{"title":"Traumatic Pediatric Buccal Fat Pad Herniation: A Report of Two Cases.","authors":"Divya Sharma, Jaspreet Kaur Deo, Akanshya Loshali, Pravesh Nath Mehra","doi":"10.4103/ccd.ccd_392_23","DOIUrl":"https://doi.org/10.4103/ccd.ccd_392_23","url":null,"abstract":"<p><p>The buccal fat pad (BFP) is a specialized encapsulated adipose tissue, located intimately between the buccinator muscle and oral mucous membrane. A small perforation of buccinator muscle can lead to herniation of BFP into the oral cavity, which can be readily mistaken with a pathological entity. In general, the size of herniated BFP is larger than the perforation. The treatment options for BFP are excision or repositioning in its anatomical position if noticed early. This article reports two such cases presenting with herniation of the BFP, following trauma to buccal mucosa and its surgical management.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863207","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}
Ashik Suresh, Ajith Vallikat Velath, K Sarika, Rahul Damodaran Prabha, N K Sapna Varma
{"title":"Effect of Different Mini Implant Assisted Rapid Palatal Expansion (MARPE) Designs on Maxillary Protraction in Skeletal Class III malocclusion: An FEM Study.","authors":"Ashik Suresh, Ajith Vallikat Velath, K Sarika, Rahul Damodaran Prabha, N K Sapna Varma","doi":"10.4103/ccd.ccd_428_23","DOIUrl":"https://doi.org/10.4103/ccd.ccd_428_23","url":null,"abstract":"<p><strong>Background: </strong>Four different designs of mini-implant-assisted rapid palatal expansion (MARPE) and protraction in nasomaxillary complex and mid-palatal sutures in late adolescent skeletal Class III malocclusion were compared using a three-dimensional finite element analysis.</p><p><strong>Methods: </strong>A finite element model of skull and related sutures was constructed using the computed tomography scan of a 16-year-old female patient with skeletal Class III and ANB of -2°. Four appliance designs: Type I: MARPE with palatal force, Type II: MARPE with buccal force, Type III: Hybrid hyrax with palatal force, and Type IV: Hybrid hyrax with buccal force. Protraction vectors were and analyzed using Ansys software (ANSYS 2021 R2). The displacement pattern of the nasomaxillary structures and the stress distribution in the sutures were examined in all four appliance designs.</p><p><strong>Results: </strong>All the appliance designs resulted in a forward movement of the maxilla, while Type I and III, which used palatal protraction force, caused the greatest forward displacement. In Type I, II, and III, along with forward movement, a clockwise rotation of maxilla was observed, while in Type IV, an anticlockwise rotation of maxilla was observed. Type I, II, and III resulted in higher stress distribution around the superior structures, while Type IV resulted in less stress distribution around the superior structures of maxilla.</p><p><strong>Conclusion: </strong>The forward displacement was enhanced when palatal plates were used to protract the maxilla. The effective appliance design for skeletal class III with open bite case was Type I, II, and III and Type IV for deep bite cases.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851897","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 a Nano-hydroxyapatite Toothpaste on Enamel Erosive Lesions of Third Molars Induced by Exposure to Orange Juice.","authors":"Marzieh Mehrjoo, Roza Haghgoo, Motahare Ahmadvand","doi":"10.4103/ccd.ccd_104_23","DOIUrl":"https://doi.org/10.4103/ccd.ccd_104_23","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the effect of a nano-hydroxyapatite (nano-HA) toothpaste on erosive enamel lesions of third molars induced by exposure to orange juice.</p><p><strong>Materials and methods: </strong>In this <i>in vitro</i>, experimental study, the microhardness of 24 sound-extracted third molars was measured by a Vickers tester. The teeth were then randomly assigned to three groups (<i>n</i> = 8) of nano-HA toothpaste (Pharmed), 1.23% sodium fluoride gel, and artificial saliva. The teeth were exposed to orange juice for 5 min daily for 7 days and were then exposed to nano-HA toothpaste, fluoride gel, or artificial saliva (depending on their group allocation) for 10 min a day. The microhardness of the teeth was measured again after 7 days. Data were analyzed using paired <i>t</i>-test, analysis of variance, and Bonferroni test (alpha = 0.05).