Comparative Evaluation of Cutting Efficiency of Three File Systems-Kedo-SH Manual, Pedoflex Rotary, and Manual K File: An In Vitro Study.

Aims: The purpose of this study was to comparatively evaluate the cutting efficiency of Pedoflex rotary, Kedo SH manual file, and manual K file systems used in root canal instrumentation while performing pulp therapy of deciduous teeth with a stereomicroscope. Materials and Methods: Forty-five extracted primary human root canals were chosen, and following the removal of pulp tissue, the canals were dyed with Indian ink and left to dry for 2 h. The samples were randomly divided into three groups, Group A: Kedo SH manual file system (n = 15), Group B: Pedoflex rotary file system (n = 15), and Group C: Manual K files (n = 15). After root canal instrumentation, all the root canals were cleared to make them transparent. The teeth after clearing were observed under stereomicroscope and scored according to the amount of dye present in the root canals. The data were tabulated and statistically analyzed with SPSS version 16 using Chi-square, Kruskal-Wallis, and Dunn's test (post-hoc). Results: With regards to cutting efficiency, there was a statistically noteworthy difference among groups A and C [P = 0.000] and groups B and C [P = 0.000]. Furthermore, groups A and B did not differ statistically significantly [P = 0.950]. Conclusions: Cutting efficacy of the Pedoflex rotary files was seen to be superior to that of Kedo SH and manual K files. Clinical Significance: Rotary files in deciduous teeth have various benefits over manual files, resulting in a noticeable reduction in working time, which has aided in maintaining patient participation by reducing the risk for fatigue. We conclude that NiTi rotary devices result in a superior cutting efficiency and, as a result, greater clinical success.

Efficacy of Oral Colchicine and Intralesional Hyaluronidase with and without Ultrasound Therapy in the Management of Oral Submucous Fibrosis-A Comparative Study.

Aim: To determine the therapeutic effect and efficacy of oral colchicine tablet and intralesional injection of hyaluronidase with and without ultrasound therapy in the clinical course of oral submucous fibrosis. Materials and Methods: This comparative study involving 45 human participants was divided into three equal groups. The participants in group 1 received oral colchicine and intralesional hyaluronidase. The participants in group 2 received oral colchicine, intralesional hyaluronidase, and ultrasound therapy. The group 3 participants were treated with intralesional dexamethasone and hyaluronidase. Intergroup assessments were done using repeated measures of ANOVA test, where P value of <0.05 was considered as statistically significant difference. Results: Group 2 patients had maximum improvement with respect to all the parameters. Conclusion: Therapeutic ultrasound can be given effectively as an adjunct therapy along with conventional therapy in OSMF patients.

Malocclusion among patients at Agartala, Tripura, India.

Malocclusion is the mal-relationship of dental arches with or without an irregularity of the teeth. Therefore, it is of interest to estimate the rate of occurrence of malocclusion within the population of Agartala city, Tripura, India. The study included 850 individuals ranging from 16 to 24 years of age, which were categorized into five distinct classifications, namely normal occlusion, Angle's Class I malocclusion, Class II Division 1, Class II Division 2, and Class III malocclusion. Data shows that normal occlusal alignment was observed in 29.41% of the participants, whereas a majority of 70.59% exhibited various forms of malocclusion among this population.

Effect of different cavity liners on nanocomposite resin shear bond strength to dentine.

The effect of different cavity liners on the shear bond strength of nanocomposite to dentin is of interest. A total of sixty extracted caries-free maxillary, mandibular molars were randomly assigned to four groups in the following manner Group 1: control (no cavity liner), group 2: Biodentin, group 3: Apacal ART and Group 4: Giomer. Following the application of different cavity liners based on the groups, restoration was carried out using nanocomposite resin using the total-etch Tetric N bond adhesive. The samples were thereafter subjected to a shear bond strength test at a cross-head speed of 1 mm/min until bond failure occurred, utilizing the universal testing machine. The one-way ANOVA test and the post hoc test were used to evaluate the data for pairwise group comparisons. Compared to the control group, all groups showed lower shear bond strength to dentin, irrespective of the type of liner. Apacal ART showed higher shear bond strength followed by giomer and biodentin. However, there's no apparent statistical difference between the groups.

