Manu Rathee

Post Graduate Institute of Dental Sciences, Rohtak · Maxillofacial Prosthodontics and Implantology

Keloid is a benign, long-lasting fibroproliferative mass of dermal connective tissue that forms at the site of cutaneous injury as a result of an unregulated repair and healing process at specific anatomical locations, with a preference for the highly pigmented ethnic group. The use of clips or splints to apply pressure to the affected area is comm...

Loss of a sense organ, such as an eye in situations of orbital involvement, or any other bodily part, such as the maxilla or palate, might make one more dependent on others for care and affect how they perceive themselves in society. The prosthetic rehabilitation of large mid-facial defects is a challenging task due to the varied size and shape of...

Direct Metal Laser Sintering (DMLS) is a type of additive metal production that is simpler, more precise, and healthier than traditional manufacturing, while being highly cost-effective. In this process, the metal powder which is free of binder or fluxing agent, is completely melted by the scanning of a high-power laser beam. The resulting part has...

Following loss of teeth and residual ridge resorption, facial esthetics is highly affected. The rehabilitation of lost structures should not be only aimed at replacing the lost teeth but facial changes associated with the edentulism should also be addressed. Objective of this technique article was aimed to improvise the excessive shrunken cheek app...

One of the most challenging esthetic concerns in dentistry is conservative replacement of the missing anterior teeth. Although implants are considered to be a better treatment option for rehabilitation of such patients, resin-bonded bridges (RBBs) can conservatively restore the missing teeth and have thus gained popularity over the years. It consis...

Global hit by coronavirus is followed by another public health emergency known as monkeypox (MPX) that is a rare disease and yet has presented with sudden and wide geographic distribution. The guidelines have been released by the concerned authorities for prevention and management; however, strict measures need to be enforced so that these guidel...

Maxillectomy is the surgical removal or resection of the maxilla or upper jaw bone. Maxillectomy may be total or partial. It is performed during surgical treatment of cancer and infections (bacterial. fungal) of the oral cavity, nasal cavity and maxillary sinuses. Patient affected from post-Covid mucormycosis require local debridement or surgical r...

Rigid connectors between pontic and retainer are preferred way of fabricating fixed partial dentures for many decades as they provide desirable strength, retention and stability to the prosthesis. However, it is not ideal for cases such as lone-standing abutments (pier abutment), maligned teeth where occlusal stress can extrude the restoration. Thi...

Tooth supported overdentures is a simple and cost-efficient modality which helps in preservation of bone. This approach entirely complies with DeVan's maxim that "Perpetual preservation of what is left is more important than the exact replacement of what is lost.Preserved tooth structure beneath the denture base prevents alveolar ridge resorption,...

The unfortunate loss of all or part of a finger caused by traumatic amputation has a negative impact on physical and psychological well-being of a person. Thus an aesthetic prosthesis can offer psychological, functional and rehabilitative advantages. One of the major problems with the prosthetic replacement of a partially amputated finger is inadeq...

Mucormycosis has recently become more common in India, with COVID-19 patients being the most affected. Pulmonary, gastrointestinal, disseminated, or rhinocerebral infections have various forms of mucormycosis. The most prevalent type is rhinocerebral, which affects the maxilla, nose, sinuses, and brain. A total or partial maxillectomy has an impact...

Introduction: Tooth-supported overdentures is a simple and cost-efficient modality that helps preserve bone. This concept is completely supported by DeVan's maxim: "Perpetual preservation of what is left is more important than the exact replacement of what is lost." The preserved tooth structure beneath the denture base prevents alveolar ridge reso...

Missing anterior teeth in a young age produces a psychological impact on the individual due the unesthetic appearance of the teeth. Resin bonded fixed partial denture is a minimally invasive treatment option to restore the function and esthetics in such patients. Maryland bridge is a type of resin bonded bridge which has minimal potential to trauma...

In this paper, we present images of radical orbital exenteration post rhino cerebral mucormycosis of orbit. Rhinocerebral mucormycosis is a devastating, rapidly progressive and often fatal opportunistic fungal infection primarily affecting people with underlying metabolic or immunological impairment. Intracranial extension of this disease is associ...

