UNIVERSITY JOURNAL OF DENTAL SCIENCES

Guest Editorial

2023-05-31T01:24:25+0530

To evaluate the knowledge and awareness of Dental Implants and Periimplantitis among students of HCDSH, Hazaribag, Jharkhand: A Questionnaire Survey

2023-04-29T04:23:43+0530

Abstract

Introduction: Dental implants are widely accepted as a prosthetic treatment of completely or partially edentulous patients ever since the concept of Osseo integration has been accepted. However, there is a lack of information regarding the knowledge of Dental Implants and especially, the awareness of Peri-implantitis among students.

Objective: To evaluate the knowledge and awareness of Dental Implants and Peri-implantitis among students of HCDSH, Hazaribag, Jharkhand.

Materials and Method: A cross sectional Survey was conducted among 210 participants which included both Undergraduate and Postgraduate students of HCDSH, Hazaribag, Jharkhand using a self-explanatory questionnaire. The awareness about maintaining the hygiene for dental implants, cost, advantages, disadvantages and also knowledge about periimplantitis was assessed and the results were tabulated.

Results: 98.5% of students had heard about dental implants. 64.4% students cited high cost as the biggest disadvantage of a dental implant. Only 54.7% of students had heard about Periimplantitis. 59.8% of students didn’t know the clinical features of Periimplantitis. 68.8% of students had never heard of peri implant mucositis. 68.5% of students were clueless when it came to the clinical feature of Peri implant mucositis and 65.2% of students did not know the sequelae for Peri implant disease.

Conclusion: The results of the present survey showed that the majority of the students were largely aware about dental implants but a significant majority of them were unaware about periimplantitis.

A Comparative Study of pH Changes, Releasing Elements and solubility of Bioceramic Sealers.

2023-03-25T03:24:31+0530

Abstract:

Introduction: Bioceramic technology has been introduced recently in endodontics to benefit from the hydroxyapatite formation during the setting reaction in the presence of tissue fluid and establish a chemical bond at the dentin interface.

Aim: To compare the physiochemical properties (pH changes, releasing elements and solubility) of different newer Bioceramic sealer (Ceraseal) with mineral trioxide aggregate (MTA-Fillapex) sealers.

Material and Method: Samples were prepared by using three different injectable sealer placed in 20 ring moulds, 10 of each sealer. Each sample was prepared with an internal diameter of 10 mm and a height of 3mm. The samples were digitally weighed to register the mass of each specimen before and after immersion in distilled water. The pH value was measured by a digital pH meter, releasing elements measured in atomic absorption spectrophotometer, and solubility measured in digital weighed machine. After 1, 7, 14 and 28 days, pH changes, released elements and solubility was the data obtained calculated and statistically analysed.

Results: Ceraseal Sealer exhibited high alkaline pH over time and also showed significantly higher solubility (P < 0.05).

Conclusion: Bioceramic sealer shows more alkalinity and calcium ion release compared to the MTA sealer. The alkalinity nature of the bioceramic sealer, corresponds to the increase in solubility. So bioceramic sealer are more alkaline, calcium releasing and soluble.

Evaluation of the accuracy of light polymerizing tray material for splinting in open tray implant impressions: An In-vitro 3D Spatial Analysis.

2023-03-25T03:24:32+0530

Aims and objective: Precise reproduction of the intra-oral spatial relationship of implants with an impression becomes the first step in achieving an accurate, passively fitting prosthesis. This in vitro study aims to compare the dimensional accuracy of dental implants in casts obtained from open tray splinted implant impression techniques using two different splinting materials.

Methods and Material: A mandibular acrylic model with four implant analogues was used as a reference model. Open tray impression copings were attached to the implant analogues and were splinted using two different materials. Group I-splinted with pattern resin, sectioned and re-joined and Group II- splinted with light cure tray material. Eight polyether impressions were made for each group and poured in type IV dental stone. The casts retrieved from each group were three-dimensionally analysed using coordinate measuring machine with 0.001 mm accuracy. A one-way ANOVA and post hoc test was done to calculate the statistically significant difference between the groups.

