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   2013| July  | Volume 5 | Issue 6  
    Online since July 1, 2013

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Oral myiasis in a maxillofacial trauma patient
Grandim Balarama Gupta Vinit, Perumal Jayavelu, Santhebachali Prakasha Shrutha
July 2013, 5(6):195-197
DOI:10.4103/0975-7406.114316  PMID:23956607
Myiasis is a rare disease primarily caused by the invasion of tissue by larvae of certain dipteran flies. Oral myiasis is still more "rare" and "unique" owing to the fact that oral cavity rarely provides the necessary habitat conducive for a larval lifecycle. Common predisposing factors are poor oral hygiene, halitosis, trauma, senility, learning disabilities, physically and mentally challenged conditions. Oral myiasis can lead to rapid tissue destruction and disfigurement and requires immediate treatment. Treatment consists of manual removal of maggots from the oral cavity after application of chemical agents. Good sanitation, personal and environmental hygiene and cleanliness and special care for debilitated persons are the best methods to prevent oral myiasis. This case report describes the presentation of oral myiasis caused by musca nebulo (common house fly) in a 40-year-old male patient, with recent maxillofacial trauma. The patient was treated by manual removal larvae by topical application of turpentine oil, followed by surgical debridement of the wound and open reduction and internal fixation of the fracture.
  5,765 71 -
Early correction of class III malocclusion with rapid maxillary expansion and face mask therapy
Muthukumar Karthi, Gobichettipalayam Jagatheeswaran Anbuselvan, Bhandari Pawan Kumar
July 2013, 5(6):169-172
DOI:10.4103/0975-7406.114325  PMID:23956600
A case report is presented of a class III malocclusion with a class III skeletal pattern and maxillary retrusion. Patient, a 10-year-old boy was treated with an orthopedic face mask in conjunction with rapid maxillary expansion and standard pre-adjusted edgewise appliance. Treatment was completed after 3 years and proved to be stable following the active treatment.
  5,024 137 1
Nasal prosthesis for a patient with xeroderma pigmentosum
Suresh Kumar, G Rajtilak, V Rajasekar, Muthu Kumar
July 2013, 5(6):176-178
DOI:10.4103/0975-7406.114328  PMID:23956602
Acquired facial defects caused by extirpation of neoplasms, congenital malformations or traumatic injury results in a huge functional, cosmetic and psychological handicap in those patients. These defects can be restored by facial prosthesis using different materials and retention methods to achieve a lifelike appearance and function. This clinical report describes a treatment schedule using silicone nasal prosthesis, which is mechanically retained for a patient who has undergone a partial rhinectomy due to basal cell carcinoma of the nose. The prosthesis was made to restore the esthetic appearance of patient with a mechanically retained design using a spectacle glass frame without any prosthetic adhesives so that the patient is more comfortable and confident to resume daily activities.
  4,718 65 -
Apexification with calcium hydroxide and mineral trioxide aggregate: Report of two cases
Murugesan Gawthaman, Selvaraj Vinodh, Veerabadhran Mahesh Mathian, Rangasamy Vijayaraghavan, Ramachandran Karunakaran
July 2013, 5(6):131-134
DOI:10.4103/0975-7406.114305  PMID:23956590
The completion of root development and closure of the apex occurs up to 3 years after the eruption of the tooth. The treatment of pulpal injury during this period provides a significant challenge for the clinician. The importance of careful case assessment and accurate pulpal diagnosis in the treatment of immature teeth with pulpal injury cannot be overemphasized. The treatment of choice for necrotic teeth is apexification, which is induction of apical closure to produce more favorable conditions for conventional root canal filling. The most commonly advocated medicament is calcium hydroxide, although recently considerable interest has been expressed in the use of mineral trioxide aggregate (MTA). We report a case series wherein calcium hydroxide and MTA were used successfully for one step apexification in teeth with open apex.
  3,707 226 2
Ectodermal dysplasia in identical twins
Gurkar Haraswarupa Puttaraju, Paranjyothi Magadi Visveswariah
July 2013, 5(6):150-153
DOI:10.4103/0975-7406.114314  PMID:23956595
Hereditary hypohidrotic ectodermal dysplasia (HED) is typically inherited as an X-linked recessive trait, characterized by deformity of at least two or more of the ectodermal structures - hair, teeth, nails and sweat glands. Two cases of hereditary HED involving identical male twins, is being documented for the rarity of its occurrence with special attention given to genetics, pathophysiology, clinical, intraoral manifestations and to the methods to improve the masticatory function, the facial esthetics and psychology of patients affected by this disease.
