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   Table of Contents - Current issue
July-December 2016
Volume 6 | Issue 2
Page Nos. 49-99

Online since Monday, February 13, 2017

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President's Message p. 49
K Sadashiva Shetty
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Secretary's Message p. 50
S Shivaprasad
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Editorial p. 51
GV Gayathri
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Efficacy of new chemomechanical caries removal agent compared with conventional method in primary teeth: An in vivo study p. 52
NB Nagaveni, NB Radhika, TS Satisha, KS Ashwini, Sridhar Neni, Shilpi Gupta
Background: Painless dentistry, minimal intervention and thus giving relief, comfort, and solace and thereby instilling a positive attitude toward dental treatments, are some of the factors justifying the specialty of pediatric dentistry. Aim: The purpose of this study was to evaluate clinically the effectiveness, total working time and pain reaction following treatment with a new chemomechanical caries removal gel (Carie-Care™) compared to conventional drilling method in primary teeth. Settings and Design: This study is a split-mouth clinical trial wherein two methods of caries removal were performed within the same patient. Methods: Two methods of caries removal were compared in the same patient. Sixty carious primary teeth were evaluated from thirty children and divided into two groups as test and control group. In the test group, the caries was removed using the new chemomechanical caries removal gel, and in control group, caries was removed using the dental bur. Statistical Analysis used: Unpaired t-test. Results: The mean time taken for complete caries excavation with Carie-Care™ was 3.24 ± 0.74 s. This was significantly longer compared with the conventional drilling wherein the mean time was 2.08 ± 0.24 s (P < 0.001). Patient treated with Carie-Care™ gel experienced significantly comfort (Score 1) (P < 0.001), and it was as effective as drill in caries removal. Conclusion: Carie-Care™, a new chemomechanical caries removal agent could be an effective caries removal method for the treatment of patients seeking an alternative to conventional methods.
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Comparison of efficacy of depigmentation of gingiva in terms of ImageJ intensity values and surface area of repigmentation using scalpel and diode laser p. 59
A Raghu Raaman, B Pratebha, M Jananni, R Saravanakumar
Background: For an attractive smile, health and color of the gingiva are essential components. Hyperpigmented gingiva is considered unaesthetic and unsightly by many, and there is an increasing demand for depigmentation of gingiva from patients. Many techniques are available for gingival depigmentation. Aims and Objectives: To compare the effectiveness of scalpel and laser techniques for depigmentation in terms of patient comfort using visual analog scale (VAS) for pain, changes in ImageJ intensity values of gingival pigmentation, and to compare the frequency and area of repigmentation postoperatively between two groups up to a period of 3 months using Adobe Photoshop. sMaterials and Methods: The study was conducted in the Department of Periodontics, Indira Gandhi Institute of Dental Sciences. Fifty individuals, aged between 18 and 30 years, with an esthetic complaint of hyperpigmented gingiva were enrolled in the study. The study comprised two groups of 25 individuals each. One group was taken up for scalpel method of depigmentation and the other for laser depigmentation. Results: The difference between the mean pain scores of scalpel and laser group on day 1, day 4, and day 7 were recorded, with a P value of 0.123, 0.000, and 0.037, respectively. The difference in intensity values between baseline and 90 days for both scalpel and laser groups was highly significant, with a P value of 0.000. When surface area of repigmentation was compared between two groups, scalpel group (557.20 mm2) of patients had less repigmentation than laser group (737.08 mm2). Conclusion: The patient apprehension for anesthetic infiltration, bleeding during the procedures, and VAS scores for pain were less in laser group as compared to scalpel group. Efficiency of depigmentation and frequency of recurrence of gingival pigmentation were similar in both the groups. However, in terms of patient's comfort, laser appeared to have a significant advantage over scalpel.
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Hirudotherapy in dentistry p. 65
Isha Thakur, BH Satheesha Reddy, Shilpa Patil, Kavitha Rajendra
Medicinal leeches have been used in medical and dental specialties over the past many years. Leeches have the property of bloodletting that makes them be used as a therapeutic modality. Leech therapy, also known as hirudotherapy, involves the application of medicinal leeches onto an affected area. Leeches suck the blood with an initial painless bite. Saliva of leech has many biologically active substances that make the therapy useful and unique. Hirudotherapy is used in many medical and dental disease conditions despite many complications arising from it. This article gives a brief review of hirudotherapy, its application in dental disease conditions, and its complications.
