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


Volume 3 Issue 1 October - December 2012

Enterococcus Faecalis in Root Canal Microflora

Yadav Chakravarthy * **

Abstract

Enterococcus faecalis is a persistent organism that, despite making up a small proportion of the microflora in untreated root canals, plays a significant role in the etiology of persistent periradicular lesions after endodontic treatment. This article provides insight into the various characteristics of E. faecalis, the factors that favor its survival and cause persistent periradicular pathosis, its identification, and current treatment modalities that are effective in eliminating E. faecalis from the root canal system.

Biopsies?!... Not a small job!

A. Thangavelu * , P. Subramanian **, C. Sivakumar ***, Himanshu Bisht ****

Abstract

Biopsies are an important diagnostic tool for the diagnosis of lesions ranging from simple periapical lesions to malignancies. Planning prior to performing a biopsy is essential. It will be beneficial to the receiving pathologist in reaching a helpful and meaningful diagnosis, and therefore, ultimately and more importantly, to the patient. This paper presents various types of biopsies, discusses their advantages, disadvantages, biopsy techniques, and specimens, as well as how to overcome potential issues.

Gagging-A Review of Literature

Ramesh* , P. Manonmani**, Vidhyasankari***

Abstract

The gag reflex is a complex physiological response that serves a protective function. However, when the reflex is overly sensitive, it can present a challenging and frustrating problem for dentists during various dental procedures. This article reviews the various causes of an exaggerated gag reflex and presents methods to minimize it, thus allowing for more effective execution of oral procedures.

Versatility of Massester Muscle Flap

A. Thangavelu* , P. Subramaniam**, Balaji Mahalingam***

Abstract

The aesthetic and functional impact of major cancer ablative surgery in the head and neck can be devastating for the patient. As increasing emphasis is placed on the quality of life, head and neck surgeons nowadays should be equally concerned with the importance of functional rehabilitation in the head and neck region (to preserve or restore the vital functions of speech, swallowing, and facial appearance) as well as the adequacy of cancer resection. It is not only the size of tumors but also the combination of size and methods of reconstruction that affect the quality of life in patients. The reconstruction is always planned according to the tissues involved and lost because of the disease. Various techniques have been practiced for decades for adequate reconstruction of lost tissues. Skin grafts, loco-regional flaps, and distant flaps are in use with various outcomes and results. Despite the various available techniques, the surgeon still needs reconstructive material with maximum advantages and least morbidity. The Masseter muscle flap, a loco-regional flap, offers a reliable method of reconstruction in selected defects without the disadvantages of cosmetic and functional loss. We report a series of 4 cases of histopathologically proven carcinoma involving retromolar trigone treated with surgical excision followed by reconstruction of retro mandibular mucosal defects using the Masseter muscle flap.