ABSTRACT
Objective: In this study, the retention rates of four different pit and fissure sealant materials on the first permanent molars were clinically assessed and compared. Materials and Methods: A total of 120 kids aged 7 to 10 participated in a randomized controlled experiment. On their first permanent teeth, the subjects each got one of the four sealant materials (A, B, C, or D). Over the course of 24 months, the retention rates were evaluated every 6 months. The Chi-square test and Kaplan-Meier survival analysis were used for statistical analysis. Results: At 6, 12, 18, and 24 months, the following retention rates were observed overall: A (85%, 78%, 65%, 52%), B (90%, 82%, 70%, 60%), C (78%, 70%, 55%, 42%), and D (95%, 88%, 75%, 62%). At each time point, the sealant materials showed significant variations in retention rates (P 0.05). While sealants A and C showed lower retention rates, sealant D showed the best retention rates, followed by sealant B. Conclusion: This study shows that different materials have different retention rates for pit and fissure sealants on first permanent molars. Higher retention rates for sealants D and B suggest that they may be superior than sealants A and C. These results highlight how crucial it is to choose the right sealant materials to guarantee long-term retention and effectiveness in avoiding dental cavities.
ABSTRACT
Background: The most common and convenient technique to provide antiplaque medicines is through mouth rinses, which have the advantage of accessing places that are difficult for a toothbrush to clean. Chlorhexidine and Listerine mouthwashes were tested for their effectiveness when used in addition to routine teeth cleaning techniques. However, the studies assessing the antibacterial effects of these among young adults are diversified and limited. Materials and Methods: This comparative study was conducted among 240 schoolchildren. The participants were separated into three groups: A, B, and C. The research was conducted at two intervals of time, before therapy and during treatment period. The plaque was assessed through the plaque index (Turesky modification of Quigley-Hein plaque index (1970)). After a month, individuals had oral examination and were assessed. Results: Following the first week, a comparison of plaque scores was made between the three groups. Plaque score is lower in group C and group B than in group A in the succeeding second, third, and fourth weeks, but Tukey's test results suggest that group C has a larger decrease in plaque than group B. Conclusion: According to this study, as compared to a placebo mouthwash, both a mouthwash containing 0.2% chlorhexidine and one containing phenol dramatically reduced plaque development and gingival irritation.
ABSTRACT
BACKGROUND: Implant-supported restorations have gained popularity in modern dentistry, and the choice of abutment material is crucial for their long-term success. This in vitro study aimed to evaluate the fracture resistance and failure mode of implant-supported restorations using different abutment materials. METHODS: Ninety standardized implant-supported restorations were included in the study. Abutments made of titanium, zirconia, and a hybrid material (titanium base with a zirconia veneer) were evaluated. Standardized abutments were fabricated, and screw-retained restorations were fabricated using a resin-based composite material. Cyclic loading was applied using a universal testing machine to simulate masticatory forces. Fracture resistance was measured in terms of the number of cycles to failure (NCF), and failure modes were analyzed. RESULTS: The findings indicate that zirconia abutments exhibited higher fracture resistance compared to titanium and hybrid abutments. Longer implants demonstrated higher fracture resistance, suggesting improved stability and resistance to mechanical forces. Increased loading angles resulted in decreased fracture resistance of implant-supported restorations, emphasizing the need for proper occlusal adjustment. Central loading showed higher fracture resistance than lateral and posterior loading locations. The distribution of failure modes varied among the abutment materials, with bulk prosthesis fracture being the most common in the titanium group, while abutment fracture was predominant in the zirconia and hybrid groups. CONCLUSION: This in vitro study demonstrated that the choice of abutment material significantly influenced the fracture resistance and failure mode of implant-supported restorations. Zirconia abutments exhibited the highest fracture resistance, followed by hybrid and titanium abutments. The failure mode analysis revealed different patterns of failure for each abutment material.
