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


Volume 13 Issue 3 April - June 2023

Patient-Friendly Approach to the Management of Periodontal Disease

M. Vijayalakshmi* , Gayathri S.**, M. G. Krishna Baba***, Sumathi. H. Rao****, T. Geetha*****

Abstract

Pemphigus vulgaris (PV) is a chronic autoimmune intraepithelial blistering disease. PV almost always affects the mouth and can be the initial site of presentation in about 40% to 50% of cases before skin and other mucosal sites (esophagus, pharynx, larynx, nasal, and genital areas) become involved. The blisters break to form large denuded areas of skin, which can prove fatal if extensive areas are involved. Early recognition of this lesion may prevent delayed diagnosis and inappropriate treatment of a potentially fatal chronic dermatological condition.

Caries Risk Assessment Using Risk Assessment Tool

Hemalatha Ramkumar* **

Abstract

Caries risk assessment is the determination of the likelihood of the incidence of caries during a certain time period or the likelihood that there will be a change in the size or activity of lesions already present. This type of assessment not only creates awareness about the existence and susceptibility of a disease but also helps in planning a prevention protocol. Risk assessment tools allow practitioners, physicians, and healthcare providers to become more actively involved in identifying high-risk children. Even though caries-risk data in dentistry are still insufficient to quantitate the models, the process of determining risk should be a component in the clinical decision-making process. They provide increased predictability of dental caries prior to disease initiation, which is important with the increasing trend towards preventive dentistry. The objective of this study is to predict the risk of dental caries in children using the Caries Risk Assessment (CRA) tool.

Tooth Reduction Guide- A Versatile Tool to the Clinician

Bharanija Kalidasan Selvi* , Anitha Kuttae Viswanathan **, V. Ashok ***, Anandapandian Ponsekar Abraham ****

Abstract

The determinants of success in fixed prosthodontics are adequate tooth preparation and the maintenance of parallelism of abutment teeth, particularly in the case of fixed restorations involving multiple missing teeth. Such preparation helps provide an acceptable interim restoration and bioesthetic final prosthesis. The application of a putty or vacuum-formed guide for the assessment of the amount of tooth reduction and provisional fabrication in the case of single or multiple teeth preparation is a widely followed technique. However, its application in the case of multiple missing teeth scenarios is yet to be accomplished.The purpose of this technique is to fabricate a single vacuum-formed matrix that will help access the parallelism of multiple prepared abutments, assess the amount of reduction, facilitate provisional fabrication, and serve as a guide for the final wax-up of the restoration. A necessary mock wax-up is done on the diagnostic cast. A clear, vacuum-formed resin matrix is formed on the cast, which is utilized for the assessment of tooth preparation, fabrication of interim restoration, and evaluation of wax coping for the final restoration.In this novel technique, a single vacuum-formed matrix is utilized for assessment and to aid in various steps involving the successful restoration of a scenario with multiple missing teeth.

Pemphigus Vulgaris: A Case-Based Update

Thamarai Selvi* , Marbon Joevitson**

Abstract

Autoimmune blistering diseases are a rare group of mucocutaneous disorders that can result in irreversible sequelae and death if accurate diagnosis and treatment are not rendered promptly. Pemphigus vulgaris and bullous pemphigoid are the two most common diseases in this group, which are disorders characterized by the production of autoantibodies that target structural proteins important for the maintenance of intercellular and cell-to-basement membrane adhesion. Before the advent of corticosteroid therapy, pemphigus was fatal, with a mortality rate of up to 75% in the first year. It is still a serious disorder, but the 5% to 10% mortality rate is due to the side effects of the therapy. In 75% to 80% of cases, PV lesions first appear in the oral cavity. Dentists are, therefore, in a unique position to recognize the oral manifestations of the disease, allowing early diagnosis and initiation of treatment. The diagnosis is based on clinicopathological examination and immunofluorescence testing. Systemic corticosteroids and steroid-sparing agents are the mainstays of treatment. Topical corticosteroids may also be used to accelerate the healing of persistent oral lesions. This article describes a 55-year-old woman with multiple chronic ulcers in the oral cavity, in which pemphigus vulgaris was diagnosed two months after the symptoms first appeared. This article also reviews the current literature on the diagnosis and treatment of the condition.

Orthodontic Considerations in Patients with Asthma

Roshan* **

Abstract

Asthma is a leading cause of chronic illness in childhood, and advances in medical treatment have resulted in long-term disease-free survival. As a result, many patients with asthma are now seeking orthodontic therapy. It is essential to understand the condition and plan the treatment carefully to ensure the successful completion of orthodontic therapy. This article will discuss asthma, its effects on orthodontic treatment, and recommended methods to avoid potential problems that may arise.