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Browsing by Author "Parolia, A"

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    Asthma and dental erosion
    (Kathmandu University, 2008) Manuel, ST; Kundabaka, M; Shetty, N; Parolia, A
    Abstract Asthma is a chronic in ammatory condition of the airway, characterised by the presence of air ow obstruction which is variable over short periods of time, or is reversible with treatment. Medication comprises of bronchodilators, corticosteroids and anticholinergic drugs. Most asthma drugs are inhaled using various forms of inhalers or nebulizers. Inhaled drugs must be used regularly. The effects of these drugs on the dentition such as tooth decay and erosion have been a subject of debate among dental practitioners. Asthmatic medications can place the patient at risk of dental erosion by reducing salivary protection against extrinsic or intrinsic acids. Asthmatic individuals are one of the higher risk groups suffering from dental erosion. Therefore patients with bronchial asthma should receive special prophylactic attention. This article presents a case of an asthmatic with dental manifestations and reviews the possible causes and management of the same. Key words: Asthma, dry powder inhalers, beta-2 agonist, gastro-esophageal re ux, dental erosion.
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    Delayed replantation: Can it be a success?
    (Kathmandu University, 2008) Parolia, A; Kundabala, M; Shetty, N; Manuel, ST
    Abstract This case report describes delayed replantation of an avulsed maxillary central incisor in a 17-year-old male patient following an injury on fall one day earlier. Avulsed maxillary right permanent central incisor was replanted back into the socket after extra-oral root canal treatment. One year follow up showed validity of treatment, with no evidence of resorption in the replanted tooth. Key words: Replantation, Maxillary central incisor, Resorption
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    Management of foreign body aspiration or ingestion in dentistry
    (Kathmandu University, 2009) Parolia, A; Kamath, M; Kundubala, M; Manuel, TS; Mohan, M
    Abstract Foreign body aspiration or ingestion can be a potential complication during routine dental treatment. The handling of dental objects requires particular care, especially where the patient is supine or semi-recumbent. Dentist must be able to manage emergency situations in which patients accidentally swallow dental instruments or materials during treatment and procedures. This article reviews the complications, management and prevention of aspiration or ingestion of foreign bodies. Key words: Foreign bodies, Aspiration/ Ingestion, Management, Prevention
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    Three rooted, four canalled mandibular first molar (Radix Entomolaris)
    (Kathmandu University, 2009) Parolia, A; Kundubala, M; Thomas, MS; Mohan, M; Joshi, N
    Abstract A mandibular first molar with two distal roots is an interesting example of anatomic variation. This paper describes case reports of mandibular first molar with three roots (one mesial and two distal) and four canals (two in mesial and one in each distobuccal and distolingual root). The canals were shaped with protaper rotary files and irrigated with 5.25% sodium hyochlorite, 0.2 %w/v of chlorhexidine gluconate and normal saline as the final irrigant. The canals were then obturated with gutta- percha and AH plus sealer. These case reports show an anatomic variation of internal morphology of the tooth and points out the importance of searching for additional canals. Key Words: Mandibular first molar, two distal roots, four canals

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