IMA Journal – September 2022

Message from Team IMA Chennai Kauvery Alwarpet Branch

Dear colleagues

Greetings and best wishes from IMA Kauvery Alwarpet branch.

If your eyes are the windows to your soul, then your mouth is a mirror of your health. Good oral health care does more than prevent tooth decay and gum diseases.

Hence this month the, articles contributed by our department of Dentistry, which is by itself a multispecialty department at Kauvery.

Our best wishes to all our dentists

Yours in IMA service,
Dr S Sivaram Kannan

There is a lot of wisdom attached to teeth and so this month’s IMA carries the torch for wisdom with articles focused on dental hygiene and care.

Long live IMA.

Dr. Bhuvaneshwari Rajendran

Dear friends

Happy to release the next edition of our IMA Journal.

The department of Dentistry has given us the articles for this journal.

My sincere thanks to the team of dental surgeons.

Thanks to the editorial and branding team for getting the journal on time.

Long live IMA.

With regards
Dr R Balasubramaniyam

Pre surgical Dental evaluation and oral prophylaxis


The aim of this article is to highlight the significance of dental examination and dental prophylaxis before surgery under anaesthesia. A complete dental examination and prophylaxis not only prevents oral sepsis and helps the surgical outcome positively, but also helps in the speedy convalescence post operatively. This article will discuss about the connect between oral and general health, challenges in proceeding with pre surgical dental evaluation and prophylaxis, benefits and possible solutions.


The connection between oral health and general health is a well-established one. Various researches prove…

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Smile Designing


Smile is an emotion, an expression of happiness and love. An aesthetic set of dentition comprehends a beautiful smile. Aesthetic teeth help a person exhibit their smile with confidence. As clinicians, we aim at arranging the aesthetic components systematically to provide a person with a pleasing appearance and a vibrant smile. In this article, we present 2 case reports which were treated with different approaches and careful treatment planning to bring about the desired result of an aesthetic smile. In these cases, we have only worked on their dental components based on the facial components and have not made any facial changes.


Aesthetics, or esthetics, is a branch of philosophy that deals with the nature of beauty and taste, as well as…

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A large midline cyst in the maxilla presenting as spacing and discoloration front upper teeth - A case report


Mr A 35 year old patient presented with a swelling in the upper lip as bulging since 1 year. As per the patient he had visited two dentists outside prior to our consultation for dental spacing of front teeth with discolouration. Patient does not remember any injury to the front teeth from childhood  or any RTA resulting in any injuries to the teeth.

The dentists after seeing the spacing and discolouration performed radiographs and found the 4 upper maxillary incisors were non-vital and attributed to possible earlier injuries. Root canal treatment was performed on all 4 upper incisors as a first measure. Patient also had very expansible lesion in the anterior maxilla breaching bone and periosteum.

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Pregnancy and Dentistry


Pregnancy is a unique moment in a women’s life, it is associated with several physiologic changes that also impact oral health. Many oral diseases are frequently encountered in pregnant women, few of these are pre-existing, which tend to get exacerbated during this period.

Aim of this write up is to discuss the common oral challenges faced by pregnant women and to highlight options available which are deemed safe, which can go a long way in reducing  pain and anxiety associated with dental treatment.

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While dealing phobic patient conscious sedation plays an important role in alleviating fear, anxiety and pain. It is a safe method which reduces the need for general anesthesia especially in day care dental procedures.


Sedation is the reduction of irritability/ agitation by administration of drugs generally to facilitate a patient for diagnostic, interventional, medical or surgical procedure for the process of producing a degree of impaired response with or without loss of consciousness.

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Oral implications in patients undergoing Chemotherapy (CT), Radiotherapy (RT) or Chemoradiotherapy (CT&RT) for cancers


Oral cavity is a common site for adverse effects following RT, CT, RT &CT due to high oral mucosal turnover rates, diverse oral microbiome and trauma that can occurs in the oral tissues due to normal function. This article highlights the common oral effects during and post Radio and chemo therapy for cancers and simple interventions that can help mitigate these sequelae.


As cancer treatments have wide range of effects on the oral tissues, a referral to a dentist can prevent…

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The world is facing a devastating pandemic, caused by SARS-CoV-2. It causes secondary infections like fungal (Candida infections), rare mould infections (fusariosis) and COVID-19- associated mucormycosis are likely to be under-reported. The risk factors predisposing patients to mucormycosis are uncontrolled diabetes, neutropenia, haematological malignancies, organ transplantation, trauma and burn, and use of immunosuppressants such as corticosteroids. Furthermore, diabetes is also a particularly important comorbidity complicating COVID-19 management (1). 56.25% COVID-19 patients with Mucormycosis have maxillectomy (2). To rehabilitate the patients there comes the role of maxillofacial prosthesis, usually PMMA (poly methyl methacrylate) is used as a definitive prosthesis but flexible dentures are an excellent alternative to conventionally used methyl…

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