Osteoradionecrosis of the Jaws: Clinico-Therapeutic Management: A Literature Review and Update.

Osteoradionecrosis is one of the most serious oral complications of head and neck cancer treatment. It is a severe delayed radiation-induced injury, characterized by bone tissue necrosis and failure to heal for at least 3 months. In most cases osteoradionecrosis gradually progresses, becoming more extensive and painful that leads to infection and pathological fracture.

Complicated canal morphology of mandibular first premolar.

The aim of this article was to report an unusual anatomic variation of mandibular first premolar, with one root and three distinct canals, which leave pulp chamber and merge short of apex to exit as two separate apical foramina. The incidence of three canals existing as two apical foramina has only been documented in the literature by a few case reports. To achieve successful endodontic treatment, the clinician has to identify the different canal configurations and treat them properly.

Effectiveness of CoQ10 Oral Supplements as an Adjunct to Scaling and Root Planing in Improving Periodontal Health.

Introduction: Deficiency of CoQ 10 was found in human inflamed gingiva and has been found to be responsible for periodontal destruction.

Aim: To evaluate the effectiveness of CoQ 10 supplementation as an adjunct to scaling and rootplaning in reducing gingival inflammation and periodontal pocket depth.

Materials And Methods: The study was a randomized, double-blind, controlled, parallel group design clinical trial.

Evaluation of the Efficacy of Caries Removal Using Polymer Bur, Stainless Steel Bur, Carisolv, Papacarie - An Invitro Comparative Study.

Context: Dental caries continues to affect a significant portion of the world population and treatment of the decay is associated with pain by many patients. Intervention and application of rotary instruments for treatment of carious lesions has often resulted in considerable removal of tooth structure. Chemo-mechanical method, a minimal invasive technique for caries removal was developed to overcome these shortcomings.

An innovative impression technique for fabrication of a custom made ocular prosthesis.

Various impression and fitting techniques have been described in the past for restoring ocular defects. The present article describes a new direct impression technique for recording and rehabilitating ocular defects, by custom-made ocular prosthesis. All the techniques described in the history, mainly concentrated in recording the tissue surface of the defect, which made it difficult to contour the palpebral surface resulting in the poor esthetics of the prosthesis.

Comparative Evaluation of Marginal Discrepancy in Tooth Colored Self Cure Acrylic Provisional Restorations With and Without Reinforcement of Glass Beads: An In-Vitro Study.

Context: This invitro study was conducted to compare and evaluate marginal discrepancy in two types of tooth colored self cure provisional restorative materials {DPI&UNIFAST TRAD} before and after reinforcement of glass beads.

Aim: The aim of the present study was to evaluate and compare marginal discrepancy in two types of provisional restorative materials (DPI and UNI FAST TRAD) before and after reinforcement with Glass beads.

Materials And Methods: Tooth shaped resin copings were fabricated on custom made brass metal die.

Congenital Insensitivity to Pain and Anhydrosis: Diagnostic and Therapeutic Dilemmas revisited.

First described in 1932 by Dearborn as 'congenital pure analgesia', congenital insensitivity to pain and anhydrosis (CIPA) or hereditary sensory and autonomic neuropathy (HSAN) type IV is an extremely rare autosomal recessive disorder. A 7-year-old female child who is an established case of congenital insensitivity to pain and anhydrosis visited the department of pediatric medicine with osteoarthritic neuropathy. A multidisciplinary team approach was utilized to treat the child under general anesthesia.

Replantation of Displaced Underlying Successor and Marsupialization of Radicular Cyst associated with a Primary Molar.

Radicular cysts are by far the most common cystic lesions of the jaw. However, those arising from primary teeth are comparatively rare, comprising only 0.5 to 3.

Radiographic Estimation of Chronological Age using Mineralization of Third Molars in Coastal Andhra, India.

Background: Age estimation is an important factor in establishing the identity of a person. Among various techniques, dental age estimation is helpful in estimating the age in children above 16 years of age. Determination of age using developmental stages of teeth is more useful than using tooth eruption.

Role of ultrasonography in oral and maxillofacial surgery: a review of literature.

Maxillofacial surgery, like any other surgical specialty is greatly dependent on the discipline of radiology. This poses a greater challenge because of the complex anatomy of this region. Various investigation modalities have been applied in diagnosing various diseases which are found in the maxillofacial region, including IOPA, PET, USG, CT, MRI and panoramic radiographs.

Emotional Intelligence among Dental Undergraduate Students: An Indispensable and Ignored Aspect in Dentistry.

Background: Emotional intelligence (EI) is a measure of pure intelligence of cognitive ability that translates psychological knowledge into terms that are useable by people not professionally trained in psychology, like dentists.

Materials And Methods: A cross-sectional, self-administered, structured questionnaire survey in English was distributed among 186 undergraduate students to assess their EI. It consisted of 30 questions, 5 each to assess the self-awareness, empathy, self-confidence, motivation, social control, and self-competency.

