A CORRELATIVE CLINICAL STUDY OF
NUTRITIONAL STATUS, ORAL HYGIENE
AND GINGIVAL HEALTH
Dr. Neha Kapoor, Dr. Nikhil Bahuguna
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Abstract:
Introduction: Poor oral hygiene causes gingivitis and periodontitis. Compre- hensive
studies of experimental gingivitis in man and natural history of peri- odontal disease in
Sri Lankan labourers established the cause and effect re- lationship of poor oral hygiene
and periodontal diseases. It also was observed by various studies that nutritional status
affects gingival health.
Objective: To examine the effects of nutritional status on gingival health among two
groups of different BMI.
Methods: Two groups of subjects, based on socio-economic status, consisting of one
hundred dentists (group A) and one hundred patients (group B) were considered for the
study. Nutritional status (denoted by BMI), Oral hygiene status (good, fair, poor) and
gingival inflammation (Gingival Index, GI) of all subjects were also assessed.
Results and conclusion: Significant positive correlation was found between oral hygiene
and gingival health in dentists with higher BMI.
COMPARISON OF TOOTHPASTES
CONTAINING TRICLOSAN AND
POTASSIUM NITRATE ON PLAQUE,
GINGIVITIS AND DENTINAL
HYPERSENSITIVITY- AN IN VIVO
CROSSOVER STUDY
Dr. Soumik Kabasi
, Dr. Bhaswati Kabasi
, Dr.
Nupur Sharma
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Abstract:
ABSTRACT:
The present randomized crossover study was to test the efficacy of Triclosan with Zinc
Citrate containing toothpaste (TZ) and Potassium Nitrate toothpaste (PN) on anti-plaque,
anti-gingivitis and desensitizing properties. The subjects were randomly assigned to
either of the two groups (TZ and PN toothpaste groups). An analysis of Plaque Index (PI),
Gingival Index (GI) and Visual Ana- logue Scales (VASs) indicating Dentinal
Hypersensitivity levels were carried out at baseline and after 28 days followed by a wash
out period. After which, the two groups were interchanged alternatively and assessment
was done in the same fashion. Statistical analysis was performed using Statistical Package
for Social Sciences (SPSS) version 20 (IBM, Chicago Inc., IL USA). Mann-Whit- ney U-test
was applied with p<0.001 considered as significant. A substantial median change
reduction in PI was observed to be 0.69 (TZ group) and 0.18 (PN group) in the Phase-I
while 0.4 and 0.1 in the Phase-II period respectively. Similar superior reduction was
assessed with TZ dentifrice for GI. But PN dentifrice reported higher median change
reduction for hypersensitivity. Thus, it was found that the toothpaste containing 0.3%
Triclosan was an ef- fective antiplaque and anti-inflammatory agent while toothpaste
containing
www.idahow.org Maven, 2017, Vol – 01(1)
5% Potassium Nitrate was an effective desensitizing agent.
NAM (NASOALVEOLAR MOULDING) VS
NO NAM IN PATIENTS WITH
UNILATERAL CLEFT LIP DEFORMITY
Dr. Siddhartha Chatterjee
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Abstract:
Pre-surgical infant orthopedics has been employed since 1950 as an adjunc- tive neonatal
therapy for the correction of cleft lip and palate. Most of these therapies did not address
deformity of the nasal cartilage in unilateral and bilateral cleft lip and palate as well as
the deficiency of the columella tissue in infants with bilateral cleft. The nasolaveolar
molding (NAM) technique, a new approach to pre-surgical infant orthopaedics developed
by Grayson, re- duces the severity of the initial cleft alveolar and nasal deformity. This
enables the surgeon and the patient to enjoy the benefits associated with repair of a cleft
deformity that is minimal in severity. Long term studies on NAM therapy indicate better
lip and nasal form, reduced oronasal fistula and labial deform- ities, 60% reduction in the
need for secondary alveolar bone grafting. No effect on growth of midface in sagittal and
vertical plane has been recorded up to the age of 18 years. With proper training and
clinical skills NAM has demon- strated tremendous benefit to the cleft patients as well as
to the surgeon per- forming the repair. This paper will discuss and show results in the
group of patients who opted for NAM and who did not.
MESENCHYMAL
CHONDROSARCOMA OF THE
MAXILLA-A RARE MALIGNANT
CARTILAGENOUS
TUMOR: REPORT OF TWO CASES
Dr. Debarati Mallick
, Dr. Jay Gopal Ray
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Abstract:
Mesenchymal chondrosarcomas (MC) are rare malignant neoplasms that can arise from
both soft and hard tissues. They are distinct tumors arising in unicentric or multicentric
locations. They reveal unusual clinical behavior, characteristic histopathological features
and poor prognosis with late recur- rences. Here is a report of two cases of 25 and 17
year old males with MCs affecting the maxilla. The importance of thorough evaluation
and follow-up of the patient is emphasized.
