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Contemporary Clinical Dentistry

Sanjeev Verma, Nameksh Raj Bhupali, Deepak Kumar Gupta, Sombir Singh, Satinder Pal Singh
Space gaining is frequently required in orthodontics. Multiple loops were initially used for space gaining and alignment. The most common used mechanics for space gaining is the use of nickel-titanium open coil springs. The disadvantage of nickel-titanium coil spring is that they cannot be used until the arches are well aligned to receive the stiffer stainless steel wires. Therefore, a new method of gaining space during initial alignment and leveling has been developed and named as sleeve push technique (SPT)...
January 2018: Contemporary Clinical Dentistry
Sombir Singh, Sanjeev Verma, Nameksh Raj Bhupali, Satinder Pal Singh
The accurate bracket positioning is essential for the expression of the bracket system that affects the treatment outcome considerably and is also essential for good functional occlusion as well as facial esthetics. The proper alignment cannot be achieved without proper bracket positioning. Thus, the brackets positioning devices are an integral part of orthodontic armamentarium. Here, we present a new innovation that provides a unique combination of reverse bracket tweezer and positioner and hence is very helpful in precise vertical positioning of brackets with increased efficiency...
January 2018: Contemporary Clinical Dentistry
Parupalli Karunakar, Umrana Faizuddin, Madanala Nagarjun, M S Ranga Reddy
The presence of radix entomolaris (RE) in a mandibular first molar is a common occurrence, which accounts for 0.2%-32% of the population, but the presence of RE in a mandibular second molar is a rare occurrence in our ethnic group. This presence of additional root can lead to difficulties during endodontic treatment. A thorough knowledge of anatomy is necessary for the success of endodontic treatment. This article presents a review on clinical approach and a case series on the detection and management of RE on mandibular second molar...
January 2018: Contemporary Clinical Dentistry
Pravesh Kumar Jhingta, Kavita Mardi, Deepak Sharma, Vinay Kumar Bhardwaj, Ashu Bhardwaj, Nitin Saroch, Nishant Negi
Plasma cell granuloma is a rare benign lesion characterized by the infiltration of plasma cells; primarily occurring in the lungs. It is also seen to occur in the brain, kidney stomach, heart, and so on but its intraoral occurrence is a rarity. This case report represents one of the uncommon locations in the oral cavity affected by plasma cell granuloma, its clinical and histological features, and establishes the differential diagnosis with other malignant or benign disease entities and planning the treatment accordingly...
January 2018: Contemporary Clinical Dentistry
Mayuri Naik, Siddharth Bansal
Amelogenesis imperfecta is a genetic condition affecting the teeth resulting in aberrations of the structure and clinical appearance of enamel. The treatment of amelogenesis imperfecta involves a multidisciplinary treatment approach requiring a comprehensive examination, diagnosis, and effective treatment planning strategy along with satisfaction of patient-related factors. The clinical case described here involves judicious involvement of different disciplines to formulate a treatment plan best suitable to confirm with the patient's needs and expectations, at the same time maintaining the integrity and harmony of associated hard and soft tissues...
January 2018: Contemporary Clinical Dentistry
Viviane Ankli, Francisco Ivison Rodrigues Limeira, Monica Yamauti, Tassiana Cançado Melo Sá
Implant therapy has become a common practice and esthetic demands have tremendously increased, especially in the replacement of anterior teeth in patients with a high lip line. This report presents a gingival veneer as a viable treatment modality to mask peri-implant marginal gingival defects. An impression of the upper arch was made and the gingival veneer was waxed, and clinical confirmation was obtained, followed by laboratory processing, finishing, and polishing. After installing, it adapted to the proximal niches and exhibited good stability...
January 2018: Contemporary Clinical Dentistry
Sangeeta J Nair, I N Aparna, B Dhanasekar, Nayana Prabhu
The restoration of normal function and esthetics is often challenging in the prosthetic rehabilitation of patients with hemimandibulectomy defects due to unstable occlusion and mandibular deviation. The extensive period of time for completion of healing of the reconstructed mandible through reconstructive plastic surgery and/or implant-assisted prosthesis may compromise the masticatory function by causing delay in the fabrication of definitive prosthesis. This case report describes a novel technique for the construction of customized attachment-retained mandibular guiding flange prosthesis for immediate rectification of the frontal plane rotation occurring after hemimandibulectomy...
