Municipal wastewater treatment potential and metal accumulation strategies of Colocasia esculenta (L.) Schott and Typha latifolia L. in a constructed wetland.

This paper elucidates phytoremediation potential of two wetland plants (Colocasia esculenta (L.) Schott and Typha latifolia L.) for municipal wastewater treatment using constructed wetland (CW) mesocosms. The concentrations (mg L-1) of chemical oxygen demand (COD), total kjeldahl nitrogen (TKN), Cu, Cd, Cr, Zn, and Pb in municipal wastewater were higher than permissible Indian standards for inland surface water disposal; however, Mn and Ni were within the permissible limits. The pollutant removal efficiencies of planted CWs varied as electrical conductivity (EC) 67.8-71.4%; COD 70.7-71.1%; TKN 63.8-72.3%; Cu 75.3-83.4%; Cd 73.9-83.1%; Mn 74.1-74.5%; Cr 64.8-73.6%; Co 82.2-84.2%; Zn 63.3-66.1%; Pb 71.4-77.9%; and Ni 76-80%. Mass balance analysis revealed that the loss of metals from wastewater was equivalent to net accumulation in plants and natural degradation of metals. Metal accumulation strategies of plants were investigated using bioconcentration factor (BCF) and translocation factor (TF) of metals which indicated that both plants could be employed for phytostabilization (BCF > 1 and TF < 1) of Cu, Cd, Co, Pb, and Ni and phytoextraction (BCF > 1 and TF > 1) of Mn and Zn. The study demonstrated that a reduction of pollutants (except Pb) was observed within permissible levels (BIS) and suggested disposal of municipal wastewater into the inland surface water bodies after 20 days of treatment. The study concluded that both the plants could potentially be used for an efficient municipal wastewater treatment using constructed wetlands.

Metal Accumulation Strategies of Emergent Plants in Natural Wetland Ecosystems Contaminated with Coke-Oven Effluent.

The release of industrial effluents into natural wetlands is a ubiquitous problem worldwide, and phytoremediation could be a viable option for treatment. The present study assessed metal accumulation strategies of three dominant emergent plants [Colocasia esculenta (L.) Schott, Scirpus grossus (L.) f., and Typha latifolia L.] growing in a wetland contaminated with coke-oven effluent. Metals concentration (mg kg-1) in wetland sediment followed the order Mn (408) > Cu (97) > Co (14.2) > Cr (14) > Cd (2.7). Plant tissues (root and shoot) showed metal-specific accumulation at different extents due to plant response against metal utility or toxicity. Bioconcentration factor (BCF) and translocation factor (TF) of metals in plants revealed Cd and Mn pollution could be remediated through phytoextraction (BCF > 1 and TF > 1); however, Co, Cu, and Cr pollution could be remediated through phytostabilization (BCF > 1 and TF < 1).

Chronological Variation of Metals in Reclaimed Coal Mine Soil and Tissues of Eucalyptus Hybrid Tree After 25 Years of Reclamation, Jharia Coal Field (India).

Fast-growing metal-accumulating woody trees are potential candidates for phytoremediation of coal mine overburden (OB) dumps. The present study assessed chronological variation in metals (Pb, Zn, Mn, Cu, and Co) concentration in reclaimed mine soil (RMS) and tissues (leaf, stem bark, stem wood, root bark and root wood) of Eucalyptus hybrid tree between 3 and 25-year old OB dumps (RMS3 and RMS25) from Jharia coal field (India). Total metal concentrations of Pb, Zn, and Cu in RMS25 were 1.55, 3.46, and 1.44 times lower (p < 0.05), respectively, than RMS3. Higher concentrations of total (110%-565%) and available form (DTPA-extractable) of metals (109%-480%) were observed in RMS25 than in control soil. Pb selectively accumulated in stem bark, Zn and Mn in leaves, and Cu and Co in root wood. Metal concentrations were higher (1.04-4.15 times at p < 0.05) in tree tissues growing on RMS25 than in RMS3. This study concluded that Eucalyptus hybrid could be utilized for reclamation of coal mine OB dumps.

