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CASE REPORTS
Healing of a large periapical lesion using triple antibiotic paste and intracanal aspiration in nonsurgical endodontic retreatment
Jaidev Singh Dhillon, Amita , Suresh Kumar Saini, Harmandeep Singh Bedi, Sukhmilap Singh Ratol, Bobbin Gill
July-September 2014, 5(3):161-165
DOI:10.4103/0975-962X.140843  
A patient with a large periapical lesion in relation to the maxillary right central and lateral incisors is presented here. During the conservative root canal treatment, aspiration of the fluid was done through the root canal, followed by placement of triple antibiotic paste for two weeks. Complete periapical healing was observed at the 24-month recall. This report confirms that for treatment of a large periapical lesion it is not always necessary to do surgical treatment and even cyst-like periapical lesions heal following conservative endodontic therapy.
  10,056 1,224 3
Prosthodontic rehabilitation of patient with flabby ridges with different impression techniques
Rubina Bansal, Manjit Kumar, Rashim Garg, Rishi Saini, Shaveta Kaushala
April-June 2014, 5(2):110-113
DOI:10.4103/0975-962X.135296  
A fibrous or flabby ridge is a superficial area of mobile soft tissue affecting the maxillary or mandibular alveolar ridges. It can develop when hyperplastic soft tissue replaces the alveolar bone and is a common finding particularly in the upper anterior region of long term denture wearers. Masticatory forces can displace this mobile denture-bearing tissue, leading to altered denture positioning and loss of peripheral seal. Forces exerted during the act of impression making can result in distortion of the mobile tissue. Unless managed appropriately by special impression techniques, such 'flabby ridges' adversely affect the support, retention and stability of complete dentures. This paper presents three case reports for prosthodontic rehabilitation of patient with flabby ridges with three different impression techniques.
  5,912 1,146 1
ORIGINAL ARTICLES
Oral hygiene awareness and practice amongst patients visiting the Department of Periodontology at a Dental College and Hospital in North India
Daljit Kapoor, Sanjeet Gill, Arshdeep Singh, Inderpreet Kaur, Pooja Kapoor
April-June 2014, 5(2):64-68
DOI:10.4103/0975-962X.135262  
Objective: This study was carried out to assess the oral hygiene awareness and practices amongst patients visiting the Department of Periodontology at Gian Sagar Dental College and Hospital, Ramnagar (Patiala). Methods: A cross-sectional study was carried out amongst the patients visiting the Department of Periodontology of Gian Sagar Dental College and Hospital, Ramnagar, Patiala. This proposed study was reviewed by the Institutional ethical committee and their clearance was obtained. A total of 1000 patients were selected using a convenient sampling technique and a self-constructed questionnaire was presented to them. Responses from the patients were evaluated in terms of numbers and percentages and statistically also they were highly significant (P < 0.005). Results: The results of the study show an acute lack of oral hygiene awareness and limited knowledge of oral hygiene practices as well as effect of poor oral hygiene on systemic health. Conclusion : There is an urgent need for comprehensive educational programs to promote good oral hygiene and impart education about correct oral hygiene practices.
  5,612 799 -
Comparison of gonial angle determination from cephalograms and orthopantomogram
Mandeep Kaur Bhullar, Amandeep Singh Uppal, Gulsheen Kaur Kochhar, Sanjay Chachra, Anuraj Singh Kochhar
July-September 2014, 5(3):123-126
DOI:10.4103/0975-962X.140820  
Introduction: Gonial angle is an important parameter of the craniofacial complex giving an indication about the vertical parameters and symmetry of the facial skeleton. Both orthopantomogram (OPG) and lateral cephalograms can be used for the measurement of gonial angle. Because of the superimpositions seen on lateral cephalograms, reliable measurement of the gonial angle becomes difficult. The aim of the present study is to check the possible application and reliability of OPG for gonial angle determination by clarifying whether there is any significant difference between the determination of gonial angle from OPG and cephalogram. Materials and Methods: Gonial angle measurements were made on lateral cephalograms and orthopantomograms of 98 patients - 44 males (mean age 25.9 years) and 54 females (mean age 21.3 years), and compared using Statistical Package for Social Sciences. Results: One-way analysis of variance demonstrated no significant differences between the values of gonial angles determined by lateral cephalogram and panoramic radiography. Pearson correlation showed a high correlation between cephalometric and OPG gonial angle value. Conclusion: Panoramic radiography can be used to determine the gonial angle as accurately as a lateral cephalogram. For determination of the gonial angle, an OPG may be a better choice than a lateral cephalogram as there are no interferences due to superimposed images of anatomical structures as in a lateral cephalogram. Thus, the present study substantiates the possibility of enhancing the clinical versatility of the panoramic radiograph, which is an indispensable tool for dental diagnosis.
