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Contemporary Clinical Dentistry

Sana Ali, Padmanabh Jha, Usman Khan
Isolated brown or white defects of less than few tenths of millimeter depth can be successfully treated with microabrasion. However, for deeper enamel defects, a combination of various techniques such as microabrasion/macroabrasion along with bleaching or full or partial veneering are available. Template-assisted direct veneering technique helps for better separation and contouring of individual tooth through which composite resin can be applied directly to tooth structure and artistically sculpted. Frequently, the gingival hyperpigmentation is caused by excessive melanin deposits mainly located in the basal and suprabasal cell layers of the epithelium...
April 2018: Contemporary Clinical Dentistry
Shaifulizan Abdul Rahman, Jaswinder Singh, Rubinderan Muthusamy, Mohammad Khursheed Alam
Eagle's syndrome (ES) refers to a group of various types and patterns of pain which spans over the head-and-neck region owing to an elongated styloid process or calcified stylohyoid ligament. These symptoms are often confused with those attributed to a wide variety of facial neuralgias. The diagnosis of ES is usually made through clinical exclusion which is then confirmed radiographically. Patients with ES are initially managed with nonsurgical therapy, but surgical resection seems to be the treatment of choice...
April 2018: Contemporary Clinical Dentistry
Akram Belmehdi, Karima El Harti, Wafaa El Wady
A cutaneous sinus tract of dental origin is relatively uncommon and may easily be misdiagnosed, owing to its uncommon occurrence and absence of dental symptoms. Such a lesion continues to be a diagnostic dilemma. The case described here presented a nasolabial cutaneous sinus tract of dental origin that was treated by a surgical approach with an excellent esthetic improvement.
April 2018: Contemporary Clinical Dentistry
Shalu Rai, Deepankar Misra, Akansha Misra, Ankit Jain, Prerna Jain, Ayush Dhawan
Mucormycosis is an acute, fulminating, fungal disease that frequently involves oral, cranial, and facial structures. It is an opportunistic fatal infection which occurs in debilitating and immunosuppressive states. This report documents a rare case of localized maxillary mucormycosis in a patient with uncontrolled diabetes, with emphasis on early and prompt diagnosis of the same.
April 2018: Contemporary Clinical Dentistry
V P Sreejith, V Arun, Anooj P Devarajan, Arjun Gopinath, Madhuri Sunil
Introduction and Background: Cleft lip and/or palate is the most common congenital craniofacial anomaly. Prenatal diagnosis of the craniofacial anomalies is possible with the advent of newer imaging modalities. The identification of the defect at an early stage in the pregnancy helps the parents to be well informed and counseled regarding the treatment possibilities and outcomes of cleft lip and palate (CLP) treatment. Objectives: To analyze the psychological effects of prenatal diagnosis of CLP on the parents...
April 2018: Contemporary Clinical Dentistry
Armelia Sari Widyarman, Aradhea Monica Drestia, Endang Winiati Bachtiar, Boy M Bachtiar
Background: One of the most interesting effects of probiotics is their ability to modulate the immune system through the induction of cytokines and to enhance the host immune response. Aims: The purpose of this study was to evaluate the anti-inflammatory effect of glycerol-supplemented Lactobacillus reuteri on the transcription level of interleukin (IL)-8 and human-beta-defensin (hBD)-2 expressed by epithelial cells after exposure to bacteria. Materials and Methods: The confluent-cultured HaCat cell line (105 cells/mL) was exposed to Streptococcus mutans ATCC-25175 and Porphyromonas gingivalis ATCC-33277 (107 colony-forming units [CFU]/mL) for 24 h and challenged with probiotic L...
April 2018: Contemporary Clinical Dentistry
Subash Chandra Raj, Subhashree Manaswini Panda, Muktikesh Dash, Kaushik Patnaik, Devapratim Mohanty, Neelima Katti, Annuroopa Mahapatra, Debasish Mishra, Kamdev Praharaj
Background: Innovating newer methods to diagnose a multifactorial disease such as periodontitis is always challenging for a clinician. Gingival crevicular fluid (GCF) which is closely associated with the periodontal tissue environment has been used a viable alternative to saliva for the diagnosis of periodontitis. Aim: The aim of the present study was to estimate and compare the interleukin-35 (IL-35) levels in GCF and serum among healthy, gingivitis, and chronic periodontitis (CP) individuals as well as to evaluate the effect of nonsurgical periodontal treatment (NSPT) on IL-35 level among patients with CP...
