Evaluation of Root Canal Cleaning Efficacy of Selfadjusting Files, Protaper Rotary, and Manual K?Files in Primary Teeth ? An In vitro Comparative Study

Background: The success of pulpectomy depends on complete eradication of microbial load by cleaning and shaping the primary root canals that is difficult to achieve because of anatomical intricacy of primary pulp dentin complex. Numerous instruments were tried, however, they proved to be inadequate. Selfadjusting file (SAF) is a newer file system that facilitates less dentin removal with maximal cleansing of root canals. Aim: To evaluate and compare the in vitro root canal cleaning efficacy with SAF, Protaper Universal, and Hand K?files in primary teeth. Materials and Methods: Sixty extracted primary anterior teeth were randomly divided into three groups by lottery method. Access cavity was prepared, the canals were enlarged up to 20 K file, and an Indian ink was injected into each canal. Then the Group I (n = 20) was treated with SAF, Group II (n = 20) with Rotary Protaper Universal and Group III (n = 20) with Hand K?files and the root canal cleaning efficacy was evaluated based on the amount of Indian ink remaining in the canal walls under stereomicroscopy. Data were analyzed using Kruskal–Wallis one way ANOVA test and post hoc Tuckey test for intragroup and intergroup comparison, respectively. Results: A statistically highly significant difference was observed with SAF (mean = 1.5), Protaper (mean = 2.5), and Hand K?files (mean = 2.9). However, there was no significant difference in root canal cleaning efficacy with Protaper Universal and Hand K?files. Conclusion: The SAFs had shown superior cleaning efficacy compared with rotary Protaper Universal and manual K files.

Gender Determination in Pakhtun Pakistani Population Using Dental Arch Dimensions: A Digital Model Study

@#Introduction: In circumstances where the ante mortem list is unknown, gender determination would exclude onehalf of the population, aid in a more precise search of the ante mortem records. This study aims to formulate gender prediction models in the Pakhtun Pakistani population using digital dental arch dimensions. Methods: Data collection and analysis of the dental casts were conducted on 128 subjects, 64 males and 64 females from the Pakistani population. The mean age of the subjects was 19.2 years old. Several linear dental arch dimensions were measured and recorded for both upper and lower arches. Results: It was found that gender differences in linear arch dimensions were statistically significant for both males and females (p<0.05); in which the arch dimensions for the males were larger than the arch dimensions for the females. Stepwise discriminant function analysis found that the highest discriminant power of the variables was present within the inter-second premolar width for the upper arch and inter-molar width for the lower arch. These variables significantly contributed to gender variance. Moreover, the prediction of 67.2% of original grouped cases for the upper arch and 66.4% of cross-validated group cases was correct. Similarly, the correct prediction was made on 64.8% of original grouped cases for the lower arch and 64.1% of cross-validated group cases. Conclusion: The dental arch dimensions were larger among the males compared to the females. Prediction models obtained in this study were moderately strong predictors which may be used as an adjunct to predict gender.

COMPARATIVE EVALUATION OF MARGINAL SEALING ABILITY OF POSTERIOR PACKABLE COMPOSITE WITH OR WITHOUT LINERS USING DYE PENETRATION METHOD- AN INVITRO STUDY.

Condensable” or “packable” composites (Surefil) were introduced as an alternative to dental amalgam. However, concerns have been raised related to the ability of these stiffer materials to adequately adapt to internal surfaces. To offset this problem, low viscosity fiowable liners walls are recommended under packable composites. This study aimed at evaluating the effect of SDR and Ketac N100 liners on marginal sealing ability of High Density Surefil posterior packable composite. Methodology: Sixty permanent extracted molars were mounted in a modelling wax and box only Class II cavities were prepared on the mesial side with gingival seat 1mm above CEJ. Teeth were divided into 3 groups: Group (i) Surefil with SDR; Group (ii) Surefil with Ketac N 100; and Group (iii) Surefil without liner. After restoration, the teeth were immersed in Methylene blue dye, sectioned mesiodistally and then evaluated for leakage under Stereomicroscope. Results: None of the groups were free of microleakage. Surefil without liner (1.2±0.696) exhibited maximum microleakage followed by Ketac N100 group (0.9±0.718) and SDR group (0.8±0.523) showed least microleakage. Conclusion: Posterior packable composites should be lined by a resin based liner at the gingival margin to allow better seal

