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Contemporary Clinical Dentistry

Nagaraju Kamarthi, Suhasini Gotur Palakshappa, Vijay Wadhwan, Raviprakash Sasankoti Mohan
Intraosseous verrucous carcinomas (VCs) arising from odontogenic cysts are a rare entity. An unusual case of a VC arising from the orthokeratinized odontogenic cyst is described for the first time. The microscopic features of the lesion are presented.
July 2016: Contemporary Clinical Dentistry
R Arvinth, Shailendra Singh Rana, Ritu Duggal, Om Prakash Kharbanda
The most frequent cause of functional posterior crossbite is the reduction in width of the maxillary dental arch. This posterior crossbite is associated with anterior crowding which is presented as an infrapositioned canine or a palatally positioned lateral incisor on one side; this leads to an upper midline shift toward the crowded side. The present case report shows the management of posterior crossbite with functional shift and upper midline shift simultaneously without adverse side effects. In this case, rapid maxillary expansion along with fixed appliance is used to correct posterior crossbite with the upper dental midline shift using reciprocal action of elastic transseptal fibers...
July 2016: Contemporary Clinical Dentistry
Yogesh J Kale, Prasanna T Dahake, Prasannakumari S Patil, Mahesh V Dadpe
The purpose of this paper is to describe the case of surgical management of massive compound odontoma with 36 denticles in a 9-year-boy who presented with a complaint of pain and swelling in mandibular left posterior region and retained 74. The denticles were removed after the removal of retained 74 completely and wound healing was observed. Odontomas are considered as hamartomatous dental malformation rather than true neoplasm of odontogenic origin. They are the most commonly occurring abnormally formed dental tissues that interfere with eruption of associated teeth...
July 2016: Contemporary Clinical Dentistry
Sanjeev Kumar Salaria, Simrat Kaur Ghuman, Saurabh Kumar, Garima Sharma
Periodontal disease is infectious, complex, multifactorial, chronic inflammatory disease of supporting periodontal tissues that not only alters the bone morphology but also leads to the reduction in bone height. Different types of bony deformities such as horizontal, vertical, craters, and furcation result from periodontal disease, but vertical and Grade II furcation defects are more amenable to regenerative periodontal therapy. The present case report describes the current concept of periodontal diagnosis and the clinical radiographical efficiency of platelet-rich fibrin and hydroxyapatite bioactive glass composite granules graft combination in the management of localized advance osseous defects with respect to tooth number 36 in chronic periodontitis patient at 1 year postoperatively...
July 2016: Contemporary Clinical Dentistry
Ritesh R Kalaskar, Ashita R Kalaskar
Neuroblastoma is an extremely rare pediatric neoplasm whose prognosis becomes poor and poor as the age advances. It can be sporadic or nonfamilial in origin. It is primarily a tumor of abdominal origin from where it metastasis to lymph nodes, liver, intracranial and orbital sites, and central nervous system. There is no standard dental treatment protocol for the management of neuroblastoma due to its poor survival rate and rarity. However, dental treatment may follow the protocol of preventive and restorative...
July 2016: Contemporary Clinical Dentistry
Lauren Oliveira Lima Bohner, Eduardo Mukai, Sueli Mukai, Pedro Tortamano, Newton Sesma
Bone grafting provides ideal conditions to the patient's rehabilitation with dental implants. In addition, prototyped tridimensional models allow the surgical procedure to be simulated and enable important anatomic structures to be visualized. To present a bone defect rehabilitated with xenogenic bone preshaped on a stereolithographic model and the follow-up after 7 years of treatment. The present case report describes a bone defect rehabilitated with a lyophilized bone block preshaped on a stereolithographic model...
July 2016: Contemporary Clinical Dentistry
K Korath Abraham, Arun Roy James, Elza Thenumkal, Tharian Emmatty
Anterior crossbite results from the abnormal axial inclination of one or more anterior teeth. It is a major esthetic and functional anomaly which has to be corrected in the primary and early mixed dentition period to allow the normal development of maxilla and mandible as well as the occlusion. Several treatment options are available to correct the problem. A unique appliance, "modified transparent tray aligners" was used to correct the anterior crossbite in an 8-year-old child. The clinical presentation, fabrication of the appliance, and the outcome are discussed...
