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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 Anuradha
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
E-mail: anuradha2nittur@gmail.com
On Jan 2020
Images in Medicine
Full Version
Complete Management of Maxillary Impacted and Dilacerated Central Incisor
Correspondence Address :
Ruby Shah,
1503, Bin Salama Tower, Al Nasr Street Abu Dhabi, Abu Dhabi, United Arab Emirates.
E-mail: drrubyshah13@gmail.com
Impacted teeth, Mixed dentition, Ribbond, Space regained, Surgical extraction, Trauma
A 10-year-old male child reported to a dental clinic with a chief complaint of missing upper anterior tooth since four years after the fall of the primary tooth (Table/Fig 1). Parents gave history of trauma at the age around two years due to a fall from the table which resulted in intrusion of the primary left maxillary central incisor. At that time as per the parents the dentist in local community advised them dietary instructions and medication for pain. The intruded primary tooth re-erupted spontaneously and exfoliated at normal time.
The intraoral clinical examination revealed healthy mixed dentition with well formed labial mucosa and missing tooth number (no.) 21 with bulge on the palatal mucosa of 21 (Table/Fig 2). Sagittal section of Cone Beam Computed Tomography (CBCT) revealed that the impacted tooth was located palatally close to palatal cortical bone, palatal angulation and dilacerated at cementoenamel junction (Table/Fig 3)(a,b).
Various treatment options were considered like surgical removal of the dilacerated tooth and then restoring with a bridge or implant after orthodontic space opening when growth had stabilised. Extraction of the impacted tooth, orthodontic treatment for spacing correction, and prosthodontic restoration of the left lateral incisor as the central incisor after growth seizes; Orthodontic space opening, and orthodontic traction of the impacted tooth into proper alignment. Orthodontic traction was not possible due to the severity of the impaction and angulation. The parents opted for restoring the space with implants at later stage but prefer to have a temporary management of space resulting after surgical removal and orthodontic intervention.
Surgical extraction under general anaesthesia was planned considering the age and cooperativeness of the patient. Informed consent was taken from the parents and preanaesthesia evaluation was done by an anaesthesiologist followed by routine blood investigation to assess for clotting and bleeding time. Under general anaesthesia, the location of impacted tooth 21 was isolated and palatal mucoperiosteal flap was raised. Palatal bone was removed adequately, with slow speed hand piece with round bur (No. 8), irrigation was done with normal saline to expose the impacted dilacerated tooth. Due to the insufficient access for the removal of tooth and the angulation of dilacerated root, the tooth was not removed as a whole and needed to be sectioned and extracted. The margin of the bone was smoothened with a bone file. The palatal mucoperiosteal flap was repositioned and sutured with 3-0 black braided silk (Mersilk, Ethicon, Inc., Johnson and Johnson company, USA). (Table/Fig 4)(a,b). Sutures were removed after one week and the healing was uneventful. Amoxicillin Clavunate (25-45 mg/kg/day in divided doses every 12 hours) and Acetaminophen (10-15 mg/kg/dose every 4-6 hours) for five days was prescribed. The child and parents were advised for soft cold diet for 24 hours and avoid spitting and rising the mouth vigorously for 48 hours. Follow-up appointment was done again after two weeks and then after four weeks complete healing of the palatal mucosa was seen (Table/Fig 5).
In the next phase fixed orthodontic treatment was started on maxillary arch to create adequate space for the prosthetic replacement of central incisor. Initial alignment and leveling was achieved with superelastic 0.016 inch Nickel-Titanium (NiTi) wire. Bands were placed on the upper first molars, and orthodontic brackets were limited to the three permanent anterior teeth and two primary canines. Compressed nickel-titanium open coil spring 2-3 mm longer than the space required between left maxillary lateral incisor and right maxillary central incisor was inserted in order to open the required space for the replacement of missing tooth and to maintain the space for the future bridge or implant placement once the growth ceases (Table/Fig 6)(a-c).
After eight weeks of regular follow-up and orthodontic adjustments, Ribbond bridge was planned as it’s a minimally invasive and cost-effective procedure. A length of 3 mm-wide Ribbond (Ribbond, USA) 6fiber strip was cut (predetermined by dental floss), using special scissors (Table/Fig 7). The palatal surface of teeth 11 and 22 were prepared to receive the Ribbond (Ribbond, USA). As a pontic, pre-fabricated acrylic denture tooth was prepared by making undercut lingual groove and bonded in place with composite. Occlusion was adjusted and polished (Table/Fig 8). The child and the parents were instructed to not to bite hard food and objects from the temporary tooth and the bridge will help in only in aesthetics and phonation. Regular follow-up for every six months was advised.
Trauma to the primary teeth can lead to devastating sequels in successor teeth. Regular follow-up was recommended so that effects on permanent teeth can be detected early and if possible can be rectified. Lenzi MM et al., has concluded that dilacerations of crown is most commonly due to intrusion of primary teeth in the apical direction or tooth avulsion (1). In the present case,, also parents gave the history of fall at early years which can be the reason of dilaceration of tooth.
The management of dilacerated teeth should start at an early age in accordance with their eruption time so that non calcified root can develop a proper spatial relationship with formed crown which is already calcified and can change its direction (2). Failure of intervention may lead to delayed tooth eruption, midline shift, space closure due to adjacent teeth and alveolar crest height differences (3). All the teeth that have not erupted six months after the normal eruption time are strongly recommended to be examined radiographically to determine any possible cause for the delayed eruption. Intervention should begin as early as possible, so that normal root development can continue (4). In the present case also, the parents reported the child to the dental clinic at the age of 10 years which resulted in space closure and thus orthodontic management was carried out.
In addition to routine clinical examination, radiographic examination is also essential for diagnosing such anomalies. CBCT is indispensable in reaching out for definitive diagnosis and in modifying and improving the treatment planning. Treatment modalities for dilacerated tooth depend on the angulation of the crown and degree of impaction (5). In the present study, the tooth angulation does not allow surgical repositioning and orthodontic traction due to the complexity of the position of tooth (6). Fixed orthodontic brackets with NiTi open coil spring has advantage of shape memory and superelasticity with minimum load fluctuation. This property actually helps to induce large tooth movements without replacement of the spring (7).
Considering the patient’s young age, conservative temporary bridge (denture tooth type) Ribbond was used so that arch space can be conserved and it will improve the prognosis for the fixed prosthesis/ implant if planned in future. It is a bondable, polyethylene, lockstitch multidirectional reinforcement ribbon for composite resin (8). The Ribbond’s fibre strip imparts a multidirectional reinforcement to restorative materials by its unique and patented fibre weave (9).
Early detection of dilacerated tooth should be stressed by regular dental follow-up so that surgical intervention can be skipped. With any treatment, priority should be given to the patient’s concerns and expectations, at the same time ensuring the overall well-being of the child.
DOI: 10.7860/JCDR/2021/51335.15774
Date of Submission: Jul 10, 2021
Date of Peer Review: Aug 17, 2021
Date of Acceptance: Oct 21, 2021
Date of Publishing: Dec 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jul 19, 2021
• Manual Googling: Oct 21, 2021
• iThenticate Software: Nov 30, 2021 (22%)
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