Treatment of patients at AHEAD Academy

In endodontics class at AHEAD Academy, New Delhi, midline diastema closure was discussed. The steps were explained in detail to the students. They were motivated to practice on more number of patients. The midline diastema is a space (or gap) between the maxillary central incisors. The space can be a normal growth characteristic during the primary and mixed dentition and generally is closed by the time the maxillary canines erupt. A midline diastema usually is part of normal dental development during the mixed dentition. However, several factors can cause a diastema that may require intervention. An enlarged labial frenum has been blamed for most persistent diastemas, but its etiologic role now is understood to represent only a small proportion of cases. Other etiologies associated with diastemas include oral habits, muscular imbalances, Physical impediments, abnormal maxillary arch structure, and various dental anomalies. Effective diastema treatment requires correct diagnosis of its etiology and intervention relevant to the specific etiology. Correct diagnosis includes medical and dental histories, radiographic and clinical examinations, and possibly tooth-size evaluations. Appropriate treatment modalities have been described. Timing often is important to achieve satisfactory results. Removal of the etiologic agent usually can be initiated upon diagnosis and after sufficient development of the central incisors. Tooth movement usually is deferred until eruption of the permanent canines, but can begin early in certain cases with very large diastema.

A case of depigmentation was carried out at AHEAD Academy, New Delhi. A 24 year old male came to the clinic with discoloured blackish gums. The procedure was carried out by our new batch of students at AHEAD Academy, New Delhi. Gingival pigmentation is a major concern for a large number of patients visiting our clinic. The patients with excessive gingival display and pigmentation are more concerned esthetically. Most pigmentation is caused by five primary pigments out of which melanin shows the maximum incidence rate. Melanin hyper pigmentation usually does not present as a medical problem, but patients may complain about their unesthetic black gums. The gingiva is the most frequently pigmented intraoral tissue, with the highest rate observed in the area of the incisors. 

A student preparing for IAS exam came to AHEAD Academy, New Delhi with fractured front tooth.  A composite build up was done for the patient. Direct composite resin when used in the management of cases of tooth wear offers the advantages of:

•           An acceptable aesthetic outcome

•           A non-invasive procedure

•           May be used as a diagnostic tool

•           Well tolerated by pulpal tissues

•           Minimally abrasive to antagonistic surfaces

•           Being easy to repair and adjust

•           Cost-effective material

•           Restorations may be applied within a single visit