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  Citation statistics : Table of Contents
   2015| January-June  | Volume 5 | Issue 1  
    Online since August 26, 2015

 
 
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CASE REPORTS
Gingival veneer: A prosthetic solution for the esthetically challenging black triangles: A case series
Cholan Ramanujam, Surya Rengasamy, Russia Marimuthu
January-June 2015, 5(1):23-26
DOI:10.4103/2229-6360.163651  
Anterior dental esthetics becomes crucial in patients with periodontal disease with open embrasures, increased crown height, black triangles. This article describes a technique for fabrication of gingival veneer for patients with black triangles and gingival recession. This is a conservative method of obtaining esthetics with the advantage of predictable esthetics.
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Unveiling the impacted incisor
Aniket Potnis, Chirag Panchasara, Ashutosh Shetty, US Krishna Nayak
January-June 2015, 5(1):27-30
DOI:10.4103/2229-6360.163652  
Missing and unerupted maxillary incisors can have a major impact on dental and facial esthetics and were considered to be the most unattractive deviant occlusal trait. There are very few studies reporting any functional problems associated with the missing anterior teeth although some speech difficulties have been reported, particularly with the "s" sound. Although impaction of permanent tooth is rarely diagnosed during the mixed dentition period, an impacted central incisor is usually diagnosed accurately when there is delay in the eruption of tooth. As missing upper incisors are regarded as unattractive, this may have an effect on self-esteem and general social interaction and it is important to detect and manage the problem as early as possible. This case report describes the treatment of a patient with a horizontally impacted maxillary central incisor. Due to a midline shift and lack of space in the upper arch, a two stage treatment plan was developed. In the first stage, space was created by using a closed coil spring. The second stage involved surgical exposure and traction of the impacted central incisor. The patient finished treatment with a normal and stable occlusion between the maxillary and mandibular arches and an adequate width of attached gingiva.
  - 6,690 13
Assessment of bone healing around immediately loading dental implants in posterior maxilla with two different osteotomy techniques
Mahmoud A Abdelkarim, Mohammed Said Hamed, Mohammed A Elsholkamy, Abdelbadia Abdallah Abdelmabood
January-June 2015, 5(1):31-39
DOI:10.4103/2229-6360.163653  
The posterior region of the maxilla is characterized by thin cortical bone and trabecular bone of low-density. In addition, in many instances the height of the bone in this region is insufficient to achieve high primary stability because of the presence of the maxillary sinus. The aim of this study was to assess bone healing around immediately loaded dental implants in the posterior maxillary region with two different osteotomy techniques, conventional technique versus condensing technique. Twenty implants were inserted in 10 patients each patient received 2 implants. One implant was inserted by a conventional technique other implant was inserted by condensing technique one on each side of the maxilla. The follow-up was done at the following intervals, immediate postoperative, 6-, 12-, and 24-week. One implant from the group of condensing technique showed failure after 4 weeks. The results of this research demonstrate the success rate was 90% for condensing group and 100% for the conventional group.
  - 7,203 15
Nasal eruption
K Arun Kumar, Ramakrishnan Bharathi, KMK Masthan, Jenita Jacobina
January-June 2015, 5(1):40-41
DOI:10.4103/2229-6360.163654  
Intranasal tooth is a result of ectopic tooth eruption. Ectopic tooth eruption may occur in the maxillary sinus, condyle, coronoid process of mandible, orbit, palate, or nasal cavity. Incidence of nasal eruption is 0.1-1.0%. Herein, we report a rare case of an intranasal tooth in a 9-year-old boy. The clinical and radiographic findings of the case along with its possible etiology, management and complications are also discussed.
  - 4,133 14
Triad treatment option to restore full mouth
Neelam Abhay Pande, Maithili Kolarkar
January-June 2015, 5(1):42-46
DOI:10.4103/2229-6360.163655  
The primary consideration for continued denture success with a single conventional complete denture is the preservation of that which remains in the oral cavity. The single denture is a complex prosthesis that requires a complete understanding of the basics of denture occlusion. The problems involved in providing comfort, function, proper esthetics, and retention for the maxillary complete denture patient with natural opposing dentition may be challenging. The damage to the edentulous ridge and inability to wear the denture may be avoided by good prosthetic treatment which includes adequate denture base, correct jaw relation record, and proper occlusion. In this case report, a female patient reported with generalized attrition of the remaining maxillary dentition. After clinical evaluation, taking into consideration the patient's expectations, treatment plan was decided. Using fixed, removable, and complete denture prosthesis, patients functional and esthetic requirements were fulfilled, which gave her comfort and satisfaction.
