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Dantal College Inner Pages Vol-6.Cdr ISSN 0976-2256 E-ISSN: 2249-6653 The journal is indexed with ‘Indian Science Abstract’ (ISA) (Published by National Science Library), www.ebscohost.com, www.indianjournals.com JADCH is available (full text) online: Website- www.adc.org.in/html/viewJournal.php This journal is an official publication of Ahmedabad Dental College and Hospital, published bi-annually in the month of March and September. The journal is printed on ACID FREE paper. Editor - in - Chief Dr. Darshana Shah Co - Editor Dr. Rupal Vaidya Assistant Editor: Dr. Harsh Shah Editorial Board: DENTISTRY TODAY... Dr. Mihir Shah Welcome to the new era of digital imaging! Today, the Dr. Vijay Bhaskar conventional imaging modalities like radiographic films and chemical processing are replaced by digital sensors with Dr. Monali Chalishazar digital processing. The conventional film based OPG machines Dr. A. R. Chaudhary have also been made obsolete by the high resolution digital OPG machines. Furthermore, medical CT and Dentascan have Dr. Neha Vyas been replaced by the latest CBCT (Cone Beam Computed Dr. Sonali Mahadevia Tomography) machines in private imaging centresrun by oral Dr. Shraddha Chokshi and maxillofacial radiologists across the country. The day is not far when the 3 dimensional CBCT imaging with a low Dr. Bhavin Dudhia patient radiation dose will be usedroutinely for cases of Dr. M Ganesh complicated / repeat RCT, maxillo-facial trauma, impacted third molars, oro-facial cysts and tumours, periodontal Dr. Mahadev Desai pathologies, orthodontic treatment planning and even Dr. Darshit Dalal scanning for CAD CAM fixed prosthodontics. The need has arisen for more and more professionals dedicated exclusively to the field of oral and maxillofacial radiology. The future is bright; the future is CBCT. A Contents EDITORIAL FROM THE EDITOR'S DESK .......................................................................................................................................................01 DARSHANA SHAH REVIEW ARTICLES 1) LOCAL ANESTHETICS IN DENTISTRY - A REVIEW ......................................................................................................02 SUJAY B. SHAH*, JIGAR M. THAKKER**, SHRINAL MANKIWALA***, HIRAL SHAH**** 2) PERI-IMPLANTITIS VERSUS PERIODONTITIS: AN IMPLIED METAPHOR ...................................................................06 HIRAL PARIKH*, ARCHITA KIKANI**, ANKINA JOSHI***, SUNITA DHAKA****, MIHIR SHAH***** 3) SJÖGREN'S SYNDROME – AN UPDATE FOR THE DENTAL PRACITITIONERS ..........................................................10 ROSELINE PATEL*, BHAVIN DUDHIA**, PARUL BHATIA***, STEFFY MACWAN****, YESHAJANI*****, PURV PATEL****** ORIGINAL ARTICLES 4) CHECK THE EXTRAS: A CLINICO – RADIOGRAPHIC STUDY OF SUPERNUMERARY TEETH..................................18 NARESH C. SONI*, ANJANI R. CHAUDHARY**, MADHURA S. DALAL***, PURV S. PATEL****, YESHA V. JANI*****, ROSELINE A. PATEL****** CASE REPORT 5) PYOGENIC GRANULOMA IN 87 YEAR OLD FEMALE PATIENT – A RARE CASE.........................................................27 ANJANIKUMAR R. CHAUDHARY*, PURV PATEL**, AMEYA PATWARDHAN***, ROSELINE PATEL**** 6) SALVAGING FRACTURED MAXILLARY LATERAL INCISOR USING EXTRACORONAL AND INTRACORONAL SPLINTING ........................................................................................................................................................................32 DHARA PATEL*, SUHAG PATEL**, NISHIT PATEL***, SHRADDHA CHOKSHI**** 7) BRONJ...............................................................................................................................................................................36 RAHUL P. KHUBCHANDANI*, SACHIN DALAL**, DARSHAN PATEL***, NEHA VYAS**** 8) PRECISION ATTACHMENT: A CONNECTING LINK BETWEEN FIXED & REMOVABLE PROSTHESIS: A CASE REPORT ............................................................................................................................................................................41 NAYAN SAPRA*, DARSHANA SHAH**, CHIRAG CHAUHAN***, ANKIT NAROLA**** Subscription: Rate per issue: ` 400/-, for one year: ` 750/-, for three years: ` 2,000/- Contact: Ahmedabad Dental College & Hospital Vivekanand Society, Bhadaj-Ranchhod Pura Road, Santej, Post: Rancharda, Ta: Kalol, Dist: Gandhinagar, Gujarat, India. B YOGA-THE HEALING REMEDY ____From Editor’s desk Dear friends, Dentistry, as a profession, is very demanding, in terms of the focus and precision required while performing the procedure, more so, because we are working on a very small area, which requires sheer attention. In doing so, many a times, we forget or overlook the posture in which we are working continuously for long hours. When the dentist is working in a sitting position, over half