Journal of Orofacial Research

Management of perforating internal inflammatory resorption in the distal root of mandibular first molar with mineral trioxide aggregate

2020-10-06T17:50:09+0530

Internal inflammatory resorption if not detected in the early stages can result in perforation. Once diagnosed, root canal therapy must be initiated immediately, followed by repair of the perforation. This report presents a case of perforating internal inflammatory resorption in the distal root of a mandibular first molar. The canal was thoroughly debrided and calcium hydroxide was placed as an intracanal medicament. After 1 week, the perforation was repaired by complete mineral trioxide aggregate obturation of the distal canal. The biologic properties of MTA aid in sealing the perforation and periapical healing.

Odontogenic myxoma of anterior mandible treated with enucleation and curettage: A case report

2020-10-19T19:23:33+0530

Odontogenic myxoma is a rare intra-osseous benign odontogenic tumour of the jaw bone which may cause resorption of the cortical bone. In this paper, the author reports a case of odontogenic myxoma treated with enucleation and curettage in a 25-year young man who reported with a painless swelling in the chin region of the mandible. The Panoramic Radiograph, showed unilocular radiolucency extending from the left second premolar to the right second molar region of the mandible without disrupting the cortical bone. Considering the age of patient, asymptomatic nature of the disease and non-aggressive radiographic features, conservative management with enucleation and curettage was planned. During the post-operative follow up of 8 month, the patient was asymptomatic. Thus, conservative approach can be used in asymptomatic and non-aggressive cases odontogenic myxoma.

Speckled leukoplakia- case report and review of literature

2020-12-31T17:34:40+0530

Oral leukoplakia is the most common potentially malignant disorder of the oral cavity. Non homogenous forms of leukoplakia has the higher rates of malignant transformation. Although clinical diagnosis is the most commonly sought form of diagnosis, incisional biopsy with scalpel and histopathological examination is the gold standard for diagnosis, planning treatment, and for ascertaining the prognosis of the lesion. Hereby, we report a case of speckled leukoplakia which was histopathologically diagnosed as carcinoma in situ and managed with surgical excision with skin graft and concomitant chemopreventive agents.

Comparative clinical evaluation of olive oil and coconut oil rinse on plaque levels in gingivitis patients -A Randomized clinical trial

2020-12-07T16:14:49+0530

Background: In alternative medicine, oil pulling is a procedure that involves swishing oil in the mouth for oral and systemic health benefits. Oil pulling has been proven effective in preventing decay, oral malodor, bleeding gums, dryness of the throat, and cracked lips along with the strengthening of gums and the jaw. Objective: To compare and evaluate the effects of oil pulling with olive oil and coconut oil on gingivitis and plaque score. Methods: A total of 34 selected participants were randomly allocated by lottery method into two groups (Group A- coconut oil; Group B- olive oil) having 17 participants each. After brushing the teeth, participants were asked to rinse with 10 ml of oil till it becomes milky white and then spit out once daily for a period of 30 days. Plaque index (Silness J. and Loe H. 1964) and Gingival Index (Loe H. and Silness J. 1963) were recorded at baseline, at 7, 15, and 30 days. Results: The mean plaque score of Group-A and Group B at baseline was 1.518±0.1629 and 1.535±0.1656 respectively, which significantly reduced after 30 days (Group A- 0.876± 0.1091; Group B- 1.171± 0.0686 p<0.001). The mean gingival score of Group-A and Group B at baseline was 1.571± 0.1649and 1.618±0.1380respectively, which significantly reduced after 30 days (Group A-0.882±0.1286-; Group B- 1.147±0.0514 p<0.001). Conclusion: Although, both coconut oil and olive oil groups showed an effective reduction in values of plaque scores and gingival scores, coconut oil showed a significant decrease in plaque and gingival scores in comparison to olive oil in patients with mild to moderates gingivitis.

Association of poor oral hygiene with spontaneous bacterial peritonitis in cirrhotic patients with ascites

2020-10-09T16:52:51+0530

Background: Spontaneous bacterial peritonitis (SBP) is a frequent complication of cirrhosis resulting from factors like bacteraemia and defective ascitic fluid bactericidal activity. Also, bacteraemia is more common in patients with poor oral hygiene. Objective: To assess the association of SBP and poor oral hygiene in cirrhotic patients with ascites. Methods: A cross-sectional study was conducted among Forty-three cirrhotic patients with ascites admitted in Gastroenterology department of a tertiary care centre in central Kerala between November 2017 and July 2018. Patients were divided into 2 groups (good and poor oral Hygiene) using the simplified Oral Hygiene Index (OHI-S). Paracentesis was done and a neutrophil count of >250/cm2 was considered as diagnostic of SBP. Results: Of the 43 patients studied, 17 patients had poor oral hygiene and 26 patients had good oral hygiene. The association of SBP with poor oral hygiene was observed in 12 (70.6%) patients, while 2 patients with good oral hygiene had SBP (p < 0.0001). Poor oral hygiene was more common in patients with higher MELD (Model for end stage liver disease) scores. However even in patients with higher MELD scores (>10), SBP was more common in patients with poor oral hygiene (81.8 vs 16.7 %). Conclusion: SBP was more common in cirrhotic patients with ascites and poor oral hygiene. Further prospective studies are needed to determine whether improving oral hygiene can reduce the incidence of SBP.

Ayurvedic dentistry: An unsung past to a bright future

2020-12-31T16:43:03+0530

Ayurvedic material has been proven to be safe and effective through ages, and numerous Indian medicinal plants are being used in articulating beneficial measures. Dental fraternity has witnessed the footprints of these herbal products in the form of toothpastes, mouthwashes, gumpaints, root canal irrigants etc. Ayurveda also recommends the daily use of therapeutic procedures and preventive measures such as dant dhavani, jivha lekhana and gandoosha or oil pulling. Herbs exhibit unique therapeutic properties like antibacterial, antiinflammatory, astringents, anticariogenic and as tooth whiteners. Various studies have been conducted in the past to evaluate the efficacy of these herbs in dentistry and have shown favorable results. The present review article focuses on the benefits of the common medicinal herbs used in dentistry.