Asian Journal of Dental Sciences <p style="text-align: justify;"><strong>Asian Journal of Dental Sciences</strong>&nbsp;aims to publish&nbsp;high-quality&nbsp;papers (<a href="/index.php/AJDS/general-guideline-for-authors">Click here for Types of paper</a>) in all areas of&nbsp;‘Dental research’. This journal facilitates the research and wishes to publish papers as long as they are technically correct, scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer-reviewed, open access INTERNATIONAL journal.</p> Asian Journal of Dental Sciences en-US Asian Journal of Dental Sciences Fiber Post Used for Reattachment of Fractured Tooth Fragment: A Case Report <p>Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. In recent past conservative and aesthetic reattachment of the fractured teeth has gained popularity. It also restores function, provides a positive psychological response, and is a relatively simple procedure. In this case presented below is a case of Ellis class III horizontal fracture in respect to 11. In order to do conservative treatment a combination of external enamel bevel and internal dentinal groove has been used to enhance the bonding between the fractured fragment and the remaining tooth. The treatment was found to be successful both functionally and aesthetically at the 12-month follow-up.</p> Shafia Rashid ##submission.copyrightStatement## 2020-10-14 2020-10-14 25 28 Endodontic Management of Mandibular Lateral Incisor with Talon Cusp: A Case Report <p><strong>Introduction:</strong> Talon cusp is an uncommon developmental anomaly which is characterized by the presence of an extra cusp-like structure projecting from the cingulum area of maxillary or mandibular incisors. It consists of enamel, dentine with or without pulp tissue. Its aetiology is still unknown; however, its formation is attributed by the hyperactivity of the enamel organs during the morpho-differentiation stage.</p> <p><strong>Case Report: </strong>A healthy 15-year-old Malay female came to the paediatric dental clinic with the chief complaint of teeth sensitivity. An intra-oral examination revealed presence of a prominent cusp on the lingual surface as well as a deep fissure on the labial surface of mandibular right lateral incisor with a slight degree of mobility due to periapical abscess. An intraoral periapical radiograph revealed a radiopaque projection. The treatment was a root canal.</p> <p><strong>Conclusions:</strong> This case highlights the endodontic treatment of periapical lesions on the mandibular lateral incisor with talon cusp in an adolescent patient. Diagnosis and management of a rare anomaly are essential in the dental practice.</p> N. D. L. Luqman A. M. Azmimurad S. Zaharudin S. H. Hamzah N. A. Ramlan A. S. Hussein ##submission.copyrightStatement## 2020-08-10 2020-08-10 1 7 Langerhans Cell Histiocytosis the Great Mimicker, Awareness in Oral Diagnosis and Management <p><strong>Aim:</strong> Langerhans cell histiocytosis or LCH is an atypical cancer originating form histocytes. Dental manifestation may mimic aggressive form of periodontitis with gingival overgrowth and bleeding, advance&nbsp;&nbsp; alveolar bone loss as well as generalized mobility of tooth. The ambiguity of its clinical features is one of the factors that makes identifying the disease a difficult task.</p> <p><strong>Presentation of Case:</strong> A 30 years old Malay man came with complain of gingival swelling and bleeding on the upper right quadrant associated with bad breath, scarce saliva, generalized tooth mobility, and whitish slough on the gingiva. The condition however does not present with pain or any systemic condition. The patient claimed to be systemically healthy. Intraoral examination displayed a diffused, erythematous swelling over attached gingiva on the maxillary posterior buccal region bilaterally along with sign of loss of pyramidal shape and ulceration with a punched-out profile covered by necrotic slough.</p> <p><strong>Discussion:</strong> Diagnosis of LCH is done with the aid of immunohisto chemical analysis of CD1a and S100. The clinical course of LCH is highly unpredictable and irregular, improvement noticeable with conventional periodontal treatments in controlling the oral manifestations of LCH on early course of the disease.&nbsp;</p> <p><strong>Conclusion:</strong> Proper multidisciplinary approach is essential in the management for the benefit of the patient in such rare entity.</p> Muhammad Hilmi Bin Zainal Ariffin Nor Hidayah Reduwan Wan Nur Hazirah Faizal Hafez Hidayat ##submission.copyrightStatement## 2020-09-01 2020-09-01 8 11 Perforating Sialolith: A Case Report <p>Sialolithiasis is one of the common disease affecting salivary gland of head and neck region mainly submandibular gland. They are calcified deposits found in gland or its duct, composed of organic and inorganic substances. Rarely they enlarge in size above 10 mm and cause perforation of the floor of mouth. Such sialoliths are called as giant sialoliths. They manifest as a hard swelling in floor of mouth, associated with pain. Diagnosis is confirmed with the help of radiographs – occlusal radiograph, orthopantomogram or computed tomography scan in which the stone manifest as well defined radio-opacities. Various modalities of treatment were described in literature, which include intraoral/extraoral sialolithotomy, milking of gland, resection of gland etc. The choice of treatment should be based on size and location of the stone. Here we report a case of perforating sialolith in a 62 year old male patient treated by intraoral sialolithotomy.</p> Shobha Sikkerimath Aditya Anshu Anu Jose ##submission.copyrightStatement## 2020-09-14 2020-09-14 12 15 Use of a Custom Incisal Guide Table for Anterior Guidance Rehabilitation with a Combined Prosthesis: A Case Report <p>Restoring anterior guidance in prosthetic rehabilitation should involve both esthetics and function. In fact, the functional aspect must represent the starting point for achieving optimal esthetics.