  3,557 68 -
Scalpel versus electrosurgery: Comparison of gingival perfusion status using ultrasound Doppler flowmetry
N Manivannan, RS Ahathya, PC Rajaram
July 2013, 5(6):154-159
DOI:10.4103/0975-7406.114317  PMID:23956596
The main prerequisites of any surgical procedure are achievement of good visibility and access to the site with minimal bleeding and rapid and painless healing. With the advancement of technology the armamentarium for oral surgical procedures has also widened. The use of alternate methods to the traditional scalpel such as electrosurgery, laser, and chemicals has been widely experimented with. This article aims to report the gingival perfusion pre-operatively and post-operatively, comparing the use of scalpel and electrosurgery in different anatomic sites in patient. Since wound healing is influenced by its revascularization rate, which follows the pattern of new connective tissue formation, the perfusion status of the gingiva has been studied using ultrasound spectral Doppler. The results of our study show that there was 30% more blood flow by 7 th day, 19% more blood flow by 15 th day and 11% more blood flow by 30 th day in sites where the scalpel was used compared with sites where electrosurgery technique was used.
  3,521 100 1
An infected dentigerous cyst associated with an impacted permanent maxillary canine, inverted mesiodens and impacted supernumerary teeth
Karthik Rajaram Mohan, Balan Natarajan, Sudhaamani Mani, Yasmeen Ahmed Sahuthullah, Arivukkadal Vijaya Kannan, Haritha Doraiswamy
July 2013, 5(6):135-138
DOI:10.4103/0975-7406.114307  PMID:23956591
A dentigerous cyst is an odontogenic cyst associated with the crown of the impacted or unerupted teeth. Such cyst remain initially completely asymptomatic unless when infected and can be discovered only on routine radiographic examination. Here, such a case of dentigerous cyst, which was discovered on routine radiographic examination, is discussed here.
  3,451 165 3
Non-extraction treatment of severe crowding with pendulum appliance
Chandrasekhar Gandikota, Yudhister Palla Venkata, Padmalatha Challa, Shubhaker Rao Juvvadi
July 2013, 5(6):185-189
DOI:10.4103/0975-7406.114323  PMID:23956605
An extraction case was planned for non-extraction treatment using pendulum appliance and the effect of appliance was evaluated in a 14-year-old girl with a severe maxillary and mandibular crowding followed by non-extraction fixed appliance preadjusted edgewise appliance mechanotherapy. Total treatment time was for 22 months. The obtuse nasolabial angle was maintained intact. Correction of crowding, co-ordinated arch forms was achieved with molar distalization. The impetus on soft-tissue paradigm is stressed in this case report and pendulum appliance can indeed boost our clinical acumen and swing our priorities toward non-extraction treatment.
  2,862 115 -
Rare form of cherubism: Case report with review of literature
Sudhaa Mani, Balan Natarajan, Karthik Rajaram, Yasmeen Ahmed Sahuthullah, Subramanium Gokulanathan, Govindasamy Sitra
July 2013, 5(6):142-146
DOI:10.4103/0975-7406.114309  PMID:23956593
Cherubism was first described by Jones in 1933 as "familial multilocular cystic disease of jaws." Renamed as cherubism in 1938 because of classical characteristics of full round cheeks and upward cast of the eyes to the angelic look of the cherubs immortalized by renaissance art. It is characterized by progressive painless bilateral swelling of jaws involving either maxilla or mandible producing chubby face. It is uncommon fibro-osseous disorder of bone. Mutation in the gene encoding SH3-binding protein 2 (SH3BP2) plays a role in the disease. There are indications that the gene SH3BP2 plays a role in regulating the increased osteoblast and osteoclast activities that are seen in normal tooth eruption and point mutations in the gene could cause pathologic activation of osteoclasts. The purpose of this paper is to present the uncommon form of cherubism and to review the clinicoradiographic, histopathologic features and treatment so as to facilitate diagnosis of disease.
  2,819 92 2
Palatal pyogenic granulomaa
Nazargi Mahabob, Senthil Kumar, Subramani Raja
July 2013, 5(6):179-181
DOI:10.4103/0975-7406.114329  PMID:23956603
Pyogenic granuloma (PG) is a kind of inflammatory hyperplasia seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection. In reality it arises in response to various stimuli such as low-grade local irritation, traumatic injury or hormonal factors. It predominantly occurs in the second decade of life in young females possibly because of the vascular effects of female hormones. It is also called as pregnancy tumor because of its high frequency of occurrence during the early part of pregnancy. Even though, this lesion is non-neoplastic and treatment procedure is simple, it should be diagnosed correctly before proceeding with the treatment. The most common site for PGs is gingiva (75%) and rarely in the palate. In this case report, we are going to present very rare occurrence of pregnancy tumor in the hard palate.