Assessment of Heavy Metals Contamination in Reclaimed Mine Soil and their Accumulation and Distribution in Eucalyptus Hybrid.

The metal contamination in reclaimed mine soil (RMS) of Jharia coal field, Dhanbad (India) using various contamination indices and their accumulation in tissues of Eucalyptus hybrid were assessed. In RMS, metal concentrations were found higher (202%-533%) than control soil (CS) with major contribution of Co and Mn followed by Zn, Cu and Pb. Principal component analysis (PCA) of metals present in RMS was carried out to assess their origin in RMS. The contamination factor (CF) values in RMS indicated moderate to very high level of pollution (ranged between 2.02 and 5.33). Higher accumulation of Pb in barks (three times), Zn in leaves (4.5 times), Mn in leaves (19 times), and Cu in roots (1.4 times) was found in trees growing on RMS than CS. The study concluded that different tree tissues accumulate varied concentration of heavy metals in RMS and thus for biomonitoring of metals, specific tissues has to be selected.

Ecological Risk Assessment of Metals Contamination in the Sediments of Natural Urban Wetlands in Dry Tropical Climate.

The pollution load due to metal contamination in the sediments of urban wetlands (Dhanbad, India) due to illegal release of domestic and industrial wastewater was studied by using various geochemical indices, such as contamination factor (Cf), degree of contamination (Cd), modified degree of contamination (mCd), pollution load index (PLI) and geoaccumulation index (Igeo) for Cu, Co, Cd, Cr and Mn. Cluster analysis (CA) and Principal component analysis (PCA) of metals present in wetland sediments were carried out to assess their origin and relationship with each other. The Cf values for different metals in the wetlands under investigation indicated low to very high level of pollution (Cf ranged between 0.02 and 14.15) with highest Cf (14.15) for Cd. The wetland receiving both domestic and industrial wastewater had the highest values of Cd, mCd and PLI as 17.48, 3.49 and 1.03 respectively.

Alterations in the mechanical properties of the extracted human teeth to be used as biological restorations on storing them in different storage media: an in vitro study.

BACKGROUND: Total or partial loss of tooth structure occured due to caries or trauma. The decayed or fractured tooth is restored with appropriate restorative materials. A range of restorative materials are available in the market today, but each of them has one or the other drawbacks, viz. color mismatch, variable wear resistance, and strength. Therefore, there has always been a quest to use a restorative material which has properties as close to natural tooth as possible. Extracted human teeth have been tried as restorative materials with good success rate, but their storage has been a problem due to change in physical properties. AIMS AND OBJECTIVES: To evaluate the changes in the mechanical properties of the extracted human teeth to be used as biological restoration upon storing them in different storage media and to compare their effectiveness. MATERIAL AND METHODOLOGY: Five hundred and twenty extracted human teeth (samples) included in the study were equally distributed and randomly stored in different storage media (saline, artificial saliva, ORS, coconut water, and eye solution), and their mechanical properties were checked at different time intervals (7, 14, and 30 days) using universal testing machine and Vickers hardness test. RESULT AND CONCLUSION: None of the storage media used in the study significantly altered mechanical properties of the stored extracted human teeth except the hardness which was substantially reduced after storing for 30 days. Of the 4 media tested, eye solution was found to be the best, while artificial saliva was found to be least effective as storage media. It was also concluded that storage time of the extracted teeth to be used as biological restorations should not exceed more than 3-4 weeks as beyond this time, mechanical properties namely hardness get altered significantly.

SYNTHESIS AND ANTIINFLAMMATORY ACTIVITY OF SOME IMIDAZO[2,1-b][1,3,4]THIADIAZOLE DERIVATIVES.

