ORIGINAL RESEARCH ARTICLE | May 5, 2020
Preference of Intracanal Medicaments in Practicing Endodontists: A Qualitative Research
Dr. Thouseef Ch, Dr. Jyothsna Manchikalapudi, Dr. Mariam Omer Bin Hamza, Dr. Alankrutha Gangasani, Dr. Rajwinder Singh Brar, Dr. Prashik Parvekar
Page no 241-244
Aim of the study: The purpose of the study was to assess the preferences of intra-canal medicaments of Endodontists and their method of delivery into the root canal system: Methodology: A questionnaire survey was conducted which was observational and descriptive, amongst 56 Endodontists over a period of 6 months. The questions were based on method of delivery of Intra-canal medicaments, as well as preference for these medicaments. Survey also asked the respondents about the importance of using ICMs in various endodontic conditions. Questions were also put forward that if they used different ICMs for different endodontic issues or prefer the same in all the cases. Results: While the vast majority of endodontist users in this scenario (87.5%) chose Non-setting Calcium Hydroxide, some of them (10%) used Formocresol. Others used triple antibiotic paste (2.5%). All endodontists (100%) used ICMs in cases of necrotic pulp with periapical lesions. Most respondents (48.8%) were in the habit of using injecting syringes to insert paste-based ICMs. Maximum using injecting syringes (48.8%), followed by Lentulo spirals (23.8%). Conclusion: Elimination of microbial contamination from the root canal system is a prerequisite to the successful outcome of root canal treatment and ICMs certainly help in this regard. However, all of the currently available antimicrobial materials for root canal irrigation and medication have limitations, and the search continues for the ideal irrigant and intra-appointment medicament.
One of the most common diseases in humans is dental caries. It is an infectious disease of microbiological origin that results in localized dissolution and destruction of the calcified tissue of teeth. It is a diseased caused by multitude of factors like host, agent and environmental factors. Microbes like S. mutans, Lactobacillus acidophilus and Actinomyces viscosus are the main pathogenic species involved with initiation and progression of dental caries. Indian surveys demonstrate caries prevalence of 58% in school children. Among the U.S. Population surveys showed 45.3% children and 93.8% of adults. A large costing of dental treatments whether prevention using remineralizing agents and treatment using restorative materials can be reduced if we could eradicate dental caries completely. Thus the ultimate objective of community health is the complete elimination of this disease. Development of dental caries vaccines is a boon for eradication of this microbiological disease.
ORIGINAL RESEARCH ARTICLE | May 23, 2020
A New 3D Strut Plating In Management of Subcondylar Fractures – A Prospective Study
Dr. Marbon Joevitson, Dr. Annamalai Thangavelu, Dr. Bharathi Kripakaran, Dr.Thiruneelakandan, Dr. Janarthanan, Dr. Eshona Pearl
Page no 245-249
Purpose: The purpose of this study is to evaluate the treatment outcomes in patients with Sub-condylar fractures using 3D Strut Osteosynthesis Plates. Patients and methods: Six patients with sub-condylar fractures were selected randomly between the age of 26 to 36years.Treatment protocols included in the study were open reduction and internal fixation using 3D Strut Osteosynthesis Plates. Associated injuries such as Symphysis, Para symphysis, Zygomatic complex fractures were also included in this study. Statistical analysis using Friedman test and Wilcoxon signed-rank test were performed. Results: The results of our study revealed that there was a significant difference in the mouth opening of sub-condylar fracture patients (P-value ˂ 0.004). Comparison between preoperative, 2months and 6months follow-up for additional fractures, Occlusion, Complications of Sub-condylar fractures were also performed. Preoperative and 2months follow-up showed significance with P-value ˂ 0.02. Preoperative and 6months follow-up also showed significant P-value ˂ 0.028 and 2months to 6months follow-up revealed significant P-value ˂ 0.059. Postoperative radiographic evaluation showed that the osteosynthesis is relatively stable. Conclusion: All the patients treated with the Strut plating system was functionally stable, well rehabilitated and also proved significant statistical analysis. In our study with sample size limitations, the fracture reduction of sub condyle with the new three- dimensional Strut plate showed excellent stability with no displacement and neutralization of the changing strains in the condylar region. Therefore, further studies with a larger sample size can help to re-evaluate the results in further research using the 3D strut Osteosynthesis plating system.
ORIGINAL RESEARCH ARTICLE | May 30, 2020
Dentofacial Deformity: Treated with Combined Orthodontic and Orthognathic Surgery Treatment
Dr. Malak Yousef Althagafi, Dr. Mohammed Korayem
Page no 254-261
Scope: Orthognathic surgery with pre-surgical and post-operative discussion is highest degree received procedure for rectifying of inadequate with dento-alveolar malocclusion. Nevertheless, recent advancements in pre-surgical orthodontic pretence and postsurgical orthodontic treatments utilise mini screws have exhibit noteworthy constancy and dominance of the occlusion after orthognathic surgery. Therefore, we have espouse a surgery-first orthognathic overture unaccompanied preoperative surgery, founded on a new presurgical simulation outgrowth employ a orthodontist version. Objectives: Through initiate recently developed protocol—named Anticipated Benefit—and into depict it near an analytic sheath. Methods: The outlining phases are given and formerly exemplified beyond evaluate a tolerant with a Class III malformation. According to that technique, later a little attentive outlining orthodontic instrument is rigid and later corrective jaw surgery is carry out. Conclusions: The surgery-first orthognathic access outwardly pre-operative identic therapy was detect to be predictable and applicative to treat class III dentofacial deformities, and we commend circumstance of the technique as an efficacious option for treating this stipulation.