoric acid (15 s); G3-37% phosphoric acid (60 s); and G4-5.25% NaOCl (2 min) +37% phosphoric acid (60 s). Fiber post cementation was performed with two-step etch-and-rinse adhesive system/dual-cured resin cement according to the manufacturer's recommendation. After 24 h, each root was sectioned transversally into three slices (cervical, middle and apical) and the bond strength of each section was determined using a push-out bond strength test. Morphology analysis of the bonded interface was evaluated using a scanning electron microscopy. Push-out strength data (MPa) were analyzed by Analysis of Variance and Tukey-Kramer (α = 0.05). Results: Considering the NaOCl pre-treatment, no statistically significant differences were observed among groups; however, when the phosphoric acid was applied during 60 s in the apical portion without NaOCl pre-treatment, the bond strength was statistically significant increased. Conclusion: The NaOCl pre-treatment did not improve the bond strength of adhesive luting cement to root canal dentin. The findings suggest that the use of 37% phosphoric acid for 60 s may have a beneficial effect on bond strength in the apical root third.
  2,296 283 6
Comparative evaluation of debris removal from root canal wall by using EndoVac and conventional needle irrigation: An in vitro study
Vandana J Gade, Shweta K Sedani, Jyoti S Lokade, Leena D Belsare, Jaykumar R Gade
October-December 2013, 4(4):432-436
DOI:10.4103/0976-237X.123019  PMID:24403784
Context: Microbial control is of paramount importance in Clinical Endodontics. Therefore, cleaning and disinfection of root canals are essential to achieve endodontic success. Aims: The purpose of this study is to compare the efficacy of EndoVac irrigation system and conventional needle (30 gauges side venting needle) irrigation for removal of debris from the root canal walls at coronal, middle and apical third by using the scanning electron microscopy (SEM). Settings and Design: An in vitro randomized control trial study. Materials and Methods: A total of 20 mandibular premolars with completely formed roots were selected and randomly divided into two groups - Group 1: Irrigation with the Conventional system and Group 2: EndoVac irrigation. After access opening and working length determination biomechanical preparation completed up to a rotary protaper F4 file. Groupwise irrigation with sodium hypochlorite and ethylenediaminetetraacetic acid was done with each canal in between instrumentation. Then, the teeth were sectioned in buccolingual direction and the halves were sputter-coated with gold palladium and coronal, middle and apical third were examined by SEM at x2000 magnification. Statistical Analysis: Mann-Whitney test for comparison between methods, Kruskal-Wallis test for comparison among thirds and Miller test for individual comparisons. Results: The apical, middle and cervical root canal thirds were evaluated and the results were analyzed statistically by the Mann-Whitney test for comparison between methods, Kruskal-Wallis test for comparison among thirds and Miller test for individual comparisons. Conclusions: EndoVac group resulted in significantly less debris at apical third compared with the conventional needle irrigation group. There was no statistical significant difference found in debris removal at coronal and middle third of root canal wall between the EndoVac group and conventional needle irrigation group.
  2,176 350 2
Effect of transcutaneous electrical nerve stimulation induced parotid stimulation on salivary flow
Sreenivasulu Pattipati, Rajendra Patil, N Kannan, B Praveen Kumar, G Shirisharani, Rezwana Begum Mohammed
October-December 2013, 4(4):427-431
DOI:10.4103/0976-237X.123017  PMID:24403783
Aims and Objectives: The main objective of this study was to evaluate the duration of stimulation over the parotid salivary flow following the use of transcutaneous electric nerve stimulation (TENS) in different age groups. Materials and Methods: The study was carried out in three different age groups. Under group A individuals from 21 to 35 years of age, group B 36-50 years and group C above 51 years were considered. In each group 30 subjects were taken of whom 15 were males and 15 were females. The placement of pads was approximated bilaterally over the parotid glands. The working parameters of TENS unit were fixed at 50 Hz and the unit was in normal mode. Results: Subjects belonging to group B were showing statistically significant increases in the duration of stimulated parotid salivary flow following the use of TENS. Conclusion: TENS can be considered as a non-pharmacological alternative to improve salivation for longer period in xerostomia patients.
