Indian Journal of Public Health Research & Development

Arumugam Karthick ¹, Arunajatesan Subbiya ¹, Vijendra Maki Reddy ¹, Dhakshinamoorthy Malarvizhi ¹, Alagarsamy Venkatesh ¹, Venkatachalam Prakash ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, IN

Abstract

Aim: The purpose of this randomized control study was to determine the effect of the administration of the preoperative ketorolac on the success of the inferior alveolar nerve (IAN) block in patients with symptomatic irreversible pulpitis

Materials and Method: Ninety adult volunteers who were actively experiencing pain participated in this study. The subjects were divided into 3 groups on a random basis and were randomly divided into three groups. Group 1 patients were advised to take tablet Ketorol-DT for 2 days as per the dosage recommendation by the manufacturer before the endodontic procedure. Group 2 patients were given tablet Ketorol-DT 1 hour before anesthesia and group 3 patients receive no preoperative medication. All patients received standard inferior alveolar nerve block of 2% lidocaine with 1:80,000 epinephrine. Endodontic access preparation was initiated after 15 minutes of initial inferior alveolar nerve block. Pain during treatment was recorded by using Heft Parker visual analog scale. Success was recorded as none or mild pain.

Result: Preoperative administration of tablet Ketorol-DT before 2days has a significant effect on success rate of Inferior alveolar nerve block in patients with irreversible pulpitis. There is no statistical difference between group 2 and group 3.

Conclusion: Preoperative administration of tablet Ketorol-DT before 2days has a significant effect on success rate of Inferior alveolar nerve block in patients with Irreversible pulpitis.

Keywords

Premedication, Keterol, Pain Management.

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Dhakshinamoorthy Malarvizhi ¹, Arumugam Karthick ¹, Anuradha Balasubramanian ¹, Hareendranath Velayudhan Nair ²

Affiliations
1 Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, IN
2 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, IN

Abstract

Recent advances in the understanding of pain physiology and pharmacology have provided dental practitioners with more reliable information upon which clinical decisions in the treatment of endodontic pain can be based. One of the effective strategies currently used in these cases is structured to evaluate the painful condition through a 3-D approach which establishes a differential diagnosis, definitive treatment, and rational use of drugs, based on the most appropriate scientific evidence available in the literature. This article provides practical treatment strategies based upon current scientific evidence and uses information presented in the articles.

Keywords

Pain Physiology, Endodontic Pain, 3-D Approach.

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A. G. Lakshmisree ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College And Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Aim: To evaluate the effect of intensity of curing light on depth of cure of resin based composite material and also to bring about the awareness to the dentists community regarding the maintenance of intensity of curing light unit.

Materials and Method: The resin based composite material of A2 shade was tightly packed into a plastic mould (fig1D) of diameter 6mm and depth 5mm. The sample size for each group was 10 in numbers, which was irradiated from the top, for each varying intensity, with light tip in nearest contact. An LED Light Curing unit was used throughout this study; the input voltage to the curing light was controlled by a regulated dc power supply. Four different settings of voltage 2.9V, 3.0V, 3.1V and 3.2V which yielded the light intensity as 200mW/cm², 250mW/cm², 300 mW/cm² and 375 mW/cm², the power supply to the curing light then was set to this voltage level i.e. 5V and the intensity was verified according to the ISO test method to determine the depth of cure of the resin-based composites.

Results: Statistical difference between the groups and among the groups were calculated using Students ‘t’ test. Results clearly shows a statistically significant difference in depth of cure with varying intensity of light used.

Conclusion: Depth of cure is comparatively low when intensity of curing light is low. These measurements provide valuable baseline information about the specific depth of cure for different intensities of curing light on resin-based composite materials used by dentists.

Keywords

Intensity of Light, Depth of Cure, Composite.

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Nagarajan Geethapriya ¹, Arumugam Karthick ¹, Dhakshinamoorthy Malarvizhi ¹, Ramu Shobhana ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Evidence based dentistry is an effort towards oral health care and is a process to systematically collect and analyze scientific evidence to answer a particular clinical situation. It is a logical, common sense, patientoriented approach which is not different from the regular treatment except that it takes into consideration the uniqueness of each patient. Evidence-based dentistry (EBD) forms an important asset to practice modern dentistry and to educate upcoming dental care professionals. It is important for dentists to be able to keep up with developments in diagnosis, prevention and treatment of oral disease, as well as newly discovered causes of diseases, especially in regards to patient safety. For everyday practice, EBD offers increased personal satisfaction in the knowledge that the patient’s healthcare requirements are met by a treatment that is based on scientific evidence.

Keywords

Evidence Based Research, Evidence Based Approach, Systematic Review, Dentistry.

