Contemporary Clinical Dentistry最新文献

{"title":"Three-Dimensional Collagen Membranes Challenging the Gold Standard in Gingival Recession.","authors":"Siddharth Narayan,&nbsp;G Kaarthikeyan","doi":"10.4103/ccd.ccd_327_21","DOIUrl":"10.4103/ccd.ccd_327_21","url":null,"abstract":"<p><p>Gingival recession is a commonly encountered chief complaint in a dental office, most commonly presenting as pain or sensitivity on intake of food or sometimes just seen as an esthetic concern which may present in a localized or generalized form. Such interest toward dental esthetics has encouraged clinicians to formulate newer minimally invasive surgical techniques which are short but still deliver predictable long-term benefits in restoring the patient's smile. One such method was evaluated in the present short communication where a commercially available, biodegradable, and volume-stable collagen membrane was used to manage gingival recession instead of donor grafts. The clinical parameters which were assessed after a period of 9 months demonstrated an increased width of attached gingiva and overall tissue thickness after surgical intervention. These findings along with successful mean root coverage of the upper left canine would seem to challenge the results obtained while using similar procedures and donor grafts, the age-old gold standard bio-filler. The dawn of esthetic dentistry is here with more emphasis on how physical appearance bolsters confidence and morale among younger individuals. Among the various complaints concerned with patient`s esthetic, periodontal plastic surgery is one of the more challenging procedures. The real obstacle while performing such procedures is achieving complete or partial root coverage over an avascular bed, whereas multiple variables seem to affect the overall clinical outcome.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/35/CCD-14-79.PMC10209775.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9916410","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":"Integration of Digital and Analog Workflow to Achieve Predictable Esthetics: A Novel Approach.","authors":"Kiran Laxmikant Awchat,&nbsp;Parag Dua,&nbsp;R Vijaya Kumar","doi":"10.4103/ccd.ccd_581_21","DOIUrl":"10.4103/ccd.ccd_581_21","url":null,"abstract":"<p><p>The use of digital smile designing simplifies the restoration of esthetics. In this article, a case of diastema and incisal notching in anterior teeth was rehabilitated with porcelain laminate veneers using combination of digital and analog workflow.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/20/2b/CCD-14-81.PMC10209782.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9545666","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 New Diagnostic Criteria and Grading System of Rhino-Maxillary Mucormycosis based on Cone Beam Computed Tomographic Findings.","authors":"Pooja Muley,&nbsp;Ranjana Garg,&nbsp;Rajesh Jambure,&nbsp;Vivek Vijay Gupta,&nbsp;K P Mahesh,&nbsp;Gagandeep Thind","doi":"10.4103/ccd.ccd_413_21","DOIUrl":"10.4103/ccd.ccd_413_21","url":null,"abstract":"<p><strong>Background: </strong>Mucormycosis is a rare opportunistic fungal infection, which has a rapidly progressive and fulminant course with fatal outcome. It is the need of the hour to diagnose and treat the increasing cases urgently.</p><p><strong>Aim: </strong>The aim of this article is to study the common radiographic features of rhinomaxillary mucormycosis (RMM), find diagnostic criteria, and grade the disease according to the radiographic features.</p><p><strong>Settings: </strong>This study was conducted at Face Three-Dimensional Cone-Beam Computed Tomography (CBCT) Center, Aurangabad, Maharashtra.</p><p><strong>Materials and methods: </strong>CBCT scans of 30 patients who were referred for CBCT scanning of suspected RMM were retrospectively evaluated for relevant radiological data.</p><p><strong>Results: </strong>The most common CBCT features of RMM were osteolytic lesions in alveolar bone, palate, nose and nasal cavity, and zygoma along with involvement of paranasal sinuses. About 76.66% of patients had a history of COVID-19 infection.</p><p><strong>Conclusion: </strong>According to the collected data, the scans of probable rhinomaxillary mucormycosis were graded in three groups - mild, moderate, and severe. The goal of this article is to emphasize the most overlook diagnostic entity - CBCT and its significant importance in early diagnosis, treatment, and prognosis of RMM. Early diagnosis of RMM can save the patients from the extent of morbidity and mortality.