J Interdiscip Dentistry
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   Table of Contents - Current issue
January-April 2022
Volume 12 | Issue 1
Page Nos. 1-46

Online since Saturday, April 30, 2022

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Rehabilitation of fractured nonvital immature tooth by nonsurgical treatment and post and core restoration: A case report and literature review Highly accessed article p. 1
Mohammad Kamran Khan, Mahendra Kumar Jindal
Nonvital immature permanent tooth presents several challenges to a clinician in performing conventional endodontic therapy due to the lack of apical constriction and thin root walls. Apexification has been serving as the gold standard therapeutic modality for managing nonvital teeth with wide-open apex. The present case report demonstrates the successful rehabilitation of fractured immature nonvital permanent tooth of a healthy 8.5-year-old male patient by apexification procedure using the premixed mixture of calcium hydroxide and iodoform with vehicle of silicone oil (Metapex). The dental procedure resulted in favorable treatment outcomes with Frank's Type-1 apical closure of root and optimum periapical healing within comparatively shorter duration. Subsequently, fractured crown was successfully restored for function and esthetics using fiber-reinforced post and core and composite restoration. In follow-up visits, the patient was found asymptomatic and satisfactory with the treatment results.
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Radiographic diagnosis and surgical management of compound composite odontome with supernumerary tooth and impacted central incisor – A rare case report p. 6
Faraz Ahmed, Amit Kumar Pathak, Sagnik Banerjee, Rahul Jainer
Odontomas are the most frequent hamartomatous developmental abnormality. The condition is frequently associated with one or more unerupted teeth and is often detected through the failure of teeth to erupt at the expected time. Although most cases are found impacted within the jaw, there are instances where odontomas have erupted into the oral cavity. Majority of the odontomas are asymptomatic nonetheless these anomalies can cause delayed eruption, impaction, or even result in retention of primary teeth. Odontomas are atypical calcified conglomeration of dental tissues such as enamel, dentin, pulp, and cementum and emerge from odontogenic epithelium thus, they are mixed odontogenic tumor. According to the literature, its origin can be local trauma, infection, or genetic mutations, however, the exact cause is unknown. This case report presents a compound composite odontome in a 25-year-old patient along with its related clinical and radiological manifestations and the surgical management and emphasis on the early diagnosis and treatment planning.
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Clinical applications of injectable platelet-rich fibrin: A case series p. 11
Rucha Shah, MG Triveni, Raison Thomas, A B Tarun Kumar, Dhoom Singh Mehta
The latest innovation in the field of platelet concentrates is the completely autologous, additive-free, injectable platelet-rich fibrin (i-PRF). It is the first PRF in a liquid form. This makes it possible for it to have much more versatile applications in regenerative dentistry as compared to its predecessors. Even though there is some published literature on the in vitro properties of i-PRF, there are no clinical reports demonstrating its clinical applications. This case series throws light on the preparation protocol, possible applications, and clinical handling experience with i-PRF.
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Custom-made caliper for pupil alignment of ocular prosthesis p. 15
Vasundhara Apoorva Kaligotla, Muvva Suresh Babu, S Asritha, G Krishnaveni, K Sravani, Kavalipurapu Venkata Teja
For patients who have lost an eye as a result of trauma or carcinoma, accurate replacement with an ocular prosthesis that is symmetrical to the natural eye is essential. Rehabilitation of a missing eyeball with an ocular prosthesis is a technique that has a significant role in the field of maxillofacial prosthetics, which improve facial esthetics, physical, psychosocial, and mental well-being of the patient. An ocular prosthesis can be either prefabricated or custom made. Prefabricated ocular prostheses come in a range of standard sizes, contours, forms, and colors. A 60-year-old female reported with a chief complaint of ill-fitting eye prosthesis, which was given 10 years back. On review of the stock eye prosthesis, it was found that the iris and sclera color failed to match with the contralateral eye and improper fit. The treatment plan was decided for a replacement of old stock eye prosthesis with a custom-made ocular prosthesis. The present case report was different from the previous data on the custom-made prosthesis, which was fabricated using various techniques. This case report describes a method for recording the width and height of the original iris more accurately using the Hanau technique and transferring it to the prosthetic eye of the patient. The technique described in this case report is an easy and cost-effective method which meets the technical requirements of the clinician and results in a more esthetically pleasing and accurate prosthetic outcome.
