J Interdiscip Dentistry
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   Table of Contents - Current issue
May-August 2019
Volume 9 | Issue 2
Page Nos. 49-95

Online since Monday, September 30, 2019

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Sleep-related disorders and its relevance in dental practice p. 49
V Rangarajan
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A comparative evaluation of two contemporary cordless methods of gingival retraction – An In vivo study p. 51
Abhinav Agarwal, Manesh Lahori, Shilpa Arora
Aim: The aim of this study was to compare and evaluate two different cordless methods of gingival retraction. Materials and Methods: For this study, a total of 30 participants aged above 18 years were selected. Out of 30 patients, 15 patients required fixed prosthesis in the anterior arch and 15 patients required fixed prosthesis in the posterior arch with minimum of two abutments surrounded by healthy periodontium, respectively. Same abutments were used for both retraction systems. After tooth preparation, three impressions for each patient were made, one without retraction, second after application of less viscous syringeable retraction paste, and third after 7 days after application of more viscous retraction paste with applicator gun. This was followed by fabrication of definitive Type IV gypsum cast. Undamaged retrieved casts were sawed out, buccolingually with the help of die cutting saw followed by measurement of the width of the retracted gingival sulcus under a stereomicroscope. The width was measured as the distance from the abutment tooth to the crest of the free gingiva. Results: The mean horizontal retraction attained from the control and two gingival retraction systems was compared using one-way ANOVA with the level of significance (P) set at 0.05. Amount of mean horizontal gingival retraction attained by syringeable retraction system was higher than control but statistically not significant in the anterior segment, whereas in the posterior segment, it was statistically significant.
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Coconut oil pulling – The holistic medicine: Evaluation of efficacy of coconut oil pulling therapy as an adjunct to scaling in diabetic patients with chronic gingivitis – A clinical and microbiological study p. 59
Shraddha Kode, Praneeta Kamble, Deepali Karkhanis, Rummana Khan
Context: Oil pulling is the traditional medicine practised in ancient India. Limited scientific data is present illustrating the role of oil pulling. Therefore, we conducted a study to introduce a natural ingredient which can be used as an adjunct in diabetic patients. Aim: To evaluate the efficacy of Coconut Oil as an adjunct to scaling in diabetic patients with chronic gingivitis. Material and Methods: 60 Diabetic patients with Chronic Gingivitis were divided into 3 groups: Group A: Scaling and root planing only (n=20), Group B: Scaling and root planing followed by Coconut Oil Pulling Therapy (n=20) and Group C: Scaling and root planing followed by rinsing with 0.2% Chlorhexidine mouthwash (n=20). The following clinical parameters were recorded at baseline after SRP and 15 days post-treatment : Plaque index (P.I.), Gingival index (G.I.) & Total colony forming units (CFU/ml). Results: The method used for statistical analysis was repeated measure ANNOVA followed by post-hoc test. The results of the study demonstrated the difference in the reduction of all the scores to be clinically significant and not statistically significant. Conclusion: Thus, this study shows the positive effects of coconut oil pulling in the control and prevention of progression of gingival disease.
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A comparative evaluation of flexural strengths of two different chairside repair materials with and without modification of implant attachment housings: An in vitro study p. 66
Abhinav Agarwal, Manesh Lahori, Kushal Singh
Statement of Problem: Implant overdentures become thinner and weaker after direct transfer of implant attachment housings. The introduction of a metal housing changes the character of the repair as denture has to be relieved to provide space for the housings; therefore, a strong method of repair is desirable to avoid prosthesis fracture. Purpose: The purpose of this study was to compare flexural strength of two different chairside repair materials with and without modification of implant attachment housings. Materials and Methods: Eighty 13 mm × 10 mm × 41 mm heat-polymerized acrylic resin blocks were processed, assessed for porosities, and polished. An 8.5-mm diameter hole was created to a depth of 5 mm in the center of each block. Two different attachment housings sandblasted and nonsandblasted were placed into the blocks with two different repair materials: autopolymerized acrylic resin (APAR) and light-polymerized acrylic resin. Later blocks were immersed in water for 7 days in an incubator. A three-point bend test was done in a universal testing machine, and load to fracture was recorded (MPa). Results were compared with one-way analysis of variance (α = 0.05). Results: The mean maximum strength of APAR groups was significantly higher than light-polymerized acrylic resin groups. Groups with sandblasted attachment housings showed significantly higher strength compared to nonsandblasted groups. Conclusions: The flexural strength of self-cured acrylic resin with and without sandblasting of attachment was significantly higher than light-cured acrylic resin with and without sandblasting of attachment housings. Sandblasting produced higher flexural strength in denture blocks repaired with self-cured acrylic.
