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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
Images in Medicine
Full Version
Unmasking Hidden Pathology of Odontoma, Supernumerary Teeth and Cyst through the Lens of CBCT in a Young Child with Delayed Eruption: A Clinical Image
Correspondence Address :
Umapathy Thimmegowda,
No. 14, Ramohalli Cross, Mysore Road, Kumbalgodu, Bengaluru-560074, Karnataka, India.
E-mail: umapathygowda@gmail.com
Cone beam computed tomography, mixed dentition, deciduous tooth, tooth impaction
An 11-year-old boy reported to the Department of Paediatric and Preventive Dentistry with a chief complaint of crooked upper front teeth and delayed eruption of teeth in the upper jaw for approximately one year. The parents had noticed progressive irregular alignment and spacing in the maxillary anterior region during eruption of permanent teeth. There was no history of pain, swelling, discharge, trauma, or previous dental treatment. Medical and family histories were non contributory.
Clinical examination revealed retained primary maxillary left central and lateral incisors (61 and 62) with mobility. The permanent maxillary left lateral incisor (22) was clinically absent, while the permanent maxillary right lateral incisor (12) was palatally displaced and in anterior crossbite. Spacing was present in the maxillary anterior region with a midline diastema between teeth 11 and 21 (Table/Fig 1)a,b.
Initial radiographic evaluation using intraoral periapical radiographs and orthopantomogram demonstrated multiple radiopaque tooth-like structures surrounded by a radiolucent rim in the anterior maxilla, suggestive of a compound odontoma. Two impacted inverted supernumerary teeth were also observed in the same region, contributing to the eruption disturbance of adjacent permanent teeth (Table/Fig 2).
To determine the exact location and extent of the lesions, Cone Beam Computed Tomography (CBCT) was performed. CBCT revealed multiple radiopaque denticles measuring approximately 11.95×10.91 mm in the periapical region of tooth 21, causing thinning of both labial and palatal cortical plates (Table/Fig 3).
According to the 2022 World Health Organisation (WHO) Classification of Odontogenic Lesions, odontomas are considered developmental odontogenic hamartomas rather than true neoplasms (1). They are among the most common odontogenic lesions encountered during the mixed dentition period and frequently present with delayed eruption or impaction of permanent teeth (2),(3),(4). In the present case, CBCT revealed multiple radiopaque denticle-like structures in the anterior maxilla. Three of these denticles resembled miniature teeth with identifiable enamel and dentin components, while the remaining calcified structures exhibited irregular morphology. These characteristic radiographic features confirmed the diagnosis of a compound odontoma. Compound odontomas typically occur in the anterior maxilla and are characterised by the presence of multiple tooth-like structures arranged in an organised pattern (2),(3).
Further CBCT assessment demonstrated two inverted impacted supernumerary teeth positioned palatal to teeth 12 and 21. One supernumerary tooth measured approximately 11.79 mm and was located superior to the apex of tooth 11 with its crown directed towards the nasal floor. The second supernumerary tooth measured approximately 13.81 mm and exhibited apical root dilaceration directed towards the midline.
An additional significant finding on CBCT was a well-defined unilocular radiolucency surrounding the crown of the unerupted maxillary right canine (13). The follicular space measured approximately 5.40 mm, suggestive of a dentigerous cyst (Table/Fig 4). This lesion was not clearly appreciable on conventional two-dimensional radiographs and became evident only after three-dimensional evaluation.
The differential diagnosis included compound odontoma, complex odontoma, multiple supernumerary teeth, calcifying odontogenic cyst, and adenomatoid odontogenic tumour. The presence of multiple miniature tooth-like denticles with organised dental hard-tissue structures and characteristic radiographic appearance favoured a diagnosis of compound odontoma. The associated impacted supernumerary teeth and cystic enlargement of the follicular space surrounding tooth 13 established the final diagnosis of compound odontoma associated with two impacted supernumerary teeth and a dentigerous cyst.
The simultaneous occurrence of a compound odontoma, multiple impacted supernumerary teeth, and a dentigerous cyst in a single patient is uncommon. Although odontomas and supernumerary teeth are individually recognised causes of eruption disturbances, the simultaneous presence of multiple pathologies contributing to delayed eruption may increase diagnostic complexity and influence treatment planning. Such cases present a diagnostic challenge because conventional radiographs may reveal only the obvious calcified structures while overlooking associated cystic pathology. Furthermore, the presence of multiple lesions can alter the eruption path of adjacent teeth, increase treatment complexity, and influence the timing and nature of surgical and orthodontic interventions. In the present case, CBCT not only confirmed the odontoma and impacted supernumerary teeth but also revealed an associated dentigerous cyst that was not clearly evident on routine two-dimensional imaging. This additional finding significantly influenced treatment planning and highlights the value of three-dimensional imaging in the comprehensive evaluation of delayed tooth eruption in children.
The CBCT played a decisive role in the present case by accurately demonstrating the morphology of the odontoma, localisation of the supernumerary teeth, cortical plate involvement, and the associated dentigerous cyst. Previously published data have demonstrated the usefulness of CBCT in the assessment of impacted teeth and associated odontogenic lesions by providing accurate three-dimensional localisation and detailed evaluation of their relationship with adjacent structures, thereby facilitating treatment planning (5).
An interdisciplinary treatment plan involving paediatric dentistry, oral and maxillofacial surgery, and orthodontics was formulated. Surgical enucleation of the odontoma and dentigerous cyst along with extraction of the impacted supernumerary teeth and retained primary teeth was planned. Surgical removal of odontomas and supernumerary teeth is generally recommended to eliminate eruption obstruction and promote normal eruption of impacted teeth (6),(7). Subsequent orthodontic treatment was proposed to facilitate eruption, alignment, and establishment of functional occlusion. Combined surgical and orthodontic management has been reported to provide predictable functional and aesthetic outcomes in cases involving eruption disturbances caused by odontomas and supernumerary teeth (6),(7),(8),(9).
This case highlights the importance of CBCT in identifying hidden associated pathologies in children presenting with delayed eruption of anterior teeth. The coexistence of a compound odontoma, two impacted supernumerary teeth, and a dentigerous cyst created a complex diagnostic scenario that could not be completely appreciated on conventional radiographs alone. Three-dimensional imaging enabled accurate diagnosis, localisation of the lesions, assessment of their relationship with adjacent structures, and formulation of a comprehensive interdisciplinary treatment plan.
DOI: 10.7860/JCDR/2026/88554.24379
Date of Submission: Feb 25, 2026
Date of Peer Review: May 19, 2026
Date of Acceptance: Jul 09, 2026
Date of Publishing: Sep 01, 2026
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: Mar 12, 2026
• Manual Googling: Jul 05, 2026
• iThenticate Software: Jul 07, 2026 (1%)
ETYMOLOGY: Author Origin
EMENDATIONS: 8
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