J Interdiscip Dentistry
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   Table of Contents - Current issue
Coverpage
May-August 2022
Volume 12 | Issue 2
Page Nos. 47-82

Online since Tuesday, August 23, 2022

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ORIGINAL ARTICLE  

Prosthetic and dental implant patient's biosafety during MRI procedure: A survey based study on awareness among professionals p. 47
Jitendra Rao, Anshdha Shah, Kalpana Singh, Bhawana Tiwari
DOI:10.4103/jid.jid_5_22  
Aims and Objectives: The survey was conducted to evaluate the awareness among dentists and radiologists regarding the safety and interactions of dental materials in relation to magnetic resonance imaging (MRI). Materials and Methods: A questionnaire was circulated among professionals of the North Indian population as Google forms to assess their awareness regarding the safety of dental implants in MRI field, and the results were calculated by the same application. Results: A majority of the professionals seemed to be well-informed regarding the magnetic nature of materials used as dental implants. However, there were mixed opinions regarding the biosafety of different dental materials used for prosthetic restoration of implants or as prosthesis that maybe attached to oral structures. Conclusion: The present survey revealed that the most professionals possess the knowledge and awareness about biosafety of dental materials, there still a further need to increase awareness to avoid dilemmas in routine practice.
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CASE REPORTS Top

