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   Table of Contents - Current issue
Coverpage
July-December 2021
Volume 6 | Issue 2
Page Nos. 27-54

Online since Friday, December 24, 2021

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ORIGINAL ARTICLES  

Traumatic dental injuries in schoolchildren and adolescents of Rural and Urban Areas of Aligarh, India: A prevalence study p. 27
Mohammad Kamran Khan, Mahendra Kumar Jindal, Saima Yunus Khan, Arjun Unnikrishnan
DOI:10.4103/ijmo.ijmo_9_21  
Introduction: Traumatic dental injury is becoming a public health problem and burden worldwide due to its higher prevalence, costly treatment procedures, and its sequelae. Materials and Methods: A cross-sectional epidemiological study was conducted among 1000 children aged 12 and 15 years of ten randomly selected schools of rural and urban areas of Aligarh, Uttar Pradesh, India, to evaluate the prevalence of traumatic dental injuries. The relevant findings of the study were collected by self-prepared pro forma and dental examination. Ellis and Davey's classification was used to record dental trauma in permanent teeth. SPSS 20 software was used to analyze the collected data from the study. Results: The overall prevalence of traumatic dental injuries in the present study was found to be as 13.5%. Children of 12 years of age (17.6%) were more affected with traumatic dental injuries as compared to adolescents of 15 years of age (12.8%). Schoolchildren of rural areas (15.2%) were traumatized greater than urban areas (11.8%) (P > 0.05). Conclusions: Dental trauma among schoolchildren was relatively higher in Aligarh and among which children of 12 years of age of rural areas were more traumatized with dental trauma than urban areas. Hence, preventive strategies must be implemented among children, adolescents, parents, and teachers to reduce the occurrence of such deleterious injuries.
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Evaluating the co-relation between vertical dimension of occlusion and the height of the external ear p. 31
Lekhika Ashok Dhoot, R Sushma, Krupa Mahesh Patil
DOI:10.4103/ijmo.ijmo_11_21  
Background: Accurate measurement of Vertical Dimension of Occlusion is a very important step for the success of any prosthesis. It maintains the vertical height of the face and overall esthetic appearance of the patient. Various methods have been postulated to determine Vertical Dimension measurements, but no method is more accurate than the other. Aim and Objective: To determine a correlation between the Height of external Ear and vertical dimension of occlusion. Methodology: This study was conducted on 120 dentate subjects (60 males and 60 females) in the age range of 18-25 years. Each participant included, had all teeth present excluding 3rd molars, Class 1 jaw relation, and a harmonious as well as symmetrical face. Anthropometric measurements were recorded clinically in millimeters using a modified digital Vernier calliper. The data was input into a SPSSV.21 statistical software package for analysis. Pearson's correlation coefficient test was utilized to study the correlation. Result: The mean height of external ear was 61.14 mm in males and 58.55 mm in females. The mean vertical dimension of occlusion(VDO) was 62.15 mm in males and 58.55 mm in females. The results showed a significant correlation between the pair. onclusion: This is a novel technique, using height of external ear as a guide, for measurement of VDO.
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Effect of different prosthodontic treatment modalities on nutritional parameters of patients in Telangana, India p. 34
S Phanindra
DOI:10.4103/ijmo.ijmo_17_21  
Background: Oral health is a mirror of general health. Certain risk factors are common between oral and systemic diseases. The absence of teeth also affects oral health by altering the quality of life. Hence, the nutritional changes occurring in elderly patients following prosthodontic rehabilitation are evaluated. Materials and Methods: A total of 100 patients who underwent prosthodontic treatment for missing teeth were included in the study. Twice measurement of nutritional parameters was done: Initially at the time of diagnosis and then 5 months following commencement of the prosthodontic treatment. Dental analysis, evaluation of the diet, anthropometric assessment, and analysis of serum biochemical values were done in all the patients, and tabulated records were maintained. Independent Student's t-test and Tukey's test were done to assess the level of significance. Results: A total of 100 patients were included in the study. The complete denture (CD) group showed the highest alteration in the mean values of the nutritional parameters followed by the removable partial denture group. A significant change was seen in the body mass index, protein, carbohydrate, and iron levels among the different patients who were grouped based on the mode of treatment modality. The CD group showed significantly higher mean change in carbohydrates value compared with mean change in patients receiving fixed treatment. Conclusion: Our results conclude that nutrition and diet form an integral part of prosthodontic treatment to maintain the health of elderly population.
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A study to assess the knowledge, attitude, and practice of dental injuries in children engaged in sports p. 37
Krupa Mahesh Patil, R Sushma, Parikshit Avinash Barve, Lekhika Ashok Dhoot
DOI:10.4103/ijmo.ijmo_10_21  
Background: Maintaining a physically active lifestyle is must for a healthy body and mind. Regular exercise is known to be associated with reduced mortality and reduced incidence of systemic diseases. It has been documented that children between the ages of 7 and 14 years are more prone to injuries, especially dental as they have not developed proper coordination and less aware of the prevention of injuries while playing. Dental injuries include lip lacerations, avulsion of teeth, fractures of teeth, and jaws. Prognosis of dental trauma is better if the first-line treatment received by the patient is done by person who is aware and knows all the possible treatment modalities. Aims and objectives: The main objective of the study was to take into consideration the knowledge the population has about the dental trauma and the various preventive measures for the same. Materials and Method: For the study, a sample size of 150 patients were included and divided into a group of 75 amles and 75 females respectively. The participants were selected on the basis of inclusion and exclusion criteria. Parents of children who were engaged in contact and non contact sports were included to complete the study. Results: The p-value was calculated for the study and was highly non significant as the knowledge about the dental trauma and preventive measures were found to be similar between the male and female participants. More than half of the population had no clue about re-plantation of the avulsed tooth from the oral cavity. Conclusion: Majority of the study population had knowledge about fractured tooth and lip laceration, on the other hand they had little or no knowledge regarding the preventive measures for the dental trauma. The studies for larger sample size and wide range of age groups in different areas in Maharashtra are recommended to overview the Knowledge and various preventive measures that an individual can take when injured while playing sports.
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REVIEW ARTICLES Top

