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March-April 2011 Volume 1 | Issue 3
Page Nos. -
Online since Friday, July 31, 2015
Accessed 37,122 times.
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FROM THE EDITOR-IN-CHIEF |
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From the Editor-in-chief |
p. 124 |
KMK Masthan |
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FROM THE DESK OF IJCP GROUP EDITOR-IN-CHIEF |
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Diabetes mellitus and dental infections |
p. 125 |
KK Aggarwal |
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REVIEW ARTICLES |
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Comparative study of manual cephalometric tracing and computerized cephalometric tracing in digital lateral cephalogram for accuracy and reliability of landmarks |
p. 126 |
RV Murali, MR Sukumar, T Faisal Tajir, S Rajalingam Introduction: The purpose of the study was to evaluate the skeletal, dental and soft tissue variables accuracy and reliability in digital cephalogram by two methods of tracing - i.e., manual tracing and computerized (Vistadent) cephalometric tracing. Material and methods: A sample of 80 pre-treatment standardized lateral cephalogram were analyzed by a single observer, who performed the manual and computerized tracings of all 80 radiographs. Thirty-three anatomical landmarks were defined on each radiograph by a single investigator and 37 variables were calculated. Data were subjected to statistical analysis. Statistical analysis was undertaken using SPSS 16.0 version statistical software program. No differentiations were made for age or gender. For statistical evaluation of the principal data, differences in measurements between manual tracing and Vistadent tracing were evaluated using t-test. A level of p < 0.05 was considered to be significant. To evaluate the method error, 30 randomly selected radiographs were retraced 1-week after the initial measurements and paired t-test was done. The retracing values of manual and Vistadent tracing was evaluated using t-test. A level of p < 0.05 was considered to be significant. Results and conclusions: Most of the variables showed consistency between the two methods except for Pog-Nperp, Jarabak ratio, ANS-Me, IMPA, L1-NB, SnPerp-Pog' and nasolabial angle. The study indicates that most of the variables show consistency between manual tracing and computerized tracing while most of the cephalometric variables were reliable. |
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Peripheral ameloblastoma: Review of literature and case presentation |
p. 135 |
Renu Yadav, Anubha Gulati, Rahul Sharma, Satya Narain Peripheral ameloblastoma (PA) is a rare soft tissue neoplasm of odontogenic origin that arises in the tooth-bearing gingiva of the maxilla and mandible. This article describes a case of PA located in the lingual gingiva of the mandible in a 48-year-old male with a review of the English literature. |
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Antioxidants in periodontal diseases: A review |
p. 140 |
S Lakshmi Sree, R Mythili Periodontal disease is considered an inflammatory disorder that damages tissue through the complex interactions between periodontopathic bacteria and host defense systems. It is likely that the role of reactive oxygen species (ROS) is common to both bacterial- and host-mediated pathways of tissue damage. In recent years, there has been a tremendous expansion in the medical and dental research concerned with free radicals (FR), ROS and antioxidant defense mechanisms. This review is intended to provide a critical up-to-date summary of the field with particular emphasis on the evidence for oxidative damage and compromised antioxidant status in periodontal diseases. |
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CASE REPORTS |
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Minimally invasive atraumatic extraction of fractured tooth using implant drills and immediate implant placement |
p. 147 |
J Jebin Paul Nesaline, SC Chandrasekaran, Bhaskar Jayaraman, Jumshad B Mohamed Implant placement has been a constant challenge in the field of dentistry. This case report demonstrates a novel extraction of fractured tooth at the cervical region. The tooth was endodontically treated two years back and radiograph revealed periapical radiolucency. The technique involves atraumatic extraction of root using implant drills followed by placing bone graft and immediate implant placement. |
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Rhinocerebral mucormycosis with palatal involvement associated with diabetes mellitus type II: A case report |
p. 152 |
KMK Masthan, N Aravindha Babu, Jagdish Rajguru Zygomycosis or mucormycosis is an increasingly frequent life-threatening infection caused by opportunistic fungal organisms of the class zygomycetes. The pathognomonic feature is the presence of invasive aseptate mycelia that are larger than other filamentous fungi with the hyphae exhibiting right angle and haphazard branching. Usually classified as rhinocerebral, disseminated and cutaneous types, this classification serves as important predictor of pathogenesis and prognosis. These occur mostly in immunosuppressed patients including individuals with diabetes (43% exhibit the rhinocerebral form) and patients with organ transplants and hematologic malignancies. Without early aggressive treatment, the disease follows a dismal and fatal course. Early recognition and aggressive treatment have reduced the mortality and morbidity. We present a case of rhinocerebral mucormycosis with palatal perforation who presented with a slowly progressive swelling of the left cheek. |
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Full mouth rehabilitation of a patient with severely attrited dentition |
