Pub Date : 2020-10-01DOI: 10.37191/mapsci-2582-3736-2(1)-020
Vikas Reddy Gandluru
Background: Stroke had been the leading cause of death in industrialized countries, following cardiovascular disease and cancer. Aim and Objective: The present study aims to evaluate the fact that dental practitioners as health care providers ought to play their part in the early detection of patients at risk of having a cerebrovascular stroke. Materials and Methods: Initial study design consisted of 1000 panoramic radiographs (PRs), which were taken for patients visiting the department of Oral Medicine and Radiology. Two examiners reviewed all the radiographs. Sixty-one patients were found to have suspected carotid artery calcifications. Out of them, only 43 patients were subjected to Doppler ultrasound for confirmation of the carotid artery calcifications (CAC's). Results: Out of the 61 patients suspected of having carotid calcifications, 30 were male (49.2%) and 31 were female (50.8%) P value=0.844.Patients with age group between 51-61 had higher incidence of calcifications on orthopanograph (OPG). Mean age of the patients with calcifications on OPG was 56.67 ± SD of 10.15 (p=0.004). Of the final 43 subjects, only 11 patients were confirmed to have positive carotid calcifications in Doppler ultrasonography study. Out of 11 patients, only 9 patients had atherosclerotic plaques that were not hemodynamically important and 2 patients had less than 50% carotid artery stenosis. Based on the Kappa value of 0.397, the level of agreement would be moderate with p value <0.001. Conclusion: Our study suggests that panoramic radiography can be a significant measure for detecting stroke prone patient. The role of Dental practitioners can be extended further, and overcome certain obstacles before panoramic radiography can be implemented as a new screening method for patients at risk of having a stroke.
{"title":"Identification of Carotid Artery Calcifications on Digital Panoramic Radiograph in a Group of South Indian population: A Retrospective Study","authors":"Vikas Reddy Gandluru","doi":"10.37191/mapsci-2582-3736-2(1)-020","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(1)-020","url":null,"abstract":"Background: Stroke had been the leading cause of death in industrialized countries, following cardiovascular disease and cancer. Aim and Objective: The present study aims to evaluate the fact that dental practitioners as health care providers ought to play their part in the early detection of patients at risk of having a cerebrovascular stroke.\u0000\u0000Materials and Methods: Initial study design consisted of 1000 panoramic radiographs (PRs), which were taken for patients visiting the department of Oral Medicine and Radiology. Two examiners reviewed all the radiographs. Sixty-one patients were found to have suspected carotid artery calcifications. Out of them, only 43 patients were subjected to Doppler ultrasound for confirmation of the carotid artery calcifications (CAC's).\u0000\u0000Results: Out of the 61 patients suspected of having carotid calcifications, 30 were male (49.2%) and 31 were female (50.8%) P value=0.844.Patients with age group between 51-61 had higher incidence of calcifications on orthopanograph (OPG). Mean age of the patients with calcifications on OPG was 56.67 ± SD of 10.15 (p=0.004). Of the final 43 subjects, only 11 patients were confirmed to have positive carotid calcifications in Doppler ultrasonography study. Out of 11 patients, only 9 patients had atherosclerotic plaques that were not hemodynamically important and 2 patients had less than 50% carotid artery stenosis. Based on the Kappa value of 0.397, the level of agreement would be moderate with p value <0.001.\u0000\u0000Conclusion: Our study suggests that panoramic radiography can be a significant measure for detecting stroke prone patient. The role of Dental practitioners can be extended further, and overcome certain obstacles before panoramic radiography can be implemented as a new screening method for patients at risk of having a stroke.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70020125","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}
Pub Date : 2020-09-16DOI: 10.37191/mapsci-2582-3736-2(4)-055
Snehitha A
Dermatological disorders have an alarming incidence of 60% in the Indian scenario. These disorders can range from mild dermatitis, acne to the most severe form of unresolving urticaria, pruritis etc. Clinicians have come a long way in terms of advancements in the diagnosis and management of these lesions. However, infection including dental infection, as a common source of etiology for such dermatological disorders is often neglected. Common sources of infection from the orofacial region include periodontitis, partially impacted teeth, periapical lesions, and so on. The probable mechanism supporting this mysterious correlation is of hematogenous spread of infection/bacteria and IgE mediated histamine release thereby, triggering and causing dermatological lesions. Here, we report 2 such cases of chronic urticaria which resolved on dental therapy
