Introduction: This article describes an efficient chairside method for immediate fabrication of an esthetically superior pontic, compared to an acrylic denture tooth, prior to extraction of a tooth due to any underlying reason. Discussion: Taking an impression of the patient's own individual tooth permits the orthodontist to create a pontic with precise anatomy, size, and esthetics. The total time for the procedure of pontic assembly is less than a few minutes. Conclusion:This small chairside procedure of pontic fabrication can go a long way in delivering esthetics as well in building up the confidence of the patient and that too in a very short time period. Clinical significance: Simple, easy, cost effective, and time-saving chairside procedure.
Introduction: This study aimed to assess and evaluate Mumbai based orthodontists based on recommended (Centre of Disease Control) infection control procedures followed by them in their practice. Materials and methods:A cross-sectional study was conducted through an online questionnaire of 24 questions which was sent by personal e-mail and communication through the phone to active orthodontic professionals in Mumbai (n = approximately 300) from January to February, 2018. The questionnaire was accessible for 2 months. The data generated were collected and analyzed. Results:The results showed that 50.9% of respondents sterilized their instruments at the end of each day and 66.7% used a steam sterilizer. Twenty point three percent sterilized their instruments between patients and 56.4% used heat/self-sealed pouches to package instruments. Twenty-four point four percent stored them in a sterilized environment and 25.6% ran equipment maintenance every month. Eighty-two point two percent sterilized tried-in preformed molar bands before putting them back in storage and only 36.2% used steam sterilization for the same. Twentyseven point five percent placed the bands in an ultrasonic cleaner before sterilization. Sixty six point five percent used pre-determined lengths of elastomeric chain. Ninety-two point two percent used pre-determined lengths of ligature wire. Twenty-nine point seven percent disinfected alginate impressions. Fifty-three point two percent used a plastic barrier on the dental chair's light handle while only 24.3% used a barrier around the anesthetic spray canister. Seventy five point nine percent followed standard hand scrub protocol between patients. Thirty-one point four percent had their offices fumigated on a regular basis. Fourteen point nine percent had sterilization efficacy tests done. Eighty-five point six percent had themselves and their staff vaccinated against Hepatitis B while 72.8% had received the booster dose. Sixty-seven point six percent have been vaccinated against Hepatitis A. Fifty-three point four percent underwent regular health check-ups. Conclusion:The survey displayed a varying percentage of Orthodontic practitioners who follow recommended centres of disease control and prevention (CDC) infection control and aseptic core orthodontic clinical procedures in Mumbai. There is a need to increase knowledge and awareness regarding general aseptic dental procedures and maintenance of equipment. This demands a more proactive attitude towards knowledge acquisition and implementation of aseptic procedures by the orthodontists of Mumbai in a dental office.
Introduction: Interproximal enamel reduction dates back to 1944 when it was first advocated for correcting lack of tooth size harmony by stripping the proximal surfaces of the mandibular anterior segment. Despite convincing results, interproximal reduction (IPR) only became popular after the advent of bonding, as full-arch banding done previously completely deferred the use of this method for tooth material reduction. With the current status and ongoing development of new techniques of IPR, use of this method as a mean of gaining space has increased exponentially over the last three decades.Procedure: A 12-inch length of 0.036" diameter wire is used for fabrication of the assembly. Helices of 2.5 mm diameter with two coils and the other according to finger grip are fabricated, and U-loops are prepared at the free ends for engaging the proximal strips. This assembly can be placed intraorally in the interdental region of our choice to cut the tooth material. Conclusion:This assembly provides an effective grip rather than using hand held strips. It is also accessible in both anterior and posterior regions with a minimum requirement of armamentarium and can be sterilized and reused.
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