Ajay Jain

Meeting the Challenge of Feeding a New Born Infant with Cleft Lip and Palate- A Case Report

Cleft-lip-palate could be an anomalousness occurring because of malunion during development which is related to feeding issues within the new born infant. The oronasal communication reduces the creation of a negative pressure, which helps in suckling. Feeding prosthesis is an appliance to beat this challenge, aiding in feeding. Cleft anomalies are related to issues in feeding due to communication established between mouth and nasal cavity that makes it onerous for the baby to take care of adequate nutrition levels. This clinical report describes one visit technique for fabrication of feeding prosthesis for a one month new born infant born with cleft lip and palate, a congenital abnormality, which helps the newborn infant to feed milk avoiding regurgitation. The feeding plate is fabricated using acrylic resin which acts as a temporary prosthesis for feeding the baby till surgical correction is planned. The feeding prosthesis could be a prosthetic aid that helps in obturating the cleft by re-establishing and restoring the separation between the oral and nasal cavities. It helps to form a stiff platform towards which the baby will press the nipple and suck milk. This corrective prosthesis improves feeding by reducing the time needed for feeding that helps in weight gain and conjointly reduces nasal regurgitation. The prosthesis conjointly prevents and protects the tongue from getting into the cleftal defect and intrusive with the spontaneous growth of the palatal shelves towards midline. The prosthesis reduces the flow of food into the nasopharyanx, thus decreasing the incidence of Otis media and oro-naso pharyngeal infections.

Prevalence of Sports Related Oral Injuries and Use ofMouth-Guards: A Mini Review

People engaged in frivolous and competitive sports activities for both physical and psychological well-being. Unfortunately, participating in sports activities is at risk of sustaining trauma to the oral hard and/or soft tissues such as chipped, luxated or avulsed teeth, maxillary or mandibular fractures, lip lacerations and other injuries to the gingivae, tongue or mucosa [1]. Hard and soft-tissue injuries are common; not only to high-risk contact sports such as boxing, hockey, rugby and lacrosse, but also to other, less obviously hazardous sports (for instance basketball and baseball) and non-contact activities (for instance gymnastics and in-line skating) [2]. Study performed among Nigerian young adult athletes, contact sports accounted for 78.5% of the oral injuries, while only 21.5% were resulted from non-contact sports [3]. Athletes participating in martial arts which are one of the contact sports suffered the highest injury rate (41.5%), than athletes participating in ball sports (17.2%) and other non-contact sports (15.2%) [4].

Acanthomatous ameloblastoma in anterior mandibular region of a young patient: A rare case report.

Ameloblastoma is the most known of the epithelial odontogenic benign tumor. It is slow growing and locally aggressive in nature and most commonly seen in the posterior mandible. Various histopathological variants exist, among which acanthomatous type of ameloblastoma is one of the rarest types. Acanthomatous ameloblastoma is usually seen in older aged human population and most commonly reported in canine region of dogs in literature. Here, we report a rare case of acanthomatous ameloblastoma in a young male patient involving mandibular anterior region crossing the midline with recurrence over a period of 2 years of follow-up after surgical resection.

Three-part mould technique for fabrication of hollow thumb prosthesis: A case report

Background: The purpose of this article is to describe a technique which helps in fabrication of glove-type hollow thumb prosthesis using three-part mould technique. Case description and methods: Patient reported to the Department of Private dental clinic, Delhi, India with a chief complaint of missing partial left thumb and wanted to get it replaced. A complete clinical hand examination was carried out, which revealed a residual stump of 1 cm length. After ensuring the medical conditions to be normal, fabrication of hollow thumb prosthesis was planned using three-part mould technique. Findings and outcomes: The prosthesis delivered to the patient was highly retentive because of its glove-type retention and lighter weight; feedback from the patient regarding retention was excellent. The prosthesis was aesthetically pleasing because of its excellent colour matching with the skin, and each and every part of the prosthesis could be colour customized because of easy retrieval of the third part of the mould, as well. Conclusion: A technique of hollow thumb prosthesis has been described in this article which helps in reduction in weight, easy packing of silicone material into the mould and easy colour customization at the knuckles area of the dorsal and ventral aspect of the prosthesis. Clinical relevance This three-part mould technique helps to fabricate hollow prosthesis which increases retainability and at the same time allows easy packing of silicone material and easy colour customization at the knuckles area of the prosthesis.

Dowel Core Techniques for Multi-rooted Teeth: Series of Three Cases

An endodontically treated tooth should have a good prognosis so that it can resume full function and serve satisfactorily as an abutment for a Fixed Dental Prosthesis (FDP) or a removable partial dental prosthesis. However, special techniques are needed to restore such a tooth. There are various dowel core techniques have been advocated in the literature. This case report presents the restoration of mutilated endodontically treated multi-rooted teeth by using three customized dowel core techniques.

