Journal of Advanced Clinical and Research Insights

1.REVIEW ARTICLE

Provisional restorations: An overview of materials used

T. Nigel Tom, M. A. Uthappa, Kiran Sunny, Fouzia Begum, Mansi Nautiyal, Shraddha Tamore
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:212–214] [No. of Hits: 8286]
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  • [Abstract]
  • [DOI : 10.15713/ins.jcri.141]

ABSTRACT

Provisional restorations are an important phase in the treatment procedure for fixed provisional restoration. Without a temporary the final treatment aspect cannot be judged as we can predict the design failures beforehand as the temporary restoration replicates the final restoration. A temporary also helps the patient as he does not need to compromise esthetically till he receives the final restoration. Here, various techniques and materials available for a fabricating a provisional restoration are explained.

Keywords: Autopolymerized resin, bis-acryl composite, light cure resin, poly-ethyl methacrylate, provisional restoration

How to cite this article: Tom NT, Uthappa MA, Sunny K, Begum F, Nautiyal M, Tamore S. Provisional restorations: An overview of materials used. J Adv Clin Res Insights 2016;3:212-214.

Received 1 October 2016;

Accepted 20 October 2016

2.CASE REPORT

Chronic suppurative osteomyelitis: A case report

S. Swetha Kamakshi, Vatsala Naik, Kavita Vittal, R. Shriyanka
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:220–223] [No. of Hits: 258]
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  • [Abstract]
  • [DOI : 10.15713/ins.jcri.143]

ABSTRACT

The term osteomyelitis encompasses a wide group of infectious diseases involving the disease of the bone and/or bone marrow further extending to periosteum. It is a disturbing disease and involves a series of causative host and pathogen factors. The primary cause of this disease is usually taught to be microbiological especially Staphylococcus aureus and Staphylococcus epidermis. The diagnosis of osteomyelitis is strenuous, mainly in the early stages, and this disease is at all times complex to treat. Eradicating microorganisms and recuperating circulation in the regions involved, in the early stages have been the mainly employed treatment modalities. The case presented here is of chronic osteomyelitis with an extraoral draining sinus. Surgical debridement and oral antibiotics were considered as the treatment of choice.

Keywords: Case report, etiopathogenesis of osteomyelitis, management of osteomyelitis, suppurative osteomyelitis

How to cite this article: Kamakshi SS, Naik V, Vittal K, Shriyanka R. Chronic suppurative osteomyelitis: A case report. J Adv Clin Res Insights 2016;3:220-223.

Received 28 July 2016;

Accepted 24 September 2016

3.ORIGINAL ARTICLE

Bleached vegetable oil as a suitable bio-safe alternative to xylene: An exploratory study

M. G. Madhura, V. Soumya Bhavana, B. Veerendra Kumar, S. Suma, Y. Sarita
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:185–189] [No. of Hits: 1929]
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  • [Abstract]
  • [DOI : 10.15713/ins.jcri.135]

ABSTRACT

Background: Xylene is used as a clearing and dewaxing agent during routine tissue processing in histopathology laboratories. Despite its excellent clearing property, xylene is associated with adequate amount of toxicity. Therefore, various substitutes for xylene such as mineral oil and vegetable oil mixtures have been explored and are well documented in English literature.

Aims and Objectives: This study had aimed at assessing the efficacy of bleached vegetable oil as a clearing and a dewaxing agent. The objectives were to compare the clearing ability of bleached vegetable oil with that of xylene.

Materials and Methods: A total of 12 normal oral mucosal samples (n = 12) were cut into pairs forming two groups - Group A tissues (n = 12) were processed in xylene and Group B tissues (n = 12) were processed in bleached vegetable (palm) oil. The parameters such as transparency of the tissues, nuclear and cytoplasmic staining were assessed between the two groups.

Results: Tissues from both the study groups were transparent and had yielded good serial sections; adequate nuclear and cytoplasmic staining was observed in 91.7% of sections treated with bleached palm oil.

Conclusion: Bleached vegetable oil may be used as a safer substitute for xylene in tissue processing.

Keywords: Bleached vegetable oil (palm oil), hematoxylin-eosin stain, section, tissue, xylene

How to cite this article: Madhura MG, Bhavana VS, Kumar BV, Suma S, Sarita Y. Bleached vegetable oil as a suitable bio-safe alternative to xylene: An exploratory study. J Adv Clin Res Insights 2016;3:185-189.

Received 08 September 2016;

Accepted 11 October 2016

4.REVIEW ARTICLE

The third dimension of dentistry: Cone beam computed tomography - Its applications

S. Swetha Kamakshi, Sanjana Tarani, Vathsala Naik, Smriti Devi Veera
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:200–204] [No. of Hits: 194]
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  • [Abstract]
  • [DOI : 10.15713/ins.jcri.138]

ABSTRACT

Rapidly evolving advances in oral healthcare in the last 10 years has increased the need for various novel diagnostic imaging modalities that aid in formulating the early accurate diagnosis, and therefore, plan the treatment with the best prognostic value that is achievable. Cone beam computed tomography (CBCT) is a radiographic imaging technique that yields precise three-dimensional images of the maxillofacial region. For more than a decade now CBCT has been used for dental and maxillofacial imaging and its availability and use are increasing continuously. This has necessitated a review of the various application of CBCT in dentistry.

