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  Most popular articles (Since October 08, 2013)

 
 
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CASE REPORTS
Asymptomatic intermittent swelling on the right side of the face
Poornima Rangaiah, Ashok Lingappa, Rajeshwari Gangappa Annigeri, Kirthi Kumar Rai
January-June 2013, 3(1):51-56
DOI:10.4103/2231-6027.122124  
Vascular malformations (VM) are errors of vascular morphogenesis present at lower incidence accounts approximately 7% of all benign tumors, about 1/3 rd of all VMs occur in the head and neck region, more than 50%. Arteriovenous malformations are present in the head and neck region. Clinicians who diagnose and treat oral conditions should be aware of these lesions and their impact on routine procedures. Proper recognition and therapeutic intervention can help avoid serious complications and potentially tragic outcomes.
  18,700 343 -
REVIEW ARTICLES
Current concepts and guidelines in chin graft harvesting: A literature review
Ankit Jivan Desai, Raison Thomas, AB Tarun Kumar, DS Mehta
January-June 2013, 3(1):16-25
DOI:10.4103/2231-6027.122094  
After tooth loss, alveolar ridge resorption is a common phenomenon, which alters the size and shape of the host bone available for the dental implant placement. In the era of prosthetic driven implant dentistry, the final prosthesis type and design dictates the number, size and the ideal implant position. In clinical practice, though patients often demand osseointegrated implants to replace their missing teeth; the deficiency of bone volume is the primary reason for avoiding such treatment options. The solution to such situations lies in the re-establishment of the ridge height consistent with prosthetic design and with suitable load-bearing lamellar bone for implant placement and long-term stability. Despite recent advances in bone grafts and bone-substitute technology, the use of autogenous bone grafts continues to represent the "gold standard" in implant site reconstructive surgery. The mandibular symphysis (chin bone in interforaminal region) is a favorable donor site as it has an excellent risk-benefit ratio. Several reconstruction procedures by using chin graft have been proposed to increase alveolar bone volume both vertically and laterally to prepare the ridge for a correct placement of oral implants. This article reviews the various aspects of chin grafts, wherein the regional surgical anatomy, various incision designs, surgical protocols for harvesting and the possible clinical and esthetic complications of chin grafts have been discussed.
  14,209 1,697 2
REVIEW ARTICLE
Casein phosphopeptide-amorphous calcium phosphate in dentistry: An update
GK Divyapriya, Puja C Yavagal, DJ Veeresh
January-June 2016, 6(1):18-25
DOI:10.4103/2231-6027.186660  
Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), milk derivative helps in remineralization of the carious lesion by replenishing lost minerals like calcium, phosphate ions into the tooth structure. Several in vitro and in vivo studies have proven that CPP-ACP to be useful in the treatment of white spot lesions, early childhood caries, dental erosion, root caries, and dentin hypersensitivity. CPP-ACP is delivered in the form of oral hygiene products such as chewing gum, tooth cream, and even incorporated in dental restorative materials also.
  10,289 1,503 2
REVIEW ARTICLES
Shade selection
RS Basavanna, Chitra Gohil, Vasundhara Shivanna
January-June 2013, 3(1):26-31
DOI:10.4103/2231-6027.122097  
Recent advances in color matching have been driven by the market demand for high-quality esthetic restorations. Improved shade guides, availability of shade-taking devices and research in the area of human color vision have improved the potential of clinicians to achieve excellent color-matched restorations. A thorough understanding of appearance attributes of natural teeth is required along with these new tools to maximize shade-matching results.
  9,015 1,164 -
CASE REPORTS
Four and two tooth supported - Conventional over denture: Two case reports
Veena S Prakash, G Shivaprakash, Samrat Hegde, Nagarajappa
January-June 2013, 3(1):61-64
DOI:10.4103/2231-6027.122134  
The mastication, phonation and esthetics: The trident factors are very important and should be given due consideration when any dental procedure is initiated to achieve the successful outcome of treatment. The prosthetic management of edentulous patient has long been a major challenge for dentistry. For well over a century, complete maxillary and mandibular denture have been the traditional standard of care. However, most of the patients report significantly more problems adapting to their mandibular denture due to a lack of comfort (e.g., they suffer from an increase in pain and soreness), retention, stability and inability to chew and eat. Recent scientific studies carried out over the past decade have determined that the benefits of a mandibular two implant over denture/coping retained are sufficient to propose the two implant over denture - rather than conventional denture - as the first treatment option. This in the prosthodontics literature has led to shift in therapeutic philosophy regarding restoration of the edentulous patient. This article presents four and two tooth supported conventional over denture - two case reports.