NEURILEMMOMA OF THE HARD PALATE:
HISTOLOGICAL AND
IMMUNOHISTOCHEMICAL EVALUATION
Dr. Pallav Singhal
, Dr. Kamal Hasan
,
Dr. Abhijeet Alok
, Dr. Sumanta Kumar Koley
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Abstract:
Neurilemmoma, also known as schwannoma is a rare, benign, slow growing neural tumor
derived from schwann cells. They are usually seen in the head and neck region but are
very rare in the oral cavity with the prevalence of around 1%. Intra-orally, tongue is the
most preferred site but occurrence on the palate is a rare presentation. Usually they are
not among the list of clinical differential diagnosis and are diagnosed by histological
examination of the tissue specimen. We report a rare case of 18 years old female patient
com- plaining of a painless growing mass on hard palate which was excised and the final
diagnosis was established based on histopathological and immunohisto- chemical
examination.
ORAL LICHENOID REACTIONS: A CASE
REPORT AND REVIEW OF LITERATURE
Dr. Deepsikha Ramani
, Dr. Rupam Sinha
, Dr.
Soumyabrata Sarkar
, Dr. Biyas Bhowmik
, Dr.
Subhadeep Maity
, Dr. Ishita Banerjee
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Abstract:
Oral Lichenoid Reactions (OLR) are clinical and histological contemporaries of Oral
Lichen Planus (OLP) often identical in manifestations. The benchmark of differentiation
between the two groups is the association of the former with known inciting factors,
which when identified and eliminated, often cause a regression of the lesion. This may
not always be so and the differentiation then becomes more difficult. A detailed history
helps in delineating the lichen- oid reaction from lichen planus. The article intends to
provide a case report on lichenoid reaction and provides a review into the clinical,
histological fea- tures and the malignant potential of lichenoid reactions.
ABERRANT MUCOBUCCAL FOLD: A CASE
REPORT
Dr. Rajashree Ganguly
, Dr. Papia Sarkar
, Dr.
Manoj Kumar Singh
,
Prof. (Dr.) Tamal Kanti Pal
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Abstract:
Mucobuccal fold is a normal anatomical structure in the oral cavity which attaches lip,
cheek and tongue to the alveolar mucosa and gingiva. In oral cavity there are three
maxillary frenii and five mandibular frenii. But the aberrations or abnormal in these
mucobuccal fold at times may cause prob- lem to gingival and periodontal health either
due to interference in plaque control or due to muscle pull. In addition to this, an
abnormal attachment can cause aesthetic and functional problem such as in case of
localised gin- gival recession, loss of vestibular depth. Therefore management of these abberant structures is important. The present case report discusses the man- agement of an
aberrant mucobuccal fold.
RIGA FEDE DISEASE- A CASE REPORT
Dr. Soumyajit Dutta
, Dr. Rupam Sinha
, Dr.
Soumyabrata Sarkar
, Dr. Biyas Bhowmik
,
Dr. SubhadeepMaity
, Dr. Ishita Banerjee
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Riga Fede disease is a reactive mucosal disease as a result of repetitive trauma to the
tongue by the anterior primary teeth during forward and backward movement. The
nature of the lesion is relatively benign. The history and clin- ical features are most often
so typical that there is seldom a need for addi- tional histopathological examination. Riga
Fede disease can most often be treated with conservative measures only. Here we
present a case of a 1- month-old infant with a natal tooth and an ulcerated lesion on the
ventral surface of the tongue, leading to the clinical diagnosis of Riga- Fede Disease.
SOCKET WHETHER TO PRESERVE IT
NOW OR TO CREATE LATER? - A CASE
REPORT
Dr. Parthasarathi Biswas
,
Dr. Debajyoti Mondal
, Dr. B Praveena Devi
, Dr.
Indrasri Das
, Dr. Somen Bagchi
,
Dr. Ashit Kumar Pal
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Abstract:
This case report described the clinico-radiographic efficacy of demineralized freeze-dried
bone allograft (DFDBA) in preserving extraction sockets. Extrac- tion socket was
measured clinically by both horizontally and vertically, imme- diately following
atraumatic extraction and in radiographic evaluation, IOPA radiograph was taken for
vertical measurement of the socket. After proper evaluation, the socket was filled with
DFDBA bone graft and covered with a free mucosal graft obtained from the patient’s
palate. Clinically, there was a significantly less decrease in relative socket depth after 6
months. Radio- graphically, the difference in socket height, residual ridge, and width
(coronal, middle apical third of socket) after 3 and 6 months was lower as compared to
the pre-operative measurements. The use of DFDBA with free mucosal graft as a barrier
membrane was effective in socket preservation. Being non-im- mune, cost-effective, easily
procurable, osseoinductive, regenerative bio- material DFDBA proves to be an insight into
the future biofuel for regenera- tion.
