Aadej Comm 10 4 2024

AADEJ - The Communicator

The Communicator is the official journal of the American Association of Dental Editors and Journalists (AADEJ). It is published quarterly, distributed digitally via email to members, and posted on the Association's website, AADEJ.org. Each issue includes regular updates from the editorial team and AADEJ board, as well as feature articles on current issues in the field.

Unique Root Anatomy Of Mandibular Second Premolars: Clinical Strategies For Effective Disinfection And Preservation Of Dentine Structure In Root Canal Treatment-A Case Report, Ji Wook Jeong, Erika Silguero Gonzalez, Scott R Makins, Timothy Kirkpatrick

Faculty, Staff and Student Publications

It is difficult to predict the outcomes of non-surgical root canal treatment (NSRCT) for mandibular second premolars with multiple root canals. In these teeth, the complicated anatomy with fin(s), or a C-shape, and possible secondary canal(s) varies unpredictably. The morphology of the root canals provides shelters for bacteria to remain, regrow, and form biofilms despite the endodontic treatment. Moreover, the prevalence of mandibular second premolars with multiple canals is extremely infrequent. Therefore, the clinical management of NSRCT in such cases is not sufficiently reported. This case report introduces two cases of NSRCT for mandibular second premolars with a radicular groove …

Synergistic Effects Of Antimicrobial Components Of The Human-Derived Composite Amnion-Chorion Membrane On Bacterial Growth, Alexandra Su Brummerhop, Chun-Teh Lee, Robin Weltman, Gena D Tribble, Ransome Van Der Hoeven, Yulun Chiu, Jianming Hong, Bing-Yan Wang

Faculty, Staff and Student Publications

Introduction: The human-derived amnion-chorion membrane (ACM) has endogenous antimicrobial properties, which are important for preventing the colonization and survival of oral bacteria on exposed membranes. This project aimed to decipher the underlying mechanism by identifying the components of ACM that confer antibacterial properties. In addition, the antimicrobial efficacy of these identified components on oral bacteria was assessed.

Methods: Four antimicrobial proteins, histone H2A/H2B, cathelicidin LL-37, lactoferrin, and lysozyme, were identified via mass spectrometry in ACM. These proteins were then assessed for their efficacy in killing Streptococcus gordonii Challis. Log-phased bacterial cells were cultured with the commercially available proteins that were …

Proteoglycans In Mechanobiology Of Tissues And Organs: Normal Functions And Mechanopathology, Mary C Farach-Carson, Danielle Wu, Cristiane Miranda França

Faculty, Staff and Student Publications

Proteoglycans (PGs) are a diverse class of glycoconjugates that serve critical functions in normal mechanobiology and mechanopathology. Both the protein cores and attached glycosaminoglycan (GAG) chains function in mechanically-sensitive processes, and loss of either can contribute to development of pathological conditions. PGs function as key components of the extracellular matrix (ECM) where they can serve as mechanosensors in mechanosensitive tissues including bone, cartilage, tendon, blood vessels and soft organs. The mechanical properties of these tissues depend on the presence and function of PGs, which play important roles in tissue elasticity, osmolarity and pressure sensing, and response to physical activity. Tissue …

Is Preexisting Inflamed Jaw Marrow A “Hidden” Co-Morbidity Affecting Outcomes Of Covid-19 Infections? – Clinical Comparative Study, Johann Lechner, Robert E Mcmahon, Jerry E Bouquot, Florian Notter, Fabian Schick

Faculty, Staff and Student Publications

Introduction: Exceedingly high levels of the chemokine CCL5/RANTES have been found in fatty degenerated osteonecrotic alveolar bone cavities (FDOJ) and aseptic ischemic osteolysis of the jaw (AIOJ) from toothless regions. Because CCL5/RANTES seems to have a prominent role in creating the COVID-19 “cytokine storm”, some researchers have used the monoclonal antibody Leronlimab to block the CCR5 on inflammatory cells.

Objective: Is preexisting FDOJ/AIOJ jaw marrow pathology a “hidden” co-morbidity affecting some COVID-19 infections? To what extent does the chronic CCL5/RANTES expression from preexisting FDOJ/AIOJ areas contribute to the progression of the acute cytokine storm in COVID-19 patients?