{"title":"Skin Lesions with An Odontogenic Origin","authors":"Snehitha A","doi":"10.37191/mapsci-2582-3736-2(4)-055","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(4)-055","url":null,"abstract":"Dermatological disorders have an alarming incidence of 60% in the Indian scenario. These disorders can range from mild dermatitis, acne to the most severe form of unresolving urticaria, pruritis etc. Clinicians have come a long way in terms of advancements in the diagnosis and management of these lesions. However, infection including dental infection, as a common source of etiology for such dermatological disorders is often neglected. Common sources of infection from the orofacial region include periodontitis, partially impacted teeth, periapical lesions, and so on. The probable mechanism supporting this mysterious correlation is of hematogenous spread of infection/bacteria and IgE mediated histamine release thereby, triggering and causing dermatological lesions. Here, we report 2 such cases of chronic urticaria which resolved on dental therapy","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46940471","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}
Pub Date : 2020-08-19DOI: 10.37191/mapsci-2582-3736-2(4)-049
M. Conceicao
Organoleptic tests are essential in the diagnosis and treatment of halitosis due to three main functions: (A) measuring halitosis, for which it is considered as the gold standard method; (B) helping patients to recover their self-confidence as they get more confident each time their breath is well evaluated; (C) assessing the origin of halitosis through oral and nasal organoleptic tests and by comparing mouth and nose exhaled air, which is possible for diagnosing oral, nasal or extraoral origins of halitosis with a very small error margin. Nevertheless, literature for organoleptic scales that recommend the use of nasal organoleptic tests and/or techniques to diagnose halitosis origin is scarce. Two significant aspects that must be contemplated seriously are the potential risk of cross infections following organoleptic tests as well as the lack of safety guidelines, especially with regards to the recent contagious potential of SARS-CoV-2 worldwide. An important safety aspect concerns avoiding performing organoleptic tests whenever feeling flu-like symptoms, such as fever, dry cough, or difficulty breathing. Also, individuals at higher risk for severe illness should not be elected examiners. Although a safer oral and nasal organoleptic technique is being proposed based on literature, organoleptic assessment should be temporarily suspended until the COVID-19 pandemic situation has normalized and further studies to evaluate the safety of different organoleptic tests methods are performed. Depending on the results of the tests a different origin of halitosis can be inferred, thus avoiding diagnostic errors and unnecessary treatments. The regular use of the present technique on patients and in research can provide more precise diagnostic results. It also allows patients to check their breath at home and consequently take some actions to solve or identify the causing issue in case an alteration is detected, as well as reinforces patients` self-confidence when receiving pleasant breath results after consecutive tests.
{"title":"Diagnostic Technique for Assessing Halitosis Origin Using Oral and Nasal Organoleptic Tests, Including Safety Measures Post Covid-19","authors":"M. Conceicao","doi":"10.37191/mapsci-2582-3736-2(4)-049","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(4)-049","url":null,"abstract":"Organoleptic tests are essential in the diagnosis and treatment of halitosis due to three main functions: (A) measuring halitosis, for which it is considered as the gold standard method; (B) helping patients to recover their self-confidence as they get more confident each time their breath is well evaluated; (C) assessing the origin of halitosis through oral and nasal organoleptic tests and by comparing mouth and nose exhaled air, which is possible for diagnosing oral, nasal or extraoral origins of halitosis with a very small error margin. Nevertheless, literature for organoleptic scales that recommend the use of nasal organoleptic tests and/or techniques to diagnose halitosis origin is scarce. Two significant aspects that must be contemplated seriously are the potential risk of cross infections following organoleptic tests as well as the lack of safety guidelines, especially with regards to the recent contagious potential of SARS-CoV-2 worldwide. An important safety aspect concerns avoiding performing organoleptic tests whenever feeling flu-like symptoms, such as fever, dry cough, or difficulty breathing. Also, individuals at higher risk for severe illness should not be elected examiners. Although a safer oral and nasal organoleptic technique is being proposed based on literature, organoleptic assessment should be temporarily suspended until the COVID-19 pandemic situation has normalized and further studies to evaluate the safety of different organoleptic tests methods are performed. Depending on the results of the tests a different origin of halitosis can be inferred, thus avoiding diagnostic errors and unnecessary treatments. The regular use of the present technique on patients and in research can provide more precise diagnostic results. It also allows patients to check their breath at home and consequently take some actions to solve or identify the causing issue in case an alteration is detected, as well as reinforces patients` self-confidence when receiving pleasant breath results after consecutive tests.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43719774","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}
