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


Volume 8 Issue 1 October - December 2017

Common and Uncommon Form of Oral Mucocele

Sudhaa Mani * , Eswaramurthy**

Abstract

Mucocele is a prevalent oral mucosal lesion that arises from an alteration in minor salivary glands leading to an accumulation of mucus. It results in limited swelling caused by mucin accumulation. Two types of histology are present, extravasation and retention. Mucoceles can occur in any area of the oral mucosa with minor salivary glands. Diagnosis is mostly clinical, and a detailed medical history should be taken to look for prior trauma. Extravasation mucocele is usually found on the lower lip, while retention mucoceles can occur at other sites. Mucoceles can affect individuals of all ages, but it is most commonly seen in young patients between the ages of 20-30. Clinically, it presents as a soft, bluish, and transparent cystic swelling that typically resolves on its own. Surgical removal is the most frequent treatment, but micromarsupialization, cryosurgery, steroid injections, and CO2 laser treatments are also used. Since it is a common lesion, presenting two different clinical characteristics of mucoceles would be of great clinical importance for their treatment and progression, assisting in decision-making during daily clinical practice.

Interim and Esthetic Management of an Avulsed Tooth

S. Leena Sankari * **

Abstract

A variety of treatment options are available for replacing missing teeth, ranging from conventional removable prostheses to titanium-based implant prostheses. However, when anterior teeth are lost in younger patients, selecting the appropriate treatment modality can be a challenge for dental practitioners, who must consider factors such as minimal or no adjacent tooth preparation, immediate restoration of esthetics, and cost-effective management. The purpose of this paper is to describe a case in which the clinical crown of a 12-year-old boy's avulsed right maxillary central incisor was used as a pontic, and to advocate for this procedure over other replacement procedures.

Periodontal Disease and Respiratory Infection - A Link

P. l. Ravishankar* , S. Rajsekhar**

Abstract

When putative periodontal bacteria from the mouth and throat are inhaled into the lower respiratory tract, they can cause infection or exacerbate existing conditions, such as chronic obstructive pulmonary disease and emphysema. Literature suggests that patients with periodontal disease have elevated levels of bacteria, including gram-negative enteric species and Pseudomonas aeruginosa. In fact, scientists estimate the prevalence of certain microorganisms - staphylococci, Enterobacteriaceae, and yeasts - in dental plaque to be upwards of 77 percent. Some microorganisms are particularly difficult to eradicate, remaining in patients with periodontal disease even after antibiotic treatment. Any bacterial presence, in turn, places individuals at a higher risk for developing disorders like pneumonia. This life-threatening infection affects patients of all ages, but particularly the elderly and immunocompromised individuals. This article provides the biological basis for the connection between periodontal disease and respiratory disease.

Milestones in Periodontics

D. Ida Sibylla * **

Abstract

Periodontal diseases have been present since the beginning of human history1. Evidence of periodontal disease dates back to ancient Egyptian and Middle Eastern cultures through skeletal and written records2. However, systematic or therapeutic approaches did not exist until the Middle Ages, and modern treatment with a scientific basis and sophisticated instrumentation did not develop until the 18th century. Prior to the 1950s, diseases of the teeth were treated by root debridement and extraction of affected teeth. Before the 1970s, the symptoms of periodontal diseases were treated with the goal of radical elimination of the periodontal pocket through procedures such as gingivectomy, flap procedures, and osseous surgery. In the 1980s, control of subgingival infection by means of scaling and root planing with or without antibiotics was introduced. Currently, it is expected that clinicians will be presented with new possibilities, as a paradigm shift is inevitable for periodontal practice in the new millennium. This strongly suggests that by the end of the first quarter of the twenty-first century, local delivery of antimicrobials, growth and differentiation factors, and root biomodification agents will have a major impact on the practice of periodontics13. The history of implant dentistry spans not only decades but millennia. Ancient cultures around the world, including Egypt, Honduras, China, and Turkey, among others, replaced missing teeth with shells, stones, ivory, and other human or animal15 teeth. The establishment of metal replacements for teeth is a relatively recent development. Researchers also suggest that lasers could be applied for dental treatments, including periodontal, restorative, and surgical16 treatments. Another fascinating technique of periodontal microsurgery is an evolution of surgical17 procedures to permit reduced trauma. The application of plastic surgical principles to periodontal tissues comprises the field of periodontal plastic surgery. It has progressed to become an inevitable part of periodontal practice.