RESUMO
Paradental cyst is classified as an inflammatory cyst, and its occurrence in the anterior maxillary region is very rare. Several hypotheses have been put forward on the etiopathogenesis among which the formation of cyst secondary to inflammatory destruction of the periodontium and alveolar bone can be attributed to the present case. A 26-year-old male patient reported with loosened maxillary anterior teeth. After clinical and radiological examination, extraction of teeth #12, #11, #21, and #22 followed with immediate implant placement was planned. During extraction of #21, incidentally, a cyst was noted to be attached to the apices of #21 tooth. Implants were placed at #12, #11, and #22 sites, and socket of #21 was debrided thoroughly, followed by the placement of graft. A histopathological study of the cyst revealed it to be a paradental cyst. The patient was followed up for 6 months, and no recurrence of cystic lesion was noted. When immediate implant placement is being planned, considerations to the periodontal and periapical disease status of the teeth being extracted are crucial to achieve better treatment outcomes.
RESUMO
ObjectivesTo assess the trends in dental practice in pre-COVID19 times and future perspectives. MethodsThe cross-sectional study was conducted among the dental professionals across India. The snowball and convenience sampling methods were used to ensure maximum participation of the subjects. An online structured questionnaire was created using free-access Google Forms application and was sent to the dental professionals via E-mail, WhatsApp mobile application and through other social media platforms. Initially, a pilot study was conducted among 30 dentists to check for the validity. The questionnaire was administered between the months of May 2020 - July 2020 and was sent to 650 dentists from various parts of the country. Data were compiled and subjected to statistical analysis. ResultsThe questionnaire was sent to 650 dental professionals. Out of 650, 120 (18.4%) participants took part in the survey. Majority of the respondents had 1 to 3 years of experience in dental practice (n=51, 42.5%). It was noted that majority of the participants were into consultation practice (n=69, 57.5%). 65.8% participants reported that they can withstand upto 6 months from economic view point. Difficulty in paying salaries, reduced incomes is some of the main problems encountered by dental professionals. Increasing the price of treatment, reducing co-workers are a few strategies planned by dental professionals to mitigate the economic burden caused by COVID19 pandemic. ConclusionMajority of dental professionals in India are dependent on private practice and consultation practice. Due to COVID19, source of income has disrupted for majority of the younger dental professionals.
RESUMO
The aim of this randomized controlled trial was to compare the clinical outcomes of modified coronally advanced tunnel technique (MCAT) with subepithelial connective tissue graft (SCTG) with and without recombinant human platelet-derived growth factor-BB (rhPDGF-BB) for mandibular multiple recessions. Twenty-four Miller Class I and III recessions were randomly assigned to a group: test (MCAT+SCTG+rhPDGF-BB) or control (MCAT+SCTG). After 6 months, mean recession-depth reduction was higher in the test group (2.08 ± 0.90 mm) than the control (1.83 ± 0.93 mm). Mean root coverage was achieved, favoring the test group (82.6% ± 23.69%) instead of the control (56.2% ± 28.55%). Complete root coverage for the test group was 58.3%, which was significantly superior to control (16.7%). The use of rhPDGF-BB+SCTG using MCAT offered an advantage of a minimally invasive, predictable method for achieving optimal outcomes.
