World Journal of Dentistry

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2010 | April-June | Volume 1 | Issue 1

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RESEARCH ARTICLE

Message from the DCI President

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/wjoud-1-1-VIII  |  Open Access |  How to cite  | 

1,141

RESEARCH ARTICLE

Prasad Amaratunga

Message from the APDC President

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/wjoud-1-1-VII  |  Open Access |  How to cite  | 

832

RESEARCH ARTICLE

Message

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/wjoud-1-1-VI  |  Open Access |  How to cite  | 

1,911

RESEARCH ARTICLE

BN Praveen

Editors’ Desk

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/wjoud-1-1-V  |  Open Access |  How to cite  | 

2,310

RESEARCH ARTICLE

Sumant Goel

Message from the IAGD President

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/wjoud-1-1-IX  |  Open Access |  How to cite  | 

1,367

RESEARCH ARTICLE

Raghunath Puttaiah, Raman Bedi, Sadashiva Shetty

Dental Infection Control in India at the Turn of the Century

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:6] [Pages No:1 - 6]

   DOI: 10.5005/jp-journals-10015-1001  |  Open Access |  How to cite  | 

Abstract

The purpose of this study was to assess the status of Dental Infection Control and Occupational Safety in India. 456 respondents (dentists) used this self-administered survey instrument containing about 96 variables. Over 95% of respondents felt that HIV and Hepatitis were infectious disease risks of concern and that infectious diseases were on the rise in India. Education and training in Dental Safety were lacking and that the latter are made mandatory in dental school curricula. Availability and access to safety materials and equipment were lacking in India and affordability was an issue. While respondents had adequate knowledge in the subject of infectious diseases, attitude (Stigma) towards treating infected patients was a negative factor with a significant number stating that double gloving was necessary, medical history dictated additional precautions and finally that care providers had the right to refuse care to Infectious patients. Although standards in Dental Safety are in place, implementation of educational (both didactic in schools and continuing education for practitioners) is a priority. Dental industry from within and outside India must play a role in this effort. In conclusion, significant structural and educational support activities are indicated with improvements in access and availability of materials and equipment to improve dental safety in India. Further, stigma of infectious diseases must be eradicated if not reduced towards infectious patients.

2,449

RESEARCH ARTICLE

MR Dinesh, R Divyashree, BC Amarnath

Reliability of Permanent Mandibular Canine Calcification as an Indicator of Skeletal Maturity in Karnataka Population

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:5] [Pages No:7 - 11]

   DOI: 10.5005/jp-journals-10015-1002  |  Open Access |  How to cite  | 

Abstract

Aims

The purpose of this study was to assess the reliability of permanent mandibular canine tooth calcification as an indicator of skeletal maturity in Karnataka population by comparing it with the ossification stages of the middle phalanx of the left third finger and also to compare the sexual dimorphism in the timing of these events.

Methods

This study was performed on 100 subjects (50 boys and 50 girls) of South Indian origin aged 10 to 14 years. Radiovisiographs of the middle phalanx of the left third finger and Orthopantomographs were obtained and assessed for the stages of calcification using the methods described by Hagg and Taranger and by Demirjian et al respectively. The correlation between various stages of lower canine calcification and stages of MP3 ossification was assessed for both the sexes using Chi-square test and percentage distributions.

Results

The associations were statistically significant only between MP3-F and canine F stages in both sexes (88% for boys, 59% for girls) and MP3-H and canine H stages in boys (100%). Also girls showed an advanced trend in dental maturation.

Conclusion

The mandibular canine calcification stages alone are not as reliable an indicator as MP3 stages for assessing the skeletal maturity in Karnataka population.

4,525

RESEARCH ARTICLE

Tejraj Pundalik Kale, Abhishek Balani, SM Kotrashetty, SD Baliga

Intraoperative use of C-Arm as an Aid in Reduction of Zygomatic Complex Fractures

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:4] [Pages No:13 - 16]

   DOI: 10.5005/jp-journals-10015-1003  |  Open Access |  How to cite  | 

Abstract

To monitor the efficacy of C-Arm as a intraoperative tool in reduction of zygomatic complex fractures. 15 patients with isolated zygomaticomaxillary complex fracture, were selected for reduction of the same. C-Arm (image intensifier) images were taken intraoperatively. Standardization of all postoperative radiographs were done to evaluate the discrepancy in reduction. The maximum discrepancy after analysis of postoperative radiographs was within 2 mm, which was considered as acceptable limit. Thus, C-Arm is considered a useful tool for reduction of zygomatico-maxillary complex fractures with enhanced postoperative esthetics and functional results.