July 2016: Contemporary Clinical Dentistry
Dhanya S Rao, Anupama N Kalappanavar, I M Ali, Rajeshwari G Annigeri
Verrucous hyperplasia, verrucous keratosis, and VC may not be distinguished clinically or may coexist. Though it appears remarkably harmless, the histopathological diagnosis of VC should be accompanied with careful identification of tumors with a greater chance to become frank cancers. Here, we report two cases of OVC, referring all the diagnostic intricacy occurring in the clinicopathological examination along with a review of the scientific literature.
July 2016: Contemporary Clinical Dentistry
Narayan H Gandedkar, Chai Kiat Chng, Vincent Kok Leng Yeow
Thorough planning and execution is the key for successful treatment of dentofacial deformity involving surgical orthodontics. Presurgical planning (paper surgery and model surgery) are the most essential prerequisites of orthognathic surgery, and orthodontist is the one who carries out this procedure by evaluating diagnostic aids such as crucial clinical findings and radiographic assessments. However, literature pertaining to step-by-step orthognathic surgical guidelines is limited. Hence, this article makes an attempt to provide an insight and nuances involved in the planning and execution...
July 2016: Contemporary Clinical Dentistry
Aditi Gaur, Sandhya Maheshwari, Sanjeev Kumar Verma
Treatment of Class II malocclusion in nongrowing individuals is a challenging situation for the clinician. Class II malocclusion with bialveolar protrusion often dictates premolar extractions with maximum anchorage. The present article describes the case of an adult female with skeletal Class II malocclusion, bimaxillary protrusion, increased overjet, deep bite, lip protrusion, everted lower lip, deep mentolabial sulcus, and lip incompetence. To correct the malocclusion, all four first premolars were extracted...
July 2016: Contemporary Clinical Dentistry
Chetan Purushottam Raut, Kunal S Sethi
BACKGROUND: Conventional nonsurgical periodontal therapy has been proven to be an effective treatment for patients with chronic periodontitis. Coenzyme Q10 and tea tree oil (TTO) are known to have potential therapeutic benefits in chronic periodontitis. AIMS: The aim of the study is to compare the efficacy of Coenzyme Q10 (Perio Q(®)) and tea tree oil (Melaleuca alternifolia) gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis...
July 2016: Contemporary Clinical Dentistry
Dhaval J Thakkar, Neeraj C Deshpande, Deepak H Dave, Suraj D Narayankar
AIMS: To investigate clinically and radiographically, the bone fill in extraction sockets using demineralized freeze-dried bone allograft alone and along with platelet-rich fibrin (PRF). MATERIALS AND METHODS: A randomized controlled clinical trial was carried out on 36 nonrestorable single-rooted teeth sites. Sites were randomized into demineralized freeze-dried bone allograft (DFDBA) combined with PRF - test and DFDBA - control groups using a coin toss method...
July 2016: Contemporary Clinical Dentistry
Naseem Ahmad Khan, Amit Nagar, Pradeep Tandon, Gulshan Kumar Singh, Alka Singh
OBJECTIVE: To evaluate the facial divine proportion and its relationship with facial attractiveness in North Indian population. MATERIALS AND METHODS: For evaluation of various facial proportions, standardized frontal facial photographs of total 300 subjects between 18 and 30 years of age were obtained. Black and white copies of these photographs were presented in front of an evaluation jury for assigning scores of facial attractiveness and finally 130 attractive subjects were selected...
July 2016: Contemporary Clinical Dentistry
Y V Nagarjuna Reddy, P C Deepika, M P Venkatesh, K G Rajeshwari
BACKGROUND: The formation of new connective periodontal attachment is contingent upon the elimination or marked reduction of pathogens at the treated periodontal site. An anti-microbial agent, i.e. moxifloxacin has been incorporated into the bone graft to control infection and facilitate healing during and after periodontal therapy. MATERIALS AND METHODS: By purposive sampling, 15 patients with at least two contralateral vertical defect sites were selected. The selected sites in each individual were divided randomly into test and control sites according to split-mouth design...