NASOPALATINE DUCT CYST –
REPORT OF TWO CASES ALONG
WITH REVIEW OF LITERATURE
Dr Anirban Maji
, Dr Rupam Sinha
,
Dr Soumyabrata Sarkar
, Dr Biyas Bhowmik
, Dr
Subhadeep Maity
, Dr Ishita Banerjee
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The incisive canal cyst or nasopalatine duct cyst (NPDC) is a developmental, nonneoplastic cyst, most common of the non-odontogenic cyst of jaw bones. The nasopalatine
duct cyst is fissural cyst. Clinically, incisive canal cyst is usually asymptomatic and is
noted as an incidental finding upon examina- tion. Large cysts can be responsible for a
variety of symptoms including swell- ing and pain. Radiographically, the lesion is well
demarcated, usually with some decortication of the borders, located in or near the
maxillary midline. The cyst may be round, ovoid, pear shaped or heart shaped.
Enucleation of the cyst is generally the treatment of choice. Here two interesting case of
na- sopalatine duct cyst along with review has been presented.
PROSTHODONTIC REHABILITATION OF
COMPLETELY EDENTULOUS PATIENT
WITH PARTIAL GLOSSECTOMY– A CASE
REPORT
Dr. Arka Swarnakar
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Oral carcinomas accounts for about 40% of all carcinomas prevalent amongst the human
beings. Those involving the tongue results in mild to severe defi- ciencies of phonation,
deglutition, mastication and taste depending upon the degree and extent of tissues
involved. Rehabilitation of such patients pose a challenge for the clinician and involves a
careful observation and evaluation of the residual oral function. This article presents a
case report of prostho- dontic rehabilitation completely edentulous patient, who
underwent partial glossectomy following surgical resection of the squamous cell
carcinoma in- volving left lateral border of the tongue. An attempt was made to restore
the comfort, speech and function of the patient with additional assistance through
speech therapy and simple oral exercises.
PERIODONTAL MEDICINE
Dr. Tirthankar Debnath
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Periodontal Medicine deals with a two way relationship in which periodontal disease in
an individual may be an influence on an individual’s systemic health and /or the role of
systemic disease on influencing an individual’s Per- iodontal health. Systemic disorders
like endocrine disorders and hormonal changes, hematologic disorders and immune
deficiencies, Vitamin Deficiency, Protein Deficiency, Hypophosphatasia, Congenital Heart
Disease, Metal Intox- ication etc influence periodontal health. Here is an attempt is being
made to enumerate the interrelationship.
AN INSIGHT TO THE BIOLOGICAL
ASPECT OF ORAL MELANOCYTES – A
BRIEF REVIEW
Dr. Abhishek Banerjee
, Kanika Singroha
, Raghav
Latawa
, Ravi Bagaria
, Sannya Singh
, Anindya
Sundar Das
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The presence of the melanocytes in the oral mucosa is a well-established fact, but the
physiology of the melanin initiation to the formation is not well un- derstood. The role of
melanocytes in formation of melanin acts as a multitask- ing molecule from stress sensing
to stress bearers to UV rays and reactive oxygen species and it plays a pivotal role in
tissue homeostasis. The pathways of melanogenesis is a broad aspect of research and is
still focused on. This paper will put a light on the biological aspects of melanin
pigmentation in- cluding biophysiology, its role and brief advances in this area.
POTENT UTILITY OF DENTAL
CONE-BEAM COMPUTED
TOMOGRAPHY IN
ROUTINE EXTRACTIONS DUE TO ITS
DIAGNOSTIC ACCURACY OVER
CONVENTIONAL RADIOGRAPHS – A
REVIEW
Dr. Ankush Roy
, Dr. Surajit Bose
, Dr.
Saptarshi Pal
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Since ages conventional radiography was the worldwide standard for diagno- sis and
treatment planning of extraction of teeth. Much help was also attained from medical
computed tomography for a period of time, but with the advent of cone-beam computed
tomography, dental practice entered into a paradigm shift. Efforts have been further
made in this review article about areas of po- tential applications and limitations of conebeam computed tomography and the necessity to use it as a mainstream aid in the field of
exodontias. The need to prefer cone beam computed tomography over conventional
radiographs is because of the established fact that it is diagnostically more accurate than
conventional radiographs, which have also been further focused on.