Open Access Case Study

Early Implant Placement with Guided Bone Regeneration in Aggressive Periodontitis: A Case Report and Follow-up

Aamir Godil, Arshi Kazi, Kashif Gandhi, Aatif Khan, Smita Musani, Ramandeep Dugal, Sanaa Wadwan

International Journal of Research and Reports in Dentistry, Page 1-6

Background: Aggressive periodontitis (AP) is a rapidly progressing periodontitis occurring in clinically healthy individuals, primarily characterized by rapid attachment loss, bone destruction that occurs early in life and familial aggregation.  Although it is a risk factor for peri-implantitis, the documented survival rate of implants in delayed placement protocol is 97.8%.

Case Presentation: This case report describes a multi-disciplinary approach in managing a case of AP with early implant placement and guided bone regeneration for an overall rehabilitation with one year follow up.

Conclusion: The outcomes of this case report indicate successful osseointegration of implants placed by early placement protocol with guided regeneration in aggressive periodontitis.

Open Access Case Study

Granular Ameloblastoma a Case Report

Sushanth S. Bhat, Laxmikanth Chatra, Prashanth Shenoy, K. M. Veena, Rachana Prabhu, Sajad Buch

International Journal of Research and Reports in Dentistry, Page 7-12

Ameloblastoma usually presents as a painless, slow growing, locally aggressive swelling with expansion of the cortical bone, perforation of the cortical plates and infiltration of the soft tissues. It is a classic case of a true neoplasm of enamel organ tissue that lacks the potential to undergo differentiation. Granular cell ameloblastoma is a rare type of ameloblastoma being aggressive in nature with a marked propensity for recurrence and which can progress to metastasis.

This report discusses a case report of a 46 years old female patient diagnosed with granular cell ameloblastoma on the right side of mandible.

Open Access Case Study

Noonan-like Syndrome with Multiple Giant Cell Lesions in the Jaws: A Case Report

M. M. Pampín Martínez, E. Gómez García, J. P. Rodríguez Arias, J. L. Cebrián Carretero

International Journal of Research and Reports in Dentistry, Page 13-19

Aims: To present a case report of a patient with Noonan syndrome who presented with multiple giant cell lesions in the mandible and describe the management and follow-up of this pathology, discussing the different treatment modalities and our experience.

Presentation of case: We present the case of a 7-year-old boy with Noonan phenotype and genetic SOS1 mutation who presented with bilateral giant cell lesions of the mandible. He underwent curettage and steroid injection, presenting with recurrence in the follow-up. Corticosteroid injections were decided given the small size of the lesion with good results. However, 2 years later, he presented with a new recurrence that required a new curettage. He is now free of recurrence, with satisfactory bone regeneration and occlusion.

Discussion: Giant cell lesions are frequently found in Noonan syndrome patients. They are usually multiple and indolent but can show an aggressive behaviour.

Different treatment modalities have been described in the management of giant cell lesions. Curettage is the most frequently used. Nonetheless, reports of high recurrence with this technique have been made in the literature and several authors have applied more aggressive surgical resections, with the high morbidity it entails.

Moreover, several adjunctive treatments have also been described, such as corticosteroid injections, interpheron alpha-2a, calcitonin, etc. with variable and unclear results.

Conclusion: We believe the combination of corticosteroids and surgical curettage is an adequate treatment since it can lower recurrence rates and minimizes severity and morbidity while preserving the dentition and mandibular morphology.

Open Access Original Research Article

Analysis of Distribution and Public Accessibility of Dental Clinics in Johor, Malaysia using Geographic Information System (GIS) Methods

Zi Shan Low

International Journal of Research and Reports in Dentistry, Page 20-32

Aims: To evaluate the distribution and accessibility of dental clinics in Johor, Malaysia using GIS methods.

Study Design:  Retrospective GIS-based study utilizing existing open-access secondary data.

Place and Duration of Study: Qualiteeth Dental Clinic, between January 2021 and May 2021.

Methodology: The location of each dental clinic in Johor was obtained from the Official Portal of the Ministry of Health Malaysia. The population data of each district in Johor were retrieved from the Department of Statistics Malaysia, Pocket Stats Quarter 1 2021. The map of Johor and its district boundaries were extracted from DIVA-GIS and mapped. All data for analysis were extracted from the integrated database in Quantum GIS (QGIS) into Microsoft Excel.

Results: Johor had a total population of 3.78 million up to the 1st quarter of 2021. There were a total of 395 dental clinics, consisting of 330 private and 65 public dental clinics within the state. It exhibited an overall dental clinic to population (DCtP) ratio of 1 dental clinic per 9,264 residents. The ratio of public dental clinics to population (PuCtP) was 1: 56,298 while the ratio of private dental clinics to population was (PrCtP) was 1: 11,089. The district which has the least number of dental clinics available to serve the population was Mersing. Disparities were found in primary dental clinics, with clinics more sparsely distributed in peripheral districts than in central       districts.

Conclusion: The spatial analysis shows a trend of urban clustering of private and public dental clinics. Besides, the relationship between DCtP ratio and population density was directly proportional, and dental clinics were distributed relative to the relative wealth. More private dental clinics could be found in districts with higher mean monthly household incomes.

Open Access Original Research Article

Retrospective Evaluation of Nd: YAG Laser Application with Visual Analog Scale in the Treatment of Dentin Hypersensitivity

Ersin Ülker, Tuğrul Kırtıloğlu, Rasul Guliyev, Naciye Izgü Bağcı

International Journal of Research and Reports in Dentistry, Page 33-40

Background: Dentin hypersensitivity (DH); It is a common oral complaint characterized by a sharp pain in the dentin in response to stimuli such as touch, hot-cold, osmotic pressure changes, and chemical agents. The treatment of DH is difficult due to the difficulties in determining the pain intensity and the change in pain threshold from patient to patient. Many desensitizing products and techniques with different effect mechanisms have been used in the treatment of DH, which has more than one treatment option. Today, lasers have been used to increase the success of DH treatment. Although different types of lasers are used in DH treatment, it has been reported that Nd: YAG laser may be more effective in reducing patient pain compared to other laser types.

Aim: It was aimed to evaluate the effect of Nd: YAG laser on dentin sensitivity treatment by comparing the pre-treatment and first year control VAS (Visual Analog Scale) value records.

Materials and Methods: Records of 16 (13 females, 3 males) patients were examined, Nd: YAG laser treatment was performed for DH, and the data of 90 teeth were analyzed using the records taken with the VAS scale at the beginning and at the first year.

Results: Compared to the beginning, there was a statistically significant decrease in DH in the first year after treatment (p <0.001).

Conclusion: Nd: YAG laser irradiation could reduce the symptoms of DH; thus, and it may be viable alternative for the treatment of this condition.