Romesh Soni

Familial Florid Cemento-Osseous Dysplasia: A Rare Manifestation in an Indian Family

Florid cemento-osseous dysplasia (FCOD) is one of the uncommon dysplasias affecting the maxillofacial region. The age group may vary from 19 to 76 years and typically presents in the 4th and 5th decades. In most cases patients do not have hereditary basis of disease, and only a few familial cases have been documented. As far as we know this is the 1st reported case of familial FCOD in an Indian family. The mother and son exhibited multiple sclerotic masses in both jaws. The mode of transmission appeared to be autosomal dominant with variable phenotypic expression.

Van der Woude Syndrome Associated with Hypodontia: A Rare Clinical Entity

Van der Woude syndrome (VWS) is usually underreported and frequently not diagnosed. The phenomenon that cleft lip and palate are regularly combined in the same pedigree makes it unique. A meticulous examination of a patient with lip pits may reveal a hidden form of a cleft, for example, submucous. This paper presents a case of VWS in a ten-year-old boy with characteristic orofacial features. Special emphasis has also been given on the need for appropriate genetic counseling.

Surgical Management of a Rare Case of Congenital DoubleUpper Lip.

Congenital double lip is a rare developmental anomaly which usually involves the upper lip. It may occur in isolation or as a part of Aschers syndrome. The occurrence of double lip may result in facial deformity especially when patient attempts to talk, smile, or even try to show the teeth. It affects esthetics and also interferes with speech and mastication. Although surgery may be undertaken to facilitate speech and mastication, majority of cases are operated for cosmetic reasons. A case of congenital double upper lip which was surgically treated for cosmetic reason is reported.

Full Mouth Rehabilitation of a Patient with Severely Worn Dentition - A Systematic Clinical Approach

(Ex. Service Senior Resident, Department of Prosthodontics, Faculty of Dental Sciences, IMS, Banaras Hindu University) (Professor & Dean, Department of Orthodontics, Faculty of Dental Sciences, IMS, Banaras Hindu University) 3 (Associate Professor, Department of Prosthodontics, Faculty of Dental Sciences, IMS, Banaras Hindu University) (Assistant Professor, Department of Prosthodontics, Faculty of Dental Sciences, IMS, Banaras Hindu University) (Associate Professor, Department of Conservative Dentistry & Endodontics, Faculty of Dental Sciences, IMS, Banaras Hindu University)

Immediate implant placement in mandibular anterior region with dehiscence

Restoration of teeth in the esthetic zone is a great challenge for dental practitioners. Preference to shortened overall treatment period and minimum number of surgical interventions in implant dentistry is desired by patients and clinicians. Immediate implant placement combined with simultaneously guided bone regeneration in post extraction sockets having bony defects has emerged as a predictable method resulting in high implant survival rates and good esthetic outcomes. This article describes a case of immediate implant placement and guided bone regeneration for treatment of severe buccal dehiscence in mandibular anterior region.

Prosthetic Management of Post Surgical Nasal Skin Graft Contracture

The sequelae of trauma to the nose include nasal deformity and nasal obstruction that can have a long term negative impact on patient’s quality of life. Successful management of posttraumatic nasal obstruction relies on a detailed history, careful analysis, and accurate diagnosis. Treatment must balance the seemingly disparate goals of re-establishing structure, improving contour and esthetics, as well as restoring the nasal airway. Indications and technical steps for fabricating bilateral nasal stents are presented, for a case of surgical opening of bilateral nasal synechia necessitated due to failed initial corrective surgery, post contracture and collapse of skin grafts. The objective of nasal stent was to maintain patency of nasal passage post surgical intervention. This is achieved by support to graft and residual tissues and prevention of mouth breathing. The nasal stents were modified post insertion at regular intervals to ensure adaptation to changes in mucosal lining of nasal.