Journal of Oral Health and Community Dentistry

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2011 | May-August | Volume 5 | Issue 2

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Ramesh Chandra, Ambrish Kaushal

Inverted and Impacted Third Molar

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:2] [Pages No:56 - 57]

   DOI: 10.5005/johcd-5-2-56  |  Open Access |  How to cite  | 


A case of unilateral impacted and inverted third molar has been reported. Its management should be performed in the conservative way to avoid conservative way to avoid serious consequences.



Nitin Khuller, P Basavaraj, Rajnanda Ingle Khuller

Caries Risk Assessment and Control

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:6] [Pages No:58 - 63]

   DOI: 10.5005/johcd-5-2-58  |  Open Access |  How to cite  | 


Dental caries has a multifactorial etiology in which there is interplay of three principal factors. The host (saliva and teeth), the micro flora (plaque), and the substrate (diet), and a fourth factor time. Many times the initiation, development and progression of dental caries are often influenced by the oral health status, aetiology, modifying factors, preventive factors and other risk factors. There is no single test that takes into consideration all these factors and can accurately predict an individual's susceptibility to caries. The risk of dental caries can be evaluated by analyzing and integrating several causative factors. Caries risk assessments during treatment can serve as monitoring aid for the success of the treatment. The aim of this review is to assess the risk factors associated with dental caries so that the treatment can be planned accordingly.



Ekta Ingle, K. Saraswathi Gopal

Nanodentistry: A Hype or Hope

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:64 - 67]

   DOI: 10.5005/johcd-5-2-64  |  Open Access |  How to cite  | 


Nanotechnology is a natural end result of scientific development and our ability to understand and manipulate matter at smaller and smaller level. Current research is directed towards the production of wide array of different nano-scale structures. The fabrication techniques of the structures can be divided into 2 approaches “top-down” and “bottom-up.” New potential treatment opportunities in dentistry may include, local anesthesia, dentition re-naturalization, and permanent hypersensitivity cure, complete orthodontic realignments during single office visit, covalently bonded diamondised enamel, and continuous oral health maintenance using mechanical dentifrobots. Nanotechnology is foreseen to change health care in a fundamental way by providing novel methods for disease diagnosis and prevention, therapeutics selection, tailored to the patients profile, drug delivery and gene therapy.



Anil Sharma, Anuj Chhabra, C Bopiah

Patient Consent in Dentistry: Are we Legally Safe?

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:5] [Pages No:68 - 72]

   DOI: 10.5005/johcd-5-2-68  |  Open Access |  How to cite  | 


As with other walks of life the profession of dentistry saw unprecedented change during the last century. Amongst other things, litigation, which is a part of everyday life, has evolved and spread its growing influence on dentistry. Though the litigation and claims are prevalent in almost all countries however, the western countries have been at the forefront of Dental negligence claims. In a way, it is a sign of an informed and mature society.

Dentistry in India has been relatively immune to the effects of litigation against dental professionals for a multitude of reasons. But its will not be long before it envelops every aspect of dentistry in India. Dental legislation has its pros and cons; it serves to be a system, which protects patients as well as professionals, but as with other spheres of law, will be subjected to abuse. This article attempts to address the core issue of patient consent, which is where the majority of dental negligence claims arise.



Navin Anand Ingle, S Srinidhi, Preetha Elizebeth Chaly, Chandrasekhara Reddy

Dental Awareness and Attitudes among Medical Practitioners in Chennai

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:6] [Pages No:73 - 78]

   DOI: 10.5005/johcd-5-2-73  |  Open Access |  How to cite  | 



To assess the dental awareness and attitudes of medical practitioners in Chennai.


A cross sectional study was conducted using a structured questionnaire on 300 medical practitioners randomly selected.


85 % of undergraduates, 71 % of postgraduates, 80 % of diploma holders advised patients to visit dentist at least once in six months (P<0.05). 75 % of undergraduates, 85 % of postgraduates and 94 % of diploma holders knew that periodontal disease is a risk factor for infective endocarditis (P<0.05). 80 % of undergraduates, 77 % of postgraduates and 48 % of diploma holders were aware of systemic complications due to untreated dental diseases (P<0.01).


Dental awareness and attitudes was found to be good among medical practitioners in Chennai.



V Chandrasekhara Reddy, R Kesavan, Navin Ingle

Dentition Status and Treatment Needs among Type II Diabetic and Non-Diabetic Individuals in Chennai City – A Comparative Study

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:7] [Pages No:79 - 85]

   DOI: 10.5005/johcd-5-2-79  |  Open Access |  How to cite  | 



Patients suffering from diabetes mellitus are known to have increased susceptibility to certain infections. It has significant impact on tissues throughout the body including the oral cavity.


To assess the dentition status and treatment needs among type II Diabetic and Non-Diabetic individuals in Chennai city.

Materials and Methods

A Hospital based Cross-sectional comparative study was conducted among diabetics and non-diabetic population attending the Govt. Stanley hospital in Chennai City. WHO Oral Health Assessment Form (1997) was used to assess the dentition status and treatment needs. The final sample size of the study was 1000 which included 500 diabetics and 500 non-diabetics.


The present study revealed not much difference in oral hygiene practices among diabetic and non-diabetics. In the present study, there was no statistical difference in the caries experience among the study subjects. The mean number of teeth missing due to other reasons was 1.40±2.80 among diabetics and 0.65±1.70 among non-diabetics (P<0.0001).


