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   Table of Contents - Current issue
January-March 2021
Volume 8 | Issue 1
Page Nos. 1-30

Online since Saturday, March 27, 2021

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Knowledge, attitude, and perception regarding myofunctional appliance: A cross-sectional survey of parents' view p. 1
Bhuvaneswari Mani, I Bevin shaga, Agasthiya Ayyapillai, Gayathri Gangadharan, Jejo Mathew, Revathi Somasundaram
Aim: The current survey is conducted to assess the knowledge, attitude, and perception regarding myofunctional appliance from parents' point of view. Materials and Methods: This was a cross-sectional web-based questionnaire survey conducted among parents in Tamil Nadu. The pilot study was conducted to estimate the sample size, and the final sample size arrived was 260 participants. The predesigned and validated, self-administered, structured ten questions are related to awareness of myofunctional appliance. The statistical analysis was done using the Statistical Package for the Social Sciences SPSS (V 22.0), and the frequency distribution was computed. Results: The survey revealed that 74% of the respondents had awareness about skeletal problems. Thirty-four percent of the population answered that forwardly placed upper and lower jaw bases are facial skeletal jaw base problems. Sixty-four percent of the parents are willing to counsel their child to take up this treatment and 84% had awareness about the importance of myofunctional appliance. Conclusion: Every orthodontist should be aware of discomfort depending on the appliance type and to inform the patients beforehand during clinical evaluation and appliance selection. The current study showed that the vast majority of the parents were aware about functional appliance and they had knowledge about how to distinguish skeletal problem. More awareness regarding functional appliance is mandatory and has to be created in order to treat skeletal problems during appropriate early age group of an individual.
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Oral health status and its association with duration of dialysis among dialysis patients in Jodhpur city p. 4
Supriya Sharma, Bharath K Garla, Rushabh J Dagli, Mohsin Khan, Mayank Das, Ajaz Dar
Introduction: In the past three to four decades, improvements in dialysis and transplantation have reduced morbidity and mortality among patients with end-stage renal disease. The present study was conducted to establish the relationship of sociodemographic conditions, state of dental health, periodontal tissue, and soft tissue in patients with duration of hemodialysis. Materials and Methods: A cross-sectional study using a self-administrated structured questionnaire was conducted among hemodialysis patients in Jodhpur city from March 2019 to June 2019. The final sample was 133 hemodialysis patients. The questionnaire was pretested on a group of ten patients to check the feasibility of the study and to ensure the face validity of the questionnaire. Results: It was found that patients with more than 3 years on dialysis had a statistically significantly higher prevalence of decayed teeth. There was a strong correlation between length of time on Hemodialysis and decayed, probing pocket depth, clinical attachment level, periodontal indices, gingival index, bleeding on probing, and gingival recession. Conclusion: Awareness must be raised among dialysis patients, nephrologists, and dentists about the need for primary dental prevention.
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Oral submucous fibrosis in North Gujarat: A demographic study p. 9
Ketan Prajapati, Jyoti Chawda, Malvi Thakkar, Nupur Gajera, Rohit Thakkar, Jarvil Thakkar
Background: Oral submucous fibrosis (OSMF) is a premalignant disorder, mainly caused by betel nut chewing in various forms. It is found in the Asian subcontinent, mostly India, Pakistan, Sri Lanka, and Bangladesh. The understanding of the exact role of alkaloids and other etiological agents with respect to pathogenesis will help in the management and treatment modalities. Aim: The purpose of the study is to evaluate the epidemiologic profile of patients with OSMF in the North Gujarat population. Materials and Methods: Patients of OSMF attending the OPD of Siddhpur Dental College were selected for the study. Total numbers of 100 cases of clinically diagnosed OSMF were included for this study. A detailed case history was taken and clinical examination was done in visible light. The patients having difficulty in opening the mouth along with associated blanched oral mucosa with palpable fibrous bands were diagnosed as OSMF patients were included in this study. This study was done on the basis of age group, habit duration, types of habit, and clinical grading of OSMF. After collecting data, they were analyzed statistically. Results: From 100 OSMF patients majority had Grade III interincisal mouth opening. Among the groups divided based on age, Group II (15–30 years age) showed more prevalence than the others. Gutkha and masala (main content areca nut) were a powerful etiological factor (4%) among other etiological factors. Conclusion: OSMF predominantly affects younger age group adults with male predilection and the majority of patients presented with a progressive and advanced form of disease. Thus, advancement in diagnostic aids is required to arrest the disease in its initial stages.
