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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
Case report
Full Version
Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-up
Correspondence Address :
Dr. Kanwalpreet Kaur Bhullar,
Professor and Head, Department of Conservative Dentistry and Endodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar-143006, Punjab, India.
E-mail: drkanwalpreetbhullar@gmail.com
Traumatic Dentoalveolar Injuries (TDI) refer to injuries to the tooth (crown/root) and/or the tooth-supporting structures (Periodontal Ligament (PDL)/alveolar bone) due to traumatic force. The incidence of trauma to maxillary anterior teeth is very high. Hereby, the authors present a case report of non surgical endodontic management of fractured maxillary anterior teeth in a 19-year-old female at the middle and apical third root levels. Clinical examination of the patient revealed multiple fracture injuries involving the upper anterior teeth. There was no response to the pulp sensibility test concerning teeth 11, 12, 21, 22, 23, and 24. The Conical Beam Computed Tomography (CBCT) results showed apical third root fractures in teeth 11 and middle third fractures in tooth 23. Resorptive abnormalities were visible in the periapical regions of teeth 11, 12, 21, 22, and 24. Root canal treatment was performed using a bioceramic sealer and Mineral Trioxide Aggregrate (MTA). Clinical, CBCT, and radiographic evaluations conducted 24 months after the initial treatment verified total resolution in the periapical areas of the affected teeth. The present case study demonstrated the usefulness of MTA for the rehabilitation of teeth with broken roots and bioceramic sealers in the treatment of resorptive defects in traumatised teeth. Clinical and radiological signs of healing were observed during a follow-up period of 24 months.
Bioceramic sealer, Dentoalveolar injuries, Root fracture, Traumatic injuries
A 19-year-old female reported to the Department of Conservative Dentistry and Endodontics with the chief complaint of pain and an unsightly appearance of her upper front teeth. The patient had a history of trauma one year ago in relation to the anterior maxillary region and underwent intermaxillary fixation for six weeks. The patient’s medical history was non contributory. Intraoral examination revealed fractures of the upper anterior teeth, which were tender to percussion and palpation. Grade 1 mobility was observed concerning tooth 21 according to the Miller index. There was no response to the pulp sensibility test, indicating pulp necrosis related to teeth 11, 12, 21, 22, 23, and 24. CBCT revealed a horizontal root fracture in the apical third of tooth 11 (Table/Fig 1)a-d. Bone resorption with a PAI score of 3 was recorded concerning teeth 11, 12, 21, 22, and 24 (1). A fracture at the junction of the apical third and middle third was seen in relation to the maxillary left canine.
Endodontic treatment was planned for teeth 11, 12, 21, 22, 23, and 24, followed by aesthetic rehabilitation with direct composite veneers. The patient was informed, and consent was obtained verbally. After achieving local anaesthesia and under rubber dam isolation, the access cavities were prepared, the necrotic pulps were extirpated, and the working length was determined using an electronic device, which was confirmed by radiographs (Table/Fig 2)a-d.
The irrigation protocol consisted of 2.5% Sodium Hypochlorite (NaOCl) and 17% Ethylenediaminetetracetic Acid (EDTA), with alternating saline irrigation. Passive Ultrasonic Irrigation (PUI) was performed to activate the irrigants. Cleaning and shaping were carried out until the minor apical diameter for all teeth except 23 due to the fracture line at the junction of the apical and middle thirds. The apical fragment of the roots was not biomechanically cleaned, and the instruments were limited to the coronal two-thirds portion, as only the coronal fragment requires root canal treatment. The pulp in the apical fragment is usually unaffected and does not become necrotic; hence, root canal filling procedures should only be performed upto the fracture line (2).
Following instrumentation, the root canals were dried with paper points and flushed with normal saline and chlorhexidine as a final rinse. A paste of Calcium Hydroxide Ca(OH)2 was administered to the root canal space, and the cavity was sealed with temporary material.
