Esthetic Perception of Various Forms of Anterior Diastemas during Smiling
[Year:2019] [Month:September-December] [Volume:7] [Number:3] [Pages:7] [Pages No:103 - 109]
Keywords: midline diastema, smile, perception, spacing, attractiveness
DOI: 10.1055/s-0039-3402302 | Open Access | How to cite |
Abstract
Introduction Midline diastema is a common esthetic problem in mixed and permanent dentition. It is considered attractive in some cultures and unattractive in others. Aim The aim of this study is to compare the perceptions of anterior diastema by dental students and laypersons. Materials and Methods The study was conducted on 100 undergraduate students of Bhojia Dental College (n = 50) and Bhojia Nursing College (n = 50), Himachal Pradesh, India. A self-prepared questionnaire was given, which consisted of two parts: first part had personal details (name, age, sex, knowledge of diastema) and the second part contained an edited photograph of a patient who had reported to the Department of Orthodontics, Bhojia Dental College, with the chief complaint of midline diastema. The photographs were modified by photoediting software and arranged according to the previous studies on anterior diastema by Frush and Fisher, Lombardi, and Simian. A visual analog scale with scores 1–4 (1, most attractive; 2, attractive; 3, less attractive; 4, least attractive) was used to rank these photographs by the students. Comparison between various variables was made by using chi-squared test. Results Smile attractiveness from the most to the least attractive was Simian > Frush and Fisher > Lombardi > midline diastema among both dental and nursing students. Gender and presence of diastema had no relation with the students perceptions (p > 0.05). Conclusion The location and width of diastema had an important role in the perception of dental diastemas. Midline diastema was a gap with most negative perception.
Arch Length and Palatal Rugae: An Adjunct in Gender Discrimination
[Year:2019] [Month:September-December] [Volume:7] [Number:3] [Pages:4] [Pages No:110 - 113]
Keywords: arch length, gender discrimination, palatal rugae
DOI: 10.1055/s-0040-1701145 | Open Access | How to cite |
Abstract
Introduction Palatal rugae or plica palatine are the finger prints of the oral cavity and the arch length varies between males and females. These two parameters constitute an integral part of the anthropometric studies in the realms of dentistry as well as forensic odontology. The aim of this study was to assess whether any relationship existed between the upper arch length and the rugae pattern and whether these two parameters showed any gender differentiation. Materials and Methods The sample consisted of upper and lower study models of 60 subjects (30 males and 30 females). Arch lengths were measured using a brass wire and rugae were traced on the dental casts and assessed by applying the Thomas and Kotze classification (1983). The data collected was subjected to statistical analysis. Results The results showed that the maxillary and mandibular arch length dimensions were higher in males than in females; however, the differences were found to be statistically insignificant. The assessment of rugae pattern showed that the male subjects had a higher number of rugae. The differences in rugae pattern distribution for male and female subjects were found to be statistically significant. Conclusion The palatal rugae pattern and maxillary arch length can be used as an additional method in differentiating gender between human population groups.
[Year:2019] [Month:September-December] [Volume:7] [Number:3] [Pages:9] [Pages No:114 - 122]
Keywords: Ca containing bleaching, rhodamine B, microleakage
DOI: 10.1055/s-0039-1697105 | Open Access | How to cite |
Abstract
Introduction In our society, with the advances in cosmetic consciousness, well-aligned, properly contoured, white and clean teeth are a symbol of health and standard of beauty. Thus, tooth bleaching has become popular cosmetic therapy among patients and dentists. Microleakage is a major challenge to the success rate for all type of restorations. Materials and Methods Eighty maxillary human molars were collected and evaluated and Class V cavities 5×3×2 mm size were prepared with straight carbide bur (SS White) on the buccal and palatal surfaces at the cementoenamel junction of all the samples, so that the upper margin would be in enamel and lower margins on root surface. In total, 160 class V cavities were prepared on maxillary molars. Then samples were randomly divided into 3 groups (microfilled and nanohybrid composite resins and control group) and 3 subgroups (Pola Office, Whiteness HP Blue, Whiteness Perfect) according to the type of composite resins and bleaching agents used. After application of bleaching agents, all samples were immersed in a contrast solution of rhodamine B fluorescent dye for 24 hours. Then using a diamond disc samples were sectioned buccolingually through the center of the restorations and sectioned teeth were evaluated for marginal microleakage under confocal laser scanning microscope to check the extent of dye penetration. Results When all composite resin groups were compared with all the bleaching agents, at occlusal and gingival levels, lowest marginal leakage scores were obtained with the microfilled composite resin bleached with Whiteness HP blue, and in nanohybrid composite lowest microleakage score were obtained with Pola office bleach at both levels.