  2,278 235 -
CASE REPORTS
Overdenture locator attachments for atrophic mandible
Neerja Mahajan, Rahul K Thakkur
October-December 2013, 4(4):509-511
DOI:10.4103/0976-237X.123060  PMID:24403798
Implant-supported overdentures provide a good opportunity for dentists to improve oral health and quality-of-life of patients. Atrophic mandible poses a significant challenge to successful oral rehabilitation with dental implants. In this article, the fabrication of lower overdenture by two narrow platform implants is described with dual retentive, resilient, self-locating locator attachment system. The locator attachment system has the lowest profile in comparison with the ball and bar attachments and is versatile up to 40΀ of divergence between two implants. By using locators as attachments, we can meet functional, economic and social expectation of patients with ease and satisfaction.
  2,027 306 1
A new modified tandem appliance for management of developing Class III malocclusion
Ram Sukh, Gyan P Singh, Pradeep Tandon
October-December 2013, 4(4):515-519
DOI:10.4103/0976-237X.123062  PMID:24403800
Most developing Class III patients display a retruded maxilla. Early intervention in mixed dentition is associated with better patient compliance and possibly a better orthopedic response, which can produce favorable results. The aim of this article is to present the fabrication of the new modified tandem appliance and its use in management of developing Class III malocclusion. The therapeutic results of a new modified tandem appliance are presented in an 8 year-old male patient with anterior cross bite and retrognathic maxilla at the mixed dentition stage. Anterior cross bite was corrected in 3 months and the positive overjet of 4 mm after continued use of the appliance for 1 year. There was a significant improvement in profile of the patient. The use of this appliance in this type of malocclusion enabled the correction of malocclusion in a few months and encouraging favorable skeletal growth in the future.
  1,920 318 1
Unusual solitary neurofibroma on the lower lip of a child
Alvaro Henrique Borges, Ramon De Medonça Correia, Alexandre Meirelles Borba, Orlando Aguirre Guedes, Cynthia Rodrigues De Araújo Estrela, Matheus Coelho Bandeca
October-December 2013, 4(4):512-514
DOI:10.4103/0976-237X.123061  PMID:24403799
Neurofibromas (NF) are benign tumors with involvement of the peripheral nerve, which is not frequently located in the oral cavity, and especially, extraordinary rarity on lower lip of a child. This report describes a case of a NF on lower lip in a 12-year-old Brazilian child. NF consists of a wide variety of cell types, including Schwann cells, perineurial cells, and fibroblasts. Due to cellular heterogeneity, several hypotheses have been proposed to explain the histogenesis of this lesion. One of them, it support an origin of Schwannian, while others emphasize the participation of both Schwann cells and perineural cells. Excisional biopsy was performed to establish definitive diagnosis. Microscopically, the lesion was composed of interlacing bundles of elongated cells with wavy nuclei and small nerve fibers. Immunohistopathologic assessment showed cells positive for S-100, confirming the diagnosis of NF. No recurrence was observed after 1-year follow-up. Pediatric dentists must have a thorough knowledge of this unusual lesion.
  2,010 202 1
ORIGINAL ARTICLES
Role of dermatoglyphics as an indicator of precancerous and cancerous lesions of the oral cavity
Ambika Gupta, Freny R Karjodkar
October-December 2013, 4(4):448-453
DOI:10.4103/0976-237X.123039  PMID:24403787
Background: Oral squamous cell carcinoma (SCC) is one name that causes panic and holds an undeserved high ranking as a killer. Another important condition which has become a major public health issue in South East Asia is oral submucous fibrosis (OSF). Not all the people using tobacco suffer from these diseases. Genetic predisposition might explain such an individual variability that can be predicted by using various cytogenetic markers. However, these studies are far more costly and complicated. So, dermatoglyphics may be of immense clinical significance to segregate those individuals who are at an increased risk for developing these diseases. Aim: The present study was conducted to analyze the palmar dermatoglyphics in SCC and OSF and find a "dermatoglyphic marker", if any. Study Design: Cross sectional study. Materials and Methods: 120 individuals were divided into four groups based upon their habits of tobacco/areca nut usage and presence of OSF/SCC. Dermatoglyphic patterns were recorded using standard ink method. Various patterns were analysed statistically in the four groups. Results and Conclusion: In SCC, there was an increase in frequency of arch and ulnar loop patterns on fingertips, decrease in frequency of simple whorl patterns on fingertips, decrease in frequency of palmar accessory triradii on right and left hands. Significant findings in OSF included an increase in frequency of arch and ulnar loop pattern, decrease in frequency of simple whorl patterns on fingertips, decrease in atd angle on right hand, decrease in frequency of palmar accessory triradii on right hand. The results revealed that the field of dermatoglyphics holds promising results for determining the genetic susceptibility of individuals to develop SCC and OSF.