of the body muscles provide support, so as to enable the body to be in a static position. If the same posture is continued for a longer period of time, muscle ischemia happens. As a result, what we get in return is the musculoskeletal disorders which exhibit in the form of pain. The intensity of this pain can vary from mild discomfort in the neck, shoulder and back region to excruciating one, so much so that it leaves us with no choice but for placing a halt on our professional work and then rushing to the concerned specialists for management and respite. As a matter of fact, as it is said “small things can make a big difference,” simple change in our lifestyle, can make a huge difference in the way we can escape this health hazard which is gulping the entire dental fraternity worldwide, like a monster. The “International Yoga Day” was celebrated worldwide on June 21, 2015, attracting everyone's attention on this indigenous tool in prevention of various health related issues. It is high time we, the dentists, also inculcate the practice of performing Yoga in our daily life regime, to strengthen our muscles of neck, shoulder and back, so as to save ourselves from musculoskeletal pains. The “Asnas” recommended in the Yoga, specifically for posture related problems can be of great help to the dental professionals in managing their day to day muscular discomfort and pain. The need of the hour is just to modify our life style so as to get maximum out of our professional and personal life. Donna Farhi rightly said “Yoga does not remove us from reality or responsibilities of everyday life but rather places our feet firmly and resolutely in the practical ground of experience. We don't transcend our lives; we return to life we left behind in the hopes of something better.” I hereby strongly recommend neck movements, stretching, intermittent eye closure, and deep breathing during exhaustive hours of working. Dr. Darshana Shah Editor JADCH Editorial Office: Prof. & Head Dept. of Prosthodontics Ahmedabad Dental College & Hospital, Dist.: Gandhinagar, Gujarat. Email: [email protected] The Journal of Ahmedabad Dental College and Hospital; 6 (1), March 2015 - August 2015 01 Local Anesthetics In Dentistry - A Review Review Article Sujay B. Shah*, Jigar M. Thakker**, Shrinal Mankiwala***, Hiral Shah**** ABSTRACT More than 100 years Local anesthetics have been in use in dental practice. In new era of patient comfort while permitting more extensive and invasive dental procedures the local anesthetics developed of nerve blockade injection techniques. A brief history and summary of the current local anesthetics available is reviewed. KEYWORDS: Local anesthesia, Topical Anesthetics, Injectable Anesthetics. Received: 17-01-2015; Review Completed: 14-04-2015; Accepted: 30-05-2015 INTRODUCTION: Unlike the majority of other anesthetic drugs, which act as central nervous system depressants, local “For there was never yet another philosopher who anesthetics prevent nociceptive impulses from could endure the toothache patiently” reaching the central nervous system by blocking the - William Shakespeare progress of an action potential. A local anesthetic binds to sodium channel receptors on the axonal Dental fear is very prevalent in all age groups, membrane, the permeability to sodium ions is lost across gender, and in all countries. In modern dental 4 and nerve conduction is interrupted. practice local anesthesia is the mainstay, with patients demanding better and more painless dental TOPICAL ANESTHETICS procedures. More than 120 years ago local anesthesia was introduced to the dental profession, A topical anesthetic is used to numb the surface of today's options for anesthetizing specific sites in the the gingiva in preparation for injecting a local mouth have become more varied, with dental anesthetic. Unlike injectable anesthesia, topicals professionals having many more options to ensure anesthetize only the top portion of the mucous the comfort and safety of their patients.1 membrane or tissue and do not provide anesthesia for the teeth or bony structures. They are used to Local anesthesia has been defined as a loss of anesthetize the surface of an injection site. Most sensation in an area of the body caused by a topical anesthetics require up to a minute to depression of excitation in nerve endings or an anesthetize the area. Whenever possible, use topical inhibition of the conduction process in peripheral anesthetics to minimize the patient's pain associated 2 nerves. with injections. For example, a topical anesthetic can be applied to a sterile cotton swab and placed The first local anesthetic agent to be widely used in just above a canine prior to an injection. It is dentistry was cocaine. Centuries before European important to use a topical anesthetic
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