The patient was recalled after two weeks. Obturation was performed with gutta-percha and Bio-C sealer (bioceramic sealer) using the cold lateral compaction technique for teeth 11, 12, 21, 22, and 24 (Table/Fig 3). However, in the case of tooth 23, β-tricalcium Phosphate (TCP) graft was inserted at the fracture line through an orthograde approach to create an apical barrier and promote osteoconduction (3). MTA (white MTA-Angelus, Brazil) was used to create an apical seal and to fill the coronal fragment (Table/Fig 3). For aesthetic rehabilitation, the patient was informed about various aesthetic options, including ceramic veneers, crowns, and composite veneers. The patient chose composite veneers due to economic factors. Using high-speed, water-cooled diamond burs, 0.5 mm of facial reduction was performed on the six maxillary anterior teeth in preparation for direct resin-based composite laminate veneers. The cervical border was positioned 0.5 mm above the gingiva. After etching the surface with 37% phosphoric acid for 15 seconds, it was washed for 20 seconds and then dried. The prepared enamel was coated with a bonding agent (Adper Single Bond, 3M ESPE, USA) and light-cured for ten seconds. The patient’s maxillary anterior teeth were then restored using a resin-based composite (3M ESPE Filtek Z350). The gingival recession was covered with Beautiful II Gingiva Composite. Aluminum oxide discs (Sof-Lex; 3M-ESPE, St. Paul, MN, USA) were then used to polish the material to a high sheen (Table/Fig 4)a,b. The patient underwent radiographic, CBCT, and clinical evaluations at six months, one year, and two years. At these follow-up intervals, significant periapical healing was observed, with a periapical index score of 1 (Table/Fig 3),(Table/Fig 4),(Table/Fig 5). Clinically, the teeth exhibited perfect gingival health and no symptoms.
Damage to the teeth and adjacent alveolar bone is referred to as dental trauma. This can result from direct stress on the teeth and the supporting structures around them. It can cause displacement and/or fractures, in addition to separating and/or crushing the surrounding tissues (4). The amount of time between the injury and the start of therapy is crucial, as it affects the prognosis and therapeutic strategy. CBCT and other radiological tools improve the visualisation of severe dental injuries, especially crown/root fractures and lateral luxations. CBCT aids in locating the position, size, and direction of a fracture. The literature has shown that the incidence of root fractures among all dental injuries in the permanent dentition ranges from 1.2% to 7.0%, indicating that root fractures are not a very prevalent type of tooth damage (2),(5). The purpose of present report was to described a case of permanent maxillary front teeth that underwent non surgical endodontic care with a two-year follow-up, following a fracture of the apical and middle thirds of their roots.
The goals of dentistry are to preserve natural dentition and restore its function and aesthetics. In this case, there were multiple injuries to the upper anterior teeth along with root fractures. In the case of a fracture in the middle third part of the root, only the coronal segment was treated, as literature dictates that the pulp in the apical part remains unaffected and does not undergo necrosis (6). Thus, root canal filling was performed up to the fracture line. Due to its well-established physicochemical and biological characteristics, bioceramic was selected as the filler material for the coronal fragment. Because of its alkaline pH, this material not only exhibits antimicrobial properties but also promotes biological sealing by inducing osteogenesis and cementogenesis, while having a lower rate of microleakage (compared to calcium hydroxide) and maintaining its sealing ability in the presence of moisture (7). Therefore, Bio-C repair, a ready-to-use bioceramic material, was the material of choice for the filling in this particular instance.
When it comes to filling the fracture line in horizontal root fractures, MTA appears to be the ideal material (8). MTA is a bioactive substance that creates the perfect conditions for healing when it comes into close contact with human tissues. A β-TCP graft was employed for the apical seal and for bone regeneration prior to using MTA for root canal filling. Beta-tricalcium phosphate (β-TCP) (9) is a common alloplast used in periapical surgery to promote the development of new bone, as it is osteoconductive and releases bioactive ions during chemical resorption (3). Bio-C direct composite veneers result in minimal invasion and maximum preservation of sound tooth structure compared to indirect restorations, they were chosen for aesthetic rehabilitation. It is more prudent and desirable to repair rather than replace these restorations since, they are readily repairable. For this reason, direct composite resin restorations are now a good option for young patients in need of anterior restorative procedures (10).
Periapical healing and bone growth were observed in the vicinity of the fracture lines in the reported case. After 24 months, the patient had no symptoms, and the teeth were in a stable position, indicating a favourable prognosis.
The present case study demonstrated that a bioceramic sealer enhances the repair of periapical lesions in traumatised teeth. Additionally, β-TCP bone grafts used as a barrier in teeth with fractured middle third roots have improved healing and filled the bone defect. Long-term clinical and radiographic follow-up revealed complete healing, supporting the role of bioceramics in a conservative approach for root fractures. When it comes to young patients with traumatised teeth, direct composite veneers have proven to be a good substitute for crowns.
DOI: 10.7860/JCDR/2024/74866.20321
Date of Submission: Aug 13, 2024
Date of Peer Review: Sep 23, 2024
Date of Acceptance: Oct 14, 2024
Date of Publishing: Nov 01, 2024
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: Aug 14, 2024
• Manual Googling: Sep 21, 2024
• iThenticate Software: Oct 12, 2024 (13%)
ETYMOLOGY: Author Origin
EMENDATIONS: 7
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