Volume 3 Issue 1
2018-04-19 Research Article
Abstract
Objective: To describe pathological findings on pre-treatment dental panoramic tomograms of edentulous jaws taken before complete denture treatment.
Design: Descriptive cross-sectional study.
Setting: Prosthetic division, Department of Conservative and Prosthetic Dentistry.
School of Dental Sciences, University of Nairobi.
Results: Data was obtained from clinical records and OPGs of 163 edentulous patients seen at the prosthetic clinic between 2010 and 2016 for complete denture therapy. From history and examination alone, clinicians reported significant findings on 50.3% of records, while 43.6% had no such findings. Ten (10) (6.1%) records were unclear. Examination of OPGs revealed 79.1% of the films had no pathological findings while in 20.9% had. Most of the findings (70.0%) were retained roots, 6% were radio-lucencies, 12% were other radio-opacities, 9% were impacted teeth while 3% had both retained root and radio-opacity. Most pathologies (64%) were located in the posterior region of jaws while the other findings were evenly distributed in the anterior and posterior regions of the jaws. There was no predilection of pathological findings to any other factor other than gender. In 83.4% records, queries on clinical notes coincided with significant findings on OPGs; while 16.6% were either unclear or did not coincide. Most (71%) OPG findings led to modification of treatment plan.
Conclusion: Pathological findings are common on pre-treatment OPGs. It may be good practice to take an OPG for edentulous patients prior to complete denture therapy where such services are available, to prevent complications from intra-bony pathologies. However, Most of the findings are either detectable by clinical exam or may not be of major consequence to the health of patients. Complete denture may be done without OPGs for new and old denture wearers where the service is not available.
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001024 Cite this Article
2018-02-09 Case Report
Introduction
Salivary stone (sialothiasis) is a calcifying concentration within the ductal system of salivary gland [1]. The majority of salivary calculi occur in the submandibular gland duct because of its length, upward course and the thicker mucus [2].
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001023 Cite this Article
2018-01-12 Review Article
Abstract
The term open bite is referred as no contact between anterior or posterior teeth. The complexity of open bite is attributed to a combination of skeletal, dental and habitual factors. Etiology of open bite can be attributed to genetics, anatomic and environmental factors.However, the tendency toward relapse after conventional or surgical orthodontic treatment has been indicated. Therefore, open bite is considered one of the most challenging dentofacial deformities to treat. The aim of this article is to emphasize that early etiological diagnosis, dentofacial morphology and classification are essential to the successful outcome of the technical intervention. Failure of tongue posture adaptation subsequent to orthodontic and/or surgical treatment might be the primary reason for relapse of open bite. Prolonged retention with fixed or removable retainers is advisable and necessary in most cases of open bite treatment. The treatment of open bite remains a tough challenge to the clinician; careful diagnosis and timely intervention with proper treatment modalities and appliance selection will improve the treatment outcomes and long-term stability.
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001022 Cite this Article
2018-01-10 Review Article
Abstract
Correcting class II malocclusion has always challenged an orthodontist owing to the complex and multifactorial aetiology. Age of patient and selection of the appliance plays an important role in the outcome of the treatment. Growth modification using functional appliances achieves stable results in class II patients. An orthodontist has wide variety of fixed and removable appliances for addressing a class II malocclusion. In this review article an attempt has been made to compile various available fixed functional appliances.
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001021 Cite this Article
Recent Articles
2021-05-12 Review Article
Hariharan Ramakrishnan* and Maniamuthu Ragupathi
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001034 Citation
2021-03-19 Case Report
Lopes Otão P and Mascarenhas P*
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001033 Citation
2020-07-16 Research Article
Mireia Aznar Gomez*, Lluisa Tobella Camps and Alejandro Rivera Baró
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001032 Citation
2020-05-28 Case Report
Gita Rani and Amarjeet Gambhir*
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001031 Citation
2020-02-27 Case Report
Nikolaos Kolomvos*, Agamemnon Chliaoutakis and Nikolaos Papadogeorgakis
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001030 Citation
2019-12-30 Case Report
Anahita Dehghani Soltani, Azita Tehranchi, Shiva Safari, Zahra Tehrani and Samin Ghaffari*
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001029 Citation
2019-08-28 Case Report
Salem Y*, Omar Y, Dorsaf S, Sonia M, Samir B and Olfa B
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001028 Citation
2019-08-13 Research Article
Ashish Pandey*, Neeraja B, Himanshu Joshi, Deepti Upadhyay and Sonam Pandey
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001027 Citation
2019-06-04 Research Article
Kalach Mussali Alberto J* Gonzalez-Magana Fernando and Malagon Hidalgo Hector O
Abstract Read Full Article HTML DOI: 10.29328/journal.johcs.1001026 Citation