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/a0/CCD-14-52.PMC10209781.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9916415","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":"Clinical, Histological, and Molecular Perspective on Regenerating Nonvital Immature Teeth","authors":"García-Guerrero Claudia, Mora-Pinza Tania, Quijano-Guauque Sara, Leal-Fernández Carolina, Baldión-Elorza Paula","doi":"10.4103/ccd.ccd_44_23","DOIUrl":"https://doi.org/10.4103/ccd.ccd_44_23","url":null,"abstract":"Abstract Background: Disinfection and dentin conditioning promote a favorable scenario for regenerative endodontic treatment. Clinical reports have confirmed periapical normality with high variability in disinfection protocols; nevertheless, the nature of neoformed tissue varied between them. Thus, this study aimed to present the impact of disinfection protocols on the clinical, histological, and molecular outcomes of regenerative endodontics procedures in permanent teeth with incomplete root formation. Materials and Methods: Eighteen teeth with incomplete root formation which required endodontic regenerative treatment were treated with different disinfection and conditioning agents and followed under clinical control. One case was evaluated under histological and immunohistochemical analyses. Results: Clinical outcomes revealed periapical repair in 17/18 cases. Histological and immunohistochemical analyses confirmed the neoformation of the dentinal matrix and its mineralization. Conclusions: Chemical conditioning could impact the outcome of regenerative endodontic procedures. The histological and immunohistochemical analysis showed the nature of the newly formed tissue that correlates with the clinical outcome.","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laser Indicated Occlusal Plane Device: A Novel Technique for Occlusal Plane Orientation.","authors":"Keerthika Natarajan, Murugesan Krishnan, Suganya Srinivasan, Gowtham Venkat, Muthukumar Balasubramanian","doi":"10.4103/ccd.ccd_647_21","DOIUrl":"10.4103/ccd.ccd_647_21","url":null,"abstract":"<p><p>Parallelism to the ala-tragus line is commonly used as a guide for the orientation of the occlusal plane with the help of a fox plane. The accuracy of parallelism is affected by improper judgment or patient movement. This report describes a method with a modified fox plane that aids in occlusal plane determination. The device is placed in the patient's mouth with the maxillary occlusal rim to determine parallelism to the ala-tragus line and interpupillary line. The adjustments are made until the laser light on the device runs parallel to the ala-tragus line, and the spirit bubble is centered between the lines of the tube. This technique facilitates direct visualization of parallelism, thereby avoiding parallax errors.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/b6/CCD-14-84.PMC10209776.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9545669","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":"Effect of Nonsurgical Periodontal Therapy on Metabolic Control and Systemic Inflammatory Markers in Patients of Type 2 Diabetes Mellitus with Stage III Periodontitis.","authors":"Rajashri Abhay Kolte,&nbsp;Abhay Pandurang Kolte,&nbsp;Pranjali Vijaykumar Bawankar,&nbsp;Vinisha A Bajaj","doi":"10.4103/ccd.ccd_514_21","DOIUrl":"10.4103/ccd.ccd_514_21","url":null,"abstract":"<p><strong>Background: </strong>A reciprocal relationship is understood to exist between periodontal disease and type 2 diabetes mellitus (T2DM), and this intervention study aimed to evaluate the effects of nonsurgical periodontal therapy (NSPT) on metabolic control, systemic inflammation, and cytokines in patients of T2DM with Stage III periodontitis.</p><p><strong>Materials and methods: </strong>Sixty patients of T2DM with Stage III periodontitis were divided equally into two groups: intervention group (IG) and control group. Clinical parameters such as bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment level (CAL) were recorded at baseline and 3 and 6 months, and the serum samples were collected and processed at baseline and 6 months following NSPT to evaluate fasting plasma glucose, Glycosylated hemoglobin (HbA1c), interleukin-10 (IL-10), tumor necrosis factor-α (TNF-α), and high-sensitivity capsule-reactive protein (hs-CRP).