UNIVERSITY JOURNAL OF DENTAL SCIENCES

Digital Dentistry- An Advancement of Dentistry

TP Chaturvedi — 2023-07-23

Digital transformation is the universal outburst happening in every field of human life and touches every activity of us. Health sector is no exception for it. Continuous progress in information technology has made it possible to overcome the limitations and hurdles that existed in health related issues just a few times ago. Digital workflow in dentistry streamlines the working process, reduces treatment times, improves accuracy and overall enhances patient satisfaction.

Clinical Efficacy of Two Denture Adhesives Among Complete Denture Patients: A Cross-over Randomized Clinical Trial

Sreeramulu Basapogu — 2023-05-29

Aims and objectives: The clinical efficacy of different forms of denture adhesives have been inconsistent among studies with unclear differences among them. The aim of this study is to evaluate the masticatory efficiency and satisfaction of complete denture wearers without and with the use of two different forms of commercially available denture adhesives.

Material and Methods: 30 edentulous participants with new complete dentures placed one month before the commencement of the study were included in this cross-over randomized clinical trial (CTRI/2021/07/035238) which compared a powder adhesive and a cream adhesive along with no adhesive use. The objective assessment used the Edlund and Lamm index for masticatory efficiency and the subjective assessment followed a specially designed questionnaire. Both assessments were carried out on days 0,7 and 21. One-way ANOVA was used to compare the objective data and the questionnaire responses were obtained as percentages.

Results: The one-way ANOVA test for difference between the groups was statistically insignificant for all layers (P>.05). The questionnaire responses revealed that 53.3% of the participants preferred the use of cream adhesive over powder adhesive.

Conclusions: No significant difference in the masticatory efficiency was noted between the two denture adhesives and without adhesive use. Patient satisfaction was greater with adhesive use showing a predilection towards cream adhesive due to its longer duration of action and improved chewing ability.

Effectiveness of Oral Health Training Session on Knowledge, Attitude, Practices and Barriers Towards Oral Health Amongst Teachers and Caregivers of Disabled Children in Bareilly, Uttar Pradesh.

Vaishnavi Singh — 2023-06-16

INTRODUCTION: Special Care Dentistry aims at management and prevention of Oro-dental diseases in disabled children, who spend most of their time in rehabilitation centres or special schools. Therefore, training their teachers and caretakers on oral health promotion will help to inculcate healthy oral habits in children during their formative years of life.

METHODOLOGY: A closed-ended questionnaire evaluated the knowledge, attitude, practices, and barriers toward oral health before and after the oral health training session. The training was done using a validated training manual on oral health promotion entitled as Oral health for families with special health care needs, along with conducting workshops, and delivering dental talks. Data was obtained and statistical analysis was done.

STATISTICAL ANALYSIS: Evaluation of the data obtained was done twice to assess the difference between the scores before and after oral health education.

RESULTS: Maximum participants showed significant improvement in knowledge, attitude and practices towards oral health.

CONCLUSION: Continuous reinforcement of knowledge, conducting workshops and oral health check-up programs is required to eradicate the barriers and bring changes in Knowledge attitude and practices towards oral health among these teachers and caregivers.

KEYWORDS: National Education Policies for children with special needs, Knowledge, Oral health, teachers and caregivers.

Striking the Equilibrium: Examining the Career-Family Balance of Female Dentists in India

Jyoti Agrawal — 2023-07-10

Abstract

Aims and objective

India is having more than 300 oral health educational institutions with higher ratio of female students. Therefore the issue of female oral healthcare professionals balancing career and family is becoming more precise. A married female has to create equilibrium between the two different spheres of her life-home and work. Aim of this research was to find out the challenges faced by a female Dentist.

Material and method

This study is being conducted by undertaking a national cross-sectional survey of working female dentists. A statistically significant number of female dentists of age 25-60 years were subjected to written consent form. After their consent a survey questionnaire was given to them to record how they balance their family and professional life.

