Contemporary Clinical Dentistry最新文献

{"title":"Orofacial Proprioceptive Stimulation Therapy with a Palatal Memory Plate in a Baby with Down Syndrome - 2-year Follow-up Case Report.","authors":"Fábia Ulisses Peixoto Esmeraldo, Natalia Victoria Del Carmen Guerra Trujillo, Sirannara Paulino Gomes Morbeck, Lívia Lima Xavier, Rebeca Bastos Vasconcelos Marinho, Isabella Fernandes Carvalho","doi":"10.4103/ccd.ccd_500_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_500_24","url":null,"abstract":"<p><p>Children with Down syndrome (DS) have oral manifestations, such as hypotonia of the perioral muscles, inadequate lip seal, and tongue posture changes, which affect the development of the stomatognathic system. The palatal memory plate (PMP) is an early proprioceptive stimulation therapy that aims to improve tongue posture, promote proper lip sealing, and contribute to oral balance. This study reports the treatment of PMP in a 2-month-old baby with DS. Early intervention with PMP exhibited satisfactory results, improving hypotonia, tongue posture, and lip seal even after 2 years of treatment. This improvement was enhanced by a multidisciplinary speech therapy approach to orofacial stimulation with the active participation of caregivers. Thus, the training of qualified professionals with knowledge of the specific characteristics of patients with DS is essential for a comprehensive and systematic approach to promoting their health.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"69-72"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-modal Restorative Endodontic Management to Rehabilitate and Salvage a Tooth with External Cervical Resorption and Iatrogenic Over Enlarged Root Canal with Widened Apex.","authors":"Gopal Chandra Sanyal, A R Vivekananda Pai, S Harishma, Riddhi Kotecha","doi":"10.4103/ccd.ccd_501_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_501_24","url":null,"abstract":"<p><p>The presence of both a pathologic external cervical resorption (ECR) and an iatrogenic over-enlarged root canal with a widened apex can significantly compromise the structural integrity of a tooth. Furthermore, regular restorative-endodontic management of the involved tooth poses many procedural challenges and difficulties. However, a multi-modal approach involving nonsurgical and surgical procedures with the application of advances in endodontics can help to manage and salvage such a tooth. This article aims to report on a case of multi-modal management with the application of cone-beam computed tomography, micro-endodontics, bioactive and biomimetic materials, and monobloc effect to manage and structurally rehabilitate and reinforce a tooth affected by both ECR and over enlarged canal with a widened apex. This multi-modal approach was applied with nonsurgical and surgical treatments to restoratively and endodontically manage the affected tooth. Clinical and radiographic follow-up of the tooth was uneventful and showed satisfactory and favorable outcomes.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"61-64"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study of Four Rotary Endodontic File Systems: Assessing Canal Transportation and Centering Ability using Cone-beam Computed Tomography.","authors":"Ajay Chhabra, K P Ramya, B Saravana Prathap, Bhavana Murjani, Priyanka Yadav","doi":"10.4103/ccd.ccd_379_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_379_24","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to compare the canal transportation and centering ability of four rotary endodontic file systems using cone-beam computed tomography (CBCT).</p><p><strong>Methodology: </strong>This was an <i>in vitro</i> study where 40 extracted single-rooted single canal human premolar teeth were used. CBCT scans of all the teeth were taken before instrumentation and were randomly divided into four groups, with 10 samples in each; Group I-Protaper Next (PN), Group II-Protaper Gold (PG), Group III-Neo Endo Flex (NE), and Group IV-Gen Endo (GE). After cleaning and shaping, the canals with respective file systems postinstrumentation scans were performed, and the two scans were compared to determine canal transportation and centering ability at 3, 6, and 9 mm, from the apex.</p><p><strong>Results: </strong>Statistical analysis was performed using the Kruskal-Wallis test where the results showed no statistically significant difference among the tested groups in canal transportation and centering ability at the coronal, middle, and cervical third (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>Under the conditions of the <i>in vitro</i> study PN, PG, NE, and GE file systems exhibited comparable behavior in terms of canal transportation and centering ability, observational data suggested that Group 1 (PN) and Group 4 (GE) demonstrated superior centering ability and reduced canal transportation.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"44-48"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and Management of Natal Tooth Secondary to Beckwith-Wiedemann Syndrome in a 25-day-old Infant: A Rare Case Report.","authors":"G Divya Lakshmi, H A Amitha, G Suma, N S Priya","doi":"10.4103/ccd.ccd_142_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_142_24","url":null,"abstract":"<p><p>Beckwith-Wiedemann syndrome (BWS) is a rare genetic disorder characterized by somatic overgrowth and an increased predisposition to various medical conditions, including neoplasms. This case report presents a 25-day-old male infant with BWS exhibiting macroglossia, hepatosplenomegaly, hyperinsulinemic hypoglycemia, gum hypertrophy, and cystic lesions in the maxillary arch, prompting a multidisciplinary collaboration of a pediatrician, pedodontist, oral surgeon, and an oral pathologist. The patient also presented with Hebling's Class III natal tooth. Following all the precautions, the natal tooth was extracted under local anesthesia. This case report stands out for documenting the presence of a natal tooth in a diagnosed case of BWS for the first time, contributing to the understanding of oral manifestations in rare genetic syndromes and underscoring the need for timely intervention and comprehensive medical care in managing this complex genetic syndrome.