1.Effects of naringenin on allodynia and hyperalgesia in rats with chronic constriction injury-induced neuropathic pain.
Shyam KAULASKAR ; Pravinkumar BHUTADA ; Anand RAHIGUDE ; Dilpesh JAIN ; Uday HARLE
Journal of Integrative Medicine 2012;10(12):1482-9
To study the analgesic effects of naringenin on chronic constriction injury (CCI) model of neuropathic pain.
2.Guide flange prosthesis for early management of reconstructed hemimandibulectomy: a case report.
Pravinkumar Gajanan PATIL ; Smita Pravinkumar PATIL
The Journal of Advanced Prosthodontics 2011;3(3):172-176
Surgical resection of the mandible due to presence of benign or malignant tumor is the most common cause of the mandibular deviation. Depending upon the location and extent of the tumor in the mandible, various surgical treatment modalities like marginal, segmental, hemi, subtotal, or total mandibulectomy can be performed. The clinicians must wait for extensive period of time for completion of healing and acceptance of the osseous graft before considering the definitive prosthesis. During this initial healing period prosthodontic intervention is required for preventing the mandibular deviation. This case report describes early prosthodontic management of a patient who has undergone a reconstructed hemi-mandibulectomy with modified mandibular guide flange prosthesis. The prosthesis helps patient moving the mandible normally without deviation during functions like speech and mastication.
Ameloblastoma
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Dental Prosthesis Design
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Humans
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Mandible
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Mandibular Osteotomy
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Mandibular Prosthesis
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Mastication
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Maxillofacial Prosthesis
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Moving and Lifting Patients
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Prostheses and Implants
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Prosthodontics
;
Transplants
3.A hollow definitive obturator fabrication technique for management of partial maxillectomy.
Pravinkumar Gajanan PATIL ; Smita Pravinkumar PATIL
The Journal of Advanced Prosthodontics 2012;4(4):248-253
Maxillary obturator prosthesis is the most frequent treatment option for management of partial or total maxillectomy. Heavy weight of the obturators is often a dislocating factor. Hollowing the prosthesis to reduce its weight is the well established fact. The alternate technique to hollow-out the prosthesis has been described in this article which is a variation of previously described processing techniques. A pre-shaped wax-bolus was incorporated inside the flasks during packing of the heat-polymerized acrylic resin to automatically create the hollow space. The processing technique described is a single step flasking procedure to construct a closed-hollow-obturator prosthesis as a single unit. To best understand the technique, this article describes management of a patient who had undergone partial maxillectomy secondary to squamous cell carcinoma rehabilitated with a hollow-obturator prosthesis.
Carcinoma, Squamous Cell
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Humans
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Prostheses and Implants
4.Modified soft tissue cast for fixed partial denture: a technique.
The Journal of Advanced Prosthodontics 2011;3(1):33-36
In process of fabrication of a fixed partial denture, dies are trimmed to expose margins of the preparations. The need for the soft tissue cast is quite evident as the soft tissue emergence profile that surrounds the prepared tooth is destroyed in the process of fabrication. This article describes a modified technique to fabricate the soft tissue cast for the conventional fixed partial denture. The impression made with the polyvinylsiloxane was first poured to prepare the die cast. After retrieval of the cast, the same impression was poured second time with the resin based resilient material to cover the facial and proximal gingival areas. The remaining portion of the impression was poured with the gypsum material. This technique does not require additional clinical appointment, second impression procedure, technique sensitive manipulations with impression, or cumbersome laboratory procedures. The simplicity of this technique facilitates and justifies its routine use in fabrication of the fixed partial denture.
Calcium Sulfate
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Denture, Partial, Fixed
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Tooth
5.Modified technique to fabricate a hollow light-weight facial prosthesis for lateral midfacial defect: a clinical report.
The Journal of Advanced Prosthodontics 2010;2(3):65-70
Large oro-facial defects result from cancer treatment consequences in serious functional as well as cosmetic deformities. Acceptable cosmetic results usually can be obtained with a facial prosthesis. However, retention of a large facial prosthesis can be challenging because of its size and weight. This article describes prosthetic rehabilitation of a 57-year-old man having a right lateral mid-facial defect with intraoral-extraoral combination prosthesis. A modified technique to fabricate a hollow substructure in heat-polymerizing polymethyl-methacrylate to support silicone facial prosthesis was illustrated. The resultant facial prosthesis was structurally durable and light in weight facilitating the retention with magnets satisfactorily. This technique is advantageous as there is no need to fabricate the whole prosthesis again in case of damage of the silicone layer because the outer silicone layer can be removed and re-packed on the substructure if the gypsum-mold is preserved.