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Promoting oral hygiene and health through school p. 70
Preetika Parmar, G Radha, R Rekha, SK Pallavi, SR Nagashree
A combined education, promotion, and preventive program in the school would greatly reduce the amount of classroom time lost in traveling to a treatment facility. Comprehensive school programs also would obviate the loss of study time due to pain and apprehension before and after treatment. Today, there is a need for research and evaluation on the best approaches to promoting oral health in schools with a focus on school-based clinics. Data from original scientific papers published in PubMed, PubMed Central, and Google Scholar were taken for review. Articles published in English are only included. The review concluded that the primary objective of school oral health promotion programs must focus on the 3 M's – manpower, money, and material, plus the amount of classroom time it will take from conventional classroom education.
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An orthodontic guided, closed eruption of impacted maxillary canine p. 78
Devinder Preet Singh, Urvashi Sharma, Hemant Batra, Anubha Gulati
The current case report demonstrates orthodontic management of an impacted permanent maxillary right canine using 0.016” nickel–titanium auxiliary archwire on a 19” × 25” stainless steel base archwire. In the present case, the reason for impaction of the canine was an overlying retained primary canine and a calcifying epithelial odontogenic tumor (CEOT) in that area. The over-retained primary canine was extracted and CEOT was enucleated. Closed eruption technique, with a Begg's bracket bonded on the labial surface of the impacted canine, was followed as it facilitates the preservation of attached gingiva around the newly erupted tooth. This case report demonstrates an orthodontic-guided eruption and repositioning of an impacted permanent maxillary canine using a ligature tie and a Begg's bracket. Closed eruption of the impacted maxillary right canine was followed by a comprehensive fixed mechanotherapy.
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Autologous direct stem cell application in periodontal regeneration technique in the treatment of periodontal intrabony defects: An 1-year follow-up study p. 83
Kharidhi Laxman Vandana, NC Praveen, Gunjan Chauhan, Deepti Mittal
Langer in 1993 proposed tissue engineering as a possible technique for regenerating lost periodontal tissues. This field builds on the interface between materials science and biocompatibility, and integrates cells, natural or synthetic scaffolds, and specific signals to create new tissues. We used soft tissue harboring the PDLSCs adherent to the root of an extracted impacted wisdom tooth along with its cementum and dentin shavings using gelatin sponge as scaffold to restore the periodontal intrabony defect of another molar of the same patient. The current approach resulted in improvement in clinical parameters and radiographic improvement in periodontal intrabony defect. SAI-PRT has emerged as a constructive avenue in treatment of periodontal osseous defects. Moreover the clinical feasibility, success and cost effectiveness over currently available techniques are encouraging.
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Angiokeratoma of the tongue: An unusual site p. 88
Anupa Mary Job, Vijay Aithal, Rajalakshmi Tirumalae
Angiokeratomas are a group of disorders characterized by ectatic dermal capillaries with a prominent epidermal response in the form of hyperkeratosis, occurring in clinically distinct conditions. Solitary angiokeratoma of tongue without association with systemic conditions such as Fabry's disease and fucosidosis is very rare. We present a case of solitary angiokeratoma of tongue in a 12-year-old otherwise healthy male with no evidence of systemic associations.
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Adenoid cystic carcinoma of mobile tongue p. 92
Rashmi Patnayak, Amitabh Jena, Mohammed Basheeruddin Inamdar, Gajjala Venkata Sivanath Reddy, Sreelekha Appasani, Vijaylaxmi Bodagala
Adenoid cystic carcinoma (ACC) is less frequently described in mobile tongue with approximate incidence of 3%. It takes its origin from the minor salivary glands and is malignant in nature. It is a slow-progressing tumor with high recurrence rate. Fine-needle aspiration cytology (FNAC) can play an important role in diagnosing palpable lesions of the lung. Hereby, we describe a rare case of ACC in a mobile tongue diagnosed by FNAC. The cytology smears revealed characteristic basaloid cells with hyperchromatic nuclei and there were numerous globules of basement membrane material. This 44-year-old lady underwent surgical excision with the final histopathological diagnosis of ACC.
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Management of gingival recession in mandibular molar using lateral pedicle flap technique p. 96
V Priyadharshini, MG Triveni, DS Mehta
Gingival recession is a common mucogingival deformity, and various treatment options are available. Patients with exposed root surfaces can possibly develop root sensitivity, root caries, and pose a major esthetic problem. Among various procedures, laterally positioned pedicle graft (LPG) is a widely used technique to cover gingival recession defects. The main advantages of the LPG are that it is relatively easy, not time-consuming, produces excellent esthetic results, and no second surgical site is involved for donor harvesting. This case report presents a case of Class III gingival recession in relation to molar adjacent to an edentulous site that was successfully treated with lateral pedicle technique.
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