The maxillary complete denture has less retention, stability, and support when opposing a mandibular all-ceramic fixed prosthesis or natural dentition. The patient faces a lot of problems when they loose all of their maxillary teeth. To improve the stability of this kind of prosthesis, changes are needed to be made in the fabrication of the denture...

Residual ridge resorption leads to a compromise in denture stability and retention. A neutral zone approach can be used to enhance denture retention and stability using all the oral muscular forces in balance to enhance the quality of life in such patients. This case report describes the use of the cocktail impression technique for resorbed ridges...

Dental implants are an appealing choice for replacing missing teeth because they offer numerous benefits, including as reliability and comfort, which can improve one’s quality of life. There is a variety of different implants systems on the market in which titanium alloys are the most widely used biomaterials for dental implant fixtures due to th...

Implant placement in fresh extraction sockets has been thoroughly established. A waiting period of 12 months or longer to allow total socket healing results in pronounced resorption of buccal and lingual plate of the alveolar ridge. This paradigm has been challenged within the last decade by reducing the time gap between tooth extraction and implan...

Prosthodontists along with other dental professionals may encounter patients that could be COVID positive and will have to provide care to the patient but at the same time they also have prevent the spread of infection. Prosthodontists are at a high risk of exposure to patient's infected saliva and blood so it is of utmost importance to treat the p...

The loss of an eye causes significant functional and cosmetic disfigurement, leads to physical and emotional problems. Rehabilitation of ocular defects is a difficult task that necessitates careful planning of particular case. The patient can return to a state of social and psychological normalcy with a well-built custom prosthesis. This article ex...

Aging is associated with edentulism, resorbed alveolar ridge, reduced muscle activity, and sunken cheeks. When there is not enough muscle mass between zygomatic and mandibular bone, slumping of cheeks occurs. Sunken cheeks lead to facial disfigurement and unesthetic appearance resulting in a negative psychological impact on the patient. The use of...

Fracture of a single maxillary complete denture is a common occurrence in patients with opposing retained natural mandibular teeth. Factors like flexural fatigue caused by cyclic deformation, as well as those that aggravate the deformation of the denture base or change its load, have all been linked to the midline fracture. This case report present...

Aim: The aim of this study is to evaluate the color stability of five different temporary fixed partial denture materials against external staining caused by commonly consumed beverages and medicament, using a Spectrophotometer. Materials and methods: Twenty samples of each five materials of which three methyl methacrylate based auto-polymerized re...

We as care-takers of the human masticatory apparatus and associated structures, need to be familiar with the physiologic changes, that take place due to aging in the structure and functions of the stomatognathic system. This does not imply that, one should concentrate only on the oral and dental aspects of aging. On the contrary we should examine a...

One of the most important general health aspects is patient’s oral health status that may predispose to complications during and post radiation therapy and compromises the therapy and prognosis. Appropriate evaluation and elimination of potential source of dental infection before radiation therapy is warranted. The best management strategy involves...

The patients with maxillofacial deformity experience unique disruption in the normal oral/craniofacial environment and functions, which are the result of congenital, traumatic or surgical insults. This has negative impact on the psychological disposition of patients, especially, if defect also affects esthetic. In this aspect, Maxillofacial Prosthe...

Rehabilitation of lost dental aesthetic is one of the most important concerns for contemporary dentistry. Conservative treatment modality along with aesthetic approaches, such as direct and indirect laminate veneer restorations were the treatment of choice. Laminate veneers are restorations to correct aesthetic deficiencies and discolorations. Dire...

Keloids are benign fibroproliferative scars that extend or originate outside the confines of the original lesion. They usually evolve at the anterior chest, shoulders, upper arms, cheeks, and ears and show the highest incidence in dark-skinned individuals aged between 20 and 30 years.1 The efficacy of most pressure devices developed for the treat...

Knowledge Management is the art and science of changing or transforming data and information into useful knowledge. The field of knowledge management has significant applications in the health care organizations, especially hospitals. The present study was undertaken to understand the working of Knowledge Management system and to know the awareness...

Biomechanical factors affecting peri-implant tissue remodelling-An overvview

We live in a health and gorgeousness society. In fact since the turn of century the idea that “beautiful is better” have been strapped up. Today’s patient is health oriented, esthetically driven and wants the best cosmetic health care that can be delivered. Smile is the most recognized expression used to convey a sense of temperament and well-being...