</p><p><strong>Results: </strong>The results indicated a significant improvement in clinical parameters of PPD and CAL 6 months after NSPT (<i>P</i> = 0.005) in both the groups. However, a significant decrease (<i>P</i> < 0.0001) in the TNF-α, hs-CRP, blood glucose, and HbA1c levels was seen after NSPT. On the other hand, an increase in anti-inflammatory cytokine IL-10 was observed after NSPT in the IG. The changes in the pretreatment and posttreatment levels of all clinical, biochemical, and metabolic parameters, were found to be significant in both the groups except BOP.</p><p><strong>Conclusion: </strong>NSPT effectively improves periodontal condition, systemic inflammatory status, and glycemic control in patients of T2DM with Stage III periodontitis and decreases hs-CRP levels.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/c7/CCD-14-45.PMC10209773.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9545667","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 of Epidermoid Carcinoma of the Tongue after Treatment of Epidermoid Carcinoma of the Esophagus","authors":"Marília Ferreira Andrade, Luiz Carlos Takita, Pâmela Ferreira De Sá Queiroz, Regina Maria Raffaele, Mario Eduardo Baldo, Rondon Tosta Ramalho","doi":"10.4103/ccd.ccd_550_22","DOIUrl":"https://doi.org/10.4103/ccd.ccd_550_22","url":null,"abstract":"Abstract In the present case report, a patient with esophageal squamous cell carcinoma (SCC) developed a second primary tumor in the tongue at the same time. Stage III middle esophageal SCC was discovered in a 60-year-old Caucasian male patient who was institutionalized, a smoker, and had previously struggled with alcoholism. Following treatment, the patient was admitted to the hospital for 15 days due to dysphagia and malnutrition. According to him, he had mouth pain while in the hospital. An intraoral examination revealed tooth mobility, bacterial plaque, dental calculus, and a 1.3-cm ulcerated lesion on the right lateral edge of the tongue. During the extraoral examination, no palpable lymph nodes were found in the submandibular or cervical regions. The tongue lesion was excisionally biopsied, and the histological evaluation agreed. The patient was advised to seek treatment for tongue SCC. Given that patients with esophageal SCC have a 9.3%–11.4% risk of developing head-and-neck SCC, multiprofessional follow-up of patients with esophageal SCC is critical for early detection of this cancer.","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134981208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison between Pre and Posttreatment Inclination of Maxillary Incisors in Adults: Association with Facial and Growth Axes.","authors":"Samar Bou Assi, Anthony Macari, Antoine Hanna, Josephine Aybout, Ziad Salameh","doi":"10.4103/ccd.ccd_158_21","DOIUrl":"10.4103/ccd.ccd_158_21","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study is to evaluate the orthodontic treatment effect on maxillary incisors' inclination relative to facial and growth axes in adult subjects.</p><p><strong>Materials and methods: </strong>Hundred consecutive nongrowing orthodontic patients with an average age of 26.24 ± 9.29 years were selected, and their T1 (initial) and T2 (final) lateral cephalograms were digitized. Cephalometric maxillary incisors' (I) inclination was measured to SN, PP, NA, NBa, and true horizontal (H). Facial and growth axes' inclinations were measured relative to NBa and H. Associations were tested using Chi-square tests for categorical data. Paired sample <i>t</i>-tests and Pearson's correlation were computed for continuous data.</p><p><strong>Results: </strong>Maxillary incisors' inclination, MP/SN, and ANB angle did not show statistically significant differences between T1 and T2, while mandibular incisors' inclination and interincisal angle increased significantly (<i>P</i> = 0.01 and <i>P</i> = 0.02, respectively). Facial and growth axes increased at T2 but changes were not statistically significant among the two groups. At T1, correlations between maxillary incisors' inclination and facial/growth axes were not statistically significant. Similarly, correlations between MP/SN and ANB angles on the one hand and facial/growth axes on the another hand were not statistically significant. At T2, I/PP correlated significantly with facial axis (FA)/NBa (<i>r</i> = 0.308; <i>P</i> = 0.002) and with FA/H (<i>r</i> = 0.268; <i>P</i> = 0.007). Similarly, I/SN and I/NBa correlated significantly with FA/NBa (<i>r</i> = 0.399; <i>P</i> < 0.0001 and <i>r</i> = 0.422; <i>P</i> < 0.0001 correspondingly) and with FA/H (<i>r</i> = 0.305; <i>P</i> = 0.002 and <i>r</i> = 0.325; <i>P</i> = 0.001 correspondingly). Statistically significant negative correlations existed between MP/SN angle and facial/growth axes at T2 (r values ranging -0.704 to -0.409 at <i>P</i> < 0.0001).