Journal of Oral Health and Community Dentistry

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2010 | September-December | Volume 4 | Issue 3

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Parental Presence During Their Child's Dental Treatment

[Year:2010] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:52 - 54]

   DOI: 10.5005/johcd-4-3-52  |  Open Access |  How to cite  | 


Parents can play an important role as team members of the oral health care delivery team of their children. The pros and cons of the presence of parents during dental treatment are discussed. This article also describes various factors to be considered during decision making process to either include or exclude the parent during dental treatment of their child to achieve the ultimate goal of providing safe and quality dental treatment.



Navin Anand Ingle, Naveen Baratam, Zohara Charania

Prevalence and Factors Associated with Traumatic Dental Injuries (TDI) to Anterior Teeth of 11-13 Year Old School Going Children of Maduravoyal, Chennai

[Year:2010] [Month:September-December] [Volume:4] [Number:3] [Pages:6] [Pages No:55 - 60]

   DOI: 10.5005/johcd-4-3-55  |  Open Access |  How to cite  | 



To assess the prevalence and factors associated with anterior teeth traumatic injuries in 11-13 year old school children of Maduravoyal, Chennai.


Cluster sampling methodology was used for selection of subjects, where each school formed a cluster. All students aged 11-13 years were examined in accordance with the Ellis and Davey classification of traumatic injuries to anterior teeth. Statistical analysis was done by Chi-Square test.


Among the 687 (M=393, F=294) examined, 11.5% (n=79) experienced TDI. 78.5% (n=62) boys experienced TDI which was approximately thrice as higher as in females being 21.5% (n=17). The most commonly affected teeth were maxillary central incisors. “Fall” was the most common cause for TDI. Most common type of fractures were class I and class II and most of them were untreated. All these findings were statistically highly significant (P< 0.001).


TDI is an existing dental problem and emphasis should be given in school dental health programmes on preventive aspects of TDI.



Anil Ankola, V. Chandrasekhara Reddy, B R Ashok Kumar

Relationship Between Gingivitis and Anterior Teeth Irregularities Among 18 to 26 Years Age Group: A Hospital Based Study in Belgaum, Karnataka

[Year:2010] [Month:September-December] [Volume:4] [Number:3] [Pages:6] [Pages No:61 - 66]

   DOI: 10.5005/johcd-4-3-61  |  Open Access |  How to cite  | 



To study the relationship between gingivitis and irregular teeth in the anterior segments of dental arches.

Materials & Methods

The sample size of 120 subjects who satisfied the inclusion criteria was randomly selected for the study. These subjects were selected between the age group of 18 to 26 years and divided into two groups. The study group (cases) consists of 60 subjects with irregular teeth in the anterior segments of dental arch. The control group (controls) consists of 60 subjects with well-aligned teeth in the anterior segments of dental arches.


The mean gingival index of cases & controls were 0.9513 and 0.5959 with standard deviations of 0.7014 and 0.4909 respectively. The t-value was 3.1093 with p<0.001 which was highly significant.


The mean gingival index of study group was higher than the gingival score of the control group (P<0.001).



Endodontic Flare – Ups: An Overview

[Year:2010] [Month:September-December] [Volume:4] [Number:3] [Pages:5] [Pages No:67 - 71]

   DOI: 10.5005/johcd-4-3-67  |  Open Access |  How to cite  | 


Numerous hypothetical mechanisms responsible for pain and swelling in endodontic flare ups are presented, even though these mechanisms may be interrelated. This review article also underlines the various treatment modalities for relief of pain and swelling in such situations, including pre-medication, drainage establishment, relief of occlusion, intracanal and systemic medication.



Manpreet S Walia, Saryu Arora, Bhawana Singal

Jaw Osteonecrosis a Risk Factor in Bisphosphonate Therapy - A Dental Concern

[Year:2010] [Month:September-December] [Volume:4] [Number:3] [Pages:6] [Pages No:72 - 77]

   DOI: 10.5005/johcd-4-3-72  |  Open Access |  How to cite  | 


Bisphosphonates are compound used in the treatment of many skeletal disorders such as bone metastases, osteoporosis, Paget's disease, hypercalcaemia of malignancy and bone pain. A new complication of bisphosphonate therapy administration i.e. osteonecrosis of jaw also known as bisphosphonate related osteonecrosis of the jaws seems to be developing. Over suppression of bone turn over is probably the primary mechanism for the development of this condition, although there may be contributing comorbid factors. Complete prevention of this complication is not currently possible. However, preventive dental care reduces this incidence. Conservative debridement of necrotic bone, pain control, infection management, use of antimicrobial oral rinses and withdrawal of bisphosphonates are preferable to aggressive surgical measures for treating this condition.



Jagat Bhushan, Sanjay Chachra

Probiotics – Their Role in Prevention of Dental Caries

[Year:2010] [Month:September-December] [Volume:4] [Number:3] [Pages:5] [Pages No:78 - 82]

   DOI: 10.5005/johcd-4-3-78  |  Open Access |  How to cite  | 


Probiotics have been used to improve gastrointestinal health for quite some time and their popularity has prompted increased interest for their role in promotion of oral health. There also has been a change in understanding of the oral disease process because of better understanding of ecology and microbiology of oral cavity. Very encouraging studies have come up in recent past exploring probiotics in fields of caries, periodontal diseases and few other areas and the results tend to suggest beneficial effects of probiotics on oral health and on whole body in general . Given these recent developments, it was considered timely to review the background and conceptual framework of the use of these agents in reducing dental caries. The evidence for the use of pro or prebiotics for the prevention of caries is reviewed.



Hakan Alpay Karasu, Aysegul M. Tuzuner Oncul, Lokman Onur Uyanik

Cryosurgery of A Huge Hemangioma of Tongue: A Case Report

[Year:2010] [Month:September-December] [Volume:4] [Number:3] [Pages:5] [Pages No:83 - 87]

   DOI: 10.5005/johcd-4-3-83  |  Open Access |  How to cite  | 


Hemangiomas are frequently seen benign tumors which based on vascular tissues. These lesions are mainly identified in to two groups which are named as capillary and cavernous hemangiomas due to vascularization of the lesions. Capillary hemangiomas consist of small capillary vessels which show lobules formation. Cavernous hemangiomas consist of large dilated vessels and they can reach to large sizes. Several treatment modalities including sclerotherapy, embolisation, laser surgery and cryosurgery have been described for hemangiomas. In this significant case, the cryosurgery treatment of a 16 years old male patient who was suffering from the huge hemangioma in the right side of his tongue is presented.



Ashish Gupta, Rahul Sood, Pankaj Bansal

Bilateral Ameloblastic Fibroma in A 6 Year Old Child: A Unique Case

[Year:2010] [Month:September-December] [Volume:4] [Number:3] [Pages:4] [Pages No:88 - 91]

   DOI: 10.5005/johcd-4-3-88  |  Open Access |  How to cite  | 


Ameloblastic fibroma (AF) is an extremely rare true mixed benign tumour that can occur either in mandible or maxilla, but is most frequently found in the posterior region of mandible. It is usually seen in the first two decades of life and is associated with tooth enclosure, hence causing delay in eruption or altering the dental eruption sequence. AF is found during routine radiographic evaluation but is clinically and radiographically similar to Ameloblastic fibro-odontoma and odontoma, which makes an accurate diagnosis mandatory as it may change the course of treatment. There has been lot of debate regarding the treatment for AF. We describe a case of bilateral ameloblastic fibroma in the posterior region of mandible in 6 year old child which was treated by conservative curettage with admirable results.


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