Browsing by Author "Samidha Pandey"

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An interdisciplinary approach for reconstruction of worn dentition
(Wolters Kluwer Medknow Publications, 2022) Farhan Durrani; Rakhshinda Nahid; Samidha Pandey; Aishwarya Pandey; Preeti Singh
Complete tooth wear dentition is multifactorial and has challenges with diagnosis and etiology. Their rehabilitation often requires orthognathic surgery, orthodontics, periodontal surgery, and prosthodontic guidelines for occlusion with harmonious facial and dental esthetics. A patient needs a multidisciplinary approach with systematic analysis to formulate evidence-based approach to improve function and esthetics. Contemporary periodontal therapy also encompasses esthetic treatment where needs are frequently associated with changes in tooth size, shape, proportion, and balance that can adversely affect smile appearance. The article provides an evidence-based guideline for reconstruction of a worn dentition. The completed work includes crown lengthening, provisionalization, socket shield technique, oral implants, and gain in lost vertical dimension with occlusion correction and minimally invasive prosthetic restorations. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
Exophytic gingival growth of the maxillary canine region in a young individual: Extremely rare case report of peripheral dentinogenic ghost cell tumor
(Wolters Kluwer Medknow Publications, 2020) Rakhshinda Nahid; Monika Bansal; Kanupriya Gupta; Samidha Pandey; Preeti Tiwari; Rahul Agarwal
The present case report is a case of peripheral dentinogenic ghost cell tumor (PDGCT), an extremely rare solid benign neoplastic variant of calcifying cystic odontogenic tumor of the gingiva mimicking clinically as pyogenic granuloma, fibroma, peripheral ossifying fibroma, and peripheral giant-cell granuloma. A 24-year-old male reported with painless, firm, solitary, sessile, smooth-surfaced, nonulcerative, nonpulsatile, well-defined swelling measuring ≈12 mm × 9 mm in the interdental gingiva of the teeth #13 and #14 extending to the mucogingival junction. Intraoral periapical radiographic showed a normal trabecular pattern with mild radiolucency without bony expansion, periapical lesion, and resorption of the adjacent teeth. The diagnosis was established by histopathologic examination. Very few cases of this entity have been documented in the literature. The present case report aims to document this rare entity and emphasizes on the fact that histopathological examination of every localized gingival growth should be included in the treatment planning to differentiate with other commonly found lesions. © 2020 Wolters Kluwer Medknow Publications. All rights reserved.
Horizontal bone augmentation using two membranes at dehisced implant sites: A randomized clinical study
(Elsevier B.V., 2022) Rakhshinda Nahid; Monika Bansal; Samidha Pandey
Background: Placement of dental implant in narrow alveolar ridge is challenging to be treated. GBR procedure is currently most widely used to augment the deficient alveolar ridges and to treat the fenestration and dehiscence around dental implant. Thus, the objectives of the present study were to evaluate as well as compare the clinical performance of collagen membrane and titanium mesh for horizontal bone augmentation at dehisced implant sites. Methods and material: Total 12 single edentulous implant sites with buccal bone deficiency in 8 subjects were equally divided and treated simultaneously with either of the two membranes and DBBM(Bio-Oss) bone graft. Primary outcome measurements in terms of defect height and defect width were made using calibrated plastic periodontal probe. Re-entry surgery was performed to remeasure augmented site and to remove Ti-mesh at 6th months. Independent paired t-test for the inter-group comparison and student paired t-test for intra-group comparison were performed. The differences were considered to be significant at p ≤ 0.05. Results: Mean defect fill with respect to height and width was 3.50 ± 0.54 mm (87%) and 2.33 ± 0.51 mm (82%) for collagen membrane and 3.83 ± 0.75 mm (92%) and 2.50 ± 0.54 mm (88%) for Ti-mesh group respectively. Conclusions: Within the limitation of the study, it was concluded that mean defect height and width after 6 months were statistically significant within the group without significant difference between them, Although defect resolution was better in Ti-mesh. © 2022 Craniofacial Research Foundation
Modified approach for alveolar ridge augmentation in narrow maxillary anterior region by using screw-shaped bone expanders: A case report
(Wolters Kluwer Medknow Publications, 2022) Monika Bansal; Rakhshinda Nahid; Samidha Pandey
The objective of the present case report is to discuss the ridge expansion by using screw-shaped bone expanders in the narrow maxillary anterior region. A 24-year-old male subject was subjected to rehabilitate the #12 edentulous site with an implant-retained fixed prosthesis. Initially, a point drill of 1.5 mm diameter was used to initiate the osteotomy preparation to the depth of the implant length. After that, sequential screw-shaped bone expanders were used to expand the osteotomy progressively rather than cutting to the desired width of the implant. Finally, an implant was placed with an insertion torque of 35-40 N-cm. At the third month, a final prosthesis was placed and excellent esthetic was achieved. Conclusively, ridge split and expansion technique is a simple, less-invasive, and viable alternative to modify the ridge to make the prosthetic-driven implant placement rather than bone-driven and screw-shaped bone expanders to avoid the bone augmentation procedure and to reduce the overall treatment time. © 2022 Journal of Research in Medical Sciences | Published by Wolters Kluwer - Medknow.