There was no significant difference in the prevalence of dental caries among the study subjects. The mean decayed, missing, filled and DMFT scores were similar among diabetics and non-diabetics.



Ruchi Arora, Neeraj Kant Panwar, Vineet Dhar

Reason for Choosing Pediatric Dentistry as Career – Survey Among Post-graduate Dental Students

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:86 - 89]

   DOI: 10.5005/johcd-5-2-86  |  Open Access |  How to cite  | 



The aim of the study was to compare the reason for choosing pediatric dentistry as a professional career.

Materials and Method

The study comprised of Survey among Post Graduate student of speciality of pediatric and preventive dentistry in which candidates were asked to score the influence of factors like parental background, personnel reasons, professional reasons, vocational reasons, economic reasons; by using a questionnaire through Email. The data was recollected and analyzed.


The overall response rate was 70 % and among them 96.4% indicated pediatric dentistry was their 1st career choice. Reasons included higher parental education, awareness and financial stability; own interest, inspiration from teachers/family dentist; future prospective of speciality; and financial viability.


It was concluded that Parental education, awareness and financial stability motivated the child to choose a career of student's own interest and demand of speciality while vocational and economic reasons creating a platform of feasibility.



The Relation of the Neutral Zone to the Crest of the Residual Alveolar Ridge in Completely Edentulous Subjects – A Clinico-Radiological Study

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:90 - 93]

   DOI: 10.5005/johcd-5-2-90  |  Open Access |  How to cite  | 


A Clinico-Radiological Study was conducted to establish a set relation between crest of residual alveolar ridge and neutral zone so that a uniform pattern could be followed for teeth setting. Thirty healthy edentulous patients with class – I ridge relation and who had not undergone any major oral surgical procedure was included in this study. Patients were divided into two groups, 1, who were edentulous from six months to two year and group 2, who were edentulous from two or more years. Fifteen patients were in each group. Results showed that in group 1 patients, neutral zone lied lingual to or on crest of alveolar ridge and in group 2 patients, neutral zone shifted to buccal side. Therefore, by studying the pattern of shift of neutral zone to buccal side we should come out with a reasonable plan for placing our teeth looking at duration of edentulousness.



Tarun Sharma, P Narayana Prasad, Tarun Singh Phull, Neetu Dabla

Timing of Orthodontic Treatment

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:3] [Pages No:94 - 96]

   DOI: 10.5005/johcd-5-2-94  |  Open Access |  How to cite  | 


In providing orthodontic care for paediatric patients, clinicians often questions whether to begin treatment early-during the primary or early-transitional dentition-or wait until all or most of the permanent teeth are present. A comprehensive knowledge is necessary for planning the implementation of preventive therapy or the choice for interception is left. Early orthodontic treatment is effective and desirable in specific situations. The early treatment eliminates noxious habits, re-orientates dental-maxillary development and compensates for the structural discrepancy between teeth and bone. This leads to a timely correction of defects, which could have a negative aesthetic impact, therefore, contributing effectively to a better harmonization of the child with the human environment where he lives, and improving his feelings of acceptance within it. However, the evidence is equally compelling that such an approach is not indicated in many cases for which later, single-phase treatment is more effective. Therefore, clinicians must decide, on a case-by-case basis, when to provide orthodontic treatment.



Parul Goel, Veena Gupta, Jigyasa Duhan

Actinomycotic Osteomyelitis of Mandible Masquerading Periapical Pathology

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:3] [Pages No:97 - 99]

   DOI: 10.5005/johcd-5-2-97  |  Open Access |  How to cite  | 


Actinomycosis is an infectious disease characterized by chronic granulomatous and suppurative lesions often caused by Actinomyces group. Actinomycosis has been referred to as the chameleon of head and neck pathology because of its varied clinical picture which can resemble various pathologies ranging from benign infection to metastatic tumour. Nowadays, the diagnosis of the same may be difficult because the number of patients with typical symptoms has decreased, and there is a low success rate in culturing the microorganism. Mandibular osteomyelitis is also underappreciated by many clinicians in their assessment of head and neck infections. Most cases are traced to an odontogenic source, with periapical tooth abscess and posttraumatic or surgical complication as key antecedent events.

A case of osteomyelitis of mandible initiated from a vital but peridontally compromised tooth is reported. Radiography of this case revealed bone destruction, and H & E of the biopsied tissue showed branching filaments resembling ray fungus.



BS Santosh, V Anuradha, MC Dayanand

Erupting Complex Odontoma: Coronal to Impacted Second Molar Associated with Dentigerous Cyst

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:3] [Pages No:100 - 102]

   DOI: 10.5005/johcd-5-2-100  |  Open Access |  How to cite  | 


The most common odontogenic tumours are odontomas, they account for 22% of them, but there apparent eruption into oral cavity is rare. We report a rare case of erupting complex odontoma coronal to impacted second molar associated with dentigerous cyst.



Sumit Gupta, Sonali Taneja, Rupali Chadha

Spiral CT in Diagnosis of 4-Rooted Maxillary Second Molars Bilaterally: A Case Report

[Year:2011] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:103 - 106]

   DOI: 10.5005/johcd-5-2-103  |  Open Access |  How to cite  | 


Variations in the root canal morphology are common and permanent maxillary molars are no exceptions. Permanent maxillary molars generally have three roots one palatal and two buccal. The incidence of a second palatal root is quite rare. This paper highlights the endodontic diagnosis and treatment of a permanent maxillary second molar having an additional palatal root using specialized diagnostic technique-spiral computed tomography.


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