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author:("Rao, jitender")
1.  A simple and inexpensive retainer for overdenture prosthesis 
BMJ Case Reports  2013;2013:bcr2013009517.
This article describes a clinical case report of a 65-year-old male patient in which an overdenture was fabricated by using a simple, logical and inexpensive means of retentive device. The described mandibular overdenture involves a simple modification in the coping design and a wire lock mechanism which was fabricated during denture processing. The problems associated with copings were overcome by putting the patient on a regimen wherein topical fluoride was applied every week on the abutment. The denture, fabricated involving a wire lock mechanism, was highly retentive and stable. Patient was highly satisfied with the outcome of the treatment.
doi:10.1136/bcr-2013-009517
PMCID: PMC3736237  PMID: 23861281
2.  Rehabilitation of anterior teeth with customised incisal guide table 
BMJ Case Reports  2013;2013:bcr2013009484.
Restoration of anterior guidance is a major challenge to the clinician in planning of all restorative treatments. An accurate anterior guidance is important for proper function, aesthetics, comfort and phonetics. This article describes anterior rehabilitation of a patient who met with a road traffic accident and lost his anterior teeth. Anterior guidance developed in the provisional restorations was accurately recorded in the customised incisal guide table and permanent restorations were fabricated accordingly.
doi:10.1136/bcr-2013-009484
PMCID: PMC3669999  PMID: 23709546
3.  Non-syndromic multiple supernumerary teeth in permanent dentition: a rare phenomenon 
BMJ Case Reports  2013;2013:bcr2013009026.
Hyperdontia or supernumerary teeth in the absence of associated systemic condition or syndrome is an uncommon phenomenon. Non-syndromic supernumerary teeth need to have periodical radiographic observation. In the case of asymptomatic condition, as they impacted in the jaw, a careful examination is necessary because they may develop into pathological status such as dentigerous cysts. Surgical removal of such teeth is indicated if evidence of any pathologies, such as cystic lesion, resorption, delayed eruption, altered eruption and displacement of adjacent teeth, is evident or have occurred.
doi:10.1136/bcr-2013-009026
PMCID: PMC3669903  PMID: 23704431
4.  Assessment of the quality of life in maxillectomy patients: A longitudinal study 
PURPOSE
To longitudinally assess the quality of life in maxillectomy patients rehabilitated with obturator prosthesis.
MATERIALS AND METHODS
Thirty-six subjects were enrolled in the span of 16 months, out of which six were dropouts. Subjects (age group 20-60 years) with maxillary defects, irrespective of the cause, planned for definite obturator prosthesis, were recruited. The Hindi version of European Organization for Research and Treatment of Cancer, Head and Neck version 1 of Quality of Life Questionnaire was used before surgical intervention and one month after definitive obturator. Questionnaire includes 35 questions related to the patient's physical health, well being, psychological status, social relation and environmental conditions. The data were processed with statistical package for social science (SPSS). Probability level of P<.05 was considered statistically significant.
RESULTS
The quality of life after rehabilitation with obturator prosthesis was 81.48% (±13.64) on average. On item-level, maximum mean scores were obtained for items problem with teeth (1.87 ± 0.94), pain in mouth (1.80 ± 0.92), trouble in eating (1.70 ± 0.88), trouble in talking to other people (1.60 ± 1.22), problems in swallowing solid food (1.57 ± 1.22) and bothering appearance (1.53 ± 1.04); while minimum scores were obtained for the items coughing (1.17 ± 0.38), hoarseness of voice (1.17 ± 0.53), painful throat (1.13 ± 0.43), trouble in having social contacts with friends (1.10 ± 0.40) and trouble having physical contacts with family or friends (1.10 ± 0.31).
CONCLUSION
Obturator prosthesis is a highly positive and non-invasive approach to improve the quality of life of patients with maxillectomy defects.
doi:10.4047/jap.2013.5.1.29
PMCID: PMC3597923  PMID: 23507671
Quality of life; Maxillectomy; Obturator prosthesis; Oral cancer

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