Natural teeth and implant-retained prosthesis in treated periodontitis subjects
(Wolters Kluwer Medknow Publications, 2022) Farhan Durrani; Samidha Pandey; Rakhshinda Nahid; Aishwarya Pandey; Preeti Singh
History of periodontal disease is a risk factor for the development of peri-implantitis. Implant treatment in susceptible patients should be followed by adequate periodontal treatment and stringent supportive programs. The assessment of the patient needs to be carefully evaluated before the procedure for implants. The risk associated with the sites to be treated requires evaluation with regular visits. The completion of treatment will still require committed follow-up visits with checks for pockets, bone loss, and plaque scores around implant-retained prosthesis as well as complete dentition. In our report, we describe in detail the reconstruction of lost dentition with implants in treated periodontitis subjects. The patients are still being followed with regular recall programs. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
Socket shield: An esthetic success?
(Wolters Kluwer Medknow Publications, 2020) Farhan Durrani; Himani Painuly; Akanksha Shukla; Samidha Pandey; Rakhshinda Nahid
Dental implants require adequate bone, three dimensionally, for successful osseointegration. The extraction socket changes in the dimension had been described in several studies. Implant in extraction socket cannot prevent resorption of the surrounding tissues. The bony alterations make oral esthetic implant reconstruction difficult without hard-And soft-Tissue augmentation. Placement of bone substitute material and immediate implant were not able to completely establish an esthetic outcome. A novel technique of retaining the buccal aspect of the tooth root during implant placement has shown preservation of esthetics. Hard and soft tissues were preserved in their original form around the replaced tooth. The retained root on the buccal aspect of an oral implant is observed to have formed cementum and to some aspects of osseointegration with the surrounding tissues. It is called socket-shield technique and if completed meticulously can be an alternative for regenerative materials and soft-Tissue grafting. In our report, we completed 14 cases of the said technique with 5-year follow-up. The results looked promising as none of the cases required guided bone regeneration procedures. This may become the future noninvasive method for the preservation of hard and soft tissues around an oral implant in esthetic areas. © 2020 Indian Society of Periodontology - Published by Wolters Kluwer - Medknow.
Terminal dentition to functional esthetic full-mouth implant reconstruction: Evidence-based approach
(Wolters Kluwer Medknow Publications, 2021) Farhan Durrani; Himani Painuly; Akanksha Shukla; Rakhshinda Nahid; Samidha Pandey
Implant-supported fixed dental prosthesis is a well-Accepted treatment option for edentulism. Loss of teeth due to extensive caries or severe periodontitis presents a challenge to the clinicians. Young age disability with either of these problems can further make full-mouth rehabilitation on implants a complex procedure. The outcome of implant surgery with periapical infections and periodontal inflammation is unpredictable and often delays the placement of dental implants. Here, we describe a case of full-mouth reconstruction with implant-supported prosthesis in a young individual who lost all her teeth due to extensive caries. The journey from terminal dentition to functional esthetic rehabilitation was uneventful. © 2021 Wolters Kluwer Medknow Publications. All rights reserved.