Full-coverage bonded porcelain restorations offer predictable treatment options in dentistry, but the amount of tooth material removed to allow space for the required thickness of the restorative material is very large as compared to laminate veneers which are minimally invasive. Improvements in adhesive technologies have allowed removal of only a...

Complete Denture Integration: Coalescence of NonVital and Vital Elements

The introduction of osseointegrated implants and implant-retained prostheses has led to a paradigm shift for the management of edentulism. This is true especially for edentulous mandibular ridges where the problem of advanced alveolar resorption and difficulty in providing retentive, stable and functionally comfortable prostheses represent a major...

Basal implants rehabilitate the edentulous maxillary and mandibular arches when conventional implants cannot solve the purpose especially in moderate to severely atrophic maxillary and mandibular edentulous arches without any extensive ridge augmentation procedures. Modern basal implant has been modified into a comparatively simple design, easy to...

The process of development of teeth is a very complex process resulting from interactions between the ectoderm of the oral cavity, which gives rise to cells that produce enamel, and the neural crest ectomesenchyme which gives rise to the tooth structures other than enamel. At first, i.e., during the six weeks of intrauterine life, the tooth germ st...

Fractures of edentulous mandible are common in elderly persons. The advancing age, residual ridge resorption and decreased vascularity impairs the mandibular bone strength, predisposing it to fracture during traumatic event and even to spontaneous fracture. Gunning splint is a prosthetic aid designed to stabilize the reduced fractured mandibular se...

Ectodermal dysplasia is a hereditary condition characterized by abnormal development of the structures of ectodermal origin like skin, hair, teeth, sweat glands and nails. Its common oral manifestation is partial absence of teeth. This condition affects the esthetics and functional capability of the patient. Also, it has a devastating effect on the...

Diabetes mellitus (DM) is an endocrine disease characterized by erratic metabolism of glucose, fat, and protein resulting from decreased insulin secretion or insulin resistance, or both. Hyperglycemia is the most important characteristic feature in Diabetes Mellitus. Diabetes Mellitus and chronic hyperglycemia are associated with certain complicati...

The oral rehabilitation of lip and palate patients is challenging and many of these patients are suffering if they don’t receive sufficient dental treatment. Several techniques, including orthodontic appliances, surgeries, advanced prosthodontic rehabilitation, and alveolar bone grafts have been proposed for the oral rehabilitation of these patient...

Simplified software based design and rehabilitation of smile through ceramic laminates - A case report.

Placement of dental implants has evolved to a great extent. In posterior maxilla where expansion of maxillary sinus limits the implant placement direct sinus lift procedure is a good option. This membrane elevation if accompanied by a good graft material such as PRF combined with osseoconductive grafts leads to favorable results. This case report p...

Aeronautic dentistry is superspecialized branch of dentistry that deals with the study of dental aspect in aeronautic environment. The presence of dental abscesses, periodontitis, deep carious lesions and deep unlined restorations in the oral cavity can stimulate severe pain due to extreme altitude changes. Retention of prosthesis based on atmosphe...

Dental implants have become a common approach in rehabilitating the lost natural teeth. Growth factor based products have reported to increase implant stability and enhance osseointegration. Treatment duration has reduced drastically thereby satisfying the needs of the patient. This case report presents the effect of Advanced Platelet-Rich Fibrin (...

Advancement in dentistry stays parallel to advancement in digital technology. Rapid prototyping is one of the techniques based on digital technology that has proved to overcome the disadvantages of contemporary clinical and laboratory procedures in Prosthodontics. The word rapid prototyping denotes the technique in which a particular physical model...

Platelet concentrates are replacing ancient generation autografts in recent times. Concentrated Growth Factor (CGF) is a new generation platelet concentrate containing ample amount of growth factors necessary to accelerate the bone healing process thus reducing the osseointegration time required for dental implant restoration. This case report pres...

Objective: To determine the average weight of conventional complete dentures processed with acrylic resin base material and the associated clinical significance Materials and methodology: Weight of a total of 200 complete dentures; 100 ideal dentures fabricated by pre clinical students and 100 mucosal borne complete dentures fabricated for patients...

