Article in PDF
How to Cite
Citation Manager
Readers' Comments (0)
Audio Visual Article Statistics
Link
to PUBMED
Print this Article
Send to a Friend
Advertisers
Access Statistics Resources
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
Case report
Full Version
Minimally Invasive Therapy for Smile Correction using Gingivoplasty, Tooth Bleaching and Resin Composite Restorations
Correspondence Address :
Dr. Luís Felipe Espíndola-Castro,
Av. General. Newton Cavalcanti, 1650-Tabatinga,
Camaragibe-PE, 54756-220, Recife, Pernambuco, Brazil.
E-mail: luis.espindola@upe.br
A multidisciplinary approach and minimally invasive therapies are essentials to obtain effective results from aesthetic dentistry. Minimally invasive dentistry requires minimal intervention for the placement and replacement of restorations. This paper reports a case of 24-year-old female, who was dissatisfied with her dark and unsatisfactory dental restorations. After the clinical examination, it was proposed to perform a gingivoplasty, tooth bleaching and replacement of the unsatisfactory restorations with resin composite. Initially, the gingivoplasty was performed, which consisted of the following steps- periodontal probing, measurement of new zeniths and marking of bleeding points, internal bevelled incision and removal of the gingival collar with periodontal curettes. After healing period, using the combined technique, in-office bleaching was done with 35% hydrogen peroxide followed by three weeks at-home bleaching with 16% carbamide peroxide. The unsatisfactory restorations were replaced with resin composite according to dental substrate. Sequentially, occlusal adjustment, finishing and polishing with sanding discs and felt discs were performed. The multidisciplinary approach in the execution of the treatment was fundamental for the aesthetic harmonisation of the smile, providing health, well-being of the patient and professional satisfaction.
Composite resins, Dental aesthetics, Tooth whitening
A 24-year-old female patient with a non remarkable medical history and no known drug allergies attended the Dentistry clinic complaining of darkened and unsatisfactory dental restorations which were performed four years ago. The patient reported that for at least two years, the restorations bothered her.
Intraoral examination revealed anatomical discrepancy between the length of the upper anterior teeth, excessive gingival display confirming type IA altered passive eruption (gummy smile) (1), and unsatisfactory restorations on teeth 11 and 21 (Table/Fig 1). Also, the non vitality of the teeth was verified by pulp test and the patient was referred to an endodontist for the endodontic treatment on teeth numbers 11 and 21. Gingivoplasty, tooth bleaching and replacement of the unsatisfactory restorations with resin composite was the treatment plan.
Initially, supragingival scaling with periodontal curettes associated with prophylaxis with pumice stone (Biodinâmica, Ibiporã, PR, Brazil) and water were performed, in addition to guidance on oral hygiene. Under local infiltration of anaesthesia, a periodontal probing was performed with a millimetre probe and bleeding points were marked, delimiting the new gingival zenith. Subsequently, incisions were given with a 15C scalpel blade- intrasulcular and internal bevel incisions (Table/Fig 2). After cutting the gingival margin, the tissue was removed with a periodontal curette and the healing period of 30 days was respected.
After this step, tooth bleaching treatment was started. Initially, the color evaluation was performed with the Vita classic scale (A3). Impressions of the upper and lower arches were made with alginate, cast was poured with special plaster (Coltene, Rio de Janeiro, Brazil) to obtain arch models, and individual trays were made with siliconised plates (1 mm) in a vacuum plasticiser. The patient was instructed on the use of the bleaching gel containing 16% carbamide peroxide (FGM, Joinville, SC, Brazil) once a day for 4 hours for 21 days, according to manufacturer’s instructions. Three sessions of in-office bleaching with 35% hydrogen peroxide whitening gel (FGM, Joinville, SC, Brazil) were also performed with 7-day intervals between sessions (Table/Fig 3).
After obtaining the final result of tooth bleaching VITA classic scale A1, unsatisfactory restorations were removed from the teeth 11 and 21. Subsequently, prophylaxis was done and composite resin colour compatible with the dental substrate was chosen (Table/Fig 4). Etching was carried out with 37% phosphoric acid for 30 seconds in enamel and 15 seconds in dentin. Then, the conventional adhesive (FGM, Joinville, SC, Brazil) was applied with a disposable brush followed by jets of air to volatilise the solvent and polymerisation for 20 seconds was done (Table/Fig 5).
