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Original Research Article
COMPARISON OF FUNCTIONAL OUTCOME IN THE MANAGEMENT OF CONDYLAR FRACTURES- AN OBSERVATIONAL STUDY
Author Name: Vijayakumar Depesh, Natesh Pughalaendhi, Ganesh Mithun Rajasekaran, Serachelvan Sezhian, Ajay Das T, Dinesh Kumar P
Abstract: Background: The purpose of this study is to compare the
functional outcome following surgical and nonsurgical management of mandibular
condylar fractures.
Materials and Methods: Ten adult patients between the age group
of 20 years to 50 years were included in this study. All the patients were
subjected to routine blood investigation, radiographs such as OPG and Skull
P.A. The study consisted of two groups of 5 patients each group. Open reduction
was carried out in one group with unilateral condylar fractures and closed
reduction was done in another group 5 patients with maxillomandibular fixation
and arch bars under local anaesthesia. 2mm thickness titanium plates with
titanium screws 2x6mm used.
Results: Functional recovery after non-surgical and surgical
treatment showed satisfactory results. Clicking of the temporomandibular joint
on mouth opening was absent in both groups. Lateral and excursive movements
were normal in both groups. No malocclusions were noticed in both groups. Pain
in temporomandibular joint was noticed in 2 patients in the immediate
post-operative period (40%) in the surgical group. Three patients treated by
closed reduction (60%) had persistent pain in the temporomandibular joint for
the first month which later got subsided gradually. Post-operative infection /
wound dehiscence and unaesthetic scarring were noted in 1 patient (20%) in the
surgical group at the retromandibular incision.
Conclusion: Based on this study there was no significant clinical
difference between patients with surgically treated and those with
conservatively treated unilateral condylar fractures. After both type of
treatments some abnormalities remain. The radiographic examinations did show
significantly better position in the surgically reduced condylar process.
However satisfactory post operative function and occlusion were achieved for
the surgical and non surgical groups.
Keywords: Fracture, Temporomandibular , Reduction
AWARENESS ABOUT NATIONAL ORAL HEALTH POLICY AMONG DENTAL HOUSE SURGEONS AND FACULTY
Author Name: Suneesh Kuruvilla, Subramaniam R, Pooja Latti, Lakshmi B, Meenakshy Suresh, Musthaq Ummer, Keerthana Pradeep
Abstract: Background:
The
oral disease burden in India has been witnessing a paradigm shift with the
changing dietary habits and lifestyles. The reported facts and figures about
the various oral diseases are alarming and this reflects the state of oral
health in our country. Oral diseases still remain a public health problem.
National Oral Health Policy for India was drafted in 1986 and accepted by the
ministry in 1995. It has not yet been implemented.
Methodology: The study was a
cross-sectional questionnaire-based survey. A prefabricated validity tested
questionnaire was devised for use. The questionnaire consisted of questions on
professional data designation, grade; and 27 questions assessing the knowledge
and attitude on National Oral Health Policy. Results were expressed as a number
and percentage of respondents for each. Chi-square test was performed to
compare the response in relation to year of study and designation.
Results:
The final sample size was 106, which comprised of 69 (65.1%) dental house surgeons and 37 faculty (34.9%).
All the respondents were aware of National Oral Health Policy. About 21.7% of the respondents knew the year in which the
policy was drafted and only 11.3% (n=12) knew the year of acceptance of policy
by Government of India. About 32.1% (n=34) knew that the policy was not
implemented. 84% felt there were no
enough opportunities for dentists in public sector. Respondents felt that Lack
of awareness (71%) and affordability (50%) were the major barriers in dental
health services. About 68% (n=72) opined that oral health does not receive a
priority in health care delivery and policies in India. Over 92% (n=97) agreed
that implementation of Oral health policy can be an effective career option for
dentists in the public health sector.
Conclusion:
This study focuses on the Knowledge and Attitude of dental faculty and house
surgeons on the National Oral Health Policy for India. The study shows that
although the knowledge regarding the policy was considerably low, there was a
positive attitude of the respondents regarding the recommendations of the
policy. The knowledge scores were significantly higher among the house surgeons
compared to the faculty.
Keywords: National Oral Health Policy, health care delivery, accessibility, affordability
Review Articles
CURRENT UPDATES ON LUTING AGENTS: A REVIEW WITH RECENT TRENDS
Author Name: Rahul Das, Prabu P S, Laju S, Meenu Merry C Paul, Binsu Sukumaran
Abstract: The selection of an appropriate luting agent is mandatory for the long term clinical success of fixed prosthodontic restorations. Not all luting agents can meet all the stringent requirements, that is why there is such a wide choice of luting agents currently available from conventional water-based to contemporary adhesive resin cements. Introduction of adhesive resin systems has completely changed the face of fixed prosthodontic practice leading to an increased use of bonded all-ceramic crowns and resin-retained fixed partial dentures. This article tries to review recent updates and advancements on luting cements
Keywords: Dental luting cements, Glass Ionomer Cement, luting cements, provisional and definitive luting cements, resin cements, resin modified luting cements, nanotechnology, adhesive dentistry, restorative dentistry, advantages and disadvantages, ideal requirements, recent advances
ADJUVANT DIAGNOSTIC AIDS FOR ORAL CANCER DETECTION: A REVIEW
Author Name: Anoop Kurian Mathew, Jeethumol Shaji, Shaul Hameed, Asaf Aboobakker
Abstract: Oral cancer is considered to be a globally growing oral disease. Early diagnosis of oral cancer helps in improving cancer outcome by providing care at the earliest possible stage. Screening is a tool that is used to detect a disease in people without any signs or symptoms or examination of a group of asymptomatic individuals to detect those with higher probability of developing these conditions. Simple visual examination is being carried out as part of screening, but it is limited to subjective interpretation. As a result of this, various adjunctive methods have been suggested to enhance our ability to detect malignancy as well as areas of dysplasia which are not seen by naked eye. This paper highlights various methods of screening and assesses their value in identifying various premalignant and malignant diseases.
Keywords: oral cancer, diagnosis, screening, dysplasia
ORAL MELANOTIC LESIONS: A CLINICIAN’S MAZE
Author Name: Indu Sundaram T S, Niveditha, Athira C P, Jithin Jose
Abstract: The diagnosis of oral melanotic lesions within the oral cavity is often challenging. The clinical appearance of these lesions appear similar hence definitive diagnosis calls for the need of detailed histopathological evaluation.The colour, location, duration, distribution and appearance of melanotic lesions along with past medical history play an important role in arriving at an accurate diagnosis
Keywords: Melanin, Pigmentation, Macule
Case Report
ENDODONTIC MANAGEMENT OF RADIX ENTOMOLARIS: TWO CASE REPORTS
Author Name: Dinesh Kamath, Anitha Viswanadhan, Ajay P Joseph, Jiss George
Abstract: A thorough knowledge of anatomy is necessary for the success of endodontic treatment. Anatomical variations should be kept in mind during endodontic treatment of maxillary molars. These teeth have highly variable root canal morphology. This case report describes the diagnosis and endodontic management of mandibular first molar with four canals.
Keywords: Endodontic treatment, radix entomolaris