Role of homeobox genes in tooth morphogenesis: a review.

In oral cavity, disturbances due to genetic alterations may range from lack of tooth development to morphological defects. Due to technical advances in genetic engineering and molecular biology, valuable information regarding dentofacial growth could be studied in detailed manner. This helped us to explain the aetiology and pathogenesis of many dentofacial disorders.

Rushton bodies: an update.

Rushton bodies are peculiar, eosinophilic, linear, curved or straight, polycyclic, glassy structures occurring with variable frequency in the epithelial lining of odontogenic cysts, whose presence occasionally contributes to the diagnosis. Presence of these structures depends upon the sectioning plane of specimen. They are easily identifiable by their peculiar morphological and staining patterns.

Comparison of fracture resistance and failure pattern of endodontically treated premolars with different esthetic onlay systems: An in vitro study.

Aim: To compare the fracture resistance and modes of failures of three different aesthetic MOD onlays on endodontically treated premolars.

Materials And Methods: Forty sound maxillary premolars were selected of which 10 untreated teeth were taken as control (Group I). The other thirty premolars were subjected to standardized MOD onlay preparations and root canal treatments and divided into 3 equal groups.

Ectopic compound odontoma in the buccal mucosa: report of a rare case.

Eruption of tooth into extraosseous locations is an extremely rare condition. We report a case of a six-year-old girl child with tooth-like structure erupting from the right buccal mucosa. Clinical, radiographic, and histopathologic examination suggested the diagnosis of compound odontoma.

Comparative Evaluation of Microleakage in Conventional and RMGIC Restorations following Conventional and Chemomechanical Caries Removal: An in vitro Study.

Background: Conventional caries removal involves use of high-speed handpiece. Current concepts of caries excavation in cavitated lesions consist of manual excavators. Principles of minimal invasive approach indicate the need to excavate only carious tissue.

Root Coverage using Double Papilla Preservation Flap: A Case Report.

Gingival recession can result in an unesthetic appearance, hypersensitivity, and root caries. The physiological well-being of the patient is a significant factor associated with the success of dental therapy. Esthetics is one of the main concerns of the patient if recession is present especially in anteriors.

In-dental office screening for diabetes mellitus using gingival crevicular blood.

Aim: To evaluate whether during routine periodontal examination blood from gingival tissues can be used for determining glucose levels.

Materials And Methods: Thirty patients with gingivitis or periodontitis and bleeding on probing (BOP) were chosen. The following clinical periodontal parameters were noted: probing depth, BOP, gingival bleeding index, and periodontal disease index.

Effects of Green Tea on Streptococcus mutans Counts- A Randomised Control Trail.

Context: Mouth rinses have been in use from time immemorial as a supplement for routine oral hygiene. There are many number of mouth rinses currently available in the market in which many of them possess certain drawback, which has necessitated the search for alternate mouth rinses.

Aim: The aim of the present study was to assess the effect of rinsing with green tea in comparison with chlorhexidine and plain water on Streptococcus mutans count.

Pathognomonic features of Angle's Class II division 2 malocclusion: A comparative cephalometric and arch width study.

Background: A thorough knowledge of the salient features of malocclusion helps the clinician in arriving at a proper diagnosis and treatment plan, and also to predict the prognosis, prior to the onset of treatment process. Among the four classes of Angle's classification of malocclusion, Class II division 2 occurs with the least frequency. There is still continuing debate in the literature whether the Class II division 2 patients ascribe the pathognomonic skeletal and dental features.

Comparative evaluation of subgingivally delivered chlorhexidine varnish and chlorhexidine gel in reducing microbial count after mechanical periodontal therapy.

Context: Antimicrobial efficacy of subgingival chlorhexidine (CHX) application using two different vehicles of delivery.

Aims: The aim was to evaluate the efficacy of CHX varnish and gel as an adjunct to scaling and root planing (SRP) in reducing microbial count within moderate to deep periodontal pockets.

Settings And Design: Experimental parallel mouth study.

Comparison of canine retraction by in vivo method using four brands of elastomeric power chain.

Objective: To investigate the amount of space closure by movement of canines into the extraction spaces using four brands of elastomeric power chains (EPCs) by intraoral application with pre-adjusted appliance for 6 weeks.

Materials And Methods: The sample size calculation was based on the studies of Boester and Johnston and also with repeated measures analysis of variance (ANOVA) continuous data for force degradation, standard deviation of 24.9 g, and also from a pilot study, which totaled to around 17 patients with a mean age of 20 ± 2 years and receiving fixed orthodontic treatment that required retraction of canines into the premolar extraction spaces in all four dental arch quadrants.

A simplified method of preventing implant hex drive from aspiration or accidental swallowing during stage two implant recovery.

Objectives: To prevent accidental ingestion of implant hex dive.

Materials And Methods: Dental floss which is used to stabilize the hex drive is tied to the operator's finger ring to overcome sudden aspiration of fallen instrument.

Results: It showed excellent grip of the instrument during stage two uncover time and also saved operators time.