Total crown replacement technique A biological treatment option for grossly destructed primary molars

Background: Restoration of severely damaged primary molars with very short clinical crowns is a big challenge and often extracted due to the lack of restorative options. Total crown replacement (TCR) is a novel treatment alternative for the restoration of such teeth through bonding of the biological restorations which are the sterile decoronated crowns of the extracted human teeth, obtained from a tooth bank. Case Report: Presented here is a report of two cases restored with the TCR technique. A 9-month follow-up showed satisfactory results in terms of function, esthetics, gingival health, and morphology including occlusal wear. TCR can be a viable and economical alternative for restoration of severely decayed/damaged primary teeth, otherwise indicated for extraction.

Role of Evidence Based Dentistry in Day to Day Dental Practice-Perception of Postgraduate Dental Students and Clinical Practitioners - KAP Study.

Aim: To assess and compare the knowledge, attitude and practice of dental practitioners and dental postgraduate students towards the practice of evidence based dentistry (EBD). Methodology: A random sample of 225 dental practitioners and postgraduate students were involved in the study. Participation was voluntary. A cross-sectional survey with self administered questionnaire was done. The questionnaire was loosely based on 3 categories; namely knowledge, attitude and practice. All questionnaire forms were distributed and collected by mail. Results were statistically evaluated using a t test. Results: Most of the general practitioners seem to be less familiar with the concept of Evidence Based Dentistry (EBD). The trend is more predominant with BDS practitioners. Despite majority of the participants being MDS or postgraduate students, only 28.62% of the participants were thorough with the concept of EBD with 68.9% of the participants having a fair idea about it. Among these practitioners, majorities are resorting to help and advices from friends or colleagues. 91.1% of the respondents have shown interest in improvising their knowledge by practicing evidence based dentistry. Conclusions: EBD is not a new concept but still most of the dentists are not familiar with. Majority of the dentists are even unaware of the terms used in EBD. Educational program regarding EBD targeted at general dentist population should be encouraged to enhance their knowledge and use of EBD in everyday practice.

Surgical Management of Haemangiolymphangioma - An Infrequent Tumor in Oral Cavity: A Case Report and a Review.

Hemangiomas are group of vascular anomalies which are not present at birth. They generally manifest within 3-4 weeks of life, consists of a rapid proliferative phase, stable plateau phase and slow involuting phase. Hemangiomas of the oral cavity are not commonly observed though head and neck are common sites. Histologically it may be evident in some cases that lymphatic channels are present in hemangiomas, and then it is be categorized according to the predominant component either Haemangiolymphangioma or lymphangiohemangiomas. All most all hemangiomas involute with time, but 10-20% of true hemangiomas don’t involute and require post- adolescent surgical treatment. In this article a case of Haemangiolymphangioma of right buccal mucosa in a 22-year-old male patient is reported. Various treatment modalities and their clinical implication have also been reviewed.

Reattachment of Broken Tooth Fragment In Primary Teeth- A Report of Two Cases.

Dental trauma is one of the common injuries encountered in young children. Management of such a trauma pose a big challenge to clinicians worldwide when one is dealing with the anterior teeth as apart from the function, esthetics too are to be taken into account. Consequently, proper diagnosis, treatment planning and follow-up are critical to assure a favorable outcome. Presented here is a report of 2 cases in which fractured segments were reattached using resin cement

Genetic engineering and dental caries.

Dental caries, a multifactorial disease requires four principle factor: the host, the microflora, the substrate & time for its occurrence and can be prevented or managed by elimination/modification of either of the above factors. The conventional preventive measure being followed for long time for the dental caries are not successful to the desirable extent due to their non avaibailaballity in the rural areas, lack of awareness & inaccessibility of dental services. Therefore, the focus has now been shifted to submicroscopic level to ensure that these measures can be reached to the farthest areas & each & every member of the population is benefitted. Few of the measures taken are. i) Genetically modifying the S. Mutans: ii) Searching The antagonist peptides to work against the specific enzyme system (Glucosyltransferase) of S. Mutans. iii) Changing the oral environment by those Genetically modified organisms that will produce bases (instead of acids) & these bases provides a milieu favoring remineralization. This paper discusses various ways in which genetically modified strains of microogranisms or genetically modified strains of microogranisms of genetically modified foods can help in the prevention of caries.