Malodor reductions and improved oral hygiene by toothbrushing and mouthrinsing.

Objective: This clinical study compared the effects of an antibacterial regimen, comprising a triclosan toothpaste and a 0.075% cetylpyridinium chloride (CPC) mouthrinse, on malodor, self‑reported malodor, and oral hygiene measures such as dental plaque, gingivitis, and bleeding relative to brushing with a fluoride toothpaste. Materials and Methods: At baseline, 36 subjects were evaluated for malodor (9‑point organoleptic scale [OLT]), dental plaque (Turesky modification of Quigley‑Hein; PI), gingivitis (Löe‑Silness; GI) and bleeding (Ainamo and Bay; BI) and randomized to (1) tooth brushing with fluoride toothpaste, or (2) a regimen comprising tooth brushing with a triclosan toothpaste and mouth rinsing with CPC mouthrinse. After the first use of assigned treatments, subjects were evaluated for malodor 2 h after breakfast (OLT‑2 h) and used provided treatments for the next 14 days. On the 7th and 14th days, subjects refrained from oral hygiene for 12 h before evaluations (OLT, PI, GI, and BI) and then performed oral hygiene at the dental clinic. Subjects were evaluated for malodor 2 h after breakfast (OLT‑2 h) and self‑assessed their malodor on a 100 mm visual analog scale (VAS). Results: Treatment groups demonstrated no significant differences in OLT, PI, GI, BI at baseline (P > 0.05). OLT‑2 h scores after the first use of regimen and after tooth brushing alone were 5.94 and 6.21, respectively, and were statistically significantly different (P < 0.05). Correspondingly, the regimen demonstrated progressive reductions in OLT and OLT‑2 h on the 7th and 14th day evaluations (5.81, 4.88, and 5.09, 4.20, respectively) and were significantly lower than after tooth brushing alone (6.49, 6.18, and 6.35, 5.99, respectively) (P < 0.05). From the 7th to 14th days, the regimen also demonstrated progressively lower PI, GI, BI, and self‑reported malodor (VAS scores) which were significantly lower than tooth brushing alone (P < 0.05). Conclusions: Results from this study demonstrated that a regimen comprising a triclosan toothpaste and CPC mouthrinse demonstrated significant malodor reductions 2 h after the first use and progressively increasing reductions in malodor, dental plaque, gingivitis, bleeding and self‑reported malodor from the 7th to 14th days than tooth brushing alone.

Comparative evaluation of remineralization potential of casein phosphopeptide-amorphous calcium phosphate and casein phosphopeptide-amorphous calcium phosphate fluoride on artificial enamel white spot lesion: An in vitro light fluorescence study.

Background: World-wide, the contribution of dental caries to the burden of oral diseases is about 10 times higher than that of periodontal disease, the other common oral condition. Owing to its globally high prevalence, dental caries is a "pandemic" disease characterized by a high percentage of untreated carious cavities causing pain, discomfort and functional limitations. Untreated carious cavities; furthermore, have a significant impact on the general health of children and on the social and economic well-being of communities. A surgical approach to the elimination of carious lesion was developed a century ago; this approach was necessary at that time, because there was no valid alternative. The focus in caries has recently shifted to the development of methodologies for the detection of the early stages of caries lesions and the non-invasive treatment of these lesions. The non-invasive treatment of early lesions by remineralization has the potential to be a major advance in the clinical management of the disease. Remineralization of white-spot lesions may be possible with a variety of currently available agents containing fluoride, bioavailable calcium and phosphate and phosphate. This concept bridges the traditional gap between prevention and surgical procedures, which is just what dentistry needs today. Aims and Objectives: The aim of this in vitro study was to evaluate and to compare the remineralization potential of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and casein phosphopeptide-amorphous calcium fluoride phosphate (CPP-ACFP) on artificial white spot enamel lesions using the quantitative light fluorescence (QLF). Materials and Methods: A total of 45 caries-free extracted maxillary first premolars were embedded in acrylic resin. The samples were randomly divided into three groups namely control group, CPP-ACP group and CPP-ACFP group with 15 samples in each group. The samples of each group were subjected to demineralization process for a period of 96 h. The samples were then mounted in the artificial mouth model and subjected to remineralization and pH cycling for a period of 21 days. QLF readings were recorded at the end of demineralization (1 st , 7 th , 14 th and 21 st day) and were statistically analyzed. Results: As compared with artificial saliva both CPP-ACP and CPP-ACFP produced significant amount of remineralization of the artificial enamel white spot lesion (P < 0.001), however when the remineralizing effect of CPP-ACP was compared with the remineralizing effect of CPP-ACFP there was no significant difference. Significant amount of remineralization was produced by CPP-ACP and CPP-ACFP only after the 7 th day. After the 14 th day, the remineralization produced by both CPP-ACP and CPP-ACFP as compared to artificial saliva was non-significant.

Plastinated fetus: 3D CT scan (VRT) evaluation.