  5,719 515 7
Proximity of maxillary posterior teeth roots to maxillary sinus and adjacent structures using Denta scan®
Ramesh Ram Fry, Dinesh Chand Patidar, Samta Goyal, Aayush Malhotra
July-September 2016, 7(3):126-130
DOI:10.4103/0975-962X.189339  PMID:27795646
Aim: The study aimed to investigate the proximity of maxillary posterior teeth roots to maxillary sinus and measure the distance of maxillary posterior teeth roots and the sinus floor as well as the thickness of bone between the roots and alveolar cortical bone using Denta scan®. Materials and Methods: The study samples include Denta scan® images of fifty patients with normally erupted bilateral maxillary first premolar to maxillary second molar. The vertical relationship of each tooth root with maxillary sinus is classified into four types of Denta scan® images (based on the classification by Jung in 2009). The distance between the sinus floor and root, and the bone thickness between the root and alveolar cortical plate will be measured and analyzed. Conclusion: The buccal root of the maxillary molars was more commonly protruded into the maxillary sinus. Among the roots of maxillary posterior teeth, mesiobuccal root of first molar and palatal root of second premolar were found in close proximity to the floor of maxillary sinus. The bone thickness on the buccal aspect to the root was significantly thinner in the maxillary first premolar and maxillary first molar as compared to other maxillary posterior teeth roots. Clinical Significance: Knowledge of anatomical relationship between the maxillary posterior teeth and maxillary sinus guides us not only in proper preoperative treatment planning but also avoids the possible complications encounter while performing the minor oral surgical procedures involving maxillary posterior teeth, which are close to the maxillary sinus.
  4,895 1,023 -
EDITORIAL
An insight into the role of dentists against the new epidemic of “Drug Abuse”
Rahul Hegde
July-September 2016, 7(3):115-115
DOI:10.4103/0975-962X.189341  PMID:27795643
  4,416 1,449 -
ORIGINAL ARTICLES
The facial skeleton: Armor to the brain?
Satishkumar G Patil, Bindu S Patil, Udupikrishna Joshi, Soumya Allurkar, Sharanabasappa Japatti, Ashwini Munnangi
July-September 2016, 7(3):116-120
DOI:10.4103/0975-962X.180318  PMID:27795644
Background: With the development of urban setting worldwide, the major issue of concern is the increase in the mortality rate in the population due to road traffic accidents. The face, being the most exposed region is susceptible to injuries and maybe associated with injuries to the adjacent neuro-cranium. The literature has conflicting views on the relationship between facial fractures and head injuries with some authors opining that the facial skeleton cushions the brain while some other authors claim that the facial fractures act as indicators for head injuries. Objectives: To analyze the correlation between the facial fractures and head injuries and to assess if the facial skeleton acts to protect the brain from injury. Patients and Methods: A prospective study that included patients who reported to the emergency department of Basaveswar Teaching and General Hospital, Gulbarga, during 2 years, between August 2013 and July 2015 was conducted. A total of 100 patients with facial fractures were enrolled in the study. Results: Head injuries were sustained by 51 patients in the study. Maximum number of patients was in the age group of 20–29 with a male to female ratio of 10.1:1. The mandible was the most frequently fractured bone in the facial skeleton followed by the zygomatico-maxillary complex. A majority (96%) of patients with head injuries had fractures of either the upper third or the middle third of the face. Contusions and pneumocephalus were the most common head injury encountered. The Glasgow Coma Scale score was significantly lower in patients with associated head injuries as compared to those patients with facial trauma alone. The mortality rate in the study was 2% with both the victims having sustained middle third and upper third fractures respectively with associated head injuries. Conclusion: The facial skeleton does not act to cushion the brain from injury but, in fact, the facial trauma victims should be considered potential head injury patients.
