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Prem Lata ¹, Ajay Chhabra ¹, Varun Jindal ¹, Damanpreet ¹, Arun Kumar Thakur ²

Affiliations
1 Department of Conservative Dentistry and Endodontics, Bhojia Dental College & Hospital, Himachal Pradesh, IN
2 Himachal Pradesh, IN

Abstract

Introduction: This study was conducted to evaluate clinical and radiographic findings induced by revascularization with and without platelet-rich plasma (PRP). Methods: Twenty patients with nonvital, immature anterior teeth were randomly categorized into 2 groups. Subsequent to minimal instrumentation of the ischolar_main canal, disinfection was achieved with ledermix paste and followed by revascularization with and without PRPin groups I and II, respectively. The cases were followed up clinically and radiographically at 6- and 12-month intervals. Results: Clinically, all cases were asymptomatic with complete resolution of signs and symptoms (except four cases which were considered as dropout). Radiographically, there was no significant difference in periapical healing, apical closure, and dentinal wall thickening in group I in comparison with group II. However, ischolar_main lengthening was comparable for both of the procedures. Conclusions: Revascularization is a conservative and an effective method for inducing maturogenesis in nonvital, immature teeth. Supplementations with PRP can potentially improve the desired biological outcome of this regenerative procedure.

Keywords

Apical Closure Regenerative, Revascularization, Scaffold.

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Kamal Nabhi ¹, Ajay Chhabra ¹, Varun Jindal ¹, Damanpreet ¹

Affiliations
1 Department of Conservative Dentistry & Endodontics, Bhojia Dental College & Hospital, Himachal Pradesh, IN

Abstract

Aim: Light units used for polymerization of resin composites are subject to deterioration with age, and frequent maintenance is required to maintain optimal efficacy. The aim of this study was to examine the efficacy of LED units in private dental offices in Baddi (H.P) for polymerization of resin composites. Materials andMethods: Twenty dental officesmet all selection criteria and agreed to participate in the study.To measure light intensity, an analogue radiometer was used. The probe of each LED unit was placed and then measurements of light intensities were recorded for each light unit and the data was statistically analysed. Results: The light intensity of the individual units varied widely. The results revealed that there was error of 35% and a standard deviation of 155.76 among the intensities of various LED Units checked in the study. Conclusions: Light polymerization units in private dental offices displayed a wide range in light intensity, and many had below-recommended levels. A positive linear relationship was found between light intensity and photoactivation effectiveness. Dentists should regularly monitor the condition of light units and replace deteriorating parts.

Keywords

Composite, LED, Wavelength, Polymerisation.

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Damanpreet ¹, Saurav Miglani ², Babita Karda ³, Palvi Sarangal ⁴

Affiliations
1 Department of Conservative Dentistry & Endodontics, Bhojia Dental College & Hospital, Bhud, Baddi, Himachal Pradesh, IN
2 Department of Conservative Dentistry & Endodontics, Desh Bhagat Dental College & Hospital, Mukstar, Punjab, IN
3 Department of Pediatric & Preventive Dentistry, Desh Bhagat Dental College & Hospital, Mukstar, Punjab, IN
4 Department of Periodontology & Oral Implantology, Bhojia Dental College & Hospital, Bhud, Baddi, Himachal Pradesh, IN

Abstract

Aim: Methodology Results: Conclusion: KeyWords: The purpose of this study was to determine current trends in irrigation practice among the practicing dentists in Himachal Pradesh. Methodology :Aself prepared questionnaire comprising of 15 questions was e- mailed to 1970 members of the State Dental Council of Himachal Pradesh. The information gathered was the individual irrigant selection, irrigant concentration, smear layer removal, and use of adjuncts to irrigation. Results: A total of 544 replies were evaluated thus making the response rate of 27.6% for the study. Our data indicated that 38% of respondents primarily use sodium hypochlorite, with 61% of them using it at a concentration >5.0%. Only 21% of respondents aimed to remove the smear layer during endodontic treatment with only 7% using an adjunct to irrigation. Antibacterial activity was rated as the most important reason while selecting an irrigant. In spite of the crucial nature of the irrigation step in the endodontic therapy, the results of the study were not very satisfying especially when it comes to the use of adjuncts or newer irrigating systems. Thus there is need to regularly update and gauge the practices adopted by dental practitioners in the state.