January 2018: Contemporary Clinical Dentistry
Sanjeev Kumar Salaria, Isha Sharma, Navjot Kaur Brar, Satwant Kaur
Dental implant is being considered successful if the patient is pleased with both of its functional and esthetic outcome. As implant complications (such as peri-implantitis, inappropriate implant position, wrong angulation, and implant location too close to anatomical structures) have been frequently encountered in dental practice, therefore, thorough knowledge to manage such complications is the key prerequisite to prevent the failure of implant. The present case report discussed the etiology, diagnosis of early peri-implantitis, and periodontal abscess with their successful management through periodontal regeneration and diode laser-assisted therapy...
January 2018: Contemporary Clinical Dentistry
Mahesh Neerupakam, Jacob Prakash, Sridevi Koduri, Thejasri Vishnubhatla
Non-Hodgkin's lymphoma (NHL) is a lymphatic system tumor originating from either B or T lymphocytes and shows a high malignant potential. In HIV-seropositive patients, NHL of head and neck is mainly found in Waldeyer's ring, oral mucosa, salivary glands, paranasal sinuses, and laryngeal tissue. Primary NHL rarely affects the bone. When the lesion affects the bones of the jaws, it is rare in the mandible when compared to the maxilla. In the reported cases, only 0.6% are found in the mandible. NHL of the mandible can be difficult to diagnose, and so the prime aim of the present case report is to establish appropriate diagnosis of one of such kinds...
January 2018: Contemporary Clinical Dentistry
Guneet Guram, Rajesh Kumar Reddy, Anand M Dharamsi, Prabhu Mahin Syed Ismail, Samvit Mishra, M Dave Prakashkumar
Background: Fixed orthodontic treatment is time-consuming procedure. Pain is usually associated with orthodontic treatment. The aim of the present study was to evaluate the role of low-level laser therapy (LLLT) on orthodontic tooth movement (OTM) duration and pain perception. Materials and Methods: This randomized double-blind splint-mouth controlled clinical study includes 20 (8 males and 12 females) orthodontic patients requiring bilateral canine retraction. Time taken for canine retraction with LLLT (Group A) over control (Group B) quadrant on the same patient was assessed along with pain experience using facial pain scale...
January 2018: Contemporary Clinical Dentistry
Vanishree M Kemparaj, Ganesh Shenoy Panchmal, Umashankar Gangadaraiah Kadalur
Aim: This exploratory qualitative research is an attempt to assess the health care ethical challenges in dental practice in an Indian scenario. Methodology: Qualitative indepth interview was conducted on 20 dental professionals to assess the ethical challenges prevailing in dental practice in Indian scenario. After obtaining the responses the verbatims were categorized into categories and finally 36 themes emerged. Later from two group of 6 panellists each after conducting focus group discussion the themes of ethical issues occurring in dental practice were ranked based on order of significance impact on the practice, patient and society using Delphi method...
January 2018: Contemporary Clinical Dentistry
Agita Pramustika, Nurtami Soedarsono, Krisnawati, Retno Widayati
Introduction: Tumor necrosis factor-α (TNF-α) is an important proinflammatory cytokine that regulates the early phase of inflammation reaction during orthodontic tooth movement. The aim of the present study was to compare TNF-α concentrations in the gingival crevicular fluid (GCF) between preadjusted edgewise appliance (PEA) and self-ligating (SL) systems during the early leveling stage of orthodontic treatment. Materials and Methods: Eighteen patients (aged 15-35 years) who participated in this study were divided into two experimental groups (PEA and SL) and control group (without orthodontic treatment)...
January 2018: Contemporary Clinical Dentistry
Tanikonda Rambabu, Visinigiri Srikanth, Girija S Sajjan, Sirisha Ganguru, Chava Gayatri, K Roja
The apical termination of obturation is the most important factor influencing the success of root canal treatment (RCT). Working length (WL) is the key element in achieving this. Aim: The aim of this study is to compare and evaluate the preoperative estimated WL with conventional radiograph and with grid radiograph, with reference to electronic apex locator (EAL) in single-rooted teeth. Settings and Design: Thirty permanent anterior teeth with complete root formation indicated for RCT were included in this study...
