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Garhnayak M.,Soa University | Garhnayak L.,SCB Dental College and Hospital | Dev S.,KIIT University | Kar A.K.,KIIT University | Mohapatra A.,Soa University
Journal of Clinical and Diagnostic Research | Year: 2014

Loosening of lower denture has always been a common complaint of denture wearer, particularly in case of severe bone resorption. Various treatment modalities including preprosthetic surgery or ridge augmentation therapy to improve the ridge height and conventional implant treatments are available. But many patients are not willing to undergo through such extensive surgical procedure or conventional twin stage implant therapy owing to the chronic old age ailment and cost factor. So mini implant (SENDAX MDI) supported over denture is a boon for them who want a quick and minimally invasive solution, with a much lower cost. In this article we shall discuss the case report of a 60-year-old female patient with atropic mandibular ridge rehabilitated with MDI, (mini dental implant), Sendax mini implant. Source

Ray P.,SCB Dental College and Hospital | Mishra S.R.,Institute of Dental science
Journal of Dentistry for Children | Year: 2014

Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign, highly vascular and locally aggressive tumor that predominantly occurs in adolescent males. Usually the presenting symptom is a painless nasal obstruction or epistaxis; however, other symptoms may depend on the size and extent of the tumor mass. Owing to the vascularity of the tumor, incisional biopsy is not attempted and the diagnosis is, therefore, dependent on multiplanar imaging modalities such as computed tomography, magnetic resonance imaging and angiography. These also help to assess the tumor mass, preoperative embolization of the feeder vessel, and treatment planning. Usually, JNA patients are diagnosed by otorhinolaryngologists. The purpose of this paper is to present a rare case of JNA with a tender palatal swelling that was first seen by a dentist. Source

Mishra D.,SCB Dental College and Hospital | Kalapurakkal V.B.,Vasan Dental Care | Misra S.R.,Institute of Dental science
Journal of Clinical and Diagnostic Research | Year: 2015

Covering the clinically exposed root surface of a tooth has now become a routine demand of patients to improve aesthetics and also to reduce the instances of hypersensitivity. The idea behind the treatment of gingival recession is to place the gingiva as close as possible to the cement-enamel junction so that the exposed root area is covered and a normal sulcus is created. Here we present a series of two cases of gingival recession treatment in young patients affecting the maxillary anterior region. The affected sites were treated by a periodontal flap with synthetic collagen membrane and patient derived platelet rich fibrin. It may be emphasized that platelet-rich fibrin can be used as a membrane for periodontal tissue regeneration and it has the ability to promote platelet aggregation, be chemotactic for fibroblast and enhance wound stability and proper healing. Hence, both the methods can be successfully used in place of a connective tissue graft for treating gingival recession. © 2015, Journal of Clinical and Diagnostic Research. All Rights Reserved. Source

Mishra D.,SCB Dental College and Hospital | Gopalakrishnan S.,Ragas Dental College and Hospital | Arun K.V.,Ragas Dental College and Hospital | Kumar T.S.S.,Ragas Dental College and Hospital | And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2015

Background: Traditional parameters (Pocket depth, bleeding on probing, clinical attachment loss, radiographic findings) have been used for a long time for the assessment of periodontal disease conditions. However, these parameters only indicate towards the periodontal damage that has already taken place but do not give any idea regarding the current status of the periodontal health or disease. Hence, the present study is aimed at evaluating the concentration of the bone biomarker ICTP in saliva, which can give a better real time assessment of periodontal health and disease. Materials and Methods: Forty three patients were selected and divided into three groups based on the recorded clinical parameters of probing pocket depth, attachment loss and bleeding on probing. Group I (Healthy, n = 11), Group II (Gingivitis, n = 17), Group III (Periodontitis. n = 15). Salivary samples were collected before scaling and root planning to avoid contamination by blood. ICTP levels were evaluated in the salivary samples by using enzyme linked immunosorbent assay (ELISA). Statistical analysis used: Kruskal Wallis test was used to compare the mean ICTP level of the three groups. Results: ICTP was detected in all the samples. Highest mean ICTP concentrations in saliva were obtained for group III (periodontitis group) and the lowest mean ICTP concentrations were seen in group I (healthy group). This suggests that the level of ICTP in saliva increases proportionally from periodontal health to diseased conditions (gingivitis & periodontitis). Conclusion: There is a substantial increase in the salivary concentration of ICTP in chronic periodontitis patients than in gingivitis and healthy patients. Salivary ICTP levels were the maximum in chronic periodontitis patients followed by gingivitis patients and the least in healthy individuals. ICTP may be considered as a biomarker in periodontal disease progression. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved. Source

Kar I.B.,SCB Dental College and Hospital | Singh A.K.,Banaras Hindu University | Mohapatra P.C.,Scb Medical College And Hospital | Mohanty P.K.,Mkcg Medical College And Hospital | Misra S.,Scb Medical College And Hospital
International Journal of Oral and Maxillofacial Surgery | Year: 2014

The aim of this study was to evaluate the clinical outcome of the surgical repair of oral mucosal defects using cryopreserved human amniotic membrane (HAM) as a graft material. Thirty-four patients with precancerous lesions such as leukoplakia, erythroplakia, and verrucous hyperplasia were included. Fresh amniotic membrane was obtained from women undergoing elective caesarean section; the membrane was cleaned, prepared in antibiotic solutions, and preserved at -80 °C. Results suggested that HAM promotes healing and epithelialization without specific complications. Thus we conclude that the use of HAM gives promising results in the repair of post-surgical oral mucosal defects. © 2014 International Association of Oral and Maxillofacial Surgeons. Source

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