Result

Majority of Indian female dentists work full time in their private practice. No emotional distress on losing practice due to discomfort during pregnancy. Balance between professional work and house hold chores is maintained with the assistance of a house-help. They will keep themselves updated by joining professional associations and fore go joining social clubs for business

promotion to strike a balance in personal and professional life. Family is priority in need. They feel tired due to work load of home and profession.

Conclusion

Most of the time women have to sacrifice their professional life especially during pregnancy & illness of the children/other member.

Comparative Microscopic and Radiographic Evaluation of Proximal Marginal Integrity of CAD/CAM PMMA Crown and CAD/CAM Zirconia Monolithic Crown- An In-vitro Study

Dr diksha rajput — 2023-07-11

ABSTRACTS

Aim: to evaluate and compare proximal marginal integrity radiographically and microscopically of CAD/CAM PMMA crown and CAD/CAM monolithic zirconia crown.

Materials and methods: Fifteen maxillary or mandibular molar teeth with standardized anatomic preparation for provisional crown and monolithic zirconia crown were scanned with a 3-dimensional laboratory scanner. CAD/CAM crowns were designed 3-dimensionally using exocad software and then milled from presintered blocks in a milling machine. The proximal marginal integrity of CAD/CAM PMMA and monolithic zirconia crown were evaluated radiographically and microscopically. For radiographic evaluation, radiopaque dye is used to measured proximal marginal discrepancies on six reference points on PMMA crown. A digital microscope was used to measure the marginal discrepancies on six reference points on PMMA and zirconia crown. Photographs of the proximal marginal areas were captured at six reference lines at standardized orientation and placement of the samples. In all photographs margin was traced with the help of HiViewSetup software. The mean marginal discrepancies for each group were analysed using chi-square test and man whitney U test.

Results: the test result shows there were no significant differences in radiographic and microscopic evaluation of CAD/CAM PMMA crown and CAD/CAM monolithic zirconia crown.

Conclusion:

It is found that radiographically, PMMA crown had greater marginal discrepancy as compared to the Zirconia crown. Microscopically, PMMA crown and the CAD/CAM monolithic zirconia crown had almost similar marginal discrepancy (statistically non- significant).

Revisiting “Plaque Free Zone”- Island of Peace in a Zone of Conflict: A stereomicroscopic study

Sunpreet Kaur — 2023-07-30

Aim: This study was undertaken to find if Plaque Free Zone (PFZ) indeed was a ubiquitous entity observed both on healthy and diseased teeth and further to compare the width of PFZ in healthy and diseased teeth.

Material & Methods: Out of total 31 teeth, 18 teeth extracted from patients with chronic periodontitis and 13 teeth extracted from healthy individuals were examined. The teeth were stained and measurements of width of PFZ were made. Photomicrographs were taken at 20X magnification using a stereomicroscope & measurements were made using Image J software. The data obtained was subjected to statistical analysis.

Results: A significantly wider PFZ was found on the surfaces of teeth of healthy group as compared to diseased group.

Conclusion: Wider PFZ zone in healthy teeth may have a protective role preventing direct contact of bacteria with underlying periodontal ligament. Invasion of this zone during mechanical instrumentation needs to be avoided.

Clinical Significance: The existence of plaque free zone has clinical implications. Instrumentation beyond the base of the pocket during SRP may upset the delicate balance existing at tooth sulcus/pocket interface.

Comparison of the Effect of Various Surface Treatments on the Microtensile Bond Strength of Lithium Disilicate Ceramic with Dentin- An In-vitro Study

Ankita Shrivastava — 2023-07-30

AIM AND OBJECTIVE: The aim of this study was to evaluate and compare the effect of various surface treatments on the microtensile bond strength of Lithium disilicate ceramic with dentin.