Revitalizing pulpo perio complex p. 53
Manasi Dilip Yewale, Subraya G Bhat, Tarini Mullick
DOI:10.4103/jid.jid_1_22  
Endodontic–periodontal combined lesions pose a treatment challenge for clinicians, especially when the lesion is persistent and does not show signs of healing after nonsurgical endodontics. This case report describes interdisciplinary management of a nonhealing combined lesion related to a periapical cyst through an integrated approach of apicoectomy and regenerative periodontics. A 51-year-old male patient presented with a sinus tract for 4 months after endodontic retreatment of the maxillary right central and lateral incisor. Surgical enucleation of the cystic lesion together with regenerative periodontics using bone graft, advanced platelet-rich fibrin plus membrane, and guided tissue regeneration membrane to treat the tunnel bony defect was done. Clinical and radiographic examination at 6 months showed resolution of lesion, reduction in probing depths, and good bone fill of the defect.
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Esthetic rehabilitation of a partially edentulous patient with implants and porcelain laminate veneers – A Minimally invasive approach p. 57
Puvvadi Kalyani, K Harsha Kumar, A Shifa Balkhis, R Ravichandran
DOI:10.4103/jid.jid_8_22  
For the rehabilitation of patients with edentulous jaws, immediate loading of endosseous implants is becoming a widespread therapeutic procedure. Over the conventional open flap technique, minimally invasive surgical implant placement has numerous advantages. Several techniques to restore anterior teeth have been developed as a result of increasing demand of patients looking for esthetics. This case report describes esthetic rehabilitation of a partially edentulous patient following the principles of minimally invasive implant dentistry as well as esthetic dentistry.
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Full-mouth rehabilitation of amelogenesis imperfecta p. 62
Zohra Jabin, Nandita Waikhom, Nidhi Agarwal, Ashish Anand
DOI:10.4103/jid.jid_24_21  
Amelogenesis imperfecta (AI) is a hereditary disorder expressed by a group of conditions which cause developmental alterations in the structure of enamel. Management of AI is very important because of esthetic and functional concerns as they create a positive psychological impact on the patient. A 12-year-old female patient reported with a complaint of yellowish discoloration of teeth with unesthetic appearance and painful sensitivity to mastication. The intraoral examination observed brownish discoloration of permanent anterior as well as posterior teeth of all segments. The height of the crowns of the upper and lower posterior teeth was also reduced. A hypoplastic type of AI was diagnosed in permanent dentition. A multidisciplinary planning was performed mainly to relieve dental sensitivity and improve masticatory function and esthetics of the patient and was carried out in multiple visits that ranged from preventive phase and restorative phase. Posttreatment improvements in esthetic as well as successful reduction in hypersensitivity were observed.
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A novel application of partially epithelized-subepithelial connective tissue graft for management of complex mucogingival condition p. 65
Deepak Sharma, Pravesh Jhingta
DOI:10.4103/jid.jid_43_21  
Multiple adjacent gingival recessions in the mandibular anterior region are frequently associated with critical anatomic factors such as inadequate attached gingiva, high frenum insertion, or shallow vestibule. In addition, the loss of interdental soft and hard tissues make these mucogingival conditions more complex and challenging for the clinician. Multiple periodontal plastic surgical procedures are often required to treat such conditions which increase patient discomfort and surgical morbidity. The cases present for the first time a novel application of the bilaminar technique of reverse partially epithelized-subepithelial connective tissue graft (PESCTG) with bridge flap to treat severe multiple contiguous recessions and augment gingiva and vestibular depth in mandibular anterior teeth as a single-staged surgical approach. The technique achieved good esthetics and clinical outcomes in terms of recession coverage, increase in width and thickness of gingiva, and vestibular depth.
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Esthetic rehabilitation of maxillary anterior teeth with porcelain laminate veneers p. 70
Bharath Makonahalli Jaganath, Sahadev Chickmagravalli Krishnegowda, Sandeep Rudranaik, Siri Parvathi Beedubail
DOI:10.4103/jid.jid_13_22  
This case report emphasizes on esthetic rehabilitation of maxillary anterior teeth with porcelain laminate veneers. A male patient aged 24 years reported with a chief complaint of spacing between teeth in the upper front teeth region. The patient was unwilling for orthodontic correction since time was the major constraint. A complete intraoral and extraoral examination was performed, preoperative photographs were taken, and study models were prepared. Tooth component, i. e., dental midline, incisal lengths, tooth dimensions, zenith points, axial inclinations, interdental contact area and point, incisal embrasure, symmetry, and balance, was observed. The soft-tissue examination included gingival health, interdental embrasure, and smile line. Clinical examination revealed diastema between 11, 12, 21, and 22. Discoloration was noted in 21 teeth, and the patient reported a history of root canal treatment for the same. Considering the esthetic need of the patient and the duration of treatment, porcelain veneers were planned for the correction of diastema. Tooth preparation for veneers was made with incisal overlap design with respect to 12, 11, and 22, and e-max crown was planned for 21. The advantages of this treatment include quick results, minimal tooth structure removal, long-term solution, better esthetics, and firm fit.
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Think lateral, think thick!: A novel technique for recession coverage by lateral pedicle flap obtained from edentulous area along with subepithelial connective tissue graft p. 74
Shruti Paradkar, Sachin Shivanaikar, Swetalin Das, Khushboo Rathod
DOI:10.4103/jid.jid_61_20  
Treatment of gingival recession is a prime concern due to an increase in hypersensitivity and high esthetic demands. There are various proposed treatment options for treating this mucogingival defect. Treating Miller's Class III recession is definitely a true challenge for the periodontists. Defects adjacent to the edentulous region, present with additional difficulty due to collapse of ridge postextraction, leading to the gingival defect. Here is a case report, presenting Class III recession defect adjacent to the edentulous site of the lower left second premolar, which was treated with the help of lateral pedicle flap obtained from the adjacent edentulous area along with subepithelial connective tissue graft, a bilaminar technique.
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Multiple teeth recession coverage using Zucchelli's technique p. 79
Amit Sunil Saragade, Monica Jaideep Mahajani, Anup Uttamrao Shelke, Subodh Pandurang Gaikwad
DOI:10.4103/jid.jid_4_20  
Gingival recession can lead to a variety of functional and esthetic problems. The problems associated with the gingival recession include unacceptable esthetics, hypersensitivity, root caries, and difficult plaque control. Gingival recession is a common clinical condition not only in populations with poor standards of oral hygiene but also in people maintaining good oral hygiene. In an esthetically driven era, the success of root coverage requires consideration of each one of the prognostic criteria. Various procedures have been popularized to treat the gingival recession. Zucchelli's technique is a modification of the coronally advanced flap for the treatment of teeth having multiple recessions. The upper hand of this procedure includes the absence of vertical releasing incisions, an appropriate thickness, combining sites of split and full thickness, and the coronal advancement of the flap. This case report presents the treatment of multiple adjacent gingival recessions using Zucchelli's coronally advanced flap.
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