In vitro analysis of material micro-leakage in pit and fissure sealants.

A preferable choice of material offers superior resistance against micro-leakage for clinical applications in preventing dental caries in pits and fissures is of interest. A total of 45 extracted human premolars were cleaned, stored in a saline solution, and randomly divided into three groups, each intended for treatment with one of the sealants: Fuzi VII, ClinPro, and Embrace Wetbond. The application of the sealants followed the manufacturers' instructions strictly. The teeth were subjected to thermal cycling to simulate oral conditions. Marginal micro-leakage was then assessed by dye penetration method using a 0.5% methylene blue dye. Teeth were sectioned, and dye penetration was measured under a stereomicroscope. The results showed that all the tested materials exhibited some degree of micro-leakage. Within the limitations of this In vitro study, it was concluded that Embrace Wetbond exhibited superior performance in terms of minimizing marginal micro-leakage among the tested pit and fissure sealants.

Tensile strength of conventional glass ionomer cement and silver reinforced glass ionomer cement.

A comparative analysis and assessment of the compressive strength (CS) and diametral tensile strength (DTS) between conventional glass ionomer cement (C-GIC) and a silver-reinforced GIC (S-GIC) variant is of interest. Ten specimens of both C-GIC (GC Fuji II, Japan) and S-GIC (Riva Silver, SDI, Australia) were fabricated for the evaluation of compressive strength, and an identical number of samples were created for the examination of tensile strength. These specimens were then tested using a universal testing apparatus. The results exhibited that both the compressive and diametral tensile strengths were significantly greater for the S-GIC cement in comparison to the C-GIC, with a notable p-value of 0.001. The findings suggest that S-GIC may be considered a viable alternative to conventional GIC.

Bio-ceramics application in Dentistry.

Bioceramics have gained significant attention in dentistry due to their unique properties, including biocompatibility, osseointegration, and tissue regeneration. Therefore, it is of interest to report the various applications of bioceramics in dentistry, their advantages, limitations, and future considerations. Bio-ceramics such as zirconia and hydroxyapatite offer high biocompatibility and durability for dental application. They support bone integration for implants, resist wear, and mimic natural tooth aesthetics. Used in crowns, bridges, and fillings, bio-ceramics enhance healing and are pivotal in restorative and reconstructive dental procedures.

Reducing pain using vibrating device during local anesthesia among Indian pediatric dental patients.

The administration of local anesthesia constitutes one of the most anxiety-inducing and painful stimuli in pediatric dentistry. Therefore, it is of interest to evaluate the effectiveness of vibrating device in comparison to the conventional method for mitigating discomfort while administration of local anesthesia. A total of 30 children aged between 6 and 10 years, requiring local anesthesia for routine dental treatment, were allocated into two groups: a control group and an experimental group, with 15 children in each cohort. In the experimental group, a vibrating device was concurrently placed over the cheek during the administration of the local anesthesia. Pain and discomfort were assessed using both the Wong-Baker FACES Pain Rating Scale (WBFPRS) and the FLACC (Face, Legs, Activity, Cry, CONSOL ability) scale. It was observed that use of the vibrating device was found to be effective in reducing pain and discomfort during the administration of intraoral local anesthesia.

Effect of silver diamine fluoride and potassium iodide on shear bond strength for glass ionomer cement to primary dentine.

Silver diamine fluoride (SDF) is a highly effective topical fluoride for halting dental caries; however, it darkens both teeth and restorations. Therefore, it is of interest to assess the shear bond strength (SBS) of glass ionomer cement (GIC) to caries-affected dentin treated with SDF alone and SDF followed by KI. Forty primary molar samples were prepared to reveal a flat dentin surface and were randomly assigned to two groups. In group A, the dentin surfaces were pre-treated with 38% SDF, while in group B, the dentin was treated first with SDF and then with KI before being restored with GIC. The SBS was measured using a universal testing machine. The results show that teeth pre-treated with both SDF and KI demonstrated significantly improved bond strength of GIC to dentin compared to SDF treatment alone.

Revolutionizing Dentistry: The Applications of Artificial Intelligence in Dental Health Care.

