It is fairly common to remove a severely compromised tooth and provide rehabilitation by means of an implant. Resorption of alveolar bone after extraction resulting in loss of bone height and width is an unpleasant sequelae causing difficulty in implant placement. Few procedures have been promoted to attain the required bone height and width, such as guided bone regeneration socket preservation with the use of various graft materials and barrier membranes. The disadvantages of these techniques are some amount of ridge height loss and loss of buccal/facial, ridge contour. The socket shield technique is a new method where a buccal segment of root is retained as a shield, which aids in retaining periodontal ligament on buccofacial aspect. The implant is placed (immediate placement) lingual to this shield. This maintains the alveolar ridge height and buccofacial contour, thus providing superior aesthetics. This case report shows placement of an implant in upper anterior region using this technique.
Aim: The aim of the research was to develop a model that accurately represents an Aramany class I defect and its obturator prostheses fabricated with cobalt–chromium alloy and titanium alloy to compare the deflection and the stress distribution in the rehabilitated area. Materials and Methods: Aramany class I defect and the obturator prostheses were generated geometrically using ANSYS 14.5; both were superimposed on each other to mimic the prostheses and the maxilla as one unit. Meshing of models was carried out using hypermesh software and materialistic properties were assigned. The 120 newton load was constituted on the teeth in different directions. Statistical Analysis Used: Statistical analysis of Finite element was not possible. Self-explanatory decoding results in the software were used. Results: The stress distribution and deflection executed by ANSYS provided results that enabled the tracing of Von Mises stress and deflection field in the form of color-coded bands with values in mega pascal. Conclusions: The study shows that Von Mises stresses are higher for the frame work fabricated with cobalt–chromium alloy compared to titanium alloy. The framework made of titanium alloy showed more deflection than cobalt–chromium alloy.
Increasing esthetic demands of the modern era has converted modern dentistry to pink and white esthetic dentistry. One of the most difficult goals in the regeneration of the soft tissues is the reconstruction of interdental papilla. A number of techniques have been tried, but the results still lack predictability. Nonsurgical techniques include repeated curettage of the interdental papilla, orthodontic and restorative correction, and hyaluronic acid application, while surgical techniques include pedicle and free gingival graft, connective tissue grafts, and subepithelial connective tissue graft. This article presents a report of two cases where a combination of platelet-rich fibrin (PRF) and pedicle graft was utilized to retain maximum vascularity and minimize scar tissue formation. The atraumatic management of the tissues with a pouch-like design avoids tension and pressure and is critical for the success of the procedure. Adequate fill of the interdental papilla was observed in both the cases and the results were stable up to 6 months. How to cite this article Sharanappa M, Konuganti K, Kumar A, Rima. Papilla Reconstruction: Reclaiming the Lost! J Health Sci Res 2016;7(1):19-22.
The efficacy and effectiveness of electric toothbrushes in comparison to manual toothbrushes lead to superior full-mouth and interproximal plaque removal and reduction of gingivitis, periodontitis and dental caries. Additionally, the use of an irrigator has been shown to improve the overall oral health. The aim of this study was to design and develop a utility model for the combined effect of the oral irrigator and tooth brush for maintaining oral health. The design of the modified toothbrushing unit comprises of an electric toothbrush and an oral irrigator. This was achieved by removing the electric toothbrush head to place a drill in the centre of the brush head for the insertion of irrigator head. The irrigator which was attached to a 50 ml water container with a detachable irrigator head powered by a 12 V external battery source was used to pump the water. The outcome was that a multifunctional working model combining the electric tooth brush and oral irrigator is designed successfully. Aqua Brush can be incorporated into the regular oral hygiene regimen making it convenient for the patient as it can be used as a single brushing unit and/or with the added irrigation enhancing the maintenance of oral hygiene.
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