Objective: The intent of this study was to evaluate the effect of plastination on the morphology and structure of stored organs, to find out how much accuracy a plastinated specimen has, and to look into the changes that occurred because of plastination. Materials and Methods: A human fetus of gestational age 24 weeks was plastinated, and 3D CT scan evaluation of the fetus was done. Results: The results showed normal, well-defined, clearly identifiable organs, with no alteration in morphology and structure of organs. Conclusion: In our opinion, plastinated specimens are better way of visualization of morphology and structure of stored organs, which is a useful tool for teaching as well as for research purposes.

Radiographic and CT (VRT) Scan evaluation of incisive fissure in a plastinated fetus.

Incisive fissure is a well known anatomical structure in human palate. The term incisive fissure, given by Wood et al, was previously regarded as incisive suture. Incisive fissure on a radiograph is seen as bilateral radiolucent line on the palate during early fetal life. It disappears with age and generally cannot be seen on the palatal and nasal aspect of the adult skull. Plastination is a technic of preparing a dry, colored, nontoxic, durable, odorless, natural looking specimen. A human fetus of gestational age 24 weeks was plastinated, radiographs and 3D CT (VRT) Scan of the fetus was taken. The obtained images were studied and results were drawn.

Comparative evaluation of fluoride release from PRG-composites and compomer on application of topical fluoride: An in-vitro study.

Aims and Objective: To determine the fluoride release from Giomer and Compomer, using different topical fluoride regimes, and to compare the amount of fluoride release from giomer with that of compomer. Materials and Method: Forty-eight specimens of each giomer and compomer were divided into four treatment groups, namely, control group, fluoridated dentifrice (500 ppm) once daily group, fluoridated dentifrice (500 ppm) twice daily group, fluoridated dentifrice (500 ppm) once daily + fluoridated mouthwash (225 ppm) group. Each specimen was suspended in demineralizing solution for six hours and remineralizing solution for 18 hours. Fluoride release was measured in both the demineralizing solution and remineralizing solution daily for seven days. Total daily fluoride release for each specimen was calculated by adding the amount released in the demineralizing solution to that released in remineralizing solution. Results and Conclusion: The fluoride release (ppm) was found to be more in Giomer when compared to Compomer. The fluoride released from Giomer and Compomer was significantly greater in the acidic demineralizing solution than in the neutral remineralizing solution. It was found that increasing fluoride exposure significantly increased fluoride release from the giomer and compomer. It was found that the fluoride release from the subgroups of giomer and compomer was in the following order: fluoridated dentifrice twice daily > fluoridated dentifrice once daily + fluoridated mouthwash > fluoridated dentifrice once daily > control group. It was found that the giomer showed a greater fluoride uptake than the compomer.

Comparative evaluation of shear bond strength of conventional composite resin and nanocomposite resin to sandblasted primary anterior stainless steel crown.

To evaluate and compare the shear bond strength of conventional composite resin and nanocomposite resin to sandblasted primary anterior stainless steel crown. The study samples consisted of 30 primary anterior stainless steel crowns (Unitek TM, size R4), embedded in resin blocks with crown, in test groups of 15 samples each. Mounting of the crown was done using resin block with one crown each. Sandblasting was done and the bonding agent Prime and Bond NT (Dentsply) was applied on the labial surface of the primary anterior sandblasted crown. The composite resin and nanocomposite resin were placed into the well of Teflon jig and bonded to Stainless Steel Crowns. The cured samples were placed in distilled water and stored in incubator at 37 degrees C for 48 hours. Shear bond strength was measured using universal testing machine (Hounsefield U.K. Model, with a capacity of 50 KN). Independent sample 't' test revealed a nonsignificant (P < 0.385) difference between mean shear bond strength values of conventional and nanocomposite group. The bond strength values revealed that nanocomposite had slightly higher mean shear bond strength (21.04 +/- 0.56) compared to conventional composite (20.78 +/- 0.60). It was found that conventional composite resin and nanocomposite resin had statistically similar mean shear bond strength, with nanocomposite having little more strength compared to conventional composite.

Restoring biological width in crown-root fracture: a periodontal concern.

A 10-year-old male child reported to J.S.S. Dental College and Hospital presenting with a vertical crown-root fracture of maxillary central incisor with a history of fall 10 days back. A new treatment protocol was attempted in contrary to various schools of thoughts of coronal fragment removal wherein fractured fragments were approximated and internally reinforced with latest technologies in adhesive dentistry, the goal was to save the tooth, restore its function and esthetics. This case presents the above mentioned philosophy.

Effect of enamel preparations on fracture resistance of composite resin buildup of fractures involving dentine in anterior bovine teeth: an in vitro study.

