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Contemporary Clinical Dentistry

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https://www.readbyqxmd.com/read/27994433/management-of-severe-skeletal-class-iii-malocclusion-with-bimaxillary-orthognathic-surgery
#1
Jitesh Haryani, Amit Nagar, Divya Mehrotra, Rani Ranabhatt
Orthognathic surgery in conjunction with fixed orthodontics is a common indication for interdisciplinary management of severe skeletal Class III malocclusion. A thorough analysis of pretreatment investigations and development of a surgical visual treatment objective is essential to plan the type of surgical technique required. Bimaxillary orthognathic surgery is the most common type of surgical procedure for severe skeletal discrepancies. The present case report is a combined ortho-surgical team management of a skeletally Class III patient...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994432/presurgical-nasoalveolar-molding-a-boon-to-facilitate-the-surgical-repair-in-infants-with-cleft-lip-and-palate
#2
Prabhakar Ramasetty Attiguppe, Y M Karuna, Chandrashekar Yavagal, Saraswathi V Naik, B M Deepak, Rekhamani Maganti, Chaithanya G Krishna
Cleft lip and palate (CLP) is the most common congenital craniofacial anomaly. Rehabilitation of CLP generally requires a team approach. Alveolar and nasal reconstruction for these patients is a challenge for the reconstructive surgeon. Various procedures have been attempted to reduce the cleft gap, so as to obtain esthetic results postsurgically. The presurgical nasoalveolar molding (PNAM) technique, developed by Grayson, is a new approach to presurgical infant orthopedics. PNAM reduces the severity of the initial cleft alveolar and nasal deformity...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994431/congenital-bilateral-syngnathia-and-tracheoesophageal-fistula-a-rare-presentation
#3
Ankit Khasgiwala, Sagar Jangam, Shashi Sharma, Vilas Newaskar
Congenital syngnathia (CS), first reported by Burket in 1936, is a rare condition, with <50 reported cases and is associated with other conditions and syndromes. CS restricts mouth opening, causing difficulty in feeding, swallowing, and respiration. This report puts forth the clinical findings and management of this challenging condition in association with tracheoesophageal fistula in a neonate.
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994430/nonsurgical-endodontic-therapy-along-with-minimal-invasive-treatment-utilizing-bhasker-s-hypothesis-for-the-management-of-infected-radicular-cystic-lesion-a-rare-case-report
#4
Sanjeev Kumar Salaria, Shilpa Kamra, Simrat Kaur Ghuman, Garima Sharma
Radicular cyst (RC) is the most common odontogenic cyst of inflammatory origin affecting the jaws; involves the roots of the carious or traumatic non-vital tooth. Different therapeutic modalities, such as nonsurgical endodontic therapy or surgical enucleation with primary closure, decompression etc., were proposed for the management of such lesions. Presenting a case of a 28-year-old otherwise healthy male patient who reported with pain and swelling with respect to tooth #41, 31. Diagnosis of infected RC at a rare location was established on the basis of clinical, radiographical and fine needle aspiration cytological examination...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994429/odontogenic-myxofibroma-of-gingiva-in-a-pediatric-patient-with-tuberous-sclerosis-a-rare-case-report
#5
Nidhi Bhoyar, Sunita Gupta, Sujoy Ghosh
Tuberous sclerosis complex (TSC) is a rare multisystem genetic disease, with an estimated incidence of 1 in 6000-1 in 10,000. TSC is an autosomal dominant syndrome involving heart, kidneys, lungs, and skin. The classic triad of TSC is seizures, mental retardation, and angiofibromas; this triad occurs in only 29% of patients. The clinical diagnostic guidelines on TSC are prepared based on clinical features, radiographic findings. The most common oral manifestations of TSC are fibroma, gingival hyperplasia, and enamel hypoplasia...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994428/labial-ankyloglossia-a-rare-case-report
#6
