Oral Health Case Reports

Chronic smoking can lead to failure of Osseo integration due to decrease in local blood flow and failure of cell proliferation by by-products of smoking. This along with immediate failure of a malpositioned implant, devitalization of adjacent tooth necessitating a call for endodontic treatment or the fracture of the adjacent tooth due to malpositioned implant, fracture of the prosthesis due to incomplete seating and occlusal discrepancies have a tremendous impact on the psyche of the patient. Some of them show reluctance to functional rehabilitation with implant supported prosthesis posing a tough challenge to the restorative dentist. A good alternative in such cases would be to save some of the natural teeth and place a precision stud attachment in the canal of selected teeth, which will act like a tooth implant, providing retention and stability similar to implant supported prosthesis.

Inferior alveolar nerve paraesthesia has been widely reported in the literature, which mainly focusses on surgical procedures (orthognathic surgery, extractions, etc.), tumor’s (compression and removal), neuropathies, endodontic therapy, etc. However, due to the nature of its presentation, only a small number of clinical cases have been directly linked with orthodontic treatment. For this reason and due to the difficulties of differential diagnosis that the clinician may encounter when attempting to verify this assumption, we have conducted a brief review of this phenomenon. The symptoms and signs that accompany this disorder are described and illustrated by means of a case study.

A 60-year old woman presented too dental OPD, All India Institute of Medical Sciences, Bhubaneswar, on 18.12.2014 with complaint of burning sensation to spicy food and a non-healing ulcer in the mouth for 1 year. Initially she developed vesicles in the palate which ruptured to give rise of ulcer. She developed itching on the skin few months after the development of oral symptoms without vesicle formation. On intra-oral examination, there was Y-shaped erythematous erosion in the palate

A critical size bone defect may arise due to severe trauma or tumors where a large portion of the bone is removed. In some instances, autografts cannot be used for filling such large defects. Allografts may be used to reconstruct large bone defects, but these grafts may not incorporate in the healing response. Consequently, it is still a challenge for reconstructive surgery to reconstruct large bone defects. A variety of treatment strategies have been progressed to promote the healing response and close the bone defects. Micro and nano particles (MNPs) technology is a newer option than traditional grafts, which may defeat many limitations of the bone graft usage. However, there are still no well approved treatment strategies to override all the expected requirements. Due to the existence of variety strategies for treatment of critical size bone defects, this impartial review, highlights on the techniques and strategies that have been accomplished to anatomize the complicated treatment problems of large bone defect healing, the limitations of therapeutic relevant biodegradable materials, and service the regeneration of large bone defects.

Digital Dental Photography is the new standard of care [1]. The internet generation is looking for more from their service providers and dental practitioners are looking for ways to increase productivity by way of increasing treatment acceptance and being more efficient in providing treatment. Patients and practitioners benefit from treatment that is faster, easier, and more predictable. Utilization of photography to assist in the diagnosis of dental conditions, treatment planning and creating a patient consultation that is organized and user friendly for both the dental team and easy to understand by our patients with the end result of garnering informed consent through improved patient education, discussion, and understanding of their dental condition including presentation of the treatment options that are available to them. Often, simply by marking the photograph by circling the areas of concern (Figures 1 and 2) help create a much more comprehensive approach to treatment planning. This system also provides a clinical record of what has been presented and discussed with the patient to be kept for future reference if ever required.