  4,302 1,185 3
The relationship of forensic odontology with various dental specialties in the articles published in the Journal of Forensic odonto-stomatology from 2005 to 2012
Thorakkal Shamim
April-June 2015, 6(2):75-80
DOI:10.4103/0975-962X.155888  PMID:26097336
Background: There is a paucity of information about the relationship of forensic odontology with various dental specialties in the articles published in the Journal of Forensic Odonto-Stomatology. This study aimed to find the relationship of forensic odontology with various dental specialties in the articles published in the Journal of Forensic Odonto-Stomatology from 2005 to 2012 over an 8-year period. Methods: Bibliometric analysis was performed using web-based search during December 2013. Results: Out of the total 97 published articles, the maximum number of published articles were related to oral medicine and radiology (20) and community dentistry (20), followed by orthodontics (18), prosthodontics (15), and oral pathology and microbiology (8), pedodontics (7), oral and maxillofacial surgery (4) and conservative dentistry and endodontics (3). Among the articles published in Journal of Forensic Odonto-Stomatology, mass disasters (10) and bite mark analysis (10), followed by sexual dimorphism (8) and dental fraud and malpractice (8), followed by craniofacial superimposition (6) and identification (6) form the major attraction of the contributors. Conclusion: This paper has tried to evaluate the new working classification proposed for forensic odontology based on its relationship with other dental specialties.
  4,674 630 1
A bibliometric analysis of two PubMed-indexed high-impact factor endodontic journals: A comparison of India with other countries
Lora Mishra, Prajna Pattnaik, Manoj Kumar, Sonia Aggarwal, Satya Ranjan Misra
July-September 2016, 7(3):121-125
DOI:10.4103/0975-962X.189342  PMID:27795645
Aim: The present study was conducted with an aim to determine the number and trends of published articles in the International Endodontic Journal (IEJ) and Journal of Endodontics (JOE) from 2009 to 2014. Settings and Designs: A retrospective observational study was conducted for IEJ and JOE. Subjects and Methods: All issues of IEJ and JOE were electronically and hand searched for the following parameters: Amount of papers, publication year, affiliated organizations, and countries. Statistical Analysis Used: The data were organized and analyzed using software SPSS version 21.0; descriptive statistics was used. Results: A total of 872 articles were analyzed in the IEJ and JOE with 1606 papers. Brazil had the largest number of articles (170) mainly in IEJ, and the USA (350) in JOE. Indians published more of their research in JOE than IEJ. Conclusions: Original articles in endodontic publication from different universities in India have considerably increased, showing that research is becoming more important.
  3,999 781 2
Erosive effects of pediatric liquid medicinal syrups on primary enamel: An in vitro comparative study
Parimala Kulkarni, Ayushi Anand, Arpana Bansal, Ankur Jain, Utkarsh Tiwari, Suchi Agrawal
July-September 2016, 7(3):131-133
DOI:10.4103/0975-962X.189338  PMID:27795647
Context: The use of liquid medicinal syrups in childhood is high owing to the reasons that children suffer from illness quite often. The acidic component in the formulations may cause erosion to the dental tissues. Aims: The aim of this study is to evaluate the erosive potential of pediatric liquid medicinal syrups on the deciduous teeth. Subjects and Methods: A total of sixty extracted/exfoliated noncarious deciduous molars were used. Four medical syrups were used (viz., 1 - artificial saliva [control], 2 - Ferium XT, 3 - Crocin syrup, 4 - Ambrolite-D) and the teeth were equally divided into the four groups (n = 15) for the immersion cycle, following which the teeth were examined for surface microhardness at 7, 14, 21, and 28 days. Statistical Analysis Used: ANOVA and post hoc analysis were applied. Results: The time and immersion media interaction demonstrated that antitussives produced a significant and gradual loss of surface microhardness on all days (viz., 7, 14, 21, and 28 days), but a statistically significant difference was seen only between 7th and 28th day (P < 0.05). Conclusions: The knowledge of the erosive potential of commonly used syrups is mandatory as erosion in children teeth may be associated with dental hypersensitivity, loss of the occlusal vertical dimension, eating difficulties, poor esthetics, pulp exposure, and abscesses. Mouth rinsing with water after taking the medication; addition of calcium, fluoride, or phosphate to formulations; and consumption of the medication at meal times have been recommended to avoid tooth damage that is caused by the regular use of medication.