2,951

RESEARCH ARTICLE

R Santosh, N Meena, P Ashwini, Anjali Kaiwar, Ashish Shetty, DN Naveen

Effect of Long-term Corticosteroids on Dental Pulp

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:4] [Pages No:17 - 20]

   DOI: 10.5005/jp-journals-10015-1004  |  Open Access |  How to cite  | 

Abstract

Corticosteroids are used in the treatment of chronic autoimmune diseases and many long-term illnesses. While these drugs may be considered essential for the patient's health, adverse reactions do occur. The incidence of adverse reactions depends upon the dose level and the duration of treatment. A pilot study was conducted on ten patients on long-term corticosteroids therapy. Pulpal obliteration was assessed by radiographic records. In most instances, pulpal changes to some degree were observed.

3,409

RESEARCH ARTICLE

Francis W Allen

Part 1: “I would Rather have a Root Canal than...” Francis W Allen discusses the challenges of cleaning the canal thoroughly to minimize pain and ensure long-term success

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:9] [Pages No:21 - 29]

   DOI: 10.5005/jp-journals-10015-1005  |  Open Access |  How to cite  | 

Abstract

Cleaning and shaping of root canal system forms the most important step in root canal root canal therapy. Unfortunately most of the instruments and techniques advocated are unable to remove residual debris and bacteria, ultimately resulting in pain and failure. To eliminate the causes of pain, and ensure success, we must use instruments and employ a technique that can best accomplish proper cleaning and shaping. Virtually all canals have parallel walls, and are curved and oval in shape. Hence tapered instruments are unable to clean the canal effectively and increase the chances of ledges and transportation and extrusion of debris beyond the apex. With the introduction of Light Speed technology primary goal of endodontics which includes removal of debris safely and effectively can be achieved. This article focuses on the use of Light Speed technology to overcome the difficulties posed by the other instrumentation and techniques to achieve debris and bacteria free canal system.

3,729

REVIEW ARTICLE

Shubhasini A Raghavan

Molecular Imaging: Implications for Oral Cancer

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:4] [Pages No:31 - 34]

   DOI: 10.5005/jp-journals-10015-1006  |  Open Access |  How to cite  | 

Abstract

Cancer is a scourge that affects millions of the world population. The incidence of oral cancer is alarmingly high in the Indian subcontinent. What is more appalling is the low survival rate of these patients. Various efforts are being made to bring about early diagnosis, accurate staging and aggressive treatment. Molecular imaging is one step in this direction.

Today, imaging plays a role not just in detecting what is radiopaque and what is radiolucent, but also plays a very active role in detecting disease down to the level of a single cell. The field of molecular imaging has been defined as ‘the visualization, characterization, and measurement of biologic processes at molecular and cellular levels in humans and other living systems’. The amalgamation of advanced imaging techniques such as Positron Emission Tomography and Single Photon Emission Computed Tomography with Computed Tomography, the use of newer contrast agents, incorporation of nanoparticles all have brought about these revolutionary changes in imaging.

The purpose of this article is to describe the various techniques used in molecular imaging specifically highlighting their application in head and neck cancer.

3,293

REVIEW ARTICLE

BR Premalatha, Roopa S Rao

Grossing in Oral Pathology: General Principles and Guidelines

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:7] [Pages No:35 - 41]

   DOI: 10.5005/jp-journals-10015-1007  |  Open Access |  How to cite  | 

Abstract

Grossing of surgical pathology specimens form the first and an important step in tissue processing, leading to diagnosis. It forms a connecting link between the patient and the pathologist. It involves a close coordination between the surgeon, pathologist and the histotechnologist. A correct grossing procedure helps in minimizing the processing errors while at the same time providing useful information about the specimen helping in the achievement of correct diagnosis. However, the importance of this step is often overlooked and neglected. The purpose of this article is to provide adequate insight about the grossing procedure of the pathologic specimens of head and neck region. Our effort is to present this article as a hands-on experience for the student population and the technicians.

7,415

REVIEW ARTICLE

E Ceena Denny, K Jeena Priya

Trigeminal Neuralgia: Current Concepts in the Medical Management

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:4] [Pages No:43 - 46]

   DOI: 10.5005/jp-journals-10015-1008  |  Open Access |  How to cite  | 

Abstract

Trigeminal neuralgia (TN), also known as tic douloureux, is characterized by recurrent attacks of lancinating pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking, chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always unilateral, and it may occur repeatedly throughout the day. The condition is characterized by intermittent one-sided facial pain. Trigeminal neuralgia can be classified based on the symptoms as typical and atypical trigeminal and according to etiology as primary or idiopathic and secondary or symptomatic. An early and accurate diagnosis of TN is important, because therapeutic interventions can reduce or eliminate pain attacks in the large majority of TN patients. Although various drugs have been used in the management of TN such as baclofen, gabapentin, phenytoin sodium, carbamazepine remains the gold standard drug of choice. Surgical approaches to pain management are performed when medication cannot control pain or patients cannot tolerate the adverse effects of the medication.