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Dhakshinamoorthy Malarvizhi ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Hannah Christmin ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, IN

Abstract

Vital bleaching is one of the most common cosmetic dental procedures done in dental office. This procedure consists of carbamide or hydrogen peroxide gel applications that can be applied in-office or by the patient (athome/ overnight bleaching system). In-office treatments utilise light to speed up the process. The objective of this article is to review the effect of light-activation sources on in-office tooth bleaching.

Keywords

In-Office Bleaching, Carbamide Peroxide, Hydrogen Peroxide, Whitening.

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A. G. Lakshmisree ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry And Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Generally permanent maxillary first molar has three ischolar_mains and four canals. While there is usually a single canal in each of the distobuccal and palatal ischolar_mains, the broad buccolingual dimension of the mesiobuccal ischolar_main and associated concavities on its mesial and distal surface is consistent with the majority of the mesiobuccal ischolar_mains having two canals. In the literature with respect to frequency of occurrence of the number of canals in each ischolar_main, there is a wide range of variation with regards to the number of ischolar_mains and incidence of fusion. The ischolar_main canal morphology of teeth is often extremely complex and highly variable. Variations may result because of ethnic background, age and gender of the population studied. The following manuscript is a case report that describes the management of maxillary first molar with 6 canals.

Keywords

Six Canals, Maxillary First Molar, Anatomical Variations.

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Wesly Sophreniaa ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Postoperative pain is more likely to arise within a few hours following ischolar_main canal treatment. Patients who have postoperative pain need analgesics that have fewer side effects for relieving the pain. Postoperative discomfort reduction by various preoperative means is a tried and tested method. Here, we predict symptoms that arise after treatment and try to deal with them before they begin. For those patients presenting with preoperative pain, it has been reported that up to 80% of this population will continue to report pain of different degrees even after endodontic treatment. A number of factors concerning the etiology of postoperative pain have been evaluated. The main contributing factors of pain during ischolar_main canal treatment comprises of mechanical, chemical, and microbial injuries to the pulp or periradicular tissues which are induced or exacerbated during treatment. Pretreatment analgesia is providing analgesia to patients before initiation of endodontic treatment, which can decrease the establishment of central and peripheral sensitization and has the potential to reduce postoperative pain and postoperative analgesic intake. Administration of a nonsteroidal anti-inflammatory drug before ischolar_main canal therapy will interfere with the inflammatory process before it begins; therefore, presumably decreasing postoperative pain.

Keywords

Post Operative Pain, Premedication, Analgesics, NSAIDS.

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Wesly Sophreniaa ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Many associated risk factors are shared by systemic diseases and oral infections that could confound a relationship between them. Periodontal disease has received considerable interest when these interrelationships were studied. Endodontic infections have received much less attention, despite the fact that many of microbial pathogens are common in those 2 diseases. Many of the systemic diseases were found to affect the outcome of endodontic treatment.A number of observational studies and a longitudinal cohort studyhave described, at least in part, a possible association between systemic involvement and endodontic periapical infection. To date, the role of systemic medical conditions as a modulating factor in the development of endodontic periapical infection has been a subject of controversy with authors who found a strong association and those who found weak to no association. Therefore, the purpose of this review was to discuss the pathogenesis and scientific evidence reporting any relationships between lesion of endodontic origin and risk of systemic diseases.

Keywords

Systemic Disease, Apical Periodontitis, Periapical Infection, Diabetes Mellitus, CVD, Liver Disease.

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Arumugam Karthick ¹, Mahendran Kavitha ², Dhakshinamoorthy Malarvizhi ¹

Affiliations
1 Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Chennai, IN
2 Tamilnadu Government Dental College and Hospital, The TN Dr MGR Medical University, Chennai, IN

Abstract

Objective: To evaluate the effect of modifying the liquid component of conventional GIC with 10 v/v % and 50 v/v % Chitosan on fluoride release and flexural strength in comparison to conventional GIC.

Method: The liquid component Conventional GIC was modified by adding 10 v/v % and 50 v/v % Chitosan. To evaluate fluoride release, 90 discs of 10*2mm were prepared, stored in 50ml distilled water for 1hr, 24hrs and 1 week and measured in DR-2000 spectrophotometer. To measure flexural strength, 30 samples of 10*2.5*2.5mm were prepared, loaded until fracture in Universal testing machine.

Statistical Analysis: One-way analysis of variance and student Newman Keul test were used to analyze the data

Results: The accumulated fluoride release at various time intervals were greater for 50 v/v% Chitosan modified GIC than the other groups. Mean Flexural strength of 10 v/v% Chitosan modified GIC was found to be statistically significant than the other groups.

Conclusion: Chitosan enhances the Fluoride release and flexural strength properties of conventional GIC.

Keywords

Chitosan, Flexural Strength, Fluoride Release, Glass Ionomer Cement, Spectrophotometer.

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