Indian Journal of Public Health Research & Development

Sangavi Tamizharasan ¹, Subbiya Arunajetasan ², Geethapriya Nagarajan ³, Prakash Venkatachalam ⁴

Affiliations
1 First Year PG Student, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai - 600100, Tamilnadu, IN
2 Professor and Head of the Department, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai - 600100, Tamilnadu, IN
3 Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai - 600100, Tamilnadu, IN
4 Professor, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai - 600100, Tamilnadu, IN

Abstract

Maxillary anterior spacing is one of the most common aesthetic issues .It is atechnical challenge for clinicians. Treatment is mainly for esthetic and psychological reasons, Numerous materials are available for diastema closure. Case should be carefully analyzed with proper history for etiological factors and best possible treatment plan. This case report highlights an esthetic closing of a gap spacing between maxillay central incisor teeth with direct composite using putty impression to provide an acceptable esthetic outcome.

Keywords

Midline Diastema, Etiology, Analysis, Composite Resin.

Full Text

     

B. Bharadwaj ¹, Geethapriya Nagarajan ², Vivekanandhan Paramasivam ³, Subbiya Arunajetasan ⁴

Affiliations
1 I Yr. Post Graduate, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharat Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai–600100, Tamil Nadu, IN
2 Reader, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharat Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai–600100, Tamil Nadu, IN
3 Professor, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharat Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai–600100, Tamil Nadu, IN
4 Professor & Head, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharat Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai–600100, Tamil Nadu, IN

Abstract

Veneer is a layer of tooth colored material that is applied to a tooth to restore a localized or generalized defect and intrinsic discoloration. This case report describes closure of midline diastema using porcelain laminate veneers. Advances in the bonding between porcelain and tooth structure make this treatment a fantastic alternative to restore teeth with alteration in shape and position; severe discoloration and in cases where the aesthetic demand is high. The rationale for various choices in this treatment protocol is detailed with reference to the pertinent literature. Thus the clinical success depends on identification of cases, type of tooth preparation design, impression and bonding technique.

Keywords

Veneer, Diastema Closure, Lithium Di-Silicate, Resin Coating Technique.

Full Text

     

Geethapriya Nagarajan ¹, Subbiya Arunajetasan ², Anuradha Balasubramanian ¹, Shobhana Ramu ³

Affiliations
1 Reader, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
2 Professor and Head, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
3 First Year Postgraduate Student, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Green dentistry or eco-friendly dentistry, emerging as a new concept towards sustainability. Dentistry has a great impact on the environment due to the large amount of waste generated by various dental procedures along with excessive use of water and electricity, which emphasizes to move towards ‘Green dentistry’. Hence, conserves money and time with the innovation of latest techniques and procedures and inculcating it in our daily practice. Eco-friendly dentistry if adopted will safeguard the environment and the human race from the harmful risks of rapid urbanization in developing countries. Thus, there is a need to emphasize the practice of eco-friendly dentistry in a developing country like India, with an approach to conserve resources and curb environment pollution.

Keywords

Ecofriendly Dentistry, Environment Friendly, Green Dentistry, Innovative Dentistry.

Full Text

     

Sahithi Reddy ¹, Venkatesh Alagarsamy ², Geethapriya Nagarajan ³, Tamilselvi Ramachandran ³

Affiliations
1 Second Year PG Student, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN
2 Professor, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN
3 Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN

Abstract

There are two possible mechanisms for size influenced consequences of nanomaterials in preventive dentistry: one, interaction with bacterial attachment and biofilm establishment, two, the effect on de- and remineralization. As the process of demineralization begins at nanolevel, it is imperative to provide nanosized units for optimized remineralization. This is applicable for particle size-related interactions with bacteria and it’s bacterial, as the nanoparticles are more effective than microparticles. Many preparations have been developed, many of them are in the experimental state, and a few are already available. Nanoparticles for major tooth repair may progress through various stages of technological development. Many naniparticles are made available which help in teeth repair and regeneration process. This article is a review on nanomaterials for remineralisation. Which are Nano hydroxy apetite, Nano calcium fluoride, Beta Tricalcium Phosphate, nano Bioglass, Nano CCP-ACP and nano Bioinert zirconia.

Keywords

Remineralisation, Nanoparticles, Caries Prevention.

