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


Volume 11 Issue 2 January - March 2021

How will the Clinical Establishment Act Impact the Practice of Dentistry in Tamilnadu?

George Paul* **

Abstract

The Clinical Establishment Act (CEA) was enacted into law in 2012 after it was gazetted, following adoption by four state governments. Normally, the Central Government cannot legislate on state subjects such as Health. However, in view of the importance of regulating public health in the country, Article 47 of the Constitution was invoked to create a central law that is binding on all states. Over the last few years, several state governments have adopted the CEA. Tamil Nadu has also adopted the CEA, replacing the Tamil Nadu Private Clinic Establishment Act of 1997, which was pending as a bill in the assembly and awaiting implementation. However, for the purposes of this article, it will be referred to as an Act. The present Act has been modified to incorporate the CEA and is to be called the Tamil Nadu Clinical Establishments (Regulation) Act 1997 (TNPCEA 1997). It is applicable to all kinds of clinical establishments from the public and private sectors, of all recognized systems of medicine, including single-doctor clinics. The only exception will be establishments run by the Armed forces. The details of the Act, including definitions of terms, authorities, administration, and registration procedures, are available freely on the Clinical Establishment Act Website and in the official gazette notifications of the Tamil Nadu Government.

Evaluation of Styloid Process Using Digital Panoramic Imaging – A Cross-Sectional Study

G. Anuradha* , G. Jeevitha**, M. Ramalakshmi***, M. Kavitha****, H. Mohammed Musthafa*****

Abstract

The styloid process is a normal anatomical structure which is a cylindrical and cartilaginous bone arising from the temporal bone immediately in front of the stylomastoid foramen. When the styloid process length is greater than 3cm, then it is referred to as an Elongated Styloid Process (ESP). The aim of the present study was to assess and measure the length of the styloid process using panoramic radiographs and also to find the variations that can occur in age, sex, and with respect to the sides of the styloid processes. A total of 400 digital orthopantomograms were selected, and the styloid process was measured on both sides using measurement toolbars on the accompanying analysis software (SPSS). The overall prevalence of ESP was 67.5% in subjects, and 32.5% of subjects did not have ESP. Males showed more ESP with an increased prevalence on the right side. The average length of the right styloid was 3.03 ± 0.7mm, and on the left side, it was 3.01 ± 0.74mm. The length of both styloid processes did not show any increase with age. Type I calcification was more prevalent. The styloid process is an important, often overlooked anatomical structure that can provide proper diagnosis if evaluated carefully.

Management of Miller's Class III Recession Immediately Following Conventional Graft Failure - A Case Report

Babu Salam C.* , Jacob Raja **, Johnson Raja James ***, W. Kavitha****, Midhun Kishor S.*****

Abstract

Gingival recession is defined as "displacement of the soft tissue margin apical to the cemento-enamel junction". Gingival recessions require treatment for many reasons, including impaired aesthetic appearance, root sensitivity, and cervical caries or abrasion. The presence of gingival recession and gingival inflammation in areas with a lack or narrow band of attached gingiva is identified as a mucogingival problem. Periodontal plastic surgery procedures are performed to resolve these mucogingival problems. This study presents a case report of a 25-year-old female with Miller's class III gingival recession, which was successfully regrafted with a free gingival autograft following a failure in the previous attempt.

Conservative Management of Periodontally Compromised Mandibularmolar with a Resective Surgical Procedure - Hemisection - A Case Report

G. Abirami* , V. R. Balaji**, D. Manikandan***, G. Rohini****, B. Karthikeyan *****, M. Thamilselvan ******

Abstract

The hemisection of affected teeth allows for the preservation of tooth structure and supporting alveolar bone, providing a chance for complete patient satisfaction. This is a viable treatment option to be considered before extracting molars with severe vertical bone loss involving a single root of a multirooted tooth. Hemisection is a respective surgical procedure indicated in multirooted teeth with grade III and IV furcation defects. This case report describes the management of a periodontally compromised mandibular molar, which received endodontic therapy, followed by hemisection, and then prosthetic rehabilitation.

One Step Apexification "The Apical Barrier Technique”

K. O. Mohammed Asif* **

Abstract

Apexification is a method used to induce a calcified barrier in a root with an open apex or to continue the apical development of an incompletely formed root in teeth with necrotic pulp. In this case report, a necrotic mandibular second molar with periapical involvement and an open apex was treated in a single visit with one-step apexification. Standard root canal irrigation was performed, and instead of Gutta-Percha (GP) obturation, Mineral Trioxide Aggregate (MTA) was filled in the apical third, followed by gutta-percha in the middle and coronal thirds. Post-operative radiographic examination showed complete sealing of the apex with MTA.