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Article

Revascularization of Immature Permanent Tooth with Periapical Lesion using a New Biomaterial - A Case Report

1Maulana Azad Institute of dental sciences

2Penang International Dental College


International Journal of Dental Sciences and Research. 2013, 1(1), 20-22
DOI: 10.12691/ijdsr-1-1-5
Copyright © 2013 Science and Education Publishing

Cite this paper:
Sarika Chaudhary, Sangeeta Talwar, Ramanathan Ravi, Mahesh Verma. Revascularization of Immature Permanent Tooth with Periapical Lesion using a New Biomaterial - A Case Report. International Journal of Dental Sciences and Research. 2013; 1(1):20-22. doi: 10.12691/ijdsr-1-1-5.

Correspondence to: Sarika Chaudhary, Maulana Azad Institute of dental sciences. Email: dr_ambics@yahoo.com

Abstract

Aim: To describe a case of a necrotic immature mandibular central incisor with sinus tract and periradicular radiolucency that underwent revascularization using Biodentine as coronal sealing material. Summary: Revascularization procedures provide a more predicable outcome by rendering continued root development of immature apices. This case report describes the successful revascularization procedure on a mandibular incisor in a 15-year-old patient, with the resolution of the associated periapical pathology within 18 months. The tooth was treated using coronal root irrigation by 6% NaOCl and triple antibiotic paste without instrumentation. This conservative treatment approach combined with a coronal seal of a bioactive material like Biodentine can preserve the vitality of the dental pulp stem cells and create a suitable environment for pulp revascularisation, resulting in the completion of root maturation.

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References

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Article

Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst of the Maxiliary Antrum: A Rare Entity

1Department of Pedodontics, Priyadarshini Dental College, Thiruvallur, Tamilnadu, India

2Department of Oral Surgery, Savitha Dental College, Chennai, India


International Journal of Dental Sciences and Research. 2013, 1(1), 16-19
DOI: 10.12691/ijdsr-1-1-4
Copyright © 2013 Science and Education Publishing

Cite this paper:
R. Veerakumar, Loganathan Selveraj. Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst of the Maxiliary Antrum: A Rare Entity. International Journal of Dental Sciences and Research. 2013; 1(1):16-19. doi: 10.12691/ijdsr-1-1-4.

Correspondence to: R. Veerakumar, Department of Pedodontics, Priyadarshini Dental College, Thiruvallur, Tamilnadu, India. Email: rveerakumar2008@gmail.com

Abstract

Adenomatoid Odontogenic Tumour is an uncommon Odontogenic lesion, accounting for about 3 to 7% of odontogenic tumours. The tumour composed of Odontogenic epithelium, characterized histologically by duct like structures with amyloid like deposits. It is a non invasive lesion with slow but progressive growth. We hereby report a case of Adenomatoid Odontogenic Tumour in a 13 year old female patient in the maxillary region. This paper provides the controversies regarding its origin and management in light of recent findings, clinical, radiographic, histopathological and therapeutic features of Adenomatoid Odontogenic Tumour.

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References

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Article

The Efficacy of Colour Doppler Ultrasound in Differentiating Malignant and Nonmalignant Head and Neck Lymph Node Enlargement

1Department of Oral Medicine And Radiology, Rajah Muthiah Dental College And Hospital, Annamalai University, Chidambaram, India


International Journal of Dental Sciences and Research. 2013, 1(1), 8-15
DOI: 10.12691/ijdsr-1-1-3
Copyright © 2013 Science and Education Publishing

Cite this paper:
Venkatesh Jayaraman, Ravi David Austin, R Ramasamy. The Efficacy of Colour Doppler Ultrasound in Differentiating Malignant and Nonmalignant Head and Neck Lymph Node Enlargement. International Journal of Dental Sciences and Research. 2013; 1(1):8-15. doi: 10.12691/ijdsr-1-1-3.

Correspondence to: Venkatesh Jayaraman, Department of Oral Medicine And Radiology, Rajah Muthiah Dental College And Hospital, Annamalai University, Chidambaram, India. Email: venkateshjay@gmail.com

Abstract

Cervical lymphadenopathy is a common presenting symptom for a variety of disorders. Differentiation of malignant and non- malignant lymphadenopathy has important clinical and therapeutic implications. The purpose of our study was to assess the efficacy of colour Doppler ultrasound (CDUS) in differentiating malignant and non-malignant cervical lymphadenopathy. 30 patients with clinical evidence of Head and Neck lymph node enlargement 15 patients with clinically suspected malignant/metastatic head and neck lymph node enlargement and 15 patients with clinically suspected reactive/non-malignant head and neck lymph node enlargement] were evaluated with ultrasound and the largest or most prominent node was subjected to CDUS examination. CDUS was performed for 30 out of 126 head and neck lymph nodes. Histopathological/Cytological confirmations were obtained by fine needle aspiration cytology or excisional biopsy. To assess the efficacy of CDUS, a comparison between clinical features, CDUS features and cytological/histological features of the lymph nodes was done. The results thus obtained were statistically analyzed. Clinical examination identified 99 lymph nodes in 30 patients. Ultrasonogram additionally detected 27 lymph nodes. The statistically significant ‘p’ value (p < 0.01) was obtained for sonographic features like S/L ratio > 0.5, loss of echogenic hilum, sharp border and hypoechogenicity. Correlation of vascular pattern of CDUS with pathological diagnosis showed that peripheral and mixed flow pattern for malignant nodes were highly significant with ‘p’ value of 0.000 (p < 0.01). The sensitivity and specificity was 93% and 93%, respectively. The hilar vascular pattern if taken as a criteria for identification of non-malignant nodes then the specificity was 100% and the sensitivity was 46.6%. Thus nodal vascular pattern can be used to differentiate malignant and nonmalignant lymph node enlargement. The presence of avascular flow pattern needs further evaluation. CDUS examination along with clinical examination and grey scale sonography can obviate the need for biopsy/FNAC of lymph nodes.