April 2018: Contemporary Clinical Dentistry
Junaid Ahmed Shaik, Rajesh Kumar Reddy, K Bhagyalakshmi, Mithun J Shah, O Madhavi, S Venkat Ramesh
Background: There is necessary of dry operating field for bonding of orthodontic brackets. The presence of moisture can alter the bond strength. Hence, the aim of the present study was to evaluate the shear bond strength of orthodontic brackets with different adhesives. Materials and Methods: In this in vitro study, a total of 100 orthodontically extracted premolars with sound crown structure were divided into 4 equal groups of different primers. Bonding on the buccal surface of all teeth was done after acid etching with upper premolar brackets using different primers followed by light curing...
April 2018: Contemporary Clinical Dentistry
Jayachandran Sadaksharam
Introduction: This study aimed at comparative analysis of serum nitric oxide (NO) and superoxide dismutase (SOD) levels as therapeutic and prognostic biomarkers in patients with oral submucous fibrosis (OSMF) and squamous cell carcinoma (SCC). Materials and Methods: Eighty-seven patients were grouped into Group I ( n = 29, OSMF), Group II ( n = 29, oral SCC), and Group III ( n = 29, controls). Two ml of venous blood was collected from patients after overnight fast to avoid any dietary influence on the serum beta-carotene...
April 2018: Contemporary Clinical Dentistry
Tinsy Mary Titty, Suprabha Baranya Shrikrishna, Arathi Rao, Ramya Shenoy, Srikant Natarajan
Context: Dentifrices-containing remineralizing agents are known to be effective in remineralization of early enamel lesions. Aims: This study aimed to compare and evaluate the changes in surface roughness, surface morphology, and mineral content of demineralized enamel lesion after treatment with dentifrices-containing sodium monofluorophosphate, amine fluoride, and Anticay® (calcium sucrose phosphate with inorganic amorphous calcium phosphate). Settings and Design: This was an in vitro study...
April 2018: Contemporary Clinical Dentistry
Jeffy Ann Jose, Sanju Somaiah, Sunil Muddaiah, Balakrishna Shetty, Goutham Reddy, S Roopa
Background and Objectives: Orthodontic forces are known to produce mechanical damage and inflammatory mediators such as prostaglandins (PGs) and interleukin (IL)-1, in the periodontium and dental pulp. Low-level laser therapy (LLLT) is a stimulator of the on-going biological process in tissue and found to be effective in modulating cell activity, which is involved in orthodontic tooth movement. Here, a humble effort has been made to study two such cytokines, namely IL-1 ╬▓ and PG E2 (PGE2) which are partially responsible for bone turnover...
April 2018: Contemporary Clinical Dentistry
Saran Arumughan, Sanju Somaiah, Sunil Muddaiah, Balakrishna Shetty, Goutham Reddy, S Roopa
Background and Objectives: A major concern of orthodontic patients is treatment time. Reducing the treatment time requires increasing the rate of orthodontic tooth movement. Research has proved that bone resorption is the rate-limiting step in tooth movement. Therefore, any procedure that potentiates osteoclastic activity is capable of increasing the rate of orthodontic tooth movement. Low-level laser has been indicated to have the capability to facilitate the differentiation of the osteoclastic and osteoblastic cells, which are responsible for the bone remodeling process...
April 2018: Contemporary Clinical Dentistry
Manikandan Ravinanthanan, Mithra N Hegde, Veena Shetty, Suchetha Kumari
Background: Effective management of smear layer ensures adequate clinical success. Use of sodium hypochlorite (NaOCl)/ethylenediaminetetraacetic acid regimen has been the gold standard with limitations. Commercial irrigants incorporate surface modifiers to address these drawbacks. The aim of this study was to evaluate the cytotoxicity of combination regimens on target and nontarget cell lines by trypan blue assay. Materials and Methods: Nonsurfactant combination regimen of chlorhexidine (CHX) and NaOCl (2% CHX + 2...