  - 5,962 15
Full mouth rehabilitation of a patient with amelogenesis imperfecta: A clinical report
Dhanraj Ganapathy, Siddharth Sasikumar, Prathap Sekhar
January-June 2015, 5(1):47-50
DOI:10.4103/2229-6360.163656  
Amelogenesis imperfecta is a debilitating disease involving the enamel with characteristic manifestations of discolored teeth, severe dental attrition, and loss of vertical dimension. Full mouth rehabilitation with fixed metal ceramic restorations can be a very effective treatment regimen to treat this condition comprehensively.
  - 5,921 40
EDITORIAL
Editorial message for volume 5 issue 1
Mahaboob Kader Masthan
January-June 2015, 5(1):1-1
DOI:10.4103/2229-6360.163639  
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LETTER TO EDITOR
A phenomenon called "patient hood"
Reema Malhotra, Rahul Bhola, Rohit Sharma
January-June 2015, 5(1):51-52
DOI:10.4103/2229-6360.163657  
  - 3,936 13
ORIGINAL ARTICLE
Histomorphometric and histological evaluations of the simvastatin effect on alveolar bone loss induced by cyclosporine A in rats
Samir Hagar, Shafik Sahar, Yahia Mona, Mamdouh Nancy
January-June 2015, 5(1):2-9
DOI:10.4103/2229-6360.163640  
Background: Cyclosporin-A- has been used as an immunosuppressant to prevent the rejection of organ transplants. However, alveolar bone loss is an important negative side-effect of this drug. Simvastatin, a hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor, is known to inhibit cholesterol biosynthesis. It has advanced effects on bone formation in vivo and in vitro. So,we evaluated the histological and histomorphometric analysis of osteoblast and osteoclast cells after administration of simvastatin in cyclosporin-A-associated alveolar bone loss in rats. Aim of the Study: To evaluate the effect of simvastatin and cyclosporin -A- on Alveolar bone by investigating the histological and histomorphometric results of osteoblast and osteoclast cells. Materials and Methods: 24 adult male rats will be divided into 3 groups: Group I: Control group; 4 rats, Group II: cyclosporine -A- group; 10 rats (10 mg/kg) subcutaneous injection, Group III: cyclosporine -A-/simvastatin group; 10 rats, simvastatin will be taken orally daily (20mg/kg/day). Two rats from the control group and 5 rats from each of the studied experimental groups (group II & III) were sacrificed on days 15 and 30 consecutively using Histological and Histomorphometric investigations. Results: Histological results revealed higher bone volume and osteoblast cells, and decreased number of osteoclast cells in Simvastatin group than in CsA group. The same results was statistically significant in Histomorphometric results of both osteoblast and osteoclast cells counts. In Histomorphometrical analysis showed a significant increase of osteoblast cells in Simvastatin group than CsA group, and significant decrease of osteoclast cells in Simvastatin group than CsA group. Conclusion: We can conclude that Simvastatin counteract the adverse effect of CsA induced alveolar bone loss that induced new bone formation.
  - 6,798 20
REVIEW ARTICLES
Resolvins: A novel theraputic approach in treating periodontal disease
H Nilofer Farjana, Nithya Anand, SC Chandrasekaran
January-June 2015, 5(1):10-14
DOI:10.4103/2229-6360.163649  
Unresolved inflammation is associated with several widely occurring diseases such as arthritis, periodontal diseases, cancer, and atherosclerosis. Endogenous mechanisms are that which curtail excessive inflammation. A newly emerging chemical mediators derived from polyunsaturated fatty acids were identified that controls the acute inflammatory response by activating local resolution. They are specialized pro-resolving lipid mediators that includes lipoxins (LXs), resolvins (Rv), protectins, and maresins, because they are enzymatically biosynthesized during resolution of self-limited inflammation. They have anti-inflammatory and pro-resolution actions of Rv of the D1 with up regulation of arachidonic acid-derived endogenous resolution pathways (LXA4). A novel therapeutic host modulating are for resolution of inflammation.
  - 10,340 16
Perioceutics - Where do we stand?
Pavithra Rangarajan Seshadri, Krishnan Viswanathan
January-June 2015, 5(1):15-22
DOI:10.4103/2229-6360.163650  
Periodontitis is a multifactorial infectious disease of the supporting structures of the teeth, characterized by destruction of the bone and connective tissue. Specific periodontopathic bacteria and their virulence factors are the primary etiologic agents. However, the interaction of host defense mechanisms and these etiological agents play an important role in the onset and progression of the disease. Research began to focus very closely on bacterial-host interaction, leading to host bacterial interrelationship era. The shift in concentration on host response has led to the development of host modulatory therapies which could improve therapeutic outcomes, slow the progression of disease, allow for more predictable management of patients, and possibly even work as preventive agents against the development of periodontitis. This paper reviews the host modulatory therapy, which is the effective means when used as an adjunct to mechanical periodontal therapy in treating periodontal diseases.
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