  1,883 312 1
CASE REPORTS
Juvenile psammomatoid ossifying fibroma: An unusual case report
Nidhi Yadav, Prashant Gupta, Shantala R Naik, Ashish Aggarwal
October-December 2013, 4(4):566-568
DOI:10.4103/0976-237X.123094  PMID:24403813
Ossifying fibromas are well-demarcated benign fibro-osseous tumors of craniofacial skeleton most often in the jaws. It has two types, conventional and juvenile ossifying fibroma (JOF). JOF is considered a separate entity from ossifying fibroma due to its locally aggressive behavior and tendency to occur at a young age. Two subtypes of JOF, i.e., juvenile psammomatoid ossifying fibroma (JPOF) and juvenile trabecular ossifying fibroma have been identified on the basis of histology 70% of the JPOF occur in the paranasal sinuses, 20% in the maxilla and only 10% in the mandible. Here, we report a case of JPOF in a 14-year-old girl causing an asymptomatic expansile swelling in the right mandibular posterior region, which is a rare site for this tumor.
  1,994 192 1
ORIGINAL ARTICLES
Associated oral lesions in human immunodefeciency virus infected children of age 1 to 14 years in anti retroviral therapy centers in Tamil Nadu
R Krishna Kumar, G Mohan, N Venugopal Reddy, V Arun Prasad Rao, M Shameer, Ananthi Christopher
October-December 2013, 4(4):467-471
DOI:10.4103/0976-237X.123043  PMID:24403790
Aim: To evaluate the prevalence of oral lesions status in human immunodeficiency virus (HIV) infected children of age 1 to 14 years in Anti Retro viral therapy (ART) centres in Tamil Nadu. Materials and Methods: A of total 326 HIV infected children, age 1 to 14 years of which 174 male children and 152 female children were examined for Oral lesions in the Department of Pedodontics and Preventive Dentistry, Rajah Muthiah Dental College and Hospital, Annamalai University in association with the ART centers in Villupuram, Vellore and HIV Homes in Thiruvannamalai, Trichy and Salem in Tamil Nadu towns. Statistical Analysis: Statistical Package for Social Science for Windows (version 11 code: 3000135939012345). Result: Of the total 326 children, 201 (61.65%) had oral lesions. (68 [20.86%] with Oral Candidiasis [OC], 54 [16.56%] with Angular Cheilitis, 27 [8.28%] with Necrotizing Ulcerative Gingivitis [NUG], 25 [7.66%] with Necrotizing Ulcerative Periodontitis [NUP], 18 [5.53%] with Linear Gingival Erythema [LGE] and 9 [2.76%] with Apthous Ulcer.) Conclusion Among the oral lesions in HIV infected children, OC 20.86% was the predominant oral lesion followed by Angular Chelitis 16.56%, NUG 8.28%, NUP 7.66%, LGE5.53% and Apthous Ulcer 2.76%.
  1,896 189 5
CASE REPORTS
Gingival enlargement unveiling sarcoidosis: Report of a rare case
Sabeeha Abbas Kadiwala, Mala Baburaj Dixit
October-December 2013, 4(4):551-555
DOI:10.4103/0976-237X.123087  PMID:24403809
Sarcoidosis is classified as an acquired systemic granulomatous disease. Because of the fact that sarcoidosis affects multiple tissues and organs, it is characterized by many potential signs and symptoms, as well as by the presence of non-caseating granulomas in the organs involved. Although oral sarcoidosis is relatively rare, it may however, present in the oral cavity. This report presents a rare case of sarcoidosis with the initial presenting symptom as severe generalized gingival enlargement. The gingival enlargement was treated by gingivectomy. After histopathological examination of gingival biopsy and certain special investigations, a diagnosis of sarcoidosis was made.