Methods: Authors report …

N Y State Dent J January 2024

The New York State Dental Journal

In the January 2024 issue, the reader will find the following feature articles:

• When One Door Closes, Another Opens
• Oral Manifestations of Metastatic Diseases: A Clinical and Histologic Analysis of Seven Cases
• Dentistry Transformed: An Overview of Artificial Intelligence’s Role in Dental Care
• Unlocking the Future of Dentistry: A Summary of AI and Augmented Intelligence in Dentistry from ADA’s White Paper
• Diagnostic Detail: Understanding the Impact of Tooth Rotation in Correcting Mucogingival Defects

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and …

Comparison Of Dmft And Behavior Rating Scores Between Children With Systemic Disease And Healthy Children At The First Dental Visit, Gizem Erbaş Ünverdi, Beste Ozgur, H. Cem Güngör, Paul S. Casamassimo

School of Dentistry Faculty Research and Publications

Purpose: To evaluate and compare oral health and behavior scores at the first dental visit and dental treatment need using general anesthesia/sedation (GA/S) of children with systemic diseases (SD) and healthy children.

Methods: Data were obtained from healthy children (n = 87) and children with SD (n = 79), aged 4 to 6 years, presenting to a hospital dental clinic for a first dental examination. The total number of decayed, missing and filled teeth (dmft), dental behavior score using Frankl Scale, and dental treatment need using GA/S were recorded. Chi-square / Fisher’s exact test and Mann–Whitney U …

J Mich Dent Assoc January 2024

The Journal of the Michigan Dental Association

Every month, The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

The January issue sets the foundation for Children’s Dental Health Month in February, the reader will find the following original content:

• A cover commentary on Pediatric Dentistry
• A feature article on “Silver Diamine Fluoride as a Caries Management Option for the Young Child”.
• A feature on “Considerations Concerning Obesity-Related Education for Parents of Young Children”.
• Professional advice commentary on “Staying Focused on a Moving Target: Coping …

Mda Foundation: 2024 Promises Great Things From The Mda Foundation, Anne Berquist

The Journal of the Michigan Dental Association

The MDA Foundation is making significant strides in supporting dental and hygiene students and the community. In a recent announcement, 12 scholarships totaling $31,000 were awarded, thanks to donor generosity. The Foundation's upcoming Sparkling Smiles Celebration will provide an opportunity to meet scholarship recipients and acknowledge donors. The primary focus in June will be the Mission of Mercy event in Flint, aiming to offer essential dental care to up to 2,000 individuals. Volunteers are encouraged to participate, and financial support can be pledged online. Ongoing efforts include fundraising for the Karen Burgess Scholarship Endowment and the upcoming MDA Foundation golf …

Crown Fatigue Resistance And Enamel Wear Of 3d Printed Resin Compared To Lithium Disilicate, Pranit Vasant Bora

All ETDs from UAB

Purpose: The purpose of this study is to compare the wear characteristics and fatigue resistance of two dental crown materials: SprintRay Ceramic Crown, a 3D-printed resin material, and IPS™ e.Max CAD, a lithium disilicate material. Methods: This study evaluates wear and fatigue characteristics of dental crowns made from Ceramic Crown (SprintRay) and IPS e.max CAD LT (Ivoclar). For fatigue testing, custom fatigue devices were utilized to subject the crowns to cyclic loading, simulating occlusal forces. The specimens underwent 100,000 cycle intervals until 1.5 million cycles at a load of 40N of fatigue loading, with inspections conducted for signs of debonding, …

Effect Bioactive Material Have On Tooth Demineralization, Taillk Gomes

All ETDs from UAB

The objective of this in vitro study is to compare the inhibition of demineralization of root dentin caused by the presence of different restorative materials using Vickers Hardness (HV) test (microhardness) test and polarized light microscopy (PLM).