Sixty bovine teeth with simulated mesio-incisal angle fracture were randomly and equally divided in one untreated (control) group and three experimental groups (Bevel, Chamfer and newly introduced Stair-step Chamfer preparation group) to evaluate the effect of enamel preparations on the fracture resistance of composite resin. Post restoration, fracture mechanics approach was used to quantify the failure of composite resins in testing the samples in Instron testing machine. Mean peak failure load (Newton) of composite amongst experimental groups was observed in the order; Chamfer (326.09 +/- 72.73), Stair-step chamfer (315.21 +/- 81.77) and Bevel (253.83 +/- 67.38). Results of the One-Way ANOVA revealed significant difference in the mean peak failure load values of the four different groups. (P<0.001) Scheffe's Post-Hoc comparison test (Subset for alpha = 0.05) revealed that there was no significant difference in the mean peak failure load values of the bevel, stair-step chamfer and chamfer preparation when considered together, but the mean peak values of control group (605.22 +/- 48.96) were observed significantly higher. Failure mode evaluation revealed, majority of failures occurred as cohesive and mixed type for all the experimental groups. Adhesive type failure was observed maximum (33%) in the bevel group. Stair-step chamfer preparation showed greatest potential for application and use as it no only demonstrated comparable values to Chamfer preparation ['t' value (0.39) (P > 0.05)] but also involved sacrificing less amount of tooth structure adjacent to fractured edge.

A comparative evaluation of the tensile strength of silver soldered joints of stainless steel and cobalt chromium orthodontic wires with band material--an in vitro study.

The present study was conducted to compare and evaluate the tensile strength of silver soldered joints of stainless steel and cobalt-chromium orthodontic wires with band material. An attempt was made to observe the effect of joint site preparation by incorporation of tack welding and increasing metal to metal surface contact area by flattening an end of the wire prior to soldering along with the regularly used round wires without tack welding. A total of 180 wire specimens were soldered to 180 band specimens. Fifteen samples according to joint site preparation were included for each of the wire groups i.e. Gloria (S.S.), Remanium (S.S.) and Remaloy (Co-Cr) wires of 0.036" in diameter. The findings of the study were suggestive that all three wires may be used for preparing silver soldered joints irrespective of the quality of the wire. However, when subjecting the wire to joint site preparation, Gloria (S.S.) wire showed less tensile strength as compared to Remanium and Remaloy.

Effects of variation of the timing of palatal repair on nasality of speech in complete cleft lip and palate children.

Nasality is related to factors like velopharyngeal closure and acoustic factors pertaining to cavities. The present investigation is a retrospective study aimed at evaluating the effects of variation in the timing of palatal repair on nasality during speech development in complete cleft lip and palate cases. It has been observed that the delay in palatal repair is associated with increase in nasality. Also, from the operated complete cleft lip and palate cases, it has been observed that the early and medium repair groups had almost similar effects on nasality of speech. (if they were operated before 36 months of age).

Management of root fracture of mandibular permanent lateral incisor in mixed dentition--a case report.

Management of root fracture of mandibular lateral incisors during mixed dentition with developing crowding in a ten year old boy by bilateral surgical extraction. Migration of permanent canine into the extracted region of lateral incisors was favourable with minimal spacing in between the rest of the teeth. The near normal parallel position of the roots of the permanent canines was achieved by early treatment planning of extraction of the lateral incisors instead of treating by other modalities which have a poor prognosis.

Effects of variation in timing of palatal repair on articulation skills in complete cleft lip and palate cases--a retrospective study.

The effects of variation in the timing of palatal repair on articulation skills in complete cleft lip and palate was evaluated from fifty subjects. The present study confirmed that development of articulation was similar in the groups operated upon before 24 months and between 24 to 36 months. The insignificant difference suggests that articulation was good irrespective of the early or medium timing of palatal repair.

Partial bifurcation and webbed root of mandibular second premolar--an uncommon variation.

An eleven year old girl reported to J. S. S. Dental College with spontaneous pain in the left mandibular region. On examination, left mandibular second premolar was found to be hypoplastic and grossly destroyed. On radiographic evaluation, an uncommon variation of bifurcation at the apical one third of the root was seen while the contralateral tooth was normal. Treatment planning included extraction of the tooth and evaluation of the morphodifferentiation which showed a webbed appearance in the bifurcated root contrary to the radiographic finding. This webbed appearance could be due to hypomineralisation due to trauma to the developing roots from the infection of its predecessors.

Complex odontome in deciduous dentition.

A three-year-old boy reported to the Dept. of Pedodontics with the complaint of swelling in the lower left side of the mouth. The radiographic and histologic study revealed the case to be a complex odontome which is rare in deciduous dentition.

Sagittal craniofacial morphology in repaired unilateral and bilateral complete cleft lip and palate cases.

Fifty repaired complete cleft lip and palate cases (38 UCLP and 12 BCLP) in the age of 6 to 14 years were evaluated for sagittal craniofacial morphology using lateral cephalograms. A total of twenty three measurements (19 angular and 4 linear) were used in the analysis to represent a comprehensive pattern of dento craniofacial morphology. The results of comparison between UCLP and BCLP revealed differences for only the skeletodental and interincisor sagittal relationship (greater retroclination in BCLP group).