Parkinson’s disease is mostly seen in adults in their late middle or old age. It presents with major four cardinal signs -resting tremor, bradykinesia, akinesia, and postural instability. The patient affected with PD shows uncontrolled movements of the body along with stiffness of muscles. Tremors and marked rigidity in orofacial musculature can ma...

roper palate formation in the developing fetus is essential for functional phonation and feeding after birth. The palate forms the roof of the mouth and separates the oral cavity from the nasal cavity. The palate undergoes complex morphological changes during embryogenesis to achieve its final form and divides into an anterior immobile hard bony se...

Burning Mouth Syndrome is often challenging for health professionals to diagnose as well as to treat. Its treatment requires a multidisciplinary approach and both psychological and pharmacological aspects should be considered simultaneously. In the present case report, medicinal reservoir was incorporated in the interim removable partial denture of...

Aims: Edentulism is correlated to poor self-esteem and depression in both young and old individuals due to social rejection. For edentulous patients who are not interested in removable prosthesis, implant-supported fixed prosthesis might be an appropriate treatment modality. The aim of this case report is to rehabilitate the completely edentulous p...

Rehabilitation of a single complete denture presents various clinical challenges and requires thorough evaluation and planning. If the opposing arch is not optimally treated, it often results in failure of prosthesis. Midline fracture of denture is more common when a single complete denture is opposed to natural dentition. Metal framework base incr...

Prosthodontist may encounter different types of residual ridges and contours. The form and shape of residual alveolar ridges can range from severely resorbed to widely massive ridges. The use of conventional complete dentures can rectify the deformities to some extent, but excellent denture esthetics can only be achieved by some unconventional in...

Rehabilitation of a single complete denture presents various clinical challenges and requires thorough evaluation and planning. If the opposing arch is not optimally treated, it often results in failure of prosthesis. Midline fracture of denture is more common when a single complete denture is opposed to natural dentition. Metal framework base in...

IMPLANT ABUTMENT CATEGORIZATIONS- AN OVERVIEW

Biomedical waste management

Esthetic and functional rehabilitation of young adult with severely mutilated dentition through conservative systematic approach

Fractured edentulous mandible managed with gunning splint fixed with screws

Dental implants are commonly thought of as an alternative to dentures or fixed bridges, but they are also frequently the best treatment option for replacing a single missing tooth. Implant can be placed at the site of the missing tooth without affecting surrounding teeth. Present case report illustrates implant supported prosthesis in the maxillary...

Usage of concentrated growth factor (CGF) and Advanced platelet rich fibrin (A-PRF) in implant dentistry: A case series

Placement of dental implants has evolved to a great extent. In the recent decade a number of adjuvants have become associated with it to enhance the success, esthetics and function of the implants. Amongst one is Platelet Rich Fibrin (PRF) obtained after fractionation of blood. PRF, a novel concept of Choukron has gained an immense popularity as an...

Compromised ridges in edentulous elderly people are a very common finding. A few of such situations are that of atrophic ridges and flabby ridges. The treatment of compromised ridges begins with an accurate impression that records the maximum denture bearing area without interfering with the movements in the functional state. This case report descr...

Overdenture treatment is a removable dental prosthesis that covers or rest on one or more remaining natural teeth, roots of natural teeth, or dental implants. The conventional tooth-retained overdenture is a simple and cost-effective treatment than the implant overdenture. This treatment is not a new concept and practitioners have successfully empl...

The nervous system is the part of a human body that coordinates its behavior and transmits signals between different body areas. The orofacial region receives a rich network of sensory and motor nerves mainly facial (VII) and trigeminal (V) nerves which provides facial expressions and helps in functions like mastication, swallowing and respiratio...

Conventional complete dentures are still one of the most common modes of treatment for completely edentulous patients. The stability of the mandibular denture is generally compromised, the problem magnifies itself in patients with severely resorbed ridges. Neutral zone implies that the forces applied by the muscles are in harmony with the denture,...

Extraction followed by immediate implant placement and loading promotes peri-implant tissue healing and gives psychological satisfaction to the patient. However, meticulous treatment planning is required before its execution including proper case selection and continuous follow-ups. This case report presents rehabilitation of a fractured maxillar...