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"56-60"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Evaluation between Self-Assembling Peptide P11-4 and ACP CPP in Enamel Remineralization Post Er: YAG Laser Irradiation - A Confocal Laser Scanning Microscopic Study.","authors":"H Bhargavi, Savitha B Naik, N Kiran Kumar, Seema Merwade, Biji Brigit, Shriya Sunil Bhumralkar, Ashwini Suresh Kadam, H S Preetham","doi":"10.4103/ccd.ccd_311_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_311_24","url":null,"abstract":"<p><strong>Background: </strong>The focus in caries management has shifted to early detection of caries lesions and targeted noninvasive management of incipient lesions using novel remineralizing agents.</p><p><strong>Aim and objective: </strong>The study aimed to compare and evaluate the remineralization potential of self-assembling peptide (Curodont repair) and ACP-CPP (MI varnish) on human enamel and to compare and evaluate the effect of Er: YAG laser on their remineralizing potential.</p><p><strong>Materials and methods: </strong>A total of 36 teeth were divided into four experimental groups after etching all the specimens with 36% phosphoric acid to create an artificial white spot lesion (WSL). Demineralization depth was analyzed using confocal laser scanning microscope and samples were divided into four groups; Group 1 and Group 2 specimens were treated with remineralizing agents ACP-CPP and self-assembling peptide, whereas Group 3 was treated with Er: YAG laser and ACP-CPP and Group 4 specimens received Er: YAG laser and self-assembling peptide. The remineralizing pastes were applied with applicator tips and left on for 2 min, laser activation was done with an energy of 100 mJ, frequency of 10 Hz, and with the use of minimum air/water spray following which the samples were thoroughly washed with deionized water and stored in artificial saliva. The same procedure is carried out for 14 days. After the procedure, all the enamel samples were assessed for confocal laser scanning microscopy.</p><p><strong>Results: </strong>The depth of remineralization was significantly increased in all four groups as compared to the depth of demineralization, but the mean difference was significantly highest in Group 4, Group 3, and Group 2, and least in Group 1.</p><p><strong>Conclusion: </strong>In this study, the most effective method for increasing the remineralization of the WSLs was the simultaneous use of the Er: YAG laser and self-assembling peptide together. The better results observed in Group 4 might be due to the synergistic effect of laser and self-assembling peptide.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"3-9"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors Associated with Oral Cancer: A Hospital-based Case-control Study in Telangana State, India.","authors":"Monica Mocherla, Pushpanjali Krishnappa, Denny John","doi":"10.4103/ccd.ccd_472_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_472_24","url":null,"abstract":"<p><strong>Introduction: </strong>The use of tobacco products and alcohol consumption are two of the main risk factors for cancer of the oral cavity. The contribution of other factors such as diet, genetic predisposition, oral hygiene, and demographic variables to the occurrence of oral cancer has been debatable. This study explored the association between different risk factors and the risk of oral cancer using propensity score methods.</p><p><strong>Methodology: </strong>A case-control study was conducted in Hyderabad, Telangana state, India in cancer hospitals between October 2022 and July 2023. Direct interviews with 238 cases and 450 controls were used to gather information about the different risk factors using structured data collection forms. Chi-square tests and multivariable logistic regression along with computation of propensity scores and inverse probability of treatment weighting for odds ratios (ORs) with weighted logistic regression were conducted using R version 4.3.2.</p><p><strong>Results: </strong>Bivariate analysis found a significant difference in tobacco use, duration of use, frequency of alcohol consumption, and vegetable consumption between the cases and controls. Comparing cases of oral cancer to controls, the propensity weighed ORs were higher for those who had a habit of using smokeless tobacco (OR = 9.09, 95% confidence interval [CI]: 5.624-15.143) and smoking (OR = 8.96, 95% CI: 4.988-16.113) for more than 10 years. Oral cancer risk factors also included a history of chronic trauma in the mouth (OR = 3.00, 95% CI: 1.287-6.996) and daily alcohol consumption (OR = 5.69, 95% CI: 3.518-9.220).</p><p><strong>Conclusion: </strong>This study establishes the role of tobacco use as a risk factor for oral cancer, with an emphasis on duration of use, and provides supporting evidence for the role of chronic oral trauma in oral cavity cancer.