  7,525 1,265 2
REVIEW ARTICLES
Microabscess: Revisited
K Shyamala, HC Girish, Sanjay Murgod, Vaidhehi N Nayak
July-December 2014, 4(2):81-83
DOI:10.4103/2231-6027.165098  
Inflammation is the initial response of the host to a diverse array of biological stressors including bacterial infection, burns, trauma, and invasive surgery. Most inflammatory reactions begin as a suppurative or purulent exudation process when the first line of cellular defense, the neutrophils, accumulate in the area which may lead to the formation of microabscesses. This article on microabscess is an effort in providing information available about microabscess from various sources. The matter has been extracted from internet sources with the help of Google search, dictionaries, and articles from the online journals, and textbooks. In this paper, we have discussed the mechanism behind the formation, regression of microabscess and the different types of microabscesses that have appeared in the literature related to different disease processes.
  8,196 461 -
Clinical guidelines for periodontal management of idiopathic thrombocytopenic purpura: Current considerations
Neha Bansal, Manika Jindal, Narinder Dev Gupta, Pradeep Shukla
January-June 2017, 7(1):30-34
DOI:10.4103/ijohs.ijohs_7_17  
Idiopathic thrombocytopenic purpura is an acquired platelet disorder reported to have spontaneous hemorrhagic gingiva as one of the earliest manifestations, sometimes as a presenting symptom. It is very important for general dentists to be aware of such conditions as prolonged bleeding may occur as a life-threatening complication during and posttreatment of such patients. They must have a basic insight of the oral findings of thrombocytopenia and should arrange and prepare the necessary assistance in advance. A diligent cooperation among patient, hematologist and dentist are crucial in the management of bleeding disorder patients. This paper provides an overview of thrombocytopenia and current recommendations for its periodontal management. We concluded that thrombocytopenia is not an absolute contraindication for dental procedures; however, the course of treatment should be commanded by the clinical manifestations and the platelet count.
  7,068 545 -
Oral piercing: Style statement or a state of disharmony?
Neelam Khalia, Gayathri Gunjiganur Vemanaradhya, Dhoom Singh Mehta
July-December 2013, 3(2):84-91
DOI:10.4103/2231-6027.135978  
Oral piercing is a practice that was done even in the before Christ era, but the designs and purposes are changing with time. These days, it is mainly used as a style statement and for religious reasons. Although it aids in marking the identity of a person, but at the same time if not done with precision, then it can lead to various disastrous effects as well. This review highlights the various facets of oral piercing, including its history, designs, procedure, complications, precautions to be taken for a patient bearing oral piercing jewelry and the current status.
  6,572 295 -
Maxillary molar with dens evaginatus and multiple cusps: Report of a rare case and literature review
NB Nagaveni, KV Umashankara
July-December 2013, 3(2):92-97
DOI:10.4103/2231-6027.135979  
Human teeth may show variations and changes in morphological structures. Such changes may be found on the crown either in the form of anomalous cusps or in an increased number of roots, which in some instances is associated with an anomalous cusp. Accessory or supernumerary cusps are common variations of tooth morphology that are occasionally encountered clinically. The most commonly reported accessory cusps are cusp of Carabelli of the molars, talons cusps of the incisors and Leong's tubercle of premolar. Herewith, we present a case of maxillary third molar associated with six supernumerary cusps along with a dens evaginatus that is a rarely reported dental variation in the literature. The article also discusses the need for continuous dental surveillance of this rare anomaly with a review of the literature.
  6,408 338 -
CASE REPORTS
Telescopic denture a treatment modalitity of preventive prosthodontics
Laxman Singh Kaira, Rakesh Mishra
July-December 2013, 3(2):121-124
DOI:10.4103/2231-6027.135991  
"It is more important to preserve what already exists than to replace what is missing," as stated by M.M. Devan has never been challenged or disapproved. In situations with few remaining natural teeth, prosthodontists are posed with a dilemma for the treatment options. In such cases, overdenture therapy has been proven to be advantageous. Bearing in mind the philosophy of preventive prosthodontics, overdenture therapy has a long-term advantage by preserving the proprioception and thereby residual alveolar ridge. This clinical report describes the prosthodontic rehabilitation a patient with few remaining mandibular natural teeth by telescopic mandibular overdenture for added advantages like better retention, stability, support and psychological benefits of the patient.
  5,754 778 -
Dentin dysplasia type I: A rare case report
Sujata Mohan Byahatti
January-June 2013, 3(1):57-60
DOI:10.4103/2231-6027.122128  
Dentin dysplasia (DD) type I is an inherited autosomal dominant genetic defect affecting the dentin formation. Here, the teeth are characterized by normal appearing crowns, with absence or severe restriction of root formation, obliterated pulp chambers and periapical radiolucencies without an obvious cause. Clinically, the teeth can be poorly aligned, drifting and mobile and can prematurely exfoliate due to abnormal root formation. This condition is rarely encountered where little is known about the specific treatment of this disorder and management of patients with DD. This report documents one such rarity of DD type I in a 16-year-old female and the clinical and radiographical findings of this condition.
