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


Volume 11 Issue 4 July - September 2021

Computerized Cepholometric Surgical Prediction in Orthognathic Surgery with Facad 2d Software

Viljaykonth M.* , Jayanthi M. D. **, Selvarani R.***, Usha Rao G. ****

Abstract

Malocclusion can be due to dental and alveolar, as well as facial skeletal components, especially the maxilla and mandible. The majority of skeletal cases are attempted to be corrected non-surgically with Functional Jaw Orthopaedics. However, these ideal treatment plans require the patient to be seen by an orthodontist before the pubertal growth spurt is over. In cases where this growth timing is missed, there are options for treating the case with orthodontic camouflage or Orthognathic Surgery (OGS). Severe skeletal malocclusions are best corrected with OGS, with emphasis on soft tissue aesthetics, occlusion, and stability of the corrected result. The OGS procedure involves many phases of treatment planning. It is beneficial for both the surgeon and the patient if the results could be predicted to the maximum extent possible. Traditional manual cephalometric prediction is usually cumbersome and has the downside of not allowing photographic prediction. Hence, at present, computerized cephalometric prediction is preferred over manual prediction. This paper deals with the usage of FACAD 2D-Cephalometric software, which predicts the surgical outcome. The biggest advantage is the visualization of the patient's profile photo with the planned OGS procedure. This helps the surgeon to try different surgical treatment approaches and select the best possible outcome. Patients benefit by visualizing their possible facial changes with the selected OGS surgery. This also helps the surgeon to communicate more efficiently with the patient, and in turn, the patient can make a better-informed decision regarding the proposed surgery.

Internally Weighted Mandibular Denture for the Management of Atrophic Mandibular Ridge - A Case Report

J. Dhivya Priya* , R. Lambodharan**, B. Siva Saranya ***, S. Deenadayalan ****

Abstract

Prosthodontic rehabilitation of a severely resorbed mandibular foundation using a complete denture prosthesis poses a great challenge. The extreme residual ridge resorption affects the retention, stability, and support of the complete denture prosthesis. Various treatment options are available for the management of an atrophic mandibular ridge. The concept of an internally weighted denture suggests that gravity and the additional weight added to the mandibular complete denture aid in the retention of the prosthesis. This article reports a case of an atrophied mandibular ridge for which an internally weighted mandibular complete denture was fabricated with a customized weighted metal framework.

IVF- A Prelude to Gingival Enlargement?

S. Sandhya Sekar* , K. Lokini**, N. Cautham Kumar***, J. Selva Kumar****, C. S. Krishnan*****, Gowri Shankar******

Abstract

Gingival hyperplasia or gingival enlargement is a typical increase in the number of healthy cells in a normal tissue arrangement. Gingival hyperplasia can be a result of an unusual tissue response to inflammation caused by local irritants, such as plaque or calculus, systemic disturbances such as hormonal changes or medications. A 35-year-old female patient reported to the outpatient department of Periodontology & Oral Implantology at Madha Dental College & Hospital with a chief complaint of swelling in the gums which gradually increased in size with progressive bleeding while brushing and discomfort. The medical history revealed that she was undergoing treatment for infertility for the past year. A diagnosis of drug-influenced gingival enlargement and chronic periodontitis was given. Thorough scaling and root planning were carried out in multiple sittings. The patient showed remarkable improvement within a month and at the 6th-month follow-up visit. Even though we expected the need for a gingivectomy or gingivoplasty procedure, we observed that the enlargement regressed completely, obviating the need for future management.

Lab on a Chip Miniaturized Laboratory

H. Mohammed Musthafa * , B. Niveditha **, V. Jhansi Rani ***, R. Santhosh Kumar****, R. Ramshri *****

Abstract

Oral cancer has long been considered a disfiguring and deadly disease of the oral cavity. Despite an increase in therapeutic modalities, the prognosis is poor due to a lack of early diagnosis and detection. To ensure timely care and a better prognosis, a mass screening procedure and rapid diagnostic test are required. Lab on a chip is a promising technology that can replace all laboratory procedures with a miniaturized chip that can identify cancer biomarkers at all levels, from gene profiling to proteins in cancer cells.

The Versatility of Submental Intubation Simple Route of Intubation in Complex Maxillofacial Trauma

R. Yoganandha* , B. Nisha**

Abstract

Ensuring a secure airway is crucial for patients undergoing general anesthesia. Oro-tracheal and naso-tracheal intubation are the two most commonly used methods of airway management; however, these may not be suitable in complex maxillofacial trauma cases, such as pan-facial fractures requiring access to both the oral and nasal cavity during surgery. Tracheostomy has traditionally been the only other option available in such situations, but it carries a high risk of iatrogenic complications. In this report, we describe our experience with submental intubation as an alternative airway management technique for complex maxillofacial trauma cases.