3,140

REVIEW ARTICLE

Usha Hegde, J Paras Mull, Gazala Danish, Syed Nabeel

An Uncommon Dental Anomaly: Talon Cusp

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:4] [Pages No:47 - 50]

   DOI: 10.5005/jp-journals-10015-1009  |  Open Access |  How to cite  | 

Abstract

Talon cusp is an uncommon dental anomaly presenting as an accessory cusp. It is seen in both deciduous and permanent dentition and on lingual and facial surfaces of anterior teeth. It can occur unilaterally or bilaterally. The incidence of occurrence is more in maxillary teeth. It is usually asymptomatic but can pose functional and esthetic problems. This article presents the review of talon cusp in relation to its definition, etiopathogenesis, prevalence, clinical and histological findings, clinical implications, radiographic findings, classification and management aspects.

2,887

CASE REPORT

Surekha R Puranik, Satwinder Singh, Mangala Rakaraddi

Intermediate Type of Osteopetrosis in a Ten Year Old Boy

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:3] [Pages No:51 - 53]

   DOI: 10.5005/jp-journals-10015-1010  |  Open Access |  How to cite  | 

Abstract

Osteopetrosis is a disease characterized by failure of osteoclasts of bone as a consequence bone modeling and remodeling is impaired, characteristically resulting in skeletal fragility despite of increased density, which also cause hematopoietic insufficiency, disturbed tooth eruption, nerve disturbances, syndrome and growth impairment. Human OP is a heterogeneous genetic disorder encompassing different molecular lesions and range of clinical features, which share single pathogenic nexus in the osteoclasts. We present a rare case of osteopetrosis in a 10-year-old boy with a palatal bony and infraorbital inflammatory swellings. The characteristic clinical, radiologic, and laboratory evaluation confirmed the diagnosis of intermediate osteopetrosis.

2,714

CASE REPORT

Nilima Prakash, MS Harish Kumar, P Sharada, GL Pradeep

Spindle Cell Carcinoma of the Oral Cavity: A Case Report of a Rare Entity and Review of Literature

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:4] [Pages No:55 - 58]

   DOI: 10.5005/jp-journals-10015-1011  |  Open Access |  How to cite  | 

Abstract

Spindle cell carcinoma is a rare and peculiar biphasic malignant neoplasm that occurs mainly in the upper aerodigestive tract. It consists of sarcomatoid proliferation of pleomorphic spindle cells and squamous cell carcinoma. It is considered potentially aggressive in its biological nature with a high incidence of metastases. We report a case of this tumor with an unusual clinical course. The histogenesis of the spindle cell component is discussed in detail in the review of literature.

3,767

CASE REPORT

Jagadish Hosmani, Sujata M Byahatti, Ranganath Nayak, Ramakant Nayak, Bhushan Jayade

Juvenile Ossifying Fibroma in a Juvenile Diabetic: A Case Report with Surgical Management

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:6] [Pages No:59 - 64]

   DOI: 10.5005/jp-journals-10015-1012  |  Open Access |  How to cite  | 

Abstract

Juvenile ossifying fibroma (JOF) is a highly aggressive uncommon fibro-osseous lesion occurring in the facial bones. Two histological variants of JOF, i.e. trabecular and psammomatoid have been reported. Here we present a case of a 20-year-old juvenile diabetic patient with massive growth on her left side of the jaw which was diagnosed as juvenile ossifying fibroma. This huge aggressive mass in the left side of the mandible had lead to complete lingual tilting of molars and premolars. After clinical and radiological examination, a biopsy led to the histopathological diagnosis of mixed variant of juvenile ossifying fibroma. The required surgical treatment (hemimandibulectomy) was undertaken under GA. The aggressive local behavior and high recurrence rate of JOF emphasizes the need for an early diagnosis, and appropriate radical treatment with long-term follow-up. One such case is reviewed and discussed in detail in the following article.

3,020

CASE REPORT

Shivayogi Charantimath, Zameera , Anjana Bagewadi, Vaishali Keluskar

Multiple Odontogenic Keratocysts

[Year:2010] [Month:April-June] [Volume:1] [Number:1] [Pages:4] [Pages No:65 - 68]

   DOI: 10.5005/jp-journals-10015-1013  |  Open Access |  How to cite  | 

Abstract

Odontogenic keratocyst is a cyst of odontogenic origin that exhibits a keratinized epithelial lining. Odontogenic keratocyst has been the topic of numerous investigators and is known for its potentially aggressive behavior and significant rate of recurrences.1

OKC cyst often occurs as a solitary lesion at the angle of the mandible, however in some instances, multiple such cysts may occur in association with a syndrome called “Nevoid basal cell syndrome”.1

These patients have propensity to develop multiple neoplasm including basal cell carcinoma and medulloblastoma. Hence early diagnosis and treatment is of utmost importance in reducing the severity of long-term sequelae of this syndrome. Here we present a case of multiple odontogenic keratocysts with nevi and narrowed ribs which has profound relevance to specialist in Oral Medicine and Radiology and Oral and Maxillofacial Surgery.

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