MATERIALS AND METHODS: A total of 45 human extracted premolars were obtained for the study. The samples were mounted in dental stone blocks having two “V” shaped notch on mesial and distal side of the mounted tooth. The samples were divided into three groups with 15 samples in each. The GROUP-A Control (without any surface treatment), GROUP-B (air abrasion with Al₂O₃ particles for 15 seconds) and GROUP-C (laser treatment for 5 seconds). Standardize tooth preparation was done on samples and lithium disilicate crowns were fabricated with a loop on occlusal surface. After surface treatment crowns were luted with self adhesive resin cement and pull out load test was performed in universal testing machine. The data was analysed using one way ANOVA TEST for multiple group comparison followed by Tusky HSD post hoc test. Level of significance was considered at 5% (p-value<0.05).

RESULTS: The surface treatment considerably increased the retention of lithium disilicate crowns. The air abrasion group showed the highest microtensile bond strength values. There was significant difference between air abrasion and laser treatment groups.

CONCLUSION: It was evident that microtensile bond strength was adequately increased after both the surface treatments (air abrasion with Al₂O₃ particles and laser treatment) and there was significant increase in bond strength with air abrasion with Al₂O₃ particles group when compared to laser treatment group.

Management of Periapical cyst using Beta Tricalcium Phosphate Bone Substitute and Platelet Rich Fibrin Membrane Following Enucleation

Pragya Kumari — 2023-05-17

The pulp and periodontium are connected anatomically, functionally, and developmentally. It might be challenging to diagnose and arrange effective treatments when pulpal issues and inflammatory periodontal disease coexist. One of the most frequent oral cavity cysts is the radicular cyst, which is typically brought on by trauma or an infection. There are a number of techniques that are now being used to enhance postoperative recovery and hasten the repair and regeneration of the damaged area. An investigation revealed that a 38-years-old patient had a radicular cyst, which was initially treated by endodontic treatment of the involved teeth, followed by enucleation of the cyst and a further bone graft placement followed by Platelet rich fibrin membrane. The patient's main complaint was pain in lower front jaw region for two to three months. Patient also had few episodes of pus discharge on its own through the same region. After three months, there was an increase in clinical attachment level and a decrease in probing depth. There was a sizable bone fill, according to radiographic findings.

Prosthodontic Rehabilitation of a Patient Suffering from Ectodermal Dysplasia – A Case Report

Abhishek Gupta — 2023-05-19

Ectodermal dysplasia is a rare congenital disease that affects several ectodermal structures. Children with ectodermal dysplasia may have various manifestation of the disease that differ in severity and may involve teeth, skin, hair, nails, sweat glands and sebaceous glands. A 16 years Old girl reported in the department of Prosthodontics and crown bridge,with chief complain of of inability to masticate and her unesthetic appearance. She desired replacement of her missing teeth. Family history revealed similar findings in her 18-year old brother. Clinical findings and family history suggested a diagnosis of hypohydrotic ectodermal dysplasia. The present clinical report demonstrated that maxillary flexible RPDs associated with direct composite restorations, Zirconia crowns and mandibular complete denture with CEKA supported Stud attachment are a reversible, relatively inexpensive method of treatment for ectodermal dysplasia patients especially during their growth years. The esthetic, light weight, and good retentive and fracture properties of the flexible denture base materials make a good alternative to the conventional and cast partial dentures.

Management of Mucocele by Laser- A Case Report

Dr. Vivek Srivastava — 2023-05-30

Abstract:

Mucoceles are benign cystic lesions developing from minor salivary glands and commonly encountered in dental practice. Removal of mucoceles can be accomplished using various surgical methods, including scalpel excision, electrocautery, cryotherapy, and laser surgery. Diode lasers have been found to be a safe and effective treatment modality for mucocele removal due to their precise and minimally invasive nature. This article aims to discuss the use of diode lasers for excision of mucocele.

Keywords- Mucocele, Cystic lesion, Excision, Soft tissue diode laser, SiroLaser Blue.

