Volume 2 Issue 4 | February 28, 2019
Oral Cancer Awareness
Asaad Javaid Mirza.
Oral cavity cancer is amongst the most prevalent cancers worldwide affecting men more than women. It is associated with significant morbidity and low post treatment survival. Oral cancer can develop in any part of the oral cavity but most of the time it be-gins in the flat cells covering the surfaces tongue, lips and cheeks.
Volume 2 Issue 4 | March 06, 2019
Non-Surgical Therapy for Chronic Periodontitis: Adjunctive Photochemical Therapy for Accentuated Outcomes?
Rishi Dhamija, Rashmi Paramashiviah, Prabhuji Munivenkatappa Lakshmaiah Venkatesh and Pragati Modi Mirza.
Background and Objectives: The main objective of periodontal treatment is to control infection and thereby curb disease progres-sion. Photodynamic therapy provides a broad spectrum of antimicrobial activity without any local or systemic side effects. The aim of the present study is to evaluate the efficacy of a new photosensitizer (indocyanine green), which has high absorption at a wavelength of 800 - 810 nm for its photodynamic potential. A split mouth randomized controlled clinical trial was planned to compare the clini-cal and microbiological outcomes of scaling and root planing with photodynamic therapy as compared to scaling and root planning alone.
Method: In a split mouth study, 10 patients presenting with at least two teeth on contra lateral sides having at least one site with a probing pocket depth of greater than 5 mm were selected for the study. Control sites received only scaling and root planning whereas in test sites scaling and root and root planing was followed by a single session of photodynamic therapy. Plaque index, gingival index, sulcular bleeding index, probing pocket depth and relative attachment level were measured at baseline, 1 month and 3 months. Mi-crobiologic evaluation was performed using anaerobic colony count test at baseline and 3 months.
Results: At 1 and 3 months after treatment, there were no statistically significant differences between the groups with regard to probing pocket depth, relative attachment level, plaque index, or microbiologic changes. However, a greater improvement in gingival index and sulcular bleeding index was found in the test group at 1 and 3 months which was statistically significant.
Conclusions:The additional application of a single episode of photodynamic therapy to scaling and root planing failed to result in an additional improvement in terms of pocket depth reduction and relative attachment level gain, but it did result in a significantly higher reduction in gingival inflammation and bleeding scores compared to scaling and root planing alone.
Keywords:Chronic Periodontitis; Split Mouth Design; Scaling and Root Planing; Photosensitizer; Laser; Photodynamic Therapy
Volume 2 Issue 4 | March 18, 2019
Irreducible Disc Displacement: From Diagnosis to the Occlusal Splint
Zenati Latifa and Ait Mehdi Mahdia.
Introduction: Irreducible disc dislocation is part of the internal disturbances of TMJ. The positive diagnosis is sometimes difficult to pose especially when the clinical signs are blurry. The purpose of this poster is to show the progression of a case of closed lock from clinical examination to treatment.
Materials and Methods: A 36 years old patient consulted for joint pain after the clinical and occlusal examination, we explore with radiological image MRI and axiographic splots, all of which allowed us to move towards the diagnosis of a chronic disc displacement without reduction.
Result and Discussion: The diagnosis is very difficult to pose since the clinical signs and symptoms are very little revealing (the differential diagnosis is facial neuralgia) The axiographic pattern closely resembles a physiological pattern of a healthy ATM, it is also sharp of greater amplitude, the closing movement has a deflexion synonymous that the mandibular condylar passes behind the disc by crushing the posterior bilaminary zone The treatment was to restore the occlusion in first intention by a prosthetic restora-tion and secondarily by an occlusal splint of ante position whose goal is to cause a mandibular advancement and therefore condylar increasing the posterior joint space and decompression of the posterior area.
Conclusion:The management of patients with TMJ disorders must be supported from the beginning of the consultation by using all means necessary to arrive at a correct diagnosis and blow establish a treatment plan.
Keywords:Irreducible Disc Displacement; Occlusal Splint; Temporomandibular Joint Disorders (TMJ)
Volume 2 Issue 4 | March 29, 2019
Pathogenesis of Aggregatibacter actinomycetemcomitans in Periodontitis
Ivan Minic and Ana Pejcic.
Periodontal diseases are widely distributed in the world and represent a major oral health problem both in developed and in
developing countries. These chronic inflammatory diseases are characterized by the destruction of tooth supporting tissues. The
pathogenesis of periodontal diseases is mediated by the inflammatory response to bacteria in the dental biofilm. More than 700
species have been detected in the oral cavity in different individuals. Approximately 400 of these species have been isolated from
different subgingival microenvironments. Aggregatibacter actinomycetemcomitans is considered as one of the bacterial species of
etiological importance in periodontitis and has contributed to the initiation and/or progression of destructive forms of periodontitis.
The potential virulence factors of this organism are powerful leukotoxin, lipopolysaccharide (LPS), cell surface-associated materials,
enzymes, and less well-defined virulence factors that will modulate the activity of the host defenses. This organism can induce bone
resorption by various virulence factors in periodontal disease.
Keywords: Aggregatibacter actinomycetemcomitans; Periodontitis; Cytokines; Leukotoxin
Volume 2 Issue 4 | March 29, 2019
Total Piezo Prosthesis in a Child with a Anhidrotic Ectodermal Dysplasia
M Ait Mehdi, L Zenati, Y Bourouis, N Lachgar, N Naili, D Sedki and M Abdmeziem.
More commonly known as the Christ-Siemens-Touraine syndrome, anhidrotic ectodermal dysplasia is caused by an X-linked gene
mutation. It is the most common type of ectodermal dysplasia.
This syndrome is characterized by the total or partial absence of teeth, hair, and hair associated with the absence of perspiration
[1-3]. Anodonty or total dental agenesis remains a rare entity that may affect the first and/or second dentition and affect the
maxillary and/or mandible [4-6].
The state of generalized bone atrophy that accompanies anodontia offers thin mandibular alveolar ridges, hypo developed as a
knife blade, which poses a problem for early prosthetic rehabilitation in children.
Through a clinical case, we will see the possibility of making a piezo record of the prosthetic corridor to the mandibular arch in a
child of 4 years. This technique could allow a better functional integration to the total dental assistant bi-maxillary prosthesis thus
Keywords:Anhidrotic Ectodermal Dysplasia; Anodontia; Total Piezo Mandibular Prosthesis
Volume 2 Issue 4 | March 29, 2019
Digital Dentistry and Complete Dentures
It has been around 80 years since protocols and methods
of complete denture fabrication procedures were introduced.
Complete denture (CD) fabrication is a complex process and
requires certain clinical steps and expertise of a laboratory
technician. The complexity of the procedures is the reason why
digital impressions/scanning has evolved and is becoming more
frequently used in clinical prosthodontics . Since the introduction
of Computer Aided Design/ Computer Aided Manufacturing (CAD/
CAM) technology for CDs, many improvements in the systems have
been noticed. Due to the innovations in the digital impression
systems, the data of the patient can be effectively recorded and
converted into a virtual impression.