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

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Dr Bhanu K Bhakhri

"The Journal of Clinical and Diagnostic Research (JCDR) has been in operation since almost a decade. It has contributed a huge number of peer reviewed articles, across a spectrum of medical disciplines, to the medical literature.
Its wide based indexing and open access publications attracts many authors as well as readers
For authors, the manuscripts can be uploaded online through an easily navigable portal, on other hand, reviewers appreciate the systematic handling of all manuscripts. The way JCDR has emerged as an effective medium for publishing wide array of observations in Indian context, I wish the editorial team success in their endeavour"



Dr Bhanu K Bhakhri
Faculty, Pediatric Medicine
Super Speciality Paediatric Hospital and Post Graduate Teaching Institute, Noida
On Sep 2018




Dr Mohan Z Mani

"Thank you very much for having published my article in record time.I would like to compliment you and your entire staff for your promptness, courtesy, and willingness to be customer friendly, which is quite unusual.I was given your reference by a colleague in pathology,and was able to directly phone your editorial office for clarifications.I would particularly like to thank the publication managers and the Assistant Editor who were following up my article. I would also like to thank you for adjusting the money I paid initially into payment for my modified article,and refunding the balance.
I wish all success to your journal and look forward to sending you any suitable similar article in future"



Dr Mohan Z Mani,
Professor & Head,
Department of Dematolgy,
Believers Church Medical College,
Thiruvalla, Kerala
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."



Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
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."



Dr Kalyani R
Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018




Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.
I wish JCDR a great success and I hope that journal will soar higher with the passing time."



Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
Lucknow
On Sep 2018




Dr. Arunava Biswas

"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."



Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata




Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
Muzaffarnagar.
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,
Bengaluru.
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
Consultant
(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.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
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)
E-mail: drrajendrak1@rediffmail.com
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.
E-mail: ravi.dr.shankar@gmail.com
On April 2011

Important Notice

Dentistry
Year : 2010 | Month : August | Volume : 4 | Issue : 4 | Page : 2963 - 2966

An Aesthetic Alternative- Tooth Fragment Reattachment - A Case Report

MITTAL N* , SINGLA M**, RADHIKA M***

*(MDS)Senior Lecturer,**(MDS)Professor, Dept of conservative dentistry and Endodontics Surendera dental college & research institute Sri Ganganagar (Rajasthan) . ,***(MDS)Senior Lecturer,Dept of conservative dentistry and Endodontics,SRI Sai College of dental Sciences.

Correspondence Address :
Dr. Munish Singla,
(MDS) Professor, Dept. of conservative
Dentistry and endodontics.
Surendera Dental College &
Research institute,Sri ganganagar (Rajasthan)mail:munishsinglaendo@yahoo.com Ph.919814145816

How to cite this article :

MITTAL N , SINGLA M, RADHIKA M. AN AESTHETIC ALTERNATIVE- TOOTH FRAGMENT REATTACHMENT - A CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2010 August [cited: 2019 Oct 16 ]; 4:2963-2966. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2010&month=August&volume=4&issue=4&page=2963-2966&id=838

Introduction
Trauma to anterior teeth are more prone in children and in young adults. It has been reported that the percentages of simple (enamel + dentin) and complex (enamel + dentin + pulp exposure) coronal fractures that occur in children’s teeth by traumas are 28-44% and 11-15% respectively(7), (8) The restoration of such kinds of fractures is aesthetically and functionally very important and such teeth have commonly been restored using resin composite. However, these materials have some disadvantages such as their being worn away more rapidly than tooth hard tissues and tooth discolouration in time (10). Therefore, if a broken fragment is available, the restoration of a tooth with its own fragment has been suggested as an alternative treatment.[1 ,],(4), (8),(12)

The advantages of this alternative treatment method include (5), (6), (8), (12).
 Regaining the colour and size of the original tooth.
 Being worn away in a similar proportion to the adjacent tooth without trauma.
 Giving an emotionally and socially positive response due to the protection of natural tooth structures.
 Rapid and conservative nature of the treatment.
 Economical aspect of a one- visit treatment.

The present case report describes the re-attachment of a tooth fragment of the maxillary right central incisor in a 20 year old man with extensive coronal fracture involving the pulp, following trauma.

Case Report

A 20 year old male reported to the Dept. of Conservative Dentistry, Surendra Dental College and Research Institute, Sri GangaNagar; Rajasthan, for the treatment of the fractured fragment of the maxillary right central incisor which was labially fractured till pulp exposure and was palatally attached (Table/Fig 1). History revealed trauma seven days back and medical history was non contributory. Intraoral clinical examination revealed a complicated crown fracture of the maxillary right central incisor. The fractured fragment was loosely attached to the respective tooth. No other injury was associated with the soft tissues or the alveolar bone. The periapical radiograph revealed that there was no associated root fracture and the apices were fully formed (Table/Fig 2).The fracture line was located above the gingival epithelial junction.

The fragment of 11 was found to be mobile, with the patient reporting slight pains at every attempt to touch the crown. The pulp exposure could be observed during the mobilization of the crown towards the palatal.