Keywords

References

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Article

Palatogingival Groove – An Added Dimension in the Etiology of Localised Periodontitis

1Department of Periodontics, AIMST Dental Institute, AIMST University, Semeling, Malaysia

2Department of Periodontics, Sri Venkateswara Dental College & Hospital, Thalambur, Chennai, India


International Journal of Dental Sciences and Research. 2013, 1(1), 5-7
DOI: 10.12691/ijdsr-1-1-2
Copyright © 2013 Science and Education Publishing

Cite this paper:
Bhuvaneswari Birla Bose, Sabitha Sudarsan. Palatogingival Groove – An Added Dimension in the Etiology of Localised Periodontitis. International Journal of Dental Sciences and Research. 2013; 1(1):5-7. doi: 10.12691/ijdsr-1-1-2.

Correspondence to: Bhuvaneswari Birla Bose, Department of Periodontics, AIMST Dental Institute, AIMST University, Semeling, Malaysia. Email: bhuvssbirla@gmail.com

Abstract

Purpose: Developmental radicular anomalies include the palatogingival groove, the distolingual groove and the radicular groove. Developmental infoldings may result in defects that can provide a pathway for pulpal pathology, and consequently periodontal destruction. Various studies have shown different treatment approaches for this developmental anomaly. In this case report, we aimed to clinically evaluate the sequelae of palatogingival groove and its clinical management effectively. Methods: A 27-year old male patient attended the outpatient department of Periodontics, Ragas Dental College & Hospital, Uthandi, Chennai, South India with a complaint of dull gnawing pain in the left maxillary central incisor region for the past six months. Clinical examination confirmed the presence of palatogingival groove on tooth no. 22. An interdisciplinary treatment with endodontic and periodontal management was opted. After completion of root canal treatment, flap was raised in 22 region and the unique semilunar bone defect near the apex of the tooth was debrided, bone graft place and flap sutured. The patient was recalled after one, three and six month interval. Results: The combined treatment approach was successful and the tooth was saved from further deterioration. Conclusion: Early detection of this developmental anomaly is essential to preserve the life of the tooth for both functional and esthetic purpose.

Keywords

References

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Article

Deviant Frankfort Horizontal Plane: Erroneous Reflections of Cephalometric Values in Vertical Skeletal Discrepancy Cases

1Department of Orthodontics, Penang International Dental College, Penang, Malaysia

2Department of Orthodontics, Saveetha Dental College, Chennai, India


International Journal of Dental Sciences and Research. 2013, 1(1), 1-4
DOI: 10.12691/ijdsr-1-1-1
Copyright © 2013 Science and Education Publishing

Cite this paper:
Gautham Sivamurthy, Shantha Sundari. Deviant Frankfort Horizontal Plane: Erroneous Reflections of Cephalometric Values in Vertical Skeletal Discrepancy Cases. International Journal of Dental Sciences and Research. 2013; 1(1):1-4. doi: 10.12691/ijdsr-1-1-1.

Correspondence to: Gautham Sivamurthy, Department of Orthodontics, Penang International Dental College, Penang, Malaysia. Email: gautham_5581@rediffmail.com

Abstract

Cephalometrics still remains imperative in diagnosis and therapeutic decision making and with the realisation of the natural head posture, the Frankfort horizontal (FH) plane cannot be considered a true horizontal in all cases due to its commonly deviant relationship, particularly in cases of vertical skeletal discrepancies. The purpose of this study was to highlight the erroneous reflections of maxillary and mandibular positions in cases where the FH plane is deviant from the normal and to construct an alternate reference plane for use in such situations. The sample group came from 55 randomly selected lateral cephalometric roentgenograms. A control group of 20 patients was created from the cephalograms where the FH plane was in a true horizontal relationship and an alternate study reference plane was constructed. An independent t test and Mann-Whitney U test were done for both the groups to compare the values obtained and determine the statistical difference. In the control group, the values obtained where statistically not significant, which proved that our reference plane could be used as an alternative to the FH plane. The study group showed a significant statistical difference, resulting in erroneous analysis if the deviant FH plane was used. Gross errors in diagnosis and treatment planning of orthodontic and surgical cases can occur if deviant FH plane is used in cephalometric analysis.

Keywords

References

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