January 2018: Contemporary Clinical Dentistry
Tanikonda Rambabu, Chava Gayatri, Girija S Sajjan, P Venkata Karteek Varma, Visinigiri Srikanth
Background: "Visagism," a proposed novel concept, makes it possible for the patients to express the desirable emotions and personality traits, through their smile. According to this concept, clinicians can design a smile that blends with the patient's physical appearance, personality, and desires. Aim: To establish a relation, if any, between the smile pattern (dentofacial esthetics determined by three parameters, i.e., tooth form, long axes of maxillary anterior teeth, and connection line between embrasure) and the personality traits (four mental temperaments) through the concept of visagism...
January 2018: Contemporary Clinical Dentistry
Shoeb Yakub Shaikh, Safia Shoeb Shaikh
Aim: The purpose of the present study was direct linear measurement of dentin thickness and dentin volume changes for post space preparation with cone-beam computed tomography (CBCT). Materials and Methods: Ten maxillary central incisors were scanned, before and after root canal and post space preparation, with Orthophos XG three-dimensional hybrid unit. Thirteen axial section scans of each tooth from orifice to apex and dentin thickness for buccal, lingual, mesial, and distal were measured using proprietary measuring tool and thereafter subjected to statistical analysis...
January 2018: Contemporary Clinical Dentistry
Vinaya Susan Varghese, Veerendra Uppin, Kishore Bhat, Madhu Pujar, Amruta B Hooli, Nirmal Kurian
Background: An efficient antimicrobial agent action is required for a predetermined time period for absolute elimination of root canal microbes. Till date, there is limited or no data on the antimicrobial effect of octenidine as an intracanal medicament with chitosan (CTS) as a carrier against Candida albicans and Enterococcus faecalis . Aim: The aim of this microbiological study was to compare the antimicrobial efficacy of octenidine hydrochloride (OHC) and calcium hydroxide (Ca[OH]2 ) as intracanal medicaments, both independently and along with CTS as a carrier molecule against the common resistant endodontic pathogens...
January 2018: Contemporary Clinical Dentistry
Athira Joshy, Nagabhushana Doggalli, Karthikeya Patil, P K Kulkarni
Introduction: Lichen planus (LP) is a chronic inflammatory, autoimmune, mucocutaneous disease of unknown etiology. The first line of treatment for oral LP (OLP) has been corticosteroids, but because of their adverse effects, alternative therapeutic approaches are being carried out, of which the recent natural alternative is propolis. Aim: This study aims to evaluate the efficacy of topical propolis in the management of OLP. Materials and Methods: The research group consisted of 27 patients diagnosed with symptomatic OLP, among which 15 patients were in the control group and the rest 12 were in the study group...
January 2018: Contemporary Clinical Dentistry
K Abinaya, B Muthu Kumar, S C Ahila
Purpose: To compare and evaluate the surface quality of silicone impression materials after ozone water disinfection. Materials and Methods: A total of 60 samples were prepared on a stainless steel die (American Dental Association specification no. 19 and International Standard of Organization - 4823). The samples were divided into four groups; each group contains 15 samples. Group A as control, Group B, C, and D disinfected with 2% glutaraldehyde, 5.25% sodium hypochlorite, and ozone water, respectively...
January 2018: Contemporary Clinical Dentistry
Mehdi Sezavar, Behnam Bohlouli, Sareh Farhadi, Shiva Tabatabaee, Reza Latifi
Background: The shrinkage of the alveolar ridge might be minimized by the ridge preservation stages and applied alloplasts, after tooth extraction. According to studies on statins, angiogenesis and osteogenesis are observed as a topical application of these drugs. Objectives: The aim of this study is to the application of simvastatin in terms of bone regeneration of the alveolar ridge after tooth extraction. Materials and Methods: This study assessed this issue through the split-mouth method which assessed 10 dental sockets filled with simvastatin and collagen and 10 others filled just by collagen postextraction...
January 2018: Contemporary Clinical Dentistry
V Sairam, Gareema Raju Potturi, B Praveen, G Vikas
Introduction: With progressive development in the growth and function of the jaws, changes are observed in size as well as shape of the mandible, which vary on the basis of age, gender, and dental status. The objective of this study was to evaluate and assess the morphological changes of the mandible, with varying age, gender, and dental status, using panoramic radiographs. Materials and Methods: A retrospective study was conducted using digital panoramic radiographs taken by Kodak 8000c digital panoramic and cephalometric system on 150 patients, comprising fifty edentulous individuals (above 50 years of age), fifty old dentate individuals (above 50 years of age), and fifty young dentate individuals (below 25 years of age)...
January 2018: Contemporary Clinical Dentistry
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