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Full-mouth rehabilitation of severely mutilated dentition with loss of vertical dimension using an interdisciplinary approach p. 73
Sree Theja Upadhyay, Shashi Rashmi Acharya, Abhinav Kumar
Comprehensive treatment planning of multiple teeth involvement is challenging, especially in cases of decreased vertical dimension (VD) of occlusion. This case report describes the sequential methodical interdisciplinary approach employed to treat severely mutilated dentition with a loss of VD. After performing endodontic treatment for required teeth, a bite raising transitional prosthesis was given for increasing the VD to acquire essential interocclusal space for post and core buildups and full coverage restorations. After the validation of new VD, reconstruction was performed with the permanent prosthesis. Thus, a satisfactory clinical result was achieved by restoring the VD with the reestablishment of function and esthetics.
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Unconventional implant treatment: Primary teeth as functional provisional restoration p. 78
Vijendra Pal Singh, Sunil Kumar Nettemu, Venkatachalapathi Suram, Sowmya Nettem
Replacement of hopeless retained primary teeth with dental implants offers various advantages, such as preservation of the crestal bone and elimination of the need to restore the adjacent teeth. Various methods of temporization have been advocated with the aim to support the peri-implant tissues and esthetics; however, longer chairside time is required to accurately reproduce the interproximal contacts and identify the location of the cervical margin. Recently, few case reports utilized a patient's natural teeth as provisional restorations supported by the immediately placed implants or splinted to the adjacent teeth. The case report presented here illustrates the implant placed through the crown of primary teeth in the maxillary and mandibular first molar and utilization of primary teeth as functional provisional restoration. These primary teeth acts as natural space maintainer, maintaining the peri-implant tissues, during the healing period of implant as well as minimize the chairside clinician's time for the fabrication of temporary prosthesis.
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Management of internal and external resorption with open apex p. 83
Ekta Aakash Sengar, Sanjyot Mulay, Anita Kulloli, Shruti Ligade
Tooth resorption is a phenomenon resulting in the loss of tooth structure. A simultaneous occurrence of internal resorption and communicating external resorption is often challenging for a clinician. To elicit immediate root canal treatment is of utmost importance, followed by the repair of defect to achieve promising results. For successful outcome, thorough investigations and obtaining a three-dimensional view of the extent and location of resorption should be obtained in order to plan the treatment.
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Clinical and histopathological study of four diverse cases of peripheral ossifying fibroma: A case series p. 89
Nishat Sultan, Zeba Jafri, Madhuri Sawai, Anika Daing
Peripheral ossifying fibroma (POF) is an inflammatory reactive hyperplasia of gingiva. It presents as a diverse lesion with respect to the size, site, gender, age of incidence, clinical appearance, histological, and radiographic presentations. Here, we present a case series of four cases of POF. All the four cases show the clinical, histological, and radiographic diversity of POF posing a diagnostic dilemma. Local excisional biopsy was performed in all the four cases, and the specimens were subjected to histopathological examination which revealed Case 1 to be peripheral cemento-ossifying fibroma, whereas, Case 2, 3, and 4 came out to be POF. Clinically, it becomes difficult to differentiate between the various reactive lesions of the gingiva. This emphasizes upon the role of biopsy for all such lesions. All the local etiological factors should be completely removed, and patients must be put on regular follow-up for evaluation of any recurrences.
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Periodontal status among patients with type II diabetes in a newly developing country p. 95
Mahmood Dhahir Al-Mendalawi
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