Artificial intelligence (AI) is transforming the landscape of health care, and dentistry is no exception. This article explores the various applications of AI in dentistry, showcasing how this advanced technology is revolutionizing diagnosis, treatment, and patient care. From enabling early detection of oral diseases to enhancing the precision of dental procedures, AI is driving the industry toward more efficient and effective dental healthcare services. This article delves into the specific ways in which AI is being integrated into dental practices, highlighting its potential to improve patient outcomes and advance the field of dentistry.

Unlocking the Potential: Probiotics as a Promising Frontier in Oral Health.

Probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit on the host. The role of probiotics in promoting oral health has gained attention in recent times Current literature aims to provide an outline of the application of probiotics in dentistry, focusing on their various formulations and potential benefits in oral health. The rationale for using probiotics in dental care, their different applications, and the future prospects of probiotics in dentistry will be discussed.

Evaluating Factors that Contribute to the Early Loss of Bone Around Submerged Implants Before they are Restored.

Aim: The aim of the present study was to examine various factors that may contribute to early crestal bone loss around submerged implants, prior to restoration. Methods: The research included a collective of 100 implants, procured from 60 participants. We allocated a total of 60 patients into two distinct groups: 20 individuals in the healthy group and 40 individuals in the ECBL group. Results: Out of the complete population, 56 people were unaffected by diabetes, while six persons were smokers. Systemic antibiotics were administered to almost all patients (98%) throughout the implantation procedure. The implant implantation consisted of 69% nonmolar implants and 31% molar implants. Conclusion: Engaging in a guided bone regeneration (GBR) operation before implant implantation has been shown to be a statistically significant factor in preventing early crestal bone loss (ECBL).

Diabetes and Anaemia: A Myth or Reality.

Introduction: Chronic diabetes develops when the pancreas does not release enough insulin or the body cannot use it. Anemia is a disorder characterized by reduced hemoglobin or red blood cells. The body needs hemoglobin to transport oxygen. Diabetics with anemia may have micro and macro vascular problems, lowering quality of life and increasing medical costs. Aim and Objectives: To examine the prevalence of anemia among type 2 diabetics, its predictive value, and the connection between anemia and type 2 diabetes. Methodology: A prospective study was conducted on 2000 people with and without type 2 diabetes at the medical and diabetology wards of Punjab's Desh Bhagat University and hospital for medicine and health sciences from June 2022 to June 2023. Results: A statistical significance threshold of 0.005 determined that the mean hemoglobin value was 8.44 in oral hypoglycemics, 7.93 in insulin, and 4.45 in combined insulin and oral hypoglycaemics. Conclusion: Diabetics with type 2 diabetes mellitus and anemia were more likely to have CAD, making anemia a chronic condition that negatively impacts quality of life and accelerates disease consequences.

Evaluation of the Efficacy of a Customized Mucosal Vibrator in Alleviating Pain Perception Associated with Local Anesthesia Administration in Children Aged 6-10 Years.

Introduction: Local anesthetics are used to alleviate pain, but the prick of the injection delivering anesthesia is known to cause anxiety and pain that affect dental treatment. The most difficult aspect of pediatric dentistry is minimizing discomfort while the intraoral local anesthetic is administered. This pain has been treated using physical, psychological, pharmacological, and combinations of these approaches. Recently, the idea of vibration, which is based on the gates control theory, has gained popularity as a way to reduce discomfort while local anesthesia (LA) is being administered. Aim: The aim of this trial was to evaluate the efficacy of mucosal vibrators in children aged 6-10 years to alleviate pain associated with LA administration. Materials and methods: A total of 60 patients aged 6-10 years requiring inferior alveolar nerve block were enrolled for this randomized, single-blind clinical trial. In group I, before and during LA administration, the customized mucosal vibrator was placed at the injection site. In group II, the topical local anesthetic gel was applied to the injection site prior to the administration of LA. Then, the local anesthetic solution was deposited using a disposable syringe needle on both groups. The pain was evaluated using the physiological scale (pulse rate and oxygen saturation), the subjective scale (Wong-Baker scale), and the objective scale [Face, Legs, Activity, Cry, Consolability (FLACC) scale] by an experienced assistant who was unaware of the procedure. Results: A customized mucosal vibrator along with local anesthetic injections resulted in significantly less pain (p = 0.001*) when compared with the injections with topical anesthetic gel. Conclusion: The results show that the customized mucosal vibrator is an effective and inexpensive means to reduce pain during LA administration. How to cite this article: Tatiya N, Singh C, Surana P, et al. Evaluation of the Efficacy of a Customized Mucosal Vibrator in Alleviating Pain Perception Associated with Local Anesthesia Administration in Children Aged 6-10 Years. Int J Clin Pediatr Dent 2024;17(4):404-409.

