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   2014| July-September  | Volume 5 | Issue 3  
    Online since July 15, 2014

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Electronic apex locator: A comprehensive literature review - Part I: Different generations, comparison with other techniques and different usages
Hamid Mosleh, Saber Khazaei, Hamid Razavian, Armita Vali, Farzad Ziaei
July-September 2014, 5(3):84-97
Introduction: To compare electronic apex locators (EAL) with others root canal determination techniques and evaluate other usage of this devices. Materials and Methods: "Tooth apex," "Dental instrument," "Odontometry," "Electronic medical," and "Electronic apex locator" were searched as primary identifiers via Medline/PubMed, Cochrane library, and Scopus data base up to 30 July 2013. Original articles that fulfilled the inclusion criteria were selected and reviewed. Results: Out of 402 relevant studies, 183 were selected based on the inclusion criteria. In this part, 108 studies are presented. Under the same conditions, no significant differences could be seen between different EALs of one generation. The application of EALs can result in lower patient radiation exposure, exact diagnosing of fractures, less perforation, and better retreatment. Conclusions: EALs were more accurate than other techniques in root canal length determination.
  16,423 2,576 2
Bleeding from gums: Can it be a dengue
Rajat Bansal, Purnita Goyel, Dinesh C Agarwal
July-September 2014, 5(3):121-123
Introduction: Bleeding from gums is a common feature in periodontitis patient. But abnormal bleeding from the gingiva or other areas of the oral mucosa that is difficult to control is an important clinical sign suggesting a hematological disorder. Case Report: A-40-year old male patient reported to our clinic with the chief complaint of acute gingival bleeding. There was continuous bleeding, fever since 3-4 days with weakness, retro orbital pain, and severe backache. Patient gave a history of bleeding from gums for last 24 hrs. His blood profile revealed; platelet count of 36,000, total wite blood cell (WBC) count of 6000/cumm, differential leukocyte count (DLC) (P45, L53, E2), and hemoglobin 12 g/dL. Patient sera was positive for dengue non-structural protein-1 antigen, anti-dengue immunoglobulin M (IgM), and anti-dengue immunoglobulin G (IgG) antibodies. Discussion: Here is a case report capable of changing our vision that acute gingival bleeding can also occur in dengue fever. Dengue fever can also be considered as one of the differential diagnosis for the acute gingival bleeding.
  10,336 372 1
Combination therapy in a large lower lip mucocele: A non-invasive recommended technique
Hamed Mortazavi, Maryam Baharvand, Somayeh Alirezaei, Robab Noor-Mohammadi
July-September 2014, 5(3):127-129
Introduction: Salivary mucocele is a common benign lesion of the oral cavity, usually presented as a single bluish lesion caused by trauma to the minor salivary gland ducts. We aimed to describe a new combination therapy (micromarsupialization plus intralesional corticosteroid injection) to treat a large mucocele on the lower lip. Case Report: We administered three intralesional dexamethasone (8 mg/2 ml) shots along with standard silk sutures in one-week intervals on a large labial mucocele (primary size: 3.5 cm Χ 1.5 cm) of a 26-year-old man over a three-week duration. Complete healing was obtained three weeks after treatment. A six-month follow-up revealed no signs of recurrence or complications. Discussion: Combination of intralesional dexamethasone and micromarsupialization leads to complete healing of a large lower lip mucocele, and can be considered as an alternative therapeutic method to conventional surgery.
  8,558 594 4
Orthodontic-restorative treatment of maxillary midline diastema
Mahboobe Dehghani, Farzin Heravi
July-September 2014, 5(3):124-126
Introduction: Maxillary midline diastema in adults is an esthetic problem that alters the appearance of smile. This paper describes treatment of a large diastema in a middle-aged patient. Case Report: The case was a 52-year-old woman with a large median diastema and congenitally missing maxillary lateral incisors. A combined orthodontic and prosthetic approach was used to close the diastema and open up space for substitution of missing laterals by implants. Discussion: Despite the slow rate of tooth movement in adults, a large diastema was closed. This interdisciplinary approach improved the esthetic aspect greatly. The patient was satisfied even after four-years of follow-up period.
  5,629 693 -
Stress analysis of different prosthesis materials in implant-supported fixed dental prosthesis using 3D finite element method
Pedram Iranmanesh, Alireza Abedian, Naeimeh Nasri, Ehsan Ghasemi, Saber Khazaei
July-September 2014, 5(3):109-114
Introduction: In the present study, the finite element method (FEM) was used to investigate the effects of prosthesis material types on stress distribution of the bone surrounding implants and to evaluate stress distribution in three-unit implant-supported fixed dental prosthesis (FDP). Materials and Methods: A three-dimensional (3D) finite element FDP model of the maxillary second premolar to the second molar was designed. Three load conditions were statically applied on the functional cusps in horizontal (57.0 N), vertical (200.0 N), and oblique (400.0 N, θ = 120°) directions. Four standard framework materials were evaluated: Polymethyl methacrylate (PMMA), base-metal, porcelain fused to metal, andporcelain. Results: The maximum of von Mises stress in the oblique direction was higher than the vertical and horizontal directions in all conditions. In the bone-crestal section, the maximum von Mises stress (53.78 MPa) was observed in PMMA within oblique load. In FDPs, the maximum stress was generated at the connector region in all conditions. Conclusion: A noticeable difference was not observed in the bone stress distribution pattern with different prosthetic materials. Although, higher stress value could be seen in polymethyl methacrylate, all types of prosthesis yielded the same stress distribution pattern in FDP. More clinical studies are needed to evaluate the survival rate of these materials.
