'Biologic Restoration' - Two Case Reports

  

  Bikash Jyoti Borthakur , Ganesan S. , Swathika B. , Karthikeyan S.

 Abstract

Permanent maxillary incisors are the most commonly involved teeth in dental trauma. This is attributable to their eruptive pattern and location in the arch. Such types of fractures reduce the quality of life of the patient. Restoration of such teeth appears to be one of the most challenging situations in operative dentistry due to high esthetic demands. As clinicians, we can have options ranging from light-cured composite resins to porcelain jacket crowns. However, selecting the correct treatment procedure in the right situation leads to the success of treatment.The term "Biologic Restoration" was coined by Santos and Bianchi in 1991 and has significantly widened the conventional treatment options available for the restoration of traumatized teeth. The availability of natural crowns and roots allows for the use of biologic restoration, which will not only provide aesthetics but also preserve the patient's natural dentition. This article presents two cases in which a homogenous fragment of extracted upper anterior teeth was used to restore the traumatized upper central incisor. Among these, the first case was restored using a metal post and the other with a light-transmitting fiber post. Written consent was obtained from both patients prior to the initiation of treatment after explaining the various treatment modalities. ...Read More >>

 Non Surgical Endodntic Approach for Management of large Periapical Lesions - Case Reports

  

  Velmurugan A. , Bhavani S. , Sarun Thomas

 Abstract

Periapical diseases are induced as a result of involvement of oral bacteria. Therefore, mere surgical removal of the periapical lesions without proper root canal disinfection and obturation will not result in the healing of periapical tissues. This case series presents non-surgical endodontic management of large periapical pathosis with calcium hydroxide intra-canal medicament. Significant bone formation was seen at the periapical region during periodic checkup visits. Thus, conventional endodontic therapy in combination with calcium hydroxide as an intra-canal medicament contributed to the effective healing of periapical lesions. ...Read More >>

 Psychosomatic Disorders of the Oral Cavity – Review of Literature

  

  T. Vijayavel , M. Devaki , V. Ponni

 Abstract

Psychology is the specialty of science which studies the workings of the normal mind, including perceptions, sense organs, personality formation, learning, anger, stress, etc. Spering has called it "the science of individual behaviour and experience." Etiopathogenesis of many diseases is discovered and managed at an early stage. However, some diseases are considered idiopathic, making the diagnosis and treatment plan of such diseases controversial.Stress is one such etiology or predisposing factor in many diseases. Hence, the attitude and awareness of the dentist are crucial in detection and treatment. However, this is not an easy task because dentists rarely receive any training in psychiatry. Due to these problems, failure to recognize the development of anxiety will put the patient at risk of long-term sequelae of inadequate treatment. On the other hand, inability to diagnose psychogenic pain will lead to the use of inappropriate somatic treatments and a delay in referral for psychiatric help. This article provides an overview of psychosomatic diseases of the oral cavity. ...Read More >>

 Tumor in the Palate – A Case Report

  

  L. Vijayalakshmi , N. Jaishankar , Ravi David Austin , V. T. Hemalatha

 Abstract

Pleomorphic adenomas, commonly called benign mixed tumors, are histologically composed of two subtypes of cells: epithelial and mesenchymal. Typically, these tumors are well-demarcated from the surrounding tissue by a fibrous capsule, which varies in thickness and completeness. They are one of the salivary gland tumors that affect both major and minor salivary glands, accounting for about 40-70% of cases. These lesions have been reported to contain small protrusions (pseudopodia) that extend beyond the central mass, caused by the variability in the growth rates of the various cell types. This factor contributes to recurrence rates as high as 50%, depending on the type of surgical intervention.While most pleomorphic adenomas are confined to the superficial lobe of the parotid gland, they can occasionally arise in the deep lobe of other salivary glands. Tumors arising from the minor salivary glands are uncommon clinical entities. Among them, the palate is the most commonly affected site, followed by the upper lip and buccal mucosa, respectively. Malignant degeneration, most commonly carcinoma ex pleomorphic adenoma, has been reported to occur in as many as 25% of untreated cases. In rare cases, pleomorphic adenomas degenerate into a true malignant mixed tumor and a metastasizing benign mixed tumor. ...Read More >>

 Improved Wound Healing by Low Level Lasers

  

  V. Ramya , Bhuvaneswarri , N. Mani Sundar

 Abstract

The increasing use of lasers in dentistry reflects the great advances in this technology. In periodontics, high-power lasers, especially CO2 and ND: YAG lasers have been commonly used. However, these lasers have certain issues, such as high instrument costs and the potential for thermal injury. Therefore, semiconductor diode lasers have been predominantly used for applications that are broadly termed as Low-Level Laser Therapy (LLLT) or biostimulation. This article provides an overview of the efficiency of low-power lasers in periodontal wound healing. ...Read More >>