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Contemporary Clinical Dentistry

Avani Jain, Y M Karuna, Mohan Baliga, B S Suprabha, Srikant Natarajan
Odontomas are mixed odontogenic tumors composed of mineralized tissue of ectomesenchymal origin. These are usually detected in routine radiographs and may have a variable etiology such as local trauma, genetic mutation, or infection. They are classified into two main types: complex and compound. Complex odontomas are rare and they rarely erupt into the oral cavity as they lack periodontal ligament. This is the report of one such case of complex odontoma where an 11-year-old girl reported with an asymptomatic swelling, in relation to the left angle of the mandible...
September 2018: Contemporary Clinical Dentistry
Nayeemullah Khan, K Moina Adeni, Ratna Parameswaran, Devaki Vijayalakshmi
Skeletal Class II malocclusions with vertical maxillary excess (VME) present with an amalgamation of several problems pertaining to psychological, esthetics, and function. The optimal treatment plan in such cases includes a synchronized orthodontic-surgical approach through superior repositioning and setback of maxilla by means of Le Fort I osteotomy and augmentation genioplasty. This case report describes a multidisciplinary approach in the successful management of a patient with VME to achieve superior esthetics and function...
September 2018: Contemporary Clinical Dentistry
Naresh Kumar, Pravesh Jhingta, Kehar Singh Negi, Vinay Kumar Bhardwaj, Deepak Sharma, Arun Singh Thakur
Pathologic tooth migration is a change in tooth position resulting from disruption of the forces that maintain teeth in a normal position in relation to their arch. The disruption of the equilibrium in tooth position may be caused by various etiologic factors. Loss of attachment apparatus along with a non periodontal related condition such as excess occlusal force, a progressive migration of tooth may take place. Mostly this migration can be associated with aesthetic damage of the smile line. To solve these issues, a combination of periodontal and orthodontic treatment is often needed...
September 2018: Contemporary Clinical Dentistry
Varun Surya, Priya Kumar, Sunita Gupta, Aadithya B Urs
Childhood pemphigus vulgaris (CPV) is a rare entity with clinical features and management primarily similar to those of adults; diagnosis may be difficult due to clinical similarity to other disorders such as herpetic gingivostomatitis which is more prevalent in this age group. We report two cases of CPV with emphasis on diagnostic approach. While treating such patients, it is imperative to diagnose CPV in the early stages to prevent serious morbidity and to adjust drug dosage to minimize side effects.
September 2018: Contemporary Clinical Dentistry
Narjiss Akerzoul, Saliha Chbicheb
Oral papilloma is a benign proliferation of the stratified epithelium, which results in a papillary or verrucous exophytic mass, which can be induced by human papillomavirus. These oral mucosa lesions are most often asymptomatic and have small progression. Laser-assisted surgery is common nowadays with several advantages including successful hemostasis, devoid of sutures, wound sterilization and minimal postoperative pain, and edema. The aim of this report is to present the oral papilloma in a 40-year-old female patient and its treatment with soft-tissue laser...
September 2018: Contemporary Clinical Dentistry
Mandakini Subhash Mandale, Jyoti Dilip Bhavthankar, Jayanti Govind Humbe, Nivedita Nishant Kaorey
Clinicians come across cases of palatal swellings that present with ambiguous features. They may vary in their etiology from numerous infectious and noninfectious causes to a wide array of neoplasms. Accurate diagnosis of such lesions is vital for their prompt and precise management. Rhinoscleroma (RS), as its name suggests, is a persistent, specific, granulomatous disease that results in sclerosis of the affected organ - most frequently the nose. Although its occurrence in the adjacent sites has been reported, the clinical findings did not offer much deviation from the expected...
September 2018: Contemporary Clinical Dentistry
Bhaswati Chakraborty, Anupama P Nayak, Arathi Rao
Lesion sterilization and tissue repair (LSTR) treatment involves the use of a triple antibiotic mixture in a suitable vehicle, which is used to disinfect root canal systems. This report highlights three cases where LSTR therapy using triple antibiotic paste was attempted in primary molars exhibiting gross periradicular pathosis and internal resorption. Follow-up examinations revealed reduction of periradicular pathosis and reversal of internal resorption in all the three cases. This case series opens a perspective on the use of LSTR therapy as an alternative option to extraction in treating primary teeth with gross periradicular pathosis and internal resorption...
