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
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