</p><p><strong>Conclusions: </strong>While there was no correlation between I and facial/growth axes at pretreatment, significant and higher correlations existed at the end of the orthodontic treatment. This association reflects the connection between the corrected posttreatment position of maxillary incisors relative to the corresponding vertical pattern. Therefore, orthodontists should evaluate the position of the maxillary incisors to FA and may consider it in their treatment objectives.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/4b/CCD-13-344.PMC9855265.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10587885","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":"Efficacy of Bioceramic and Calcium Hydroxide-Based Root Canal Sealers against Pathogenic Endodontic Biofilms: An <i>In vitro</i> Study.","authors":"Tien Suwartini, Jessica Santoso, Armelia Sari Widyarman, Dina Ratnasari","doi":"10.4103/ccd.ccd_198_21","DOIUrl":"10.4103/ccd.ccd_198_21","url":null,"abstract":"<p><strong>Background: </strong>Complete eradication of root canal pathogens cannot be predictably achieved by chemomechanical preparation and root canal disinfection. Therefore, an obturation material that has superior antimicrobial activity and sealing ability is required to inactivate residual microbes and prevent them from reentering the root canal system. Recently developed bioceramic root canal sealers are hydraulic cement which form calcium hydroxide during the hydration process. Like calcium hydroxide sealers, they exert an antimicrobial effect by releasing hydroxyl ions and increasing the pH.</p><p><strong>Objective: </strong>The objective of this study was to evaluate and compare the antimicrobial activity of a calcium hydroxide-based sealer and two bioceramic sealers against <i>Porphyromonas gingivalis</i>, <i>Enterococcus faecalis</i>, and <i>Candida albicans</i> biofilms.</p><p><strong>Materials and methods: </strong>The sealers were dissolved in sterile saline to obtain supernatants. Biofilm formation assays, colony counting, and real-time polymerase chain reaction (PCR) were performed to evaluate the antimicrobial activity of each supernatant. The data were analyzed using one-way analysis of variance.</p><p><strong>Results: </strong>All sealers exerted effects against all three microbial biofilms. The biofilm formation assays showed that the bioceramic sealers were more effective against <i>P. gingivalis</i> and <i>E. faecalis</i> biofilms. In contrast, colony counting and real-time PCR showed that the calcium hydroxide sealer was significantly more effective than the bioceramic sealers. All tests showed that the calcium hydroxide sealer was more effective against <i>C. albicans</i>, with the colony count and real-time PCR results showing statistically significant differences.</p><p><strong>Conclusion: </strong>The calcium hydroxide-based sealer was more effective than the bioceramic sealers in eradicating pathogenic root canal biofilms.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/b9/CCD-13-322.PMC9855266.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10587882","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":"Accreditation of Healthcare Organizations and its Role in Improving and Maintaining Quality Patient Care.","authors":"Mahesh Verma","doi":"10.4103/ccd.ccd_489_22","DOIUrl":"10.4103/ccd.ccd_489_22","url":null,"abstract":"© 2022 Contemporary Clinical Dentistry | Published by Wolters Kluwer Medknow Ensuring quality is a very critical component of high‐performing health systems. There is a general awakening on this topic throughout the world, which has prompted the need to improve in terms of actual patient care and patient safety, the quality of healthcare. India has likewise embraced the cause to the fullest extent possible and is consistently committed to enhancing the obtaining accreditation through organizations such as National Accreditation Board for Hospitals (NABH), JCI, and ISO.","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/47/CCD-13-295.PMC9855260.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10564426","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}