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   Table of Contents - Current issue
January-June 2018
Volume 5 | Issue 1
Page Nos. 1-35

Online since Friday, December 21, 2018

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Evaluation of knowledge level of dental practitioners regarding treatment with provisional acrylic removable partial dentures among patients in Erode District: A cross-sectional survey p. 1
Monnica Viswanathan, K Balu, V Devaki, P Arun Kumar
Objective: The study aimed to assess the knowledge of dental practitioners who treat their patients with removable partial dentures and also to assess the influence of factors such as abutment tooth loss, retention, esthetics, chewing, speech, and comfort of patients with therapy. Methods: The study was conducted at a dental clinic of Erode district. In this study, 80 dentists who treat their patients with removable partial denture were involved. Eligible participants were administered with structured questionnaires which include age, gender, and level of education. The study was a cross-sectional survey of general dental practitioners (GDPs). Results: Out of the eighty questionnaires, seventy-five were returned by GDPs throughout the district. The most important factor reported as influencing both the GDP's decision to treat with partial denture and its subsequent success was patient inclination to have a partial denture. However, for a number of dentists, there was a divergence between knowledge and practice. The study indicates that the technical complications were more likely to occur than biological failures (i.e., loss of an abutment). Conclusion: Dentists evaluated that most patients were satisfied with their dentures. It was determined that the best approach toward removable dental prostheses (RDPs) as a treatment option for partially edentulous patients includes a combination of excellent oral hygiene, design of prosthesis, and proper abutment selection in order to minimize the effects of biological and technical failures and complications to ensure optimal RDP longevity and survival.
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Evaluation of antimicrobial activity of Allium sativum (Garlic) in vitro: A spilot study p. 5
Pavithra Thiruppathi, S Elanchezhiyan, R Ramya Nethravathy, K Vennila, P Viola Esther, TB Meenalochani
Background: Dental calculus and its microbial activity are considered as major causative factors for progression of inflammatory disease of the periodontium. To prevent the microbial activity of oral cavity, various chemical agents have been practiced, the long-term usage of which results in adverse reactions. To minimize its adverse side effects, treatment modalities have been changing toward herbal medications. Therefore, with minimal side effects, effectiveness of Allium sativum (garlic) against dental calculus formation is considered as vital. The aim of the study is to analyze the antimicrobial activity of garlic using calculus samples. Materials and Methods: Dental calculus samples were cultured using brain–heart infusion reagent. For antibiotic assay, Kirby–Bauer antimicrobial susceptibility procedure was carried. Freshly prepared aqueous garlic extract (AGE) and chlorhexidine were kept in cultured agar plate, and after 24 h, incubation inhibition zones were calculated. Results: Greater inhibition zones were seen around AGE compared to chlorhexidine. Conclusion: Study shows definite antimicrobial activity of A. sativum.
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Angle's classification versus dental esthetic index in evaluation of malocclusion among 12–15-year-old school children in Thiruchengode, Tamil Nadu p. 8
Maivizhi Rajasekaran, S Nagalakshmi, BK Rajkumar, S Vinoth, D Dhayanithi, D Pawan Kumar Bhandari
Objective: To evaluate Angle's classification and Dental Aesthetic Index (DAI) among 12-15 year old school children and find the association between them. Methods: Sample consists of 400, 12-15 year old school children. Malocclusion prevalence, the severity of malocclusion and treatment requisite were evaluated to find the association between Angle's and DAI. Pearson Chi-square test was used for the comparison of categorical data. (P<0.05 was considered significant). Results: The percentage of children with DAI< 25 indicating little or no need for treatment was 65.5% and 12.8% had highly desirable or mandatory need fot treatment ie DAI>31. Among children with DAI< 25, a significantly high percentage of patients were in Class I (83.2%) whereas among children with DAI>31, higher percentage was noted in Class II/div 1 (29.2%) and Class III (28.6) than in Class 1(5.7) (P&?#60;0.001). Only 28.6% of children with Class III malocclusion were associated with appropriate DAI scores (>31) of severity and treatment need category. Conclusion: Only 12.75% of children had DAI score of > 31 suggesting highly desirable or mandatory orthodontic treatment requisite. DAI was not sensitive in terms of severity and treatment requisite criteria. Complimentary use of two methods seems to be feasible in all inclusive evaluation and care.
