This Research Insights Paper is one of a series commissioned through ANZSOG by the 2019 Independent Review of the Australian Public Service, to inform the Review’s deliberations. For the APS to perform at its best, and add most value to our system of democratic institutions, it must work effectively with other jurisdictions. Many of Australia’s most pressing challenges straddle Commonwealth and State activity, and this paper looks at how the APS can best support effective national action involving multiple jurisdictions.
{"title":"Working Better with Other Jurisdictions: An ANZSOG Research Paper for the Australian Public Service Review Panel","authors":"B. Rimmer, C. Saunders, M. Crommelin","doi":"10.54810/sizb7263","DOIUrl":"https://doi.org/10.54810/sizb7263","url":null,"abstract":"This Research Insights Paper is one of a series commissioned through ANZSOG by the 2019 Independent Review of the Australian Public Service, to inform the Review’s deliberations. For the APS to perform at its best, and add most value to our system of democratic institutions, it must work effectively with other jurisdictions. Many of Australia’s most pressing challenges straddle Commonwealth and State activity, and this paper looks at how the APS can best support effective national action involving multiple jurisdictions.","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79963357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ensuring a world-class Australian Public Service: delivering local solutions","authors":"C. Althaus, C. Mcgregor","doi":"10.54810/yybw7779","DOIUrl":"https://doi.org/10.54810/yybw7779","url":null,"abstract":"","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86031613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peripheral ossifying fibroma (POF) is composed of fibroblastic connective tissue stroma which is associated with the formation of randomly dispersed foci of mineralized products which consists of bone, cementoid-like substance, or dystrophic calcification. The color of the lesion ranges from red to pink and is frequently ulcerated. Either sessile or pedunculated the size is <2 cms. POF shows a striking female predilection occurring mostly between 2nd and 3rd decades of life. It occurs exclusively on gingiva, frequently on maxilla than mandible, around incisors and canines. Adjacent teeth are usually not affected. Microscopically, POF appears as combination of mineralized product and fibrous proliferation. Highly developed bone or cementum is more likely to be present in long-standing lesions. The objectives of this current case series are to discuss the clinical manifestations, and histopathological presentations of four cases of POF, which were on regular follow-up along with a minireview on the same.
{"title":"Peripheral ossifying fibroma: A series of four cases","authors":"Nikita N. Burde, Sneha B. Gade, Prabhdeep Kour","doi":"10.15713/ins.jcri.276","DOIUrl":"https://doi.org/10.15713/ins.jcri.276","url":null,"abstract":"Peripheral ossifying fibroma (POF) is composed of fibroblastic connective tissue stroma which is associated with the formation of randomly dispersed foci of mineralized products which consists of bone, cementoid-like substance, or dystrophic calcification. The color of the lesion ranges from red to pink and is frequently ulcerated. Either sessile or pedunculated the size is <2 cms. POF shows a striking female predilection occurring mostly between 2nd and 3rd decades of life. It occurs exclusively on gingiva, frequently on maxilla than mandible, around incisors and canines. Adjacent teeth are usually not affected. Microscopically, POF appears as combination of mineralized product and fibrous proliferation. Highly developed bone or cementum is more likely to be present in long-standing lesions. The objectives of this current case series are to discuss the clinical manifestations, and histopathological presentations of four cases of POF, which were on regular follow-up along with a minireview on the same.","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89881576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Pai, Shruti R. Poojari, K. Ramachandra, S. Bhaskaran, M. Jyothi
This article is the continuation of temporomandibular joint (TMJ) disorders Part I. This article focuses on the intracapsular disorders of the TMJ and the most common types that we as a dentist encounter. The condition of the intracapsular structure of TMJ affects the position of the TMJs; it also affects the occlusal relation.
