Immediate implant placement is now-a-days one of the promising modalities for replacing missing teeth as it helps restore form and function for a patient within a short period of time. However, presence of active infection within such freshly extracted sockets could jeopardize the success of aforesaid therapy. Although, a variety of techniques have been studied till date, there still remains a need for a treatment modality that could restore freshly extracted infected sockets with inadequate hardtissues. Since presence of adequate hard and soft tissues surrounding an implant is essential for prognosis of dental implant. A novel treatment modality named as Vestibular Socket Therapy (VST) has gained popularity to conventional two-staged approach forrestoring infected sockets. VST could be considered as an effective alternative to placement of dental implants within inadequate hard and soft tissues along with infected freshly extracted sockets.
Oral health is influenced by a variety of local and systemic factors. Oral cavity is exposed to a variety of viruses, bacteria and fungi. SARS-CoV-2 caused Corona virus disease (COVID) predisposes the affected individuals to immunocompromised state, thereby increasing the risk of other infections. Mucormycosis is now-a-days most commonly encountered fungal infection in the post COVID era. Diagnosis of such aggressive infections is based on co-relation of clinical signs and symptoms and radiographic features with histopathological diagnosis. Surgical debridement of the affected area is the first line of treatment. Prosthetic rehabilitation of the surgically resected area is the next step in the treatment of such fulminant infections in order to help restore form and function for the affected individual. The present case report focusses on treating this life-threatening fungal infection by surgical debridement with adjunctive anti-fungal therapy and prosthetic rehabilitation in a mucormycosis affected patient in order to restore form and function.
Numerous alveolar ridge defects resulted post extraction, long standing periodontal disease often require surgical intervention before prosthetic rehabilitation. On the other hand, alveolar bone defects affect the prognosis of dental implants and as a result, their reconstruction is must. Although a wide variety of options have been invented, autogenous bone is still the gold standard and has been yielding promising results. The authors report a case of localized alveolar ridge augmentation using autogenous chin block graft in conjunction with other bone substitutes for prosthetic rehabilitation of lower anterior region. Initially, the alveolar ridge was knife edge and the bone volume was insufficient for placement of dental implant. The CBCT analysis post 6 months shows significant increase in bone volume that was now suitable for prosthetic rehabilitation of the edentulous space.
Background: It is important to initiate basic good oral health habits in childhood so that the appropriate dental norms are established and then maintained into adult life. The family is the first institution that influences child behaviour and development, especially mothers, who are the primary model for developing behaviour. Materials and methods: A cross-sectional study was conducted among the mothers in Pune city. All mothers having children aged below 5 years old was selected in the study. The questionnaire includes a range of response options designed to identify the awareness among the mothers towards their child’s oral health and also the various measures taken to maintain oral hygiene. Statistical analysis was done using descriptive statistics and the chi-square test. Results: In this study, a total of 500 subjects participated. The knowledge regarding fluorides was poor and the majority 62% of parents were unaware of the positive anti-cariogenic effect of fluoridated toothpaste on dental health. Around 91% of mothers feel it is essential to clean their child’s teeth after every meal whereas 9% feel it is not so required. Conclusion: The mother’s knowledge of the child’s oral health care was inadequate. Oral health education and school oral health programs should be conducted at regular interval.
Orthodontic therapy includes the use of orthodontic appliances that favour plaque retention further causing inflammation of the underlying periodontium. This inflammation if left untreated further progresses to gingival enlargement. Bulky interdental papillae in gingival enlargement further act as an area of plaque retention thereby preventing the plaque control and thus worsening the periodontal condition of the patient. Diagnosis of such enlargements is carried out with co-relation of clinic radiographic findings and histo-pathological findings. Although with the advancements in technology, a variety of treatment options like laser excision, chemosurgery, cryotherapy, electrosurgery, sclerotherapy is available nowadays but surgical excision still remains the treatment of choice. This case report focusses on treating the gingival hyperplasia with surgical excision along with stringent follow-up and patient education regarding different plaque control practices to be followed during on-going orthodontic therapy in order to reduce chances of recurrence.
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