J of IIndian Society of Period ontology 01/2009 13 :1:1.5

Beautiful smiles are no longer left to chance as digital technology meets design to create stunning outcomes for patients . In digital smile design , first we take photos of patient and make the digital smile of patient in just 15 minutes and show it to patient . If patient likes her smile then will do further treatment . Digital Smile Design DSD seeks to the present a new face of dentistry. Everything is based on analysis – facial aesthetic photographic and videographic patient to better understand the relationship of the teeth , gums , lips and face in motion. Organizing this information and creating a digital drawing of the smile , providing a visual presentation of the treatment plan for the patient for the patient to view and approve before the treatment itself starting.

Geetha Kamath1, Reji Abraham2
1Departments of Oral Medicine and Radiology, and 2Orthodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India
Dental Research Journal / Mar 2012 / Vol 9 / Issue 2 233
Dental Research Journal
Case Report
Recurrent CEOT of the maxilla
Geetha Kamath1, Reji Abraham2
1Departments of Oral Medicine and Radiology, and 2Orthodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India
ABSTRACT
Calcifying epithelial odontogenic tumor (CEOT) is a rare benign, but locally infiltrating odontogenic
neoplasm. It accounts for less than 1% of all odontogenic tumors. This is a case report of recurrent
CEOT in the maxilla. A 35-year-old patient reported after three years of surgical excision of the
lesion, with a recurrence. It is of particular concern because of its anatomic location in the maxilla.
Maxillary tumors tend to be more aggressive and rapidly spreading and may involve the surrounding
vital structures. Adequate resection of the lesion with disease-free surgical margins and long-term
follow-up is recommended.
Key Words: Calcifying epithelial odontogenic tumor, maxillary tumors, odontogenic tumor
INTRODUCTION
The calcifying epithelial odontogenic tumor
(Pindborgs tumor) is a benign neoplasm of
odontogenic origin.[1] It is a rare tumor accounting
for less than 1% of all odontogenic tumors.[2] It is
a benign, though occasionally locally invasive, slowgrowing
neoplasm. They are localized generally in
posterior part of mandible and rarely occur in the
maxilla.[1,2] This article reports a case of recurrent
CEOT of the maxilla in a 35 year old male patient.
CASE REPORT
A male patient aged 35 years reported with a painless
swelling of eight months duration in the left upper jaw
in 2005. On examination, it was hard in consistency
with expansion of the cortical plates [Figures 1
and 2]. The first premolar tooth was missing with
no history of previous dental extractions. The
panoramic radiograph showed a diffuse honeycomb
type of radiolucency extending from premolar to
third molar region withfew radiopacities [Figures 3
and 4]. The lesion was associated with an impacted
tooth, which resembled a premolar and was displaced
posterosuperiorly. There was no evidence of root
resorption of the adjacent teeth .The lesion was
surgically excised and histopathologically diagnosed
as calcifying epithelial odontogenic tumor (CEOT).
Microscopic examination of the tissue revealed
sheets and strands of polyhedral epithelial cells
with hyperchromatic nuclei, mild to moderate
pleomorphism and prominent intercellular bridges.
Eosinophilic hyaline deposits with calcifications were
found within and between sheets of epithelial cells.
The patient was not regular for the follow up and
reported again in 2008, three years after excision.
The patient had noticed a growth in the same region
five months back and experienced no discomfort.
A computed tomography (CT) scan showed a large,
expansile, radiolucent lesion with multiple areas of
calcification which completely obliterated the left
maxillary antrum [Figures 4 and 5]. The scan showed
the tumor extending and involving the lateral nasal
wall, orbital floor and the medial pterygoid plate
[Figures 6 and 7]. An incisional biopsy confirmed
the lesion to be a recurrence of CEOT. No atypias
or mitoses were found. The lesion was excised
with wide surgical margins and the patient is under
observation for the past three years without any signs
of recurrence.
Received: September 2011
Accepted: December 2011
Address for correspondence:
Dr. Reji Abraham,
Department of
Orthodontics, Sri
Hasanamba Dental College
and Hospital, Vidyanagar,
Hassan 573201, Karnataka,
India.
E-mail: rejiabm@gmail.com

Access this article online
Website: www.drj.ir

ABSTRACT
Calcifying epithelial odontogenic tumor (CEOT) is a rare benign, but locally infiltrating odontogenic
neoplasm. It accounts for less than 1% of all odontogenic tumors. This is a case report of recurrent
CEOT in the maxilla. A 35-year-old patient reported after three years of surgical excision of the
lesion, with a recurrence. It is of particular concern because of its anatomic location in the maxilla.
Maxillary tumors tend to be more aggressive and rapidly spreading and may involve the surrounding
vital structures. Adequate resection of the lesion with disease-free surgical margins and long-term
follow-up is recommended.
Key Words: Calcifying epithelial odontogenic tumor, maxillary tumors, odontogenic tumor