{"title":"Temporomandibular joint disorders - Part I","authors":"S. Pai, Shruti R. Poojari, K. Ramachandra, S. Bhaskaran, M. Jyothi","doi":"10.15713/ins.jcri.248","DOIUrl":"https://doi.org/10.15713/ins.jcri.248","url":null,"abstract":"This article is the continuation of temporomandibular joint (TMJ) disorders Part I. This article focuses on the intracapsular disorders of the TMJ and the most common types that we as a dentist encounter. The condition of the intracapsular structure of TMJ affects the position of the TMJs; it also affects the occlusal relation.","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"213 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75084574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Durga Okade, T. Nagaraj, S. Pai, S. Saxena, Poonam Sahu, A. Biswas
{"title":"A Review on Oral and Dental Pain","authors":"Durga Okade, T. Nagaraj, S. Pai, S. Saxena, Poonam Sahu, A. Biswas","doi":"10.15713/INS.JCRI.257","DOIUrl":"https://doi.org/10.15713/INS.JCRI.257","url":null,"abstract":"","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"16 9-12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78253786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pramila Mendonca, B. Praveen, G. Shubha, A. Shubhasini, G. Keerthi
“Nothing is more fundamental to treating patients than knowing anatomy.” The head-and-neck regions are anatomically complex areas of the body. This considerable anatomical and functional complexity makes radiographic interpretation of this region a challenging task.[1] Conventionally, maxillofacial radiological studies, regardless of the imaging technique, provided only a two-dimensional view of complicated three-dimensional (3D) structures and have limitations such as magnification, distortion, superimposition, and misrepresentation of structures. However, with the recent technological advancement, radiological imaging has moved toward 3D and interactive imaging applications.[2] Introduction of 3D imaging modalities such as computed tomography (CT) and cone-beam CT (CBCT) has revolutionized our ability to virtually dissect maxillofacial structures. A major concern related to dental CT is the high radiation dose. CBCT technique provides a relatively high isotropic spatial resolution of osseous structures with a reduced radiation dose compared with CT scans. Introduction CBCT has made it possible for the clinician to more accurately evaluate the anatomy of the dental structures.[3] Inferior alveolar canal (IAC) is a critical anatomical structure which poses great variation in its course and configuration.[4] The IAC houses the inferior alveolar nerve (IAN), the inferior alveolar artery, and inferior alveolar vein. The knowledge of the exact course of the IAC, its neurovascular bundle and its anatomical variations are of great importance during surgical procedures such as third molar surgery, implant placement, osteotomy, and orthognathic surgery to avoid a high risk of Abstract Background and Objective: Radiographic interpretation of inferior alveolar canal (IAC) and other anatomical structures of the mandible are very important, since the injury to these structures during surgical procedures may pose complications. The present study evaluates the course of the IAC and its variations both in the vertical and buccolingual dimension and to analyze the related anatomical structures of the mandible, using cone-beam computed tomography (CBCT). Methodology: Three-dimensional scans of the 80 dry human mandibles were obtained using CBCT. The images were evaluated for the course of the IAC, in vertical and buccolingual dimensions. The images were analyzed for the presence of bifid mandibular canal and anterior mandibular structures such as median lingual foramen and canals, lateral lingual canals, for the visibility of incisive canals, and incidental findings. Results: Course of the IAC was observed as progressive descent in 36.9%, straight projection in 33.1%, and catenary like configuration in 30%. The evaluation of the buccolingual dimension showed three types of the canal as sharp turn pattern in 59.4%, curved soft exit in 35%, and straight exit in 5.6%. Bifid canals were found in 57.5% and median lingual foramen was noted in 96.3%. Median lingual cana