Source of support- Nil

Conflict of interest- None declared

Ethical clearance- Approved by Intuitional Ethical Committee

Management of Fenestration in a Non-vital Maxillary Lateral Incisor Using Connective Tissue Grafting: A Pin-hole Surgical Technique.

Farheen Khanam — 2023-06-05

Mucosal fenestration is clinical entity in which the overlying gingiva or mucosa is also denuded thus the root is exposed to oral cavity. If left untreated, they may be a source of infection by giving entry to oral pathogen, leading to further progression of periodontal disease. Depending on their site of presence, they may also be a reason of esthetic concern to some patients. This case report describes a situation where a mucosal fenestration developed in the upper left lateral incisor, which was successfully treated with followed by subepithelial connective tissue grafting.

Revitalizing Worn-Out Overdenture Attachments in One-Piece Implant Cases using Silicone Matrix System: A Case Report

Dr Anamika Abraham — 2023-06-16

The case report discusses the use of a silicone matrix system for salvaging worn-out overdenture attachments in one-piece implant cases. It highlights the effectiveness of this technique and presents a detailed case study. One-piece or single-piece implant systems, where the intraosseous and abutment portions with the stud attachments consist of one unit, do not allow changing the worn-out abutment individually if required, thus ruling out any further use of implant and abutment once the attachment component faces extensive irreversible wearing. The ‘Retention. Sil’ – an additional curing elastomeric material in salvaging worn-out attachments of one-piece implants, emphasizes the revitalization process and effective use as an attachment for implant-retained overdenture, thereby extending the clinical use of one-piece implants and avoiding extensive invasive procedures in geriatric patients.

Management of Lateral Periodontal Cyst with Platelet Concentrate

Dr Vivek Srivastava — 2023-06-17

Abstract

A periodontal cyst (LPC) is considered a rare developmental odontogenic cyst, originates from epithelial rests in the periodontal ligament, and is a non-inflammatory cyst on the lateral surface of the root of a vital tooth. This case report features a 22-year-old female who complained of a painful hyperplastic lesion that had been present for two months between the distobuccal site of her maxillary right lateral incisor (#12) and the mesiobuccal site of her maxillary canine (#13). Radiographically, an interproximal periodontal cyst appears on the side of the root and extends to the apex of an involved tooth as a radiolucent area with a well-defined bordered by a radiopaque line that cannot be differentiated from that of a periodontal abscess. This case report discusses the management of LPC using surgical enucleation with adjunctive use of regenerative platelet concentrate.

Tooth and Nail Syndrome- A rare case report

Sameeksha Bhardwaj — 2023-06-27

Abstract: A uncommon autosomal dominant condition called Witkop's syndrome is marked by irregularities in the teeth and nails. It is an ectodermal dysplasia variation, which is thought to affect 1 in 100,000 live births. As a result, it is extremely difficult to identify in the general population due to its low prevalence and lack of distinguishing characteristics. The case study's objectives are to add to the body of existing knowledge by providing a useful approach to discovering the uncommon.

Intraoral Nevus of Ota : A Case Report and Review

DR ARUN DEV SHARMA — 2023-07-12

The Nevus of Ota is a melanocyte disorder that primarily affects skin and eye regions innervated by the first two caricatures of the trigeminal nerve, the ophthalmic and maxillary divisions. In most instances, pigmentation involves the skin, eyes, and rarely the intraoral mucosa. The oral cavity is not always involved in cases of opthalmic or dermal melanosis. To the best of our knowledge, fifty five cases of Ota nevus involving the oral cavity have been documented. We have summarized all the cases of nevus of Ota involving the oral cavity until today. We are presenting a case of palatal nevus of Ota in a 50-year-old female patient.

Management of Hot Irreversible Pulpitis with Radix Entomolaris: An Uphill Battle for a Pediatric Dentist. A Case Report.

