Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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On Sep 2018

Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."

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Ex-Member, Governing Body, National Neonatology Forum, New Delhi
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Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018

Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."

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Dr. Saumya Navit

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Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
On Sep 2018

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Calcutta National Medical College & Hospital , Kolkata

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Muzaffarnagar Medical College,
On Aug 2018

Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".

Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
On Aug 2018

Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".

Dr. Mamta Gupta
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018

Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.

Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
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Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."

Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
On May 11,2011

Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."

Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
On April 2011

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.

Dr. Anuradha
On Jan 2020

Important Notice

Year : 2010 | Month : June | Volume : 4 | Issue : 3 | Page : 2582 - 2586 Full Version

Magnet Retained Sectional Lip Plumper Prosthesis for A Patient With Hemi-Mandibulectomy: A Clinical Report

Published: June 1, 2010 | DOI:

*(M.D.S)Senior lecturer Department of prosthodontics & Implantology Meenakshi ammal dental college Maduravoyal Chennai – 600095 (INDIA).

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Dr.Chakravarthy Ramasamy
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An intraoral sectional prosthesis was fabricated to restore more normal contour to a patient’s lower lip that was compromised following a marginal mandibulectomy which was performed to eradicate a malignant neoplasm. The surgical resection compromised the lower lip on the affected side, because the marginal mandibular branch of the facial nerve was damaged during the surgical resection. The prosthesis successfully restored the lost lip support, reduced the incidence of lip biting and improved the patient’s oral competency. This clinical report describes the procedure for making an intraoral magnet retained lip plumper prosthesis to improve patient aesthetics and oral function.


Marginal Mandibulectomy, Lip plumper, Magnets

Mandibulectomy patients suffer numerous problems with mastication, speech and deglutition due to anatomical compromise resulting from tumour resection. (1),(3) Recent advances in treatment modalities, including reconstructive surgery, have resulted in improved collaborative rehabilitation efforts between surgical reconstruction and prosthodontic rehabilitation. (4),(5) However, even if the defect has been reconstructed or the resection was limited, there are some situations in which patients suffer from the deformity of the lip due to the damage of the marginal mandibular branch of the facial nerve. Loss of motor innervation to muscles controlling the lower lip leads to paralysis on the affected side of the mouth (1).

In these situations, patients are treated by using therapies that induce the regeneration of the nerves, including nerve grafting, adenosine triphosphate drugs, vitamins and acupuncture (6), (7). However, nerve regeneration occurs over a long period of time and occasionally may not be adequate or complete. Some patients wish to recover more quickly than is possible with nerve regeneration. Therefore, an alternative to surgical intervention or medicinal therapy is prosthesis. A sectional lip plumper prosthesis is fabricated from heat-polymerized acrylic resin to provide lip support on the affected side. This prosthesis can successfully restore not only the contour of the deformed lip, but can also improve oral function. Few papers focusing on the prosthetic rehabilitation for paralytic lip after a mandibulectomy have been reported in the literature (8). This clinical report describes the procedure associated with the fabrication of a magnet retained sectional lip plumper prosthesis.

Case Report

Clinical Report
A 25-year-old male was referred to the Saveetha University’s Maxillofacial Prosthetic Clinic in June 2006 for prosthodontic rehabilitation. The patient had undergone a marginal mandibulectomy from the mesial surface of the right lower second molar to the mesial surface of the left lower second molar and without any flap reconstruction. (Table/Fig 1) (Fig. 1, A and B). The panoramic radiograph reveals an impacted third molar on the left side of the mandible, which needs to be extracted. Extraoral examination demonstrated that the lower lip was unsupported and that there was loss of muscle tone and also the deepening of the mentolabial sulcus (Table/Fig 1) (Fig. 1 C). The remaining dentition in the patient’s mandible included the right third molar to the second molar and the left second molar. The intermaxillary space in the region of the surgical resection was high. Thus, the treatment plan to restore the mandibular arch included a cast partial denture, along with a magnet retained lip plumper prosthesis for the compromise of lower lip support and postural position, because the patient was particularly sensitized to this issue when his friends and relatives commented unfavourably on the appearance of the lower lip (Table/Fig 1) (Fig. 1 C). The sectional prosthesis was recommended because of it’s advantages of ease in maintenance and retrievability, according to the patient needs.

The tumour resection resulted in damage to the right marginal mandibular branch of the facial nerve. The deformity of the lower lip was noted to be improved by applying cotton rolls to the affected region in the labial and buccal vestibule to increase lip support from the mandibular right incisor to the left second premolar region. An intraoral sectional prosthesis which was fabricated from heat-polymerized acrylic resin and which was retained with magnets to the existing cast partial denture was designed and constructed to create the contour improvement which was noted when using cotton rolls. This was then placed in the labial and the buccal side of the cast partial denture.