Rakesh Namdeo Bahadure, Eesha Jain, Parul Singh, Rameshkumar Pandey, Rakeshkumar Chuk
Tongue-tie or ankyloglossia is the congenital short thick lingual frenulum resulting in reduced mobility of the tongue. It limits the possibilities of the extension such as the protrusion and elevation of the tip of the tongue due to either the short of frenulum or genioglossus muscle or both. It can be observed at different ages with specific indications for treatment for each group and cause problems in the feeding, dental hygiene, speech, appearance, and self-esteem of affected patients. Although various degrees of the tongue-tie are mostly observed from the tip of tongue to the base of tongue, sometimes it may present unusually...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994427/endodontic-management-of-maxillary-first-molar-with-atypical-canal-morphology-report-of-three-cases
#7
Osama Adeel Khan Sherwani, Bhumika Kapoor, Rajat Sharma, Surendra Kumar Mishra
Maxillary first molar with three roots and 3-4 canals is a common occurrence. However, extreme variations in their canal morphology have been reported ranging from one single canal and one root to as many as eight root canals. This article presents three cases of successful endodontic management of maxillary first molars with atypical canal morphologies, thus highlighting the fact that variations do occur and an endodontist should always be aware of aberrancies in root canal system apart from the knowledge of normal root canal anatomy...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994426/modified-coronally-advanced-flap-with-and-without-orthodontic-button-application-in-management-of-multiple-proximate-gingival-recession-defects-a-randomized-clinical-trial
#8
Sumedh Khobragade, Abhay Kolte, Rajashri Kolte, Tushar Shrirao, Anushree Potey
BACKGROUND: Gingival recession indicates oral display of the root surface due to apical movement of gingival margin. Coronally advanced flap (CAF) is often used periodontal plastic surgical technique to accomplish root coverage. The purpose of this clinical trial is to assess and compare the effectiveness of modified CAF with orthodontic button application (CAF+B) and without orthodontic button application (CAF) for the correction of multiple recession defects. MATERIALS AND METHODS: Twenty patients exhibiting bilateral multiple proximate Millers Class I and/or Class II gingival recession defects were included in the study...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994425/oral-manifestations-of-human-immunodeficiency-virus-acquired-immunodeficiency-syndrome-and-their-correlation-to-cluster-of-differentiation-lymphocyte-count-in-population-of-north-east-india-in-highly-active-antiretroviral-therapy-era
#9
Sarat Kumar Nayak, Bijay Kumar Das, Surya Narayan Das, Namita Mohapatra, Suryakanti Nayak, Lipsa Bhuyan
BACKGROUND: The human immunodeficiency virus (HIV) infection which manifests as acquired immunodeficiency syndrome (AIDS) is a disease involving the defects of the T-lymphocyte arm of the immune system. Certain laboratory parameters such as the cluster of differentiation (CD4) count and clinical parameters have long been used as markers of disease progression. In industrialized countries, many studies show a highly correlation between the incidence of oral lesions and immunosuppression and hence, can be used as a marker of immunosuppression...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994424/correlation-of-gingival-thickness-with-gingival-width-probing-depth-and-papillary-fill-in-maxillary-anterior-teeth-in-students-of-a-dental-college-in-navi-mumbai
#10
Jyotsna Singh, Varsha J Rathod, Prajakta R Rao, Aardra A Patil, Deepak G Langade, Roshan K Singh
CONTEXT: The gingival biotype is of utmost importance for esthetics and biologic function. Anatomical characteristic of periodontium such as gingival thickness (GT), width of keratinized gingiva, and alveolar bone morphology will determine the behavior of periodontium when subjected to physical, chemical, or bacterial insult or during therapeutic procedure. AIMS: The aim of this study was to correlate the GT with gingival width (GW), probing depth (PD), and papillary fill (PF) in relation to maxillary anterior region...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994423/assessment-of-streptococcus-mutans-in-healthy-versus-gingivitis-and-chronic-periodontitis-a-clinico-microbiological-study