  1,842 179 1
Importance of ultrasonography and magnetic resonance imaging in diagnosis of cysticercosis of temporalis muscle mimicking temporal space infection
Sameer Rastogi, Pallak Arora, Parvathi Devi, Sartaj Singh Wazir, Shalini Kapoor
October-December 2013, 4(4):504-508
DOI:10.4103/0976-237X.123059  PMID:24403797
Cysticercosis cellulosae, caused by the larval stage of Taenia solium is a common parasitic infection in Indian subcontinent. Although cysticercosis is common in other parts of the human body, its involvement with temporalis muscle is an extremely rare entity and demands documentation. This paper reports a case of cysticercosis cellulosae in a 35-year-old male patient within the temporalis muscle mimicking temporal space infection; due to the presence of concomitant dental infection, which was diagnosed with the help of high resolution ultrasonography and magnetic resonance imaging and managed conservatively using oral antiparasitic medication. Here, in this case report, we are emphasizing the importance of imaging modalities in diagnosing space infection and cysticercosis.
  1,829 162 4
Spindle cell carcinoma of the gingiva: A rare occurrence
Anjana Ramamurti, Madhumathi Venkataraman, Malathi Narasimhan, Suresh Ranga Rao
October-December 2013, 4(4):500-503
DOI:10.4103/0976-237X.123058  PMID:24403796
Of the many neoplasms known, squamous cell carcinoma (SCC) is the most common to affect the oral cavity. Spindle cell carcinoma (SpCC) is considered a rare high malignant variant of SCC occurring predominantly in the upper aerodigestive tract. Soft-tissue spindle cell neoplasms are quite uncommon in the oral cavity reportedly accounting for lesser than 1% of all tumors in the oral region. Our case shows an unusual presentation of SpCC involving the mandibular gingiva in a 46-year-old smoker patient, which presented as a firm, erythematous swelling with surface necrosis. An incisional biopsy was performed for microscopic evaluation to confirm the clinical diagnosis and for treatment planning.
  1,779 163 2
Juvenile pleomorphic adenoma of masticator space: The first case report
Rajat G Panigrahi, Sujit Ranjan Sahoo, Swagatika Panda, Sthitaprajna Lenka, Subrat Kumar Padhiary, Ruchi Bhuyan, Sanat Bhuyan
October-December 2013, 4(4):527-530
DOI:10.4103/0976-237X.123065  PMID:24403803
Pleomorphic adenoma (PA), also called benign mixed tumor, is the most common tumor of the salivary glands. About 90% of these tumors occur in the parotid gland and 10% in the minor salivary glands. Juvenile PAs are uncommon and about 5-10% of minor salivary gland PA affects patients aged 20 years and under. The most common sites of PA of the minor salivary glands are the palate followed by lips and cheek. Other rare reported sites include the throat, floor of the mouth, tongue, tonsil, pharynx, retromolar area and nasal cavity. The masticator space is a deep facial space with a complex anatomical structure where PA is not known to occur. Here, we report an unusual case of PA of left masticator space in a 16-year-old girl patient, which to the best of our knowledge is the first reported case in English language literature.
  1,741 160 1
ORIGINAL ARTICLES
The effects of silorane composites on levels of cytokines and periodontal parameters
Nurcan Ozakar Ilday, Neslihan Celik, Alparslan Dilsiz, Hamit Hakan Alp, Tuba Aydin, Nilgun Seven, Ahmet Kiziltunç
October-December 2013, 4(4):437-442
DOI:10.4103/0976-237X.123021  PMID:24403785
Aims: The purpose of this pilot study was to determine the effects of silorane composites on gingival crevicular fluid (GCF) levels of tumor necrosis factor alpha (TNF-α), interleukin 6 (IL-6) and IL-8, GCF volume and clinical periodontal parameters in patients with silorane composite restorations before and after restorative treatment. Materials and Methods: A total of 20 systemically healthy non-smokers, 12 female and 8 male (age range: 24-46 years), presenting with 25 instances of primary dentine caries with subgingival margins were selected for this study. Approval was obtained from the university ethics committee and treatment plans were approved by the patients. GCF samples were obtained with periopaper strips from relevant teeth for IL-6, IL-8 and TNF-α measurements. Each sample was stored at − 80°C and analyzed using the enzyme-linked immunosorbent assay (ELISA) kits. Cavities were prepared according to the common principles for adhesive restorations and restored with a silorane adhesive system (Silorane System Adhesive (3M ESPE) and silorane composite (Filtek Silorane, 3M ESPE). Cytokine levels were reassessed 2 weeks after restorative treatment. Data were analyzed using the independent t-test at a significance level of α =0.05. Associations between parameters were analyzed using Pearson correlation analysis. Results: A significant increase in gingival index (GI) and plaque index (PI) were observed after 15 days (P < 0.05). GCF volume, IL-6, IL-8 and TNF-α levels exhibited significant differences before and after restorative treatment (P < 0.05). There were strong positive correlations among parameters except for PI/GCF volume and GI/GCF volume. Conclusion: Within the limitations of this investigation, silorane composites may have some negative effects on cytokine levels, clinical parameters and GCF volume.