Keywords

Dental Practitioners, Irrigant, Sodium Hypochlorite.

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Krishma Sharda ¹, Varun Jindal ², Ajay Chhabra ², Damanpreet ², Dilpreet ²

Affiliations
1 Department of Conservative Dentistry & Endodontics, Bhojia Dental College and Hospital, Baddi, Himachal Pradesh, IN
2 Department of Conservative Dentistry & Endodontics, Bhojia Dental College and Hospital, Baddi, Himachal Pradesh, IN

Abstract

Aim:The present study was done to evaluate and compare the effect of different temperatures (400° C, 800° C and 1000° C) on Composite as post endodontic restoration using Naked eye, Digital camera and Radiovisiography (RVG) in forensic analysis. Methodolody:An in vitro study was conducted on 42 human teeth with composite as post endodontic restoration exposed to three temperature ranges: 400°C, 800°C and 1,000°C. Results:Composite material studied in the present research offered great resistance to high temperatures, without exhibiting considerable macrostructure variation, in such a way that physical changes (dimensional stability, fissures, cracks, fractures, texture, color, carbonization and incineration) can be identified and associated to each specific temperature range. Conclusion:Dental tissues and materials offer great resistance to the effect of high temperatures. Moreover, they present specific changes (color, texture, fissures, cracks fractures, fragmentation) which might contribute to the process of identifying a corpse, or burned, incinerated or carbonized human remains.

Keywords

Composite, Forensic Analysis, Incineration.

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Kamal Nabhi ¹, Ajay Chhabra ¹, Varun Jindal ¹, Damanpreet ¹, Simran Pal Singh ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Bhojia Dental College and Hospital, H.P., IN

Abstract

Purpose: Prevention and management of post endodontic pain (PEP) is an integral part of endodontic treatment. NSAIDs such as Ibuprofen, Ketorolac are the most common medications used for managing pain after ischolar_main canal treatment. So the purpose of this study was to compare the effect of pain relief on regular versus on demand prescription of ibuprofen after single-visit ischolar_main canal treatment in teeth with irreversible pulpitis. Materials & Methodology: The study was performed on twenty patients. Root canal treatment was performed and all the patients were given a ''rescue bag'' that contained 8 tablets of400 mg ibuprofen and then divided into two groups. In the group 1-patients were instructed to use ibuprofen tablets if they felt pain and in the group 2-patients were instructed to take ibuprofen regularly after every 6 hours for at least three days. Patients were instructed to complete a form to rate their pain at 24 and 48 hours after the ischolar_main canal treatment and were also asked to record the number of analgesic tablets they had taken. Records were collected and statistically analysed. Results: The patients' pain levels in groups 1 and 2 were not significantly different at 24 and 48 hours after ischolar_main canal treatment. The number of analgesic medications used by the patients in group 2 was significantly higher than the other group. Conclusion: Regular prescription of ibuprofen had no significant effect on postoperative pain compared with on-demand use of ibuprofen in teeth with irreversible pulpitis.

Keywords

Single Visit Root Canal Treatment, Pain, Ibuprofen, Irreversible Pulpitis, Analgesics, NSAIDs.

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Gurkirat Singh Grewal ¹, Ajay Chhabra ¹, Varun Jindal ¹, Simran Pal Singh Bindra ¹, Vandana Chhabra ², Damanpreet ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Bhojia Dental College and Hospital, Himachal Pradesh, IN
2 Department of Oral and Maxillofacial Surgery, SKSS Dental College, Punjab, IN

Abstract

Aim: The aim of this study was to investigate the ischolar_main canal morphology of mandibular premolars in Northern region of India using a decalcification and clearing technique. Method: Three hundred extracted human mandibular premolars, collected from dental clinics within North India were selected for this study. Following pulp tissue removal, India ink was injected into the ischolar_main canals and the teeth were decalcified with 5% nitric acid, dehydrated with ascending concentrations of alcohol and rendered clear by immersion in methyl salicylate. Cleared teeth were examined under 5X magnification and the following features were evaluated: (i) number and type of ischolar_main canals; (ii) presence and location of lateral canals and; (iii) location of apical foramina. Results: 84.2% of the specimens exhibited Type I canal pattern. Type VIII was not observed in any of the specimens. The lateral canals were in the apical third in 78.7% of the specimens followed by middle third in 16.5% and the cervical third in 4.7%. 82.7% of the specimens showed lateral position of the apical foramen. Conclusion: Mandibular premolar teeth present a wide variety of radicular features, with one ischolar_main and one canal being found in majority of the cases. An accurate knowlegde of the morphology of the ischolar_main canal is essential for proper diagnosis and successful treatment of endodontic cases.

