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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
Rehabilitation of Mandibular Partial Edentulous Arch using Ceka Revax Semi-precision Attachment: A Case Report
Correspondence Address :
Chithra Melavanki,
47/2 A, Sadashiv Nagar, Near APMC Police Station, Belgaum, Karnataka, India.
E-mail: chithramelavanki@gmail.com
There are many prosthetic treatments modalities in rehabilitating partially edentulous condition. It is a technically difficult task for any prosthodontist to treat partially edentulous condition because retention and stability are the two main problems. Attachments are available with small interlocking devices which connects prosthesis and abutments which improves retention and stability and esthetics. Ceka attachment can be used to obtain retention and stability for the prosthesis. A 48-year-old-female patient reported to the Department of Prosthodontics, Crown and Bridge with chief complaint of missing teeth with respect to teeth number- 12,13,14, 22,25,26,35,36,37,45,46,47. This case describes rehabilitating maxillary missing teeth and posterior edentulous mandibular arch using semi precision attachment (Ceka Revax Extracoronal Green). Precision attachments have two metal components which form an articulate joint with first component or matrix or keyway which is attached to clinical contours of a cast restoration and the second component of patrix is attached to the removable partial denture. This case required multidisciplinary approach, technical skills and treatment offered showed excellent patient acceptance and also met aesthetic demands too.
Extracoronal attachments, Keyway, Multidisciplinary approach, Removable partial denture
A 48-year-old-female patient reported with a chief complaint of missing teeth in relation to upper and lower arch. No relevant medical, surgical and personal history was given by the patient. On intraoral examination, it was noted that decay was present in 16, missing teeth were 12,13,14,22,25,26,35,36,37 and 45,46,47 [Kennedy’s class I with mandibular arch], and restorations were done in 27,44 (Table/Fig 1). Radiographically it was found that there was root canal treatment performed with respect to 11,15 due to periapical infection of teeth (Table/Fig 2). After clinical and radiographic examination, multiple fixed partial denture with maxillary arch and extracoronal CEKA Revax precision attachment for mandibular bilateral distal extension was planned.
Diagnostic cast and face bow transfer were made and mounted to Hanau Wide-Vue articulator (Table/Fig 3),(Table/Fig 4), (Table/Fig 5). Broderick’s analysis was done to establish occlusal plane with mandibular arch (Table/Fig 6). Wax mockup was done for maxillary and mandibular arch. Tooth preparation of abutment teeth 11,15 and 21,23,24,27 was performed to receive porcelain fused to metal fixed partial denture. The abutments prepared 11,15,21,23,24,27 were temporised after making definitive impression with addition silicon impression materials and master cast was made with die stone. After following all laboratory procedures, metal ceramic fixed partial crowns were fabricated for 11 to 15 of five unit and 21 to 23 of three unit and 24 to 27 of four unit. Bisque trial was done for the same. Finally all the porcelain fused to metal crowns were glazed and cemented to the maxillary teeth (Table/Fig 7). Based on available interarch space, the attachment selected was CEKA Revax Extracoronal Green with one attachment and three different plastic profiles 30,45,60 with size M2 size RE01175 TI and M3 size OL 0275 TI (Table/Fig 8).
Crown preparations were done on 33,34 and 43,44. Master cast was obtained from putty and light body impression. Wax patterns of copings were made to which the plastic profiles of the CEKA attachments were attached (Table/Fig 9). Laboratory procedures of investing and castings were followed. Bisque trial was done with CEKA attachments in patient’s mouth and also evaluated for the fit (Table/Fig 10). Fabricated metal ceramic crowns were provisionally cemented and pick-up impression was made using medium body impression material in custom tray. Cast partial denture frame work was fabricated from the obtained master cast. Wax frame work was done with liva wax, cured with UV light and then followed the casting procedure. The frame work of cast partial denture was tried in patient’s mouth to verify the fit (Table/Fig 11). Maxillomandibular relations were recorded with occlusal rim which was adapted on the framework. Try-in was done after the teeth arrangement. Acrylisation of cast partial denture was completed using heat cure acrylic resin (Table/Fig 12). Using glass ionomer cement, the Porcelain Fused to Metal (PFM) crowns with attachment were cemented on 33,34 and 43,44. Cast partial denture was attached to these PFM crowns and occlusion was checked (Table/Fig 13),(Table/Fig 14). Postoperative care and oral hygiene instructions were given to the patient. Follow-up was done after 48 hours. Patient was recalled after six months for the check-up. Maintenance of oral hygiene, handling of the prosthesis and the final adjustments were easy as the cast partial denture was removable type.
