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Manali Ramakrishnan Srinivasan ¹, Saravanan Poorni ¹, Yogeshwaran Nitharshika ², Davidson Diana ¹, Dasarathan Duraivel ¹

Affiliations
1 Dept of Conservative Dentistry and Endodontics, Sri Venkateswara Dental College and Hospital, Chennai, IN
2 Sri Venkateswara Dental College and Hospital, Chennai, IN

Abstract

Introduction: The study was designed as a randomized double blinded cross over trial comparing the anaesthetic efficacy of buccal infiltration of 4% articaine with 1:100,000 epinephrine with that of 2% lignocaine with 1:200,000 epinephrine in inferior alveolar nerve block in mandibular second premolars.
Methods: The study was designed as a cross over trial. Each subject received both the anaesthetic agent and the order of anaesthetic administration was randomized. All the subjects received 1.8 ml of articaine with 1:100,000 epinephrine in buccal infiltration and 1.8 ml of 2% lignocaine with 1:200,000 epinephrine in inferior alveolar nerve block in an interval of one week. Pulp sensibility measures were recorded using an electric pulp tester. Data was analyzed using SPSS version 22.
Results: Among the 46 subjects who completed the trial, 82.6% showed successful anaesthesia following articaine buccal infiltration compared with 89.1% following lignocaine inferior alveolar nerve block. There was no statistically significant difference between the success rates of 4% articaine buccal infiltration and 2% lignocaine IANB.
Conclusions: Study concluded that the buccal infiltration of 4% articaine can be used as a viable alternative anaesthetic technique for inferior alveolar nerve block of 2% lignocaine in mandibular second premolars.

Keywords

Articaine, Buccal Infiltration, Lignocaine, Mandibular Second Premolar.

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Saravanan Poorni ¹, Manali Ramakrishnan Srinivasan ², Dasrathan Duraivel ², Lodd Mahendra ³, S. Premkumari ⁴

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sri Venkateswara Dental College and Hospital, Chennai, 603103, IN
2 Department of Conservative Dentistry and Endodontics, Sri Venkateswara Dental College and Hospital, Chennai, IN
3 Sri Venkateswara Dental College and Hospital, Chennai, IN
4 Department of Pharmacology, Sri Venkateswara Dental College and Hospital, Chennai, IN

Abstract

Aim: The aim of this clinical trial is to evaluate the regenerative potential of two antibiotic pastes in permanent teeth with necrotic pulp and open apex and compare it with a standard treatment using mineral trioxide aggregate.
Materials and methods: This interventional study was conducted to assess the revascularization potential. It was designed with two test arms and one control arm. LA was administered, access was established under rubber dam, irrigation was done, and each tooth received an antibiotic paste depending on the test arm to which it belonged. The control arm received a standard MTA apexification. Primary and secondary outcomes were assessed at baseline, 6 months and 12 months. Data were tabulated and analyzed.
Results: Though there was an increase in ischolar_main length in the test arms, the difference was not statistically significant among the various groups at the different time intervals of assessment. Overall, the mean pain scores decreased over the study period in all the three groups. Though no ischolar_main closure was found at baseline among the test groups, a statistically significant improvement in the ischolar_main closure scores was observed in Group A, when compared to Group B, at the end of 6th and 12th month of intervention.
Conclusion: The results to this study show that the revascularization potential of triple antibiotic paste is superior to that of the double antibiotic group. The increase in the ischolar_main length is statistically superior over the study period in the triple antibiotic arm when compared to that of the double antibiotic arm.

Keywords

Double Antibiotic Paste, Regenerative Endodontics, Revasculasrisation Protocol, Triple Antibiotic Paste.

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Unais Moulana ¹, Babu Vasanthi ², Dasarathan Duraivel ², Cruz Nishanthini ², Saravanan Poorni ², Manali Ramakrishnan Srinivasan ²

Affiliations
1 Sri Venkateswara Dental College and Hospital, Chennai, IN
2 Dept. of Conservative Dentistry and Endodontics, Sri Venkateswara Dental College and Hospital, Chennai, IN

Abstract

This case report presents hemisection as a treatment option to save the extensively affected molars thereby preventing the undesirable consequences of tooth loss. Hemisection means the division of mandibular molar into two halves followed by removal of the diseased ischolar_main with its accompanying crown portion. Careful case selection is necessary for long-term success.

Keywords

Hemisection, Mandibualr Molar, Root Resection.

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Padmapriya Ramanujam ¹, Saravanan Poorni ², Manali Ramakrishnan Srinivasan ¹, Nivedhitha Malli Sureshbabu ²

Affiliations
1 Department of Conservative dentistry and Endodontics, Sri Venkateswara Dental College and Hospital, Thalambur - 600 130, IN
2 Saveetha Dental College and Hospital Chennai - 600 077, IN

Abstract

The prevalence of oral diseases is increasing and is becoming a major concern in the society. Treatment without prevention is simply unsustainable. One such preventable disease is dental caries. Several strategies for caries prevention have been developed over the years. Bacteriotherapy is one potential method. With better understanding on the importance of a well balanced oral microbial environment for maintaining good dental health, probiotics has gained great momentum in dentistry. The World Health Organization along with the Food and Agriculture Organisation of the United Nations defined probiotics as “Live microorganisms which when administered in adequate amounts confer a health benefit on the host”. Several probiotic strains have been identified for caries prevention through various experimental studies. However, identifying the right vehicle for administration of probiotics on everyday basis is the need of the hour. Toothpastes, mouthrinses, powders, tablets, lozenges, chewing gums are some probiotic vehicles that have been studied. This paper would throw light on the microbial strains, mechanism of action, forms and future for probiotics in caries prevention.

Keywords

Bacteriotherapy, Caries Prevention, Dental Caries, Oral Microbial Environment, Probiotics, Strains, Vehicle.

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Aklesh S. Diwakar ¹, Saravanan Poorni ¹, Cruz Nishanthine ¹, Manali Ramakrishnan Srinivasan ¹

Affiliations
1 Sri Venkateswara Dental College and Hospital, Department of Conservative Dentistry and Endodontics, Chennai, 600130, IN

Abstract

Objectives: The aim of the present study was to assess the knowledge on sugar content in food labels among the super market users in Chennai city. Material and Methods: A study was designed as a descriptive cross-sectional study which was conducted among a sampled population of supermarket consumers in Chennai city. Chennai city was divided into 3 zones based on the parliamentary assembly constituencies and from each zone two supermarkets were randomly selected. Data was collected using a closed ended questionnaire. Data collected was tabulated and analyzed using SPSS software package version 16. Results: Majority (71%) were not aware of the rules guiding the display of contents in the food products which they purchased. 46.5% of the participants were more interested in the carbohydrate and protein content of the food products while only 13.2% were interested in the sugar content. About 65% were aware of the positive association between excessive sugar consumption of sugar and incidence of various diseases. Mere 51% of the study participants expressed their interest to know more information regarding the risk benefit of sugar consumption. Conclusion: Based on the findings of this study, it can be concluded that the majority of the supermarket consumers in Chennai city were not aware of the display of contents in their purchased products, including its sugar content. Though majority of them were aware of the association between sugar consumption and disease, they did not perceive sugar in the purchased food products as a potential risk factor.

Keywords

Food Labeling, Perception of Sugar Content, Product Labeling, Sugar, Sugar Content, WHO Recommendations.

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