ABSTRACT
Ablative surgery of the jaws may be necessary when malignant disease or destructive benign disease occurs. Surgical reconstruction needs to include the restoration of masticatory function so that the quality of life after the operation is optimal. When resection includes part of the upper or lower jaw, the aim of reconstruction should encompass not only the restoration of aesthetics, speech and swallowing, but also the recreation of an alveolar ridge suitable for prosthetic rehabilitation of the dental occlusion. In the present case, depth of vestibule was inadequate following implant placement thereby severely compromising prosthetic rehabilitation. Hence vestibuloplasty was done with periosteal fenestration operation, which provided retention and stability of mandibular prosthesis and hence greatly improved his overall quality of life.
ABSTRACT
UNLABELLED: Periodontal infections can act as focus of infection, aggravating the immunocompromised state of End Stage Renal Disease patients (ESRD). AIM: Evaluation of the periodontal health status of ESRD patients undergoing haemodialysis and establishing the underlying association between renal failure and periodontal disease. MATERIAL AND METHODS: Eighty control and test subjects were included in the study, after matching age and sex. Creatinine and GFR were measured in each patient. Oral hygiene index- Simplified (OHI-S), Gingival Index (GI), Pocket Depth (PD) and Clinical Attachment Level (CAL) were recorded as periodontal parameters to assess the correlation between the subjects of the two groups. Further, the test group was divided into three sub-groups, on basis of duration, as less than 6 months, from 6 months to one year and more than one year. STATISTICAL ANALYSIS: Student's t - test and ANOVA were used to analyze the inter-group and intragroup comparisons. RESULTS: Statistical significant difference was observed for all periodontal parameters between the test and control group. However, difference amongst periodontal parameters on basis of duration of haemodialysis was seen between the subgroups of test subjects, it was not found to be statistically significant. CONCLUSION: Severity of periodontal diseases in ESRD patients undergoing haemodialysis majorly affected due to debilitating condition of the subjects. Dialysis vintage has only a small role to play in worsening of the condition. Further research is needed to potentiate the establishment of two-way relationship between renal disease and periodontal condition.
ABSTRACT
A 15-year-old moderately built boy reported to the dental outpatient department with a complaint of pus discharge from the upper front teeth. There was a clear history of traumatic avulsion followed by self-replantation 6 years earlier. No dental treatment was taken by the child. On clinical examination the left upper central incisor was in torsoversion (anatomical labial surface on palatal side and vice versa). The child had probably self-replanted in torsoversion. Endodontic treatment was successfully completed, and final rehabilitation was done by a porcelain crown. The case highlights the excellent results of immediate replantation even when it is done by a child. It also highlights the value of school level dental education.