#11
Sneha Dani, Ashwin Prabhu, K R Chaitra, N C Desai, Sudhir R Patil, Ranjan Rajeev
BACKGROUND: Dental caries and periodontal disease are most common oral diseases. Streptococcus mutans are considered to be the major pathogens in initiation of dental caries. Evidence shows that periodontal disease and caries share a number of contributory factors. Thus in view of these findings it would be worthwhile to examine whether Streptococcus mutans persist within the saliva and subgingival environment of the periodontitis patients and to determine whether there is any association between Streptococcus mutans colonization, pH of saliva and sub-gingival plaque pH in periodontal diseases before therapy...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994422/immunohistochemical-expression-of-phosphatase-and-tensin-homolog-in-histologic-gradings-of-oral-squamous-cell-carcinoma
#12
Shiny S R Jasphin, Dinkar Desai, Siddharth Pandit, Nithin M Gonsalves, Preethi B Nayak, Amal Iype
CONTEXT: Phosphatase and tensin homolog (PTEN) is a tumor suppressor gene located on chromosome 10q23. PTEN has its major function in the regulation of cell adhesion, cell cycle arrest, migration, apoptosis programming, and differentiation. This genomic region suffers loss of heterozygosity in many human cancers. AIMS: The aim of this study was to compare the immunohistochemical expression of PTEN in normal oral mucosa and oral squamous cell carcinoma (OSCC) and to correlate the PTEN expression in gradings of OSCC...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994421/evaluation-of-melatonin-levels-in-saliva-in-gingivitis-and-periodontitis-cases-a-pilot-study
#13
Karuna Lodhi, Charanjit Singh Saimbi, Mohammad Akhlaq Khan, Chandishwar Nath, Rakesh Shukla
OBJECTIVE: To evaluate the melatonin levels in saliva in gingivitis and periodontitis cases. BACKGROUND: Melatonin has strong antioxidant, free radical scavenging, and immunomodulating properties, acts on osteoblasts directly to stimulate cell proliferation and synthesis of Type I collagen, and promotes bone formation. MATERIALS AND METHODS: A total of thirty participants were selected and divided into three groups (control group, gingivitis group, and periodontitis group)...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994420/comparative-evaluation-of-platelet-rich-fibrin-mineral-trioxide-aggregate-and-calcium-hydroxide-as-pulpotomy-agents-in-permanent-molars-with-irreversible-pulpitis-a-randomized-controlled-trial
#14
Varun Kumar, Ruchi Juneja, Jigyasa Duhan, Pankaj Sangwan, Sanjay Tewari
BACKGROUND: Pulpotomy has been proposed as an alternative for the management of irreversible pulpitis in permanent molars with closed apices. AIM: To compare the performances of calcium hydroxide (CH), mineral trioxide aggregate (MTA), and platelet-rich fibrin (PRF) as pulpotomy agents in mature permanent molars with irreversible pulpitis. MATERIALS AND METHODS: Fifty-four permanent mandibular molars with carious exposure and symptoms of irreversible pulpitis were randomly allocated to three groups, and full pulpotomy was performed using CH, MTA, or PRF as pulpotomy agents...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994419/influence-of-sex-hormone-levels-on-gingival-enlargement-in-adolescent-patients-undergoing-fixed-orthodontic-therapy-a-pilot-study
#15
Rajesh Hosadurga, M S Nabeel Althaf, Shashikanth Hegde, Kashyap S Rajesh, M S Arun Kumar
BACKGROUND: Sex hormones may be a modifying factor in the periodontal disease pathogenesis. AIM: The association between gingival enlargement and sex hormone levels in adolescent patients undergoing fixed orthodontic therapy needs to be determined. SETTINGS AND DESIGN: This study was conducted in the Department of Periodontology in association with the Department of Orthodontics, Yenepoya Dental College, Yenepoya University, Mangaluru. MATERIALS AND METHODS: A pilot study was conducted on 21 adolescent patients between the age group of 13-19 years, who had undergone fixed orthodontic therapy for at least 3 months...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994418/a-retrospective-cross-sectional-study-on-the-prevalence-of-hypodontia-in-a-target-population-of-al-jouf-province-saudi-arabia