Pub Date : 2020-07-07DOI: 10.37191/mapsci-2582-3736-2(4)-053
Hussam M Alqahtani
The Purpose: This systematic review conducted to assess the effectiveness of local administration of 1 % Metformin as an adjunct to scaling and root planing on periodontal intrabony defects. Methods: Two independents reviewers searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, and ClinicalTrials.gov.We included randomized controlled trials (RCTs) of local administration of 1% metformin interventions in patients with periodontal intrabony defect undergoing scaling and root planing as compared to local administration of placebo gel where periodontal parameters were evaluated. The Cochrane RoB tool was used to evaluate the risk of bias. Meta-analyses for the quantitative data were performed. We assessed the level of certainty for our outcomes using (GRADE) tool. Results: Among the 1666 studies screened, two RCTs were included in the meta-analyses. The meta-analysis showed a statistically significant difference for all outcomes except the plaque index.Quantitative analyses showed a weighted mean difference (WMD) of1.17 mm (95% CI=1.01 to 1.34 mm, P<0.00001) for depth of periodontal intrabony defect; a WMD of 2.54 mm (95% CI=2.20 to 2.88 mm, P<0.00001) for clinical attachment level;a WMD of 2.01 mm (95%CI=1.68 to 2.33 mm, P<0.00001) for probing depth (PD);a WMD of 0.38 (95% CI=0.14 to 0.62, P = 0.002) for bleeding on probing (BOP); and a WMD of 0.00 mm (95% CI=−0.04 to 0.04 mm, P=0.95) for plaque index. There is moderate certainty of the evidence for all outcomes. Conclusions: Local application of 1% metformin in patients with periodontal intrabony defect may improve the clinical and radiographic periodontal parameters. Future clinical trials are required to confirm the clinical benefits of a 1% metformin application as adjunctive to scaling and root planing in patients with periodontal intrabony defect. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO): CRD167223.
{"title":"A Systematic Review and Meta-Analysis of Local Administration of 1 Percent Metformin as an Adjunct to Scaling and Root Planning on Periodontal Intrabony Defects","authors":"Hussam M Alqahtani","doi":"10.37191/mapsci-2582-3736-2(4)-053","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(4)-053","url":null,"abstract":"The Purpose: This systematic review conducted to assess the effectiveness of local administration of 1 % Metformin as an adjunct to scaling and root planing on periodontal intrabony defects.\u0000\u0000Methods: Two independents reviewers searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, and ClinicalTrials.gov.We included randomized controlled trials (RCTs) of local administration of 1% metformin interventions in patients with periodontal intrabony defect undergoing scaling and root planing as compared to local administration of placebo gel where periodontal parameters were evaluated. The Cochrane RoB tool was used to evaluate the risk of bias. Meta-analyses for the quantitative data were performed. We assessed the level of certainty for our outcomes using (GRADE) tool. \u0000\u0000Results: Among the 1666 studies screened, two RCTs were included in the meta-analyses. The meta-analysis showed a statistically significant difference for all outcomes except the plaque index.Quantitative analyses showed a weighted mean difference (WMD) of1.17 mm (95% CI=1.01 to 1.34 mm, P<0.00001) for depth of periodontal intrabony defect; a WMD of 2.54 mm (95% CI=2.20 to 2.88 mm, P<0.00001) for clinical attachment level;a WMD of 2.01 mm (95%CI=1.68 to 2.33 mm, P<0.00001) for probing depth (PD);a WMD of 0.38 (95% CI=0.14 to 0.62, P = 0.002) for bleeding on probing (BOP); and a WMD of 0.00 mm (95% CI=−0.04 to 0.04 mm, P=0.95) for plaque index. There is moderate certainty of the evidence for all outcomes.\u0000\u0000Conclusions: Local application of 1% metformin in patients with periodontal intrabony defect may improve the clinical and radiographic periodontal parameters. Future clinical trials are required to confirm the clinical benefits of a 1% metformin application as adjunctive to scaling and root planing in patients with periodontal intrabony defect.\u0000\u0000Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO): CRD167223.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48664807","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}
Pub Date : 2020-07-07DOI: 10.37191/mapsci-2582-3736-2(4)-054
Quratul-Ain Zafar
