Rambhau D Parkhedkar

Publications (5)2.22 Total impact

• Article: Presurgical Nasoalveolar Molding (PNAM) for a Unilateral Cleft Lip and Palate: A Clinical Report.

  Vaibhav D Kamble, Rambhau D Parkhedkar, Soumil P Sarin, Pravinkumar G Patil
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  ABSTRACT: Cleft lip and palate deformity is a congenital defect of the middle third of the face. Incidence varies from 1:500 to 1:2500 live births. Etiology depends upon hereditary and environmental factors. Restoration of these defects is important not only for functional and esthetic reasons, but also because there may be a positive psychological impact for the patient and parents. The goal of primary closure of the lip for unilateral cleft lip is to ensure a normal and symmetrical lip and nose. Presurgical infant orthopedics has been employed since the 1950s as an adjunctive neonatal therapy for the correction of cleft lip and palate. Presurgical nasoalveolar molding (PNAM) represents a paradigm shift from the traditional methods of presurgical infant orthopedics. PNAM consists of active molding of the alveolar segments as well as the surrounding soft tissues. This clinical report describes a new approach of PNAM therapy for an infant with complete unilateral cleft lip and palate showing significant reduction in cleft defect size and improved contour and topography of deformed surrounding soft tissues.
  Journal of Prosthodontics 07/2012; · 1.01 Impact Factor
• Article: In vitro comparative evaluation of the effect of two different fiber reinforcements on the fracture toughness of provisional restorative resins.

  Vaibhav D Kamble, Rambhau D Parkhedkar
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  ABSTRACT: Fracture of provisional fixed partial denture (FPD) may jeopardize the success of provisional prosthodontic treatment phase and cause patient discomfort. The aim of this study was to compare the fracture toughness of the Polymethyl Methacrylate (PMMA) resin and Bis-Acryl Composite (BAC) resin reinforced with the Polyethylene and Glass fibers. Three groups (N=10) of each of the two materials were prepared for the fracture toughness test. Two groups had the different reinforcements and group without reinforcement served as the control. The mean fracture toughness (MPa.m½ ) was compared by One-way ANOVA, followed by the Scheffe analysis. Fracture toughness between fiber-reinforced PMMA and BAC resin was compared by the independent samples t test. For the controls, the fracture toughness for PMMA resin (0.91) was significantly lower than for the BAC resin (1.19). Glass fiber reinforcement produced significantly higher fracture toughness for both, PMMA (1.48) and BAC (1.82) resin, but the Polyethylene fibers did not (0.95 for PMMA and 1.23 for BAC resin). Among the reinforced groups, Silane impregnated Glass fibers showed highest fracture toughness for the BAC resin (1.82). Of two fiber reinforcement methods evaluated, Glass fiber reinforcement for the PMMA and BAC resin produced highest fracture toughness. On the basis of this in--vitro study, the use of Glass and Polyethylene fibers tested may be an effective way to reinforce resins used to fabricate fixed provisional restorations.
  Indian journal of dental research: official publication of Indian Society for Dental Research 03/2012; 23(2):140-4.
• Article: Presurgical nasoalveolar moulding for a unilateral midfacial cleft: A case report.

  Soumil P Sarin, Rambhau D Parkhedkar, Saee S Deshpande, Pravinkumar G Patil, Sudhanshu Kothe
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  ABSTRACT: Although surgical correction remains the mainstay of treating unilateral/bilateral cleft lip and/or palate deformities, some inadequacies still remain like scarring of the nasolabial complex, multiple interventions to achieve desired results, etc. Presurgical nasoalveolar moulding consists of selective repositioning by active moulding of the alveolar segments as well as the surrounding soft tissue. Clinical case of unilateral mid-facial cleft treated by the same, showed significant reduction in the defect size and improved contour of the columella-philtrum region for superior postsurgical esthetics.
  The Journal of Indian Prosthodontic Society 03/2010; 10(1):67-70.
• Article: New graft-stabilizing clip as a treatment adjunct for oral submucous fibrosis.

  Pravinkumar G Patil, Rambhau D Parkhedkar
  The Journal of prosthetic dentistry 10/2009; 102(3):191-2. · 1.22 Impact Factor
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  Available from: drj.ir

  Article: Functionally generated amalgam stops for single complete denture: a case report.

  Pravinkumar G Patil, Rambhau D Parkhedkar
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  ABSTRACT: Single complete denture opposing natural dentition is a common occurrence in clinical practice. This article reports a case of a single complete denture with a technique of occlusal refinement by functionally generated amalgam stops condensed in prepared resin teeth after initial balancing of the denture with semi-adjustable articulator. This technique provides intimacy of contact in all excursions by carving the amalgam in plastic stage. Amalgam stops improve the efficiency of the resin teeth. Dentures fabricated using this technique require fewer and simpler post-insertion adjustments.
  Dental research journal 01/2009; 6(1):51-4.