Functional impression and cast construction technique for implant retained auricular prosthesis

Implant-retained auricular prosthesis presents a difficult task in relation to the esthetic placement of the margins of the prosthesis. A technique for the functional impression and master cast fabrication to fabricate an implant-retained auricular prosthesis is described. This technique allows esthetic placement of the margin, fabrication of imperishable master cast with pre-planned block-out and incorporation of a replica of the retentive bar, which allows processing of the prosthesis without returning the retentive bar to the mold. Correspondence to: Dr. Ajay Jain, Senior Lecturer, Faculty of Dentistry, AIMST Dental Institute, AIMST University, Kedah, Malaysia, Tel: +60109454204, E-mail: jainajay9@gmail.com

An innovative approach for atraumatic tooth extraction for immediate implant placement by using Sapian extraction kit: A case report

Immediate placement of dental implant into the fresh extraction socket has been an acceptable procedure for the past two decades. Commonly, immediate placement has been reserved for the single rooted anterior tooth and single or bi-rooted premolar tooth. To preserve the alveolar bone proper, particularly that of the labial and lingual plates of bone it is essential that the extraction should be done in an atraumatic manner, providing the optimal environment for maximizing bone implant contact and implant stability. There is plethora of techniques in the literature for atraumatic extraction of tooth. This paper presents the atraumatic extraction of maxillary premolar by using Sapian root removal device system followed by immediate placement of dental implant. Correspondence to: Dr. Ajay Jain, MDS (Prosthodontics), Senior Lecturer, Faculty of Dentistry, AIMST Dental Institute, AIMST University, Semeling, Bedong, Malaysia-08100, Tel: +6-0109454204; E-mail: jainajay9@gmail.com

Cemento-Ossifying Fibroma: A Case Report

Background: Cemento-Ossifying Fibroma (COF) is considered by most as relatively rare, benign, non-odontogenic neoplasm of the jaw bones and other craniofacial bones characterized by replacement of normal bone by fibrous tissue and varying amounts of newly formed bone or cementum-like material, or both. It commonly affects, adults between the third and fourth decade of life and often shows variations in clinical, radiographic, and histopathologic features, hence require different treatment options. Purpose: This paper attempts to diagnose a case of cemento-ossifying fibroma of the jaw not only based on clinical characteristics but also radiographic and histopathologic features as an adjunct. Case: The patient was diagnosed with cemento-ossifying fibroma, presenting its clinical presentation, diagnostic imaging and histopathology features, as well as its surgical treatment. Conclusion: The diagnosis of cemento-ossifying fibroma of the jaw can be established based on clinical, radiographic and histo-pathological features. It is a benign growth, considered to originate from the periodontal ligament and presents as a slow-growing lesion, but may cause deformity if left untreated. However, these tumors may exhibit variations in their neoplastic behaviours. It is often encapsulated and predominantly located in the mandible, and the definitive diagnosis of these lesions requires integration of its clinical, radiological and histological features. We present a case of cemento-ossifying fibroma in relation to the lower left one-third of the face, and its management.

Effect of duration of edentulism on neutral zone position in relation to alveolar crest ridge

Aim: The purpose of the study was to establish a relation between the crest of alveolar ridge and functionally obtained neutral zone and to determine the effect of duration of edentulism on the location of neutral zone in relation to the crest of residual alveolar ridge. Materials and Methods: The study included three groups, Group I: 15 human subjects edentulous for 0 months to 2 years, Group 2: 15 human subjects edentulous for 2 years to 5 years and Group 3: 15 human subjects edentulous for more than 5 years. Neutral zone recording was performed for each human subjects and the bucco-lingual relationship of the crest of the mandibular alveolar ridge and position of neutral zone was examined. The results were analyzed by Kruskal-Wallis h-test and Chi-square independent test. Results: The results suggested that the location of neutral zone varies from individual to individual depending on their musculature and there is significant relation to the duration of edentulism. As the duration of edentulism increases, there is more lingual positioning of neutral zone at the molar region of both side of the arch. At premolar region, there is no change in position of neutral zone, it remains constant since resorption of the alveolar ridge is directly under the buttress. In anterior region, there is more labial positioning of neutral zone as duration of edentulism increases. Conclusion: This technique proved itself to be an easy and inexpensive way to determine the relationship between the crest of alveolar ridge and neutral zone. Incorporating this technique into the practice would be a great aid, which could be exploited by the clinicians for functional and psychological comfort of the patients.

To determine and compare the position of neutral zone in relation to crest of mandibular alveolar ridge with different duration of edentulousness: A clinico-radiographic study.

Purpose: The purpose of this study was to establish a relation between the crest of alveolar ridge and functionally obtained neutral zone and to determine the effect of duration of edentulousness on the location of neutral zone in relation to the crest of residual alveolar ridge. Materials and Methods: The study included three groups: Group I-15 subjects edentulous for 0 months to 2 years; Group 2-15 subjects edentulous for 2-5 years; and Group 3-15 subjects edentulous for more than 5 years. Neutral zone recording was performed for each subject and the buccolingual relationship of the crest of the mandibular alveolar ridge and position of the neutral zone was examined. The results were analyzed by the Kruskal-Wallis H test and the Chi-square test. Results: The results suggested that the location of the neutral zone varies from individual to individual depending on their musculature and that there is a significant relation to the duration of edentulousness. As edentulousness increases, there is more lingual positioning of the neutral zone at the molar region of both sides of the arch. At the premolar region, there is no change in position of the neutral zone; it remains constant as resorption of the alveolar ridge is directly under the buttress. In the anterior region, there is more labial positioning of the neutral zone as edentulousness increases. Conclusions: This technique proves itself to be an easy and inexpensive way to determine the relationship between the crest of alveolar ridge and neutral zone. Incorporating this technique into practice will be a great aid that can be exploited by the clinicians for functional and psychological comfort of the patients.