A number of imidazo[2,1-b][1,3,4]thiadiazole derivatives having alkyl and aryl moieties attached to positions 2 and 6 of imidazo[2,1-b][1,3,4]thiadiazole nucleus, respectively, were prepared and characterized by IR, NMR and mass spectroscopy. Antiinflammatory activity was evaluated by carrageenan-induced rat paw edema assay. By 5th hours, all compounds demonstrated anti-inflammatory activity similar or higher than that of standard NSAID, ibuprofen.

Synthesis and antiproliferative activity of imidazo[2,1-b][1,3,4]thiadiazole derivatives.

A series of 2,5,6-substituted imidazo[2,1-b][1,3,4]thiadiazole derivatives have been prepared and were tested for antiproliferative activity on cancer cells at the National Cancer Institute. Results showed that molecules with a benzyl group at position 2, exhibited an increase in activity for the introduction of a formyl group at the 5 position. The compound 2-benzyl-5-formyl-6-(4-bromophenyl)imidazo[2,1-b][1,3,4]thiadiazole 22 has been chosen for understanding the mechanism of action by various molecular and cellular biology studies. Results obtained from cell cycle evaluation analysis, analysis of mitochondrial membrane potential and Annexin V-FITC by flow cytometric analysis, ROS production and expression of apoptotic and DNA-repair proteins suggested that compound 22 induced cytotoxicity by activating extrinsic pathway of apoptosis, however, without affecting cell cycle progression.

Reliability of three pain assessment tools in children requiring dental treatment: A comparative clinical study.

Background: The appropriate intervention of pain is based on its accurate evaluation, which is a challenge in the pediatric population as they often do not have the language development or cognitive sophistication to describe it correctly. Untreated pain has a negative impact on the psychosocial well-being of children. Aim and Objectives: The study aimed to evaluate and compare the reliability of different pain assessment scales, namely, the Wong Baker Facial Pain Rating scale (WBFPS), Modified Emoji Pain Scale (MEPS), and indigenously developed indigenously made GIF Pain Scale (SPGPS) in children undergoing dental treatment under local anesthesia (LA). Materials and Methods: The study included 152 children aged 4-6 years with a Frankl behavior rating of score 3 and 4 (positive and definitely positive) requiring dental treatment under LA. After local infiltration, each child with two independent observers was asked to record the response of the current pain on the WBFPS, MEPS, and SPGPS. The reliability of the pain scales was assessed on the basis of similar responses given by all three individuals. Results: The Pearson correlation test was performed to determine the correlation among the scales. A very strong correlation was found between the WBFPS and SPGPS (r = 0.848), while a moderate correlation was found among the WBFPS and MEPS (r = 0.691). A strong correlation was found between the SPGPS and MEPS (r = 0.723). Conclusion: The SPGPS proved to be a more reliable pain assessment tool compared to the WBFPS and MEPS in clinical pediatric dentistry.

Comparative evaluation of antibacterial efficacy of active oxygen containing versus other dentifrices against Streptococcus mutans count in children with early childhood caries: A clinico-microbiological study.

Background: Fluoridated dentifrices have been used for the prevention of dental caries since ages. However, to avoid the risk of fluorosis, the use of newer nonfluoridated options in dentifrices has shown a great interest in reducing Streptococcus mutans (SM) in early childhood caries (ECC). Aim: The study aimed to evaluate the antimicrobial efficacy of active oxygen (AO)-based dentifrice with amine fluoride (AF)-, sodium monofluorophosphate (SMP)-, herbal (HB)-, and tricalcium phosphate (TCP)-based dentifrices on SM count in children with ECC. Materials and Methods: Two hundred and fifty children aged 3-6 years with def ≥4 were selected and randomly divided into five groups of 50 each, based on the type of dentifrices used; Group I: AO-based, Group II: TCP, Group III: SMP, Group IV: AF, and Group V: HB dentifrice, and were asked to brush twice daily for 15 days. The saliva samples were collected at baseline, and after 15 days, cultured for SM colonies count. Results: Difference in colony-forming units (CFU)/ml between baseline and 15 days was highly significant in all the five groups (P < 0.001). Significant difference was observed in SM count after 15 days between Groups I and IV (P = 0.017), while nonsignificant differences were seen when compared with Groups II, III, and V (P = 0.975, 0.137, and 0.992). Conclusions: All the dentifrices were efficacious in reducing SM count in children with ECC. Although AO dentifrice showed superior results when compared to SMP, TCP, and HB, it did not prove to be superior to AF.

