Surgical-orthodontic management of hyper divergent skeletal Class III malocclusions is often confronted with clinical challenges. Overeruption of the maxillary second molars during longer presurgical orthodontic decompensation phase usually results in occlusal interferences which hinder the setting of desired postsurgical occlusion in preparation for model surgery. Here, a simple, yet effective interim modification of conventional Goshgarian-type transpalatal arch is proposed which can be effectively used to intrude over erupted molars during orthodontic treatment.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

This case report aims to report a novel application of a prefabricated light-polymerizing plastic resin for the construction of cast partial denture (CPD) framework for the fabrication of a definitive obturator. Prefabricated light polymerizing plastic patterns have been introduced in dental labs and are used in the fabrication of CPD framework. This novel technique shows how it minimizes laboratory time and cost by removing some of the steps involved during metal-based definitive obturator fabrication. A case of maxillectomy was rehabilitated using light polymerizing plastic pattern for the fabrication of metal-based definitive obturator.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Dental implants are one of most predicatble procedures for rehabilitation of jaws. One of the rarest complications is of the displacement of dental implant into the maxillary sinus. One such interesting rare case report has been presented here which has been managed by an interdisciplinary approach by successful retrieval of implant from maxillary sinus by a combined approach (Endoscopic Medial Meatus Antrostomy and Caldwell Luc procedure) in high altitude area.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

An implant-supported denture is used when a person does not have any teeth in the jaw but has enough bone to support implants. Treatment options can be broadly divided into the fixed implant-supported prosthesis and removable implant-supported prosthesis (overdenture). However, when such completely edentulous patients who are already rehabilitated using removable implant-supported overdentures report for a fixed prosthesis, then it becomes a challenging situation. This article describes the challenges involved in the transition of one such patient rehabilitated previously using a RP-5 prosthesis to a fixed FP-3 prosthesis.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Background: The practice of dentistry has been worst affected in Covid-19 pandemic due to its non-emergency nature and fear of rapid spread of disease through aerosol generating procedures. But, multiple dental problems can severely compromise function. This assumes even greater significance when it concerns the health of Armed Forces. ADC (R&R) was always at the forefront providing essential, urgent and scheduled dental care at various stages of pandemic with stringent management protocols. Aims and Objectives: To evaluate challenges, measures and the outcome in delivery of dental services based on observational assessment from 20 Mar-30 Nov 2020. The objectives were to assess patient attendance trends, reason for availing dental services, loss of manhours, antibiotic usage, Covid protection measures and resources, aerosol generating procedures, Knowledge/Attitude/Perception (KAP) studies, Covid-19 casualties, management of quarantine periods. Materials and Methods: Patients and staff data based on attendance, treatment instituted, patient screening procedures, additional expenses on Covid related resources, infrastructural changes etc. Results and Conclusion: The total of 13,046 patients were treated. There has been a considerable loss of manhours and more than 65% of the allocated budget was used in managing patients which otherwise were less than 25-30% of the pre-covid attendance. The manpower requirements tripled and the housekeeping services were heavily taxed. The staff Covid-19 casualties were considerably low and no patient reported acquiring Covid-19 infection post dental treatment at this centre. If the condition persisted, the ability to provide dental health care services will be an uphill administrative and financial challenge.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

[FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

[FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Aim: This cross sectional descriptive study aims at finding the sizes of preformed molar bands of five different companies to provide a reference data. Method: Assorted boxes of five different companies were selected randomly based on the easy availability of the brands in the market. The mesiodistal and labiolingual dimensions of the preformed bands were measured and the spreadsheet was created. Statistical evaluation was carried out. One way ANOVA was conducted which revealed overall inner area of bands of a particular size for all the five brands mentioned in the study was almost similar. Results: One way ANOVA was conducted which revealed overall inner area of bands of a particular size for all the five brands mentioned in the study was almost similar. Conclusions: A reference chart had been created for future compliance during banding procedures.

[ABSTRACT]  [FULL TEXT]  [PDF] [CITATIONS]

