eDENT Journals
Not a member yet
502 research outputs found
Sort by
Intrusion of Supraerupted Maxillary First Molar Using Modified TPA and TAD's - A Simple, Clinically Efficient Approach.
Get PDFThe orthodontist treating adult patients often encounters a dentition that was neglected after premature loss of posterior teeth. The adjacent teeth tend to tilt and rotate, and the occluding tooth can supraerupt. This early loss of posterior teeth and a delay in replacing the missing teeth results in over eruption of antagonist teeth. Overextrusion of maxillary molars usually results from early loss of antagonistic teeth. The elongated dentoalveolar process may induce problems such as functional disturbances and occlusal interference and cause great difficulty during prosthetic reconstruction. This case report demonstrates the efficient use of TAD's along with modified TPA in a patient with an supraerupted maxillary first molar in a 23-year-old girl. Treatment objective was to intrude the maxillary 1st molar to facilitate prosthetic replacement of lower 1st molar. The treatment mechanics involved: 0.022 x 0.028 MBT appliance for initial leveling & aligning followed by modified TPA with soldered hook for intrusion of first maxillary left molar. A section of Elastomeric chain was stretched from the mini-implant placed in the left buccal 1st molar region to the soldered hook on the Transpalatal Arch. Activation was done every 21 days. We preferred 150 g force to intrude the molar in this study. Intrusion was finished when tooth was leveled with the neighboring teeth. Amount of intrusion achieved was 3 mm in a span of 6 months and to avoid root resorption, intrusive force levels was kept optimal
A combination approach to fight against E.faecalis and C.albicans
No full textObjective: To evaluate the antimicrobial activity of Matricaria chamomilla, Chlorhexidine gel, Chitosan gel and their combination against Candida albicans and Enterococcus faecalis. Methodology: Agar diffusion test is used to evaluate antimicrobial activity of 15% Matricaria chamomilla in aq. Base., 1% Chlorhexidine gel, 1% Chitosan gel and their combination (1% Chlorhexidine + 1%Chitosan gel) against C. albicans (ATCC 24433) and E. faecalis (ATCC 24212) strains. Vancomycin is used as positive control for E.faecalis and fluconazole for C.albicans. Statistical analysis was done using Wilcoxon rank –order test . Results : Combination of Chlorhexidine and Chitosan showed maximum inhibitory zone for C. albicans (33.26 mm) and E. faecalis (24.54 mm). Plain Chlorhexidine gel showed intermediate inhibitory zone for C. albicans (24.16 mm) and E. faecalis (20.62 mm) and plain Chitosan gel showed minimum inhibitory zone for C. albicans (14.6 mm) and E. faecalis (10.8 mm). Matricaria did not show any antimicrobial activity (0 mm). Conclusion : Combining Chlorhexidine gluconate gel with Chitosan gel may improve the antimicrobial activity of Chlorhexidine gel against C. albicans and E. faecalis in vivo rather than using alone. Matricaria chamomilla as 15% aq. base is not effective against E.faecalis and C.albicans. 
Molar Incisor Hypomineralization: A Rare Clinical Entity
Get PDFDevelopmental defects of tooth enamel are not uncommon, both in the primary and permanent dentition. An example of idiopathic enamel defect is Molar Incisor Hypomineralization (MIH). It is defined as the condition as a hypomineralization of systemic origin of one to four permanent first molars frequently associated with affected incisors. The prevalence of MIH is reported to vary between 2.4 and 40.2% in normal child populations. Management consists of early diagnosis, prevention of caries or post eruptive breakdown and interception if caries or breakdown has already ensued. Management challenges include difficulty in obtaining adequate anesthesia, increased incidence of caries, early pulpal involvement and gross destruction of clinical crown of affected teeth. In young permanent teeth, semi permanent crowns like stainless steel crowns for posterior teeth and direct composite veneering for anterior teeth are the recommended solutions. 
Surgical Management Of A Periapical Lesion Using Biphasic Calcium Phosphate as Graft Material : A Case Report With Three Years Follow Up.