Results: The present study revealed no significant difference in the inter-implant distances obtained from pattern resin splinted group, whereas, significant difference in z-axis was found in light polymerising tray resin splinted group when compared to the values obtained from the reference model.

Conclusions: Casts obtained from splinting the impression copings using pattern resin before making implant impression were found to be more accurate than splinting with light cure tray material.

Predictability of MKG & Tau angle and their correlation with ANB angle, W angle, Yen angle, Beta angle, and WIT’S appraisal in Central Indian Population

2023-03-25T03:24:32+0530

For orthodontic diagnosis and treatment planning there are various ways to assess the jaw discrepencies. Using various parameters such as ANB, Wit’s appraisal, Beta, Yen, and W angles, with some limitations. To overcome these, MKG angle and Tau angle were proposed.

Aim and objective: The present study assesses the predictability of MKG and Tau angle and its correlation with previous parameter. Materials and methods: A total of 105 lateral cephalograms were selected. Samples were divided into, Class I, Class II and Class III based on ANB angle. WITS appraisal, Beta angle, Yen angle, W angle, MKG angle and Tau angle were also measured. Kruskal-wallis test, followed by post hoc tuckey analysis and correlation coefficient analysis were done to assess the significance of association between these parameters. Results: Tau angle and Beta angle were noted to be most predictable for differentiating Class I, Class II and Class III, MKG angle was found to be less predictable for differentiating samples. Conclusion: Tau angle can be used along with ANB and Beta angle for assessing sagittal jaw relationship.

Comparative evalutation of effect of different mouthwashes on color stability of different composites- an vitro study.

2023-05-31T01:25:26+0530

Abstract-

Background- Color is the important property for the restorative materials to have long-term durability in the oral cavity. Color is important in aesthetics, characterizing and personalizing a smile.

Aim- The aim of this study was to evaluate the effects of five commercially available mouthrinses (Listerine, Colgate plax, Clohex Plus, Orahex Plus and Senquel-AD) on color stability of three different resin-based composite restorative materials.

Material and Methods - A custom made stainless steel split mold was used for fabrication of forty-eight samples of each composite resin material (Durafill VS, Z100, Filtek Z350 XT). The samples were immersed in distilled water after curing for 24 hours. Baseline measurements for Color stability were taken. After that, each group was immersed in 20 ml of assigned mouthrinse solutions and incubated at 37° C for 24 hours. The samples were resubjected to Color stability tests. The change in color difference was calculated.

Statistical analysis-

Result- The results revealed that all mouthrinses tested changed the color of the composite resins.

Conclusions- It may be concluded that the effect was both mouthrinse and material dependent.

Evaluation of dislocation resistance of three different resin-based root canal sealers from radicular dentin -An ‘in vitro’ study.

2023-05-31T01:24:40+0530

Aim: The aim of this study is to evaluate the dislocation resistance of three different resin-based root canal sealers from radicular dentin -An ‘in vitro’ study.

Methodology: Sixty extracted human maxillary canines were sectioned transversally below the cement-enamel junction to obtain 2-mm-thick dentin disks that were randomly divided into three groups (n = 20) for treatment with one of three different root-canal sealers (AH Plus [Dentsply DeTroy, Germany], Bioseal (Equinox Holland), EndoREZ [Ultra dent]). Standardized cavities were prepared to simulate root canals, cavities were filled with sealer material, and push-out bond-strength testing was performed using a universal testing machine.

Result: In the present study amongst all the three sealers tested viz AH Plus, EndoREZ & Bioseal. EndoREZ (Group III) goes most superior (14.97 ± 3.17 MPa), followed by AH Plus (Group II) (13.29 ± 2.27 MPa) & the least bond strength was seen with Bioseal (Group I) (4.83 ± 1.62 MPa).