Tackling bone density through different osteotomy preparation techniques p. 40
Amol Ashok Dubey, Parmeet Singh Banga, Saumil Sampat
DOI:10.4103/ijmo.ijmo_8_21  
The main goal of implant rehabilitation is to achieve osseo-integration. One of the most important features allowing for osseo-integration is primary stability implant. Primary implant stability depends on the quantity and quality of the bone, the fixture design, and the surgical technique used. This article highlights several surgical protocols proposed to enhance the survival of implants in the bone of low density.
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Sleep bruxism p. 43
V Vasundhara
DOI:10.4103/ijmo.ijmo_12_20  
Activities of the masticatory system can be divided into functional, which includes chewing and speaking, as well as parafunctional, which includes clenching or grinding of the teeth. Sleep bruxism (SB) is the abnormal, nonfunctional contact of the teeth and if ignored leads to the breakdown of dentition and orofacial pain. Hence, early diagnosis and treatment are considered to be of utmost importance. SB has multifactorial causes that have to be identified and managed by various treatment modalities. As bruxism events bring about tooth and restoration damage, it is of major concern for the dentists.
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Dental ceramics: What's new? p. 46
K Supreetha S Naik, GS Tarun, BS Keshava Prasad, Karanam Apoorva Prakash, NV Sheela, Sindhu Haldal
DOI:10.4103/ijmo.ijmo_16_21  
Dental restorations associated with the development of novel microstructures for ceramic materials have caused an important change in the clinical workflow for dentists and technicians, as well as in the treatment options offered to patients. New microstructures have also been developed by the industry to offer ceramic and composite materials with optimized properties, i.e. good mechanical properties, appropriate wear behavior, and acceptable esthetic characteristics. The objective of this literature review is to discuss the main advantages and disadvantages of the new ceramic systems and processing methods.
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The surge of house calls: How COVID-19 pandemic is changing health care p. 49
Vinit Shashikant Patil, K Azhar Mubarak, P P Jawad Ebn Mohammed Abdulla, Jeslin V James, Junaid Bin Ahmed, PA Rafeeque, Siraj M M
DOI:10.4103/ijmo.ijmo_18_21  
Elderly, homebound individuals comprise a vulnerable segment of society who have been disproportionately affected by the coronavirus disease 2019 (COVID-19) pandemic through a myriad of unique challenges. Home-based primary care or house calls improve the lives of high-cost, frail, homebound patients and their caregivers while reducing costs by keeping patients at home and reducing the use of hospitals and nursing homes. Several forces are behind the resurgence of HBPC, including the rapidly aging population, advancements in portable medical technology, evidence showing the value of house calls, and improved payments for house calls. There are 2 million to 4 million patients who could benefit from house calls, but only few are receiving it. The number of these patients is expected to double over the next two decades and there has been a surge during the COVID-19 pandemic. This requires a larger and better prepared workforce in India. Medical education curricula are necessary for undergraduate and postgraduate students studying medicine to sufficiently develop a future workforce capable of appropriately providing house calls to an increasing number of elderly patients.
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CLINICAL INNOVATION Top

A Novel Technique to Guide the Mandible to Centric Relation p. 53
R Sushma, Anand G Joshi, Pronob Kumar Sanyal
DOI:10.4103/ijmo.ijmo_15_21  
Background: A new and innovative technique to guide the mandible to centric relation. Aim: To design an innovative technique to guide the mandible into centric relation. Objective: To achieve the centric relation in an easy way. Materials and Methods: With some modification on the denture base the tongue is assisted to the posterior part of the palate thus guiding the mandible to centric relation. Results: This technique guides the mandible to centric relation. Conclusion: The Mandible is guided to the centric relation by this technique.
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