Keywords

Mandibular Premolars, Root Canal, Morphology, Vertucci's Classification, Tooth Clearing.

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Neelkamal ¹, Varun Jindal ¹, Ajay Chhabra ¹, Damanpreet ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Bhojia Dental College and Hospital, Himachal Pradesh, IN

Abstract

Objectives: The study aimed to assess variation in the remaining filling material by radiographic analysis and the time taken for retreatment system, with H-files; the ProTaper Universal Retreatment System; Mtwo Retreatment system and the SybronEndo K3. Methods: 120 human mandibular premolars with single straight ischolar_main canals were prepared with rotary twisted files (up to size 40/0.04) using the crown down technique and filled by cold lateral compaction and the radiographs were taken. After one week, teeth were divided into four groups (n = 30). Gutta-Percha was removed using H-files, the ProTaper Universal Retreatment System, Mtwo system and the K3 System. After retreatment radiographs were taken for each sample and the remaining material was calculated for each canal third. Results: Rotary NiTi instruments were significantly faster than the hand instrumentation technique in performing the retreatment. In radiographic analysis there was significant difference in between the groups for coronal third in ProTaper group and for apical third in H-file group. Conclusions: In the radiographic analysis the ProTaper Universal Retreatment System left less filling material in the coronal third and the H-files left less filling material in apical third as compared to other groups. Rotary instruments worked faster than H files.

Keywords

Retreatment, Radiograph, Protaper Universal Retreatment System, Mtwo System, K3 System, Hedstrom Files, Filling Material, Guttapercha.

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Simran Pal Singh Bindra ¹, Sunila Sharma ², Ajay Chhabra ¹, Varun Jindal ¹, Damanpreet ¹, Kamal Nabhi ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Bhojia Dental College and Hospital, Himachal Pradesh, IN
2 Department of Pediatric and Preventive Dentistry, Bhojia Dental College and Hospital, Himachal Pradesh, IN

Abstract

Dental avulsion is characterized by the complete displacement of the tooth from its socket, with damage to the periodontal ligament, cementum, alveolar bone, gingival and pulp tissues. The ideal treatment for an avulsed permanent tooth is its immediate replantation into the socket. However, in spite of its recognized therapeutic value, clinical experience has shown that immediate replantation rarely occurs due to factors associated to the accident itself, complex damage to the recipient site, or simply lack of knowledge or confidence of the general population and even professionals about Replantation procedures. The present study was carried out with an aim to assess the level of knowledge of emergency management of avulsed teeth among 209 Dental practitioners in the state of Punjab. The received questionnaires were analysed for the responses. The data showed that the knowledge of dental practitioners in the state was not up to date and efforts should be made to carry out various education programs for the same.

Keywords

Traumatic Dental Injuries, Avulsion, Replantation, Questionnaire.

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Savita Thakur ¹, Damanpreet ¹, Anuradha Rani ², Nisha Garg ²

Affiliations
1 Department of Conservative Dentistry and Endodontics, Bhojia Dental College and Hospital, Himachal Pradesh, IN
2 Dept. of Conservative Dentistry and Endodontics, HIDS, Himachal Pradesh, IN

Abstract

Successful management of furcation perforations poses a challenge for a clinician. The perforation can result from iatrogenic causes, caries or resorption. It is advisable to repair the perforation as soon as it is identified, since any delay allows the bacterial ingress leading to a complicated endodontic-periodontal lesion and ultimately in the treatment failure. This case report describes successful management of a furcal perforation in a mandibular first molar, which was repaired using Biodentine. The endodontic treatment was completed and the tooth was coronally restored with composite followed by full coverage restoration. Two years follow up of the case showing absence of pain; periradicular healing of the lesion, along with functional tooth stability indicated a successful outcome of endodontic treatment and sealing the perforation using Biodentine.

Keywords

Biodentine, Perforation, Mandibular First Molar.

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