  5,774 308 -
The diverse roles of soft-tissue grafts in creating perioesthetics
Jaisika Rajpal, Aakash Arora, Jagriti Gupta, Ruchika Prasad
January-June 2013, 3(1):42-50
DOI:10.4103/2231-6027.122117  
As patients become increasingly aware of the esthetic potential through cosmetic dentistry, there is an increasing demand for smile makeovers with perioplastic surgeries. When gum tissue recedes due to periodontal disease, it pulls away from the teeth. Periodontal plastic surgery procedures can restore some coverage and dramatically improve a person's smile. Soft-tissue grafts and other root coverage procedures cover exposed roots and restore healthy gum tissue. This will reduce further bone loss and recession, make the tooth less sensitive, protect the root from root cavities and look more natural when you smile. In this paper, the scope of periodontal plastic surgery with the use of soft-tissue autografts has been outlined to aid the dental team in the proper diagnosis and treatment of the esthetic dental case.
  5,402 334 -
REVIEW ARTICLES
Minimally invasive surgical techniques in periodontal regeneration
Swet Nisha, Pratibha Shashikumar, Gadupudi Salini Samyuktha
January-June 2017, 7(1):24-29
DOI:10.4103/ijohs.ijohs_20_17  
There are recent advances in periodontal surgical techniques, from resection to regeneration, the focus of surgical access has shifted to regeneration of lost tissues. To achieve goals of periodontal surgical therapy, minimal invasive surgery can be considered as a potential future for the treatment of periodontal disease with the concept of being minimal in our treatment approaches. This article reviews the various techniques, its applications, and future prospects of minimal invasive periodontal surgery.
  4,802 900 -
CASE REPORTS
Fabrication of bar-retained tooth-supported mandibular overdenture
Ruchika Mishra, Amit Shivrayan, Sonal Jain, Siddharth Mehta
January-June 2014, 4(1):37-41
DOI:10.4103/2231-6027.151624  
The problem of stability and retention of conventional mandibular complete dentures is far from a solution that is universally satisfactory. However, the use of overdenture therapy preserves the sensation of proprioception, preserves the edentulous ridge, maintains the border seal and provides the patient with good speaking ability and chewing efficiency. The retention and stability of such prosthesis is enhanced greatly in bar-supported overdentures. This case report depicts the step by step procedure for the fabrication of a canine splint bar for a bar and clip-retained mandibular overdenture that opposes a conventional complete maxillary denture. The bar was fabricated from readily available castable bar system and female clips were attached by an indirect technique. The mode of retention was primarily through frictional resistance. It is a relatively simple and easy technique, overcoming the limitations of the direct technique for clip attachment.
  4,994 590 -
REVIEW ARTICLES
Application of herbal products in management of periodontal diseases: A mini review
Rucha Shah, GV Gayathri, Dhoom Singh Mehta
January-June 2015, 5(1):38-44
DOI:10.4103/2231-6027.171166  
Periodontal disease is a chronic inflammatory disease affecting the supporting structures of teeth and may lead to bleeding gums, tooth mobility, and eventually tooth loss. With the limited effectiveness of current forms of mechanical therapy in the management of periodontal diseases, there has been a shift in focus on to alternative therapies. One such area where maximum research has been going on is phytotherapy. Several studies now focus on the efficacies of herbal extracts on various important periodontal pathogens such as Porphyromonas gingivalis, Prevotella intermedia, Fusobacterium nucleatum, Aggregatibacter actinomycetemcomitans, Treponema denticola and Tannerella forsythia. Furthermore, recent studies have explored the benefits of using plant-based products on various periodontal clinical parameters such as gingival inflammation, gingival bleeding, etc. The aim of this review to focus on potential, of pros and cons of the several plants/extracts that have been used in vitro or in vivo for management of periodontal diseases and also to highlight the direction of future research to improve their efficacy.
  4,786 697 2
ORIGINAL ARTICLES
Assessment of the clinical performance of zirconia infused glass ionomer cement: An in vivo study
AR Prabhakar, Priyanka L Kalimireddy, Chandrashekar Yavagal, S Sugandhan
July-December 2015, 5(2):74-79
DOI:10.4103/2231-6027.178501  
Aim: To assess the clinical performance of zirconia (ZrO2) infused glass ionomer cement (GIC) compared to conventional GIC. Study Design: Experimental, in vivo, intergroup split-mouth study. Methods: Cavities were prepared on bilateral teeth and restored with Conventional GIC on one side and ZrO2infused glass ionomer on the other. The two sides were compared with regards to their clinical performance and color stability. Results: Statistically significant differences were found with respect to surface texture and color match between ZrO2infused GIC and conventional GIC. Statistics: Results were analyzed using Friedman test and Wilcoxon test. Conclusions: ZrO2infused GIC showed better color stability but conventional GIC was much better as far as color match, surface texture, and marginal adaptation were concerned.