  1,729 165 4
CASE REPORTS
Invasive cervical root resorption: Engineering the lost tissue by regeneration
Dexton Antony Johns, Vasundara Yayathi Shivashankar, Ramesh Kumar Maroli, Rosamma Joseph
October-December 2013, 4(4):536-539
DOI:10.4103/0976-237X.123067  PMID:24403805
Invasive cervical resorption (ICR) is a localized resorptive process that commences on the surface of the root below the epithelial attachment and the coronal aspect of the supporting alveolar process, namely the zone of the connective tissue attachment' early diagnosis, elimination of the resorption and restorative management are the keys to a successful outcome. Treatment done was a combined non-surgical root canal therapy, surgical treatment to expose the resorptive defect and the resorptive defect was filled up with reverse sandwich technique and finally the bony defect filled with platelet rich fibrin (PRF), hydroxylapatite and PRF membrane. Significant bone fill was obtained in our case after a 2 year follow-up period. This case report presents a treatment strategy that might improve the healing outcomes for patients with ICR.
  1,698 194 -
Orthodontic management of non-syndromic multiple supernumerary teeth
Vijay Singhvi, Supriya Nambiar, Siddarth Shetty
October-December 2013, 4(4):540-542
DOI:10.4103/0976-237X.123068  PMID:24403806
Hyperdontia amounts to an odontostomatologic anomaly wherein, there is an increase in tooth number irrespective of the location. This case report represents a form of hyperdontia characterized by bilateral multiple supernumerary teeth in both the jaws without any evident familial history.
  1,717 175 1
Combined soft and hard tissue augmentation for a localized alveolar ridge defect
Ritu Rana, Srinivas Sulugodu Ramachandra, Manesh Lahori, Reetika Singhal, KD Jithendra
October-December 2013, 4(4):556-558
DOI:10.4103/0976-237X.123090  PMID:24403810
Ideal alveolar ridge width and height allows placement of a natural appearing pontic, which provides maintenance of a plaque-free environment. The contour of a partially edentulous ridge should be thoroughly evaluated before a fixed partial denture is undertaken. Localized alveolar ridge defect refers to a volumetric deficit of the limited extent of bone and soft-tissue within the alveolar process. These ridge defects can be corrected by hard tissue and/or soft-tissue augmentation. A 30-year-old male patient was referred to the Department of Periodontology for correction of Seibert's Class III ridge defect in the lower anterior region. Granulation tissue/connective tissue present at the base of the defect was removed after elevation of full thickness flap. MucoMatrixX, an animal derived, collagen based soft-tissue graft was sutured to the labial flap and bone graft was placed into the defect. If a soft-tissue graft material could be used to replace the palatal grafts, then all the possible complications associated with donor site would be eliminated and above all periodontal plastic surgery and ridge augmentation would be better accepted by patients.
  1,647 221 1
Retrieval of a metallic obstruction from the root canal of a premolar using Masserann technique
AR Vivekananda Pai, Shugufta Mir, Rachit Jain
October-December 2013, 4(4):543-546
DOI:10.4103/0976-237X.123069  PMID:24403807
A metallic obstruction in the root canal blocks canal cleaning and shaping procedures and requires either bypassing or retrieval. Many methods have been recommended to retrieve a metallic obstruction from the root canal. This article describes the retrieval of a metallic obstruction from the root canal of a premolar using Masserann technique to facilitate endodontic retreatment. Masserann technique is said to have limited application in posteriors. However, in this case, the obstruction was successfully retrieved by employing Masserann technique which consisted of using a trephan to cut the dentine and extractor tube to retrieve the obstruction. The retrieved obstruction was found to be a separated H-file. Endodontic retreatment was completed following the detection and negotiation of an extra canal in the same tooth.