Vaishnavi Singh — 2023-07-12

Background: Hot tooth with Radix Entomolaris anomaly is rarely occurring condition. To achieve anesthesia satisfactorily in patients with a Hot tooth, especially in pediatric cases, can be seriously challenging for the pediatric dentist. Hot Irreversible pulpitis is most commonly found in permanent mandibular first molars, where the patient may experience severe or intense acute pain during the access opening procedure, even after the anesthetic block. The present case report describes the hot tooth, causes for anesthetic failure and some of its management techniques with a case report.

Keynote: To the best of our knowledge, this Case report is the first report of Hot tooth Syndrome with Radix Entomolaris treated under multiple Pain and Anxiety control methods.

Misdiagnosed Case Management of Dens Invaginatus Using Cone Beam Computed Tomography- A Case Report

Leelu Puthumana — 2023-07-30

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Unusually Large Radicular Cyst of Mandible: A Rare Case Report

DR KAMAL GARG — 2023-08-01

A radicular or periapical cyst or periradicular cyst is the most common odontogenic cyst mostly seen in mandible. It is mostly symptomless and are found accidently during periapical radiographs involving non-vital pulp which heals spontaneously after endodontic treatment of the aberrant tooth or after extraction. However, recommended treatment is complete enucleation of the cyst to remove all the epithelial remnants. In this article, we report a case of a 18year old female patient with large periapical cyst along with deep bite and attrition.

A Comprehensive Review of Surface Coatings for enhancement of Anti-Microbial and Anti-Corrosive Properties of Titanium Implant Surface

Ankita Singh — 2023-08-02

Dental implants have revolutionized the field of restorative dentistry, providing a durable and long-lasting solution for replacing missing teeth. Among various biomaterials, titanium has proven to be the most suitable material for dental implants because of its incredible biocompatibility, mechanical properties, and unique surface characteristics. This scientific write-up reviews the comprehensive overview of various surface modification techniques employed to improve the osseointegration, antimicrobial properties, surface topography, and anti-corrosion behavior of titanium as a dental implant biomaterial, highlighting its role in improving implant success rates and long-term clinical outcomes

Efficacy of Socket Shield Technique for Immediate Implant Placement in Maxillary Anterior Region – A Case Series with Review.

Sreetama Taraphdar — 2023-07-20

The socket-shield technique is the most crucial treatment modality for esthetic enhancement and ridge preservation technique but it has been less discussed and documented. This case series describes the placement of implants immediately following extraction of a non-restorable which are all fractured and hopeless maxillary teeth and using this technique and functional and esthetic outcomes of the treatment was a successful event.

In this review, immediate implant were placed using socket shield protocol to treat ten patients with non-restorable teeth. Dissection was performed along the long axis of the roots in a mesiodistal direction; and atraumatically the buccal fragment of the root was left attached to the bone while the palatal fragment was extracted. Implants were placed after sequential osteotomy drilling. A customized healing abutment was fabricated chairside to create an emergence profile. During the prosthetic phase, patients had follow-up visits after 4 weeks and after 6 months. The definitive prosthesis was cemented using a cement-retained porcelain fused to metal.

Free Buccal Fat Pad Graft in Post Cancer Surgery Trismus with the Help of Colorado Microdissection Needle: A Case Report.

Tauseef shaikh — 2023-07-13

A numerous complication arises after surgery and / or radiotherapy / chemotherapy performed for the management of oral and maxillofacial malignant tumour which is apparently a world-wide health threat. Trismus / fibrotic scarring is among the most widespread complications after onco-surgery and / or radiotherapy & surgical management is reserved in cases of severely restricted mouth opening. excision of the fibrotic bands with Colorado micro dissection needle is advantageous in fibrotic scarring as it causes reduced tissue necrosis & intraoperative blood loss; it also provides acceptable cosmesis without compromising wound healing. In cases of anatomical limitations free buccal fat graft (FBFG) can successfully act as alternative pedicled buccal fat pad graft for closure of post‐excision defects.