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   Table of Contents - Current issue
January-June 2018
Volume 4 | Issue 1
Page Nos. 1-34

Online since Monday, November 19, 2018

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Primary failure of eruption, A review p. 1
Uma B Dixit, Mahak C Jain
Primary failure of tooth eruption (PFE) is defined as a non-syndromic condition in which non-ankylosed teeth fail to erupt fully or partially due to malfunction of the eruption mechanism. Although the eruption path is clear without any mechanical obstruction like cyst or supernumerary tooth, affected teeth fail to erupt. Patients diagnosed with PFE have revealed mutation in the gene encoding the G protein of parathyroid hormone 1 receptor (PTH1R). The condition is characterized by progressive posterior open bite due to involvement of all the teeth distal to the first affected tooth. These teeth fail to respond to orthodontic forces and attempts to correct open bite orthodontically cause the affected teeth to ankylose, thus worsening the open bite. Diagnosis of PFE is critical as management differs from the infra-occluded teeth due to mechanical obstruction or systemic etiology. This review attempts to discuss etiology, clinical features, diagnosis and management of the teeth affected with primary failure of tooth eruption.
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Solubility and water sorption of novel atraumatic restorative treatment materials: A In vitro Study p. 6
P Divya Kumari, S Khijmatgar, A Chowdhury, Martin Grootveld, Edward Lynch, Chitta R Chowdhury
Objectives: The objective is to determine the solubility (SL) and sorption of novel atraumatic restorative treatment (ART) materials in deionized water or artificial saliva. Materials and Methods: Two compositions of newly developed ART materials were prepared. Individual compositions were prepared separately and placed in 100% humidity at ambient temperature for 24 h. Each was stored in separate vials, either 7 ml of deionized or artificial saliva at ambient temperature for 1, 7, 14, or 28 days. The sorption (S%) and SL% were then determined. Student's t-test was employed to assess the significance level of the differences observed. Results: After 1 day, the mean values for water sorption of the ART-I were 12.1% and ART-II were 16.8% in deionized water (P = 0.01). However, the mean water sorption in artificial saliva for ART-1 was 15.3% and that for ART-II was 18.5% (P = 0.05). The mean SL of ART-I and ART-II was 7.4% and 7.2%, respectively, in deionized water (P = 0.66), and in artificial saliva, it was 7.0% and 6.0%, respectively (P = 0.19). Conclusions: We conclude that water sorption potential of ART-II is more in artificial saliva and SL potential of ART-I was more in deionized water.
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Seven years of war in Syria: The relation between oral health and PTSD among children p. 10
M. H. D. Bahaa Aldin Alhaffar, Khattab Mustafa, Samira Sabbagh, Kamal Yabrode, Ghalia Shebib, Chaza Kouchaji
Background: Studying the prevalence of dental caries in a population located in a specific geographic area and the effect of the psychological factors on the people is considered essential to build a database to assess and compare future results of preventive programs and to assess health and social needs of the communities. Aim of this Research: This study aims to study oral health situation using (decayed, missing, and filled teeth [DMFT], plaque index [PI], and gingivitis index [GI]) indices, and the prevalence of posttraumatic stress disorder (PTSD) among 12-year-old children in Damascus, and the effect of PTSD on oral health. Materials and Methods: The sample included 811 children divided into five geographic areas in Damascus. Special questionnaires were used to measure PTSD level, and the oral health status was measured by clinical examination. Results: Data analysis showed that dental caries prevalence was 86%, DMFT value was 3.36. In detail, the D value was 2.86, M value was 0.48, and F value was 0.02. As for PI value, it was 0.79 and GI value was 0.85. The prevalence of PTSD was 91.5%. The study showed a statistically significant relationship between both DMFT and GI values, and PTSD value; however, there was no statistically significant relationship between PI value and PTSD value. Conclusion: The prevalence of poor oral health among 12-year-old children in Damascus schools was high as was the prevalence of PTSD, where we found in our study a statistically significant relationship between oral health index and PTSD.