p. 157 |
Sanjna Nayar, U Aruna, Sharmila Hussain, S Bhuminathan, Jayesh S Raghavendra The treatment involving the facial esthetics is not only demanding for the patient but also tasking for the clinician. It involves the astute skill of the prosthodontist, maintaining the health of all the oral structures. This clinical report describes the prosthodontic management of a 37-year-old male patient with severe attrition of natural dentition. The treatment plan was executed keeping in mind not only the worn down dentition but also treating the whole stomatognathic system. Utmost care was taken to achieve harmonious occlusion with no possible occlusal interferences which will further initiate the habit of bruxism and thereby cause more wear of teeth. The treatment was spread over a period of time so as to achieve perfect harmony within the masticatory system. The step-wise treatment procedure followed while treating this case has been presented in a simple and systematic manner. |
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Interdisciplinary management of deep bite in an adult patient |
p. 161 |
RV Murali, BS KulaRashmi, Issa Fathima Jasmine The presence of abraded or worn dentition, decreased bony support, temporomandibular joint (TMJ) dysfunction are challenges in the orthodontic treatment of adults. Deep overbite is one of the most common components of a malocclusion as well as a major challenge even for a competent orthodontist. Intrusion should be the treatment of choice for adult patients, who have had significant bone loss around the incisors. In this case report, we document an interdisciplinary approach for the treatment of deep bite in an adult patient. The treatment of a young adult patient is reported to illustrate the importance of sequencing treatments from one discipline to another, communication among the team players and the benefits of working together in an interdisciplinary approach. Orthodontics, endodontics, prosthodontics was combined to achieve the treatment goals: A bilateral Class I relationship, correction of the anterior deep bite, an esthetic smile displaying four incisors and a harmonious profile. |
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Submental intubation - A case report |
p. 165 |
Abudakir , Prakash Dhanavelu, Balakrishnan Ramalingam, Vijay Ebenezer Panfacial trauma is those fractures, which involve frontal bones, zygomaticomaxillary complex, naso orbito ethmoid region, nasal region, mandible with concomitant occlusal disturbances. These kind of fractures are often associated with CSF rhinorrhea and base of the skull fracture. Nasal and oral endo tracheal intubation presents a clinical challenge to the anesthesiologists and also interferes with surgical procedures. The options in these situations are either tracheostomy or submental intubation. As the tracheostomy needs transtracheal dissection and carries significant morbidity, submental intubation is simple, safe technique with low morbidity for operative airway management in maxillofacial trauma. |
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CLINICAL STUDY |
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Comparison of enzyme alkaline phosphatase levels around healthy and diseased implants: a clinical study |
p. 169 |
MN Prabhu, Jaideep Mahendra The levels of the enzyme alkaline phosphatase have proved to be a good indicator gingival health and disease. In this study, their levels were compared around healthy and diseased implants. The enzyme was taken from peri-implant sulcular fluid of healthy and diseased implants and was estimated. The results indicate an increase in the enzyme levels around diseased implants when compared to the healthy implants. |
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Sterilization protocol for orthodontic and endodontic instruments |
p. 172 |
M Madhuri, Nazeer Ahmed Meeran, Omer Sheriff, C Vijay Pathogenic microbes may be transmitted directly from the dentist to the patient or from the patient to the doctor, and indirectly from patient-to-patient. The latter may occur via contaminated instruments or surfaces, and is referred to as cross- contamination. This presents an enormous challenge in the current scenario as it has been proved that blood and saliva are high-risk sources of contracting hepatitis B, human immunodeficiency virus and herpes. In addition to that mouth is the reservoir of several pathogens which can be easily transmitted from patient-to-patient or to the doctor. It is a well-known fact that oral surgeons deal with blood and are supposed to work in a high-risk zone, but very often we tend to give a blind eye to the fact that the so called 'blue collared' specialists, orthodontists and endodontists, too have a high-risk of pricks and cut injuries with sharp instruments and are only second to oral surgeons in risk for contracting hepatitis B virus. Effective sterilization and disinfection techniques must be rigidly followed as per the accepted protocols to prevent the incidence of cross infections in the dental office. This article offers practical guidelines and recommendations for effective sterilization in the orthodontic and endodontic office. These guidelines are suited for easy implementation with the instrument longevity in mind. Various sterilization protocols for orthodontic and endodontic instruments are reviewed concomitantly with relevant scientific data. Additionally, contributory factors of instrument damage are enumerated to emphasize the importance of adhering to precise protocols and manufacturer recommendations as well as in alleviating some misconceptions about sterilization-induced instrument damage. |
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