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Saklecha B.,Index Institute of Dental science | Tekale P.D.,Dr Rajesh Ramdasji Kambe Dental College And Hospital | Mhaske A.,Dr D.Y. Patil Dental School | Patil H.,ACPM Dental College DhuleMaharashtra
Journal of Clinical and Diagnostic Research | Year: 2015

Separation of teeth is an important and integral aspect of orthodontic treatment. Elastomeric separators are the most common devices used today which require special instrument to place them. The purpose of this study was to design a separator placing instrument of dental probe/explorer which can be used as an alternative to the special instrument required. The materials required were two dental probes/explorers, a light wire plier and elastomeric separators. The modified instrument made is easy to fabricate, inexpensive and can partially or completely replace the special separator placing plier. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved. Source

Mahajan R.K.,Reconstructive | Chhajlani R.,Index Institute of Dental science | Ghildiyal H.C.,Reconstructive
Indian Journal of Plastic Surgery | Year: 2014

Introduction: Despite the improved techniques of repair of cleft palate, fistula occurrence is still a possibility either due to an error in the surgical technique or due to the poor tissue quality of the patient. Though commonly the fistula closure is established by use of local flaps but at times the site and the size of the fistula make use of local flaps for its repair a remote possibility. The use of tongue flaps because of the central position in the floor of the mouth, mobility and the diversity of positioning the flaps make it a method of choice for closure of anterior palatal fistulae than any other tissues. The aim of this study was to analyse the utility of tongue flap in anterior palatal fistula repair. Materials and Methods: We had 41 patients admitted to our hospital during the period 2006-2012 for repair of palatal fistula and were enrolled into the study. In the entire 41 cases, fistula was placed anteriorly. The size of the fistulae varied from 2 cm × 1.5 cm to 5.5 cm × 3 cm. The flaps were divided after 3-week and final inset of the flap was done. Observation and Result: None of the patients developed flap necrosis, in one case there was the dehiscence of the flap, which was reinset and in one patient there was bleeding. None of our patients developed functional deformity of the tongue. Speech was improved in 75% cases. Conclusion: Leaving apart its only drawback of two-staged procedure and transient patient discomfort, tongue flap remains the flap of choice for managing very difficult and challenging anterior palatal fistulae. Source

Surapaneni S.S.,Rural Dental College | Chandki R.,Index Institute of Dental science
Journal of Natural Science, Biology and Medicine | Year: 2015

The myriads of technological advancements in dentistry in last two decades have led to a dramatic shift from conventional invasive procedures to more conservative biomimetic therapies. In this series, management of traumatic dental injuries has taken a big leap in that now it is possible to conserve many of these teeth which were otherwise doomed to extraction. Depending on the extent of injury, esthetic and functional requirements, traumatic dental injuries can be managed by a variety of clinical procedures including composite resin restorations, reattachment of fractured fragment, endodontic therapy with or without post and core or lastly extraction. Reattaching natural tooth structure offers an advantage over the others in that it is instant, provides superior esthetics, preserves the natural tooth structure and is best accepted by the patient. This paper describes the comprehensive management of traumatized maxillary central incisor involving pulp exposure while maintaining pulp vitality and natural appearance of a tooth. Source

Gupta R.,Nair Hospital and Dental College | Debnath N.,JKK Nataraja Dental College and Hospital | Nayak P.A.,NIMS Dental College & Hospital | Khandelwal V.,Index Institute of Dental science
BMJ case reports | Year: 2014

Gingival squamous cell carcinoma (GSCC) is a relatively rare malignant neoplasm of the oral cavity. It represents less than 10% of diagnosed intraoral carcinoma. Because of its close proximity to the teeth and periodontium, the tumour can mimic tooth-related benign inflammatory conditions. This case report describes a patient diagnosed with GSCC presenting as localised periodontitis. 2014 BMJ Publishing Group Ltd. Source

Angadi P.V.,KLEVK Institute of Dental science | Hemani S.,Index Institute of Dental science | Prabhu S.,Yenepoya Dental College
Journal of Forensic and Legal Medicine | Year: 2013

Correct sex assessment of skeletonized human remains allows investigators to undertake a more focused search of missing persons' files to establish identity. Univariate and multivariate odontometric sex assessment has been explored in recent years on small sample sizes and have not used a test sample. Consequently, inconsistent results have been produced in terms of accuracy of sex allocation. This paper has derived data from a large sample of males and females, and applied logistic regression formulae on a test sample. Using a digital caliper, buccolingual and mesiodistal dimensions of all permanent teeth (except third molars) were measured on 600 dental casts (306 females, 294 males) of young adults (18 -32 years), and the data subjected to univariate (independent samples' t -test) and multivariate statistics (stepwise logistic regression analysis, or LRA). The analyses revealed that canines were the most sexually dimorphic teeth followed by molars. All tooth variables were larger in males, with 51/56 (91.1%) being statistically larger (p < 0.05). When the stepwise LRA formulae were applied to a test sample of 69 subjects (40 females, 29 males) of the same age range, allocation accuracy of 68.1% for the maxillary teeth, 73.9% for the mandibular teeth, and 71% for teeth of both jaws combined, were obtained. The high univariate sexual dimorphism observed herein contrasts with some reports of low, and sometimes reverse, sexual dimorphism (the phenomenon of female tooth dimensions being larger than males'); the LRA results, too, are in contradiction to a previous report of virtually 100% sex allocation for a small heterogeneous sample. These reflect the importance of using a large sample to quantify sexual dimorphism in tooth dimensions and the application of the derived formulae on a test dataset to ascertain accuracy which, at best, is moderate in nature. © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved. Source

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