  3,857 858 -
REVIEW ARTICLES
Role of human papillomavirus in oral squamous cell carcinoma and oral potentially malignant disorders: A review of the literature
Shikha Gupta, Sunita Gupta
April-June 2015, 6(2):91-98
DOI:10.4103/0975-962X.155877  PMID:26097339
Human papillomaviruses (HPVs) are epitheliotropic viruses with an affinity for keratinocytes and are principally found in the anogenital tract, urethra, skin, larynx, tracheobronchial and oral mucosa. On the basis of high, but variable frequency of HPV in oral squamous cell carcinoma (OSCC), malignant potential of HPV infection has been hypothesized but not definitely confirmed. The aim of this review was to highlight the genomic structure and possible mechanism of infection and carcinogenesis by HPV in the oral mucosa and to review the frequency of HPV prevalence in OSCC and oral potentially malignant disorders. A computer database search was performed through the use of PubMed from 1994 to 2014. Search keywords used were: HPV and oral cancer, HPV and oral leukoplakia, HPV and oral lichen planus, HPV and OSCC, HPV and verrucous carcinoma, HPV and proliferative verrucous leukoplakia, HPV and oral papilloma.
  3,196 868 10
REVIEW ARTICLE
Curve of Spee - from orthodontic perspective
Sushma Dhiman
October-December 2015, 6(4):199-202
DOI:10.4103/0975-962X.170392  PMID:26752075
The presence of a curve of Spee (COS) of variable depth is common finding in the occlusal arrangement and is sixth key of occlusion The understanding of COS in the field of orthodontics is very important as orthodontists deal with it in virtually every patient they treat. An excessive COS is a common form of malocclusion that may be addressed in many ways, including posterior extrusion, anterior intrusion, and incisor proclination. The specific approach to leveling of COS should be selected based on each patient's needs. Soft tissue, crown–gingival relations, occlusal plane, and skeletofacial concerns are among the special considerations for treatment planning for leveling of COS.
  3,240 758 -
CASE REPORTS
Squamous papilloma of the hard palate
Prashant Babaji, Vikram Singh, Vishwajit Rampratap Chaurasia, Vinaykumar S Masamatti, Akanksha Manmohan Sharma
October-December 2014, 5(4):211-213
DOI:10.4103/0975-962X.144731  
Oral squamous papillomas are benign proliferating lesions induced by human papilloma virus. These lesions are painless and slowly growing masses. As an oral lesion, it raises concern because of its clinical appearance. These lesions commonly occur between age 30 and 50 years, and sometimes can occur before the age of 10 years. Oral squamous papilloma accounts for 8% of all oral tumors in children. Common site predilection for the lesion is the tongue and soft palate, and may occur on any other surface of the oral cavity such as the uvula and vermilion of the lip. Here, we are presenting a case of squamous papilloma on the palate.
  3,396 354 2
ORIGINAL ARTICLES
Comparison of Periochip (chlorhexidine gluconate 2.5 mg) and Arestin (Minocycline hydrochloride 1 mg) in the management of chronic periodontitis
Navjot Jhinger, Daljit Kapoor, Rachna Jain
January-March 2015, 6(1):20-26
DOI:10.4103/0975-962X.151697  PMID:25767356
Background: The aim of the study was to compare the efficacy of chlorhexidine gluconate 2.5 mg (Periochip) and Minocycline hydrochloride 1 mg (Arestin) as local drug delivery agents in the management of chronic periodontitis. Materials and Methods: Twenty patients in the age group of 30-50 years suffering from chronic periodontitis (12 males and 8 females), with almost identical probing depth bilaterally (5-8 mm), and exhibiting bleeding on probing were selected and divided into two groups: Group I consisted of periodontal pockets on the left side and received Periochip and group II consisted of periodontal pockets on the right side and received Arestin. Patients were recalled after 6 weeks and 3 months intervals from the baseline visit to record plaque index, gingival index, and probing depth. Results: There was reduction in all the parameters in both the groups at 6 weeks and 3 months as compared to baseline. Conclusion: From the results of the present study, it was concluded that both the drugs were equally effective in reduction of plaque scores as well as gingival scores. It was further observed that Arestin resulted in better results at 6 weeks while Periochip showed better results at 3 months with respect to probing depth reduction.
