Browsing by Author "Kajol Kumari Rajak"

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Lateral overlap technique for the treatment of isolated deep Miller Class II/III gingival recession in mandibular anterior teeth: A single-arm interventional study
(Wolters Kluwer Medknow Publications, 2025) Farhan Durrani; Aishwarya Pandey; Kajol Kumari Rajak; Mahendra Rawaji Gawade; Dhanraj Meena
Background: Treating deep isolated mandibular recession defects, especially Miller Class III cases, remains a significant challenge due to factors such as shallow vestibules, muscle pull, reduced keratinized tissue width (KTW), and tooth malposition. Although various techniques have been explored, predictable outcomes with complete root coverage (RC) in such cases are rarely documented in the literature. Materials and Methods: Thirty-two systemically healthy patients (22 males and 12 females) aged 22–36 years, with isolated mandibular recessions measuring 6–11 mm, were treated using the lateral overlap technique (LOT) combined with coronal flap displacement and subepithelial connective tissue grafts. Clinical parameters, including gingival recession depth (GRD), KTW, and probing depth, were evaluated over a 1-year follow-up. Results: Significant improvements were observed: GRD reduced from 5.55 ± 0.89 mm to 0.17 ± 0.16 mm, KTW increased by 3.26 ± 0.37 mm, and the mean percentage of RC was 96.81 ± 2.83. Conclusion: LOT with connective tissue grafting is a reliable and effective approach for managing deep isolated mandibular Miller Class II and III gingival recessions, achieving excellent clinical outcomes. © 2025 Indian Society of Periodontology.
Periodontal and prosthetic perspective of implant-supported full-arch prostheses with monolithic zirconia and porcelain fused metal restorative materials: A three-year retrospective case series
(Wolters Kluwer Medknow Publications, 2025) Farhan Durrani; Aishwarya Pandey; Rashika Muralisekar; Sakshi Agarwal; Shraddha Shilpi; Kajol Kumari Rajak
Full-mouth implant-supported prosthetic rehabilitation for failing dentition is a complex, multifactorial process influenced by prosthetic materials and peri-implant periodontal health. Traditionally, porcelain-fused-to-metal (PFM) frameworks have ensured functional stability and acceptable esthetics; however, the advent of monolithic zirconia layered with porcelain has introduced enhanced mechanical strength and esthetic appeal. This retrospective case series evaluated the 3-year clinical outcomes of full-arch implant-supported prostheses fabricated using either monolithic zirconia or PFM in edentulous patients, focusing on peri-implant soft-tissue health, marginal bone loss, and prosthetic complications. Ten edentulous patients rehabilitated with full-arch implant-supported prostheses were included and assessed clinically and radiographically for peri-implant tissue health, plaque accumulation, probing depth, bleeding on probing, marginal bone levels, and technical complications over a 3-year follow-up. Both prosthetic materials demonstrated stable peri-implant tissue health and 100% implant survival at the 3-year mark. Monolithic zirconia restorations exhibited reduced plaque accumulation, stable bone levels, and absence of prosthetic complications, whereas the PFM group showed minor technical issues such as porcelain chipping and screw loosening. Within the limitations of this study, both materials proved clinically viable for full-arch implant rehabilitation; however, monolithic zirconia showed a trend toward superior biological and mechanical outcomes. Larger, prospective studies are warranted to validate these preliminary findings. © 2025 Indian Society of Periodontology.
Root submergence in maxillary anterior region: An alternative for unpredictable augmentation
(Wolters Kluwer Medknow Publications, 2025) Farhan Durrani; Aishwarya Pandey; Kajol Kumari Rajak; Dhanraj Meena; Mahendra Rawaji Gawade
Alveolar ridge resorption following tooth extraction is a progressive and inevitable process, particularly critical in the maxillary anterior region where esthetics are paramount. Conventional approaches to restoring hard and soft tissue contours often yield unpredictable results, especially in recreating papillary form and ridge architecture. The root submergence technique (RST), which involves the intentional decoronation and submergence of nonrestorable teeth, aims to preserve the periodontal ligament and maintain surrounding tissue integrity. This case report presents two clinical scenarios in which submerged roots were retained beneath implant-supported fixed prostheses in the anterior maxilla. In both cases, careful case selection and precise execution of RST resulted in preservation of the interdental papilla, stable crestal bone levels, and harmonious soft-tissue profiles over a 1-year follow-up. These outcomes highlight the potential of RST as a biologically driven alternative to extensive ridge augmentation procedures, offering superior esthetic results in challenging anterior prosthetic rehabilitations. © 2025 Indian Society of Periodontology.