Comparative Evaluation of Sealing Ability of Newer Materials Used As Dentin Substitutes in Class II Sandwich Restorations: An In Vitro Study

Introduction: Even with the advances and innovations inrestorative dentistry, microleakage is regarded one of the mainproblems in this area.Objective: To evaluate in vitro marginal microleakage ofBiodentine, Fuji II LC and SDR at the cervical level and at theinterface these materials with Tetric N Ceram Bulk fillcomposite and also to note the marginal microleakage whenthese materials were used as bulk fill materials.Materials and Methods: Cavities, standardized on the mesialand distal surfaces, were prepared in thirty molars andrandomly assigned to two groups (n = 30), according to themode of restoration done.Goup1 (control) in which testmaterials were used as bulk fill. These were further subdividedinto subgroups according to the material. SG1: Biodentine(SEPTODONT); SG2: Fuji II LC (GC); SG3: SDR (Dentsply).Group2 (experimental) in which test materials used as dentinsubstituent in class II sandwich technique followed byrestoration with Tetric N Ceram (Ivoclar vivadent). These werealso divided into subgroups, SG4: Biodentine + Tetric NCeram; SG5: Fuji II LC + Tetric N Ceram; SG6: SDR + Tetric NCeram. After storage for 24 hours in an incubator (37 °C), thesamples were submitted to the thermocycling test (500 cycles:5 °C/55 °C). They were later waterproofed, immersed in 1%methylene blue solution and sectioned in the mesialdistal direction for evaluation under stereomicroscope at 30xmagnification (Nikon SMZ 1500 Zoom Stereomicroscope)Scores from 0 to 3 using the ISO microleakage scoring system(ISO/TS 11405:2003). The ANOVA Test and Post- hoc Test,with a significance level of 5%, were used for statisticalanalysis.Conclusion: The study concluded that SDR (SD 2.38) showedthe least amount of microleakage both at the occlusal and atthe cervical levels in open sandwich restorations and alsowhen used as bulk fill materials as compared with Biodentine(SD 1.73) and Fuji II LC (SD 1.00).

Assessment of ROOT Dentin Translucency For age Estimation: The First Comparative Study of Conventional, Stereomicroscopic & Digital Methods

Introduction: Age estimation has always been a crucial concern in permissible and scandalous investigations for establishing one’s identity. Assessment of chronological age of an individual by dental hard tissues is an important specialty in the turf of forensics especially in enigmatic conditions including mass disasters and festering postmortem residues. Teeth bestowing the properties of hardness, resilience prove to be the reliable material for age estimation in the identification of the unknown. Translucency in root dentin is considered to be one of the best criteria for estimation or assessment of dental age. Objectives: The present investigation evaluates and compares the effectiveness of conventional, stereomicroscopic and digital methods for age estimation by measuring root dentin translucency & concluding the best method among them. Methods: A total of 30 permanent teeth of the age group 21- 80 years were sectionioned longitudinally of thickness 250µm & translucency in root dentin was calculated using conventional, stereomicroscopic & digital methods and was compared. Results: There was no statistically considerable difference (p=0.584) observed in translucency length obtained by the three methods. Linear regression equations derived from the three methods revealed most accurate method as digital followed by conventional and stereomicroscopic to assess age. The digital method is statistically significant with highest accuracy allowing better visualization, easy to use and less time consuming. Conclusion: Taking into consideration the benefits, the present study recommends the use of digital method to assess translucency for age estimation.