Orthodontically Induced Changes To The Genetic Profile In Periodontal Ligament Tissue And Cytokine Release In Gingival Crevicular Fluid – A Pilot Investigation, Nutthakarn Ratanasereeprasert, Li-Fang Hsu, Shih-Kai Wang, Chung-Chen Jane Yao

Faculty, Staff and Student Publications

BACKGROUND/PURPOSE: It has been known that genetic factors influence orthodontic tooth movement, however, scientific research on humans is lacking. Therefore, this study aimed to investigate dynamic changes to the genetic profile in human periodontal ligament (PDL) tissue and cytokine release in gingival crevicular fluid (GCF) during the first 28 days of orthodontic treatment.

MATERIALS AND METHODS: Fifteen teeth from three patients were recruited. Full-mouth fixed appliances with extraction of four premolars and one maxillary third molar was planned for orthodontic treatment. GCF collection and tooth extraction were performed following force application for 0, 1, 3, 7, and 28 days. GCF …

A Novel Odaph Mutation Causing Amelogenesis Imperfecta And Its Expression In Human Dental Tissues, Shih-Kai Wang, Zhe-Hao Lee, Parissa Aref, Kuan-Yu Chu

Faculty, Staff and Student Publications

BACKGROUND/PURPOSE: Amelogenesis imperfecta (AI), an assemblage of genetic diseases with dental enamel malformations, is generally grouped into hypoplastic, hypomaturation, and hypocalcified types. This study aimed to identify the genetic etiology for a consanguineous Iranian family with autosomal recessive hypocalcified AI.

MATERIALS AND METHODS: Dental defects were characterized, and whole exome analysis conducted to search for disease-causing mutations. Minigene assay and RT-PCR were performed to evaluate molecular consequences of the identified mutation and expression of the causative gene in human dental tissues.

RESULTS: The defective enamel of erupted teeth showed extensive post-eruptive failure and discoloration. Partial enamel hypoplasia and indistinct dentino-enamel …

A Novel Collaborative Learning Model For Mixed Dentition And Fillings Segmentation In Panoramic Radiographs., Erin Ealba Bumann, Saeed Al-Qarni, Geetha Chandrashekar, Roya Sabzian, Brenda S Bohaty, Yugyung Lee

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: It is critical for dentists to identify and differentiate primary and permanent teeth, fillings, dental restorations and areas with pathological findings when reviewing dental radiographs to ensure that an accurate diagnosis is made and the optimal treatment can be planned. Unfortunately, dental radiographs are sometimes read incorrectly due to human error or low-quality images. While secondary or group review can help catch errors, many dentists work in practice alone and/or do not have time to review all of their patients' radiographs with another dentist. Artificial intelligence may facilitate the accurate interpretation of radiographs. To help support the review of …

The Effect Of Systemic Antibiotics On Post-Surgical Complications And Patient-Reported Outcomes In Dental Implant Surgery With Simultaneous Sinus Floor Augmentation, Sutinee Tangamnuay

Chulalongkorn University Theses and Dissertations (Chula ETD)

Unnecessary antibiotic prescriptions can raise healthcare costs and affect the quality of life due to their related side effects. Objectives: Aim to assess the impact of antibiotic prophylaxis (AP) on the prevalence of postoperative complications in patients undergoing simultaneous implant placement with lateral sinus floor augmentation. Materials and Methods: A randomized, triple-blind, placebo-controlled trial was conducted involving 30 healthy patients. Participants were divided into two groups: one received 2g of amoxicillin before surgery and 500mg three times daily for three days post-surgery (antibiotic group, N=15), while the other received a placebo (N=15). Postoperative complications were evaluated at 2, 4, and …

The Influence Of Implant Thread Designs On The Secondary Stability Of Dental Implant, Rujira Charoenniwassakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: This study aimed to evaluate the secondary stability of aggressive thread design implant (BLX) comparing to nonaggressive thread design implant (BL) using Implant Stability Quotient (ISQ) values and Implant stability test (IST) values. Materials and Methods: Forty-five patients with healed edentulous areas were included and randomly allocated into test and control groups. Thirty-two BLX implants and thirty-two BL implants were used in the test and control groups, respectively. Dental implant stability was assessed using IST and ISQ values. IST values were measured immediately (T1), on day 2 (T2), and at 1 (T3), 2 (T4), 3 (T5), 4 (T6), 5 …

การศึกษาการสึกระหว่างโคบอลต์โครเมียมและวัสดุเซรามิกที่ใช้ในงานทันตกรรมดิจิตอล, มรกต ไทยรัตน์