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Comparison of anesthetic efficacy of bupivacaine, lignocaine, articaine, and sterile saline for intrapulpal injections p. 13
Abanti Saha, Amitabha Chakraborty, Bibhas Dey, Sinjana Jana, Nilabja Roy
Background: Effective anesthesia in endodontic treatment in cases of pediatric patients is very important to achieve patients' co-operation. Profound anesthesia is required to access the chamber and extirpate the pulp. If patient discomfort is encountered, intrapulpal injection may be used as a supplement for pulpal anesthesia. Aims and Objectives: This study aims to analyze the efficacy of different anesthetic solutions and sterile saline for intrapulpal injections in primary vital teeth with irreversible pulpitits. Materials and Methods: Forty volunteers, patients with irreversible pulpitis whose pain persists after conventional anesthesia during treatment, were selected from Haldia. Patients were divided into four groups to administer intrapulpal solutions (bupivacaine, articaine, and lidocaine) and sterile saline to the respective groups to analyze the efficacy of the solutions in pain relief during pulp extirpation. Results: Positive back pressure was present in case of all anesthetic solution which was administered on the selected patients. Conclusion: On the basis of the results, we can conclude that effectiveness of intrapulpal injection is dependent on back pressure.
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Partial extraction therapy: A review of the clinical and histological human studies p. 16
Rakan Saifuddin Shaheen
The preservation of the hard and soft tissues for superior esthetic and biomechanical outcomes has become an integral part of any treatment plan intended to replace a tooth intended for extraction. With the introduction of the four techniques that constitute the Partial Extraction Therapy (PET) concept; the preservation of the tissues is more promising than ever. This review collates the reports from 1942 up to 2020 on the Root Submergence, Socket Shield, Proximal Socket Shield, and Pontic Socket Shield techniques, stating the complications and modifications made since the innovation of each technique alongside the advantages and disadvantages. It was concluded that definitive protocols for implementing and evaluating the success of each technique are needed to ensure the long-term success of any treatment plan that includes a technique of the PET.
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In vitro methods of surface characterization of dental erosion: A review p. 20
Sultan S Al-Shamrani
To review the laboratory surface characterization methods utilized to measure dental erosion. Peer-reviewed published scientific articles from Pubmed, Saudi Digital Library, and Google scholar platforms were searched, and only laboratory-based studies were included. Several quantitative and qualitative techniques have been used to assess enamel erosion in the laboratory. This review examines the applications, advantages, and limitations of the various methods currently used to assess dental erosion.
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Radiographic evaluation of bone healing in postextraction sockets following bone grafting using autogenous dentin and beta-tricalcium phosphate: A review p. 24
Nelson Sanjenbam, Nikesh Thounaojam, Pangambam Shalini, Deepika Devi Sanjenbam, Rajkumari Geeta, Rahul Jha
Evidence-based study shows that auto-tooth bone graft material supports excellent bone regeneration by its osteoinduction and osteoconduction capacity. It consists of 5% organic and 4% inorganic substances. In inorganic substances, hydroxyapatite has the property of combining and dissociating calcium and phosphate as those of bone. Organic substances also contain bone morphogenetic protein and protein with osteoinduction capacity and Type I collagen. This review was conducted for the evaluation of density of bone formation after the placement of autogenous dentin and beta-tricalcium phosphate radiographically using grayscale analysis. Thus, we can conclude that autogenous dentin bone graft can be used as an alternative bone graft for socket preservation as it is readily available and it also heals faster.
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Benign fibrous histocytoma of the maxilla: A rare case report p. 27
Sooraj Soman, T Ajay Das, Abhilash Mathews Thomas, Sachin Aslam, Tom Thomas, Dipeesh VIjayakumar
Fibrous histiocytoma can present as malignant or benign and may involve either the soft or hard tissues. The treatment of choice to oral BFH is generally en-block resection. The prognosis is good and the oral BFH recurs only if not completely excised. Hereby presenting a case of a 29 year old male with a chief complaint of pain and swelling in the left side of the face since 2 months. Treatment plan of Subtotal maxillectomy was performed under general anesthesia through a Weber Ferguson incision with infraorbital extension after histopathological and radiological confirmation.
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