April 2018: Contemporary Clinical Dentistry
S Jeslin Mary, K L Girish, T Isaac Joseph, Pradeesh Sathyan
Context: A huge number of people carry dental fillings which contain either mercury-based amalgam and/or the recently introduced methacrylate-based resins. It has been shown that both these materials are known to be leached into the oral cavity and induce genotoxic alterations in the buccal mucosal cells. Because of its low cost and ease of manipulation, dental amalgam is still widely used as a restorative material in developing countries. The health risks associated with the components of this restorative material has always been a matter of concern...
April 2018: Contemporary Clinical Dentistry
Saurabh Kumar, Catherine Chandran, Rabin Chacko, J S Jesija, Arun Paul
Aims and Objectives: Osteoradionecrosis (ORN) of the jaw is a significant yet rare complication of radiotherapy (RT) associated with the management of head-and-neck malignancies. Recent decrease in the incidence of ORN following RT to the head and neck is being mainly attributed to refinement in RT techniques and improvement in our understanding of this morbid disease. The aim of this study is to assess the patients with ORN following head-and-neck RT to determine the various contributing risk factors involved in the development of ORN...
April 2018: Contemporary Clinical Dentistry
Kiran Rahul Halkai, Jayashree A Mudda, Vasundhara Shivanna, Vandana Rathod, Rahul Halkai
Aim: This study aims to evaluate the antibacterial efficacy of biosynthesized silver nanoparticles (AgNPs) produced using the fungi against Enterococcus faecalis biofilm model on root dentin. Materials and Methods: AgNPs were biosynthesized using the fungi Fusarium semitectum isolated from healthy leaves of Withania somnifera . Minimum inhibitory concentration (MIC) of AgNPs was determined by microbroth dilution method using series of dilutions. MIC dose was standardized to evaluate the antibacterial efficacy...
April 2018: Contemporary Clinical Dentistry
C Nagarathna, Soundarya Vishwanathan, Navin H Krishnamurthy, Prasanna K Bhat
Context: A major goal in pediatric dentistry is preservation of the integrity of primary teeth and their supporting tissues until physiological process of exfoliation takes place. Pulpectomy serves such a purpose using various materials and techniques to fill the canals of primary teeth. Aims: The aim of this in vivo study was to determine the efficacy of modified disposable syringe technique in root canals of primary molars using digital radiography when obturated with endoflas. Settings and Design: A clinical study was undertaken for a period of 6 months...
April 2018: Contemporary Clinical Dentistry
Kulvinder Singh Banga, Sweta Rastogi, Siddhi Mistry
Background: Witnessing the alarming rise and pattern of distribution of dental caries worldwide, the need of the hour is to take initiative in preventing the spread further. Aim: This survey was conducted to determine the occurrence of dental caries and its associated risk factors in teenagers of Mumbai city who visited Nair Hospital Dental College. Materials and Methods: The objective of the study was to analyze the current dietary habits, oral hygiene status, and the number of sugar exposures in teenagers by a questionnaire followed by clinical examination which was carried out using International Caries Detection and Assessment System (ICDAS) II to detect the profile of dental caries...
April 2018: Contemporary Clinical Dentistry
Shini Susan Samuel, Benjamin Jeyanth Ross, Grace Rebekah, Santosh Koshy
Background: Presence of teeth in a neonate is a rare occurrence due to the disturbance in the biological chronology of teeth. Although uncommon, these teeth if present are found to have several clinical implications. Aims: This study aimed to describe the clinical characteristics and the treatment outcome of natal and neonatal teeth from a hospital setting. Materials and Methods: This retrospective study was carried out by reviewing the hospital records of babies with natal or neonatal teeth in a tertiary hospital in Tamil Nadu between January 1, 2012, and December 31, 2014...
April 2018: Contemporary Clinical Dentistry
E Ahila, R Saravana Kumar, Vineela Katam Reddy, B Pratebha, M Jananni, V Priyadharshini
Background: Dental esthetics has become a great concern for both dental practitioners and patients in addition to maintaining oral health. The presence of interproximal papillae between the maxillary anterior teeth is a key esthetic component. Recession of interdental papilla leads to various functional problems such as food impaction, phonetics and esthetic problems such as the formation of black triangle which poses a great challenge. Aim: This study aims to evaluate the augmentation of interdental papilla with platelet-rich fibrin...
April 2018: Contemporary Clinical Dentistry
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