Incidence and Intensity of Pain Following Endodontic Treatment by Different Instrumentation Techniques in Teeth With Periapical Lesion.

AIM AND OBJECTIVES:  This study was carried out to compare the effectiveness of hand and rotary instrumentation techniques on postoperative pain in asymptomatic necrotic premolars with periapical lesions and instrumented by a modified step-back technique using a K file, crown down by continuous rotary motion technique using ProTaper Universal (Dentsply Mailefer, Ballaigues, Switzerland), and with the reciprocation technique using WaveOne (Dentsply Sirona, Charlotte, NC, USA). MATERIALS AND METHODS:  For this study, 66 premolars with single roots and canals were chosen. The procedure was completed in a single visit. Following access opening, the working length was initially determined using an apex locator and then confirmed after inserting K file #10 by radiograph. The canal was cleaned and shaped using a grouping system. After the master apical preparation, the canal was dried by paper point and obturated with gutta-percha and AH plus sealer, an epoxide-amine resin pulp canal sealer. In order to confirm the obturation, a radiograph was taken. After that, a permanent restoration material was used to seal the access cavity. Following that, patients to whom the visual analog scale (VAS) had already been explained were contacted by phone at six, 12, 24, and 48 hours. RESULTS:  In this study, compared to a stainless steel instrumentation technique, WaveOne instrumentation caused more noticeable pain. The results of the current study showed that, on average, postoperative pain scores decreased over the course of the 12 to 48-hour period, reaching a minimum or a maximum at 48 hours (p<0.01). CONCLUSION:  Postoperative pain was produced by all instrumentation methods used in the study. In comparison to ProTaper and WaveOne, instrumentation using the modified step-back technique with K files caused less pain, especially over the course of a 24-hour period.

A Cross-sectional Study to assess the Perception of Psychosocial Elements among Pediatric Patients visiting Dental Clinics.

INTRODUCTION: Children with high dental fear and perception usually encounter high prevalence of dental caries. Data showed that individuals with dental fear will probably defer dental appointments which may result in the formation of a setup of an endless loop of dental fear. Present study was aimed to assess different psycho-social parameters among pediatric patients visiting dental clinics. MATERIALS AND METHODS: In the present cross-sectional study, the data of 200 schoolchildren were collected and analyzed by means of a questionnaire. Evaluation of the oral health status was done by experienced pedodontists. All the answers were recorded and analyzed by Statistical Package for the Social Sciences (SPSS) software. RESULTS: Nearly 120 were regular attendees while remaining 80 were found to be irregular attendees. Significant difference was observed while comparing the decayed, missing, and filled teeth (DMFT) index, decayed teeth, dental fear, cognitive vulnerability, and dental prevention belief between the regular and irregular group. Significant correlation was observed between higher number of decayed teeth and increasing level of dental fear. CONCLUSION: Various psychosocial parameters, by affecting the dental visits, are associated with outcome of oral health measures. CLINICAL SIGNIFICANCE: Special attention should be paid to the pediatric patients with such kind of behavior so that their psy-chosocial attitude could be modified in favor of dental treatment.

Attitude and practice of dental professionals towards using of advance radiographic technique: a cross- sectional descriptive study

Aim: To assess the attitude and practice of dental professionals towards using of advance Radiographic technique. Material and Methods: It is a descriptive Cross-sectional Questionnaire study. Sample size was 375 dental professionals including BDS, MDS and post graduate students who were present at the time of study and given their informed consent were included in study. The study was conducted in Tatya Saheb Kore Dental College and Research Center New Pargaon, Distt. Kolhapur, Maharashtra. Results: 141 (38%) of study participants strongly supports use of advance radiographic technique for the diagnosis of Dental diseases, while only 19 (5%) strongly disagrees55% of study participants thinks that mock drills for the demonstration of usage of advance radiographic technique in dentistry is very much needed. Majority of dental professional {202(54%)} were using both Conventional Radiographic technique and Advance Radiographic technique in combination. Conclusions: Attitude of Dental professionals towards advance radiographic technique is positive. Need of the hour is to increase the practice of advance radiographic technique for the better understanding of this area.