The Journal of Contemporary Dental Practice, May-June 2013;14(3):00-00
ABSTRACT
Aim: Retraction of maxillary canines after first premolar
extractions is a very common orthodontic task in cases of
crowding or for the correction of large overjet. Many studies
have been done to increase the rate of retraction. The aim is to
compare the rate of canine retraction into recent extraction site
with and without circumferential supracrestal fiberotomy.
Materials and methods: The rate of movement of the canines
into the recent extraction site of the first premolar with or without
circumferential supracrestal fiberotomy was measured in 14
patients aged 13 to 22 years. The study was done on 9 maxillary
and 5 mandibular arches. The appliance used in the present
study was the preadjusted edgewise (0.022 inch Roth
prescription) and retraction performed by frictionless mechanics
using Composite T Loop. The distalization of canines was
measured at regular intervals (T1, T2, T3 and T4). Recordings
of the positions of the canines at the beginning and at different
intervals were made from dental casts.
Results: The mean difference between the two sides for the
total time span T1-T4, for maxillary arch was 0.36 mm and for
mandibular arch was 0.60 mm respectively.
Conclusion: There can be various factors that affect the rate
of tooth movement. Factors like bone density, bone metabolism,
and turnover in the periodontal ligament, amount of force applied
may be responsible for the variation.
Clinical significance: No clinically significant increased rate
of retraction of cuspids in the recent extraction site with
fiberotomy was found in comparison to the retraction in recent
extraction site without fiberotomy.
Keywords: Canine retraction, Fiberotomy, Circumferential
supracrestal fiberotomy, T loop, Rate of retraction.
How to cite this article: Kalra A, Jaggi N, Bansal M, Goel S,
Medsinge SV, Abraham R, Jasoria G. Comparison of Rate of
Canine Retraction into Recent Extraction Site with and without
Gingival Fiberotomy: A Clinical Study. J Contemp Dent Pract
2013;14(2):00-00.

Once upon a time, the color of a person’s teeth really did not matter unless they were royalty. And even then, it often was of no importance. Stained and rotten teeth were simply what was expected and no one was judged for it. Today, however, a person’s teeth make a huge impression. It would be nearly impossible to get hired for a decent job with rotten or severely stained teeth. And to be considered for a more prestigious job, a person must usually have glistening white teeth. Bad teeth reflect lack of discipline and poor character in today’s society.
Thankfully, there are now many ways available to whiten one’s teeth. They range from simple at home remedies to expensive medical procedures. teeth whitening has become commonplace among much of the world, especially those in the media. You would be hard pressed to find an actor or news anchor who has not artificially whitened their teeth.

Whitening Systems:
1) Whitening Toothpastes-
All toothpastes help remove surface stains, because they contain mild abrasives. Some whitening toothpastes contain gentle polishing or chemical agents that provide additional stain removal effectiveness. Whitening toothpastes can help remove surface stains only and do not contain bleach; over-the-counter and professional whitening products contain carbamide peroxide or hydrogen peroxide that helps lighten the color deep in the tooth. Whitening toothpastes can lighten the tooth's color by about one shade. In contrast, light-activated whitening conducted in your dentist's office can make your teeth three to eight shades lighter.

2) Over-the-Counter Whitening Strips and Gels-
Whitening gels are clear, peroxide-based gels applied with a small brush directly to the surface of your teeth. Instructions generally call for twice a day application for 14 days. Initial results are seen in a few days and final results are sustained for about four months.
Whitening strips are very thin, virtually invisible strips that are coated with a peroxide-based whitening gel. The strips are applied twice daily for 30 minutes for 14 days. Initial results are seen in a few days and final results are sustained for about four months.
Whitening Rinses -Among the newest whitening products available are whitening rinses. Like most mouthwashes, they freshen breath and help reduce dental plaque and gum disease. But these products also include ingredients, such as hydrogen peroxide, which whiten teeth. Manufacturers say it may take 12 weeks to see results. You just swish them around in your mouth for 60 seconds twice a day before brushing your teeth. However, some experts say that rinses may not be as effective as other over-the-counter whitening products. Because a whitening rinse is only in contact with the teeth for such a short time -- just two minutes a day compared to 30 minutes for many strips -- it may have less of an effect.

4) Tray-Based Tooth Whiteners- At home whitening-
Tray-based tooth whitening systems, purchased either over-the-counter or from a dentist, involve filling a mouth guard-like tray with a gel whitening solution -- which contains a peroxide-bleaching agent. The tray is worn for a period of time, generally from a couple of hours a day to every day during the night for up to four weeks and even longer (depending on the degree of discoloration and desired level of whitening).

5) In-Office Whitening-At the dental clinic- ONE HOUR WHITENING !!!
In-office bleaching provides the quickest way to whiten teeth. With in-office bleaching, the whitening product is applied directly to the teeth. These products can be used in combination with heat, a special light, and/or a laser. Results are seen in only one, 30- to 60-minute treatment. But to achieve dramatic results maximum 1-2 appointments are needed. However, with in-office bleaching, dramatic results can be seen after the first treatment.