A preliminary impression was made with irreversible hydrocolloid (Zelgan 2002; Dentsply-India, Gurgaon, India). A custom tray (Pyrax; Pyrax polymer) was then fabricated. The definitive cast was prepared from an impression of the mandible by using the custom tray with silicone impression material (AFFINIS Precious, Regular; coltene whaledent). A cast partial denture was fabricated under the standard protocol and was delivered to the patient .A record base made of Soft putty (AFFINIS Precious, Soft putty; coltene whaledent) was then designed to be retained on the labial surface of the cast partial denture (Fig. 2, A). A light body silicone impression material (AFFINIS Precious, Light body; coltene whaledent) was added to the buccal side and also on the intaglio surface of the putty record base and was adjusted until the patient was satisfied with the profile of the lip (Table/Fig 2) (Fig. 2 B). The lip plumper prosthesis was made of heat-polymerized clear acrylic resin (Trevalon, Dentsply-India), so as not to compromise the patient’s aesthetics and was retained to the denture with 2 Magnets (Table/Fig 3) (Fig. 3A and B). The profile of the right lower lip of the patient was improved by wearing the lip plumper prosthesis (Table/Fig 4) (Fig. 4 A). Without the lip plumper in place, the left lower lip retracted under the maxillary lateral incisor and canine, which resulted in lip biting and the loss of oral competency. With the lip plumper in position, these unfavourable sequelae were diminished by restoring the lower lip to a more anatomically correct relationship with the upper lip (Table/Fig 4), (Table/Fig 5) , (Table/Fig 6) , (Table/Fig 7). After the placement of the lip plumper, lip biting and the irritation of the mucosa opposing the anterior lower edge of the plumper was observed. Cheek biting was prevented by recontouring the plumper and the irritation of the mucosa was resolved by reducing the thickness of the lower anterior corner of the plumper.


The magnet retained lip plumper prosthesis successfully restored the contour of the lip and improved the function for a patient who had undergone a marginal mandibulectomy. Even though modern surgical corrections are possible using vascularised free flap grafts; the bone resorption rate is higher in hemi-mandibulectomy cases (9), (10). If the loss of hard and soft tissue during Hemi-mandibulectomy is more, it radically alters the prognosis of the prosthetic. Several modifications such as the Neutral zone technique and Double rows of teeth are recommended during the fabrication of the partial denture (11), (12).. This clinical report indicated that a magnet retained lip plumper prosthesis has potential as a treatment method to alleviate the problems caused by marginal mandibulectomy and the resultant loss of muscle activity associated with such aesthetic impairment. The changes in appearance, function and psychological wellbeing have an enormous impact on the patients' personal lives and are rewarding for the maxillofacial prosthodontist who is providing this care.


The authors sincerely thank Dr.Prof. E.G.R.Solomon for his extensive encouragement and constant guidance during the entire work.


Beumer J, Marunick MT, Curtis TA, Roumanas E. Acquired defect of the mandible. In: Beumer J, Curtis TA, Marunick MT, editors. Maxillofacial rehabilitation: prosthodontic and surgical considerations. St. Louis: Ishiyaku EuroAmerica; 1996. p. 113-223.
Taylor TD. Diagnostic consideration for prosthodontic rehabilitation of the mandibulectomy patient. In: Taylor TD, editor. Clinical maxillofacial prosthetics. Chicago: Quintessence; 2000. p. 155-88.
Takahashi M, Hideshima M, Park I, Taniguchi H, Ohyama T. Study of mandibular movements in mandibulectomy patients-border movements and functional movements during mastication, deglutition and speech. J Med Dent Sci 1999; 46:93-103.
Curtis DA, Plesh O, Miller AJ, Curtis TA, Sharma A, Schweitzer R, et al. A comparison of masticatory function in patients with or without reconstruction of the mandible. Head Neck 1997; 19:287-96.
Head C, Alam D, Sercarz JA, Lee JT, Rawnsley JD, Berke GS, et al. Microvascular flap reconstruction of the mandible: a comparison of bone grafts and bridging plates for restoration of mandibular continuity. Otolaryngol Head Neck Surg 2003; 129:48-54.
Jones JK, Van Sickels JE. Facial nerve injuries associated with orthognathic surgery: a review of incidence and management. J Oral Maxillofac Surg 1991; 49:740-4.
Choi D, Dunn LT. Facial nerve repair and regeneration: an overview of basic principles for neurosurgeons. Acta Neurochir 2001; 143:107-14.
Hitoshi M, Chiaki K, Takashi O, Hisashi T. Lip plumper prosthesis for a patient with a marginal mandibulectomy:A clinical report. J Prosthet Dent 2004; 92:23-6.
Goiato, Marcelo Coelho, Ribeiro, Adriana Barbosa ; Dreifus Marinho, Márcio Leandro Von. Surgical and Prosthetic Rehabilitation of Patients With Hemimandibular Defect: Journal of Craniofacial Surgery, Nov 2009: Vol 20 ; Issue 6: 2163-2167
El-Zohairy MA.Straight midline mandibulotomy: technique and results of treatment. J Egypt Natl Canc Inst. 2007 Dec; 19(4):292-8.
Vijay Prakash. Prosthetic rehabilitation of edentulous mandibulectomy patient: A clinical report. Indian Journal of Dental Research, Year 2008, Volume 19, Issue 3; 257-60.
Pekkan G, Hekimoglu C, Sahin N.Rehabilitation of a marginal mandibulectomy patient using a modified neutral zone technique: a case report. Braz Dent J. 2007; 18(1):83-6.

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