Objective: The purpose of this study was to evaluate the impact of the COVID-19 pandemic on frontline healthcare workers in Pakistan in terms of psychological factors emotional distress, insomnia, and burnout. Study Design: Observational cross-sectional study. Place and Duration of Study: This study was conducted at different hospitals across Pakistan and data collection was carried out from 15th June 2020 till 15th August 2020. Material and Methods: This was a questionnaire-based study aiming to compare the levels of burnout and emotional distress between frontline COVID-19 and non-COVID-19 healthcare workers. Any physician, nurse, and other healthcare workers were recruited from emergency care units and Covid-19 care units (target group), and non-COVID-19 care units (control group). Participation was voluntary and participants had to complete self-reported questionnaires and scales. A mixed-mode data collection was carried out, either in paper or web-based form to ensure maximum participation. Results: The independent t-test showed a statistically significant difference between the two groups regarding depression, stress, and insomnia. The study group showed higher scores for these factors than the control group. Chi-square test of association revealed significant scores of burnout and professional fulfillment in both groups. There was a higher prevalence of burnout in the study group than in the control group. Conclusion: This study concludes that there was a significant psychosocial impact of the Covid-19 pandemic in the frontline healthcare workers measured in terms of emotional distress, insomnia, and burnout.
{"title":"Psychosocial Impact of Covid-19 Pandemic on Frontline Healthcare Workers in Pakistan: A Cross-Sectional Study","authors":"Quratul-Ain Zafar","doi":"10.37191/mapsci-2582-3736-2(4)-054","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(4)-054","url":null,"abstract":"Objective: The purpose of this study was to evaluate the impact of the COVID-19 pandemic on frontline healthcare workers in Pakistan in terms of psychological factors emotional distress, insomnia, and burnout.\u0000\u0000Study Design: Observational cross-sectional study.\u0000\u0000Place and Duration of Study: This study was conducted at different hospitals across Pakistan and data collection was carried out from 15th June 2020 till 15th August 2020.\u0000\u0000Material and Methods: This was a questionnaire-based study aiming to compare the levels of burnout and emotional distress between frontline COVID-19 and non-COVID-19 healthcare workers. Any physician, nurse, and other healthcare workers were recruited from emergency care units and Covid-19 care units (target group), and non-COVID-19 care units (control group). Participation was voluntary and participants had to complete self-reported questionnaires and scales. A mixed-mode data collection was carried out, either in paper or web-based form to ensure maximum participation.\u0000\u0000Results: The independent t-test showed a statistically significant difference between the two groups regarding depression, stress, and insomnia. The study group showed higher scores for these factors than the control group. Chi-square test of association revealed significant scores of burnout and professional fulfillment in both groups. There was a higher prevalence of burnout in the study group than in the control group.\u0000\u0000Conclusion: This study concludes that there was a significant psychosocial impact of the Covid-19 pandemic in the frontline healthcare workers measured in terms of emotional distress, insomnia, and burnout.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42415208","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}
Pub Date : 2020-07-06DOI: 10.37191/mapsci-2582-3736-2(4)-051
S. Ansari
Aim: To assess the perception of the general public towards an ideal smile, to determine an association of good facial esthetics with the high confidence level, to compare the findings based on age, gender, and socioeconomic status. Materials and methods: This study was targeted towards the Saudi general public in Riyadh city; therefore, all males and females more than 18 years of age were recruited to fill up the questionnaire. A total of 10000 Saudi general public were targeted in this study. The survey was sent using online links via social media and other sources. Results: A total of 8437 Saudis male and females filled up the online survey, which comprised of 39% (n=3307) males and 61% (n=5130) females. The participants were grouped based on their education level, which demonstrated that 3% (n=230) are primary level, 34% (n=2861) are high school level, 63%(n=5320) are university graduates. The participants were also grouped based on their socio-economic status, which demonstrated that 5% (n=428) are low status, 89% (n=7539) are moderate status and 6%(n=460) are high status. The participants were also grouped based on their dental visits, which demonstrated that 68% (n=5671) visit 0-2 times, 22% (n=1823) visit 3-5 times and10%(n=911) visit 6 times or more. Conclusion: Females were found to be more concerned about their smile, Educational levels did not affect the decision making, Higher socioeconomic status groups had more concern about their aesthetic smile, Patients with an increased number of dental visits had greater concern about their smile.
