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Contemporary Clinical Dentistry

Sagar J Abichandani, Neha S Abichandani, Mauli Shah, Devina S Singh
An optimally created occlusion will be better able to deal with the forces generated in function and parafunction. This case report will highlight the full-mouth rehabilitation of a patient with worn out dentition in the minimally invasive way which offers the users a more systematic and a precise treatment. CLINICAL RELEVANCE: It gives us an idea of a treatment modality for full-mouth rehabilitation whereby the anterior teeth cause a uniform disocclusion of the posterior teeth during excursive movements, thereby protecting the teeth from the harmful effects of the cuspal interference...
June 2018: Contemporary Clinical Dentistry
Chetan Pathak, Salil Pawah, Arpit Sikri, Ila Rao
Marking dental prosthesis has always been considered an important part of forensic dentistry. Denture identification systems are important not only for patients in health-care facilities, old-age homes, and hospitals but also in medico-legal cases. In India, no standardized method is being followed for labeling of the dentures. This article proposes a technique of denture marking that gives permanent, unique, and global identification to all the Indian nationals using Aadhaar - a universally accepted identity for Indian nationals...
June 2018: Contemporary Clinical Dentistry
Apurva Anil Sagale, Manoj M Ramugade, Ravikant Ganga
Successful endodontic treatment requires knowledge of the root canal anatomy, cleaning, and shaping followed by three-dimensional filling of the root canals. With the advent of newer diagnostic aids such as cone-beam computed tomography (CBCT) and magnifying tools such as dental operating microscope and loupes, it has become easier for an operator to identify the root canal anatomy of teeth and reduce the risk of procedural accidents and failures. Variations in root canal configuration require modification in access cavity preparation, disinfection, and obturation of the canals...
June 2018: Contemporary Clinical Dentistry
Manikya Kumar Nanduri, Tripura Pavitra Javangula, Sreekanth Kumar Mallineni, Srinivas Namineni
Impaction of the tooth in primary dentition is very less common than the permanent dentition. Impaction of teeth in primary dentition may create various problems in occlusion and also in developing dentition. Clinical and radiographic evaluation of such cases may benefit the patient as well as the clinician. Among primary tooth impaction cases, second primary molars are not frequently reported along with late formation of its succedaneous tooth. Nevertheless, the purpose of this report was to describe a case of a rare entity of reverse dentition caused by the impaction of the mandibular primary second molar associated with delayed formation of the second premolar...
June 2018: Contemporary Clinical Dentistry
Sanjay Sundararajan, Ratna Parameswaran, Devaki Vijayalakshmi
The current era of orthodontics has evolved from regular dental corrections to achieve the most needed harmony between functional stability and esthetics enhancement of craniofacial structures. The "desire" for attaining this harmony led to the birth of orthognathic surgeries. The orthognathic approach has undergone a paradigm shift through the years, from correcting the skeletal component to addressing the soft tissues, thus optimizing esthetic outcome. This present case report is of a patient with skeletal Class II malocclusions with vertical maxillary excess (VME), managed by multidisciplinary treatment approach...
June 2018: Contemporary Clinical Dentistry
Arun Kumar Patnana, Ankita Chugh
The curved and dilacerated roots in the posterior teeth often present the major challenge to the clinicians during the endodontic treatments. The efficient biomechanical preparation is also affected by improper instrumentation in the curved or the constricted canals. The use of conventional instruments and techniques in the dilacerated roots may develop ledges, fractured instruments, and canal blockages which further complicate the endodontic treatments. The introduction of ProTaper Universal rotary instruments has made a significant impact in the biomechanical preparation of root canals systems...
June 2018: Contemporary Clinical Dentistry
Aadithya B Urs, Priya Kumar, Akanksha Uniyal, Shivani Singh, Sunita Gupta
Sarcomatoid carcinoma (SC) is an unusual and aggressive variant of squamous cell carcinoma, which frequently recurs and metastasizes, and is associated with poor survival rate. For this reason, its accurate diagnosis is very important. It is considered to be a biphasic tumor made up of epithelial as well as spindle cell component, but of epithelial origin. The diagnosis often represents a clinicopathologic challenge, and immunohistochemistry plays a key role in the histopathological diagnosis. The reported cases in oral cavity are limited...
