A multidisciplinary approach to full mouth rehabilitation and solving the dilemma of wriggling dentures- a case report.

A successful management of full mouth rehabilitation demands a multi-disciplinary approach for its long lasting success. The present case report is intended to give an insight into the use of multiple treatment modalities to achieve a balanced, efficient and biomechanically successful prosthodontic treatment with acceptable aesthetics. Treatment of a maxillary and mandibular bilateral distal free end edentulous arch along with upper and lower anterior teeth requires plenty of contemporary and conventional prosthodontic treatment modalities. Management of distal extension situation provides complexity of biomechanical problems due to the three dimensional movements of the distal extension denture. A distal most implant can convert a distal extension RPD from a tooth and tissue supported prosthesis to a tooth and implant supported prosthesis which provides a definite stop thus enhancing the retention and stability of the prosthesis, eliminating the problems often associated with a tooth and tissue supported distal extension RPD. How to cite the article: Nidawani P, Galagali G, Reddy ES, Behera SS. A Multidisciplinary Approach to Full Mouth Rehabilitation and Solving the Dilemma of Wriggling Dentures- A Case Report. J Int Oral Health 2014;6(2):136-40.

Comparative evaluation of the efficacy of 2% lidocaine containing 1:200,000 epinephrine with and without hyaluronidase (75 IU) in patients with irreversible pulpitis.

INTRODUCTIONS: The purpose of this study was to determine the anesthetic efficacy of lidocaine containing epinephrine compared with lidocaine containing epinephrine plus hyaluronidase (75 IU) when performing an inferior alveolar nerve block. METHODS: Patients complaining of pain in the mandibular posterior teeth were selected. Based on their chief complaint, proper clinical and radiographic examinations were performed. Among them, 40 subjects diagnosed with irreversible pulpitis were selected. The inferior alveolar nerve block was induced using 3 mL 2% lidocaine with epinephrine. Hyaluronidase (75 IU) or a placebo was injected 30 minutes after the beginning of pulpal anesthesia (randomized and double-blind trial). The duration of the effect in the pulpal and gingival tissues was evaluated by the response to painful electrical stimuli applied to the adjacent premolar and by mechanical stimuli (pinprick) to the buccal gingiva, respectively. RESULTS: In both pulpal and gingival tissues, the duration of the anesthetic effects with hyaluronidase was longer than with placebo. CONCLUSIONS: Hyaluronidase increased the duration of the effects of lidocaine in inferior alveolar nerve blocks.

Effect of different finishing and polishing agents on the surface roughness of cast pure titanium.

PURPOSE: The aim of this study was to evaluate the effect of finishing and polishing agents on surface roughness of cast commercially pure titanium using scanning electron microscope (SEM) analysis. MATERIALS AND METHODS: A standardized square steel die measuring 10 x 10 mm with a thickness of 2 mm was machine cut. An impression of this die was used to create wax patterns for casting. Sixty specimens were cast in commercially pure titanium. These were divided into three groups (A, B, and C) of 20 specimens each. Group A specimens were polished with black, brown, and green rubber discs followed by green polishing compound with buff. Group B specimens were polished with black, brown, and green rubber cones, buffed with yellow polishing cake designed for gold alloy. Group C specimens were polished with silicium carbide cones and buffed with orange polishing cake. Surface roughness of the test specimens was measured in microns with a perthometer. Data were analyzed with ANOVA and Tukey's honest significant difference (HSD) multiple comparison tests among the different groups. Qualitative analysis was done by SEM photomicrographs. RESULTS: Surface roughness values R(a) for Groups A, B, and C were 0.68 microm, 0.78 microm, and 0.27 microm, respectively. SEM photomicrographs and the statistical analysis revealed that the finishing and polishing were better with Group C test specimens with lower surface roughness values compared with groups A and B. Tests showed that Group C was statistically smoother (p< or = 0.01). CONCLUSION: Within the limitations of this study, surface roughness was less on cast CpTi specimens that were finished and polished from the cutters designed specifically for titanium.