i-manager's Journal of the Indian Dental Association Tamil Nadu (JIDAT)


Volume 2 Issue 4 July - September 2012

Qualitative & Semi-Quantitative Assessment of C-Reactive Protein Level in Chronic Periodontitis Patients

R. Renukadevi* **

Abstract

To assess the qualitative and semiquantitative levels of C-reactive protein in chronic periodontitis patients, 30 patients (15 males and 15 females) diagnosed with chronic periodontitis and ranging in age from 35 to 50 years were selected. They were divided into Control Group, Test Group A, and Test Group B. Pocket depth was measured using the UNC-15 periodontal probe, and the qualitative and semiquantitative levels of serum CRP were assessed using the CRP slide test based on the principle of agglutination by means of the RHELAX CRP kit. The mean CRP scores for the Control Group, Test Group A, and Test Group B were found to be 0.3, 0.57, and 3.60, respectively. The obtained value of 15.286 out of 7 was found to be significant at the 0.000 level. Quantitative analysis revealed the presence of agglutination in patients with increased severity of the disease subgroups, i.e. Test Group B and A. Semi-quantitative analysis revealed that the serum CRP level increased as the mean probing pocket depth increased. Treating periodontitis lowers CRP levels and possibly also reduces the risk of CHD." Overall, the suggested corrections include adding some punctuation marks, clarifying some sentence structures, and making sure the text is clear and easy to read.

Simplified Method for Fabrication of Orbital Prosthesis - A Case Report

V. Devaki* , S. Suresh Kumar**, N. Devi***

Abstract

The eye is a vital organ, not only for vision but also as an important component of facial expression. Loss of an eye can have a crippling effect on the psychology of the patient. Prosthodontic rehabilitation of such cases includes the fabrication of a prosthesis using acrylic resin, silicone, and implants. However, not all patients are willing to use implants due to their cost. Therefore, a custom-made orbital prosthesis can be a good alternative. Here, we present a case of a custom-made orbital acrylic prosthesis with good esthetics, retention, and fit. The suggested corrections include adding some punctuation marks, correcting the use of "even though," and making sure the text is clear and easy to read.

Trismus-An Etiology and Management

J. Arunkumar* **

Abstract

WHAT IS TRISMUS? Trismus is derived from the Greek term meaning 'grinding together.' Taber's Cyclopedic Medical Dictionary defines it as the tonic contraction of muscles of mastication. True trismus is a muscular, involuntary protective reflex. Localized muscle irritation or inflammation can cause afferent signals of pain and input from reset muscle spindles to the central nervous system, resulting in foreshortening of the muscles of mastication. This is different from voluntary muscular guarding, which can occur in patients with TMJ internal derangement. These patients resist normal opening due to joint pain and dysfunction.

Clock Wise or Anticlock Wise Maxillofacial Surgeon's Dilemma

C. Prasad* , S. Gandhiraj**, Davidson Rajiah***

Abstract

Orthognathic surgery combines orthodontics and oral & maxillofacial surgery to diagnose, plan treatment, and correct musculoskeletal, dento-osseous, and soft tissue deformities of the jaws and associated structures. The therapeutic goals of orthognathic surgery are to achieve form, function, aesthetics, and stability. In this case study, we present the case of a 24-year-old female who reported to our college with complaints of a protruded lower jaw and tongue. Model analysis, cephalometric analysis, and other routine investigations were performed, and the patient was diagnosed with mandibular prognathism, macroglossia, and maxillary anterior open bite. We decided to perform a reduction glossectomy for macroglossia, an anterior maxillary osteotomy for the maxilla, and a bilateral sagittal split osteotomy for the mandible. The surgeon's dilemma is whether to proceed with maxillary and mandibular osteotomy followed by reduction glossectomy or vice versa. In this case, we operated in an anticlockwise manner and achieved a reasonably good result.

Esthetic Crown Lengthening by Surgical Method

N. Vijayakumar* , P. Manonmani**

Abstract

Crown lengthening is an aesthetic procedure that can be performed using either surgical or orthodontic techniques, or a combination of both. Surgical crown lengthening can be accomplished through either gingivectomy/gingivoplasty in cases of excessive gingival display or through apically positioned flap with osteoplasty/ostectomy to preserve the "biological width" in cases of inadequate crown length for restoration of prosthesis.