No full textCalcium phosphate ceramics such as hydroxyapatite and β-tricalcium phosphate (β -TCP) possess mineral composition that closely resembles that of the bone. Thus, they can be good bone substitutes due to their excellent biocompatibility. Biphasic calcium phosphate is a bone substitute which is a mixture of hydroxyapatite and β-tricalcium phosphate in fixed ratios. Studies have demonstrated the osteoconductive potential of this composition. This case report highlights the clinical use of biphasic calcium phosphate as a bone substitute in periapical surgery with a three years follow up showing. It showed fast and complete periapical healing of a persistent periapical lesion
Evaluation of the Sealing Abilities of Three Different Materials Used to Repair Furcal Perforations
No full textAim:This study was aimed to compare the sealing abilities of three different furcal perforation repair materials Methodology: Eighty freshly extracted human lower molar teeth with divergent roots were used. The crown of each tooth was removed to the level of the roof of the pulp chamber. The furcal perforation was standardized using k-file #100. All teeth were randomly divided into five groups, three experimental groups 20 teeth each, and two control groups 10 teeth for each as follows: Group I furcal perforations were repaired with gutta-percha. Group II furcal perforations were repaired with glass ionomer. Group III furcal perforations were repaired with mineral trioxide aggregate. Group IV furcal perforations were not repaired with any repair material to be served as a positive controls. Group V not perforated and served as a negative controls. All teeth sealed coronally with a temporary filling material. Then each group was divided into two subgroups , one incubated for 24 hours ,while the other subgroup were incubated for four weeks at 100% humidity and 37C̊. then immersed in 2% Methylene blue dye for 48 hours. After removal from the dye each tooth was sectioned longitudinally along the long axis in a bucco-lingual direction through the perforation using a diamond disc. The maximum percentage of dye penetration was recorded.Results: Perforations repaired with gutta-percha showed the highest mean dye penetration percentage While those repaired with MTA showed the least means when measured after 24 hours. All the experimental groups showed the same significant difference of leakage after 4 weeks. Gutta-percha showed the highest incidence of overfilling.Conclusions: All repair materials showed dye leakage. MTA has the best sealing ability. After four weeks, the sealing ability of all tested groups improved
Conservative non-surgical management of a large periapical lesion using a calcium hydroxide based sealer for obturation: a case report
Get PDFIntroduction: Periapical lesions often result following dental caries, pulpal infection or trauma. Their management may include both sugicl and non-surgical endodontic management. Case report: The aim of this case report was to report the successful non-surgical management of a large periapical lesion in relation to maxillary right central and lateral incisors using calcium hydroxide based sealer Sealapex for obturation. The case was periodically reviewed and showed signs of almost complete periapical healing after six months. Discussion: Traditionally, calcium hydroxide is the material of choice for inducing periapical healing when used as an intracanal medicament or as a root canal sealer. In this case, the non-surgical healing of the large periapical lesions using a calcium hydroxide based sealer provided favorable clinical and radiographic response. Conclusion: The calcium hydroxide based sealer when used for obturation in non-surgical management of a large perapical lesion showed a successful treatment outcome
Managing the Risky Curve – A Case Report
Get PDFMultirooted teeth represent a challenge to both endodontic diagnosis and treatment due to its complex and unusual root canal morphology in many cases and often encountered during endodontic treatment. Success depends on understanding the unusual root canal morphology. One of the variant root canal morphology is the ‘S’ shaped or bayonet shaped root canal. This case report discusses the endodontic management of ‘S’ shaped root canal in maxillary first premolar
Quackery in Dentistry –An Uncurbed Menace
No full textLack of awareness of dentistry & dearth of dental professionals in rural areas clubbed with the high charges of treatment impels the poor segments of the society to go to unqualified persons, known as quacks to procure dental treatment. Malpractice and a breach in professional ethics have been in practice since ages & remain unchecked in various parts of the globe. This has led to an upsurge in the number of mistreated and misdiagnosed cases. This growing menace of quackery needs to be curbed at the earliest for the welfare of our patients and the society.  
Assessment of General Dental Practitioners’ Proficiency in diagnosing various simple to moderate malocclusions.
No full textOrthodontic practice is largely seen as a specialist’s job and undergraduate programs do not usually train students in treatment of moderate to severe malocclusions. The literature reports that 20% to 50% of orthodontic treatments are performed by general dentists with no certificate of specialization in orthodontics. The aim of this study was to assess the proficiency of General dental practitioners in diagnosing simple to moderate malocclusions. 80 general dentists who had recently completed the BDS program formed the study group. A self-administered questionnaire consisting of case scenarios reported routinely in general dental practice was used to assess their knowledge of various malocclusions. The response rate was 75% (n=60). 87% (n=52) correctly identified the Angles Classification of the presented cases. 87% (n=52) and 100% (n=60) correctly identified overbite and over-jet cases. Cross bite and deviated midline was correctly identified by 68% (n=41) and 65% (n=39) of the respondents respectively while 93% (n=56) diagnosed median diastema correctly. The study found that general dentists showed moderate to good clinical proficiency in diagnosing various simple to moderate malocclusions. They can therefore be trained to treat simple malocclusions in their routine dental practice.  
Named Cells and Bodies in Oral Pathology - Part II: A Ready Reckoner
Get PDFIt is important for the Oral pathologist to be familiar with the different pathological cells and bodies as they very often tend to appear in various diseases and conditions. In spite of most of these inclusions not being pathognomic, they inevitably help the pathologist in making a diagnosis. Besides assisting in recognition of a lesion, this article will also be of immense help to the student population. This article is split into two parts for the ease of the reader. Part I provided an overview of various pathological cells and bodies pertaining to diseases, metabolic disorders and neoplasms. Part II will brief about those associated with cysts, tumors and infections