  5,074 787 3
Temporomandibular joint ankylosis: Case-series of two different surgical procedures
Gholamreza Shirani, Farnoosh Mohammadi, Mahnaz Arshad, Mohsen Shirazi
July-September 2014, 5(3):103-108
Introducation: The long-term outcome and clinical results of gaparthroplasty used for the treatment of condylar ankylosis of the mandible in children with application of postoperative activator appliances and costochondral rib graft are evaluated and compared. The purpose of this study was to compare the effect of gap arthroplasty and costochondral graft methods on reankylosis, a mount of mouth opening and growth. Materials and Methods: A non-randomized, retrospective clinical study of l0 cases (5-12 years old) of condylar ankylosis of the mandible, surgically treated during a 10 year period from 2002 to 2012 was performed. Four patients were treated by condylectomy and interpositional flap, whereas six were treated by condylectomy and immediate costachondral rib grafts. The first group underwent long-term postoperative therapy using removable activator appliances. Casts, radiographs, photographs, and computed tomography (CT) were used post surgically to evaluate rib graft, condylar growth and function, occlusion, facial, and condylar symmetry. Data were analyzed by SPSS 16 statistical software using Mann-Whitney, Paired T-test and Chi-square tests. Results: Children with long-standing condylar ankylosis of the mandible treated by condylectomy and interpositional flap showed more favorably when activators were used post-surgically. Conclusions: Gaparthroplasty with functional activator post-operatively can be considering for TMJ ankylosis.
  4,949 658 -
Mechanical vibration may be a novel adjuvant approach to promoting stability and retention following orthodontic treatment
Chunxiang Zhang, Linkun Zhang, Xiaomei Xu, Peipei Duan, Hongmei Wu
July-September 2014, 5(3):98-102
Introduction: Orthodontic tooth movement occurs as a consequence of paradental tissue remodeling in response to applied mechanical forces. Retention is a necessary procedure to prevent relapse when orthodontic appliances are removed. Developing new methods to promote stability and retention following orthodontic treatment has always been desired. Recent studies have demonstrated the favorable effects of low magnitude, high frequency (LMHF) mechanical vibration on bone homeostasis through an ability to stimulate cell metabolism and to enhance osteoblast proliferation, osteoblastic gene expression and bone formation. The Hypothesis: In this paper, we propose that LMHF mechanical vibration is a viable adjuvant method to accelerate bone and periodontal tissue remodeling, thereby promoting stability and shortening retention time. Evaluation of the Hypothesis: Much effort has been made to explore therapies to prevent relapse and shorten orthodontic retention time with limited success. LMHF mechanical vibration may be a promising approach to accelerate alveolar bone remodeling, ultimately promote stability and shorten retention time.
  3,869 584 1
Effect of salivary contamination on shear bond strength of two adhesives: An in vitro study
Shruti B Patil, Ashwini Tumkur Shivakumar, Shivani Shah
July-September 2014, 5(3):115-120
Introduction: Composite material used with bonding system are technique sensitive and contamination of an etched surface by saliva or blood plays a key role in bonding efficacy. Achieving good moisture control is a common problem encountered and is of importance while treating a pediatric age group since rubber dam in dental office is commonly applied in fewer than 10% of restorative treatment. Despite the advantage of rubber dam application, usage of rubber dam depends on child's behavior and its level of co-operation for which pediatric dentists compromise with its usage. This study was conducted to evaluate the effect of salivary contamination of enamel and dentin on bond strength of two adhesives. Materials and Methods: An in vitro study comprised of test group of 112 central incisors divided into 4 groups for testing on enamel and dentin separately. These are Group I: Control group without salivary contamination; Group II: Contaminated with saliva and air-dried; Group III: Contaminated with saliva, rinsed and air-dried; Group IV: Coated with adhesive, light cured and then contaminated. Shear bond strength was calculated using universal testing machine. Results: For testing on enamel and dentin, significantly decreased bond strength was seen with Group II (P < 0.05) and Group IV (P < 0.01) showed decreased bond strength, whereas bond strength of group III was not significant (P > 0.05), when compared with control Group I. Conclusion: The decontamination method used in this study by rinsing the contaminated cured adhesive layer that did not reverse the harmful effect of salivary contamination. As most of the children are active and restless with swinging mood, it is important not to negotiate with the procedural steps during treatment.
  3,642 403 1
Expanding the scope of dental practice into biodontics
Edward F Rossomando
July-September 2014, 5(3):81-83
  2,711 500 -