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   Table of Contents - Current issue
Coverpage
May-August 2022
Volume 3 | Issue 2
Page Nos. 27-53

Online since Wednesday, March 9, 2022

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EDITORIAL  

Exploring the oral health status of patients with psychological issues p. 27
Haniya Zehra Syed, Russell Kabir
DOI:10.4103/jpcdoh.jpcdoh_42_21  
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REVIEW ARTICLES Top

Conceptual approach to periodontal microsurgery: An insight p. 29
Riddhi Awasthi, Mohammad Jalaluddin, Urmi Agrawal, Dhirendra Kumar Singh
DOI:10.4103/jpcdoh.jpcdoh_35_21  
Periodontal treatment modalities have evolved since the 20th century. This era of periodontal treatment is progressing towards minimally invasive techniques. Nowadays, microscopes and surgical loupes are being used in different fields of dentistry. Periodontal surgeries like root coverage procedures, esthetic surgeries, scaling & root planing have also incorporated these methods for better esthetic results and patient compliance. Unlike in other fields of dentistry, there is more to be explored in the periodontal field with microsurgical methods. This article aims to discuss the evolution of periodontal treatment with microsurgical procedures and its principles. The literature concerning the efficacy of microsurgical approaches in treating periodontal diseases has been evaluated.
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Dental hygiene and noncommunicable diseases – Current trends and future perspective p. 36
L V Simhachalam Kutikuppala, Sabita Ram, Natasha Unani, Mehnaz A Memon, Sanjana Agrawal
DOI:10.4103/jpcdoh.jpcdoh_39_21  
Dental hygiene is an integral and also a major part of a person's general health, thereby better prevention of oral disease would save millions of rupees for the health-care systems. Noncommunicable diseases (NCDs) and their rising global burden are the primary reason for disability among people worldwide. Oral health is one of the reflections on the overall health and well-being of a person, and several oral diseases are even associated with chronic diseases like diabetes and periodontal diseases. Oral health is a heterogeneous entity composing the ability to chew, swallow, smile, smell, speak, taste and touch to convey a wide spectrum of emotions via expressions of face with confidence and without craniofacial complex discomfort, pain, and disease. Oral health remains a neglected and an under-recognized global health issue, where oral diseases affect around 3.9 billion people globally. Exacerbation of certain NCDs predisposes to oral dysbiosis and poor dental hygiene that may further lead to increased edentulism and periodontal diseases. The organizations and policymakers must shift the programs, policies, and public perceptions and viewpoints in support of sustaining adequate hygiene for overall health and well-being.
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ORIGINAL ARTICLE Top

Efficacy of customized soft occlusal splints in the management of temporomandibular joint disorders among the population of Parsa District of Nepal: A cross-sectional study p. 40
Sartaj Singh Wazir, Alok Kumar Jaiswal, Rahul Srivastava
DOI:10.4103/jpcdoh.jpcdoh_40_21  
Background: In recent years, temporomandibular joint disorders (TMDs) have been a highly debated topic. TMD is the collective term of clinical problems that involves the masticatory apparatus, temporomandibular joint (TMJ), and its associated structures or both. It is really a tough challenge for both the dental and the medical specialists and is often difficult to diagnose and treat such a disorder as the presenting symptoms can be variable. A variety of treatment modalities have been described in the literature for its management and the conservative method is most preferred. The objective of the present study was to evaluate the effectiveness of soft occlusal splint therapy among the population of Parsa district of Nepal in the management of TMDs. Materials and Methods: Thirty subjects with signs and symptoms of TMDs were included in the study, out of which 13 (43.3%) subjects were males and 17 (56.7%) were females, with age ranging from 21 to 40 years. Soft occlusal splints were given to the patients for about 3 months and evaluated for reduced mouth opening, tenderness of TMJ (preauricular), TMJ sounds, and mandibular deviation after 1 week of initiation of therapy and every month for 3 consecutive months. Results: There was a significant improvement of 3.06 mm (9.7%) in mouth opening, 86.7% of subjects showed significant reduction in preauricular tenderness, 80.0% subjects showed reduction in TMJ sounds, and 76.7% of subjects showed improvement in mandibular deviation after 3 months of the splint therapy. Paired t-test and Chi-square tests were done for comparison. Conclusions: Soft occlusal splints can be used effectively as a conservative treatment modality in reducing the signs and symptoms related to TMDs.
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CASE REPORTS Top

Detachable hollow cheek plumper with salivary reservoir – An innovative method to improve esthetics and function in a conventional complete denture p. 46
Pushpa Sharma, Amanda Nadia Ferreira, Meena Aras, Vidya Chitre
DOI:10.4103/jpcdoh.jpcdoh_1_22  
The feeling of dryness in the mouth is referred to as xerostomia. Multiple factors can lead to xerostomia ranging from physiologic conditions like aging, to radiotherapy given for the treatment of oral carcinoma. Xerostomic patients are not able to tolerate conventional complete dentures. In most geriatric individuals due to aging, there is bone resorption and loss of soft-tissue elasticity, which may result in sunken cheeks. This case report describes the rehabilitation of a totally edentulous patient with xerostomia and sunken cheeks using a simple innovative design and technique of fabricating a hollow cheek plumper with a built-in salivary reservoir for better denture acceptability.
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Klippel-trenaunay syndrome: A pedodontist perspective p. 50
Topi Nyodu, Soumen Pal, Khooshbu Gayen, PN Nanmaran, Subir Sarkar
DOI:10.4103/jpcdoh.jpcdoh_43_21  
Klippel–Trenaunay syndrome (KTS) is a congenital, uncommon but a well-recognized disorder, characterized by cutaneous hemangiomas, varicosities, and unilateral bone and soft tissue hypertrophy with different localization. Generally diagnosed at birth or first few years of life. KTS represents a syndrome of interest for those in the field of oral and maxillofacial radiology and pathology because of high incidence of variations seen in the orofacial region in affected patients. A case of a 3-year-old female patient with KTS reported to the Department of Pedodontics and Preventive Dentistry for extraction, and we have documented and tabulated the Orodental manifestation of this patient.
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