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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
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Tamil Syllable to Record Vertical Dimension in Edentulous Patients- A Phonetic Technique
Correspondence Address :
Dr. Preetha Krishnamurthy,
Consultant, Department of Prosthodontics, Private Practitioner, Chennai, Tamil Nadu, India.
E-mail: preethakrishnamurthy@gmail.com
In edentulous patients, an accurate recording of vertical dimension is always a prime consideration for any dentist. Though there have been many advances in techniques and materials for recording vertical dimension, there is still a lack in describing an accurate method of evaluation in edentulous patients. This article describes a quick and easy phonetic technique using Tamil syllables to record the vertical dimension in edentulous patients. Vertical dimension was assessed by asking them to pronounce Tamil syllables. The phonetic method described in this article reduces the chair side time and use of other equipment, ensuring comfort for both the patient and clinician while determining vertical dimension in edentulous patients.
Edentulism, Jaw relation, Prosthodontics
The Vertical Dimension of Occlusion (VDO) is critical for proper reconstruction of relationship between the jaws (1). According to the Glossary of Prosthodontic Terms, VDO is defined as the distance measured between two points when the occluding members are in contact (2),(3). Vertical Dimension at Rest (VDR) is the height of the lower part of the face measured between the two reference points when the mandible is in physiological rest position (1). Occlusal Rest Space (ORS) is the distance between the occlusal surfaces of antagonistic teeth when the jaw is in the position of physiological rest (4). This is the difference between VDR and VDO (1).
A major issue that several clinicians foresee leading to complete denture failure is the error in determining the VDO. Methods for determining VDO mostly date back to the early 20th century. However, it was Niswonger’s method which gained popularity and became the most commonly used method of determining VDO (VDR-freeway space). The most popular phonetic aid in determining rest position was the labial ‘M’ sound. Alternatively, patients could be engaged in conversation and measurement made when the patient pauses during dialogue (2). Silverman identified that it was easier and accurate to record a measurement, which was based on muscular phonetic enunciation as the patient loses voluntary muscular control of the mandible rather than recording a measurement, which was based on relaxation (4). Thus, this article aimed to describe a phonetic technique, which could help in easy and accurate recording of VDO in edentulous patients.
Technique
On clinically assessing and treating patients over a period of 10 years, a simple yet clinically accurate phonetic method was identified to establish vertical dimension in edentulous patients. The patients were seated upright with the head unsupported as the force of gravity adds to the force applied by the jaw opening muscles. If the patient is reclined, gravity does not pull the mandible down and the distance between the jaws is lesser than when the head is upright (5).
It was ensured that the occlusal rims were stable and in cases where they lacked stability, adhesives were used to enable an accurate recording. Additionally, it is recommended to either exactly locate the borders or slightly underextend the borders of the record bases to reduce the influence of muscles acting and displacing the bases as the phonetic method was employed. During jaw relation, the anterior level of maxillary occlusal rim was adjusted according to patient’s aesthetics. 1-2 mm of the occlusal rim was visualised below the level of the upper lip when the patient was at rest. Fullness was set after checking the columella angle and the nasolabial fold. The anterior plane was established parallel to the interpupillary line and posterior plane was made parallel to the camper’s plane. The patient was then trained to assume rest position, either by using the swallowing, tactile or the phonetic method. Following this, the mandibular rim was inserted into the patient’s mouth. The occlusal plane was below the dorsum of the tongue anteriorly and about two-thirds the height of the retromolar pad posteriorly. Once this was achieved, the plane was adjusted to make even contact with the maxillary rim. The patient was asked to pronounce two words namely 'NAALU' and 'ANJU' in Tamil and as the patient did so, the upper and the lower occlusal rims should not touch. At this point, the lips were retracted to evaluate the space between the rims, and a space of 1-2 mm was considered ideal. This provided the adequate freeway space, thus establishing the VDO. If the space between the rims was <2 mm, the lower occlusal rim was reduced in height. Likewise, if >2 mm of space existed, wax should be added to the lower occlusal rim to obtain an adequate space of 2 mm. Other parameters like the midline, canine line, smile line was then marked on the maxillary occlusal rim, extended onto the lower rim and the patient was made to close in centric either using the passive methods (mandible retruded by the patients themselves) or active methods (with physical assistance from the dentist). This completed the recording of the jaw relation without the need to manually record measurements.
One of the most important variables without diminishing the importance of others in fabricating complete dentures is an accurate determination of VDO (1),(6),(7). There are many methods of determination, some based on fact and others on opinion. All have an element of clinical judgment and therefore are open to errors (8). Thus, an accurate scientific method of assessing VDO clinically was a pressing need.
Phonetics can help determine a patient’s existing vertical dimension and guide in proper placement of anterior artificial teeth, location of neutral zone, posterior palatal seal, and other limiting areas of the complete denture (2). Thus, in this study, the phonetic technique using Tamil syllables 'NAALU' and 'ANJU' to assess the vertical dimension in edentulous patients. It was found to be an easy and quick chair side method. Complete dentures fabricated using this technique had good functional and aesthetic acceptance by patients (1),(9),(10). The observations of our study were in accordance with previous studies. Morrison ML put forth the use of English words “sixty-six” (66) and “Mississippi” to measure the VDO in edentulous people (11). Sharry JJ determined VDO by phonetic method using Arabic words (12). Suvin M stated that the consonants apt for testing were “M”, “F” and “S”, and the vowels “O” and “I” (13). Pouysségur V et al. proposed the use of the letter “S”, surrounded by a neutral vowel (“E”, “EU”) as an ideal phonetic instrument for determining the vertical dimension (14). A survey was conducted by Willie RG to determine the most common methods of establishing VDO (15). Phonetic and aesthetic appearance were found to be the most common methods. Methods relying on deglutition and tactile muscle sense of the patient were next in popularity. Those relying on the use of the Willis measurement and Boos bimeter were in the minority. Employing phonetics, aesthetic appearance, and deglutition were the most popular combination of methods (9). Similarly, Basler FL et al., evaluated the accuracy of phonetics in conjunction with aesthetics, tactile sense, and deglutition and found all three methods to be equally reliable in determining vertical dimension (16). Although, Ismail WH and George WA concluded that the phonetic method was questionable, it is a fundamental feature of prosthetic rehabilitation. If phonetics is not considered in the treatment plan, adequate results cannot be obtained (17). The technique put forth relying on phonetics, comfort of the patient coupled with the dentist’s skill proves to be quick and accurate in determining vertical dimension in edentulous patients.
Limitation(s)
In patients with medical complications impairing speech, this technique cannot be used, and physiologic rest position can be alternatively used to determine the vertical dimension.
The methods available to determine vertical dimension are factual in nature and a universally accepted method for precise determination is lacking. Irrespective of the method used, the clinician should be mindful of its merits and demerits. With the phonetic methodology put forth, a good level of accuracy can be reached in determining the vertical dimension in prosthodontics. It proves to be an easy and viable approach. Additionally, the use of words familiar to patients enables them to be at ease and help obtain satisfactory results.
DOI: 10.7860/JCDR/2022/56881.16840
Date of Submission: Apr 05, 2022
Date of Peer Review: May 07, 2022
Date of Acceptance: Jun 20, 2022
Date of Publishing: Oct 01, 2022
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? NA
• For any images presented appropriate consent has been obtained from the subjects. NA
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: May 02, 2022
• Manual Googling: May 09, 2022
• iThenticate Software: Aug 17, 2022 (20%)
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