Full Text

     

Sangavi Tamizharasan ¹, Subbiya Arunajetasan ², Geethapriya Nagarajan ³, Suresh Mitthra ³

Affiliations
1 First Year PG Student, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN
2 Professor & Head of the Department, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN
3 Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN

Abstract

A definitive diagnosis of vertical ischolar_main fracture (VRF) is often a challenging diagnosis for clinicians. This is because periapical radiographs are usually unable to detect the fracture line due to two dimensional image. This case of ischolar_main canal treated with apical periodontist was diagnosed with vertical ischolar_main fracture based on findings from clinical, radiographic, and cone-beam computerized tomographic (CBCT) examinations. CBCT aids in information regarding fracture line which cannot be detected in radiograph due to the direction of x-ray beam. Hence CBCT greatly helps in the diagnosis and management of VRF. However, the clinical and radiographic data is also much need hence CBCT can be used as an adjunct for cases with difficult diagnosis.

Keywords

Cone-Beam Computed Tomography, Dental Radiography, Diagnosis, Endodontics, Tooth Fractures.

Full Text

     

Shobhana Ramu ¹, Subbiya Arunajetasan ², Geethapriya Nagarajan ³, Anuradha Balasubramanian ³

Affiliations
1 First Year Postgraduate Student, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN
2 Professor and Head, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN
3 Reader, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN

Abstract

Mandibular premolars are one of the most difficult teeth to treat endodontically as it shows high incidences of aberrant ischolar_main canal anatomy. Complete cleaning and shaping with copous irrigation is the key to successful endodontic treatment. Careful understanding of the internal anatomy and morphology of the ischolar_main canal system is an important task when performing cleaning and shaping procedures. This article describes mandibular second premolars with Vertucci Type II ischolar_main canal anatomy, treated successfully by conventional endodontic treatment.

Keywords

Abberant Anatomy, Mandibular Second Premolar, Root Canal Anatomy, Vertucci.

Full Text

     

Shobhana Ramu ¹, Subbiya Arunajetasan ², Geethapriya Nagarajan ³, Anuradha Balasubramanian ³

Affiliations
1 First Year Postgraduate Student, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN
2 Professor and Head, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN
3 Reader, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai-600100, Tamilnadu, IN

Abstract

Elimination of microbes from ischolar_main canals and impeding of further reinfection is the objective behind an endodontic treatment. This is achieved by overall disinfection and shaping of canals which can then be filled using a three-dimensional filling with a fluid-tight seal. However, this process becomes complicated with the presence of additional ischolar_main canal systems. To achieve these goals, the clinician must have proper knowledge of regular anatomy and anatomic variants of ischolar_main canals. One such variant configuration in mandibular molars is the presence of a third canal in the mesial ischolar_main called middle-mesial canal. The purpose of the present article is to report successful non-surgical retreatment of a mandibular first molar with earlier missed Middle Mesial Canal.

Keywords

Accessory Mesial Canal, Intermediate Mesial Canal, Mandibular Molar, Mid-Mesial Canal.

Full Text

     

Bharadwaj Balasubramanian ¹, Saatwika Loganathan ¹, Prakash Venkatachalam ², Malarvizhi Dhakshinamoorthy ³, Suresh Mitthra ⁴, Geethapriya Nagarajan ⁴

Affiliations
1 M.D.S, I yr Post Graduate, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharat Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN
2 Professor, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharat Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN
3 Associate Professor, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharat Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN
4 Reader, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharat Institute of Higher Education & Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN

Abstract

Aim: To determine the effect of Eugenol based temporary cements on bond strength of RMGIC and RelyX ARC.

Materials and Method: A total of fortymolars were sectioned 3mm below the occlusal surface and roughened surface was smoothened by 60-grit sand paper. Zinc oxide eugenol was given as a temporary restoration for 20 molars and the rest were not exposed to eugenol. Zinc oxide eugenol was removed using ultrasonic scaler and viewed under magnification for precise removal. 20 molars not exposed to eugenol were divided into group 1 (RMGIC) and group 3 (Resin). Other 20 teeth which were exposed to Eugenol were also divided similary into group 2 (Eugenol+RMGIC) and group 4 (Eugenol+Resin). Shear bond strength (SBS) testing was done using knife edge blade in the universal testing machine (INSTRON) at CIPET in Chennai.