</p> <p>A correct anterior guidance should be comfortable, functional and stable, even without posterior teeth contact.</p> <p>The anterior guide table is a device used for transferring the unique features of a specific anterior guidance developed in provisional restorations to the final restorations.</p> <p>The purpose of this article was to describe a technique used for the construction of a customized incisal guide.</p> Ben Kalifa Sarra Mabrouk Yosra Labidi Amel Mansour Lamia Trabelsi Mounir ##submission.copyrightStatement## 2020-10-26 2020-10-26 40 46 Gorlin-Goltz Syndrome: Report of 4 Cases <p>Gorlin-Goltz syndrome, also known as basal cell nevomatosis (CBN), is a rare inherited disorder belonging to the family of neurocristopathies or diseases caused by abnormalities of the neural ridges. We report the case of 4 patients, suffering from this syndrome, followed up in the stomatology and maxillofacial surgery service in Casablanca, including a familial form in two cases: a mother and her son and 2 isolated cases, followed and treated in our service of maxillofacial surgery of the August 20 hospital in Casablanca.&nbsp; A clinical, biological and radiological assessment was made followed by surgical treatment for the 3 patients, an anatomo-pathological examination and the establishment of a strict monitoring plan.</p> Ouassime Kerdoud Faical Slimani ##submission.copyrightStatement## 2020-11-07 2020-11-07 47 54 Mandibular Lower Incisors: Alternative Approach for Ligature-Induced Periodontitis Model in Rat, Clinical and Bone Serum Biomarker Assessments <p><strong>Aims: </strong>The ligature-induced periodontitis model is one of the standard approaches through ligating the second maxillary molar tooth in rat models, however the procedure is technique sensitive, thus we proposed the technique of ligation of the lower incisor.</p> <p><strong>Place and Duration of Study:</strong> Animal Laboratory, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia.</p> <p><strong>Methodology:</strong> 16 rats were used in the model to simulate periodontal tissue destruction by a two-week ligature placement around the mandibular incisor. The rats were analyzed for clinical attachment loss and radiographical finding to evaluate presence inflammatory bone loss, as well as changes in bone serum biomarkers.</p> <p><strong>Results:</strong> Two weeks after ligature placement gingival inflammation was significantly induced as well as increase depth of gingival sulcus accompanied by increased plaque level at local site. Mean probing depth increased from 0.41 ± 0.02 mm to 1.35 ± 0.04 mm as well radiographical changes increase from 6.41 ± 0.02 mm to 7.36 ± 0.04 mm after 14 days of ligature which are both statistically significant (P &lt; 0.05). Bone serum biomarker assessment also shows significant difference for of OPG from 574.06 ± 30.76 to 508.70 ± 18.30, DKK1 at T0 was 1163.29 ± 56.87and 1154.86 ± 63.99, SOST from 1598.06 ± 172.77 to 1425.35 ± 225.75 and FGF23 from 590.27 ± 13.87 to 624.00 ± 18.34.</p> <p><strong>Conclusion:</strong> This proposed technique is likely to facilitate the use of the rat ligature-induced periodontitis model and thus add to a better understanding of the immunopathological mechanisms of periodontitis.</p> M. H. Zainal M. F. H. Hidayat F. H. Al-Bayaty ##submission.copyrightStatement## 2020-10-26 2020-10-26 33 39 Potential Barriers to Accessing Dental Care for the Nepalese Community in the United Kingdom <p>Superstitious beliefs have been present for thousands of years and vary around the world. Superstitions regarding health are common among some parts of the Nepalese population. These beliefs can range from harmless to dangerous, with potentially serious health implications. Many superstitions are related to dentistry. The rising Nepalese population in the UK means that practitioners may be faced with patients holding similar beliefs. Knowledge of the beliefs of this population and how they may affect their health-seeking behaviors can help practitioners overcome potential barriers to care.</p> Sandeep Acharya ##submission.copyrightStatement## 2020-10-16 2020-10-16 29 32 Assessment of Undergraduate University Students’ Knowledge and Awareness of Oral Cancers in Brunei Darussalam <p><strong>Aims: </strong>The objective of this study is to assess current level of awareness and knowledge of oral cancer among undergraduate students in Brunei Darussalam</p> <p><strong>Study Design:</strong> Cross-sectional study using self-administered questionnaire</p> <p><strong>Methodology:</strong> The English language self-administered questionnaires were distributed to a random sample of undergraduates in the two universities. The respective university representatives distributed the questionnaires to students from random modules. 184 students from UBD and 198 students from UTB were included. The questionnaire has been pretested by 5 university students before the study began.</p> <p><strong>Results:</strong> A total of 392 students completed the questionnaires. Only 46.4% of the students were aware of the term ‘oral cancer’ and mere 1.5% were able to identify oral cancer diagnostic tests. Overall oral cancer knowledge level was low with a mean knowledge score of 37.3% only. However, 76.3% (95%CI: 71.9, 80.3) were able to identify tobacco smoking as a risk factor followed by poor oral hygiene 55.5% (95%CI: 61.6, 71.2) and 53.3% (95%CI: 48.2, 58.3) chewing tobacco or betel nut<strong>. </strong></p> <p><strong>Conclusion:</strong> Oral cancer awareness and knowledge among undergraduates is poor. Effective oral cancer promotion and education by relevant agencies are highly suggested, particularly in tertiary education settings.</p> Jia Hui Lim Norazah Abu Bakar Hanif Abdul Rahman Jagjit Singh Dhaliwal ##submission.copyrightStatement## 2020-09-15 2020-09-15 16 24