July 2016: Contemporary Clinical Dentistry
Magali Silveira Monteiro Ribeiro, Renata Botelho Antunes Pacheco, Ricardo Guimarães Fischer, Jacyara Maria Brito Macedo
BACKGROUND: Although the interleukin-1 (IL-1) plays a critical role in the pathogenesis of periodontitis, associations between IL1 gene cluster polymorphisms and the disease remains unclear. AIMS: To investigate the importance of IL1B-511C>T (rs16944), IL1B +3954C>T (rs1143634), and IL1RN intron 2 variable number tandem repeat (VNTR) (rs2234663) polymorphisms, individually or in combination, as the risk factors of periodontitis in a Southeastern Brazilian population with a high degree of miscegenation...
July 2016: Contemporary Clinical Dentistry
Trupti Sarda, Surekha Rathod, Abhay Kolte, Girish Bodhare, Anil Modak
BACKGROUND: Chronic periodontitis, an inflammatory disease, is closely related to certain systemic conditions such as cardiovascular diseases, obesity, and Type 2 diabetes mellitus. These conditions, occurring as comorbidities, synergically affect periodontal tissues. AIM: This study aims to examine whether chronic gingivitis and chronic generalized severe periodontitis in patients with Type 2 diabetes mellitus are associated with increased left ventricular mass (LVM)...
July 2016: Contemporary Clinical Dentistry
Subhajit Gantait, Jayanta Bhattacharyya, Samiran Das, Shibendu Biswas, Amit Ghati, Soumitra Ghosh, Preeti Goel
CONTEXT: This study evaluated the efficacy of denture adhesive, cleanser, chlorhexidine, and brushing against Candida albicans biofilm developed on an acrylic surface and predicted the most effective, simple, and inexpensive way to maintain denture health, thereby preventing denture stomatitis. AIMS: To find the best possible method for maintaining denture hygiene. SETTINGS AND DESIGN: This retrospective analysis was conducted in the Guru Nanak Institute of Dental Sciences and Research, Kolkata, and this in vitro study was designed to minimize denture stomatitis among denture wearing population...
July 2016: Contemporary Clinical Dentistry
Roza Haghgoo, Motahare Ahmadvand
AIM: The aim of this study was to evaluate the pulpal response of primary teeth after direct pulp capping (DPC) with two biocompatible materials namely mineral trioxide aggregate (MTA) and bioactive glass (BAG). SETTINGS AND DESIGN: This study was a randomized clinical trial. MATERIALS AND METHODS: A total of 22 healthy primary canine teeth scheduled for extraction for orthodontic reasons were selected. The teeth were divided into two groups of 11 and underwent DPC...
July 2016: Contemporary Clinical Dentistry
Priyanka Sachdeva, Mousumi Goswami, Darrel Singh
BACKGROUND: The latest advancement in adhesive dentistry is the development of self adhering flowable composite resin which incorporates the self-etch adhesion technology to eliminate the steps of etching, rinsing, priming and bonding. Few studies have addressed resin bonding to primary teeth. AIM: The aim of this study was to compare the shear bond strength and nanoleakage of conventional and self adhering flowable composites to primary teeth dentin. SETTINGS AND DESIGN: This study was conducted in the Department of Pedodontics and Preventive Dentistry, I...
July 2016: Contemporary Clinical Dentistry
Allwyn Samuel, Sharath Asokan, P R Geetha Priya, Seby Thomas
OBJECTIVE: The aim of this study was to compare the sealing ability of mineral trioxide aggregate (MTA) and Biodentine™ when used to repair the furcal perforations in primary molars using scanning electron microscope (SEM). STUDY DESIGN: The study sample comprised forty recently extracted primary molars. These teeth were placed in a 5.25% sodium hypochlorite solution for 24 h and washed with tap water. Access cavities were made using a round bur in high-speed handpiece...
July 2016: Contemporary Clinical Dentistry
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