There was a gradual decrease in bond strength from a coronal third of radicular dentin to the middle third followed by an apical third in all three groups.

Conclusion: Amongst all the three-sealer tested EndoREZ® gave the maximum bond strength, followed by AH Plus® & then Bioseal. Bioseal gave the least bond strength irrespective of the area in radicular dentin. There was a gradual decrease in bond strength from the coronal third of radicular dentin to the middle third followed by an apical third in all three groups.

Keratocystic Odontogenic Tumor- A Rare Pediatric Case Report with an Impacted Premolar

2023-03-25T03:24:32+0530

Keratocystic Odontogenic Tumor which presently is also termed as Odontogenic keratocyst (OKC) this new title was given by WHO in 2005. It is a benign intraosseous cystic lesion of the gnathic bones which probably originates from the remnants of the dental lamina. We Present the case of a female child aged 12 years with aggressive KCOT and impacted maxillary second premolar.

One Step Apexification in a Resorbed Tooth Using Autologous PRF as Internal Matrix and Biodentine Apical Plug

2023-03-25T03:24:32+0530

Apexification is defined as a method to induce a calcific barrier in a root with open apex or the continued apical development of an incompletely formed root in teeth with necrotic pulp tissue. The presented case was of a 26‑year‑old male patient with discoloured tooth associated with external resorption and periapical pathology in relation to the upper front right tooth. Teeth with open apex due to root end resorption pose difficulties during endodontic treatment because of the wide‑open root apex and thin dentin walls. This article describes the procedure of single‑visit apexification using a new calcium silicate‑based material (Biodentine) as an apical barrier along with platelet‑rich fibrin as internal matrix.

Second Mesiobuccal and Distobuccal Canal in Maxillary Primary Second Molar. A Case Report

2023-03-25T03:24:33+0530

Disparity in number of root canals were reported by different authors in permanent teeth but out knowledge is still at infancy about pulpal configuration of primary teeth, so the aim of this case report is to update our clinical proficiency in finding extra canals in maxillary primary second molar to prevent endodontic failure.

Ussualy upper primary molars is bounded with 3 canal ie. Mesiobuccal, distobuccal and palatal. Occasionally one can find fourth and fifth canal ie. Second mesiobuccal and second distobuccal canal respectively. So this case report summarises same.

Keywords : pulpectomy, endodontic failure, second mesiobuccals canal, second distobuccal canal.

Source of support : NIL

Conflict of interest:NIL

Porcelain Veneer: A Case Report

2023-03-25T03:24:33+0530

The porcelain veneer is very esthetic and conservative treatment modality for many indications. The success of porcelain veneer depends very much on the method of fabrication and most importantly case selection. An attractive appearance with veneer has shown to increase people’s self-confidence, personal relationship, and even the success in his or her career. Hence with veneer, it is possible to create amazing esthetic results and yet retain considerable solid tooth structure.

I-PRF Incorporated Absorbable Collagen Membrane for GTR based Recession Coverage : A Case Report

2023-04-10T03:32:50+0530

Introduction: Gingival recession defects in the esthetic zone demands a concurrent correction of all the involved teeth in a single surgery. Wound healing is a complex phenomenon and the concurrent use of collagen membrane and Injectable Platelet rich fibrin (I-PRF) will greatly enhance the process. Thus the aim of this case report is to evaluate the effectiveness of Coronally advanced flap (CAF) with collagen and I-PRF in the management of gingival recession management. There was 90% mean root coverage and good patient esthetic satisfaction. Thus CAF with collagen and PRF is an effective treatment modality in the management of multiple gingival recessions.