Results: On comparing Shear Bond Strength using t-test, no statistical significance (p>0.05) was found between RMGIC groups whereas between Resin groups statistical significance was found.

Conclusion: When ZOE was used as temporary cement there was a decrease in shear bond strength for resin cement but no difference was observed in RMGIC groups.

Keywords

Shear Bond Strength, Eugenol, Polymerization, Chemical Polyalkonate-Hydroxyapatite Bonding, Micromechanical Interlocking.

Full Text

     

Venkatesh Alagarsamy ¹, Sahithi Reddy ², Geethapriya Nagarajan ³, Karthick Arumugam ⁴

Affiliations
1 Professor, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
2 Second Year Postgraduate Student, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
3 Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
4 Associate Professor, 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

Periapical cyst accounts up to half of cystic lesion of jaws. Large periapical cysts, generally true cyst are self sustaining are less likely to be resolved by conventional ischolar_main canal therapy. Hence, a surgical intervention is needed. Of all the surgical procedures decompression is a more conservative option to treat periapical cyst. It includes surgical exposure of a cyst wall and insertion of a tube or any drain to decompress the lesion during healing and reduces the necessity of surgical enucleation. The decompression technique has a potentially high success rate with low morbidity and reduced loss of bone support, and should be considered for treatment of these lesions. It can reduce risk of perforation in lesions adjacent to the nasal floor, sinus floor, mandibular nerve, and neighboring tooth apices. Despite certain limitations like need for patient compliance and longterm follow-up, decompression is a viable and less invasive method which can counterbalance the fallacies and should be considered as an alternative to conventional surgeries. This review article describes the origin, methods, clinical outcomes, advantages and drawbacks of decompression procedure for periapical cyst.

Keywords

Decompression, Periapical Cyst, Marsupialization, Surgical Drainage.

Full Text

     

Geethapriya Nagarajan ¹, Subbiya Arunajatesan ², Selvakumar Gold Pearlin Mary Newbegin ¹, Venkatesh Alagarsamy ³

Affiliations
1 Reader, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN
2 Professor & Head, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN
3 Professor, Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN

Abstract

Calcific metamorphosis is the obliteration of pulp canal space due to trauma or injury. Hemorrhage and blood clot formation in the pulp after injury is a nidus for calcification if the pulp still remains vital. Calcification replaces the cellular components of the pulp. Teeth with pulp canal obliteration prove to be a challenge to endodontic treatment. This case report describes the successful management of a tooth with calcified canal and perforation with six months follow up.

Keywords

Pulp Canal Obliteration, Perforation, Root Canal Treatment.

Full Text

     

Geethapriya Nagarajan ¹, Parthasarathy Rajasekar ², Selvakumar Gold Pearlin Mary Newbegin ¹, Venkatesh Alagarsamy ³

Affiliations
1 Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
2 Final Year PG Student, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
3 Professor, 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

Platelet Rich Fibrin consists of an autologous leukocyte-platelet-rich fibrin matrix, composed of a tetra molecular structure, with platelets, leukocytes and stem cells within it, which acts as a biodegradable scaffold that favors microvascularization and is able to guide epithelial cell migration to its surface. This case report describes about the management of large periapical lesions with surgical approach and PRF placement and a non-surgical approach.

Keywords

Platelet Rich Fibrin, Leukocytes, Scaffold.

Full Text

     

Prakash Venkatachalam ¹, Rama Krishna ², Devakar Rajendran ³, Geethapriya Nagarajan ⁴, Venkatesh Alagarsamy ¹, Anuradha Balasubramaniam ⁴

Affiliations
1 Professor, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
2 Private Practitioner, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
3 Second Year PG Student, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN
4 Reader, 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

A Comparative evaluation of surface wear and distortion of ProTaper, RaCe and K3 nickel-titanium rotary instruments was done using resin blocks with 20 degrees curvature. Three groups of four samples were evaluated for spiral distortion and surface wear after instrumentation. The deformation and fracture of F1 of ProTaper, 0.06 tapers RaCe and were photographically recorded SEM 250X using magnification. It was evident from the scores obtained and SEM pictures analysed that ProTaper instruments exhibited significantly higher degree of spiral distortion and surface wear compared to both RaCe and K3, with no statistical variation between the latter two systems.

Keywords

Surface Wear, Distortion and Cyclic Fatigue.

Full Text