Removable partial denture is a prosthesis that replaces few teeth and it can be removed and replaced from the mouth at patients will (1). In 1951 by Karl Cluytens, a dental laboratory technician from Antwerp, Belgium developed the CEKA attachment to balance between cosmetic appeal and functional stability in partial dentures (2). Precision attachment is highest form which provide better esthetic and function (3). Few retrospective studies have shown long-term survival rate (2). According to Arora et al., the CEKA attachment is a prefabricated, extracoronal, resilient attachment (non-rigid), which will help to distribute the destructive forces away from the abutments and soft tissues (4). Decision must be made whether to use an intracoronal or extracoronal attachment, resilient or a non resilient type that can be used within the available space to gain retention, stability and strength for prosthesis (5).
Since, there was sufficient space available in the present case, extracoronal precision attachments were selected. Resilient attachments allow free movements which will distribute the forces and support bone and tissue (6). Criteria to choose different systems are based on the principle of force distribution which maintains the health of the remaining teeth and alveolar ridges. Each package of CEKA Revax Extracoronal Green contains one attachment and three different plastic profiles (30°, 45°, 60°) with available M2 size RE 0175 TI and M3 size OL 0275 TI which has exceptional feature with improved esthetics and less postoperative adjustments. It has got cup shape female part available in M2 size: RE 0100 TI, M3 size: OL 0200 TI made up of TITANAX alloy, which has to cement to CEKA site with CEKA bond. There is retention part available of M2 size: RE 0075, M3 size: 694 AKS which is made of TITANAX alloy which has to be fixed in acrylic denture base. Male spring pin 166 of available size M2: RE 0031 M3 size: 694 C which is made up of PALLAX alloy, bonded to retentive part with CEKA bond to prevent gradual unthreading. CEKA Revax Extracoronal Green attachment provides ease of utilisation and serviceability. There is laboratory kit available to fix all the male and female metal components. Construction of such attachment require skill and needs training. The (Table/Fig 15) shows advantages, disadvantages, uses and limitations of CEKA precision attachments. The parts of the attachment are usually exposed to wear and tear and needed to be replaced over time (7). A good dual impression technique, broad coverage, stable denture base, splinting of abutments and proper selection of attachments is an essential factor for stress control on abutment teeth in distal extension cast partial denture (8). Sabhlok A et al., explained about cuspids and bicuspids in both quadrants which will evenly distribute the forces and also increases retention and stability. Splinting of canine and 1st premolar in the present case was helpful in providing good support and stress control (9). According to Feinberg E, attachments which are passive, dissipates lateral forces (10). Gupta S et al., explained that attachment retained partial denture last longer, wear less, need less adjustments and are easier to clean (11). In the present case, maintenance of oral hygiene, handling of the prosthesis and final adjustments were easy with CEKA type of cast partial denture. Finally, there is need of experience, technical skills and knowledge on principles for success of every precision attachment (12),(13).
Partially edentulous patient often seek tooth replacement for comfort, esthetics and function. Dental practitioners often find difficulty in achieving retention and stability in partial edentulous ridges. Proper treatment planning is must for the use of precision attachment systems. The role of splinting, occlusal analysis, removal partial denture design and correctable cast impression procedures are most important adjunct in the use of CEKA extracoronally retained removable partial denture. The economy, simplicity of care, and comfort in function make this type of prosthesis acceptable to patients. Ease of insertion and removal, abutment selection, periodic recall are very important factors for success of prosthesis. This case required multidisciplinary approach, technical skills and offered excellent patient acceptance and also met aesthetic demands too.
DOI: 10.7860/JCDR/2022/53657.16622
Date of Submission: Jan 01, 2022
Date of Peer Review: Jan 29, 2022
Date of Acceptance: May 03, 2022
Date of Publishing: Jul 01, 2022
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: Jan 04, 2022
• Manual Googling: Apr 30, 2022
• iThenticate Software: Jun 14, 2022 (19%)
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