June 2018: Contemporary Clinical Dentistry
Josué Martos, Stefani Zanotto, Alexandra Rubin Cocco, Rafael Guerra Lund, Rudimar Antônio Baldissera
Dental fractures comprise the most frequent form of traumatic dental injury and often require an immediate procedure for their treatment. The repositioning of fractured crown fragments using the bonding fragment technique offers several advantages, including the reestablishment of function, esthetics, shape, shine, and surface texture, in addition to the maintenance of the original contour and alignment of the teeth. The aim of this article is to describe a therapeutic approach used with a patient who suffered varying degrees of crown fractures in three teeth that were treated with adhesive fragment reattachment...
June 2018: Contemporary Clinical Dentistry
Jaya Prasad, Ida de Noronha de Ataide, Paul Chalakkal, Lalit Kumar Likhyani
Platelet-rich fibrin (PRF) and platelet-rich plasma (PRP) have been successfully used for inducing pulp regeneration in nonvital teeth. This case report highlights the difference between the outcomes of using PRF and PRP for pulp regeneration in a 13-year-old male patient, who had reported with endodontic treatment failure in his upper incisors. Gutta-percha and sealant were removed, and triple antibiotic paste (TAP) was placed in all the root canals and sealed with cavit. Subsequently, after TAP removal, 11 and 12 were treated with PRF, while 21 and 22 were treated with PRP...
June 2018: Contemporary Clinical Dentistry
Neeharika Mortha, Sumit Majumdar, Divya Uppala, Sreekanth Kotina
The term "synovial sarcoma (SS)" is a histological error, a misnomer as it neither arises from nor differentiates toward synovium. Head and neck region is the most commonly affected region after extremities, representing 5% of all cases. This case report focuses to discuss a case of a SS that was diagnosed after an inadvertent root canal therapy. A 46-year-old male came to the outpatient department with a chief complaint of pain and swelling in his upper right back tooth region since 15 days. An ulceroproliferative mass of was observed protruding from the gingivobuccal sulcus from 11 to 15 tooth region obliterating the vestibule...
June 2018: Contemporary Clinical Dentistry
Lipika Jain, Deepak Mehta, Naganath Meena, Ravi Gupta
Context: Achieving a high degree of conversion (DC) is one of the major concerns during photopolymerization of bulk-fill composites. Aims: To evaluate the effect of light energy densities (11.2 J/cm2 and 20 J/cm2 ) on the DC and variation of DC in the 24-h postcuring of four bulk-fill composites: SDR, Venus Bulk Fill, MI FIL, and Tetric N-Ceram Bulk Fill at simulated clinically relevant filling depths. Settings and Design: This was an in vitro comparative study...
June 2018: Contemporary Clinical Dentistry
C Meenakumari, K Manohar Bhat, Rahul Bansal, Nitika Singh
Introduction: Tooth coloured restorative materials are subjected to various physical, mechanical conditions in oral conditions. Many newer composites with improved physical and mechanical properties are introduced for clinical use. There are not many clinical studies on recent composites. The aim of this study was to compare the mechanical properties of five commercially available nano composite restorative materials. Materials and Methods: Specimens of five nano posterior composite SureFil SDR, ClearFil Majesty, Ever X, Tetric Evo Ceram bulk fill and Filtek Z350 were tested in the study...
June 2018: Contemporary Clinical Dentistry
Anuj Harish Chandak, Saee P Deshmukh, Usha M Radke, Rajlakshmi S Banerjee, Tushar K Mowade, Akhil Rathi
Introduction: Impression making is one of the most important steps in prosthodontic rehabilitation of edentulous patients. Zinc oxide eugenol (ZOE) impression paste is the most commonly used material for complete denture wash impression due to its cost-effectiveness and ease of manipulation, while providing the advantage of ability to record fine minute tissue details. Rheological property like flow is a critical factor influencing the success of any impression material, especially in intraoral conditions...
June 2018: Contemporary Clinical Dentistry
Svetlana Razumova, Anzhela Brago, Lamara Khaskhanova, Haydar Barakat, Ammar Howijieh
Background: The success of endodontic treatment depends on the knowledge of root canal system. The root canals have complex morphology and wide individual variations. The aim of this study was to evaluate the root canal morphology of the maxillary first molars among residents of the Moscow region using cone-beam computed tomography (CBCT) scanning. Materials and Methods: Three hundred CBCT images of patients aged 20-70 years old were analyzed to study the root canal system (the number of canals and the configuration according to Vertucci's classification) of the maxillary first molars...