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Groper's appliance – For esthetic rehabilitation of anterior missing teeth: Two case reports p. 22
Zohra Jabin, Sunil Datt Verma, Nidhi Agarwal, Ashish Anand, Nandita Waikhom
Rehabilitation of anterior primary teeth is important for the development of phonetics and restoring the natural esthetics of the child. Groper's appliance is a fixed appliance helps in space maintenance, mastication, esthetic appearance, and speech. This article is about two cases where Groper's appliance was given for esthetic rehabilitation.
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Interdisciplinary orthodontic and prosthodontic approach for esthetic rehabilitation in an adult patient p. 26
Akshai Kannan, Vaibhav Jain, Merekha Raghavan
A 38-year-old female patient reported with a chief complaint of spacing between anterior teeth, and she desire to improve her facial esthetics. The patient was diagnosed with chronic generalized periodontitis with generalized horizontal bone loss on the basis of clinical and radiographic findings. On orthodontic evaluation, she has proclined upper and lower anterior with Class I molar relationship bilaterally and a canine Class I relationship bilaterally. She was treated with an interdisciplinary therapeutic protocol that included nonsurgical periodontal therapy, endodontic treatment, orthodontic therapy, and prosthetic rehabilitation. The orthodontic therapy was performed in generalized horizontal bone loss having loss of bone support in mandibular anterior region. Space closure was done using prosthetic rehabilitation in a healthy periodontium. The interdisciplinary treatment protocol was the key factor in achieving significant improvement in facial and dental esthetics, masticatory function, and quality of life of the patient.
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Endodnontic management of a maxillary lateral incisor with two roots p. 32
Pujan Kranti Kayastha, Merina Shakya, Laxman Poudel
Knowledge of dental anomalies and variations is a prerequisite for having a better prognosis after endodontic treatment. In this case report, a patient having birooted maxillary lateral incisor with periapical pathosis has been discussed. Due to lack of magnification and identification of two roots in intraoral periapical radiograph, cone-beam computed tomography was advised which help in diagnosis and location of the accessory canal of maxillary lateral incisor. With proper diagnosis and standard endodontic protocol, successful outcome of endodontic treatment can be achieved.
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Management of periapical lesion using platelet-rich fibrin as a grafting material p. 36
Kalpana S Pawar, Jivika Jitendra Matkar, Sadashiv G Daokar, Kapil D Wahane
The success of a periapical surgery is assessed by regeneration of functional periradicular tissues. The regenerative potential of platelets has been utilized in periradicular surgeries. The purpose of this case report is to add knowledge to the existing literature about the use of platelet-rich fibrin (PRF) in the treatment of periapical lesion. A periapical endodontic surgery was performed on a 35-years-old male patient with a discoloration of 11. Open apex and bony defect were present radiologically with 11. Retrograde filling with mineral trioxide aggregate was done. The surgical defect was filled with PRF membrane and sutured. Follow-up was done after 8 weeks and 8 months. The present case report concluded that PRF can be recommended as an alternative to bone grafts and membranes in periapical lesions to enhance bone regeneration and to decrease the healing time.
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Conservative approaches in prosthodontic management of cleft lip and palate patients p. 41
Swagata Deb, Surjargha Mukherjee, Piyush Dongre, Tapan Kumar Giri
The goals of prosthodontic management of patients with cleft lip and palate (CLP) are the restoration of esthetics and improvement of speech and occlusion. Deficiency of bone volume, soft-tissue excess, or presence of oronasal fistula complicates the treatment planning. Though dental implants present a viable treatment option to replace missing teeth in the cleft region, the need for bone augmentation and surgical morbidity limits its application in some patients. A combination of fixed dental prosthesis, resin bonded bridges, removable prosthesis, and overdentures allows conservative management of such patients without causing further morbidity. This clinical report illustrates two patients with CLP managed with a resin-bonded Maryland Bridge and a tooth-supported overdenture.
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