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   2020| July-September  | Volume 8 | Issue 3  
    Online since September 28, 2020

 
 
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ORIGINAL ARTICLES
Assessment of dental caries prevalence among institutionalized visually impaired children in delhi state
Nandita Mohan, Bhavika Sharma, Aarti Kumari, Silpi Chatterjee, Asim Mustafa Khan, Maryam Faseeha Haqh
July-September 2020, 8(3):35-38
DOI:10.4103/INJO.INJO_16_20  
Aim: To assess the prevalence of dental caries in visually impaired children and adults aged 6–25 years attending special schools in Delhi. Materials and Methods: A total of 1131 visually impaired individuals studying in various special care institutions in Delhi were examined. Extraoral as well as intraoral examinations were carried out and decayed-missing-filled teeth (DMFT) index and decayedextracted-filled teeth (deft) index were used. The relevant findings were entered in the proforma. Result: It was seen that of 285 students in the mixed dentition group, 77 individuals had dental caries constituting 27.02%; whereas in the other group, of 1131, 575 individuals presented with DMFT scores constituting 50.84%. On the whole, it was noted that 44.3% of the individuals were caries free in both the groups. Conclusion: The DMFT index showed a cumulative increase with age. As age advanced, the incidence increased. Dental caries prevalence was more in males as compared to females.
  450 69 -
REVIEW ARTICLES
Psychological impact of quarantine on mental and oral health: Lessons learned from previous quarantine and can be applied for current COVID-19 pandemic
Mohamed Yaser Kharma, Baydaa Koussa, Madeha Sadki, Najeeb Abdulkarim, Mohsen Aljefri, Meshari Alharthi, Mohamed Mohsen
July-September 2020, 8(3):52-56
DOI:10.4103/INJO.INJO_28_20  
Stress, depression, and anxiety are commonly associated with the long-term of Corona virus disease 2019 (COVID-19) quarantine. These effects have implications on mental and oral health. We did a review of the psychological impact of quarantine in general using electronic data base. We tried to focus on psychological effects of quarantine on immune response, parafunctional habits and periodontal diseases. We included in this research, most studies which reported psychological effects of quarantine including: post-traumatic stress symptoms, confusion, anger, stress, depression, and anxiety. During several weeks of COVID-19 quarantine or social distancing, individuals will have to establish their own ways of preserving their mental health at home. Studies surveying those who had been quarantined reports of emotional disturbance, depression, stress, low mood, irritability, insomnia, post-traumatic stress symptoms, anger and emotional exhaustion. Stress, depression, and anxiety have impacts on immune responses, oral health and periodontal disease. It becomes more important in the quarantine period of the epidemic outbreak to understand the psychological impact of the quarantine on mental and oral health. This article presents valuable knowledge about psychological hygiene during the quarantine, whose behavior is extremely important from the point of view of systemic health, including oral health.
  305 145 -
ORIGINAL ARTICLES
An evaluation of the efficiency of a novel polyamide polymer bioceramic obturating system in cases with periapical lesions: An in vivo study
Rahul Paresh Ved, Vibha Hegde
July-September 2020, 8(3):39-42
DOI:10.4103/INJO.INJO_24_20  
Introduction: The ultimate goal of obturation is to prevent the reinfection of root canals. The bioceramic hydrophilic obturation materials could prove to be advantageous in clinical situations where periapical lesions are present and could help in the effective resolution of the periapical lesions due to their better mechanical and biological properties. Aims and Objectives: The aim of this study was to evaluate the efficiency of a novel polyamide polymer bioceramic obturating system in cases with a periapical lesion as compared with traditional obturating techniques. Materials and Methods: A total of 20 cases that fulfilled the criteria of the study were randomly divided into groups and obturation was done using either gutta percha and AH Plus sealer or the newer bioceramic and the healing of the lesions was monitored at 3,6 and 12 months. Descriptive statistics was expressed as mean ± standard deviation (SD) for each group. The change in mean area of the periapical lesion for 12 months in each group was analyzed using the repeated-measures ANOVA test. Intergroup comparison was done using the Student’s t test. In the above tests, a value of P ≤ 0.05 was taken to be statistically significant. All analyses were performed using SPSS software, version 17.0. Results: Both the groups showed satisfactory results, but the rate of healing of bioceramic group was significantly better. Conclusion: Both the groups tested for their efficiency in healing of periapical lesion were successful in resolution of the periapical lesion over a time period of 12 months. Smart seal group showed better healing of the lesion as compared to gutta percha and AH plus group at both 6 months and 12 months following root canal treatment.