{"title":"Desired Smile and Effect of Facial Esthetics on the Confidence Level of Saudi Public: A Survey-based Study","authors":"S. Ansari","doi":"10.37191/mapsci-2582-3736-2(4)-051","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(4)-051","url":null,"abstract":"Aim: To assess the perception of the general public towards an ideal smile, to determine an association of good facial esthetics with the high confidence level, to compare the findings based on age, gender, and socioeconomic status.\u0000\u0000Materials and methods: This study was targeted towards the Saudi general public in Riyadh city; therefore, all males and females more than 18 years of age were recruited to fill up the questionnaire. A total of 10000 Saudi general public were targeted in this study. The survey was sent using online links via social media and other sources.\u0000\u0000Results: A total of 8437 Saudis male and females filled up the online survey, which comprised of 39% (n=3307) males and 61% (n=5130) females. The participants were grouped based on their education level, which demonstrated that 3% (n=230) are primary level, 34% (n=2861) are high school level, 63%(n=5320) are university graduates.\u0000\u0000The participants were also grouped based on their socio-economic status, which demonstrated that 5% (n=428) are low status, 89% (n=7539) are moderate status and 6%(n=460) are high status. The participants were also grouped based on their dental visits, which demonstrated that 68% (n=5671) visit 0-2 times, 22% (n=1823) visit 3-5 times and10%(n=911) visit 6 times or more.\u0000\u0000Conclusion: Females were found to be more concerned about their smile, Educational levels did not affect the decision making, Higher socioeconomic status groups had more concern about their aesthetic smile, Patients with an increased number of dental visits had greater concern about their smile.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45337237","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}
Pub Date : 2020-07-05DOI: 10.37191/mapsci-2582-3736-2(4)-050
Gupta V
In today's era, there is an increased demand for orthodontic treatment, especially among young patients. The greatest concern amongst the patients undergoing orthodontic treatment is the increased treatment time. The fixed orthodontic treatment lasts up to 2 to 3 years which further increases the risk of complications associated with the treatment such as external root resorption, periodontal problems, and patient compliance [1]. Clinicians are constantly striving towards developing strategies to enhance the rate of orthodontic tooth movement and decreasing the treatment time. Numerous surgical modalities found to be highly effective in reducing the treatment time for orthodontic therapy include corticotomy, corticision, peizocision, periodontal distraction, dentoalveolar distraction etc. [2]. Wilcko et al. [3] introduced the combined approach corticotomy surgery with alveolar grafting in a technique referred to as Accelerated Osteogenic Orthodontics (AOO) and recently known as Periodontally accelerated osteogenic orthodontics (PAOO). Many studies dictated that PAOO is an extremely predictable, safe, effective technique. The risk of root resorption and the duration of treatment time is considerably reduced [3-5]. The present article focuses on accelerating the orthodontic tooth movement using a Demineralized dentin matrix (DDM) graft, alloplast and PRF membranes to reduce the treatment time and improves soft and hard tissue healing outcomes.