  3,004 685 4
Serum vitamin c and iron levels in oral submucous fibrosis
R Guruprasad, Preeti P Nair, Manika Singh, Manishi Singh, MP Singh, Arpit Jain
April-June 2014, 5(2):81-85
DOI:10.4103/0975-962X.135266  
Background: In this study Serum Vitamin C and Iron levels in Oral submucous fibrosis (OSMF) were estimated. The objective was to evaluate the correlation between Serum Vitamin C and Iron levels in OSMF individuals. Serum Iron content can be a predictor for the progression of this condition. OSMF is basically a disorder of collagen metabolism where Vitamin C gets utilized in conversion of proline into hydroxyproline, this hydroxylation reaction requires ferrous Iron and Vitamin C. Many studies regarding micronutrients and other antioxidants levels have been emphasized, but very few studies are done on the Serum levels of Vitamin C and its correlation with Iron in OSMF patients. Methods: Thirty five OSMF patients and 50 deleterious habit free healthy individuals (controls) were selected. Two ml of venous blood was collected from each individual. Vitamin C level in serum was estimated by 2-4 dinitrophenylhydrazine method and Iron estimated by Tripyridyl method. Results: The level of Serum Vitamin-C and Iron was significantly decreased in OSMF patients when compared to controls which were statistically significant. Conclusion : On the basis of these observations, it seems possible that the chemical, thermal and/or mechanical factors associated with the use of areca nut may act in conjunction with the Vitamin C and Iron deficiency leading to the development of OSMF. Therapeutic substitution of vitamin C and Iron may be recommended in the management of OSMF
  2,925 639 1
REVIEW ARTICLE
Role of bacteria in oral carcinogenesis
Nidhi Khajuria, Rashmi Metgud
January-March 2015, 6(1):37-43
DOI:10.4103/0975-962X.151709  PMID:25767359
Oral cancer appears to be increasing in incidence, and mortality has hardly improved over the past 25 years. Better understanding of the etiopathogenesis should lead to more accurate and earlier diagnosis and more effective treatments with fewer adverse effects. Despite increasing interest in the possible relationships between bacteria and the different stages of cancer development, the association of bacteria with cancer of the oral cavity has yet to be adequately examined. Different bacteria have been proposed to induce carcinogenesis, either through induction of chronic inflammation or by interference, either directly or indirectly, with eukaryotic cell cycle and signaling pathways or by metabolism of potentially carcinogenic substances like acetaldehyde, causing mutagenesis. This review presents the possible carcinogenesis pathway involved in bacterial carcinogenesis, commonly implicated bacteria in oral carcinogenesis and their role in cancer therapeutics as well.
  2,910 643 4
ORIGINAL ARTICLES
Relative efficacy of pimecrolimus cream and triamcinolone acetonide paste in the treatment of symptomatic oral lichen planus
Shantala Arunkumar, Anupama N Kalappanavar, Rajeshwari G Annigeri, Shakuntala G Kalappa
January-March 2015, 6(1):14-19
DOI:10.4103/0975-962X.151692  PMID:25767355
Background and Objectives: Oral lichen planus (OLP) is a relatively common, chronic inflammatory condition that frequently presents with symptoms of pain and burning sensation. It is generally a very unrelenting disorder despite several kinds of treatment. Only symptomatic OLP requires treatment, and it remains a challenging predicament. Efforts are made in a sustained manner for searching for novel therapies for symptomatic OLP. Therefore, this study was aimed to compare the efficacy of treatment with topical pimecrolimus cream 1% with that of triamcinolone acetonide oral paste 0.1% in subjects with symptomatic OLP. Materials and Methods: A prospective, parallel-group, randomized, active control clinical study was conducted among 30 symptomatic OLP subjects (20 females and 10 males, with 15 patients in each treatment group) treated with topical pimecrolimus 1% cream and triamcinolone acetonide 0.1% oral paste four times daily for two consecutive months and treatment-free follow-up was performed for 2 months. Pain or burning sensation, mean clinical score and presence of erythematous areas were assessed. The data obtained were statistically analyzed using Wilcoxon's Rank test and the Mann Whitney test. Results: Subjects in both the groups showed significant improvement in symptom scores; however, the overall treatment response was higher in the pimecrolimus group compared with the triamcinolone acetonide group. On intergroup comparison, there was no statistically significant difference between the groups in the reduction in burning sensation (P = 0.18) and erythematous area (P = 0.07), but there was a statistically highly significant improvement in reduction of clinical scoring (P < 0.01%). Following the termination of the treatment, sustained remission of symptoms and long-lasting therapeutic effects was detected in 93.3% of the patients treated with pimecrolimus. Interpretation and Conclusion: Topical pimecrolimus 1% cream showed better therapeutic response compared with triamcinolone acetonide 0.1% oral paste in subjects with symptomatic OLP.
