Journal of Orofacial Rehabilitation
Year 2022 Vol 2 Issue 3
BF.7: The new concern for dental practice? l J Orofacial Rehabilitation. 2022 Dec;2(3):i.
DOI: 10.5281/zenodo.7492946
Arka Swarnakar.
1. Case Report l J Orofacial Rehabilitation. 2022 Dec;2(3):1-7.
DOI: 10.5281/zenodo.7490746
Modified technique to improve the bond strength of soft liner and denture base resins – A case report.
C Pradeep, Manesh Lahori.
Abstract
Indications for soft denture liners include patients with thin, non-resilient mucosa, persistent xerostomia, and acquired or congenital abnormalities, resorbed ridges. Soft denture liners may be inserted either when constructing a new denture or even when relining an existing denture. Patients benefit from chairside relining operations since they spend less time in the chair and don’t loose their dentures. Patients experience significant discomfort when forced to leave with their dentures, even for one day. This case study presented a modified technique to improve the bond between soft liners and denture base resins.
Keywords– Denture relining, Mollosil, Soft liners.
2. Case Report l J Orofacial Rehabilitation. 2022 Dec;2(3):8-15.
DOI: 10.5281/zenodo.7490798
Prosthetic rehabilitation of a maxillary defect caused by post covid mucormycosis using a two-part obturator- A case report.
Shiney Boruah, V Vidyashree Nandini.
Abstract
Mucormycosis is a hostile and life-threatening fungal infection caused by Mucormycetes that primarily affects when body defence mechanisms become weaker. Diabetes is a major risk factor followed by cancer immunotherapy, organ transplantation, and steroid therapy. Mucormycosis presents in various clinical forms such as pulmonary, gastrointestinal, cutaneous and rhinocerebral. The most common symptoms of rhinocerebral mucormycosis include headache, sinus congestion, unilateral facial swelling, black lesions on the nasal turbinate that can rapidly extend to the midfacial and orbital region and can lead to palatal and maxillary deformities, fistula, blindness, and other analogous damage. Surgical excision and debridement of the necrotised areas might affect the quality of life of the patient and will result in facial deformity, speech impairment and improper mastication. The prosthetic rehabilitation of such extensive maxillary defects poses a challenge. Lack of bone support, tissue loss resulting in additional weight and volume of the obturator, uncertainty over retention of the prosthesis and difficulty in insertion and removal due to increased vertical height of the prosthesis are factors to be considered. This article presents an innovative technique for fabrication of a two-part obturator for the prosthetic rehabilitation of maxillary defect to make a retentive obturator that can be inserted and removed with ease.
Key words: Maxillectomy, Maxillary defect, Mucormycosis, Necrosis, Obturator, Prosthetic Rehabilitation.
3. Case Report l J Orofacial Rehabilitation. 2022 Dec;2(3):17-24.
DOI: 10.5281/zenodo.7491000
Digital smile designing in a patient with excessive anterior spacing and impacted central incisor – A case report.
Shraddha Agarwal, Samiran Das, Tushar Kanti Mazumdar, Paromita Mazumdar.
Abstract
Esthetic rehabilitation has become one of the most acceptable treatment modalities in order to correct malpositioned anterior dentition which cannot be corrected by orthodontic procedures. An attractive smile clearly enhances the acceptance of an individual in the society by improving the initial impression in interpersonal relationships. Esthetic and functional rehabilitation can be done successfully in such cases by various treatment approaches. Orthodontic therapy is the most conservative treatment option for such cases but often not a treatment of choice, due to various reasons like prolonged treatment time, financial constraints, appearance during the course of treatment and relapse after the treatment. Alternatively, endodontics in collaboration with prosthodontics, provides a quick, reliable and economic treatment option. When the spacing is caused by tooth size discrepancy involving one or more teeth then an interdisciplinary treatment plan involving orthodontic, restorative and periodontal treatment approach is recommended to achieve a harmonious esthetic result. Hence, the aesthetic appearance with a pleasant smile requires an interdisciplinary approach to achieve the clinical success. This article describes the case of a patient with maxillary anterior spacing, which was treated using a planned sequence with multi-disciplinary approach for an esthetic treatment.
Keywords– Esthetics, Missing teeth, Smile designing, Spacing, Rehabilitation.
4. Case Report l J Orofacial Rehabilitation. 2022 Dec;2(3):25-28.
DOI: 10.5281/zenodo.7491041
Prosthodontic management of flabby ridge- A case report.
Srijoni Mondal, Sanjit Lal Das, Shambaditya Pahari.
Abstract
Flabby ridge, which consists of displaceable tissues, commonly seen in day-to-day clinical practice mostly involve the maxillary or mandibular alveolar ridges. Patients with long standing edentulism are mostly affected, and frequently found in the maxillary anterior region. Management for the same should be undertaken as stability, support, and retention may be jeopardize because of these ridges. Surgical removal and/or augmentation can be done for correction including special impression techniques, equal dispersal of masticatory loads and implant as a supporting measure. “Window technique” for impression of fibrous tissue is a very useful special impression technique. The objective of this case report is to represent a modified form of window technique using double spacers for impression making of flabby tissues in maxillary anterior crestal region by using readily available materials in day to day clinical practice.
Key words: Flabby ridge, hyperplastic tissue, window technique.
5. Review Article l J Orofacial Rehabilitation. 2022 Dec;2(3):29-34.
DOI: 10.5281/zenodo.7491107
An insight to osseodensification.
Sruti Mukhopadhyay, Subhajit Sen, Saptarshi Mondal, Shubhabrata Roy, Preeti Goel, Samiran Das.
Abstract
Osseointegration as proposed by Branemark in 1969, is a primary determinant factor for assessing implant success. Osseointegration is a process in which a dental implant surface integrates and attaches to the ordered living bone. Primary stability is considered as the determinant factor to achieve a good osseointegration. Primary stability is affected by factors like the osteotomy techniques, local factors like bone density and volume, systemic disease like osteoporosis, diabetes mellitus, etc. Osseodensification is a novel procedure of autologous bone densification around dental implants, have been seen to enhance the initial stability to a very large extent. This review article will give an insight about the concept of osseodensification.
Keywords: Osseointegration, Osseodensification, Primary stability.
6. Case Report l J Orofacial Rehabilitation. 2022 Dec;2(3):35-41.
DOI: 10.5281/zenodo.7491129
Recreating lost smile – A definitive obturator.
Subhajit Sen, Sruti Mukhopaadhyay, Samiran Das.
Abstract
Acquired or congenital maxillectomy defects may cause oroantral communication that leads to nasal regurgitation, difficulty in chewing and swallowing, speech problem, and facial deformities. Obturator prosthesis act as an important mode of rehabilitation for these defects. In this paper, an obturator prosthesis fabrication with a metal framework design, for maxillary defect is discussed. A linear design was formulated as given by Mohamed A. Aramany. Occlusal rests were prepared on the maxillary left premolars and molars. Complete palatal major connector was planned so that maximum amount of the masticatory load would be distributed to the underlying tissues. Direct retention was provided by the embrasure clasps. Thus, this definitive prosthesis helped to restore back the lost structures and function by closing the communication between different cavities.
Key words- Acquired defect, Definitive obturator, Maxillectomy.