September 2018: Contemporary Clinical Dentistry
Neil De Souza, Sergio Martires, Paul Chalakkal, Godwin Clovis Da Costa
The active lingual arch (LA) and the lip bumper (LB) are popular appliances used for maintaining or increasing arch length. This article highlights an innovative appliance that incorporates the LA and the LB, indicated for the simultaneous treatment of space loss and lip sucking habit.
September 2018: Contemporary Clinical Dentistry
Virendra Vadher, C H Sudheer Kumar, Vaibhav Khare, Ravi S Nande, Sonia Sharma, Versha Jain
Aim: This study aimed to determine the correlation between orofacial structure and oropharyngeal airway space. Materials and Methods: It comprised of 160 individuals aged 14-24 years (males: 80 and females: 80), in which digital lateral cephalograms were taken. Linear and cephalometric analyses were performed in all cases. Results: Ba-PNS, apw2-ppw2, hy-apw2, distance between tongue and posterior pharyngeal wall (t-ppw), and Hormion perpendicular and anterior nasal spine-posterior nasal spine (ANS-PNS) showed significant difference between males and females ( P < 0...
September 2018: Contemporary Clinical Dentistry
Shraddha Hareshwar Tamore, K S Jyothi, Seshagiri Muttagi, Amit M Gaikwad
Background: A fracture of denture base in situ often occurs through a fatigue mechanism, which over a period of time leads to the formation of small cracks, resulting in fracture. Aim and Objective: To evaluate the flexural strength of repaired heat-polymerized acrylic resin, with different percentage of aluminum oxide (Al2 O3 ) added to the repair resin and effect of two different surface treatments on the flexural strength of repaired heat-polymerized acrylic resin and also to evaluate quantification of filler particles using scanning electron microscopy...
September 2018: Contemporary Clinical Dentistry
I Gusti Aju Wahju Ardani, Maria Laurentia Sanjaya, Jusuf Sjamsudin
Introduction: To describe the cephalometric characteristic of skeletal Class II malocclusion in Javanese Population at Universitas Airlangga Dental Hospital. Methods: A total of 118 lateral cephalograms of preorthodontic patients with skeletal Class II malocclusion were obtained from Universitas Airlangga Dental Hospital. The lateral cephalograms were analyzed using digital cephalometric analysis to determine the ANB, mandibular length, facial axis, Y-axis, sella to nasion-mandibular plane (SN-MP), and lower anterior facial height (LAFH)...
September 2018: Contemporary Clinical Dentistry
Nilna Naila Faiga, Priyawan Rachmadi, Asti Meizarini
Introduction: Zinc oxide-eugenol dressing is widely used in the dentistry field. Eugenol in wound dressing acts as an antibacterial and analgesic agent but known to cause hypersensitivity reaction and allergies. Curcuma longa rhizome extract could perform as a substitute of eugenol as its active compounds have an anti-inflammation, antioxidant, anticancer, and antibacterial properties. It has also been shown to have proangiogenic and promote wound healing. This study aimed to discover the number of neovascular in the wound healing process after the application of zinc oxide and C...
September 2018: Contemporary Clinical Dentistry
Priyanka K Shah, Padmaja Sharma, Santosh Kumar Goje
Background: Silver is known for its antimicrobial activity. Silver coating effectively reduces Lactobacillus acidophilus and Streptococcus mutans count, thus reducing chances of dental plaque and caries. This silver coating may have effect on frictional property of orthodontic wires. Aim: The aim of this study is to evaluate and compare frictional resistance of silver-coated and uncoated stainless steel (SS) wires. Methods: Forty SS wires were divided into four groups of 10 each: Group 1 - 0...
September 2018: Contemporary Clinical Dentistry
Prabhdeep Kour, Pushpa S Pudakalkatti, Ancia M Vas, Swetalin Das, Sreeshma Padmanabhan
Context: Platelet concentrates are commonly used to promote periodontal soft- and hard-tissue regeneration. Recently, their antimicrobial efficacy is also explored. Various platelet concentrates have evolved which differ in the centrifugation protocols. Porphyromonas gingivalis (Pg) and Aggregatibacter actinomycetemcomitans (Aa) have been found to have an important role in periodontal pathology. Aims: In this study, PRP, PRF, and I-PRF are compared for their antibacterial effect against Pg and Aa...