  1,663 197 1
ORIGINAL ARTICLES
Prevalence of dental caries and treatment needs in children in coastal areas of West Bengal
Dulal Das, Jiban Misra, Malay Mitra, Bhashwar Bhattacharya, Anandamoy Bagchi
October-December 2013, 4(4):482-487
DOI:10.4103/0976-237X.123048  PMID:24403793
Objective: This study was carried out to measure the caries prevalence and treatment needs in school children of 6-14 year old residing in coastal areas of West Bengal. Materials and Methods: A total of 1764 children of 6-14 years age group, studying in different primary and high schools of the coastal areas were examined using World Health Organization criteria (1997) to record the prevalence of dental caries. The treatment needs were also calculated according to that given criteria. Statistical Analysis: The results were subjected to statistical analysis using the Chi-square test and unpaired 't' test. Results: Dental caries were founded low in the studied population. The overall all caries prevalence in the permanent dentition was 28.06%, in boys it was 25.39% and in girls it was 30.86%. Therefore caries prevalence in female was higher and which was statistically highly significant (P < 0.05). The most frequently required treatment was one surface filling followed by other treatments irrespective of sex and age group. Discussion: The presence of sea foods containing high fluoride and least availability of refined carbohydrate in the diet may be the reason of lower prevalence. Conclusion: child oral health is always a matter of concern for a developing country so further research is required to explore actual causes.
  1,582 228 2
Evaluation of salivary calcium and salivary parathyroid levels in postmenopausal women with and without oral dryness
Balwinder Singh, Soheyl Sheikh, Shambulingappa Pallagatti, Kirandeep Kaur, Ravinder Sohi
October-December 2013, 4(4):488-492
DOI:10.4103/0976-237X.123051  PMID:24403794
Objective: The primary objective of this study is to estimate and secondary objective is to compare the salivary calcium levels, salivary parathyroid hormone (PTH) levels in postmenopausal women with and without oral dryness (OD). Materials and Methods: A case-control study was carried out on 80 selected postmenopausal women. Salivary calcium concentrations were assessed through Semi Autoanalyzer by Arsenazo III reaction. The salivary PTH concentration was measured by the enzyme linked immunosorbent assay. Severity of OD was assessed by a questionnaire through which the xerostomia inventory (XI) score could be measured. Statistical analysis of Student's t-test, Mann-Whitney test and Pearson's correlation was used. Results: There was a significant difference in mean values of both salivary calcium concentration and XI score in postmenopausal women with/without OD (P < 0.001). No statistically significant difference (P > 0.05) was found in salivary parathyroid levels in postmenopausal women in both groups. A positive correlation was found between the salivary calcium concentration and XI score in both case and control groups (P < 0.05). Conclusion: Severity of OD in postmenopausal women is associated with the high levels of salivary calcium. However, the correlation of severity of OD with PTH could not be established.
  1,627 158 1
CASE REPORTS
Gorlin-Goltz syndrome: A rare case report
Chetan A Pol, Suvarna K Ghige, Ritesh R Kalaskar, Suchitra R Gosavi
October-December 2013, 4(4):547-550
DOI:10.4103/0976-237X.123085  PMID:24403808
Gorlin-Goltz syndrome is an uncommon autosomal dominant inherited disorder characterized by numerous basal cell carcinomas, odontogenic keratocysts (OKCs) and musculoskeletal malformations. A rare case of this syndrome observed in a 13-year-old male patient is presented in which multiple OKCs were causing disfigurement of the lower jaw as well as displacement and malocclusion of the teeth. Early diagnosis and treatment of this syndrome is important to reduce the severity of complications including cutaneous and cerebral malignancy and oromaxillofacial deformation and destruction due to jaw cysts.