{"title":"An Innovative Approach for Accelerated Orthodontic Tooth Movement Stimulated by Corticotomy and Alveolar Grafting withAutogenous Demineralized Dentin Graft of Extracted Premolar- A Case Report","authors":"Gupta V","doi":"10.37191/mapsci-2582-3736-2(4)-050","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(4)-050","url":null,"abstract":"In today's era, there is an increased demand for orthodontic treatment, especially among young patients. The greatest concern amongst the patients undergoing orthodontic treatment is the increased treatment time. The fixed orthodontic treatment lasts up to 2 to 3 years which further increases the risk of complications associated with the treatment such as external root resorption, periodontal problems, and patient compliance [1]. Clinicians are constantly striving towards developing strategies to enhance the rate of orthodontic tooth movement and decreasing the treatment time. Numerous surgical modalities found to be highly effective in reducing the treatment time for orthodontic therapy include corticotomy, corticision, peizocision, periodontal distraction, dentoalveolar distraction etc. [2]. Wilcko et al. [3] introduced the combined approach corticotomy surgery with alveolar grafting in a technique referred to as Accelerated Osteogenic Orthodontics (AOO) and recently known as Periodontally accelerated osteogenic orthodontics (PAOO). Many studies dictated that PAOO is an extremely predictable, safe, effective technique. The risk of root resorption and the duration of treatment time is considerably reduced [3-5]. The present article focuses on accelerating the orthodontic tooth movement using a Demineralized dentin matrix (DDM) graft, alloplast and PRF membranes to reduce the treatment time and improves soft and hard tissue healing outcomes.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70020905","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}
Pub Date : 2020-07-04DOI: 10.37191/mapsci-2582-3736-2(4)-052
A. Mehta
The Gingival recession is considered a multi-factorial. The etiology may be an anatomically vulnerable area, faulty tooth brushing, high frenum attachment. In cases where there is progressive recession, aesthetics concern or increasing dentinal hypersensitivity, we can do recession coverage. Depending upon the presence or absence of adequate keratinized tissue we can choose the technique. In case of adequate width of keratinized tissue, usually we can do displaced flap and in case where there is inadequate width, we can do gingival grafting.
{"title":"Subepithelial Connective Tissue Graft for Gingival Recession Coverage: A Case Report","authors":"A. Mehta","doi":"10.37191/mapsci-2582-3736-2(4)-052","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(4)-052","url":null,"abstract":"The Gingival recession is considered a multi-factorial. The etiology may be an anatomically vulnerable area, faulty tooth brushing, high frenum attachment. In cases where there is progressive recession, aesthetics concern or increasing dentinal hypersensitivity, we can do recession coverage. Depending upon the presence or absence of adequate keratinized tissue we can choose the technique. In case of adequate width of keratinized tissue, usually we can do displaced flap and in case where there is inadequate width, we can do gingival grafting.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45956873","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}
Pub Date : 2020-06-02DOI: 10.37191/mapsci-2582-3736-2(3)-042
H. Jasim
Background: Alcohol has a negative effect on humans, whether it is on the healthy or even economic side. It is considered a serious condition for the occurrence of many diseases threatening human life or may contribute to increasing their severity in addition to the negative impact on some parts of the human body. Aim of the study: To evaluate the alveolar bone status by measuring the alveolar bone crest level of the interproximal teeth in alcohol drinker individuals on CBCTs. Material and Methods: The current study included randomly selected male patients (n=294) who admitted to radiology units in some dentistry centers in Baghdad city, between the ages of 25 and 45 years. The selected male subjects were divided into three groups: control group (n=120), light alcohol drinking group (n=98) and heavy alcohol drinking group (n=76). The measurements of alveolar crest level were done on CBCT images by measuring a distance between the crest of alveolar bone and the “cementoenamel junction” in the interproximal teeth region. Results: Statistical analysis showed that there was a significant reduction in the alveolar bone crest level in the alcohol drinker groups as compared to the control non-drinker group at p-value ?0.05. In addition, the study also showed that there was a significant reduction of alveolar bone crest level in the maxilla as compared to the mandible between the alcohol drinker groups at p-value ?0.05. Conclusion: The study found there was a negative effect of “alcohol consumption” on the alveolar bone as it causes a reduction of alveolar bone crest level in the interproximal areas of teeth. Clinical significance: The study confirms the damage of alveolar bone reduction as a result of the long-term consumption of alcohol.