  4,654 580 1
CASE SERIES
Palatal pedicle flap-varied applications
AB Tarun Kumar, PS Divya Gayatri, MG Triveni, DS Mehta
July-December 2015, 5(2):106-112
DOI:10.4103/2231-6027.178505  
Implant restorations, a boon to dentistry, often suffer from ridge and soft tissue deficiencies because of the postextraction tissue remodeling. This hindrance could be overcome through soft and hard tissue augmentation as future implant site development. A good pink carpet is one of the prerequisite for esthetics around implant restoration, which could be achieved adequately through hard and soft tissue grafting procedures. In this regard, many techniques have been advocated, wherein the pedicle grafts gained popularity owing to the ability to maintain intact vascularity. Palatal tissue is desirable graft of choice for its thick biotype. Thus a combination of palatal tissue with pedicle grafts are said to be novel in this application. In this article, we discussed the applications of different palatal pedicle grafts along with elaborating their varied applications in three patients.
  4,572 560 -
PRESIDENTS MESSAGE
President's Message
K Sadashiva Shetty
July-December 2015, 5(2):71-71
DOI:10.4103/2231-6027.178494  
  1,347 3,453 -
CASE REPORTS
Beaten silver appearance: Normal or pathognomic in children?
Swati Phore, Rahul Singh Panchal
January-June 2018, 8(1):51-54
DOI:10.4103/ijohs.ijohs_28_17  
Variations and abnormalities of skull appearance and shape are generally related to a primary maldevelopment of the brain. The copper-beaten skull appearance is typically associated with craniosynostosis, where premature fusion of the cranial bone sutures results in the growing brain exerting pressure on the malleable cranium, producing a pattern known as the beaten silver appearance or copper-beaten skull appearance. In this article, we have reported a case of 5-year-old child with classical features of beaten silver skull.
  4,240 130 1
PRESIDENTS MESSAGE
President's Message
Sadashiva K Shetty
July-December 2014, 4(2):55-55
DOI:10.4103/2231-6027.165105  
  1,209 3,012 -
President's Message
K Sadashiva Shetty
July-December 2016, 6(2):49-49
DOI:10.4103/2231-6027.199991  
  1,333 2,784 -
President's Message
Sadashiva K Shety
July-December 2013, 3(2):71-71
DOI:10.4103/2231-6027.135972  
  1,317 2,659 -
ORIGINAL ARTICLES
Efficacy of new chemomechanical caries removal agent compared with conventional method in primary teeth: An in vivo study
NB Nagaveni, NB Radhika, TS Satisha, KS Ashwini, Sridhar Neni, Shilpi Gupta
July-December 2016, 6(2):52-58
DOI:10.4103/2231-6027.199986  
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.
  3,461 472 1
CASE REPORTS
Uncommon complication of a common tooth extraction
SN Somashekhar, TP Vikram
July-December 2015, 5(2):113-116
DOI:10.4103/2231-6027.178506  
Cervicofacial infections of dental origin are the most difficult and complex issues in our day to day practice. Perceiving the severity of the condition at the earliest is of utmost importance since they are known to spread rapidly to the surrounding soft tissues and can even spread to vital structures such as paranasal sinuses, orbits, intracranial sites, and even to mediastinum. Orbital cellulitis is a postseptal cellulitis involving intraorbital muscles with diminishing visual acuity. Aggressive treatment more frequently with surgical intervention along with higher antibiotics in a well-equipped hospital is required since it is associated with rapid deterioration. A 40-year-old male who is a known diabetic and smoker underwent dental extraction and presented with fever, left facial swelling with the blurring of vision. Clinically he was in sepsis having crepitus over left facial swelling, edema of left eyelids with proptosis with facial nerve palsy. On investigating further, he was found to have left cervicofacial abscess associated with left orbital cellulitis due to odontogenic infection with very high blood sugar level. Cervicofacial abscess of odontogenic cause is a life-threatening complication. In this case report, we have highlighted the unusual findings of orbital cellulitis and facial nerve palsy associated with cervicofacial abscess since a handful of cases have been reported about the same in the literature. Early recognition with prompt surgical and antibiotic treatment is implemented for good prognosis and outcome.
  3,741 187 -
REVIEW ARTICLES
Promoting oral hygiene and health through school
Preetika Parmar, G Radha, R Rekha, SK Pallavi, SR Nagashree
July-December 2016, 6(2):70-77
DOI:10.4103/2231-6027.199989  
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.
  3,502 383 1
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