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์: ทำการศึกษาสภาวะจำลองเพื่อวัดการสูญเสียปริมาตรจากการสึกหลังจากจำลองการขัดถู 250,000 รอบของโลหะผสมโคบอลต์โครเมียม (CoCr) กับวัสดุที่ใช้ทำการบูรณะฟันหลักห้าชนิด วัสดุและวิธีการ: เตรียมตัวอย่างทดสอบตัดเป็นสี่เหลี่ยมจำนวนชนิดละ 8 ชิ้น (5 x 5 x 2 มิลลิเมตร) จากโลหะผสมที่ไม่มีทองผสม (NP), ลิเธียมไดซิลิเกต (EM) เธียมไดซิลิเกตเสริมความแข็งแรง (TR) เซรามิคที่มีเรซินเป็นฐาน (CM) และเซอร์โคเนีย (ZR) ตัวอย่าง EM TR และ ZR ได้รับการเผาตามคำแนะนำของผู้ผลิต แท่งโลหะผสมโคบอลต์โครเมียมสร้างขึ้นโดยการหล่อโลหะแบบไล่ขี้ผึ้ง จำลองการสึกแบบสององค์ประกอบด้วยเครื่องจำลองการสึกจากการขัดถู จำนวน 250,000 รอบ วัดการสูญเสียปริมาตรของชิ้นงานทดสอบโดยใช้เครื่องวัดความหยาบพื้นผิว การสูญเสียปริมาตรของแท่งโลหะผสมคำนวณโดยการความยาวที่ลดลงและรัศมีของพื้นที่ที่เกิดบริเวณที่สึก วิเคราะห์ข้อมูลทางสถิติโดยใช้ MANOVA (pNP>ZR) การสูญเสียปริมาตรของแท่งโลหะหลังการสึกในกลุ่ม CM น้อยกว่าในกลุ่ม EM และ NP ในขณะที่กลุ่มอื่น ๆ ไม่มีความแตกต่างกันอย่างมีนัยสำคัญ

Needs Assessment For Sexual Violence Trauma-Informed Care In The Dental Field, Joshua Garufi

Antioch University Dissertations & Theses

Trauma-informed care provides a framework for health care providers to more effectively treat their patients who have a history of trauma (Hamberger et al., 2019). Upon reviewing the literature, there is a paucity of research on trauma-informed care in the dental field. This research performed a needs assessment to determine if trauma-informed care is being implemented into the curriculum at a specific dental school, SUNY Buffalo. This research also inquired about residential dentist and faculty attitudes toward trauma-informed care being implemented in the dental field. Two short, original surveys were administered to residential dentists who recently graduated from the University …

E-Cigarette Aerosol’S Effect On The Force Degradation Of Elastomeric Chain: An In Vitro Study, Joshua D. Lokant

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

E-Cigarette Aerosol’s Effect on the Force Degradation of Elastomeric Chain: An in Vitro Study

Joshua Lokant D.D.S.

Background and Objectives

Orthodontic elastomeric chain is used in orthodontic treatment for various applications such as closing spaces, aligning teeth, correcting midlines, promoting even spaces, and retracting teeth. Ideally, this force is light, continuous, and maintains a constant force between orthodontic appointments. There are many companies that manufacture polyurethane power chain, and their proprietary formulas give rise to different force levels and constancy of force. When the power chain is in the mouth, it is subject to food, liquids, temperature changes, pH …

Breaking The Bamboo Ceiling And De-Bunking The Model Minority Myth, Yun Saksena

Journal Articles: College of Dentistry

Leadership roles must incorporate representation from all involved individuals for the resulting decision-making process to reflect the interests and expertise of a diverse organization. Many resources have rightly focused on developing historically underrepresented racial and ethnic (HURE) leaders. Though numbers of Black and Hispanic dental school deans have increased, more work is needed for these and other HURE groups such as American Indians. Asians are not classified as HURE. As an aggregated group they have robust presence in the dental workforce in North America, the United Kingdom and Australia. The assumption is they are fine, so the group is ignored. …

The Impact Of Aging And Storage Conditions On The Performance Of Universal Adhesives: A Systematic Review, Maryam Ghamgosar, Mehrsima Ghavami-Lahiji, Sanaz Mihandoust, Enayatollah Homaie Rad, Hassan Salehipour Masooleh, Lobat Tayebi

Electrical & Computer Engineering Faculty Publications

Objective: This systematic review evaluated how different storage times and conditions affect universal adhesives' bond strength and degree of conversion (DC).