{"title":"Study of Alveolar Bone Status in Alcoholic Patients by Cone-Beam Computed Tomography","authors":"H. Jasim","doi":"10.37191/mapsci-2582-3736-2(3)-042","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(3)-042","url":null,"abstract":"Background: Alcohol has a negative effect on humans, whether it is on the healthy or even economic side. It is considered a serious condition for the occurrence of many diseases threatening human life or may contribute to increasing their severity in addition to the negative impact on some parts of the human body. \u0000\u0000Aim of the study: To evaluate the alveolar bone status by measuring the alveolar bone crest level of the interproximal teeth in alcohol drinker individuals on CBCTs. \u0000\u0000Material and Methods: The current study included randomly selected male patients (n=294) who admitted to radiology units in some dentistry centers in Baghdad city, between the ages of 25 and 45 years. The selected male subjects were divided into three groups: control group (n=120), light alcohol drinking group (n=98) and heavy alcohol drinking group (n=76). The measurements of alveolar crest level were done on CBCT images by measuring a distance between the crest of alveolar bone and the “cementoenamel junction” in the interproximal teeth region.\u0000\u0000Results: Statistical analysis showed that there was a significant reduction in the alveolar bone crest level in the alcohol drinker groups as compared to the control non-drinker group at p-value ?0.05. In addition, the study also showed that there was a significant reduction of alveolar bone crest level in the maxilla as compared to the mandible between the alcohol drinker groups at p-value ?0.05.\u0000\u0000Conclusion: The study found there was a negative effect of “alcohol consumption” on the alveolar bone as it causes a reduction of alveolar bone crest level in the interproximal areas of teeth.\u0000\u0000Clinical significance: The study confirms the damage of alveolar bone reduction as a result of the long-term consumption of alcohol.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42037878","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}
Pub Date : 2020-06-01DOI: 10.37191/mapsci-2582-3736-2(3)-041
Sakshi Sharma
Osteoporosis has been a cause for major concern for all the nations where the population of senior citizens has seen a spurt on account of better healthcare. However, where a timely diagnosis cannot be made, it causes a lot of suffering to the patient. The study aims at exploring the potential of dental radiography as a tool for diagnosis where a dentist could identify groups at high risk of suffering from this ailment much before they suffer from any fracture and to prevent it from happening by mitigating the various factors that may cause it. Going beyond the conventional techniques of diagnosis, this study evaluates the efficacy of the novel methodology studied under the Osteodent Project for determining risk or vulnerability to osteoporosis through radio-morphometric and visual indices or photodensitometric analysis of trabecular patterns. Dental Radiography is not the sole diagnostic method for this ailment but an adjunct to screening techniques that can be used by a dentist for undiagnosed cases in patients who are unaware of being at risk. Since dental X-rays capture a two-dimensional image, visual examination becomes imperative to assess dimensions of bone and make requisite calculations for bone mineral density to predict the risk of osteoporosis.
{"title":"Osteoporosis: Detection Using Dental Radiography","authors":"Sakshi Sharma","doi":"10.37191/mapsci-2582-3736-2(3)-041","DOIUrl":"https://doi.org/10.37191/mapsci-2582-3736-2(3)-041","url":null,"abstract":"Osteoporosis has been a cause for major concern for all the nations where the population of senior citizens has seen a spurt on account of better healthcare. However, where a timely diagnosis cannot be made, it causes a lot of suffering to the patient. The study aims at exploring the potential of dental radiography as a tool for diagnosis where a dentist could identify groups at high risk of suffering from this ailment much before they suffer from any fracture and to prevent it from happening by mitigating the various factors that may cause it. Going beyond the conventional techniques of diagnosis, this study evaluates the efficacy of the novel methodology studied under the Osteodent Project for determining risk or vulnerability to osteoporosis through radio-morphometric and visual indices or photodensitometric analysis of trabecular patterns. Dental Radiography is not the sole diagnostic method for this ailment but an adjunct to screening techniques that can be used by a dentist for undiagnosed cases in patients who are unaware of being at risk. Since dental X-rays capture a two-dimensional image, visual examination becomes imperative to assess dimensions of bone and make requisite calculations for bone mineral density to predict the risk of osteoporosis.","PeriodicalId":92922,"journal":{"name":"Journal of dentistry and oral sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42173695","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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