{"title":"Evaluation of inferior alveolar canal course using cone-beam computed tomography","authors":"Pramila Mendonca, B. Praveen, G. Shubha, A. Shubhasini, G. Keerthi","doi":"10.15713/ins.jcri.285","DOIUrl":"https://doi.org/10.15713/ins.jcri.285","url":null,"abstract":"“Nothing is more fundamental to treating patients than knowing anatomy.” The head-and-neck regions are anatomically complex areas of the body. This considerable anatomical and functional complexity makes radiographic interpretation of this region a challenging task.[1] Conventionally, maxillofacial radiological studies, regardless of the imaging technique, provided only a two-dimensional view of complicated three-dimensional (3D) structures and have limitations such as magnification, distortion, superimposition, and misrepresentation of structures. However, with the recent technological advancement, radiological imaging has moved toward 3D and interactive imaging applications.[2] Introduction of 3D imaging modalities such as computed tomography (CT) and cone-beam CT (CBCT) has revolutionized our ability to virtually dissect maxillofacial structures. A major concern related to dental CT is the high radiation dose. CBCT technique provides a relatively high isotropic spatial resolution of osseous structures with a reduced radiation dose compared with CT scans. Introduction CBCT has made it possible for the clinician to more accurately evaluate the anatomy of the dental structures.[3] Inferior alveolar canal (IAC) is a critical anatomical structure which poses great variation in its course and configuration.[4] The IAC houses the inferior alveolar nerve (IAN), the inferior alveolar artery, and inferior alveolar vein. The knowledge of the exact course of the IAC, its neurovascular bundle and its anatomical variations are of great importance during surgical procedures such as third molar surgery, implant placement, osteotomy, and orthognathic surgery to avoid a high risk of Abstract Background and Objective: Radiographic interpretation of inferior alveolar canal (IAC) and other anatomical structures of the mandible are very important, since the injury to these structures during surgical procedures may pose complications. The present study evaluates the course of the IAC and its variations both in the vertical and buccolingual dimension and to analyze the related anatomical structures of the mandible, using cone-beam computed tomography (CBCT). Methodology: Three-dimensional scans of the 80 dry human mandibles were obtained using CBCT. The images were evaluated for the course of the IAC, in vertical and buccolingual dimensions. The images were analyzed for the presence of bifid mandibular canal and anterior mandibular structures such as median lingual foramen and canals, lateral lingual canals, for the visibility of incisive canals, and incidental findings. Results: Course of the IAC was observed as progressive descent in 36.9%, straight projection in 33.1%, and catenary like configuration in 30%. The evaluation of the buccolingual dimension showed three types of the canal as sharp turn pattern in 59.4%, curved soft exit in 35%, and straight exit in 5.6%. Bifid canals were found in 57.5% and median lingual foramen was noted in 96.3%. Median lingual cana","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82409195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Oral submucous fibrosis (OSMF) is characterized by stiffness of the oral mucosa with progressive limitation in opening of the mouth, thus causing difficulty in eating, phonation, and loss of hearing. These changes have a significant impact on the oral hygiene status. Several studies have been conducted to ameliorate the symptoms and improve the overall quality of life. However, not many studies have been performed taking into account the changes in the oral hygiene practices. Through this study, we intend to determine the oral hygiene practices and explore difficulties in oral hygiene maintenance among OSMF patients. Materials and Methods: Thirty OSMF patients were included in the study. Demographic data and habit history were recorded. Oral hygiene instructions were modified, providing each participant with a toothbrush (360 superflex designed for patients who have difficulty reaching some sites in the mouth). Participants were recalled for follow-up after 15 days. Their feedbacks regarding the efficacy of the toothbrush were taken. Results were subjected to statistical analysis. Results and Conclusion: Percentage of participants experiencing soft-tissue trauma reduced from 90% to 10%. Accessibility to posterior molar teeth improved from 16.7% to 73.3% of participants at the end of the study. Oral health is a reflection of one’s physiological, social, and psychological well-being. Hence, our aim should be to achieve better and cleaner mouths by utilizing readily available resources and providing patients with efficient and easy take home oral hygiene instructions.