</p><p><strong>Results: </strong>Within-group comparisons showed a significant reduction in microhardness of the teeth after the intervention in artificial saliva (<i>P</i> = 0.000), and fluoride gel (<i>P</i> = 0.002) groups. However, no significant reduction occurred in the microhardness of the nano-HA group, compared with the baseline (<i>P</i> = 0.132). Between-group comparisons revealed no significant difference in the microhardness of the three groups at baseline (<i>P</i> > 0.05). However, after the intervention, the microhardness of the nano-HA group was significantly higher than that of other groups (<i>P</i> < 0.05). However, the difference in secondary microhardness between fluoride gel and artificial saliva groups was not significant (<i>P</i> = 1.00).</p><p><strong>Conclusion: </strong>Pharmed toothpaste containing nano-HA has optimal efficacy for remineralization of enamel erosive lesions induced by exposure to orange juice.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848047","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}
Aarati S Panchbhai, Mahalaqua Nazli Khatib, Rajiv M Borle, Shravani S Deolia, Vijay M Babar, Anjali H Vasistha, Ritika P Parida
{"title":"Efficacy and Safety of Probiotics for Dental Caries in Preschool Children: A Systematic Review and Meta-analysis.","authors":"Aarati S Panchbhai, Mahalaqua Nazli Khatib, Rajiv M Borle, Shravani S Deolia, Vijay M Babar, Anjali H Vasistha, Ritika P Parida","doi":"10.4103/ccd.ccd_40_23","DOIUrl":"https://doi.org/10.4103/ccd.ccd_40_23","url":null,"abstract":"<p><strong>Background: </strong>Early childhood caries is one of the most serious and high-priced oral health conditions among young children. With advancing dental sciences, the focus of dental caries treatment is shifted from restorative procedures to preventive measures, and a modality grabbing attention is probiotics. Probiotics exert their effects in many ways as chemical inhibition of pathogenic bacteria and stimulation of the immune response through the production of immunoglobulin A and many more.</p><p><strong>Objective: </strong>This systematic review aims to explore the efficacy and safety of probiotics in dental caries in preschool children.</p><p><strong>Methodology: </strong>The study was registered in the PROSPERO International Prospective Register of Systematic Reviews (registration number: CRD42020159058). The search was done for randomized control trials in electronic databases such as Cochrane, PubMed, ClinicalTrials.gov, Medline, and Embase. It has further included manual searches of journals, conference abstracts, and books. Three reviewers done the selection of the study as per the criteria and also did the risk of bias assessment independently and wherever required, a fourth reviewer resolved the discrepancy in case of disagreement.</p><p><strong>Results: </strong>The nine randomized control trials were included in the study, and the pooled analysis revealed probiotics as an effective intervention in preschool children with dental caries.</p><p><strong>Conclusion: </strong>The results about the efficacy of probiotics in the prevention of dental caries are very encouraging, though the level of evidence is still inadequate.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853637","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}
Nicolas Naffah, Hani Ounsi, Mutlu Ozcan, Ziad Salameh