  3,010 532 7
CASE REPORTS
A case of Robinow-Sorauf syndrome (Craniosynostosis-Bifid Hallux Syndrome): The allelic variant of the Saethre-Chotzen syndrome
Arpita Rai Thakur, Venkatesh G Naikmasur
April-June 2014, 5(2):96-99
DOI:10.4103/0975-962X.135276  
The clinical classification of Robinow-Sorauf syndrome has changed over the last few decades. Robinow-Sorauf syndrome is characterized by facies similar to those of Saethre-Chotzen syndrome with bifid or partially duplicated halluces. The current outlook is that the 'Robinow-Sorauf' families are examples of variable expression of the TWIST mutant phenotype and that the 'Robinow-Sorauf' syndrome lies within the spectrum of the Saethre-Chotzen syndrome. We present a case of 19-year-old female patient exhibiting classical clinical and radiological features of Robinow-Sorauf phenotype of Saethre-Chotzen syndrome. A brief review of previously reported cases and nosology has been presented.
  3,229 223 -
REVIEW ARTICLES
Enamel hypoplasia and its role in identification of individuals: A review of literature
Tanuj Kanchan, Meghna Machado, Ashwin Rao, Kewal Krishan, Arun K Garg
April-June 2015, 6(2):99-102
DOI:10.4103/0975-962X.155887  PMID:26097340
Identification of individuals is the mainstay of any forensic investigation especially in cases of mass disasters when mutilated remains are brought for examination. Dental examination helps in establishing the identity of an individual and thus, has played a vital role in forensic investigation process since long. In this regard, description on the role of enamel hypoplasia is limited in the literature. The present article reviews the literature on the enamel hypoplasia and discusses its utility in forensic identification. Enamel hypoplasia is a surface defect of the tooth crown caused by disturbance of enamel matrix secretion. Enamel defects can be congenital or acquired. In cases of mass disasters, or when the body is completely charred, putrefied and mutilated beyond recognition, the unique dental features can help in identification of the victims.
  2,698 605 4
REVIEW ARTICLE
Bone manipulation procedures in dental implants
Yuvika Mittal, Govind Jindal, Sandeep Garg
April-June 2016, 7(2):86-94
DOI:10.4103/0975-962X.184650  PMID:27433052
The use of dental implants for the rehabilitation of missing teeth has broadened the treatment options for patients and clinicians equally. As a result of advances in research in implant design, materials, and techniques, the use of dental implants has increased dramatically in the past two decades and is expected to expand further in the future. Success of dental implants depends largely on the quality and quantity of the available bone in the recipient site. This however may be compromised or unavailable due to tumor, trauma, periodontal disease, etc., which in turn necessitates the need for additional bone manipulation. This review outlines the various bone manipulation techniques that are used to achieve a predictable long-term success of dental implants.
  2,558 671 5
Review of orofacial considerations of systemic sclerosis or scleroderma with report of analysis of 3 cases
Arati Panchbhai, Sangita Pawar, Anuradha Barad, Zamzam Kazi
July-September 2016, 7(3):134-139
DOI:10.4103/0975-962X.186702  PMID:27795648
Scleroderma (skleros; hard, and derma; skin), is currently known as systemic sclerosis due to its progressive nature and widespread tissue involvement. It is a rare connective tissue disorder with a wide range of oral manifestations. Thickening of the skin is the hallmark of the disease. The patient education for self-care and multidisciplinary approach would be needed to manage the condition. The article presents the review of orofacial considerations in scleroderma with a report of analysis of orofacial manifestations 3 cases.
  2,869 353 1
ORIGINAL ARTICLES
Perceptions of Indian dental hygiene students toward their profession and its relationship with their explicit self-esteem scores
Shipra Gupta, Ashish Jain, Sakshi Garg, Shaveta Sood, Bindiya Kumari
October-December 2014, 5(4):202-210
DOI:10.4103/0975-962X.144728  
Background: The purpose of this study was to investigate the perceptions toward the profession, the level of explicit self-esteem (ESE) of Indian students pursuing the course of dental hygienists, to evaluate the relationship between the two and to develop educational strategies to positively influence students' perceptions. We also wished to evaluate the level of satisfaction of the students to the current status of professional employment in the country. Materials and Methods: Students in the second year of the dental hygienist 2-year course were asked to participate in a cross-sectional survey study. An instrument was used to obtain students' perceptions about the profession by estimating the dimensions of "Motivation," "Expectation" and "Environment." Their self-esteem was evaluated using the Rosenberg self-esteem scale. Relationship of self esteem scores with perceptions towards profession was then evaluated. Results: Scores for dimensions including "Motivation," "Expectation" and "Environment" were significantly high, as were the self-esteem scores. The level of ESE was positively correlated with their perceptions of the profession. Conclusions: The perception of the Indian dental hygienist students was significantly high and positively correlated to the ESE scores. We also conclude that environmental factors may be more influential than innate cultural factors for the development of self-esteem.