Methods: A literature search was conducted in PubMed, Scopus, Web of Science, and Google Scholar databases for articles published from January 1st, 2000, until May 15th, 2022. The researchers comprehensively evaluated the articles using a multi-step process to identify articles relevant to the topic of interest. Quality assessment was performed through the ROBDEMAT tool. Due to the high heterogeneity in the preliminary data, performing a meta-analysis was not feasible.

Results: A total of 3169 records were obtained, and after …

Influence Of Scaling And Root Planing With Minocycline Microspheres On Clinical Outcomes Of Patients With Periodontitis, Nupoor Sandeep Kulkarni

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Scaling and root planning (SRP) has been established as a “gold-standard” non-surgical initial treatment for periodontitis. Along with SRP, some systemic adjuncts like systemic antibiotics were used in the past to gain maximum benefits of SRP by reducing the need for further periodontal surgeries. Due to some drawbacks of systemic antibiotic use, like “transient antibiotic resistance”, “non-adherence” and “insufficient concentrations in the periodontal pockets to be clinically effective”, there was a shift towards the use of local antibiotic adjuncts to SRP like minocycline, tetracycline, chlorhexidine etc. Minocycline is a semi-synthetic tetracycline derivative which is available in a powder form, …

Clinical Significance Of Gutta Percha Variability, Alex R. Pancake

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The production of gutta percha points as root canal therapy filling materials vary from hand processing to machine processing with a range of acceptable levels of error (tolerance). Similarly, endodontic files manufactured to complement corresponding gutta percha points exhibit specified levels of tolerance. Investigations into the consistency among manufacturers of files and gutta percha points is limited. The aim of this study is to see how variability in apical gauge and taper of gutta percha points affected the clinical performance during cone try in. The null hypothesis of this study is that there is no difference in two gutta …

Comparative Cephalometric Study Between Class Ii Patients Treated With Herbst Appliance And Patients Treated With Mara, Mona Meky

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Comparative cephalometric study between Class II patients treated with Herbst appliance and patients treated with MARA

Mona Meky, D.D.S.

Background and Objectives: Functional appliances have been used for over 100 years in orthodontics to correct Class II malocclusions. The Herbst and the MARA appliances have different designs that may enhance mandibular growth. Recent clinical evidence has questioned whether they really have a lasting influence on facial growth and that the effects of these appliances were mostly dentoalveolar rather than skeletal. The objective of this retrospective comparative study was to compare the dental and skeletal changes between Class II division …

Enhanced Bmp Signaling In Cathepsin K-Positive Tendon Progenitors Induces Heterotopic Ossification, Hiroyuki Yamaguchi, Margaret Li, Megumi Kitami, Sowmya Swaminathan, Yuji Mishina, Yoshihiro Komatsu

Faculty, Staff and Student Publications

Heterotopic ossification (HO) is abnormal bone growth in soft tissues that results from injury, trauma, and rare genetic disorders. Bone morphogenetic proteins (BMPs) are critical osteogenic regulators which are involved in HO. However, it remains unclear how BMP signaling interacts with other extracellular stimuli to form HO. To address this question, using the Cre-loxP recombination system in mice, we conditionally expressed the constitutively activated BMP type I receptor ALK2 with a Q207D mutation (Ca-ALK2) in Cathepsin K-Cre labeled tendon progenitors (hereafter “Ca-Alk2:Ctsk-Cre”). Ca-Alk2:Ctsk-Cre mice were viable but they formed spontaneous HO in the Achilles tendon. Histological and molecular …

Comparison Of Edta And Boric Acid Irrigation In Terms Of Root Canal Dentin Microhardness And Sealer Penetration Depth, Selen İnce Yusufoğlu, Esma Saricam, Neslihan Bulak, Mustafa Güngörmüs, Fatih Tulumbacı, Suat Özcan