#16
Arbaz Sajjad, Samia Subhani Sajjad, Nadeem Husain, Ahmed Maashi Al-Enezi
AIM: The purpose of this retrospective study was to determine the prevalence of hypodontia and to ascertain the need of interdisciplinary treatment for ensuing esthetic and functional problems in a target population of Al-Jouf Province, Saudi Arabia. SUBJECTS AND METHODS: Using a dental administration software tool, a total of 1267 patients who presented to the outpatient clinics of the Orthodontic and Prosthodontic Departments between March 2015 and January 2016 were identified...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994417/a-study-of-ki-67-expression-and-its-clinicopathological-determinants-in-nondysplastic-oral-leukoplakia
#17
Krishnendu Mondal, Rupali Mandal, Badal Chandra Sarkar
CONTEXT: Oral cancer is the third most prevalent malignancy in India. Leukoplakia is its most common precursor lesion. AIMS: This study aimed at evaluation of the Ki-67 expression and thereby detection of the dysplastic potential in histopathologically nondysplastic oral leukoplakia (OL). Secondarily, another purpose was to correlate various clinicopathological factors with the labeling indices (LIs) of Ki-67 in those cases as well. SETTINGS AND DESIGN: In total, 97 OL cases were examined...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994416/sealing-ability-of-mineral-trioxide-aggregate-plus%C3%A2-and-biodentine%C3%A2-for-repair-of-furcal-perforation-in-primary-molars-an-in-vitro-study
#18
Farhin A Katge, Pooja Ravindra Shivasharan, Devendra Patil
BACKGROUND: One of the unfavorable outcomes of endodontic treatment in primary molars is furcal perforation. During treatment, bacterial infection at the site of perforation should be prevented for better prognosis. AIM: This study aims to compare sealing ability of mineral trioxide aggregate (MTA) Plus™ and Biodentine™ for the repair of furcal perforation in primary molars using spectrophotometry. MATERIALS AND METHODS: Access opening was done for all ninety extracted teeth...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994415/detection-of-porphyromonas-gingivalis-and-treponema-denticola-in-chronic-and-aggressive-periodontitis-patients-a-comparative-polymerase-chain-reaction-study
#19
Ramniwas M Kumawat, Sindhu M Ganvir, Vinay K Hazarey, Asifa Qureshi, Hemant J Purohit
BACKGROUND: The detection frequency of Porphyromonas gingivalis and Treponema denticola in chronic periodontitis (CP) and aggressive periodontitis (AgP) is not explored well in Indian population. AIM: The study was undertaken to detect P. gingivalis and T. denticola in CP as well as in AgP patients using polymerase chain reaction (PCR), and to determine the relationship between the frequency of these two microorganisms and the severity of clinical periodontal parameters...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27994414/clinical-and-radiographic-comparison-of-indirect-pulp-treatment-using-light-cured-calcium-silicate-and-mineral-trioxide-aggregate-in-primary-molars-a-randomized-clinical-trial
#20
Navya P Menon, Balagopal R Varma, Sureshkumar Janardhanan, Parvathy Kumaran, Arun Mamachan Xavier, Bhat Sangeetha Govinda
AIM: To clinically and radiographically evaluate the reparative dentin formation in indirect pulp treatment (IPT) using mineral trioxide aggregate (MTA) and light cured calcium silicate (TheraCal) in primary molars over a period of 6 months. MATERIALS AND METHODS: A clinical trial on IPT on 43 primary molars in 21 patients between the age of 4-7 years, divided into two groups: 22 teeth in MTA group and 21 in TheraCal group. Measurement of the variation in dentin thickness was done on the digitalized radiograph at baseline, 3 months and 6 months using CorelDRAW X3 software...
October 2016: Contemporary Clinical Dentistry
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