{"title":"Oral submucous fibrosis — an impediment for maintenance of good oral hygiene: A questionnaire-based study","authors":"Nikita N. Burde, Prabhdeep Kour","doi":"10.15713/ins.jcri.271","DOIUrl":"https://doi.org/10.15713/ins.jcri.271","url":null,"abstract":"Introduction: Oral submucous fibrosis (OSMF) is characterized by stiffness of the oral mucosa with progressive limitation in opening of the mouth, thus causing difficulty in eating, phonation, and loss of hearing. These changes have a significant impact on the oral hygiene status. Several studies have been conducted to ameliorate the symptoms and improve the overall quality of life. However, not many studies have been performed taking into account the changes in the oral hygiene practices. Through this study, we intend to determine the oral hygiene practices and explore difficulties in oral hygiene maintenance among OSMF patients. Materials and Methods: Thirty OSMF patients were included in the study. Demographic data and habit history were recorded. Oral hygiene instructions were modified, providing each participant with a toothbrush (360 superflex designed for patients who have difficulty reaching some sites in the mouth). Participants were recalled for follow-up after 15 days. Their feedbacks regarding the efficacy of the toothbrush were taken. Results were subjected to statistical analysis. Results and Conclusion: Percentage of participants experiencing soft-tissue trauma reduced from 90% to 10%. Accessibility to posterior molar teeth improved from 16.7% to 73.3% of participants at the end of the study. Oral health is a reflection of one’s physiological, social, and psychological well-being. Hence, our aim should be to achieve better and cleaner mouths by utilizing readily available resources and providing patients with efficient and easy take home oral hygiene instructions.","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78809477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Manoharan, K. Sethuraman, B. Adkoli, R. Saravanakumar
{"title":"Current curricular trends and future directions for dental education – The Indian perspective","authors":"P. Manoharan, K. Sethuraman, B. Adkoli, R. Saravanakumar","doi":"10.15713/ins.jcri.282","DOIUrl":"https://doi.org/10.15713/ins.jcri.282","url":null,"abstract":"","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90044209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Esthetics plays an important role in the success of the complete denture prosthesis. Denture esthetics can be enhanced through the application of the concepts and proportions of dental esthetics. These include the selection of teeth form, size, shade and position of the teeth, and the denture base material. To create an individualized esthetic appearance to the patient, a characterized complete denture can be fabricated. Modifications are made in the teeth or the denture bases to make it appear more natural for that particular individual. This paper reviews the concepts and techniques of factors governing the pink and white esthetics of complete denture.
{"title":"The dynamics of pink and white esthetics in complete denture","authors":"V. Anand, P. Manoharan","doi":"10.15713/ins.jcri.265","DOIUrl":"https://doi.org/10.15713/ins.jcri.265","url":null,"abstract":"Esthetics plays an important role in the success of the complete denture prosthesis. Denture esthetics can be enhanced through the application of the concepts and proportions of dental esthetics. These include the selection of teeth form, size, shade and position of the teeth, and the denture base material. To create an individualized esthetic appearance to the patient, a characterized complete denture can be fabricated. Modifications are made in the teeth or the denture bases to make it appear more natural for that particular individual. This paper reviews the concepts and techniques of factors governing the pink and white esthetics of complete denture.","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"30 17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88556558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Pai, Shubhangi Kumari, B. Umamaheswari, M. Jyothi, C. Lakshmi
Materials used in different fields of prosthodontics have evolved over the years. In recent years, patient more preferably demands a metal-free, lightweight, tooth-colored prosthesis. Polyetheretherketone (PEEK) can be used in various ways in prosthodontics. The aim of this article is to encapsulate the precedence of PEEK, compared to other restorative materials that have been used currently, based on various studies conducted on this material.
{"title":"Polyetheretherketone in prosthodontics – A review","authors":"S. Pai, Shubhangi Kumari, B. Umamaheswari, M. Jyothi, C. Lakshmi","doi":"10.15713/ins.jcri.252","DOIUrl":"https://doi.org/10.15713/ins.jcri.252","url":null,"abstract":"Materials used in different fields of prosthodontics have evolved over the years. In recent years, patient more preferably demands a metal-free, lightweight, tooth-colored prosthesis. Polyetheretherketone (PEEK) can be used in various ways in prosthodontics. The aim of this article is to encapsulate the precedence of PEEK, compared to other restorative materials that have been used currently, based on various studies conducted on this material.","PeriodicalId":14943,"journal":{"name":"Journal of Advanced Clinical and Research Insights","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88704753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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