Keywords: Cone beam computed tomography, future of cone beam computed tomography, recent digital imaging

How to cite this article: Kamakshi SS, Tarani S, Naik V, Veera SD. The third dimension of dentistry: Cone beam computed tomography - Its applications. J Adv Clin Res Insights 2016;3:200-204.

Received 29 September 2016;

Revised 25 October 2016

5.ORIGINAL ARTICLE

Antibiotics, boon or a bane? A survey on knowledge, attitude, and practice

C. Supreetha, S. V. Sreelatha
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:190–193] [No. of Hits: 1010]
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  • [DOI : 10.15713/ins.jcri.136]

ABSTRACT

Background: Dentists prescribe antibiotics in the context of managing oro-dental infections. It is seen that the number of prescriptions is on a rise each year. Furthermore, popping of an antibiotic for any and every reason by a common man has led to an overuse and misuse of antibiotics among the general population. However, literature suggests that there have been a substantial increase in the number of antibiotic prescriptions by each year by the dentists. Limited numbers of studies have been carried out in India to assay the prescription pattern of antibiotics among the dental practitioners.

Objective: This survey was carried to assess the knowledge, attitude, and practice of antibiotic prescriptions and awareness on antibiotic resistance among the dental practitioners in an institution in Mangalore.

Materials and Methods: A self-devised questionnaire was prepared in English to collect the demographic data and information regarding the prescription pattern of antibiotics among dentists in an institution in Mangalore.

Results: The survey evidenced a response rate of about 78%. Our survey showed that there was adequate knowledge about the antibiotics and noted a fair antibiotic prescribing practice by the dental practitioners. Although, we felt that there were certain conditions that the dental practitioners prescribed antibiotics where an operative intervention would have sufficed, necessitating a need for development of clear guidelines on the antibiotic prescribing practices for the dental practitioners.

Conclusion: Dental infections arise as a result of local factors. Hence, antibiotics should be used only as an adjunct to the operative intervention. Judicious antibiotic prescription by the dental practitioners needs to be checked on by establishing a surveillance system. Furthermore, due importance needs to be given to the general public against the misuse of the antibiotics which would help us to have a control over the antibiotic resistance crisis.

Keywords: Antibiotics, antibiotic resistance, dental practitioners

How to cite this article: Supreetha C, Sreelatha SV. Antibiotics, boon or a bane? A survey on knowledge, attitude, and practice. J Adv Clin Res Insights 2016;3:190-193.

Received 02 September 2016;

Accepted 10 October 2016

6.ORIGINAL ARTICLE

A comparative study of single 3-D titanium plate versus conventional Champy’s 2 miniplate fixation in the management of mandibular anterior fracture: A prospective clinical study

G. K. Vivek, Akshay Shetty, N. Vaibhav, Mohammad Imran
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:194–199] [No. of Hits: 989]
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  • [Abstract]
  • [DOI : 10.15713/ins.jcri.137]

ABSTRACT

Introduction: Rigid internal fixation using Champy’s miniplates is one of the commonly used treatment modalities to treat mandibular anterior fractures. The drawbacks of these methods have led to the evolution of 3-dimensional (3-D) miniplates. This study was designed to compare the efficacy of single 3-D miniplates over Champy’s 2 miniplates in mandibular symphysis and parasymphysis fractures.

Materials and Methods: 20 patients with anterior mandibular fractures were randomly were divided into 2 groups, wherein single 3-D plates were placed in Groups I and 2 miniplates in Group II. The efficacy of 3-D miniplates over Champy’s miniplates was evaluated in terms of the following parameters: Operating duration, occlusal discrepancy, infection, mobility of fracture segment, wound dehiscence, neurological function.

Results: The mean operation duration for Group I was less compared to Group II (statistically significant), wound dehiscence were present in 2 cases in Group II, neurological deficit in one case in-Group II (statistically insignificant).

Conclusion: The results of the study confirms that single plate fixation of mandibular anterior fractures with 3-D titanium miniplates system is a good alternative to Champy’s 2 miniplates system as it provides good stability, requires less intraoperative time and carries lower rates of infection compared to the regular miniplate systems.

Keywords: 3-dimensional miniplates, Champy’s miniplate, mandibular anterior fractures

How to cite this article: Vivek GK, Shetty A, Vaibhav N, Imran M. A comparative study of single 3-D titanium plate versus conventional Champy’s 2 miniplate fixation in the management of mandibular anterior fracture: A prospective clinical study. J Adv Clin Res Insights 2016;3:194-199.