Prevalence and Species Identification of Ixodidea Tick on Bovine in and Around Bahirda Town West Gojam, North West Ethiopia

A cross- sectional study was conducted in and around Bahir Dar, from November, 2016 to April, 2017 to estimate the prevalence of major ixodidea ticks on bovine and to identify ticks on the species level. Study animals were selected randomly. Out of the total of 384 cattle examined, 157(40.9 %) were found to be infested. About 822 adult ticks were collected both sides of animal body parts, then preserved with 70% alcohol within universal bottle and were identified to species level by using stereo-microscope. From the total ticks collected, four genera and species namely; Amblyomma varigatum, Boophilus decoloratus, Rhipicephalus evertsis and Hyalomma marginatu were identified and account for 45.3, 22.9, 15.8 and 17.03%, respectively. From different variables (sex, age, breed and body condition), body condition and predilection sites were statistically significant with tick infestation (p< 0.05). The prevalence of tick infestation was found highest in poor body condition animals (16.9%) while in medium and good body condition, it was found (14.58%) and (9.36%), respectively. It has also been evident that the favorable predilection sites of A.varigatum ticks were preferred scrotum/udder and pernial region. B.decoloratus preferred dewlap, scrotum/udder and Rh.evertis had a strong affinity on anus, dewlap and tail tip. H.marginatum the perineum region and dewlaps were its hiding sites. From this study we can make a conclusion that the prevalent ticks could also be responsible for transmission of tick borne diseases in addition to their physical damage

Influence of the Method in Root Canal Filling Using Active Lateral Compaction Techniques

The aim of this study was to evaluate, by stereomicroscopy and confocal laser microscopy, the influence of different lateral compaction methods for the obturation quality, as well as the time spent for the procedure. Thirty root canals of freshly extracted single-rooted human teeth were prepared with the ProTaper system up to F5 instrument and filled with gutta-percha and AH Plus sealer by the lateral compaction technique. The teeth were divided into 3 groups (n=10) in accordance with the method used for the lateral compaction, as follows: Manual, Mechanical and Ultrasonic. The sealers were stained with rhodamine B dye in a proportion of 0.1% per gram in weight to allow for the analysis under a confocal microscope. During the root filling procedure, the time spent was recorded with a stopwatch. The specimens were stored at 37 °C for 48 h, and then sectioned at 2, 4 and 6 mm from the apex. The percentage of gutta-percha, sealer and void areas were evaluated using a stereomicroscope and sealer penetration perimeter by confocal laser microscope. Statistical analyses were performed using the Kruskall-Wallis and Dunn tests (p<0.05). The mechanical method required a shorter time for the lateral compaction than the manual method (p<0.05). There were no significant differences (p>0.05) for the perimeter of the dentin with sealer penetration among all groups. The mechanical method showed a higher (p<0.05) percentage of gutta-percha and less sealer at the 4 mm section in comparison with the manual method. The ultrasonic group showed intermediate values. The void areas found in the root filling were similar (p>0.05) between the three methods. In conclusion, the fastest lateral compaction was achieved with the mechanical method, and all the methods showed void areas in the root filling.