ABSTRACT
Introduction: Over the past ten years, parents have become more involved in choosing the aesthetic restorations for their ward. The strip crown and the prefabricated zirconia crown are some of the common anterior aesthetic complete crowns. The purpose of this study is to examine parental satisfaction over a one-year period in children aged three to five with "Strip Crowns" versus "Preformed Primary Anterior Zirconia Crowns". Materials and Procedures: Current study included 20 children. Among them their both central incisors were restored using the two varieties of crowns. The distribution of participants was done using the permuted block randomization approach. Twenty parents who participated were called back over a year to complete the questionnaire. The data was collected and compared while the statistics are deemed significant at P < 0.05. Results: Both restoration options received positive feedback from parents. With strip crowns, there was a statistically significant correlation between overall happiness and longevity of the restoration (P = 0.003) and color (P = 0.033) in zirconium crowns. The parents who expressed less pleasure with the strip crowns' longevity and the color of zirconia crowns did so overall, though. Conclusion: In conclusion, prefabricated primary anterior zirconia crowns were more popular with parents than strip crowns. All other criteria were about equally well-liked by parents, with the exception of longevity, which was more common for zirconia crowns.
ABSTRACT
Background: Dental pain due to pulpal involvement is difficult to diagnose due to the apparent inaccessibility of pulp to the clinical tests, indistinct symptoms, and referred toothache originating from the periodontal tissues. Though we have various clinical classification systems to categorize pulpal diseases, we are yet biased about the exact pathophysiology and pain pathway associated with it. Dental pulp has a complex physiology, and so is its pathophysiology. Aims & objectives: To concisely reviews the basic understanding of the pathophysiology of pulp, pain pathway, and its correlation with the classification of various clinical conditions of pulpal inflammation and periapical diseases. Methodology: Literature search on pulpal diseases and pathophysiology from the sources: MEDLINE, PubMed, Web of Science and Cochrane Databases dated from 1965 till December 2020 was carried on to collect 163 articles. Results: Filtered search on the pathophysiology of pulp, pain pathway, and classification of various clinical conditions of pulpal inflammation resulted us to precise 36 articles required for our understanding and demystifying the correlation. Conclusion: The emphasis should be laid on understanding the minute changes occurring inside the pulp in due course of inflammation to aid its diagnosis and a treatment plan accordingly. How to cite this article: Samir PV, Mahapatra N, Dutta B, et al. A Correlation between Clinical Classification of Dental Pulp and Periapical Diseases with its Patho Physiology and Pain Pathway. Int J Clin Pediatr Dent 2023;16(4):639-644.
ABSTRACT
INTRODUCTION: Epilepsy is a neurological disorder, which is identified by repeated episodes of abnormal synchronous discharge of brain, resulting in several types of deficits. A percentage of them also have mental and motor deficits. Both the epileptic conditions and their medical management can influence oral health. OBJECTIVE: To assess and to compare the oral health status of epileptic children and the healthy children in Bengaluru city. MATERIAL AND METHODOLOGY: Data was collected from the study group, which included 100 children between age-group 5 and 16 years registered under the Department of Neurology, Indira Gandhi Institute of Child Health (IGICH). Data collected from healthy children as control group and they visited Department of Pedodontics and Preventive Dentistry, VS Dental College & Hospital (VSDCH) for routine dental check-up. All subjects were examined by single qualified examiner. Gingival Index, plaque index, decayed missing filled teeth for primary teeth (dmft) and for permanent teeth (DMFT) were recorded for both study and control group. Other findings were also recorded such as injury to dentition or oral soft tissues and gingival hyperplasia as side effect of antiepileptic drug therapy. RESULTS: There was no statistically significant difference found in dmft and DMFT between control group and study group. But, there was significant difference present in dmft and DMFT on gender basis between control and study group. CONCLUSION: The group of children with epilepsy suffer from several oral health problems such as dental caries, gingival enlargement, periodontal disease, and injuries of the oral cavity, which are associated with seizure-related trauma. HOW TO CITE THIS ARTICLE: Tiwari S, Verma RK, Dhull KS, et al. Assessment of Oral Health Status in Epileptic Children and Healthy Children in Bengaluru City: A Comparative Study. Int J Clin Pediatr Dent 2021;14(6):768-773.
