Postoperative sensitivity of self etch versus total etch adhesive

Objective: To compare postoperative sensitivity following composite restoration placed in supra gingival class-V cavities using self etch adhesive and total etch adhesive. Study Design: A randomized clinical trial. Place and Duration of Study: Operative Dentistry Department of Armed Forces Institute of Dentistry, Rawalpindi, from July to December 2009

Methodology: A total of 70 patients having class-V supra gingival carious lesions were divided into two groups. Classes-V cavities not exceeding 3 mm were prepared. One treatment group was treated with self etch adhesive [adhe SE one Ivoclar] and the control group was treated with total-etch adhesive [Eco-Etch Ivoclar] after acid etching with 37% phosphoric acid. Light cured composite [Te-Econom Ivoclar] restoration was placed for both groups and evaluated for postoperative sensitivity immediately after restoration, after 24 hours and after one week. Data was recorded on visual analogue scale

Results: Comparison of sensitivity between the two treatment groups on application cold stimulus after 24 hours of restoration showed significant difference; however, no statistically significant difference was observed at baseline, immediately after restoration and at 1 week follow-up with cold stimulus or compressed air application

Conclusion: Less postoperative sensitivity was observed at postoperative 24 hours assessment in restoration placed using SE adhesives compared to TE adhesives. Thus, the use of SE adhesives may be helpful in reducing postoperative sensitivity during 24 hours after restoration placement

Oral aspects and complications in type 2 diabetes mellitus - a study

Type 2 diabetes mellitus comprises an array of dysfunctions resulting in several soft tissue abnormalities in the oral cavity. These include gingivitis periodontitis, salivary dysfunction, taste dysfunction, oral fungal and bacterial infections, geographic tongue, benign migratory glossitis, fissured tongue, traumatic ulcer, lichen planus, angular cheilitis, delayed mucosal healing, dental root caries, tooth loss, mucosal neurosensory disorders, and oral mucosal lesions. This article aims to determine the frequency of different oral manifestations and complications in patients of Type 2 Diabetes Mellitus. This will not only increase the awareness of oral manifestations and complications of diabetes mellitus but also help in expediting the research on the subject. It was a descriptive study and was carried out at the Operative Dentistry Department of Armed Forces Institute of Dentistry from January 2010 to January 2011. 200 patients fulfilling the inclusion criteria [diagnosed cases of type 2 diabetes mellitus of >35 years of age] were included in the study. 70 [35%] were female and 130 [65%] were male patients. The frequency of different oral manifestations and complications seen in these patients in descending order were; gingivitis [45%], periodontitis [36%], dental root caries [22%], taste dysfunction [7%], neurosensory dysesthesias [5%], xerostomia [4%] and oral candidiasis [2%]. It was concluded that diabetic patients are more prone to get oral complications so health education, timely diagnosis and effective treatment should be carried out to prevent these complications

Reasons for extractions in patients seen in Pak field hospital level Darfur, Sudan

This cross sectional study was conducted at Pak Field Hospital Level 3 Darfur Sudan from Jan 2011 till May 2012 to find out the reasons for extractions of teeth in UNAMID troops. 1500 patients, from various countries were interviewed and examined. Percentage of six common reasons [caries and its sequel, periodontal problems, impactions, prosthetic, orthodontic and other causes] were calculated by SPSS version 16, as whole, separate for male, female and for individual countries. Results showed that Overall 41.2% of the teeth were extracted due to advanced dental caries whereas 34.8% due to periodontal disease, 12.04% due to impactions, 4.4% for prosthetic purposes, 4.3% for orthodontic and 3.2% for other reasons. Advanced caries was the primary cause for extractions in male while impactions and orthodontic causes were the main reasons. Highest numbers of teeth were extracted due to advanced caries in patients from Nigeria [43.5%] and due to periodontal reason from patientsof Bangladesh [37.1%] and Nepal [37%]

Comparison of powered and manual toothbrushes in removal of plaque

The present study was undertaken to compare the efficacy of manual and powered toothbrushes in 70 patients between 19 and 44 years of age who reported with mild gingivitis to AFID. Patients were randomly divided into two groups of 35 each. Group A patients were selected for electronic powered tooth brushes, while group B patients were selected for manual brushes. At baseline, after one and 3 months, plaque was rated using Silness-Loe plaque index. Data were statistically analyzed using SPSS version 12. Both brushes significantly reduced the plaque accumulation, though to different degrees. A lower plaque score [score 0 and 1] was obtained at three months in 88.5% patients using powered brushing and in 77.1% patients using manual brushing. Powered brushing showed lower plaque score in 11.4% more patients than the manual brushing after three months of follow up