Peripheral cemento-ossifying fibroma - A rare case report.

Peripheral cemento-ossifying fibroma (PCOF) is a relatively rare tumor classified between fibro-osseous lesions. PCOF is an osteogenic neoplasm that ordinarily presents as an epulis-like growth with uncertain pathogenesis. It predominantly affects young adults, with peak prevalence between the first and second decades of life. We present here the case report of a 15-year-old girl, which was previously surgically excised twice and had recurred both the times. The disease duration was 2 years and a follow-up of 1-year was done. Clinical, radiographic, and histological characteristics are discussed with recommendations regarding the treatment is provided.

Total crown replacement technique: A biological treatment option for grossly destructed primary molars.

BACKGROUND: Restoration of severely damaged primary molars with very short clinical crowns is a big challenge and often extracted due to the lack of restorative options. Total crown replacement (TCR) is a novel treatment alternative for the restoration of such teeth through bonding of the biological restorations which are the sterile decoronated crowns of the extracted human teeth, obtained from a tooth bank. CASE REPORT: Presented here is a report of two cases restored with the TCR technique. A 9-month follow-up showed satisfactory results in terms of function, esthetics, gingival health, and morphology including occlusal wear. TCR can be a viable and economical alternative for restoration of severely decayed/damaged primary teeth, otherwise indicated for extraction.

Efficacy of Root Canal Instrumentation and Fracture Strength Assessment in Primary Molars after Preparing Two Different Shapes of Access Cavity: An Ex Vivo Histological Study.

AIM AND OBJECTIVE: To evaluate the efficacy of root canal instrumentation and fracture strength assessment in primary molars after preparing different shapes of access cavity design. MATERIALS AND METHODS: Sixty extracted primary mandibular molars with at least 2/3rd roots were randomly, equally divided into two groups based on shapes of the access cavities; Group I: Traditional access cavity (TAC), Group II: Conservative access cavity (CAC). Each group was further subdivided into two subgroups with 15 samples each. After, root canal debridement, samples in subgroup 1 were sectioned for histological evaluation of root canal instrumentation efficacy, while subgroup 2 were assessed for fracture strength using a Universal Testing Machine. The data were analyzed statistically using Mann-Whitney and post hoc Tukey tests, with a p value <0.05. RESULTS: Traditional access cavity showed statistically significant root canal debridement efficacy (p < 0.05) compared with CAC. Statistically significant differences were obtained between fracture strength values among the two groups (p < 0.05), with considerably higher fracture strength in the CAC group than TAC. CONCLUSION: Traditional access cavity design resulted in complete root canal debridement but caused weakening of tooth structure due to low fracture strength, necessitating the use of full coverage restoration postendodontic therapy. HOW TO CITE THIS ARTICLE: Singhal Y, Srivastava N, Rana V, et al. Efficacy of Root Canal Instrumentation and Fracture Strength Assessment in Primary Molars after Preparing Two Different Shapes of Access Cavity: An Ex Vivo Histological Study. Int J Clin Pediatr Dent 2021;14(4):518-524.

Comparison of the Conventional Band and Loop Space Maintainers with Modified Space Maintainers: A Split-mouth Randomized Clinical Trial.