  2,708 85 5
Hyperplasia of the mandibular body: An anomaly in a developmental anomaly
Vaiyapuri Ravi, Saravanan Srinivasan, Mathew Jacob, Priya Kesavan, Rajathi Palani, Sekar Balakrishnan
July 2013, 5(6):139-141
DOI:10.4103/0975-7406.114308  PMID:23956592
Hyperplasias of the mandible are usually seen in relation to the condyle or affecting one half of the mandible, such cases being described as hemimandibular hyperplasia or elongation. This article presents a rare case of hyperplasia of the right body of the mandible. The case being unique in that although being present from childhood did not cause any functional disturbances or any occlusal disharmony characteristically seen in such developmental anomalies. Here, we describe the clinical, radiographic and histopathologic findings that led to the diagnosis hyperplasia of the mandibular body and the treatment rendered to provide the esthetic correction.
  2,610 82 1
Reconstruction of maxillary cemento-ossifying fibroma defect with buccal pad of fat
Subramonian Sivaraj, Pratheep Jeevadhas
July 2013, 5(6):198-200
DOI:10.4103/0975-7406.114313  PMID:23956608
A cemento-ossifying fibroma (COF) is a rare benign neoplasm of maxilla when compared with mandible (World Health Organization, 1992). COF of maxilla may be quite large and locally very aggressive lesion. These tumor mass was peeled out by en-bloc excision using gentle blunt dissection. This paper presents 35-year-old male patient who had a gradually expanding lobular mass in the left maxillary posterior region for past 1 year. He has been treated successfully by surgical en-bloc resection. Various techniques were used to reconstruction the defect. Buccal pad of fat is a simple technique having advantages like good vascularity, adaptability, good closure of the defect with favorable prognosis.
  2,383 72 -
Interdisciplinary approach for bilateral maxillary canine: First premolar transposition with complex problems in an adult patient
Dhivakar Selvaraj, Jhonson Raja, Somasundaram Prasath
July 2013, 5(6):190-194
DOI:10.4103/0975-7406.114319  PMID:23956606
Adult patients seeking orthodontic care were increased nowadays not only on esthetic need but also on functional demand. But problems with adult patients were not only malocclusions but also dental caries, pulpal pathology, missing teeth, muco-gingival problems and loss of supporting structures. We report here a case of 35-year-old female with complete transposition referred as a positional interchange of two permanent teeth within the same quadrant of the dental arch along with gingival recession of the lower anteriors and missing molars. Gingival health was improved by free gingival graft in lower anteriors followed by fixed orthodontic procedure to correct transposition. Based on transposition crown recontouring and restoration was done along with replacement of missing molars with fixed prosthesis. Thus, proper treatment planning with interdisciplinary management improves not only the esthetics and occlusal relationship but also with stable results.
  2,257 74 -
A laboratory silicone for preclinical training in ear prosthesis
Vijay Anand, Haribabu , Vimala , Vimala Gnanasamband
July 2013, 5(6):201-203
DOI:10.4103/0975-7406.114310  PMID:23956609
This article describes an industrial elastic silicone as a material for the laboratory fabrication of ear prosthesis. It has been tested for toxicity in lab animals by the SGS India Pvt. Ltd and approved as a material to pass the parameter of abnormal toxicity. This material therefore can be safely recommended for laboratory exercise to fabricate facial prosthesis. The high cost of the maxillo facial silicone materials prohibits their use for facial prosthesis in pre-clinical training of post-graduate students in maxillofacial prosthodontics. For this reason, pre-clinical laboratory exercise in facial prosthesis is inadequate. A few institutions use polymethyl methacrylate resins which are rigid and do not have elastic characteristics of silicone, which is used for facial defects. This cost-effective industrial silicone material which mimics the elastic and color characteristics of the conventional silicones can be recommended for preclinical exercises.
  2,206 88 -
Mucormycosis in maxilla: Rehabilitation of facial defects using interim removable prostheses: A clinical case report
Jayaraman Arun Kumar, Parthiban Babu, Komagan Prabu, Prem Kumar
July 2013, 5(6):163-165
DOI:10.4103/0975-7406.114322  PMID:23956598
Maxilla is one of the facial bones with rich vascular supply. Necrosis of maxillary bone is rare and may occur due to infection, trauma and rare metabolic disorders. Maxilla is essential bone forming the roof of oral cavity. Mucormycosis is one of the most common fungal infection, which affects maxilla especially in diabetes and immunocompromised patients. We report a case of maxillary necrosis due to mucormycosis in an uncontrolled diabetic patient. Early diagnosis and prompt treatment can reduce the mortality and morbidity of this lethal fungal infection.