Introduction: This study correlated ABO blood groups and crowding in the lower anterior region and also to find an interrelationship between ABO blood grouping system and sagittal relation of the jaws. Materials and Methods: The sample size consisted of 138 Maharashtrian patients (60 males and 78 females) age range from 12 to 30 years which were randomly selected. Each patient's records comprised: a lateral cephalometric head film, photographs, and dental casts as standard pretreatment records. Based on ANB angles, patients were divided into Group-1: ANB 1–3° (51 individuals with 27 males and 24 females), Group-2: ANB >3° (60 individuals with 24 males and 36 females), and Group-3: ANB <1° (27 individuals with 9 males and 18 females). These groups were further divided into five subgroups on the basis of lower incisor crowding. Results: The mean ± standard deviation of age in Group 1, Group 2, and Group 3 was 16.53 ± 2.43 years, 17.60 ± 3.73 years, and 18.67 ± 3.28 years, respectively. The gender distribution of cases studied did not differ significantly across three study groups. The distribution of median ANB did not differ significantly across various blood groups in the study group. The blood group distribution of cases studied did not differ significantly across three study groups. The distribution of Little's index differs significantly across perfect alignment and minimal irregularity as well as between minimal irregularity and moderate irregularity. The distribution of Little's index did not differ significantly between perfect alignment and moderate irregularity. Conclusions: The occurrence of blood group B+ was more in Class I and II skeletal patterns whereas in Class III skeletal pattern individuals have more prevalence of blood group A+. ABO blood groups and Little's Irregularity Index for crowding is found to be correlated between perfect alignment and minimal irregularity individuals as well as between minimal and moderate irregularity subjects.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Introduction: The present study was aimed at comparing the accuracy of cephalometric tracing in by the manual, semi-digital, and fully digital cephalometric tracing methods in orthodontics. Materials and Methods: The present study was conducted in the department of orthodontics of a tertiary care government hospital with clearance from the Institutional Ethical Committee. Thirty lateral cephalograms were evaluated using three different method: Group I-Print of lateral cephalogram was traced manually on an acetate sheet. Group II-the digital images of cephalograms were traced on screen using the NNT (NewTom Image Viewer) software. Group III-digital images traced using Nemoceph™ software. Ten angular and eight linear variables were measured. Inter-group comparison was made using one-way ANOVA measure followed by post hoc Tukey's Honest Significant Difference test. Results: Intra-class correlation coefficients showed acceptable agreement in all three groups, i.e., Group I (0.281), Group II (0.11), and Group III (0.056). The one-way ANOVA test revealed a significant difference between groups for two variables. i.e., “EL-Max” and “EL-Mand.” The difference was present between Groups I and II i.e., “EL-Max” (P < 0.000) and “EL-Mand” (P < 0.02) respectively. Conclusion: The present study found no significant difference between manual, semi-digital, and fully digital cephalometric tracing with good agreement among all variables except two linear variables, which were traced more accurately in semi-digital method. The preference of using on particular technique can be based on the availability, expertise, and ease of availability.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Background: Developmental anomalies are frequently observed in the routine oral health examination. Only clinical examination without radiographic study tends to underestimate the prevalence of these anomalies. Aim: The aim of the study was to estimate the frequency of occurrence of three commonly occurring dental anomalies (hypodontia, hyperdontia, and dental impaction) using orthopantomogram (OPG) in the young population seeking orthodontic treatment in Pune, Maharashtra. Materials and Methods: This cross-sectional study included pretreatment OPGs and the dental records of patients in permanent dentition selected from the achieves of the patients coming for treatment at the Division of Orthodontics and Dentofacial Orthopedics, Department of Dental Surgery and Oral Health Sciences, Armed Forces Medical College, Pune, from January 1, 2015, to December 1, 2018. These records were then evaluated and analyzed by a trained pediatric dentist for the occurrence of hypodontia, hyperdontia, and impacted teeth. One thousand and one hundred OPGs were examined and the data were recorded in MS Excel sheets and were subjected to statistical analysis. Results: The most recorded developmental anomaly was hypodontia (11.6%), followed by impacted teeth (5.5%) and hyperdontia (1.1%). Statistically significant difference was noted in the distribution of hypodontia and impacted teeth between males and females (P < 0.001), whereas no statistically significant difference was noted in the distribution of hyperdontia between the males and females (P > 0.05). Conclusions: Dental anomalies can be commonly observed in OPG. Hypodontia and dental impaction were the most common dental anomalies observed in the present study. The early recognition of these dental anomalies is very important to offer preventive modality of management. The findings of the present study may be considered representative of the Maharastrian population. Multicentric studies with a larger sample size are recommended to be representative of the larger regions of the country.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Dental sleep medicine (DSM) is an emerging subspecialty in dentistry. Many dentists are adopting it in clinical practice to screen for and treat obstructive sleep apnea (OSA). The value of evidence-based medicine for OSA, oral appliance treatment, and good collaboration with sleep medicine physicians in sleep disorder care is important for all dentists who practice DSM. This article aims to assess the “hype” and “truth” in the arena of DSM from contemporary literature. DSM is a science with rapidly expanding body of information that is dynamically evolving and can challenge previously accepted concepts.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Coronavirus Disease 2019 is a rapidly progressing pandemic that has affected 12.3 million individuals while causing 5,54,061 deaths worldwide till date. In India, approx 7,94,000 individuals (including approximately 4,96,000 recovered patients) have been affected with approximately 21,604 deaths. The sheer extent of the disease makes it imperative to increase awareness among our professional peers regarding the nature of the disease and its transmissibility while formulating standard operating procedures to mitigate the same. The present article disseminates the evidence to date and is based on available literature, brief working experiences, and relevant recommendations that can be implemented at various dental centers and units at all levels.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Taurodontism is defined as lack of usual constriction at the cement-enamel junction, elongated pulp chambers with apical displacement of pulp floor. Affected tooth may not exhibit any characteristic morphologic trait for clinical recognition and require radiologic diagnosis. A special attention is required while planning any treatment for affected tooth. Present article highlights the important of early diagnosis of taurodntism in orthodontic treatment planning. A case report is presented with diagnosis of taurodontism affecting multiple teeth in both maxillary and mandibular arch.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]