  319 58 -
REVIEW ARTICLES
Choukroun’s platelet-rich fibrin (L-PRF): A benevolence to surgical and reconstructive dentistry
Kush Sahu, Shyam Uttamrao Jadhav, Samir Sahib Merajun nabi Khan, Nisha Singh, Mohsin Khan, Ankit Agarwal
July-September 2020, 8(3):45-47
DOI:10.4103/INJO.INJO_26_20  
Platelet-rich fibrin (PRF) is a stringently autologous fibrin matrix containing a large quantity of platelets (thrombocytes) and leukocyte cytokines. PRF is an upcoming newer treatment modality used to augment healing process and has been in clinical use over the last decade within many disciplines, such as peri-implant defects, periodontal defects, exclusively as grafting material, in treatment of alopecia, orthopedic, oral-maxillofacial and cardiac surgery, and plastic and cosmetic surgeries. Choukroun in 2001 (France) and his coassociates were among the inventors for use of PRF in any reconstructive surgery to encourage and enhance the bone healing. PRF is found better than the previously used PRP (platelet-rich plasma) as it is easier to prepare and apply, cheaper, and there is no need to add bovine thrombin or anticoagulant in it. Thus in the current setup, it is proving to be benevolent to the surgical reconstructive dentistry.
  283 37 -
Need for speed in orthodontics: A review of noninvasive methods to accelerate the orthodontic tooth movement
T Sri Santosh, Konkati Srikanth, Dasagari Haritha, Mandadi Lohith Reddy, Bukkarayasamudram Ravi Chandra, Reshu Parmar
July-September 2020, 8(3):48-51
DOI:10.4103/INJO.INJO_20_20  
Orthodontic treatment improves facial and smile esthetics along with oral function and psychosocial well being of an individual. Prolonged treatment time is one of the greatest challenges in orthodontics which declines patient’s satisfaction and increases the exposure of the patient to oral health risks such as decalfication of teeth, dental caries, periodontal disease, and root resorption. Most of the orthodontists are interested in noninvasive procedures which will also increase the acceptance of the treatment for both orthodontists and patients. Noninvasive methods that have shown promising results to accelerate the orthodontic tooth movement are vibrational forces, photobiomodulation, and low-intensity pulsed ultrasound (LIPUS). The current evidence presented in this review have shown successful results which is fascinating, further research is needed to explore the utility of these methods as an adjunct in the speciality of orthodontics to reduce the overall treatment duration, risks associated with prolonged treatment and increase patient’s compliance.
  268 42 -
Ectodermal dysplasia and prosthodontic management
Binoy Mathews Nedumgottil, Sajina Sam
July-September 2020, 8(3):43-44
DOI:10.4103/INJO.INJO_37_20  
Ectodermal dysplasia (ED) is commonly a complicated condition to manage with prosthodontics, typically because of the oral deficiencies and the afflicted individuals being quite young, when they are evaluated for treatment. These individuals must receive dental treatment at an early age for physiologic and psychosocial reasons. This review of the literature pertains to the prosthodontic management of dental disorder in ED patients.