O objetivo deste estudo foi avaliar a influência de diferentes técnicas de condensação lateral em relação a qualidade da obturação por meio de estereomicroscopia e microscopia confocal, bem com o tempo gasto para realizar o referido procedimento. Trinta canais radiculares de dentes humanos unirradiculares foram modelados com o sistema ProTaper, finalizando com o instrumento F5. Em seguida os canais foram obturados com guta percha e cimento AH Plus por meio da técnica de condensação lateral. Os espécimes foram divididos em 3 grupos (n=10) de acordo com o método de condensação lateral utilizado, sendo: Manual, Mecânico, Ultrassônico. Os cimentos foram manipulados com rodamina B na proporção de 0.1% de peso para permitir a análise com microscopia confocal. O tempo gasto para realizar cada procedimento de obturação foi registrado com o uso de um cronômetro. Os espécimes foram armazenados a 37 °C durante 48 h, para em seguida serem seccionados a 2, 4 e 6 mm a partir do ápice radicular. A porcentagem da área de guta percha, cimento e vazios foram avaliados com estereomicroscópio. A penetração de cimento foi avaliada por meio de microscópio confocal. A análise estatística foi realizada utilizando os testes de Kruskall-Wallis e Dunn (P < 0.05). O método mecânico exigiu menos tempo para realizar a condensação lateral em comparação com o método manual (p<0.05). Não foi encontrada diferença (p>0.05) em relação ao perímetro de penetração de cimento nos túbulos dentinários entre todos os grupos avaliados. O método mecânico apresentou maior (p<0.05) porcentagem de guta percha e menos cimento no nível de 4 mm quando comparado com o método manual. O grupo do ultrassom apresentou resultados intermediários. Áreas de vazios encontradas foram similares (p>0.05) entre os grupos. Foi possível concluir que o método mecânico foi mais rápido para a técnica de condensação lateral, mas todos os métodos de obturação estudados apresentaram espaços vazios na massa obturadora.

The marginal fidelity of Procera(R) AllCeram alumina copings and crowns of patients / 대한치과보철학회지

STATEMENT OF PROBLEM: Use of all-ceramic prostheses fabricated with CAD/CAM systems is increasing in the dentistry. Marginal fidelity in production of all-ceramic restoration has important clinical implications and is a key consideration issue in CAD/CAM production as well. PURPOSE: The objective of this study was to analyse marginal fidelities of Procera(R) Allceram Crown. MATERIAL AND METHODS: On 56 patients treated with Procera(R) system Allceram Crown at Dankook Dental Hospital, marginal discrepancies of 101 abutments were measured by stereomicroscope at coping and final restoration stages. Paired t-test and one-way analysis of variance on marginal discrepancy data were conducted to determine the presence of significant differences between measurement and measuring point stages. RESULTS: Marginal discrepancies of final restoration (45.82 +/- 30.84 micrometer) were lower than alumina coping (53.84 +/- 38.83 micrometer). Furthermore, the differences were found to be statistically significant at 95% confidence level. Anterior marginal discrepancies were lower than posterior marginal discrepancies, but they were not statistically significant. Lingual marginal discrepancies were higher than other measurement sites, and the differences were found to be statistically significant at 95% confidence level. CONCLUSION: Within the conditions of this study, marginal fidelities of Procera(R) Allceram Crown were acceptable, and after porcelain build-up, marginal fitness improved over alumina coping. More careful scanning is needed for better results.

The effect of adhesive property on microtensile bond strength to human dentin / 대한치과보존학회지

The purposes of this study were to evaluate the effect of adhesive property on microtensile bond strength and to determine the failure mode. Flat occlusal dentin surfaces were prepared using low-speed diamond saw. The dentin was etched with 37% phosphoric acid. The following adhesives were applied to the etched dentin to manufacturer's directions; Scotchbond Multi-Purpose in group SM, Prime&Bond NT in group NT, Scotchbond Multi-Purpose followed by Tetric-flow in group TR. After adhesive application, a cylinder of resin-based composite was built up on the occlusal surface. Each tooth was sectioned vertically to obtain the 1 x 1mm2 "sticks". Microtensile bond strength were determined. Each specimen was observed under stereomicroscope and scanning electron microscope (SEM) to examine the failure mode. Data were analyzed using one way ANOVA. The results of this study were as follows; 1. The microtensile bond strength value were; group SM (18.98 +/- 3.01MPa), group NT (16.01 +/- 4.82MPa) and group TR (17.56 +/- 3.22MPa). No significant statistical differences were observed among the groups (P>0.05). 2. Most of specimens showed mixed failure. In group TR, there was a higher number of specimens showing areas of cohesive failure in resin.