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The reason to use post is to retain the core that holds the definitive prosthesis. The maxillary central incisor always poses a challenge during reconstruction using the post and core system. Dentapreg PINPost, a pre-cured flexible post made of fiber-reinforced composite (FRC), has many advantages over metallic posts and fiber posts. The purpose of this case report is to present an innovative technique to place both FRC posts and FRC sheets as a single assembly into the canal which gives a monoblock effect. This technique is feasible and may eradicate some of the problems associated with the failure of the post and core.
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INTRODUCTION: The use of intracanal medicaments (ICM) is crucial to reduce the microbial load in root canals. However, its application may negatively affect the physical properties of root dentine. Thus, this in vitro study was performed to investigate the effects of different herbal ICM on the microhardness of root dentin. MATERIALS AND METHODS: A total of 100 mid-root discs were randomly divided into five groups (n = 20) and treated with Aloe vera, Aloe vera + chitosan, curcumin, curcumin + chitosan, and control for 14 days. A Vickers hardness indentation machine (Laizhou Laihua Testing Instrument Factory, Yantai, China) with a load of 200 g and a dwell time of 15 seconds was used for microhardness testing before and after treatment. The results were analyzed using Statistical Product and Service Solutions (SPSS, version 26.0; IBM SPSS Statistics for Windows, Armonk, NY). Intragroup comparisons were executed using paired t-tests, while intergroup comparisons employed ANOVA, followed by post-hoc Tukey's tests. RESULTS: The Aloe vera + chitosan and curcumin + chitosan groups showed a statistically significant reduction in dentin microhardness (p < 0.05). The decrease in dentin microhardness of the Aloe vera and curcumin groups was non-significant (p > 0.05) and similar to that of the control. CONCLUSION: Aloe vera or curcumin alone as ICM did not affect the root dentin microhardness. The addition of 0.2% chitosan to either Aloe vera or curcumin negatively affected the root dentin microhardness.
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This case report explores the application of platelet-rich fibrin (PRF) as an autologous biomaterial in the surgical management of a periapical cyst in an 18-year-old female patient. The patient presented with pain, discoloration, and swelling in the maxillary left central incisor region, indicative of an asymptomatic periapical lesion associated with a history of trauma. Despite initial endodontic treatment with calcium hydroxide, the lesion persisted, necessitating surgical intervention. PRF, prepared from the patient's blood, was utilized during periapical surgery to promote healing and tissue regeneration. The surgical procedure included enucleation of the cyst, apicoectomy, and retrograde filling with Biodentine. Clinical and radiographic assessments at follow-up visits (three, six, and nine months post-surgery) revealed successful healing with no signs of inflammation or discomfort. The use of PRF demonstrated favorable outcomes in enhancing wound healing and maintaining a favorable environment for tissue remodeling. This case underscores the potential of PRF as an effective biomaterial in periapical surgery, advocating for its integration into dental therapeutic strategies for its regenerative properties and cost-effectiveness.
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Cone-beam computed tomography (CBCT), which has benefits over traditional radiography in this age of cutting-edge technology, has become increasingly popular in oral radiology. The utilization of CBCT is experiencing significant growth in several dental specialties, mainly for diagnostic purposes and treatment planning. Image acquisition and 3D imaging have helped the clinical use of cone-beam technology. The equipment has a user-friendly interface, minimum image distortion, and images compatible with many planning and simulation software applications. The present literature review aims to discuss CBCT and its various applications in dentistry.
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Aims: The aim was the study was to evaluate and compare the mechanical properties of ACTIVA Bioactive Base/Liner (ABBL) enhanced with phytosynthesized titanium dioxide nanoparticles (nTiO2) and nano-curcumin (nCur). Methodology: Thirty samples each of ABBL (Group 1), ABBL + nTiO2 (Group 2), and ABBL + nCur (Group 3) were prepared for testing the compressive strength (CS) and flexural strength (FS). Forty-five cylinders (15 per group) (6 mm × 4 mm) were fabricated for CS and 45 for three-point bending FS measurements (22 mm × 2 mm × 2 mm). They were tested in a universal testing machine at a crosshead speed of 0.5 mm/min for CS and 0.5 mm/min with 20 mm space between the two supports for FS measurements. Statistical Analysis: Intergroup comparison of CS and FS was assessed using one-way ANOVA. The level of significance was set at 0.05. Results: Intergroup comparison showed an overall significant difference (P = 0.016 for CS) and (P = 0.001 for FS), where Group 1 had the highest and Gr 3 the least strength. No significant difference was observed between Group 1 and Group 2, while Group 3 showed significantly low strength when compared to Group 1. Conclusions: ABBL + 3% nTiO2 showed nonsignificant decrease while ABBL + 7% nCur showed significant decrease in mechanical properties.