Biomimetic Management of a Large Periapical Lesion with an Iatrogenic Defect: A Case Report
Dr. Tejasvini B Prajapati, Dr. Vineet S. Agrawal, Dr. Sonali V Kapoor
Page Numbers : 179-183
DOI : 10.36348/sjodr.2021.v06i05.003
Traumatic injury of anterior teeth is common and may lead to cyst over a period of time. Root perforation is contrived communication between root canal system and the supporting tissues of teeth or the oral cavity. Iatrogenic root perforation is a procedural mishap but quite an uncommon event, which may occur at any stage of root canal therapy, from access cavity preparation to post-space preparation, on any tooth. Perforations are reported to result in lower success rates. How they are managed can make the difference between retention and the loss of a tooth. It results in bacterial contamination, peri-radicular tissue injury, inflammation, and bone resorption. The purpose of this case report is to describe the endodontic retreatment and surgical management of a longstanding periapical lesion on maxillary central incisor, associated with perforation using mineral trioxide aggregate. MTA is bioactive material and shows good sealing activity for perforation repair and apical seal. For large periapical cyst healing PRF was used and Novabone putty was used for the healing of osseous defect.
May 14, 2021
Profile of Amalgam and Non-Amalgam Restorations: A Review of Literature
Menakaya IN, Awotile AO, Adenuga-Taiwo OA, Loto AO
Page Numbers : 184-191
DOI : 10.36348/sjodr.2021.v06i05.004
The practice of restorative dentistry dates back to the 1st century AD. These restorations are done to restore form, function and esthetics. In current restorative practice, the materials to choose from are dental amalgam, composite resin (and its modifications) and glass ionomer cements (and its modifications). Dental amalgam was the material of choice for nearly two centuries. This was because it has such properties as durability, ease of placement, high compressive strength and it was cheap. It however was not esthetic and there was concern of its use due to its mercury content. Composite resin was initially only restricted to the anterior portion of the mouth and for small Class I cavities this was because though it was esthetic, it lacked strength, but with modifications, new research now shows it can be a good substitute for dental amalgam. Glass ionomer cement bonds to both enamel and dentine, it also has sustained release of fluoride which helps to remineralize tooth structure as well as prevent future caries occurrence. It can now also serve as a definitive restoration in the posterior stress bearing portion of the mouth. Although dental amalgam has been the material of choice almost two centuries, there is now a paradigm shift towards non-amalgam restorative materials. This paradigm shift has been occasioned by the need to restore tooth with materials that best match the tooth in terms of function and esthetics. The biomimetics are in as they fulfil the conditions and conserve tooth tissue.
Original Research Article
May 12, 2021
Pit and Fissure Sealants: A Review of Systematic Reviews
Background and objectives: Pit and fissure sealants have been long suggested as the method of preventing dental caries. The aim of the study was to provide an overview of the latest evidence on clinical effectiveness of pit and fissure sealants in prevention of dental caries. Materials and methods: Literature survey was carried out from 2010 to 2020 in electronic databases such as PubMed, Google Scholar and Virtual Health Library database using key words such as “Pit and fissure sealants” and “systematic reviews,”. The searches revealed 457 articles out of which 5 were selected after reading the full text articles. Results: The review of 5 articles revealed that high viscosity GIC and resin-based sealants have similar caries-preventive efficacy in permanent molar teeth after 48 months. The evidence for a potential superiority of high viscosity GIC over resin-based sealants after 60 months is still low. Sealants alone had a 2- to 3-fold higher risk of arresting or reversing lesions (moderate certainty for all comparisons) as compared to no treatment. In comparison to no therapy, the combination of sealants and 5% NaF varnish was the most effective in arresting or reversing lesions. When compared to varnish, Fissure sealants had limited superiority in minimizing occlusal caries. Conclusions: The evidence suggests that sealing pit and fissures are effective in prevention of dental caries however it is hampered by high risk of bias. Hence, future studies with high quality should be conducted assessing the effectiveness of different types of sealants.
