With increasing legal implications in dental practice, one has to be careful so as to avoid accidents in practice. Although rare, instrument aspiration or ingestion during endodontic treatment without rubber dam can result in clinical complications and subsequent legal proceedings. The purpose of this paper is to present a case report of an accidently aspired endodontic file with emphasis on the preventive measures to avoid such an accident and management if such mishap occurs.
Despite successful osseointegration of dental implants, it does not ensure patient satisfaction. Patients can be dissatisfied with the definitive restoration because of a poor esthetic result. An esthetic implant restoration depends on correct implant placement and a well-designed & fabricated prosthesis that includes the prosthetic teeth and the surrounding whether it is acrylic resin or soft tissue. This article present a conservative treatment approach for replacement of missing tooth in esthetic zone with implant supported restoration and providing natural soft tissue profile around dental implant.
Common causes for mandibular surgical resection can be due to benign, malignant neoplasm, osteoradionecrosis. It can be total or segmental depending on the extension of lesion. This can lead to deviation of remaining mandibular segment towards the resected side and rotation inferiorly due to muscle pull and scar contracture affecting mastication and esthetics. Loss of continuity of the mandible leads to deviation of the residual segment towards the surgical site. Facial asymmetry and malocclusion are common consequenses due to alteration in muscle function in mandibulectomy patient. A corrective device known as 'guide flange prosthesis' is indicated to limit this clinical manifestation. Guide flange prosthesis serves as a training device. It can successfully guide the patient to close the mandible into the correct intercuspal position. This clinical report reveals the rehabilitation of patient who underwent hemisection of the mandible, subsequent to treatment for squamous cell carcinoma. He was successfully rehabilitated with mandibular guide flange prosthesis.
Objectives: To determine relationship between obesity and dental caries in children and adolescents. Additionally, to explore and report the possible explanations and the underlying causes of the association between obesity and dental caries.
Methods: Databases search for recent papers published between January 2015 and August 2017, inclusive, addressing the association between obesity and dental caries was conducted. Review and critical appraisal of all included studies were performed.
Results: Twenty three studies were included in this review from different populations worldwide. Among them, seven studies assessed the primary dentition, another seven studies conducted on permanent dentition, and nine studies on both dentitions. The studies’ results regarding the association between obesity and dental caries were conflicting and inconsistent. Eight studies concluded that there was no relationship between obesity and dental caries. The positive association was reported in five studies, while the inverse association was reported in nine studies. The studies included in this review presented wide variations in methodology and the investigated cofactors. The possible explanations of the controversial association between obesity and dental caries were discussed in this review.
Conclusions: Both obesity and dental caries are multifactorial diseases and their association is far more complex than can be explained by a single common risk factor. This review provides additional evidence for the complexity of this association.
Occlusion analysis is important to analyze any disharmony in occlusion. It constituted a great difficulty to analyze the problems arising from occlusal origins due to the complex nature of the human occlusal system. The search for the most atraumatic dental occlusion is growing demand and it lead to development of T-scan. It provides both qualitative and quantitative assessment of occlusion. Instead of the former messy qualitative carbon marks and it is presented in a video (movie) format. The system makes it simple to operate, dynamic viewing of occlusion, timed analysis of force during various positions of teeth contact and the possibility of permanent documentation and monitoring of the occlusal condition after carrying on the various treatment protocols. The T-Scan presents a valuable method for clinical evaluation and understanding of the occlusal problems. The purpose of this review paper is to provide an overview of system over its utility in advance treatment modalities.