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"19-27"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Accuracy of Deep Learning Models and Dental Postgraduate Students in Measuring Working Length on Intraoral Periapical X-rays: An <i>In vitro</i> Study.","authors":"R S Basavanna, Ishaan Adhaulia, N M Dhanyakumar, Jyoti Joshi","doi":"10.4103/ccd.ccd_274_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_274_24","url":null,"abstract":"<p><strong>Background: </strong>The integration of artificial intelligence in dentistry has seen remarkable advancements, especially in diagnostic imaging. This study evaluates and compares the accuracy of deep learning models with that of dental postgraduate students in determining working length on intraoral periapical radiographs.</p><p><strong>Materials and methods: </strong>One hundred anonymized radiographs of single-rooted teeth with files at working length were obtained. The images were preprocessed and used to train a deep learning model. Five dental postgraduates visually estimated the working length after receiving training. Pixel counting in image processing software provided the gold standard measurement. Accuracy comparisons were performed using a <i>t</i>-test.</p><p><strong>Results: </strong>The deep learning model demonstrated significantly higher accuracy (85%) compared to human estimations (mean accuracy 75.4%). The <i>t</i>-test yielded <i>P</i> = 0.0374 (<i>P</i> < 0.05), rejecting the null hypothesis.</p><p><strong>Conclusion: </strong>Deep learning models show great potential in enhancing precision and reliability for working length determination in endodontics. With further refinement, these models can effectively complement human expertise in dental radiographic interpretation.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"15-18"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Grummons Analysis for the Three-dimensional Facial Asymmetry Assessment.","authors":"Sandhra T Madhu, Rahul D Prabha, N K Sapna Varma, V V Ajith","doi":"10.4103/ccd.ccd_551_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_551_24","url":null,"abstract":"<p><strong>Background: </strong>The assessment of three-dimensional (3D) Grummons analysis of cone-beam computed tomography (CBCT) and computed tomography (CT) using Dolphin Software in comparison to conventional manual tracing technique using two-dimensional (2D) postero-anterior (PA) cephalogram has been evaluated in this study.</p><p><strong>Materials and methods: </strong>Pretreatment records of patients who underwent CBCT (<i>n</i> = 23) or CT (<i>n</i> = 23) scan were collected. 3D Grummons analysis of the CBCT and CT images were performed on Dolphin 11.9. In addition, PA cephalograms were reconstructed from these 3D data and Grummons 2D analysis was performed. The 2D PA cephalograms obtained were then printed on X-ray films for manual tracing. Intrarater correlation coefficient was calculated for assessing the reliability of the values obtained using 3D, 2D, and manual tracings and paired <i>t</i> test was used to test the significance of mean values.</p><p><strong>Results: </strong>The results from the comparison of 3D and 2D data analysis indicated inconsistencies in anteroposterior parameters, particularly evident when CBCT and CT. The results from CBCT measurements showed the highest reliability when comparing 3D with 2D (both digital and manual tracings). Moderate-to-good reliability was found in CT measurements at Co-MSR (right and left), J-MSR right, mx/m and midline deviation, Me-deviation, Co-Ag (right and left) when comparing 3D and 2D methods. Paired <i>t</i>-test showed significant difference (<i>P</i> < 0.05) in the measurements comparing between Dolphin 3D and manual using CBCT at Ag-MSR left, Co-MSR (right and left), J-MSR (right and left). Among the CT measurements obtained, Dolphin 3D versus 2D and 2D manual tracing was found to show significant difference in parameters; Co-MSR right, Co-MSR left, J-MSR left, Co-MSR left, Ag-Me right, Ag-Me left Co-Ag right, and L6-MSR left.</p><p><strong>Conclusions: </strong>The study results prove that the use of a single CBCT minimizes the radiation exposure as well as delivers a more accurate representation of 3D anatomical structures.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"36-43"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Precision Dental Implant Using Magnetic Mallets in the Mandible.","authors":"A Sheryl Dolly, A V Saravanan, P L Ravishankar, S Lochini","doi":"10.4103/ccd.ccd_302_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_302_24","url":null,"abstract":"<p><p>Modern dentistry increasingly relies on dental implants for single tooth replacements due to their superior benefits over conventional methods. Magnetic mallets, a recent development in the field of oral implantology, present a promising alternative to conventional manual or motor-driven instruments. This case report aims to document the successful placement of a dental implant in the mandibular posterior region using magnetic mallet technology highlighting its efficacy and advantages in implant dentistry. The use of magnetic mallet technology in this case demonstrated excellent clinical outcomes, including shortened operative times, reduced postoperative discomfort, and enhanced implant stability. Follow-up evaluations over 3 months showed stable healing and no significant bone loss, supporting the efficacy and reliability of magnetic mallets in implant dentistry.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"53-55"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Transformative Role of the \"Complete Anatomy\" App in the Delivery of Medical Education.","authors":"Ankit K Badge, Rimzim Jain, Ujwal Gajbe, Nandkishor J Bankar","doi":"10.4103/ccd.ccd_342_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_342_24","url":null,"abstract":"","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"77-78"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}