{"title":"Evaluation of the Color Stability of Three Resin-Ceramic Materials Using a Spectrophotometer and a Digital Photography Software.","authors":"Nicolas Naffah, Hani Ounsi, Mutlu Ozcan, Ziad Salameh","doi":"10.4103/ccd.ccd_656_18","DOIUrl":"https://doi.org/10.4103/ccd.ccd_656_18","url":null,"abstract":"<p><strong>Background: </strong>Computer-aided design/computer-aided manufacturing (CAD/CAM) resin ceramics allow easier milling than glass ceramics but are suspected to be more stainable. Although Photoshop<sup>®</sup> is widely used for picture analysis, its potential for shade selection has not been properly assessed.</p><p><strong>Aim: </strong>Purpose primary: To evaluate the color stability of three CAD/CAM resin ceramics and Lithium Disilicate. Secondary: to compare the color evaluation between a spectrophotometer (Vita Easyshade compact) and Photoshop software.</p><p><strong>Materials and methods: </strong>Three CAD/CAM resin ceramic materials (<i>n</i> = 10) and a fourth group of lithium disilicate were used. Half of each group were thermocycled (5°C and 55°C; 3000 cycles). All samples were immersed in colored beverages (coffee, tea and red wine) for 30 days. Values were obtained by spectrophotometry and photographs analyzed using Photoshop software. The parameters measured were CIEL*a*b, and the color difference (ΔE) was analyzed. A mixed model test was used to compare the results through time and materials (α = 0.05). The comparison between the spectrophotometer and Photoshop results was performed using the bivariate Pearson's correlation test.</p><p><strong>Results: </strong>Lithium disilicate glass ceramic exhibited less color change (ΔE = 14) than resin ceramics (15.7 < ΔE < 18.7). The least change was noted with GC Cerasmart (ΔE = 15.7) followed by Vita Enamic (ΔE = 17*) and Brilliant Crios (ΔE = 18.7*). Spectrophotometer and Photoshop values showed low correlations.</p><p><strong>Conclusions: </strong>Resin ceramics may suffer from color change in clinical use. Photoshop is technique sensitive; pictures are easily affected by the light conditions and camera settings.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853998","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}
Ra'fat I Farah, Ibrahim A Alblihed, Alhareth A Aljuoie, Bandar Alresheedi
{"title":"Light Polymerization through Glass-ceramics: Influence of Light-polymerizing Unit's Emitted Power and Restoration Parameters (Shade, Translucency, and Thickness) on Transmitted Radiant Power.","authors":"Ra'fat I Farah, Ibrahim A Alblihed, Alhareth A Aljuoie, Bandar Alresheedi","doi":"10.4103/ccd.ccd_124_23","DOIUrl":"https://doi.org/10.4103/ccd.ccd_124_23","url":null,"abstract":"<p><strong>Background: </strong>This <i>in vitro</i> study assessed light transmission through ceramic discs varying in shade, translucency, and thickness using light-polymerizing units with different radiant power/flux (RP) outputs.</p><p><strong>Methods: </strong>Disc-shaped specimens (0.5 mm, 1.0 mm, and 2.0 mm) were made from high and low-translucency glass-ceramic ingots (IPS e.max Press) in shades A1 and A4, totaling 60 discs. Two light-polymerizing units with different power outputs were used, and their emission spectra were verified. The transmitted RP values for each ceramic specimen were measured and irradiance and radiant energy influx were calculated. Differences between the light-polymerizing units and the influence of the three ceramic parameters were evaluated using an independent-samples <i>t</i>-test and three-way analysis of variance (ANOVA) tests (α = 0.05).</p><p><strong>Results: </strong>A statistically significant difference was observed in the mean transmitted RP values between the two light-polymerizing units. Furthermore, the three-way ANOVA test showed a significant effect of shade, translucency, and thickness, as well as a significant interaction between each pair of variables and all three variables on the transmitted RP (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>Despite the significant attenuation in the transmitted RP, especially in ceramics with higher shade chromaticity and thickness and lower translucency, the calculated minimal irradiance values for both light-polymerizing units (their emitted power ≥ 500 mW) were greater than the minimum recommended irradiance threshold (100 mW/cm<sup>2</sup>). However, the exposure duration needs to be increased to provide the resin with sufficient radiant exposure for adequate polymerization.