Treatment of Vertical Intrabony Defect using a Novel Entire Papilla Preservation Flap Technique with bone graft and Titanium Platelet Rich Fibrin: A Case Report

2023-03-25T03:24:33+0530

Treatment of intrabony defects is always a difficult task to manage for a periodontist. Various problems have been encountered like black triangle, increased food lodgement, plaque accumulation and ultimately failure of procedure were experienced. Thus more conservative approaches like papilla preservation flaps and Non-incised Papillae surgical approaches are preferred. But due to drawbacks of existent techniques there was an introduction of novel surgical technique, the Entire Papilla preservation Flap (EPPF). The present case report is a detailed description of treatment of vertical intrabony defect using EPPF technique, bone graft and titanium platelet rich fibrin membrane with 9 months follow up.

Management of Lingual Traumatic Fibroma in An Epileptic Patient Using Diode Laser

2023-03-25T03:24:33+0530

Traumatic fibroma is a benign exophytic and reactive oral lesion that develops secondary to repetitive trauma or irritation. Most commonly affected sites are tongue, buccal mucosa, and lower labial mucosa. These are well demarcated, smooth, pedunculated or sessile, exophytic lesions which are similar to the surrounding mucosa in color. Generally, it is non-tender but local irritation may lead to painful ulceration. Treatment plan includes complete excision and removal of the cause of irritation. Excision can be done by scalpel, electrocautery or Laser. The excision of the fibroma with diode laser is a safe procedure, with minimum postoperative discomfort and complications. Recurrences are rare but may occur due to repetitive trauma at the same site.

A rare case of Central Giant Cell Granuloma mimicking Solitary Bone Cyst

2023-05-31T01:25:41+0530

Background- Central giant cell granuloma is an uncommon benign tumor of jaws, most prevelant in anterior region of mandible. It has both aggressive and non aggressive nature and occurs in young adults.

Case presentation - We present a case of a central giant cell granuloma in a 21 year old boy who presented with all the features of solitary bone cyst. Lesion was present in right body of mandible and diagnosis was made histopathologically followed by surgical enucleation.

Conclusion - Our case demonstrates a rare clinical and radiographic appearance of central giant cell granuloma which was also an accidental finding. Prompt diagnosis and treatment plan can prevent further damage and improve outcome.

Management of mucosal fenestration using Platelet Rich Fibrin membrane following root resection.

2023-05-31T01:25:11+0530

Mucosal fenestration associated with maxillary first molar is rare but challenging to treat when there is loss of marginal bone along with buccally oriented root angulation. The exposed root within the oral cavity along with large mucosal defect makes it susceptible to plaque accumulation and infection. This case report showcases the management of mucosal fenestration associated with mesiobuccal root of Left Maxillary first molar by root resection and Platelet rich fibrin membrane.

A Unique Case of Sialolith in Stensen’s Duct in A Young Boy: A Case Report

2023-05-31T01:24:55+0530

Salivary gland sialolith are rare in the paediatric population though they are common in adults. Parotid ductal sialoliths account for only 3% of all cases of sialolithiasis. It is more common in submandibular duct. The usual presentation is pain and swelling during mealtimes owing to salivary duct obstruction. Different modalities can be used to make the diagnosis starting from history, physical examination, ultrasound, sialography, or CT scan. The mainstay of treatment is surgery and the extent of surgery depends on whether the stone is in the salivary duct or intraglandular portion. Here, we report a rare case of unilateral sialolithiasis in stensen duct in a 7 year old male child which was removed trans-orally.

Understanding the role of molecular and genetic alterations in proliferation and progression of oral squamous cell carcinoma : A review article

2023-03-25T03:24:33+0530

Oral carcinogenesis is known as multifactorial process which engaged plentiful genetic events that transform normal activity of tumor suppressor genes and oncogenes. It is observed that aggregation of genetic alterations is the ground for advancement of a normal cell to cancer cells, which is known as a multi-step carcinogenesis. Because of this event, growth factor production increases as well as increase in total of receptors on cell surface and increased intracellular signal messengers. The present review scrutinize the existing documentation in the literature related to the oral squamous cell carcinoma. English language articles were searched in various databases such as Pubmed, Scopus, Science direct and Google scholar. The keyword used for searching are “oral squamous cell carcinoma”, “Genetics and Oral squamous cell carcinoma”,“Molecular mechanism in oral squamous cell carcinoma”. The present review spotlights on understanding the molecular mechanism and the genetic factors which is responsible for alteration in the cell which leads to oral squamous cell carcinoma.

