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Khandelwal V.,Modern Dental College and Research Center | Nayak U.A.,MGM Dental College | Nayak P.A.,Mahatma Gandhi Dental College | Ninawe N.,VSPM Dental College
BMJ Case Reports

Significant numbers of patients visiting the paediatric dental clinics have aesthetically objectionable brown stains and desire treatment for them. Intrinsic tooth discolouration can be a significant aesthetic, and in some instances, functional, problem. Dental fluorosis, tetracycline staining, localised and chronological hypoplasia, and both amelogenesis and dentinogenesis imperfecta can all produce a cosmetically unsatisfactory dentition. The aetiology of intrinsic discolouration of enamel may sometimes be deduced from the patient's history, and one factor long associated with the problem has been a high level of fluoride intake. Optimal use of topical fluorides leads to a decrease in the caries prevalence but may show an increase in the prevalence of fluorosis staining because of metabolic alterations in the ameloblasts, causing a defective matrix formation and improper calcification. A 12-year-old male patient was screened at the dental clinic for routine dental care. He wanted us to remove and/or minimise the noticeable brown/yellow staining of his teeth. He requested the least invasive and most cost-effective treatment to change his smile. Various treatment modalities are present for the treatment of fluorosis stains. This report discusses the microabrasion technique in the patient having dental fluorosis. Copyright 2013 BMJ Publishing Group. All rights reserved. Source

Khandelwal V.,Modern Dental College and Research Center | Shigli A.L.,Bharti Vidya Peeth Dental College and Hospital | Nayak U.A.,Mahatma Gandhi Dental College
General Dentistry

Splinting is the standard care for stabilizing replanted or repositioned permanent teeth following trauma. Traditionally, semirigid splints are used to stabilize a repositioned tooth, with support provided by adjacent teeth. However, in cases when the adjacent teeth are wide and/or can only provide minimal anchorage and support, it is difficult to fix the luxated tooth to its original position. This case report describes how a clear vacuum-formed splint was used to reposition and stabilize an avulsed maxillary left central incisor. Due to the avulsion, an unerupted canine, and partially erupted premolars, it was difficult to fabricate a traditional splint, hence the creation of a vacuum-formed splint. Source

Khandelwal V.,Modern Dental College and Research Center | Agrawal P.,Perfect Smile | Nayak P.A.,Mahatma Gandhi Dental College
BMJ Case Reports

Subcutaneous emphysema occurs when air is forced beneath the tissue, leading to swelling, crepitus on palpation and has the potential to spread along the fascial planes. This report describes the youngest case of subcutaneous emphysema related to dental treatment that has been documented to date. In addition to the patient's age, the case is of interest because periorbital subcutaneous emphysema is a rarest complication of stainless steel crown procedure. Copyright 2013 BMJ Publishing Group. All rights reserved. Source

Handa S.,JKK Nataraja Dental College and Hospital | Prasad S.,Mahatma Gandhi Dental College | Rajashekharappa C.B.,SGT Dental College | Garg A.,Jaipur Dental College | And 2 more authors.
Journal of Clinical and Diagnostic Research

Introduction: Oral health is an integral part of general health and well being. Poor oral health can affect a person physiologically and psychologically irrespective of age group. Aim: To assess the oral health status and treatment needs of urban and rural population of Gurgaon Block, Gurgaon District, Haryana, India. Materials and Methods: A descriptive cross-sectional study was conducted among 810 urban and rural subjects belonging to index age groups of 5, 12, 15, 35-44 and 65-74 years as recommended by WHO, in the city of Gurgaon, Haryana. The World Health Organization Oral Health Assessment Form (1997) was used for data collection in which clinical examination, soft and hard tissue findings as well as dentofacial anomalies were recorded. The subjects were selected by multistage random sampling and examined throughout the area by a house to house survey. Statistical Analysis: The data was collected and subjected to analysis through SPSS 21. Chi-square was used for compilation of results. Results: Of the total population 44.9% had dental caries with a mean DMFT of 1.61. Prevalence of periodontal diseases was 65%; 46% of the population suffered from malocclusions of which 21.19% had the severe type. Dental fluorosis was found to be highly prevalent (46%) out of which 11.23% had moderate and 9.6% had severe type of fluorosis. Treatment was found to be required among 83% of population. Conclusion: The dental health care needs are very high both in rural and urban areas in spite of basic facilities available in urban areas. Hence professional and administrative attention is required both in urban and rural areas. Gurgaon Block can be used as a model district to find the effectiveness of programs in bringing down the oral diseases and maintenance of the oral health of the people on a long term basis. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved. Source

Khare V.,Mahatma Gandhi Dental College and Hospital | Nayak P.A.,Mahatma Gandhi Dental College | Khandelwal V.,Modern Dental College and Research Center | Nayak U.A.,Mahatma Gandhi Dental College and Hospital
BMJ Case Reports

The first-line treatment of non-restorable traumatically injured or carious deciduous teeth is extraction which may be a curse for the future dentition as well as social activity of a child. Various therapeutic modalities from removable partial dentures to fixed space maintainer can be used for replacement of such lost teeth. Two types of fixed aesthetic space maintainers for replacing premature loss of maxillary deciduous incisors in 4-year-old children are discussed. Copyright 2013 BMJ Publishing Group. All rights reserved. Source

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