AIM AND BACKGROUND: Space maintainers (SMs) are used to preserve space created by premature loss of primary teeth. The most commonly used band and loop (B&L) SMs have several demerits, e.g., non-functional, poor gingival health, limited survival, laboratory work for fabrication and multi-sitting procedure, etc. This study aimed to compare the efficacy of conventional B&L SMs with conventional tube and loop (CTL), bonded tube and loop (BTL) and bonded B&L in terms of gingival health, survival time, and patients' and parents' satisfaction. MATERIALS AND METHODS: Fifteen children between 4 years and 8 years of age with at least two fresh extraction sites of primary molars contra- or bilaterally in each child (total 30 fresh extraction sites) were included in the study. Conventional B&L on one site while bonded loop (BL)/CTL or BTL on the other site were delivered, based on random allocation. An evaluation was done at 1st, 3rd, 6th, and 9th months for survival time, gingival health, and patients'/parents' satisfaction. Results were statistically analyzed using independent t-test and Chi-square test under SPSS version 20.0 software. RESULTS: 100% B&L and CTL while only 60% BL and 80% BTL survived till the end of the study. For gingival health, statistically significant differences were obtained at 1st, 3rd, 6th, and 9th month's intervals (p < 0.05) when CTL was compared with B&L, BL, and BTL. In terms of patients' acceptance, all the SMs were well accepted by the patients. However, on the intergroup comparison, patients' acceptance was higher with bonded SMs. CONCLUSION: Conventional tube and loop SMs were found to be most efficacious in terms of survival time, gingival health, and patients' satisfaction. CLINICAL SIGNIFICANCE: To find a better alternative for the conventional B&L SMs. HOW TO CITE THIS ARTICLE: Tyagi M, Rana V, Srivastava N, et al. Comparison of the Conventional Band and Loop Space Maintainers with Modified Space Maintainers: A Split-mouth Randomized Clinical Trial. Int J Clin Pediatr Dent 2021;14(S-1):S63-S68.

Effectiveness of different behavior guidance techniques in managing children with negative behavior in a dental setting: A randomized control study.

BACKGROUND: Dental fear is a common cause of uncooperative behavior among young children, which poses a challenge in providing effective dental treatment. With the advancements in technology, several behavior guidance techniques in the form of distraction have emerged over time for managing uncooperative pediatric dental patients. AIM: The aim of this study is to compare and evaluate the effectiveness of four different behavior guidance techniques in managing uncooperative pediatric patients by measuring pre- and post-operative dental fear/anxiety levels using physiological and nonphysiological parameters. METHODOLOGY: Sixty systemically healthy children aged 5-8 years with negative behavior as per Frankl's Rating Scale, requiring restoration were included in the study and randomly divided into four equal groups (n = 15), based on the guidance techniques used: Tell-Show-Do (TSD) as a control group and audio distraction, audiovisual distraction (AVD) (virtual reality [VR]) and Mobile Phone Game Distraction as test groups. Pre- and post-intervention levels of the child's fear/anxiety were assessed using both physiological (blood pressure and pulse rate) and nonphysiological (facial image scale) parameters. The data were evaluated using t-test and one-way ANOVA test. RESULTS: A statistically significant difference was observed in both physiological and non-physiological parameters post-intervention in the groups with a maximum decrease in the AVD (VR) group. CONCLUSIONS: AVD (VR) was found to be the most effective while TSD alone as the least effective behavior guidance technique in reducing dental fear/anxiety in uncooperative pediatric dental patients.

Clinical Evaluation of Restoration of Grossly Carious Primary Teeth Using Biological Approach.

BACKGROUND: To widen the treatment option of primary teeth with mutilated crown tooth structure but having more than two-thirds of root structure were restored by using natural tooth crowns with the help of adhesive materials. AIM AND OBJECTIVE: To restore the grossly decayed primary molars with biological crowns and to evaluate them for longevity, change in color, occlusal wear, marginal integrity, and patient/parent acceptance. MATERIALS AND METHODS: Twenty primary molars from 6 to 10 years old children were restored with biological crowns (extracted/exfoliated tooth crowns) and follow-up was done till 12 months. Data tabulated and results were statistically analyzed using Kaplan-Meier survival analysis. The statistical software SPSS 19.0 was used. RESULTS: 89.47% of biological restorations survived successfully till 12 months follow-up period. No occlusal wear was found in any of the samples, a breach in marginal integrity was seen only in 16.6% of cases, and only 5.5% of biological crowns showed discoloration (darker) at 12 months intervals. 65.00% of patients well accepted the treatment and showed satisfaction while 20.0% of patients remained neutral. Only 15% of patients experienced dissatisfaction at the end of the study. CONCLUSION: Biological restorations proved to be a viable alternative for the restoration of grossly mutilated primary molars. HOW TO CITE THIS ARTICLE: Singh P, Srivastava N, Rana V, et al. Clinical Evaluation of Restoration of Grossly Carious Primary Teeth Using Biological Approach. Int J Clin Pediatr Dent 2020;13(S-1):S55-S63.

