5 research outputs found
Denture Stomatitis: Report of a Case with Rarely Used Treatment Modality and Review of Literature
Candida albicans is the most common Candida species isolated from the oral cavity both in healthy and diseased. Candida albicans is a dimorphic fungus existing both in blastopore phase (yeast phase) and the hyphal or mycelial phase. Although these organisms typically colonize mucocutaneous surfaces, the latter can be portals of entry into deeper tissues when host defences are compromised. Denture stomatitis is a common form of oral candidiasis that manifests as a diffuse inflammation of the maxillary denture bearing areas & is associated with angular cheilitis. At least 70% of individuals with clinical signs of denture stomatitis exhibit fungal growth & these conditions most likely result from yeast colonization of the oral mucosa combined with Bacterial colonization. Candida species act as an endogenous infecting agent on tissue predisposed by chronic trauma to microbial invasion. At one time, oral fungal infections were rare findings in general dentist's office. They were more commonly seen in hospitalized and severely debilitated patients. However with enhanced medical and pharmaceutical technology, increasing numbers of ambulatory immunosuppressed individuals with oral fungal infections are seeking out general dentists for diagnosis and treatment of these lesions
An Absurd Concept of Self-Medication: A Case of Oral Chemical Burn
A chemical burn is seen in oral cavity after a noxious agent is placed in direct contact with the mucosa as a mode of self treatment or iatrogenically by dentist. Mild lesions due to less irritating agents result in mild alteration in texture, while more severe lesions (soreness to outright pain) are due to more irritating agents and because of agents of longer duration of contact. Commonly used chemicals used by patients for tooth pain are aspirin which is placed next to the offending tooth and OTC preparations. The essential oil based preparations are easily available in pharmacies or are prepared by local people. These medicaments can harm a patient if not used under medical or ayurvedic supervision as they have beneficial plant extracts, essential oils etc. A case of such self inflicted chemical burn of the oral mucosa is reported due to use of clove oil preparation available locally, used with varying amount and frequency. History of using over the counter medicaments for dental ailment should be asked when patients visit the dentist with complains of burning or white patch in mouth
Non-Syndromic Hypodontia: A Case Report
Hypodontia is the most common dentofacial anomaly observed in humans. It can be syndromic or an isolated trait. Missing teeth not only affects functionality of dentition but also aesthetically looks unpleasing. In this case report, a 12 year old girl is presented with agenesis of four permanent teeth. On examination, patient was found to be suffering from non syndromic hypodontia. Restorative and Prosthetic treatment was done to rehabilitate the cas
Current Trends in Orthodontics
The scope for orthodontics increases as recent innovative ideas becomes successfully demonstrated and applied. The emphasis nowadays in on the holistic correction of the face rather than the dentition. In the field of orthodontics new innovations have not only increased the efficiency of an orthodontist to produce better results but at the same time, reduced the treatment duration, thus positively influencing the patient compliance. So it seems a win-win state for both the orthodontist and the patient. New solutions for the old problems have resulted in advancements in orthodontic materials and their cascading effect on appliance design and treatment strategies. This article briefly embraces us about the recent trends being followed by an orthodontist to achieve better results in shorter duration
Comparative evaluation of dexmedetomidine and midazolam-ketamine combination as sedative agents in pediatric dentistry: A double-blinded randomized controlled trial
Background: Pharmacological methods have been used as an adjunct to enhance child cooperativeness and facilitate dental treatment. Objective: Purpose of this study was to evaluate and compare the effect of sedation by intranasal dexmedetomidine and oral combination drug midazolam–ketamine in a group of children with uncooperative behavior requiring dental treatment. Materials and Methods: This was a prospective, randomized, double-blind study that included patients 3–9 years old with American Society of Anesthesiologists-I status. About 36 children presenting early childhood caries were randomly assigned to one of three groups studied: Group MK received intranasal saline and oral midazolam (0.5 mg/kg) with ketamine (5 mg/kg) mixed in mango juice; Group DX received intranasal dexmedetomidine (1 μg/kg) and oral mango juice; and Group C received intranasal saline and oral mango juice. Patients' heart rate, blood pressure, and oxygen saturation were recorded before, during, and at the end of the procedure. Patients' behavior, sedation status, and wake up behavior were evaluated with modified observer assessment of alertness and sedation scale. Ease of treatment completion was evaluated according to Houpt scale. Results: Hemodynamic changes were statistically insignificant in Group MK and Group DX. About 75% patients in Group MK were successfully sedated as compared to 53.9% Group DX and none of the patients in Group C. Ease of treatment completion was better with Group MK as compared to Group DX and least with Group C. Around 50% patients in Group MK had postoperative complications. Conclusion: Oral midazolam–ketamine combination and intranasal dexmedetomidine evaluated in the present study can be used safely and effectively in uncooperative pediatric dental patients for producing conscious sedation