Papillon–Lefevre syndrome: Reporting consanguinity as a risk factor

AbstractPapillon–Lefevre syndrome (PLS) is an autosomal recessive genetic disorder characterized by palmoplantar hyperkeratosis associated with severe early-onset periodontitis and premature loss of primary and permanent teeth. This report describes two cases of PLS in 28-year-old female and 16-year-old male siblings with consanguineously married parents. The patients presented to the Department of Public Health Dentistry of a dental education and research institute in India with thickening, flaking, and scaling of the skin on the palms and soles of the feet. On oral examination, the female patient presented completely resorbed maxillary and mandibular alveolar ridges with retention of only the third molars. The male patient retained only teeth 18, 13, 28, 38, and 45. Based on complete histories and clinical examination findings, a final diagnosis of PLS was made and treatment was initiated using an interdisciplinary dental approach in both cases

Effect of Addition of Antifungal Agents on Physical and Biological Properties of a Tissue Conditioner: An In-Vitro Study

Purpose: Tissue conditioners are used for healing of abused oral tissues. They may harbour microorganisms causing oral diseases such as candidiasis compromising the health of the patient. Also, addition of antifungal agents into tissue conditioner may alter its properties. This study compares the anti-fungal property and mechanical properties of tissue conditioner containing different antifungal agents. Methods: Three antifungal agents, one synthetic – fluconazole, and two natural - oregano oil and virgin coconut oil were added into the tissue conditioner (Viscogel) in different concentrations. The antifungal property, tensile bond strength and viscoelasticity of Viscogel containing these antifungal agents were assessed after 24 hours, three days and seven days. Results: While, the highest antifungal activity was shown by Viscogel containing fluconazole, the maximum tensile bond strength was found to be of Viscogel alone (control). Although Viscogel alone and in combination of fluconazole showed deterioration in viscoelasticity, Viscogel in combination of natural agents showed no significant changes over the period of seven days. Conclusion: Incorporation of the natural agents in the tissue conditioner can be used as an effective alternative to systemic or topical synthetic antifungal agents

Structurofunctional analysis based on postinsertion problems with complete dentures in Moradabad, North India: A cross-sectional study

Background: Complaints with complete dentures is a common and expected phenomenon. However the type and character of complaint varies between population and is influenced by the socio economic condition, prevalent dental awareness etc. This study attempts to find the most common complaints with complete dentures, their causes and also presents a classification of the same. Method: A cross-sectional analytical study was conducted by performing a survey on a sample of population over an 18 month period utilizing a customized questionnaire. The complaints were divided into four categories viz. discomfort, retention, esthetics and miscellaneous. Consequently each denture was evaluated for structural and functional defects. The findings were classified into error in denture base, physiopsychological, error in occlusion and teeth selection. The data was statistically analyzed. Results: Error in denture base was the predominant cause of complaints. However physiopsychological and error in occlusion and teeth selection were also important second factors in certain groups of complaints. Highest number of complaints (23.07%) belongs to discomfort in mandibular posterior region. While the least number of complaints are concerned with speech as reported by both males and females (both at 2.02%). Conclusion: Discomfort with complete dentures was the largest complaint reported followed by loss of retention with esthetics and miscellaneous complaints. Discomfort in mandibular posterior region was the most frequent complaint reported while speech related complaints were least in number. Most common cause of complaints was error in denture base

Clinical Establishment Bill-It Should Be Reconsidered!

It is well known fact that medical profession is considered to be a noble profession. Doctors, usually consider themselves to be intelligent, wise, cultured and hence will preach like philosophers never indulging in sharp bargain. The main objective of the Clinical Establishment Bill is to bring some uniformity in the healthcare delivery, by making registration of all clinical establishments mandatory and prescribing enhanced penalty for the defaulters. This review elaborates few positive and negative aspects of this Act

Cocktail Impression Technique: A New Approach to Atwood’s Order VI Mandibular Ridge Deformity

The management of highly resorbed ridge has always posed a challenge to the prosthodontist for years. Obtaining consistent mandibular denture stability has long been a challenge for dental profession. In particular, Atwood’s Order V and Order VI pattern of bone resorption is associated with difficulties in providing successful dentures. Stability of lower denture in such cases is usually the distinguishing factor between success and failure. This article outlines a combination of different impression techniques to improve mandibular denture stability in an atrophic mandibular ridge, keeping in mind the prevention of further ridge resorption

A Simplified Approach for Recording Neutral Zone

Neutral zone technique is long being used for the management of severely resorbed mandibular ridges. Various materials are used in recording neutral zone, which have their own advantages and disadvantages. This article discusses the use of Polyether impression material which is simpler and more practical