Assessment of Intraoral Findings of Neonates, Born in and around Meerut City.

AIM: The aim of this study is to evaluate the occlusal relationships between the gum pads of neonates and to record intraoral findings in neonates and compare with the existing findings. MATERIALS AND METHODS: The oral cavities of 1,000 healthy neonates from birth to 1 month of age were examined to evaluate the occlusal relationships between the gum pads and to record other intraoral findings in neonates and compare with the existing findings. Oral findings recorded were oral mucosal cysts, Fordyce's spot, Epstein's pearls, Bohn's nodules, ankyloglossia, natal or neonatal teeth and attachment of the upper midline frenum. Relationship between the alveolar ridges was also recorded. Obtained data were evaluated and statistically analyzed using the Statistical Package for Social Sciences (SPSS) version 21.0 and Epi-info version 3.0. RESULTS: The maxillo-mandibular relationship of gum pads in approximately 97% cases, the mandible was found distal and lingual to maxilla. The presence of anterior open bite was observed in 9.1% cases. The most common intraoral finding in examined neonates was an oral mucosal cyst, 61.2%. The presence of Epstein's pearls was the next most common finding 38.3%. Fordyce's spots were found only in 1.2% of cases, while the presence of natal/neonatal teeth was only in 0.6% of cases. Ankyloglossia was present in only 0.5% neonates. Maxillary frenum was present in 79.1% of cases and it was attached on the alveolar crest. CONCLUSION: The results of the present study were in accordance with the pre-existing data. However, anterior open-bite was seen in significantly less percentage of the population. HOW TO CITE THIS ARTICLE: Niranjan MM, Srivastava N, Rana V, et al. Assessment of Intraoral Findings of Neonates, Born in and around Meerut City. Int J Clin Pediatr Dent 2020;13(1):48-52.

Tumor markers in oral cancer: A review.

Tumor markers are the substances produced in response to the presence of cancer either by the body itself or by the cancer cells. These markers mostly are the proteins that are produced at a greater rate by the cancer cells. Increased levels of these substances can be detected in urine, blood, or body tissues of the patients with certain types of cancer. These markers are useful in differentiating primary or secondary tumors. In few noncancerous conditions, these markers are often found to be elevated. For these reasons, the knowledge regarding these biomarkers has increased tremendously. This article classifies the different types of tumor markers and implicates their role in some diseases.

1-Arylmethyl-2,3-dioxo-2,3-dihydroindole thiosemicarbazones as leads for developing cytotoxins and anticonvulsants.

Various substituted 1-arylmethyl-2,3-dioxo-2,3-dihydroindole thiosemicarbazones 3a-h, 1-benzyl-2,3-dioxo-2,3-dihydroindole N(4)-aryl thiosemicarbazones 4a-i and 1-benzyl-2,3-dioxy-2,3-dihydroindole N(4)-cyclohexylthiocarbazone 5 were synthesized. All of these compounds were evaluated against human Molt 4/C8 and CEM T-lymphocytes as well as murine L1210 leukemia cells. Nearly 40% of these compounds possess low micromolar IC(50) values and some are either more potent than, or equipotent with, melphalan. Various correlations between the structures of these compounds and cytotoxic potencies were obtained which included the use of QSAR and molecular modeling techniques. Representative compounds displayed anticonvulsant properties in rats and were well tolerated by these animals. The encouraging biodata noted affords adequate rationale for outlining guidelines for further development of these molecular scaffolds.