Fungal infections are reported to be most prevalent in immunocompromised persons, most common being diabetes mellitus. Mucormycosis is caused by fungi Phycomycetes and it is reported to be one of the most fatal fungal infections that affects human beings with a high mortality rate. Various forms of mucormycosis have been documented such as pulmon...

A brief description about digital technology in dentistry.

ental clinical practice routinely requires assistance from a dental laboratory. One of the major factors that play an important role in practicing dentistry and delivering precise restorations is to have the support of a good dental lab. Hence, it is critical to choose the best lab among the available ones. Deciding on which lab services are to b...

Keywords: Resorption of mandible is a chronic, progressive, irreversible biomechanical disease leading to loss of vertical dimension, loss of sulcular depth and decreased lower facial height. Residual ridge resorption becomes a very big challenge for a clinician during the fabrication of a complete denture. It's difficult for the patient to adapt t...

Extraction followed by immediate implant placement and loading promotes peri-implant tissue healing and gives psychological satisfaction to the patient. However, meticulous treatment planning is required before its execution including proper case selection and continuous follow-ups. This case report presents rehabilitation of a fractured maxillar...

Masticatory forces can displace the fibrous or flabby ridge which is mobile denture-bearing tissue, leading to loss of peripheral seal. Forces exerted during impression making may result in distortion of the mobile tissue. If the conventional technique is followed in such cases retention and stability and support of complete dentures adversely affe...

Maxillary defects can occur due to certain bacterial, fungal and viral infections. But in recent time mucormycosis has become prevalent secondary to covid-19 infection. Mucormycosis is an opportunistic fungal infection, which primarily affects diabetic and immunocompromised patients. Surgical excision and debridement of the affected areas can resul...

Aim: To assess the effect of advanced platelet-rich fibrin (APRF) and concentrated growth factor (CGF) on tissues around implants in the maxillary anterior region. Settings and Design: This was a prospective clinical study. Materials and Methods: Thirty subjects were divided into three groups with 10 dental implants in each group, i.e., Group 1: Co...

In case of large surgical defects, single-piece hollow bulb obturator prosthesis may increase the height and weight of the prosthesis resulting in loss of retention and difficulty while insertion and removal of the prosthesis. In the present case, patient presented with a large hemimaxillectomy defect with restricted mouth opening. A novel strategy...

Aim: Comparative evaluation of the fracture resistance of anterior provisional crowns fabricated by conventional and digital techniques. Settings and Design: Department of Prosthodontic, PGIDS, Rohtak, An in-vitro – Comparative study. Materials and Methods: Thirty recently extracted maxillary central incisors were handpicked. Tooth preparation was...

Mucormycosis, a rare fungal infection seen in diabetes, is now very frequent owing to the deadly triad of COVID-19 infection, diabetes, and rampant use of corticosteroids. Early diagnosis and treatment can reduce the mortality and morbidity of this lethal fungal infection. Treatment principles may include antifungal agents along with surgical debri...

Hypohidrotic ectodermal dysplasia is an X-linked disease and caused by mutations in the gene EDA, which located at Xq12-q13.1. Partial or complete absence of deciduous and permanent dentition is one of the most frequently occurring oral symptoms; a few teeth may be present but with conical shape. Full mouth rehabilitation in patients with ectoderma...

Forensic dentistry plays an important role in cases where other analyses such as visual, photographs, and fingerprints seem to be ineffective. Any medicolegal inquiry must have proper identification since the improper identity might interfere with delivering justice. In edentulous patients, forensic identification based on examination of prosthodon...

Loss of any anatomical structure leads to functional insufficiency and psychological trauma. Malignant neoplasms of mandible are often surgically treated by hemimandibulectomy which greatly affects the function postoperatively. The amount of dysfunction depends upon the size of resected segment, effect on tongue, number of remaining teeth and the e...

The goal of modern dentistry is to be conservative, preserving teeth but also maintaining the stability of the remaining alveolar ridge and the periodontium's proprioceptive capabilities. Cu-sil denture is the simplest approach in the preservation of teeth and maintaining proprioception. It is a type of transitional denture that provides an alterna...