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Effect of rubber dam on objective and subjective parameters of stress during dental treatment of children p. 16
Sanmati Pol, Farhin Katge, Vamsi Krishna, Pooja Balgi, Debapriya Pradhan
Background: Rubber dam is advocated for isolating the operating field during clinical dental procedures. Pediatric dentists often omit rubber dam, in patients assuming that it would cause stress to the patient or because of lack of compliance from the patient. Materials and Methods: Sixty lower first permanent molars from 30 patients were included in the study. From each patient, one tooth was selected for the test group using rubber dam. The corresponding tooth from the opposite quadrant was selected for the control group using saliva ejector and cotton roll. On the first visit, rubber dam application was used for fissure sealing procedure. On next visit, cotton rolls and saliva ejector were used for the same procedure. During the procedure, objective parameters of stress, such as blood pressure, breath rate, and pulse rate of patients, were recorded. The pulse rate of operator was recorded by a dental assistant which is indicative of operator's stress level. Results: The pulse rate of the patients in the control group was higher than the test group using rubber dam, and it was statistically significant (P < 0.05). The pulse rate of the operator was considerably lower in the test group using rubber dam as compared to control group using saliva ejector and cotton roll which was statistically significant (P < 0.05). Conclusion: This study concluded that isolation with rubber dam caused less stress in patients and in operator as compared to cotton rolls and saliva ejector.
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Functional and esthetic rehabilitation of an adolescent patient with palatal fistula and rotated maxillary central incisors p. 21
Astha Jaikaria, Seema Thakur
Individuals with cleft lip and palate may experience problems with feeding, speaking, hearing, and social integration that can be corrected to varying degrees. This case report presents a method of restoration of form, function, and esthetics in a 14-year-old patient of cleft palate fistula. Interim hollow obturator was added to the lightness of the prosthesis along with adding resonance of speech and preventing regurgitation of fluids. Porcelain-fused metal crowns were also added to the overall esthetics of the patient that is one of the primary concerns during adolescence.
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Esthetic rehabilitation of grossly mutilated endodontically treated teeth p. 24
Proxima Bora, Aalisha Kanodia, Rubi Kataki, Atul Chandra Bhuyan
The goal of restorative dentistry and endodontics is to retain the natural teeth with maximal function and pleasing esthetics. It is generally agreed that the successful treatment of a badly broken tooth with pulpal disease depends not only on endodontic therapy but also on good prosthetic reconstruction of the tooth following endodontic therapy. Various methods are available for the same, but a good intraoral examination is of utmost importance on deciding the treatment plan and choosing between direct and indirect restoration. The aim of this article is to discuss cases of grossly mutilated endodontically treated teeth (ETT) which need esthetic and functional rehabilitation by the use of indirect intraradicular devices. ETT with excessive loss of coronal tooth structure of more than 75% and fractured teeth which require a change in angulation of the teeth can be restored with a customized post and core to enhance the strength and durability of the tooth and to achieve retention and esthetics of the restoration.
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Management of bilateral radicular cyst in the permanent maxillary lateral incisors p. 27
Saima Ambareen Khan, Vanitha U Shenoy, Imran Khalid, Anuradha Patil, MV Sumanthini, Rafeeq Nalband
Radicular cyst is an inflammatory odontogenic cyst of the tooth-bearing areas of the jaw. It is classified as an inflammatory cyst because it is a known fact that inflammatory products initiate the growth of the epithelial component. Radicular cysts arise from the epithelial residues in the periodontal ligaments as a result of inflammation usually following pulp death. The present case report discusses the surgical management of bilateral radicular cyst in relation to the maxillary lateral incisors in a 22-year-old female patient.
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Grinspan's syndrome p. 31
Rashmi Ganesh Phadnis, Kale Lata, Kadam Vishwas, Ambhore Pallavi
Grinspan's syndrome, a rare clinical entity reported by Grinspan in 1966, is a symptomatic triad including diabetes mellitus, hypertension and oral lichen planus common in the elderly. The definitive diagnosis of this condition is established by correlating the medical history and clinical examination along with histopathological interpretation of the lesion. We present a case report of a clinical variant of Grinspan's syndrome of a 48-year-old female patient with a significant clinical triad of Grinspan's syndrome.
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