September 2018: Contemporary Clinical Dentistry
Pritika Srivastava, Premalatha Shetty, Sameep Shetty
Background and Aim: One of the most commonly performed surgical procedures by oral and maxillofacial surgeons all over the world is the removal of impacted teeth. The most critical and important steps in third molar extraction are bone cutting or osteotomy. Many techniques are used for this purpose including chisels and mallet, rotary instruments, and ultrasonic-based bone cutting instruments. Piezotome is newer and innovative device for osteotomy based on piezoelectric vibrations. Piezotome is considered very efficient in performing osteotomy because of its selective cutting; being inert against soft tissues, including nerves and blood vessels...
September 2018: Contemporary Clinical Dentistry
V Anu, G S Arsheya, V Anjana, George Karen Annison, M R Lakshmi Aruna, A Priyanka Alice, B Angeline Aishwarya
Background: The study of twins is a well-known and a unique method that is used to investigate the genetic contributions to physical features and diseases in human. Aim: To estimate the relative contributions of genetic and environmental influence to observed variations in different dental features or traits. Methodology: Thirty twins in the age group of 15-30 years were selected for the study, and the dental caries experience scores, dental anomalies, and morphometric analysis of monozygotic (MZ) and dizygotic (DZ) twins were compared...
September 2018: Contemporary Clinical Dentistry
Rahul Bansal, Shambulingappa Pallagatti, Soheyl Sheikh, Amit Aggarwal, Deepak Gupta, Ravinder Singh
Objective: Candidal species identification in malignant and potentially malignant oral lesions with antifungal susceptibility. Materials and Methods: Oral candidal carriage, strain diversity, and antifungal susceptibility of Candida were checked for the patients having oral cancer or precancer reporting to the clinics for 1½ year. Statistically significant patients were selected and a control group was taken. A total of 105 individuals were selected and divided into three different groups...
September 2018: Contemporary Clinical Dentistry
Sapna Konde, C S Sri Darshini, Manisha Agarwal, Preetha Peethambar
Background: Preeruptive caries are an abnormal, well-circumscribed, radiolucent area, occurring within the coronal dentinal tissue close to the dentinoenamel junction of unerupted teeth. OPGs are commonly taken in children for assessing the dental age and eruption sequence. It can be used as a good diagnostic source for detection of PEIR defects. Aim: The aim of this study is to determine the prevalence of Preeruptive intracoronal dentin radiolucencies in unerupted permanent teeth from orthopantomogram...
September 2018: Contemporary Clinical Dentistry
Vishnu Teja Obulareddy, Vijay Kumar Chava, Sreenivas Nagarakanti
Background: Periodontitis and stress are among the areas of increasing interest over the past two decades. Early detection of these diseases plays a crucial role in successful therapy. Cortisol is a protein which was found to be consistently associated with both. Aim: The present study was aimed to evaluate saliva cortisol levels (SCLs) in chronic periodontitis (CP) patients with and without stress. Materials and Methods: In this cross-sectional study, saliva samples were collected and cortisol levels were determined using ELISA method in 92 participants...
September 2018: Contemporary Clinical Dentistry
D Jaya Harika, E Sridevi, A J Sai Sankar, K Pranitha, Srinivas Reddy Gosla, G Bhanu Kiran
Background and Objective: There were studies in the literature which showed the altered dermatoglyphics in the cleft children. But it would be beneficial if probable expression can be proved in prior generations, so that genetic counseling and other preventive measures can be undertaken. The aim of the study is to determine variations in dermatoglyphics of prior generations which would serve as bench markers to predict the occurrence of cleft in off springs. Materials and Methods: A total of 400 parents aged between 25-45 years were selected and divided into two groups - Group A consisted of parents with cleft children and Group B comprised of parents with at least 2 healthy children who met the inclusion criteria...
September 2018: Contemporary Clinical Dentistry
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