  2,119 93 1
Hypodontia and hypoplasia of mandible: A rare defect caused by combination therapy
Senthil Kumar, Nazargi Mahabob
July 2013, 5(6):182-184
DOI:10.4103/0975-7406.114326  PMID:23956604
Hypodontia is defined as the developmental absence of one or more tooth and it can present in varying degrees of severity and severe hypodontia has been defined as the absence of six teeth, excluding third molars. Radiation plays an important role in the treatment of head and neck cancer, in spite of its benefits, radiation has several side-effects in the head and neck region. This article highlights a case report, where hypodontia, hypoplasia of mandible, stunded permanent teeth roots, microdontia, inversion of tooth bud were observed in 19 years old patient who was diagnosed with Langerhans cell histiocytosis at her age of 3 years she had received a combination of radiotherapy and chemotherapy for a period of 1 year and radiation of 50 Gy was used in the head and neck region. Radiographs were taken and it revealed abnormal changes in growth and development of bone and teeth.
  2,092 55 -
Treatment of class 2 division 1 malocclusion with severe short roots of upper central incisors
Ramaswamy Chandrasekar, Kondety Sambamoorthy Sridevi
July 2013, 5(6):173-175
DOI:10.4103/0975-7406.114327  PMID:23956601
The average amount of resorption per root of examined maxillary incisors or anterior teeth is < 1.5 mm during comprehensive orthodontic treatment. About 5% of adults and 2% of adolescents are likely to have at least one tooth with resorption of more than 5 mm during active treatment. Although resorption stops once the active appliances are removed, fortunately, truly severe resorption that threatens the longevity of the tooth or forces a halt to treatment is rare. The fact is, however that orthodontic tooth movement does directly cause irreversible resorption of the root. As the movers of the teeth, it is incumbent for us to know as much as possible about the causes, effects and prevention of this phenomenon.
  2,055 62 -
Early rehabilitation of facial defects using interim removable prostheses: A clinical case report
Vivekanandhan Ramkumar, Arunachalam Sangeetha
July 2013, 5(6):160-162
DOI:10.4103/0975-7406.114320  PMID:23956597
Surgical resection of neoplasms or malformations of the face may result in defects that are not amenable to immediate surgical reconstruction. Such defects can have a severe adverse effect on patient perceptions of body image and self-esteem. In these cases, the use of an interim removable facial prosthesis can offer a rapid alternative treatment solution. The patient may then resume social interactions more comfortably while permitting easy access to the facial defect to observe tissue healing while awaiting definitive rehabilitation. This article presents a case report describing the use of interim nasal prostheses to provide rapid patient rehabilitation of facial defects.
  1,961 68 1
Benign fibroushistiocytoma of the gingiva
Palani Rajathi, Mathew Jacob, Indra Priyadharshini, Balakrishnan Sekar
July 2013, 5(6):166-168
DOI:10.4103/0975-7406.114324  PMID:23956599
Benign fibroushistiocytoma is a benign connective tissue tumor rarely seen affecting the head and neck region. These tumors were believed to be of histiocytic origin as they are comprised of cells, which showed spindled morphology and cells with a round histiocytic appearance. The current concept consents that the lesional cells rather represent a fibroblastic differentiation. Diagnosis of these tumors proves to be challenging even with the use of immunohistochemistry due to lack of any specific markers. Here, we describe a case which presented in the gingiva mimicking a reactive lesion, which in fact was a tumor.
  1,857 76 -
Immediate placement of dental implants in the mandible
Gurkar Haraswarupa Puttaraju, Paranjyothi Magadi Visveswariah
July 2013, 5(6):147-149
DOI:10.4103/0975-7406.114311  PMID:23956594
This case describes extraction of teeth in the mandibular arch, i.e., 41 42 43 44 45 51 52 53 54 55 56 57 58 (grade two mobility), followed by immediate placement of four dental implants (3i biomet), two in the 45 55 region and two dental implants in 12 21 region. A prefabricated provisional mandibular denture was immediately placed. The purpose of immediate placement was to aid the patient resume his professional duties the next day itself along with esthetic and functional comfort, psychological well-being and most importantly preserving the remaining tissue in a healthy condition.
  1,855 73 -