Dynamic Navigation System in Endodontics: The Agile way Forward

2023-03-25T03:24:34+0530

The purpose of this narrative review is to comprehensively assess and enhance the understanding of the components, workflow and applications of dynamic navigation system in endodontics. Dynamic navigation system is vastly used by oral and maxillofacial surgeons for implant and its use in endodontics has recently been gaining momentum. By offering real time visualization of the surgical site and device this new technology has the potential to revolutionize what were earlier considered as difficult or inoperable cases.

A nonsurgical approach in management of burns induced microstomia: a review

2023-03-25T03:24:34+0530

Burns of head and neck region causes skin contracture which will result in microstomia and loss of skin flaccidity. The prevention and management of microstomia contracture is an important aspect of facial burn. The goal of microstomia repair include the reconstruction of orbicularis sphincter for adequate lip functioning, obtaining lip symmetry and well positioned scar and adequate mouth opening. The standard treatment for the prevention and management of contracture includes compression therapy, grafting, mouth splinting, scar massage, excercise, patient education. These types of maxillofacial prosthetic appliances may be indicated, in conjunction with or without surgery these appliances can be use to improve the reduced mouth opening caused by burns or other traumatic injuries With proper education and motivation of operator and the patient use of these appliances will not only improve the reduced mouth opening but also improve form, function, esthetics, and also enhance the patient’s quality of life.

Nanomaterials for Oral Cancer Diagnosis and Therapeutics- Latest Trends

2023-03-25T03:24:34+0530

Oral Cancer is one of the leading causes of deaths in India. Despite growing innovations and trends in the field of oral cancer diagnosis and management, the prevalence rate of the deadly disease keeps escalating. Oral cancer is a debilitating disease, and numerous research activities are being pursued worldwide to combat this deleterious process. Nanotechnology is very diverse field that has revolutionized the industry and is setting new trends in the management of oral cancer. Hence, we have presented an elaborated review on types of available nanoparticles and their use in the field of oral cancer diagnosis

'Repair the defect' - Emerging topical fluoridated remineralizing agents : A review

2023-03-25T03:24:34+0530

A universal public health issue that affects 60% to 90% of people worldwide is dental caries, especially in youngsters. Dental caries is a cyclical event with phases of demineralization and remineralization in addition to being a continuous and unidirectional process of the demineralization of the mineral. Cavitation results from an overbalance in the demineralization process. While remineralization is the process of increasing ion deposition into crystal gaps in demineralized enamel to achieve net mineral gain, it is defined as the supply of calcium and phosphate ions from a source external to the tooth surface. Despite the fact that many other therapies have been tried in recent years to treat early enamel carious lesions, fluorides have emerged as the most popular remineralizing agent due to their superior cariostatic efficacy and affordability. Alternative preparations with additional benefits would be of interest because currently available topical fluorides require patient participation and several treatments over the course of a year.

Clinical Establishment Act: A Review

2023-03-25T03:24:34+0530

The Clinical Establishments (Registration and Regulation) Bill 2007 reiterates the concerns of the Working Group in its statement of objects and reasons. This is an Act that is proposed to be brought into force to streamline the functioning and provision of services by clinical establishments. Importantly, it is a matter that regulates not just allopathic facilities, but also clinical establishments that provide services in a range of Indian systems of medicine. The relevance of this enactment lies in the fact that there has been an increasing concern about the gross inadequacy of public health facilities on the one side and the lack of any standards to regulate the existing facilities – both public and private – on the other.