Received 20th August 2016;

Revised 28th September 2016

7.REVIEW ARTICLE

Fibrous dysplasia of the craniofacial region - A brief understanding of the disease

Amara Deepthi, B. S. Jayanth, Fouziya Begum, O. Shreyas, Akshatha Rao
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:205–208] [No. of Hits: 1773]
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  • [Abstract]
  • [DOI : 10.15713/ins.jcri.139]

ABSTRACT

Face is the perception of a person’s mind and is an important channel of a person’s identity. Any abnormality in the face leads to decreased self-esteem of a person. Many syndromes and congenital disorders affect this region of the human body. One such condition which greatly affects the appearance of the face and also sometimes causing functional disturbances is fibrous dysplasia of the craniofacial region. A proper understanding of the disease is required for its appropriate management. This article helps to understand the etiology, pathogenesis, clinical, histologic, radiologic features, and various treatment options available for its management.

Keywords: Congenital, fibrous dysplasia, monostotic, polyostotic fibrous dysplasia

How to cite this article: Deepthi A, Jayanth BS, Begum F, Shreyas O, Rao A. Fibrous dysplasia of the craniofacial region - A brief understanding of the disease. J Adv Clin Res Insights 2016;3:205-208.

Received 02 August 2016;

Accepted 20 September 2016

8.REVIEW ARTICLE

A molecular insight in the prevalence of odontogenic tumor

Kalpajyoti Bhattacharjee, H. C. Girish, Sanjay Murgod, V. Sham Sunder, Sofia Gouse
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:209–211] [No. of Hits: 728]
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  • [Abstract]
  • [DOI : 10.15713/ins.jcri.140]

ABSTRACT

Odontogenic tumors (OT) encompass a diverse collection of lesions that ranges from hamartomas to benign and malignant neoplastic lesions of erratic aggressiveness. The progress and development of OT are influenced by variation of many kinds of genes and molecules. Genetic instability is a hallmark of cancer. This review illustrate a concurrent sketch of the recent updating of the molecular and genetic alterations linked with the growth and development of OT, including oncogenes, tumor-suppressor genes, oncoviruses, growth factors cell cycle regulators, apoptosis-related factors, regulators of tooth development, hard tissue-related proteins, cell adhesion molecules, matrix-degrading proteinases, factors of angiogenesis, and osteolytic cytokines. The logical and enhanced understanding of the molecular mechanism may provide newer thoughts for their recognition and administrate an improved prognosis of OT.

Keywords: Ameloblastoma, genes, odontogenic tumors

How to cite this article: Bhattacharjee K, Girish HC, Murgod S, Sunder VS, Gouse S. A molecular insight in the prevalence of odontogenic tumor. J Adv Clin Res Insights 2016;3:209-211.

Received 02nd August 2016;

Accepted 20th September 2016;

9.REVIEW ARTICLE

Surface modifications of titanium implants – The new, the old, and the never heard of options

Begum Fouziya, M. A. Uthappa, Deepthi Amara, Nigel Tom, Sharadha Byrappa, Kiran Sunny
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:215–219] [No. of Hits: 2802]
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  • [Abstract]
  • [DOI : 10.15713/ins.jcri.142]

ABSTRACT

Successful implant osseointegration requires an ideal biochemical environment for safe integration into the jaw bone. To achieve better osseointegration, implant surface plays a vital role for the cellular level molecular interaction. Hence, various surface treatment options have been adopted as the latest course of action for the titanium (Ti) implants. This review throws a light on various methodologies of surface treatments and their pursuance on Ti implants, also the different responses observed by various surface designs and coatings.

Keywords: Acid-etching, biomimetic, electrophoretic, laser, microroughness, nanotechnology, osseointegration, sandblasting, sputter, topography

How to cite this article: Fouziya B, Uthappa MA, Amara D, Tom N, Byrappa S, Sunny K. Surface modifications of titanium implants – The new, the old and the never heard of options. J Adv Clin Res Insights 2016;3:215-219.

Received 1 October 2016;

Accepted 20 October 2016

10.LETTER TO EDITOR

Liesegang rings: The misnomer in calcifying epithelial odontogenic tumor?

Sarita Yanduri, B. Veerendra Kumar
[Year:2016] [Month:November-December] [Volume:3 ] [Number:6] [Pages No:224–225] [No. of Hits: 1910]
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  • [Abstract]
  • [DOI : 10.15713/ins.jcri.144]

ABSTRACT

Calcifying epithelial odontogenic tumor (CEOT) is a benign epithelial odontogenic tumor which is characterized by the presence of islands and sheets of epithelial cells, amyloid like material and calcifications. These calcifications have a concentric lamellar pattern because of which they have been known by some as liesegang rings. However, classic liesegang rings seen in other extragnathic sites though have a lamellated pattern are different in composition as well as appearance. This brief communication aims to highlight the key differences between liesegang rings seen in other lesions with that of those seen in CEOT.

How to cite this article: Yanduri S, Kumar BV. Liesegang rings: The misnomer in calcifying epithelial odontogenic tumor?. J Adv Clin Res Insights 2016;3:224-225.

Received 08 December 2016;

Revised 11 January 2017