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863185","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":"Oral Manifestations of Multiple Endocrine Neoplasia 2B Syndrome: A Rare Case Report.","authors":"Sohini Banerjee, Debkamal Kar","doi":"10.4103/ccd.ccd_215_23","DOIUrl":"https://doi.org/10.4103/ccd.ccd_215_23","url":null,"abstract":"<p><p>Multiple endocrine neoplasia (MEN) 2B syndrome is a rare autosomal dominant hereditary condition of neuroendocrine origin characterized by pheochromocytoma, marfanoid habitus, and mucocutaneous neuromas. Multiple mucosal neuromas on the tongue, lips, cheeks, and inner eyelids are often appeared as the earliest signs in most of the undiagnosed cases. Early diagnoses, recognition of phenotype, adequate surgery, and appropriate genetic counseling are very much essential as patients often develop medullary thyroid carcinoma (MTC) and pheochromocytoma. This case report would highlight the oral manifestations of MEN 2B in a 22-year-old female patient with multiple mucosal neuromas and a previous history of thyroidectomy due to MTC.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850820","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}
Carlos Alonso Alvarez-Marín, Norma Leticia Robles-Bermeo, Wael Hegazy Hassan Moustafa, Carlo Eduardo Medina-Solís
{"title":"Antibacterial Effects of Silver Diamine Fluoride with and without Potassium Iodide against <i>Streptococcus mutans</i>.","authors":"Carlos Alonso Alvarez-Marín, Norma Leticia Robles-Bermeo, Wael Hegazy Hassan Moustafa, Carlo Eduardo Medina-Solís","doi":"10.4103/ccd.ccd_393_23","DOIUrl":"https://doi.org/10.4103/ccd.ccd_393_23","url":null,"abstract":"<p><strong>Introduction: </strong>Silver diamine fluoride (SDF) is a topical treatment for carious lesions and a primary preventative for newly exposed high-risk surfaces such as fissures and roots in the first molars. Using potassium iodide (KI) after applying SDF has been recommended as a way of reducing the severity of black staining, as well as preserving its antibacterial effect useful in deep caries.</p><p><strong>Objective: </strong>The objective of this research was to compare the antibacterial effect of SDF, with and without KI, on <i>Streptococcus mutans</i> (<i>S</i>. <i>mutans</i>) and dental biofilm.</p><p><strong>Methods: </strong>The antibacterial effects of SDF, KI, and the combination of both were measured using three different techniques (inhibition halo, minimum inhibitory effect [MIE], and colony-forming unit [CFU], testing).</p><p><strong>Results: </strong>The results were then subjected to statistical analysis. Analyzed by means of the Kruskal-Wallis statistical test, the inhibition halos yielded a value of <i>P</i> = 0.3309. Using the MIE test, only the SDF treatment produced an antibacterial effect, at 10%, compared to the KI group, with <i>P</i> = 0.001. Finally, the CFU test revealed a total absence of colonies for all three reagents. All three substances analyzed achieved total inhibition of <i>S</i>. <i>mutans</i>. SDF is effective even in its minimal commercial concentration. Its antibacterial capacity decreases with the addition of KI.</p><p><strong>Conclusions: </strong>The three substances analyzed at their maximum concentrations exhibited an antibacterial effect against <i>S</i>. <i>mutans</i>, resulting in total inhibition.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848520","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}
Jean N Murry, Anshul Gangwar, Mongshithung N Murry
{"title":"Assessing Conservative Treatment Options for Odontogenic Keratocyst in a 12-Year-Old Patient, with 1-Year Follow-up.","authors":"Jean N Murry, Anshul Gangwar, Mongshithung N Murry","doi":"10.4103/ccd.ccd_409_23","DOIUrl":"https://doi.org/10.4103/ccd.ccd_409_23","url":null,"abstract":"<p><p>The odontogenic keratocyst (OKC) is a frequently developing odontogenic cyst that accounts for 10%-14% of all jaw cysts. Due to the high recurrence rate, aggressive therapeutic techniques such as jaw resection and marsupialization are indicated. Following a conservative marsupialization procedure in which Carnoy's solution and an iodoform packing were used, the clinical, radiological, and histological evaluation of OKC in a 12-year-old female patient revealed no evidence of recurrence over the subsequent year of follow-up.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854158","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}