  2,809 233 2
REVIEW ARTICLE
Knowledge and awareness of the Consumer Protection Act among dental professionals in India: A systematic review
Gurminder Singh, Ramandeep Singh Gambhir, Simarpreet Singh, Puneet Singh Talwar, Vaibhav Munjal
July-September 2014, 5(3):146-151
DOI:10.4103/0975-962X.140831  
Background: The medical profession has been included in the Consumer Protection Act (CPA), to protect the interests of the patients in case of any unethical treatment rendered by the doctor. The present systematic review was conducted to assess the knowledge and awareness of CPA among dental professionals in India. Materials and Methods: A systematic review of relevant cross-sectional observational studies was conducted regarding the level of knowledge and awareness of CPA among dental professionals in India. Five studies out of 44 were finally included in the present review, after conducting both an electronic and manual search of scientific databases. The potential biases were reported and appropriate data was extracted by the concerned investigators. Results: More than 90% of the study subjects in one of the studies were aware of the CPA, as compared to other studies. In two studies, when queried about the correct time period during which a patient can sue a doctor, very few subjects (18 and 23.2%) answered correctly. Almost 90% of the subjects were taking some form of consent in one of the studies. Private practitioners had more awareness as compared to academicians and combined practitioners. Conclusion: The results of the present review showed that a majority of the subjects were aware of the existence of CPA, but knowledge about the basic rules and regulations was lacking in a few studies. Therefore, dental professionals need to keep themselves updated on the various rules and latest amendments to save themselves from any litigation.
  2,551 368 1
ORIGINAL ARTICLES
Evaluation of the efficacy of 100% Type-I collagen membrane of bovine origin in the treatment of human gingival recession: A clinical study
Nitin Soni, Poonam Sikri, Daljit Kapoor, Bhavita Wadhwa Soni, Rachna Jain
July-September 2014, 5(3):132-138
DOI:10.4103/0975-962X.140822  
Background: Various treatment modalities have been devised for gingival recession, which is one of the most common signs of periodontal disease. The present study evaluates the efficacy of bioresorbable 100% type I collagen membrane of bovine origin in the treatment of human gingival recession. Materials and Methods: Twenty cases of Miller's class I or class II localized gingival recession defects on the facial surface were treated with 100% type I collagen membrane of bovine origin in conjunction with coronally positioned flap. Pre-operative and post-operative assessments were performed with respect to probing pocket depth, clinical attachment level and clinical recession at 12, 24 and 36 weeks. The data thus collected were analyzed statistically. Results: Statistically significant improvement based on Student's "t" test was found in all the three clinical parameters. Conclusion: Bioresorbable 100% type I collagen membrane of bovine origin has given inspiring results in the treatment of human gingival recession defects, thereby justifying the use of this material wherever indicated.
  2,600 298 -
CASE REPORTS
Unusual giant sialolith of Wharton's duct
Vandana Gadve, Apurva Mohite, Kshitij Bang, SR Shenoi
July-September 2016, 7(3):162-164
DOI:10.4103/0975-962X.174594  PMID:27795655
Salivary gland calculi account for the most common disease of the salivary glands. Most of the salivary calculi are small in size. Some calculi that reach several centimeters are reported as megaliths or giant calculi in the literature. They may occur in any of the salivary gland ducts but are most common in Wharton's duct and in the submandibular gland. This report presents clinical and radiographical sign of an unusually large sialolith. A patient came with pain in the floor of mouth. There was a swelling on floor of mouth on the left side. Radiographical examination revealed large irregular radio-opaque mass superimposed on left lateral incisor to molar areas. This case report describes a patient presenting with an unusually large submandibular gland duct sialolith, the subsequent patient management, the etiology, diagnosis, and its treatment.
  2,574 292 2