Congenital Abnormalities
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Cosmetics
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Humans
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Light
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Magnets
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Middle Aged
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Prostheses and Implants
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Retention (Psychology)
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Silicones
6.Evaluation of CC2 as a Decontaminant in Various Hydrophilic and Lipophilic Formulations Against Sulphur Mustard
R.VIJAYARAGHAVAN ; PRAVINKUMAR ; D.K.DUBEY ; SINGH RAM
Biomedical and Environmental Sciences 2002;15(1):25-35
To evaluate CC2 (N, N' -dichloro-bis [2, 4, 6-trichlorophenyl] urea) in various hydrophilic and lipophilic formulations as a personnel decontaminant for sulphur mustard (SM). Methods Twenty percent of CC2 was prepared as a suspension or ointment with various chemical agents and its stability was evaluated by active chlorine assay. The efficacy was evaluated in mice by recording the mortality after applying 29 LD50 of SM (LD50 =8.1 mg/kg dermally) and decontaminating it after 2 min with 200 mg of the formulation.Studies were also carried out with 10% and 20% CC2 in acacia and hydroxypropyl cellulose,and the suspensions were stored in polyethylene containers. The stability of the suspensions was evaluated by active chlorine assay. The efficacy was evaluated by recording the mortality after applying 29 LD50 of SM in mice and 12 LD50 of SM in rats (LD50 = 2.4 mg/kg dermally), and decontaminating it with the formulations. LD50 by different routes and primary skin irritation test of CC2 were also carried out. Results CC2 reacted with peanut oil and neem oil, and was unstable in povidone iodine and Fuller's earth. Good stability was achieved with petroleum jelly, honey, polyvinyl pyrrolidone, calamine lotion, acacia and hydroxypropyl cellulose. Though CC2 was stable in lipophilic formulations, it did not protect the animals. The hydrophilic formulations particularly acacia and hydroxypropyl cellulose gave very good protection and was stable in the polyethylene containers for a period of 1 year. The efficacy of 20% CC2 was better than 10% CC2. The oral and dermal LD50 of CC2 was found to be above 5.0 g/kg. CC2 was also found to be nonirritant.Conclusion Twenty percent of CC2 in hydroxypropyl cellulose is better with respect to stability, efficacy and ease of decontamination. CC2 is also a safe chemical.
7.A simple technique to fabricate a surgical obturator restoring the defect in original anatomical form.
Vaibhao I SHAMBHARKAR ; Santosh B PURI ; Pravinkumar G PATIL
The Journal of Advanced Prosthodontics 2011;3(2):106-109
Oral cancer treatment involves the surgical removal of all or part of the maxilla, leaving the patient with a defect that compromises the integrity and function of the oral cavity. The postoperative restoration of esthetics, deglutition, and speech shortens recovery time in the hospital and expedites the patient's return to the community as a functioning member. The surgical obturator is the proven treatment option in such situations. This article describes a simple technique to fabricate a surgical obturator that restores patient's original dentition and facial and palatal tissue form. The obturator fabricated with this technique utilizes the vacuum formed index of patient's original tissue form and duplicated partly in heat and partly in auto polymerizing acrylic resin. Duplication of the original tissue form helps patient to minimize the immense physiological trauma immediately after the surgical resection. The obturator fabricated with this technique supports soft tissues after surgery and minimizes scar contracture and disfigurement, and thus may have a positive effect on the patients' psychology.
Cicatrix
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Contracture
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Deglutition
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Dentition
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Esthetics
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Hot Temperature
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Humans
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Maxilla
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Maxillofacial Prosthesis
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Mouth
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Mouth Neoplasms
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Polymers
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Vacuum
8.A comparative evaluation of fracture resistance of endodontically treated teeth restored with different post core systems: an in-vitro study.
Chetana S MAKADE ; Ganesh K MESHRAM ; Manjusha WARHADPANDE ; Pravinkumar G PATIL
The Journal of Advanced Prosthodontics 2011;3(2):90-95
PURPOSE: To compare the fracture resistance and the mode of failure of endodontically treated teeth restored with different post-core systems. MATERIALS AND METHODS: Root canal treatment was performed on 40 maxillary incisors and the samples were divided into four groups of 10 each. For three experimental groups post space preparation was done and teeth were restored with cast post-core (Group B), stainless steel post with composite core (Group C) and glass fiber post with composite core using adhesive resin cement (Group D). Control group (A) samples were selected with intact coronal structure. All the samples were prepared for ideal abutment preparation. All the samples were subjected to a load of 0.5 mm/min at 130degrees until fracture occurred using the universal testing machine. The fracture resistance was measured and the data were analyzed statistically. The fracture above the embedded resin was considered to be favorable and the fracture below the level was considered as unfavorable. The statistical analysis of fracture resistance between different groups was carried out with t-test. For the mode of failure the statistical analysis was carried out by Kruskal-Wallis test and Chi-Square test. RESULTS: For experimental group Vs control group the fracture resistance values showed significant differences (P<.05). For the mode of failure the chi-square value is 16.1610, which means highly significant (P=.0009) statistically. CONCLUSION: Endodontically treated teeth without post core system showed the least fracture resistance demonstrating the need to reinforce the tooth. Stainless steel post with composite core showed the highest fracture resistance among all the experimental groups. Teeth restored with the Glass fiber post showed the most favorable fractures making them more amenable to the re-treatment.
Adhesives
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Collodion
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Dental Pulp Cavity
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Glass
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Incisor
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Resin Cements
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Stainless Steel
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Tooth