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Sanjay Gandhi institute of trauma and orthopedics,
On Aug 2018

Dr. Mamta Gupta,
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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.
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Dr. Mamta Gupta
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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.

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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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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 : 2011 | Month : November | Volume : 5 | Issue : 6 | Page : 1318 - 1320 Full Version

Remote Tooth In Immediate Partial Denture – A Case Report

Published: November 1, 2011 | DOI:
Aleksandr Skryl, Manjunath Kadithota

Corresponding Author MDS Prosthodontist and oral Implantologist, JDWNR Hospital, Thimphu, Bhutan.

Correspondence Address :
Aleksander Skryl,
The senior lecturer of chair of Prosthodontic Stomatology
Stavropol state medical academy, Stavropol, Russia.
Phone : +79187506163
E-mail :


Dentists, especially prosthodontists, often face a difficult aesthetic situation of having to remove the anterior tooth because of trauma, advanced periodontal disease or endodontic problems. Many people are reluctant to undergo tooth removal, followed by its placement with an artificial tooth.

An acrylic, removable, partial denture can present challenges with regards to matching colour, size and shape, and it often requires substantial modification to achieve an acceptable appearance. Using the natural tooth as a pontic offers the benefits of it being right with respect to size, shape and colour. Moreover, the positive psychological value to the patient in using his or her natural tooth is an added benefit. Here, a case report has been presented, wherein an immediate, interim tooth replacement was made by using a clinical crown as an aesthetically acceptable treatment option.


Remote tooth, natural tooth pontic, aesthetics, immediate interim replacement.

Self-perceived, prosthodontic needs are determined by functional, aesthetic, psychological and social impacts due to tooth loss (1),(2). These impacts have detrimental effects on the oral health, which are related to the quality of life (OHRQoL) measures(3),(4) and different levels of prosthodontic interventions are needed as a standard of care to improve the condition of the edentulous patients (5). Clinical factors like the number and location of the absent teeth, age, gender, impaired function, discomfort and dissatisfaction with appearance, and other sociodemographic, cultural and financial determinants are known to be the important ingredients of the perceived treatment needs and, as a consequence, the essential aspects of clinical decision making(6),(7),(8),(9),(10). Another issue that influences the demand for prosthodontic treatment is the time between the tooth loss and the search for treatment. It was hypothesized that the self perceived need and the expressed desire for tooth replacement were greater at the time of tooth loss(11),(12). The need for the replacement of a missing tooth is more in case of an anterior tooth. The prosthetic replacement of an anterior tooth is the most challenging one, as it includes the patient’s expectations which include, matching with proper colour, shape and size, psychological value and utmost technique sensitivity.

So here is a case presentation where in all above mentioned factors were considered for replacement of anterior tooth.

Case Report

Case Presentation
A 53 year old male patient was referred to the Department of Prosthodontics and Implantology with localized pain and exudation with respect to the mandibular right central incisor. On clinical examination, a pocket depth of 8 mm, grade II mobility and purulent exudation was seen (Table/Fig 1). Radiographically, severe bone loss was evident. It was diagnosed as a localized periodontal abscess. Considering the poor prognosis of the tooth, a treatment plan was made to extract the affected tooth, followed by an immediate temporary replacement by using the extracted tooth until complete healing was achieved.

Clinical procedure
Before the extraction of the tooth, the patient underwent oralprophylaxis, followed by the making of an impression. The impression was made by using alginate impression material. A cast was prepared, the mandibular right central incisor was cut on the cast and the contours of an alveolar part were generated, taking into account the probable post extraction changes (Table/Fig 2). After the extraction of 41, the tooth was disinfected and the root was removed at the apical 3/4th (Table/Fig 3). The root canal was cleaned, debrided and expanded. Also, a circular furrow was created for the best mechanical retention. Four hours after the extraction of the tooth, the immediate temporary partial denture was ready (Table/Fig 4) and (Table/Fig 5) and the patient was called for its insertion. After the initial clot formation had taken place, the denture was fitted on the patient (Table/Fig 6) and (Table/Fig 7). An occlusal correction was not necessary. The healing process proceeded well.

The patient was instructed to avoid the exertion of excessive force in the anterior region, which could be caused by biting anything hard, which could dislodge or break the immediate prosthesis. Oral hygiene instructions have been given for a better healing. The patient was re-evaluated after a week, followed by a month, to check the healing of the extraction socket and the condition of the immediate prosthesis. After a month, the healing was found to be uneventful and the prosthesis was in good condition. As the patient had been given proper instructions after the insertion, there was no hindrance in the post-operative healing of the socket in any way. Definitive prosthetics had been started in 2 months. Thus, the given technical decision had provided the preservation of the aesthetics and function during the healing period of the post extraction wounds. This technique has attracted attention, especially the fact, that the use of a natural tooth had facilitated the psychological adaptation of the patient.


Patients’ self-perceived needs, expressed desires and expectations are the essential parts of an evidence-based model for prosthodontic treatment planning12. Since the patients perceive wide ranges of dental needs, it was assumed that not only did the clinical aspectsof the tooth loss influence the treatment needs. The human ability to adapt physically and psychologically to changes in the oral condition, and to cope with these impacts when the pain symptoms are absent, may act in addition to external factors like the environment and the social context.

Although many treatment options are available for the replacement of the missing anterior tooth, the matter of concern is the patient’s adaptability to the treatment. The immediate replacement includes an acrylic, removable, partial denture, bonding the natural tooth to the adjacent teeth by using either light cure or wire bonding and so on. In this case report, an attempt was made by using the patients’ own tooth instead of the acrylic one in the removable partial denture, for the psychological benefit of the patients of having their own teeth. Using the natural tooth as a pontic offers the benefits of it being the right one with respect to size, shape and colour.(13),(14),(15),(16) The natural tooth is readily available and much modifications are not required. The healing of the extraction socket is excellent and a high level of oral hygiene is also maintained, which is difficult to achieve in wire and resin bonding. This technique is practical and economically feasible, it requires limited laboratory support and materials, and it can be accomplished in a single appointment. Even though this is simple treatment option which can be used to gain the confidence of the patients, longterm studies are rare. Though the success in this case is good, we need to do further studies to evaluate the success rate which is associated with it.


The use of a natural tooth pontic is an aesthetically acceptable treatment option for situations in which the anterior teeth need to be removed, and it reflects the dentist’s concern for the patient’s aesthetics, function and psychological wellness.


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