June 2018: Contemporary Clinical Dentistry
Kavita Maru, Aparna Dwivedi, Jatin Agarwal, Anup Vyas, Sumeet Jain, Poonam Kulkarni
Background: Majority of general dental practitioners provide fixed dental prosthesis in India. The aim of this study was to gather information on selection, usage, and materials and methods employed in interocclusal records and their communication with the dental laboratory for restorative procedures practised by dentists in Indore district to evaluate and to improve the quality of current practice. Aim and Objectives: The purpose of this cross-sectional study was to understand and to evaluate dental practitioner's knowledge on interocclusal recording materials, its usage, their clinical implications, and their correlation with the laboratory in restorative procedures practiced by the dental practitioners in Indore district...
June 2018: Contemporary Clinical Dentistry
Pushkar Gupta, Padma Ariga, Suryakant C Deogade
Introduction: Tissue conditioners are used to improve the health of the soft tissues of denture-bearing areas. However, leaching of plasticizers from tissue conditioners results in deterioration, which necessitates frequent replacement. The life of these liners varies, but it can be extended by the use of a coating material. Aim: To evaluate the surface roughness of a tissue conditioner with monopoly coating, subjected to denture cleanser and disinfectant. Materials and Methods: Sixty disk-shaped specimens of Visco-gel were made and divided into six groups of 10 each (control 1 [C1], control 2 [C2], control 3 [C3], group 1 [M1], group 2 [M2], and group 3 [M3])...
June 2018: Contemporary Clinical Dentistry
K Yesoda Aniyan, Mahima V Guledgud, Karthikeya Patil
Background: Oral lichen planus (OLP) is a chronic disease of established immune-mediated pathogenesis. It most commonly, protractedly, and persistently involves the mucosa of the oral cavity. Antigen-specific and nonspecific mechanisms play a role in its pathogenesis, leading to T-cell accumulation in superficial lamina propria, intraepithelial T-cell migration, and keratinocyte apoptosis in OLP. Previous studies have indicated the possibility of serum lipid derangement in chronic inflammatory diseases such as systemic lupus erythematosus and psoriasis, which in turn results in elevated cardiovascular disease risk...
June 2018: Contemporary Clinical Dentistry
Rupam Kaur Virk, Aashish Handa, Rajesh Khanna, Harshpreet Kaur, Rajni Sharma Handa
Background: Calcifications can occur in the dental pulp as discrete bodies known as pulp stones. Their etiology remains obscure. They were believed to be formed as a result of local irritating factors within the pulp; however, a few authors now suggest that they may be a part of systemic biomineralization process that affects many body parts such as kidneys, gall bladder, joints, arteries as well as pulp leading to formation of stones. Aim: This retrospective case-control study was taken up to (i) determine the prevalence of pulp stones as well as pulp chamber narrowing in patients with gallbladder stones as well as the controls (ii) whether any correlation exists between the prevalence of pulp stones and gallbladder stones so as to test the hypothesis that pulp stones and gallbladder stones may be a part of a common systemic calcification process...
June 2018: Contemporary Clinical Dentistry
Mallikarjuna Rao Dasari, Vaka Ramesh Babu, C Apoorva, Swapna Allareddy, Sathya Kumar Devireddy, Sridhar Reddy Kanubaddy
Introduction: Cleft lip and palate deformities are one of the most common birth defects. The alveolar cleft requires bony repair to allow proper eruption of dentition. The purpose of this study is to evaluate success in the repair of alveolar clefts with iliac bone grafts. Aim: The aim of this study is to restore the function and form of both arches with a proper occlusal relationship and eruption of tooth in the cleft area. Subjects and Methods: Five patients were selected irrespective of sex and socioeconomic status and whose age was within the mixed dentition period...
June 2018: Contemporary Clinical Dentistry
Grace Onyenashia Alade, Patricia Omowunmi Ayanbadejo, Kehinde Adesola Umeizudike, Janet Ngozi Ajuluchukwu
Background: Epidemiological studies have shown that individuals with chronic periodontitis have a significantly higher risk of developing cardiovascular complications, which might be attributed to the increased production of inflammatory cytokines initiated by the complex microbiota in dental biofilm. Aim: The study aims to evaluate the association between chronic periodontitis and C-reactive protein (CRP) levels in a group of hypertensive individuals in Nigeria...
June 2018: Contemporary Clinical Dentistry
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