Informatics Publishing Limited

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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Joseph Changankary Pia ¹, Suresh Mitthra ¹, Balasubramanian Anuradha 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

Local anesthetics (LA) are one among the safest drugs used in dentistry. The disadvantages include burning sensation upon injection, slow onset of action etc., Buffering of local anesthetics is introduced to counteract these undesirable qualities. The advantages of buffering of local anesthetics include quicker onset, more reliable and comfortable for the patient. This article provides an overview on buffering of local anesthetics.

Keywords

Buffering, Local Anesthesia, Ph.

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Parthasarathy Rajasekar ¹, Suresh Mitthra ¹, Dhakshinamoorthy Malarvizhi 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

Hemisection refers to the surgical separation of a multi-ischolar_mained tooth with the extraction of one ischolar_main along with the overhanging crown. It is performed to retain the original tooth structure and attain the fixed prosthodontic prosthesis. Loss of the posterior teeth leads to teeth drifting, loss of masticatory function and loss of arch length, which requires prevention and maintenance measures. Management of periodontally involved molars with extensive decay is challenging and is limited to dental extraction and replacement with implants.

Keywords

Hemisection, Prosthesis, Implant, Periodontally Compromised.

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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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Jagadeesh Shuruthi ¹, Dhakshinamoorthy Malarvizhi ¹, Suresh Mitthra 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

The irrigants used commonly do not always eradicate the entire microbial flora in infected ischolar_main canals. Thus in quest other strategies, such as photodynamic therapy (PDT) have been developed. The word photodynamic means the applications of the dynamics of photons of light on the biological molecules. German physician Friedreich Mayer performed the first study, which was first called as photo-radiation therapy with porphyrins (1913) in humans. Photoactivated disinfection is based primarly on the interaction of a photosensitive antibacterial agent and a light source which uses a nontoxic dye named photosensitizer (PS) and lowintensity visible light. In the presence of oxygen, these combine to produce some cytotoxic species. The PS molecules attach to the bacteria membrane. Irradiation with a specific wavelength of the light may result in the production of singlet oxygen, resulting in rupture of the microbial cell wall. There are several applications for PDT in dentistry.. Photodynamic therapy has also been used to disinfect caries dentin before the restoration, disinfecting oral tissues before or during surgical procedures, treating denture stomatitis, and treating oral candidiasis in immunocompromised patients. Photodynamic therapy can also be used in combination with mechanical instrumentation and chemical antimicrobial agents, such as sodium hypochlorite.

Keywords

Photodynamic, Biofilm, Endotoxin, Irrigants.

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