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


Volume 3 Issue 4 July - September 2013

Childoplasty" - Cool the Child,.... before they freeze you the Essence of Pediatric Dentistry

Umamaheswari.N * **

Abstract

Sometimes, we are all pediatric patients somewhere. Think for a moment from this vantage point: What went through your mind the last time you sat in the dentist's chair? Fenced in by cabinets and countertops, caught under the beam of that sharp, bright light, and engulfed in the scent of clove, what did you sense? You might have felt a spark of hope, fear, or vulnerability. Whatever your reaction, pediatric dental visits have exerted a tremendous influence on our culture. Pediatric dentistry, dentistry's lovable specialty, reaches deep into our collective consciousness, supplying powerful metaphors not only for pain but also for healing, power, and the rhythms of everyday living. It occupies a unique position among the healing arts. Pediatric dentistry is perhaps the most needed and yet the most neglected of all the services performed by dentists. Despite its extreme importance, some dentists discount its value due to a lack of awareness of the newer concepts of present-day pediatric dentistry. The feedback of pediatric dentistry from others' point of view is that it is a "never-ending wrestling match," a "challenging task," a "tiresome job or a situation where one must either "fight or fly away." There are two extremes of dental practitioners who deal with young pediatric patients. Either they fight with them and do the treatment that they intended to do or, in a safe way, put them on medication and give appointments. Pediatric dentistry is a successful workplace that deals with "little smiles." It's a dual-sided dentistry with a behavioral side and a therapeutic side. Everybody's focus is on the latter side, and the former side is hidden because they feel it's time-consuming. It's not simply "drill and fill," as we do normally. The new restorative routine is the slogan of pediatric dentistry: "chill, drill, and fill." Cool the child before starting the dental treatment.

Odontogenic Keratocyst of Mandible Crossing the Midline

Kolli Giri * , Y. Bhasker **

Abstract

A cyst is defined as a pathological cavity lined by epithelium. The odontogenic keratocyst is the most aggressive and recurrent of all the odontogenic cysts. It shows characteristics resembling both a cyst and a benign tumor. Most (60%) arise from dental lamina rests or from the basal cells of oral epithelium and are thus primordial in origin odontogenic keratocysts. The remaining (40%) arise from the reduced enamel epithelium of the dental follicle and are thus dentigerous origin odontogenic keratocysts. This lesion occurs in all age groups but is more common during the second and third decades of life and is found at the angle and ramus of the mandible. This paper discusses a case of odontogenic keratocyst affecting the mandible, crossing the midline, with a supernumerary tooth in the anterior region.

Single Visit Endodontics - Revisited

V. Prabhakar* , N. Subha **

Abstract

With increasing awareness and a desire among people to preserve their dentition, there has been a considerable escalation in the number of endodontic procedures in the last decade. However, life in the fast track necessitates people to seek treatment modalities that are less time-consuming, with respect to both the number and duration of appointments. In such a scenario, the concept of single-visit endodontics is a tempting modality for practicing endodontists. This review attempts to shed light on this age-old modality and its implications in modern endodontic practice. Single-Visit Endodontic (SVE) therapy may be defined as the conservative non-surgical treatment of an endodontically involved tooth, consisting of complete chemomechanical instrumentation and obturation of the root canal system accomplished in one visit. SVE is an old concept in clinical practice and can be traced through literature for at least a hundred years. But earlier, multiple visits were considered the standard in endodontic care, and treatment in a single visit was considered radical and substandard in quality and, therefore, was not practiced.

Oral Manifestations of Chikungunya - A Study

Gururaj N.* , Sivapathasundharam B.**, Raviprakash***

Abstract

Chikungunya is one of the arboviral infections that were first described in Tanzania and Uganda in 1953. It belongs to the family Togaviridae and is transmitted by the bite of mosquitoes, mainly the Aedes aegypti and other Aedes mosquitoes. The clinical features of Chikungunya (CHK) include fever, headache, nausea, vomiting, myalgia, rash, and arthralgias. Hemorrhagic manifestations, though not common, occur in a few cases and consist of bleeding gums, epistaxis, haematemesis, and, very rarely, blood in the stool. The diagnosis is made with evocative symptoms in a patient living in or returning from an area where there is a known outbreak of Chikungunya fever, and laboratory confirmation is made by PCR or serology. As bleeding manifestations like gingival bleeding are common in viral hemorrhagic fevers, our aim in this study is to observe bleeding and other oral manifestations in patients suffering from Chikungunya. 125 patients complaining of fever and joint pain were screened, and 54 patients among them were diagnosed as Chikungunya patients and selected for our study based on the case definition given by the National Institute of Communicable Diseases, New Delhi (NICD), during the outbreak in Karnataka and Tamil Nadu. Gingival bleeding was recorded in 32 patients with preexisting gingivitis and periodontitis. In 12 patients, oozing from the socket was recorded three days after extraction from the extracted site, and palatal erythema was observed in 10 patients during the acute phase of illness. Lab investigations were carried out for all patients, and 20 of them showed increased bleeding time than normal. It was concluded that patients suffering from Chikungunya showed a tendency of bleeding in the oral cavity and should be differentiated from other viral hemorrhagic fevers and systemic diseases. Dental surgeons should be cautious in these patients before they proceed with any minor oral surgical procedure.

Reattachment of Anterior Teeth Fragment: A Conservative Approach

R. Pradeepkumar * **

Abstract

Crown fractures of maxillary anterior teeth are relatively common among children and teenagers. The aesthetic rehabilitation of such fractures is one of the greatest challenges faced by dentists. Reattaching the fractured fragment to the remaining tooth can provide better and longer-lasting aesthetics, improved function, a positive psychological response, and is a faster and less complicated procedure. This article discusses the fragment reattachment technique and presents a clinical case of a coronal fracture involving enamel and dentin.