May 4, 2021
Role of Periodontal Disease in the Pathogenesis and Prognosis of COVID-19
Dr. C N. Guruprasad, Vaishnavi Jayasimha, Simran. M. Chugh
Page Numbers : 169-173
DOI : 10.36348/sjodr.2021.v06i05.001
Since the outbreak of coronavirus disease 2019 (COVID-19) in late December 2019, it has brought significant harm and challenges to over 200 countries and geographic regions around the world. COVID-19 affects people in different ways, with patients exhibiting a range of symptoms and severity. Risk factors such as age, gender and comorbidities have been highlighted as increasing the risk of complications and mortality. These risk factors, however, do not account for the other 52% of deaths arising from COVID-19 in seemingly healthy individuals. This review examines the interplay between periodontal disease and development of severe complications of COVID 19. Periodontal infections alter the natural course of systemic conditions, due to the presence of a constant low grade systemic inflammatory state in the body. Correlating these two entities is the main focus of this review and how maintaining good oral health may reduce the risk of complications of COVID-19.
April 30, 2021
Chondroid Syringoma, an Unknown Tumor: About A Case
H. Kabbaj, M-L. E. Ngoua, Z. Benzenzoum, Z. Aziz, N. Mansouri-Hattab
Page Numbers : 166-168
DOI : 10.36348/sjodr.2021.v06i04.006
Chondroidsyringoma is a rare benign skin tumor whose preferential location remains the craniofacial region. It is characterized by a double component; epithelial and mesenchymal. We report the case of a 72-year-old female patient with a polypoid-like tumor located in the middle thirds of the free edge of the right nostril wing. After surgical excision, the histology is in favor of a chondroidsyringoma. No recurrence was noted after a follow-up of 20 months.
Original Research Article
April 29, 2021
Is Mouth Self Examination (MSE) A Good Tool For Early Detection of Oral Cancer? A Review
RM Vatchala Rani, BC Manjunath, Manas Bajpai, Pooja Gupta, Akshay Bhargava, Amit Kumar
Page Numbers : 160-165
DOI : 10.36348/sjodr.2021.v06i04.005
Objectives: 1.To provide an overview of the effectiveness of mouth self examination (MSE) in early detection of oral cancer and oral potentially malignant lesions. Materials and Methods: Literature survey was carried out in March 2021 in electronic databases such as PubMed SCOPUS, EMBASE, COCHRANRE library, Science Direct using key words such as Mouth self examination, self mouth examination, oral cancer screening, etc... and a manual search was also done using the cross references and textbooks. Articles published in English language from 2000 to March 2021 which fulfilled the objectives of the study were included. The searches revealed 741 articles out of which 23 were selected after reading the full text articles. Results: The review of 23 articles revealed that mouth self examination (MSE) is one of the easiest and least expensive methods of identifying the lesions at the earliest stage by an individual where a specialist can be consulted if any suspicious lesions are found in the oral cavity. MSE has been advocated for early detection of oral cancers and can be very effective if performed by an individual accurately. MSE has low sensitivity. The sensitivity ranged from 8.6% to 43%. MSE demonstrated high specificity when compared to sensitivity. The specificity of MSE ranged from 44% to 99%. Conclusions: Mouth self examination is a good tool for identifying the suspicious lesions in the oral cavity and it can aid in early detection of oral cancer and oral potentially malignant disorders.
April 25, 2021
Teledentistry & COVID 19 in Tele- Era
Surbhi Priyadarshi, Pradeep Tangade, Vikas Singh, Najmus Sahar, Debashis Roy
Page Numbers : 157-159
DOI : 10.36348/sjodr.2021.v06i04.004
The Covid-19 pandemic has affected the general population at different levels. In the context “prevention is better than cure” certain norms has been implemented by the government like maintaining social distancing and wearing masks. In this pandemic, individuals are facing numerous issues due to minimal availability to physical health and dental care. The solution to this problem of physical unavailability is telemedicine and teledentistry. Teledentistry is a means of virtual communication between patients and consultants which must be incorporated in general healthcare and dental care systems. Though with numerous advantages, this technology also posseses some disadvantages. Proper knowledge and application of this technology should be understood by the healthcare workers for it’s suitable implementation. If not fully replace, at least teledentistry can complement the existing compromised dental system during the current pandemic.