Informatics Publishing Limited

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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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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Balasubramaniam Anuradha ¹, Deepika Katyal ¹, Suresh Mitthra ¹, Dhakshinamoorthy Malarvizhi 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

Metagenomics using next generation sequencing technologies has produced bacterial profiles and genomic profiles to study the relationships between microbial diversity, genetic variation, and oral diseases. Several oral metagenomic studies have examined the oral microbiome of periodontal disease and caries. Gene annotations in these studies support the association of specific genes or metabolic pathways with oral health and with specific diseases. The roles of pathogenic species and functions of specific genes in oral disease development have been recognized by metagenomic analysis. This review gives an overview on the interaction between oral microbiomes that determine a state of health or disease.

Keywords

Metagenomics, PCR, Bacteria, Dental Caries.

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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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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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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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