Abstract: Oral destructive changes that occur in a sequential manner are often seen inpatients with a maxillary denture opposing a mandibular removable partial denture. This was identified and coined by Ellsworth Kelly in 1972 as ‘Combination syndrome’. This article presents the clinical features associated with it and the treatment options available for such a patient.
Author Name: John Paul, Meera Gopalakrishnan, Dinesh Kamath, Romel Joseph
Abstract: One of the major objectives of a root canal treatment is to disinfect the root canal system. Irrigation is carried out to reduce the numberof bacteria in the root canals. For this purpose, a wide variety of synthetic drugs are available today but due to the ineffectiveness, safety concerns and side effects of these synthetic drugs, the herbal alternatives for endodontic irrigants might be advantageous .Over the past decade, interest in drugs derived from medicinal plants has markedly increased. In dentistry phytomedicine has been used as anti-inflammatory, antibiotic, analgesic, sedative and also as endodontic irrigant. This update focuses on various herbal drugs and products as well as their therapeutic application, side effects and possible drugi nteractions when used as phytomedicine in endodontics.
Keywords: Root canal irrigants, Phytomedicine, Bio films, Smear layer
CANDIDA A PROBABLE ETIOLOGY IN EARLY CHILDHOOD CARIESA LITERATURE REVIEW
Author Name: Tony Jose, Ann Thomas
Abstract: Early Childhood Caries, a rampant type of dental caries in children below 6 years of age; is a chronic childhood disease with a severe sequalae affecting the child and family. It is a multifactorial disease, with S.mutans and Lactobacilli being implicated as the main microorganisms in its etiopathogenesis. Recent literature suggests a probable role of Candida, fungal species, a normal commensal of the oral cavity, in its etiopathogenesis. Under particular predisposing physiological or pathological conditions, Candida is capable of provoking pathologies via endogenous infectious mechanism. In early childhood period, due to immature immune system and not fully established microflora in the oral cavity, children are more susceptible to opportunistic microbial colonization. The present literature review provides compilations of previous studies implicating Candida’s probable role in caries and an attempt is made to provide and update the current understanding of Candida’s potential role in initiation of early childhood caries in order to help health providers to diversify their treatment modalities from antibacterial to antifungal.
Abstract: The interest of dental research in metal-free restorations has been rising in the last 20 years following the introduction of innovative all ceramic materials in the daily practice. In particular, high-strength ceramics and related CAD/CAM techniques have widely increased the clinical indications of metal-free restorations, showing more favourable mechanical characteristics compared to the early ceramic materials. Zirconia has been recently introduced in prosthetic dentistry for the fabrication of crowns and fixed partial dentures, in combination with CAD/CAM techniques. The aim of the present paper was to provide a brief review on some aspects of zirconia dental restorations.
MAGNIFICATION IN ENDODONTICS Dental Loupes Vs Microscope
Author Name: Dinesh Kamath, John Paul, Ajay Joseph, Janet Varghese
Abstract: Better ideas, observation and understanding are possible when one routinely uses magnification during all operations. Dental loupes and microscopes are such devices that are borrowed from allied surgical fields, utilized in the field of endodontics and improved by research. The aim of this review is to discuss the role of magnifying aids like dental loupes and microscopes with added advantages in endodontics.
CONSERVATIVE MANAGEMENT OF A PERIODONTALLY COMPROMISED TOOTH - A CASE REPORT ON BICUSPIDIZATION WITH TWO YEAR FOLLOW UP.
Author Name: Noorudeen AM, Mathew T Joy, Sanjeev R, Bijoy John
Abstract: The mandibular molars are first teeth to erupt in oral cavity and therefore are having high caries susceptibility index, which actually necessitates cautious implementations of oral hygiene measures. Any deprivation in the maintenance may lead to serious problem like furcation involvement. Bisection/bicuspidization is the separation of mesial and distal roots of mandibular molars along with its crown portion, where both segments are then retained individually. A multidisciplinary treatment procedure for such clinical situations that includes restorative dentistry, endodontics, periodontics, and prosthodontics is necessary to preserve the teeth in whole or in part. These teeth can act as independent single units of mastication or as abutments in simple fixed bridges. This clinicalreport has sought to systematically review the multidisciplinary treatment procedure for periodontally compromised mandibular molar by bicuspidization and total rehabilitation using the double crowns technique.
Author Name: Abdulla Mufeed, Roshni Sajid, Anis Ahmed, Ashir KR
Abstract: Swellings arising from the floor of the mouth can be a diagnostic challenge. We have to distinguish it from infections or tumors of salivary gland, mucosal extravasation phenomena, benign or malignant tumours of connective tissue and also from abnormalities arising during embryonic development. This article reports a case of swelling within the floor of mouth emphasizing the clinical steps that helped to achieve an accurate diagnosis of ranula, the differential diagnosis, the investigations and various treatment modalities for the same
Keywords: fluctuant swelling, floor of mouth,
IMMEDIATE DENTURES: A CLINICAL REVIEW AND CASE REPORT
Abstract: Conventionally patients are advised to wait for a minimum period of 3 months, for fabrication of complete denture following extraction. But many patients may find this edentulous period most embarrassing. Immediate dentures may be advocated in such situations, helping the patient for a smoother transition to conventional complete denture. This article reviews the advantages and disadvantages of immediate dentures along with a case report.
Keywords: Immediate dentures, post extraction
PROSTHETIC REHABILITATION OF A HEMI MANDIBULECTOMY PATIENT WITH TWIN OCCLUSION
Author Name: Tejeswar Reddy B, Indira Padmaja B, Raja Reddy N
Abstract: Oral rehabilitation of patients whose mandible and/or adjacent structures are treated with surgery and radiotherapy presents the maxillofacial prosthodontist with a variety of challenges. Resection of mandible may cause topographic defects, physiological and esthetic defects. Mandibular movements are affected with loss of muscle attachments. The most significant difficulty encountered will be deviation of mandible towards the surgical site. Numerous prosthetic methods are employed to minimize deviation and improve efficiency which includes implant supported prosthesis, mandibular guide flange prosthesis, and palatal based guidance restoration. This article describes rehabilitation of patient who underwent hemi mandibular resection with twin occlusion in the maxillary complete denture opposing unresected site of mandible.
Keywords: Twin occlusion,
Author Name: Binsu S, Shilpa Joseph, Jenish George Kizhakkemuriyil, Seema George
Abstract: Resin bonded bridges can be highly effective in replacing missing teeth, restoring oral function and aesthetics and result in high levels of patient satisfaction. They represent a minimally invasive, cost effective treatment modality. This article presents a case report on resin bonded bridge.