Education being an open system undergoing changes from time to time, there is a current need to overcome the disparities and match the demands from all perspectives. The future dentists need to be trained in terms of critical thinkers and problem solvers and more as an oral physician who can work in an interdisciplinary fashion. They should be highly equipped with technology and evidence based dentistry. The next generation students training methods should also change to digitally equipped versions and social Medias need to be used as means of professional platform as well. Learner centred education in the form of choice based credit system can help the institutions to achieve the desired outcomes providing cafeteria approach to the learners. The future direction of dental education is to propose, implement and improve quality initiatives in each step of curricular process.
Roopa Reddy Pandraveti
Craniofacial region suffers from many defects due to carcinoma, trauma, iatrogenic. The treatment of facial region is compromised and complicated due to esthetics. Though surgical option is the definitive one for curing cancer, it leaves huge defects physically and depressions mentally for the patient. For a social well-being and psychological support, patients need to be addressed in a different manner. Prostheses have gained lot of support and care for patients. They complement the lost or defective tissues in the body. Well trained professionals regain internal smile for these patients in an efficient way.
Functional foods are foods or dietary components that may provide a health benefit beyond basic nutrition. Biologically active components in functional foods may impart health benefits or desirable physiological effects. Oral diseases are lifestyle related and diet plays a major role. Various foods are found to have role in improving oral health. In this article the most explored functional foods like tea, grapes, coffee, garlic and its role in oral health are discussed. Tea (Camellia sinensis) and is the most popular beverage consumed by human society worldwide, second only to water. Tea has anti-cariogenic potential by inhibiting biofilm formation, acid production and also studies have shown tea has a preventive effect on periodontal disease. Garlic is known for its medicinal property all over the world, it prevents dental caries, periodontal disease. as well as shown positive results in the treatment of Candiidasis. Coffee is another beverage which has preventive effects on dental caries and oral cancer. Grapes are another such functional food which has preventive effects on dental caries, periodontal disease, as well as remineralization potential. These functional foods lack sound evidence to be recommended as part of health care. The people consuming these foods must realize that functional foods are not a “magic bullet” or a panacea for poor health habits. Functional foods can become part of an effective strategy to maximize health and reduce disease risk by addressing all these issues.
Laryngeal carcinoma, are mostly squamous cell carcinomas, reflecting their origin from the skin of the larynx. Most laryngeal cancers originate in the glottis. Supraglottic cancers are less common and subglottic tumours are least frequent. Supraglottic cancer is a disease in which malignant (cancer) cells form in the tissues of the larynx. Use of tobacco products and drinking too much alcohol can affect the risk of laryngeal cancer. The complaint of the patient includes a sore throat and ear pain. CT scan of throat and neck are used to help detect, diagnose, and stage laryngeal cancer. Management of the head and neck cancer patient most often will include radiation therapy. The oral complications of head and neck Radiation therapy result from radiation injury to the salivary glands, oral mucosa and taste buds, oral musculature, alveolar bone, and skin. The oral complications of therapy for head and neck cancer can significantly impair quality of life. The oral health care team serves a vital role in the prevention and management of short- and long-term oral complications of cancer treatment. Here I present two cases of supraglottic carcinomawhounderwentoral health care before radiation therapy.
Sai Anusuya G,
Jacob Raja S.A,
Joann Pauline George,
Johnson Raja J
Gingival augmentation coronal to the recession (root coverage) has become an important treatment modality because of increasing cosmetic and functional demands. In the selection of treatment procedures factors such as depth and width of gingival recession, availability of donor tissue, tooth position, root prominence, presence of muscle attachments and aesthetics has to be taken into consideration. A 25-year old male patient presented with Miller class II gingival recession in tooth no 33. His main concern was unpleasant elongated tooth appearance. Lateral pedicle graft root coverage procedure was selected and complete root coverage was obtained (favourable prognosis) with excellent prognostic scoring.
Gayathri P E,
S.P. Indra Kumar
Gingival recession is defined as the exposure of the root surface by an apical shift in the position of gingiva. Various mucogingival problems such as shallow vestibule, aberrant frenal attachment and inadequate width of attached gingiva if present along with multiple gingival recession becomes additional challenge to cover the denuded root surface. In such situation several surgical technique are needed for the coverage of denuded root surface. Bridge flap technique can be done as a single step entity for all the above mentioned mucogingival problem and it can be treated for multiple gingival recession. This article reports the surgical management of a patient with multiple gingival recession using bridge flap for coverage of denuded root surfaces.
The quest for predictable clinical solutions to the problem of gingival recession has led to several important surgical advances this past decade. Site preparation for root coverage procedure has evolved from the original surgical dissection of an open vascular bed, used for the placement of an exposed graft overlying the recipient bed, to the coronally advanced flap and tunnel methods used for submerged grafts. The Pouch and Tunnel technique along with the use of a subepithelial connective graft has proven several benefits including early tissue healing, esthetic results and good patient cooperation. This article emphasizes on the effectiveness of using the pouch technique which improves the success rate for treating gingival recession in a series of 3 cases.
Raja Rajeswari S,
Triveni M. Gowda,
Tarun A.B. Kumar,
Dhoom S. Mehta,
How to cite this article:
S RR, Gowda TM, Kumar TA, Mehta DS, MR. Zucchelli's Technique With Collagen and Platelet Rich Fibrin: A Strategic Approach In Multiple Gingival Recession Management. 2016; 6 (1):40-44.
Multiple gingival recession defects in esthetic zone demands aconcurrent correction of all the involved teeth in a single surgery. Wound healing is a complex phenomenon and the concurrent use of collagen membrane and Platelet rich fibrin (PRF) will greatly enhance the process. Thus the aim of this case report is to evaluate the effectiveness of Zucchelli's technique (ZT) with collagen and PRF in the management of multiple gingival recession management. There was 90% mean root coverage and good patient esthetic satisfaction. Thus ZT with collagen and PRF is an effective treatment modality in the management of multiple gingival recession.