  226 57 -
Dental implants in children
Binoy Mathews Nedumgottil, Sajina Sam, Sajith Abraham
July-September 2020, 8(3):57-59
DOI:10.4103/INJO.INJO_41_20  
Dental implant placement is one of the possible modes of rehabilitation in pediatric patients, with conditions such as congenital partial anodontia and traumatic tooth loss. Systematic planning of treatment is required to achieve optimum esthetic and functional outcomes. Growth assessment accompanied with alveolar bone evaluation is mandatory at the planning of implant treatment. For greater outcomes of implant treatments, all the surgical and orthodontic procedures should be well initiated about a year prior to the planned implant placement. In children, greater the physiologic harmony that can be created within the dentition, alveolar bone and skeletal growth changes, higher are the chances of successful implant placement. To determine the optimal individual time point of implant insertion, the status of skeletal growth, the degree of hypodontia, and extension of related psychological stress should be taken into account in addition to the status of the existing dentition and dental compliance of a pediatric patient.
  158 34 -
CASE REPORTS
Numerous anomalies of teeth with concomitant nonsyndromic oligodontia in primary and permanent dentition: A rare case report
Senthil Kumar, Madhumitha Mohanraj
July-September 2020, 8(3):66-69
DOI:10.4103/INJO.INJO_29_20  
Aim: The case report aimed at reporting a rare case of numerous morphological anomalies of teeth with concomitant nonsyndromic oligodontia in primary and permanent dentition in the oral cavity. Background: Oligodontia is agenesis of numerous teeth preferably missing more than six teeth in the oral cavity, affects both primary and permanent dentition, and is commonly associated with ectodermal dysplasia or specific abnormalities. Agenesis of the primary teeth is rare, especially of the primary canines. The exact etiology is unknown. Case description: This paper reports a very rare case of an 8-year-old boy with multiple morphological anomalies of teeth, with missing primary canines, and 19 permanent teeth at 8 years of age, later followed up from 11 to 15 years. This paper discusses the prevalence, etiology, and management of oligodontia which was not associated with any syndrome like Van Der Woude, Reiger syndrome as it usually is, because the patient did not exhibit any of the associated findings with any syndrome, thereby making it rare of the rare cases. Conclusion: A rare case report of nonsyndromic oligodontia with multiple congenitally missing primary and permanent teeth associated with morphological anomalies of the teeth and without the absence of any systemic disorders or syndromes is presented. Clinical Significance: Since oligodontia is always associated with ectodermal dysplasia or other syndromes, recognizing cases without associated syndromes which are necessary to evaluate any other underlying factors. Thus, the incidence of oligodontia which usually varies from 0.08% to 0.16% citing this case report falls into that 1% making it rare.
  134 16 -
MTA apexification of an endodontically failed tooth with wide open apex in multiple visits
Rahul Paresh Ved, Vibha Hegde
July-September 2020, 8(3):63-65
DOI:10.4103/INJO.INJO_27_20  
Success of endodontic therapy is dependent on multiple factors such as thorough preoperative evaluation, magnification and isolation techniques, complete debridement of diseased pulp tissue with disinfection of the canal and three-dimensional obturation. The process of root formation can be hampered in young permanent teeth due to trauma. Endodontic treatment of such cases with open apex is a challenge and retreatment in such cases is an even bigger challenge. Use of contemporary materials such as mineral trioxide aggregate, thermoplasticized gutta percha, and magnification in the form of a dental operating microscope can help in achieving predictable and long-term success in such cases.
  129 15 -
Partial anodontia with macroglossia: An esthetic and functional challenge for a prosthodontist
Shyam Jadhav, Kush Sahu, Mohsin Khan, Samir Sahib Merajun Nabi Khan, Nisha Singh, Ankit Agarwal
July-September 2020, 8(3):60-62
DOI:10.4103/INJO.INJO_25_20  
Partial anodontia is considered as one of the most crucial developmental anomalies in the dentofacial region. In the permanent dentition, the prevalence rate of true partial exodontia is 3.5%–6.5%. The clinical situation in relation to this abnormality is very distressing for the patient; at the same time, it is a strenuous challenge for the clinician to bring it to the normal function and esthetics. This case report discusses the prosthodontic rehabilitation of a young girl with the partial anodontia that was treated with the tooth-supported over-denture using Ceka Preci precision attachments. The ultimate aim was to rehabilitate her prosthodontically to uplift her mental and esthetic status.
  117 18 -