  1,576 176 1
ORIGINAL ARTICLES
Comparative distribution of Lysyl Oxidase (G473A) and NQO1 (C609T) polymorphism among tea-garden workers (habitual chewers of betel quid) of Darjeeling district and Kolkata city of West Bengal
Jay Gopal Ray, Sanjit Mukherjee, Basudev Mahato, BH Sripathi Rao, Keya Chaudhuri
October-December 2013, 4(4):476-481
DOI:10.4103/0976-237X.123047  PMID:24403792
Context: Chewing of processed arecanut products with tobacco and betel quid has been attributed to many oral pathological conditions. These products are very popular among the youngsters of lower economic groups. Genetic predisposition has been now identified as a major risk factor for increasing the susceptibility toward the disease among these chewers. Aims: Our study mainly aims to find out the predisposition of LOX (G473A) and NQO1 (C609T) polymorphisms and present a comparison between the population (habitually exposed to processed arecanut and smokeless tobacco products) of a metro-city Kolkata and the tea-garden workers of Darjeeling district of West Bengal. Settings and Design: Subjects for the study was recruited from various oral health check-up camps organized in the tea-gardens of Darjeeling district and Kolkata city. Materials and Methods: Genotyping analysis was done through a Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP)-based approach. Statistical Analysis Used: A two-way contingency table analysis software (JAVASTAT: http://statpages.org/ctab2 × 2.html) using 95% confidence interval was used to study the distribution of genotypes among the populations. A P < 0.05 was considered to be significant. Results: The results indicates both the heterozygous and homozygous carriers of NQO1 C > T (609) was found to be significantly higher among the north Bengal tea-garden workers [OR 0.480 (0.280-0.82) P = 0.01; 0.218 (0.091-0.524) P = 0.0001], respectively. Interestingly CT (21% in both) and TT (8% and 7%, respectively) were found to be equally distributed in the two populations. For LOX G > A (473) a significantly higher number of Kolkata individuals were found to carry the heterozygous GA allele in individuals aged <30 years [OR 3.779 (1.684-6.547) P = 0.001]. However, none were carrier of heterozygous GA allele of Kolkata population as compared with 29% north Bengal tea-garden workers aged above 31 years. Conclusions: A close observation of occurrence of oral diseases over time among such a population will be helpful to identify risk genotypes responsible for betel quid-induced oral diseases.
  1,607 121 -
CASE REPORTS
Melanotic neuroectodermal tumor of infancy: A rare case report
E Rajendra Reddy, M Suresh Kumar, Rajesh Aduri, N Sreelakshmi
October-December 2013, 4(4):559-562
DOI:10.4103/0976-237X.123091  PMID:24403811
Melanotic neuroectodermal tumor of infancy (MNTI) is a relatively uncommon osteolytic-pigmented neoplasm that primarily affects the jaws of infants. The early onset and its rapid disfiguring spread necessitate early diagnosis. A 4-month-old male child reported with the complaint of swelling in the right back tooth region of the upper jaw, which rapidly increased in size causing disfigurement of the face. Radiographic examination showed a diffuse osteolytic radiolucent lesion in the right maxilla and displacement and dysmorphic changes in the developing primary tooth buds. Wide surgical excision was performed under general anesthesia. Histopathological report revealed characteristic large pigmented epitheloid cells (melanocyte like cells). The biphasic tumor cell population arranged in a background of fibrous connective tissue stroma is suggestive of MNTI involving the cancellous bone. Early diagnosis and management of such aggressive tumors precludes significant morbidity of the patient.
  1,516 134 2
Recurrent unicystic mural type ameloblastoma in a 9-year-old boy, 8 years follow-up
Burcu Sengüven, Emre Baris, Tülin Oygür, Akin Öztemel
October-December 2013, 4(4):569-572
DOI:10.4103/0976-237X.123096  PMID:24403814
Unicystic ameloblastoma is not a rare odontogenic tumor in the pediatric population. A significant care should be given to unicystic ameloblastoma if it has mural invasions due to its local aggressiveness, high recurrence rates and radical management options as in conventional ameloblastoma. Fine needle aspiration (FNA) cytology is a rapid, non-traumatic diagnostic method that provides a required attention prior to surgery. We present an excisionsl biopsy proved FNA diagnosed mural type unicystic ameloblastoma in a 9-year-old child recurred as a solid ameloblastoma after 8 years. When distinctive features of ameloblastoma are known, an accurate diagnosis can be made by FNA cytology, in combination with clinicoradiological findings. This method gives benefit to the patients especially the younger ones both for the pre-operative surgical planning and the post-operative follow-up.
  1,469 139 1
EDITORIAL
HIV/AIDS - Accomplishments and challenges?
SG Damle
October-December 2013, 4(4):419-420
DOI:10.4103/0976-237X.123014  PMID:24403781
  1,335 125 -
CASE REPORTS
One-piece implant in reduced edentulous space closure: A report of two cases
Sunil Dutt Christopher, AN Savitha
October-December 2013, 4(4):563-565
DOI:10.4103/0976-237X.123093  PMID:24403812
Dental Implants have gained popularity over the years and are increasingly becoming the choice of treatment. Different clinical situations are often encountered where modifications have to be considered in order to achieve successful rehabilitation. One of the challenges faced includes non-availability of sufficient space for conventional implants. Here, we present 2 case reports of patients with over two year follow up using one piece implant.
  1,185 132 -
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