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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Loganathan Saatwika ¹, Venkatachalam Prakash ¹, Balasubramaniam Anuradha ¹, Arunajetasan Subbiya ²

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

Abstract

The main reason for endodontic failure of mandibular incisor is the inability to detect the presence of second canal. Varying number of the ischolar_main canals, their anatomy and interconnections in different teeth have been studied and reported. This case report describes the successful endodontic treatment of mandibular incisor having two ischolar_main canals.

Keywords

Mandibular Incisor, Additional Canals, Endodontic Management.

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Alagarsamy Venkatesh ¹, Arunajatesan Subbiya ¹, Suresh Mitthra ¹, Venkatachalam Prakash ¹

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

Abstract

Vertical ischolar_main fracture in teeth can be a barrier in diagnosis. There are other clinical and radiographic findings which can be vigilant to the clinician to the existence of fracture. Knowledge of the diagnostic aspects and the correct correlation and interpretation of radiograph was enough to establish the diagnostic hypothesis of vertical ischolar_main fracture.

Keywords

Endodontics, Diagnosis, Vertical Root Fracture, Three Dimensional Imaging.

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Parthasarathy Rajasekar ¹, Suresh Mitthra ¹, Venkatachalam Prakash ¹, Arunajetasan 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

This case report describes and analyses a tooth fragment reattachment technique used to resolve crown fractures of the anterior teeth. This treatment allows a conservative approach to traumatic coronal lesions offering a better possibility of maintaining aesthetics and function. The adhesive reattachment is a simple system to achieve good aesthetic and functional results. When tooth and fragment margins are intact, the reattachment technique without any tooth preparation is a simple and predictable procedure.

Keywords

Tooth Fragment, Re-Attachment, Trauma.

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Joseph Changankary Pia ¹, Suresh Mitthra ¹, Venkatachalam Prakash ¹, Arunajetasan 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

Endodontically treated teeth are often associated with vertical ischolar_main fracture (VRF) and it becomes difficult to differentiate a tooth with this condition from an endodontically failed one or one with concomitant periodontal involvement. The cause of VRF is mainly trauma and iatrogenic reasons. Both complete and incomplete VRF constitute an ongoing problem in dentistry because they are difficult to be diagnosed in the early stages. In majority of the cases, tooth extraction is the only reasonable treatment when the VRF is finally diagnosed. Treatment options included extraction of single ischolar_mained teeth, but with the advent of adhesive dentistry. There is a paradigm shift towards preservation of these teeth.

Keywords

Vertical Root Fracture, Multiple Sinus, Pain.

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