Journal of Oral Health and Community Dentistry

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2010 | January-April | Volume 4 | Issue 1

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CM Marya, Hind Pal Bhatia, P Gupta, S Dhingra, S Kataria, Meenu

Pit and Fissure Sealants: An Unused Caries Prevention Tool

[Year:2010] [Month:January-April] [Volume:4] [Number:1] [Pages:6] [Pages No:1 - 6]

   DOI: 10.5005/johcd-4-1-1  |  Open Access |  How to cite  | 



The following recommendations are based on the evidence gathered: 1. Sealants should be placed on all permanent teeth without cavitation (i.e., teeth that are free of caries, teeth that have deep pit and fissure morphology, teeth with “sticky” fissures or teeth with stained grooves) as soon after eruption as isolation can be achieved. 2. Sealants should not be placed on partially erupted teeth or teeth with cavitation or caries of the dentin. 3. Sealants should be placed on the primary molars of children who are susceptible to caries (i.e., those with a history of caries). 4. Sealants should be placed on first and second molars within 4 years after eruption. 5. Resin-based sealants should be preferred, until such time as glass ionomer cements with better retention capacity are developed. 6. Sealants should be placed as part of an overall prevention strategy based on assessment of caries risk. Sealing is a recommended procedure to prevent caries of the occlusal surfaces of permanent molars. Though the effectiveness of sealants is obvious at high caries risk groups there is still some degree of latitudein operators preference for sealant placementand material selection.



Neeraj Rampal, Pankaj Kaushik

Infection Control In Prosthodontics

[Year:2010] [Month:January-April] [Volume:4] [Number:1] [Pages:5] [Pages No:7 - 11]

   DOI: 10.5005/johcd-4-1-7  |  Open Access |  How to cite  | 


Infection control is an important concept in the present day practice of dentistry. Dentistry is predominantly a field of surgery, involving exposure to blood and other potentially infectious materials and therefore, requires a high standard of Infection Control and Safety Many countries in the world have strong guidelines and recommendations for dental safety. In a country like India, the concept is new and needs to be advocated on the highest priority Infection control is important in dental practice to control patient-to-patient infectious disease transmission, and occupational exposure of dental health care personnel (DHCP) to infectious, chemical and other hazards present/encountered during the practice of dentistry. To avoid disease transmission it is important to understand the mechanism of transmission of infection, the pathogens involved and the Safety measures that can be undertaken. The prosthodontists are at an added risk of transmission because of the infection spreading through the contaminated lab equipments while working in the lab. The lab protocols should also be strictly followed along with the clinical protocols.



Devi Charan Shetty, Puneet Ahuja, Aadithya B. Urs, Deepika Bablani, Mayura Paul

Epidemiological Status of 3rd Molars – Their Clinical Implications

[Year:2010] [Month:January-April] [Volume:4] [Number:1] [Pages:4] [Pages No:12 - 15]

   DOI: 10.5005/johcd-4-1-12  |  Open Access |  How to cite  | 


The purpose of this study was to describe the presence and impaction status of third molars in a Western U.P. population between age group of 17 and 24 years. A total of 3000 college students were clinically evaluated for the status of their 3rd molars. Out of these, the soft tissue associated with prophylactically extracted asymptomatic 3rd molars was histopathologically assessed. A definite eruption pattern of third molars was observed such that the percentage of teeth that were not erupted was much higher at age 17 years than at age 24 years. A decline in the eruption of teeth along with increased chances of impaction for teeth which were not erupted at 21 years was noted. Hence, it can be hypothesized that a substantial proportion of teeth impacted at 17 years do erupt fully, in the oral cavity with maximal chances of eruption between 17-21 years of age. The assessment of soft tissue changes in asymptomatically extracted teeth revealed definite histopathological alterations.



Pankaj Kukreja, Sonia Goyal, Suhas S. Godhi

Versatility of the Coronal Approach in Maxillofacial Surgery

[Year:2010] [Month:January-April] [Volume:4] [Number:1] [Pages:6] [Pages No:16 - 21]

   DOI: 10.5005/johcd-4-1-16  |  Open Access |  How to cite  | 


The coronal approach, also known as bi-temporal approach, is one of the most versatile surgical approaches to the zygomatic arch and the mid-facial skeleton. Excellent access is gained to the mid-face by this approach, and it also has a very less number of complications. It is esthetically also excellent, because most of the surgical scar is hidden within the hairline. When the incision is extended into the preauricular area, the surgical scar is inconspicuous. In this article, we attempt to describe the approach, and present our own experience in using it at our centre.



Basavaprabhu Akkareddy, Shantanu Choudhari, Sudesh Kataria

Fractured Maxillary Central Incisor Restoration with Fragment Reattachment: A 2 Year Follow-up Case Report

[Year:2010] [Month:January-April] [Volume:4] [Number:1] [Pages:4] [Pages No:22 - 25]

   DOI: 10.5005/johcd-4-1-22  |  Open Access |  How to cite  | 


Injury to anterior teeth is a relatively common event. Dentists are confronted with managing dental trauma and restoring fractured teeth on a regular basis. Hence the technique that speed and simplify treatment, restore esthetics and improve long term success rate are therefore of potential value and should be considered. If an intact tooth fragment is present after trauma, the incisal edge reattachment procedure presents a conservative, simple and esthetic alternative. Clinical trials have reported that reattachment using modern dentine bonding agents and resin system may achieve a functional and esthetic success. This article presents with a case report of restoration of fractured maxillary central incisor using fragment reattachment in a 12 year old child. The reattachment was carried out using resin cement followed by additional chamfer on buccal surface which was restored with resin composite. The reattached fragment was found to be intact at a 2 year follow-up visit.


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