The restorative procedure was performed using the free hand technique and insertion of increments of composite resin. Initially, Trans N resin was used for the palatine shell conformation (polymerization for 20s). Subsequently, increments of resin with opacity corresponding to dentin (DA2) were inserted (polymerization for 40s) and, finally, the buccal surface was covered with composite resin with translucency compatible with enamel (EA1). In the last layer, a composite resin modeler was used to assist in the surface smoothness of the restoration and accommodation of the composite resin (Table/Fig 6). At the end of the restorations, occlusal adjustment was performed and the finishing and polishing was carried out with Sof-lex Pop on sanding discs (3M, Saint Paul, Min, USA) and felt discs (TDV, Pomerode, SC, Brazil) (Table/Fig 7). After all these multidisciplinary approaches, the patient was satisfied with the dental treatment performed (Table/Fig 8)). The patient was recalled after one week for follow-up and the aesthetic were well maintained.
Aesthetic rehabilitations with multidisciplinary treatments have become a challenge for the dental surgeon. In this way, it is essential to diagnose and outline an adequate therapeutic plan in order to obtain satisfactory results in a conservative way (2).
Excessive gingival display can be treated by gingival plastic surgery, which remodels, eliminates the excessive exposure of gingiva, and shows the correct dimensions of teeth (3). A recent study showed excellent results after surgical treatment, improving functional and aesthetic aspects, as well as addressing patient aesthetic expectations (4).
To create a harmonious and aesthetic smile, it is necessary to analyse the symmetry between the contours of the lips, shape of the teeth, gingival contour and the facial shape (5). In the case presented, a slight gingival excess was identified, confirming the diagnosis of type IA altered passive eruption (1). After the diagnosis, a gingivoplasty was proposed, which made it possible to value the anatomical characteristics and improve the proportion of dental zenith (2).
In addition to the red aesthetics, the white aesthetics is a key element in the composition of a smile. Tooth darkening, for example, is one of the main disharmonies perceived in teeth in social interaction (6). In order to reverse tooth chromatic changes, tooth bleaching is a procedure widely performed (7). In this case report, to perform tooth bleaching, a combined technique was chosen, which consists of 3 weekly sessions of in-office tooth bleaching with 35% hydrogen peroxide whitening gel and supervised bleaching with 16% carbamide peroxide. This combined technique allows a safer clinical treatment for the patient, with longer lasting results compared to only one of the techniques, in addition to promoting greater speed in terms of patient and professional expectations (8). After 15 days of bleaching treatment, the result was considerably satisfactory.
In a randomised clinical trial study by Kothari S et al., (2020) (9), patients were firstly subjected to in-office bleaching with 37.5% hydrogen peroxide, in three sessions, and then supervised bleaching with 10% carbamide peroxide for 14 days (9). Through visual evaluation by a digital spectrophotometry device, the evaluators observed better results in bleaching with the combined technique. It is also important to emphasise that in this case report, the bleaching procedure was performed previously replacing the unsatisfactory restorations, which allowed less wear of healthy tooth tissue, increases final result quality and dental luminosity (2).
On the basis of the conditions observed, replacement of unsatisfactory restorations was proposed using the direct or indirect technique. The indirect technique with ceramic laminates or composite resin enables good biological compatibility and excellent clinical results, however, this technique requires greater tooth wear and laboratorial steps (10). However, in the present study, direct restorations with composite resin were performed to reduced chair side time, preserve the remaining tooth tissue, for good aesthetics, and a good cost-benefit ratio (2).
At the end of the restorations, the finishing and polishing was carried out. This clinical step should not be neglected, as it provides greater surface smoothness of the restoration, minimises the deposition of bacterial plaque, hinders the pigmentation of the composite resin and provides greater clinical longevity (11). According to a previous study by Jang JH et al., (2017) the use of Sof-lex Pop on sanding discs, which were used in this study, promotes better surface shine, colour, and good marginal adaptation (12).
Thus, based on the results obtained in the present clinical case, this study reinforces the importance of multidisciplinary treatment to achieve a satisfactory aesthetic functional result and patient satisfaction.
Multidisciplinarity was essential for the execution of present clinical case of aesthetic harmonisation of the smile. Aesthetic dental treatments must be conservative and sensible, providing well-being and health to the patient. A conservative approach with reduced tooth wear was sufficient for the smile aesthetic improvement.
DOI: 10.7860/JCDR/2022/56322.16820
Date of Submission: Mar 13, 2022
Date of Peer Review: Apr 01, 2022
Date of Acceptance: May 27 2022
Date of Publishing: Sep 01, 2022
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? No
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Mar 22, 2022
• Manual Googling: Apr 01, 2022
• iThenticate Software: May 25, 2022 (5%)
ETYMOLOGY: Author Origin
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase
- EBSCOhost
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)
- www.omnimedicalsearch.com