The complete endodontic therapy was carried out in a single session. Following the assessment, the fragments were reattached. Internal grooves were made on the fragments. (Table/Fig 3) .Phosphoric acid (35%) was applied to the fracture surface with the total etch technique. After 30 secs, the acid was removed with an air water spray and the surfaces were dried gently. The dentin bonding agent (Prime and Bond 2.1) was applied to the prepared surface and was allowed to remain there for 20 sec, was spread over delicately with an air spray for 3-5 secs and was cured with visible light for l0 secs. Utmost attention was paid to the dentin bonding agent so as not to cause any thickening on the surface. The flowable resin composite (Tetric Flow: Ivoclar vivadent) was applied to the fracture surface of both parts, was spread over the surface with a dental probe and the fragments were reattached to their places. The overflowing resin composite was removed and cured with visible light for 20 secs. A hybrid resin composite that is similar in colour to that of flowable resin composite bandages, was made using the incremental technique to obtain optimal aesthetics and function. Each layer was cured with visible light for 40 secs (Table/Fig 4). The finishing and polishing were done with sof-lex discs (3M). Occlusion was checked. Oral hygiene training was given to the patient.

Discussion

Anterior crown fracture is a common form of injury that mainly affects children and adolescents. The position of the maxillary incisor and their eruptive pattern carries a significant risk for trauma. In the pre-adhesive era, fractured teeth needed to be restored either with pin- retained inlays or cast restoration that sacrificed the healthy tooth structure and were a challenge for clinicians to match with adjacent teeth. The development of adhesive dentistry has allowed the dentist to use the patient’s own fragment to restored the fractured tooth (2). When the fractured part is still available, reattaching it to the remaining tooth in the mouth is an alternative treatment. In this study, the reattached tooth was evaluated with respect to the periodontal, pulpal, coronal, colour harmony, occlusion and parental-patient satisfaction levels. In the clinical examination of the patients, periodontal tissues at follow-up, swelling and discoloration in the vestibular gingival, abscess, sinus and loss of stippling were evaluated and none of these symptoms were observed in the patients. These results are in agreement with previous reports.(3), (6), (8), (11) ,(13)

At the follow-up, fragment detachment was not observed. The use of flowable resin composite in the reattachment of the detached part to the hard tissue and covering it with resin composite might have contributed to this end (14).

Yucel Yilmaz etal reattached the tooth fragment using a flowable resin composite and reported successful results after 2.5 years (14).

The quality of fit between the segments is an important factor to be considered. When the segments fit together with no discernible disruptions or defects, techniques that prevent the resin composite from being exposed to the oral environment, such as the placement of an internal groove, would be preferable, except for simple reattachment, due to the low fracture strength recovery of this technique (2).

Conclusion

 Reattachment was periodontally found to be a successful treatment method.
 The combination of the flowable resin composite and the hybrid resin composite which were used to reattach the tooth’s fractured incisal part was successful.
 The opaque appearance in the fractured incisal part decreased with time.
 The use of the original fragments of the fractured teeth was reported as ‘Satisfied’ and‘Very Satisfied’ in terms of parental and patient satisfaction.

References

1.
Andreasen JO, Andreasen FM, editors. Crown fractures. In: Essentials of traumatic injuries to the teeth. Copenhagen: Munksgaard; 1992. p. 29–46.
2.
A- Reis, AD Loguercio, A Kraul, E Matson. Reattachment of fractured teeth: A review of literature regarding techniques and materials. Oper Dent, 2004, 29-2, 226- 33.
3.
Chu FCS, Yim TM, Wei SHY. Clinical considerations for reattachment of tooth fragments. Quintessence I nt 2000 ; 31: 385-91.
4.
Curzon MEJ, editor. Special tests: radiographs and sensibility (vitality) testing. In: Handbook of dental trauma: a practical guide to the treatment of trauma to the teeth. Cornwall: MPG Books Ltd; 1999. p. 18–27.
5.
Dean JA, Avery DR, Swartz ML. Attachment of anterior tooth fragments. Pediatr Dent 1986;8:139–43.
6.
Diangelis AJ, Jungbluth M. Reattaching fractured tooth segments: an esthetic alternative. J Am Dent Assoc 1992;123:58–63.
7.
Kargul B, Caglar E, Tanboga I. Dental trauma in Turkish children, Istanbul. Dent Traumatol 2003;19:72–5.
8.
Kirzioglu Z. Restoration of a fractured incisor by using original tooth fragment: a case report. Ataturk Univ Dis Hek Fak Derg 1994;4:120–4 (English Abstract).
9.
Kirzioglu Z, Ozay Erturk MS, Karayilmaz H. Traumatic injuries of the permanent incisors in children in southern Turkey: a retrospective study. Dent Traumatol 2005;21:20–5.
10.
Powers JM. Cements. In: Craig RG, Powers JM, editors. Restorative dental materials, 11th edn. St. Louis, MO: Mosby; 2002. p. 618–22.
11.
Rappelli G, Massaccesi C , Patignano A. Clinical procedures for the immediate reattachment of a tooth fragment. Dent Traumatol 2002 ; 18 : 281-84.
12.
Simonsen RJ. Restoration of a fractured central incisor using original tooth fragment. J Am Dent Assoc 1982;105:646–8.
13.
Worthington RB, Murchison DF, Vandewalle KS. Incisal edge reattachment: the effect of preparation utilization and design. Quintessence Int 1999;30:637–43.
14.
Yucel Yilmaz, Cigdem Zehir , Ozge Eyuboglu, Nihal Beldug ; Evaluation of success in the reattachment of coronal fractures; Dent Traumatol 2008 ; 24 : 151-58.

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