Journal of Dentistry Indonesia

Chemo mechanical preparation is one of the important stages for successful endodontic treatment, and Boric acid has been proposed as an alternative irrigation solution for root canal treatment. Objective: The purpose of this study was to evaluate the effect of irrigation with boric acid (BA) and EDTA on the mineral content and microhardness of dentin and penetration of the AH Plus root canal sealer. Methods: 63 single-rooted teeth were instrumented. Microhardness analysis, 45 teeth were cut longitudinally and then transversely to obtain dentin. Pre- and post-treatment microhardness values were measured. The samples were randomly assigned into 3 groups …

Effect Of Triple Antibiotic Paste, Double Antibiotic Paste, And Calcium Hydroxide On Antibiotic Resistance Of Tet Repressor Proteins, Tetracycline Resistance Gene W, And Tetracycline Resistance Gene Q: A Randomized Controlled Clinical Trial, Ertuğrul Karataş, Özgen Kırmızıbekmez, Mustafa Özkan Baltacı, Ahmet Adıgüzel

Journal of Dentistry Indonesia

Objective: To investigate the effect of the use of Calcium Hydroxide (Ca(OH)2), Triple Antibiotic Paste (TAP), and Double Antibiotic Paste (DAP) as intra-canal medicaments on the development of antibiotic resistance by evaluating tetracycline genes. Methods: Forty five patients were randomly assigned into 3 groups according to the intracanal medication using a web program (www.randomizer.org), (Ca(OH)2, TAP and DAP). Root canal bacteriological samples were collected before root canal treatment (S1) and after chemo-mechanical procedures (S2). Following root canal shaping procedures, intra-canal medication of the root canals was performed with selected intra-canal medicament. A second appointment was planned for the …

Evaluation Of Trabecular Bone Around The Impacted Maxillary Canine On Cbct Images By Fractal Analysis, Zeynep Betül Arslan, Berrin Çelik

Journal of Dentistry Indonesia

Objective: The aim of this study was to evaluate the position, angulation and surrounding trabecular bone structure of a unilateral impacted maxillary canine (IMC) tooth using fractal analysis. Methods: Cone beam computed tomography images of 50 patients (38 female, 12 male) with unilateral IMC were selected for this retrospective study. A 25x25 pixel region of interest (ROI) was selected in the trabecular bone between the premolars on the impacted and non-impacted side and fractal analysis was conducted. The angulation of unilateral impacted canines was measured and the position was categorized as vestibular, intra-alveolar and palatal. Results: Of …

The Effect Of Several Electric Cigarette Puffs On Nanohybrid Composite Resin Surface Roughness, Alvi Rizqi Amaliyah, Haris Budi Widodo, Irfan Dwiandhono

Journal of Dentistry Indonesia

Nanohybrid composite resin is a dental restorative material comprising micro and nano-sized fillers. When accompanied by smoking habits, it can alter the surface roughness of composite resin. Objective: This study aimed to determine the effect of several electric cigarette (e-cigarette) puffs on the surface roughness of nanohybrid composite resin. Methods: This study was conducted in the experimental laboratory with a pretest-posttest control group design using 48 nanohybrid composite resin specimens divided into six groups. Subsequently, the experimental groups were exposed to 75, 150, 225, 300, and 450 puffs of e-cigarette, and the control group was given artificial saliva …

Management Of Ankyloglossia In A Non-Syndromic Patient Using A Super Pulsed Laser: A Life-Changing Treatment- A Case Report, Urfi Jawed, Afaf Zia, Ramniwas Kumawat, Afshan Bey, Maahin Mahmood

Journal of Dentistry Indonesia

Objective: Ankyloglossia affects a person’s overall well-being and life, from malnutrition due to poor feeding and mechanical problems to psychological stress and low self-esteem, thus affecting social life. This case reports the use of non-scalpel techniques, such as a super pulsed laser, to manage ankyloglossia in a non-syndromic patient suffering from speech incompetence and restricted tongue mobility and highlights its advantages over other conventional techniques. Case Report: A 17-year-old male patient presented with a complaint of restricted tongue mobility, due to which he could not pronounce certain words clearly. As the patient was apprehensive about the use of …