[Year:2019] [Month:September-December] [Volume:7] [Number:3] [Pages:5] [Pages No:123 - 127]
Keywords: blood indices, oral submucous fibrosis, red cell distribution width
DOI: 10.1055/s-0040-1701146 | Open Access | How to cite |
Abstract
Introduction Oral submucous fibrosis (OSMF) is associated with nutritional deficiencies—primarily of iron and vitamins and usually seem to be associated with anemia. Red cell distribution width (RDW) is one of the routinely assessed parameters in complete blood picture analysis of any patient. It measures range of variation in erythrocyte size. A high RDW value has been associated to adverse outcomes in several diseases and risk of death. However, the relationship of RDW and OSMF is yet to be established. Aim To analyze the association of RDW levels and other erythrocytic indices with clinical staging and prognosis of OSMF patients. Materials and Methods Analysis of clinical stage and hematologic status of 86 patients comprising the study group (OSMF cases and OSMF with malignant changes) and control group was performed. It was done using Kruskal–Wallis analysis of variance test. Results The values of mean corpuscular volume, mean corpuscular hemoglobin, and mean corpuscular hemoglobin concentration were below normal from the onset of oral submucous fibrosis and they continued to decrease as the disease progressed. On other hand, RDW values were found to be in normal range in initial stages of disease and they became high in stage IV OSMF and increased further in OSMF patients with malignant changes. Conclusion We observed that higher values of RDW are strongly and independently associated with OSMF and OSCC, suggesting that RDW may contribute as most economic novel biochemical marker for progression and malignant transformation of OSMF.
[Year:2019] [Month:September-December] [Volume:7] [Number:3] [Pages:3] [Pages No:128 - 130]
Keywords: florid cemento-osseous dysplasia, fibro-osseous lesions, multiple radio-opacities
DOI: 10.1055/s-0039-3400342 | Open Access | How to cite |
Abstract
Florid cemento-osseous dysplasia consists of a group of fibro-osseous lesions with multiquadrant involvement, generally seen in the tooth-bearing portions of the mandible. These lesions are most common in middle-aged black women and rare in the Indian population, with only five cases been documented in the international literature in the Indian population. This manuscript presents a case of a 60-year-old female patient, who presented with a history of nonhealing extraction socket for 2 years and on examination demonstrated ulcerated alveolar mucosa with exposed necrotic bone. Panoramic and computed tomography images revealed multiple homogenous radio-opacities throughout the jaws. The lesion was diagnosed as florid cemento-osseous dysplasia on the basis of clinical and radiologic examination. The patient was prescribed antibiotics with iodoform dressings and proper oral hygiene maintenance.
Prosthetic Rehabilitation of Amputated Fingers Using Thimble Prosthesis: A Novel Methodology
[Year:2019] [Month:September-December] [Volume:7] [Number:3] [Pages:4] [Pages No:131 - 134]
Keywords: silicone elastomers, thimble prosthesis, traumatic injury, amputation
DOI: 10.1055/s-0039-3402303 | Open Access | How to cite |
Abstract
Any kind of deformity or injury to the finger or hand is one of the most encountered type of injuries, which may cause psychological and emotional disturbance to the patient. The prosthetic rehabilitation of the amputed part of the finger supports the patient emotionally as well as physically and also has a role in making the patient socially more acceptable. This case report highlights on a simple technique for fabricating a thimble prosthesis using silicone elastomers.
[Year:2019] [Month:September-December] [Volume:7] [Number:3] [Pages:4] [Pages No:135 - 138]
Keywords: hemimaxillectomy, hollow, obturator
DOI: 10.1055/s-0039-3402664 | Open Access | How to cite |
Abstract
Most common problems faced by a patient with resected maxilla are reduced retention, support, and stability. A successful prosthesis should meet the physiological, psychological, and aesthetic needs of the patient. This article describes the procedure for the rehabilitation of hemimaxillectomy patient with one-piece hollow obturator using simple technique, reducing laboratory time.