Oral habits among preschool Indian children at Durg-Bhilai city.

One of the major contributing causes to the development of malocclusion and other negative impacts on orofacial complexes is oral habits during and after preschool. Therefore, it is of interest to ascertain the prevalence of oral habits in preschoolers in Durg-Bhilai, Chhattisgarh, India. Using the cluster sampling technique, four schools two from each of Durg and Bhilai City were chosen to participate in the study. 400 LKG and UKG students, along with their mothers or caregivers, were chosen based on the inclusion/exclusion criteria. The Chi-square test was employed in the statistical study. Thus, preschoolers at durg-bhilai city, Chhattisgarh, India, had a high prevalence of oral habits.

Application of CAD-CAM in Dentistry.

The application of CAD-CAM (Computer-Aided Design and Computer-Aided Manufacturing) technology has become increasingly prevalent in dentistry in recent years. Dental restorations are designed and created using CAD-CAM by enhancing the precision and efficiency. Customization of dental prostheses such as crowns, veneers, inlays, onlays and bridges is possible with CAD-CAM.

Management of oral aphthous ulcer: A review.

Aphthous ulcers, also known as canker sores, are a common oral condition characterized by recurrent, painful, small ulcers that typically arise on the non-keratinized mucous membranes within the mouth. Although the pathogenesis of aphthous ulcers is not completely understood; it is believed to be involved in a combination of genetic predisposition, local trauma, stress, hormonal changes, and certain environmental factors. Thus, management of aphthous ulcer revolves around reducing pain, promoting healing and preventing recurrence.

Recent Advances in Local Anesthesia: A Review of Literature.

Even if local anesthetic is still the mainstay of pain management in dentistry, research will keep striving for novel and effective pain management techniques. The majority of research efforts are focused on improving anesthetic medications, delivery systems, and related methods. There are more recent technologies available that can assist the dentist in providing better pain relief with fewer unpleasant injections and fewer negative adverse effects. The purpose of the current review of the literature is to compile evidence that will convince dentists to employ modern local anesthetics, as well as other methods and techniques to reduce patient discomfort while administering anesthesia.

To Analyze the Mesiobuccal Root Canal of Maxillary First Molar using Cone Beam Computed Tomography: An Ex-vivo Study.

Aim and Objectives: The purpose of this study was to use cone bar CT to investigate the root trench morphology of two-hundred mesiobuccal permanent first molars in the maxilla. Materials and Methods: The distobuccal and palatal roots were removed at the furcation in 250 maxillary first molars. The mesiobuccal roots were then imaged using cone beam computed tomography on all specimens. The specimens were analyzed and compared to one another." This study looked into the following factors. How Many Canals There Are and What Shape Those Canals Take Errors such as lateral canals, apical delta, calcified segments, and others. Result: Vertucci's trench configuration, kinds I, II, III, IV, V, and VII, were seen in 30%, 20%, 5%, 6%, 7%, and 2.5% of the teeth, respectively. Calcified sections were found in the coronal third of the MB1 trench for eight of the samples, and in the central third for two of the samples. The MB1 trench did not have any calcifications at its very end. The coronal 33 percent of the MB2 trench was calcified in eight samples, but no calcifications were seen in the middle or upper thirds. Conclusion: Noninvasively and with little radiation, a cone beam CT scan can help you learn about your root canal setup.

Glimpse of TENS in Dentistry: A Literature Review.

Transcutaneous electrical nerve stimulation (TENS) therapy has been accepted to treat a wide range of illnesses, including phantom limb pain, joint pain, low back pain, and cervical discomfort. TENS is not frequently used in dentistry, despite its potential advantages. 3, 4 Therefore, the rationale of present review is to discuss its dental applications in order to spread awareness of them among the dental profession.