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Assessment of the correlationship of self-perception of dental appearance, smile, and willingness to undergo treatment among school children with dental esthetic index at Thiruchengode p. 14
K Preethi, S Nagalakshmi, BK Rajkumar, S Vinoth, D Dayanithi, D Pawan Kumar Bandhari
Aim: The aim of the survey was to assess the correlation of DAI with self-perception of smile, self-assessment of dental appearance and desire to uptake treatment. Methods: 400 school children aged 12-15 years from Thiruchengode were clinically examined using DAI. Subjective assessment of their smile and dental appearance and desire of treatment uptake were elicited by 10-point questionnaire. Correlation of clinical assessment and variables of subjective assessment were analyzed using Chi square test and Kappa statistics. Results: A statistically significant correlation was present between DAI and self-perception of dental appearance and also between DAI and their dental appearance when compared with the peer group. DAI score presented only 4.8% of children needed mandatory treatment. Distribution of children dissatisfaction of dental appearance was significant and no significant relation on willingness to uptake treatment. Conclusion: A wide range of school children perceived dissatisfaction of their appearance but their desire to uptake the orthodontic treatment was not significant.
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Evaluation of buccal corridor sizes in esthetic smile perception among general dentists and laypersons p. 20
Ann Nimmy Rajeev, S Vinoth, S Nagalakshmi, BK Rajkumar, D Dhayanithi, Pawan Kumar
Aim and Objective: The aim of the study was to evaluate and correlate the influence of the size of buccal corridor on the perception of esthetic smile among general dentists and lay persons. Materials and Methods: A photograph of a female with ideally aligned teeth was selected and digitally manipulated using Adobe Photoshop 7.0 software (San Jose, California, United States.) to create the following smile: Photographs of an ideal smile and a smile with different levels of buccal corridors 2%, 10%, 15%, 22% and 28% was created and the smile attractiveness was assessed by 40 general dentists and 40 lay persons. A visual analog scale score sheet, with 50mm scale was used for rating the smile attractiveness. Unpaired t-test was used to compare the mean scores between general dentists and laypersons and also between male and female raters. Results: There was no significant sex difference in judging the influence of size of buccal corridor among the male and female raters of both general dentists and laypersons. Overall, both general dentists and laypersons preferred smiles with narrow or medium buccal corridor to those with medium broad and broad. Conclusion: General dentists and laypersons evaluated smile similarly. Hence our results show a similar esthetic perception among general dentists and laypersons. This could be due to the influence of media, television , internet etc.
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Exfoliative cytology for age estimation: A correlative study in different age groups p. 25
Vadivel Ilayaraja, Thambu Keerthi Priyadharshini, Nalliappan Ganapathy, Andamuthu Yamunadevi, Janardhanam Dineshshankar, Thangadurai Maheswaran
Background: Oral exfoliative cytology is a simple and relatively pain-free procedure which can be carried out repeatedly with minimum discomfort to the patients. Oral exfoliative cytology has a sensitivity of 89.5%; its accuracy could be enhanced by cytomorphometric analysis of the cells. Aim and Objective: The present study was undertaken to evaluate the cell diameter (CD), nuclear diameter (ND), and nuclear-cytoplasmic ratio (N:C) and their variation with age using buccal smears. Materials and Methods: Buccal smears were collected from 100 apparently normal healthy individuals. The patients were divided into five groups 10–20, 21–30, 31–40, 41–50, and more than 50 years. The smears were fixed and stained. The CD and ND were measured using MS paint tool. The CD, ND, and nuclear-cytoplasmic (N:C) ratio were calculated for each case. Results: The cytomorphometric analysis of the exfoliated normal buccal mucosal cells revealed that there is a decrease in CD and ND with increasing age. No variation is found in N:C ratio. Conclusion: Age-related changes are observed in buccal smears, which could be helpful in age estimation.
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Dental management of seckel syndrome in a child p. 29
Daya Srinivasan, RC Jegath Reddy, C Joe Louis, Senthil Dakshinamurthi
Seckel syndrome is an autosomal recessive disorder characterized by severe intrauterine growth retardation, microcephalic bird-like facies, and a mental retardation. Seckel syndrome is an autosomal recessive disorder characterized by severe intrauterine growth retardation, microcephalic bird-like facies, and a mental retardation. Dental treatment for a 3 year old child diagnosed with Seckel syndrome is discussed.
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Peripheral giant-cell granuloma: A potentially aggressive lesion in adults p. 32
Anupriya Sharma, Ashish Sharma, Suruchi Dogra
Peripheral giant-cell granuloma (PGCG) is a nonneoplastic, reactive exophytic lesion, and is the most common oral giant-cell lesion. Clinically, it bears a resemblance to pyogenic granuloma, peripheral ossifying fibroma, and many other peripheral lesions seen in the oral cavity, thereby histopathology is mandatory for the diagnosis of this lesion. The present paper describes a clinic case of PGCG with a comprehensive insight of the literature on its etiology, clinical, radiological, histological, and molecular aspects.
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