International Dental Journal of Student Research

96-99

Authors: Sajith Abraham, Sheethal Joy, Subair. K, Melwin Mathew, Ashitha Mohandas.

Register Introduction: Disparity in distribution of dental manpower across rural urban settings is a major challenge in India’s current dental scenario. Both the systems of dental education and dental health care service delivery hold a pivotal role in overcoming these challenges. Dental health infrastructure distribution, job opportunities and quality of service plays an integral role in molding future decisions in choosing dentistry as career choices. Aims: To determine the current perceptions among upcoming dentists in choosing dentistry as a career and their future aspirations. This study also aims to foresee future challenges in dentistry and also helps to explore the remedial suggestions recommended by upcoming dentists. Materials and Methods: A crossectional study was carried out among dental students in a private dental college setting at Mahe, Union territory of Pondicherry in South India. A pretested self administered questionnaire was distributed to fourth year and internship going dental students. Results: Of 215 potential participants; 203 completed the questionnaire [females (n= 165) and males (n= 38)]. In choosing dentistry as career, 31.5% chose dentistry due to passion for profession, 22.7% due to their only option obtained in entrance exams, 13.7% due to proximity of college to hometown, 13.3 % to fulfil parent’s aspirations and nearly 10.3% due to acceptance in the society. Regarding future aspirations after post-graduation 42.4% planned to work as specialists, 30% planned to work as faculty in government dental colleges and only few students chose working as faculty in private dental college [3.9%]. Nearly 15 % planned to work as dental clinician in dental clinic. The future challenges foreseen in dentistry as a profession by the upcoming dentists, 36.5% gave increased number of dental graduates passing out each year as the major challenge. Regarding suggestions on remedial strategies to meet future challenges 36.5% suggested reduction of number of dental seats sanctioned, 19.7% suggested to create job vacancies in public health sector, 17.7% suggested strict regulatory enforcement by the Dental Council of India [DCI] as the major responses. Conclusion: Research into motivations and future expectations of upcoming dental workforce might provide insights to make time bound policy level changes for establishment of an effective dental health system.

109-112

Authors: Devaki Vijayalakshmi, Saloni Garg, Ratna Parameswaran, Srinivasan Boovaraghavan.

Aim: The aim of the article is to describe the effect of Keles Trans Palatal Arch (TPA) on unilateral and bilateral molar rotation illustrated with two case reports. Method: Unilateral and bilateral maxillary first permanent molars de-rotation were performed in two cases using Keles appliance system which consists of the precision lingual hinge cap and TPA made of TMA wire. (0.032 × 0.032") (Ormco, Orange, CA). A 20 degree activation is given to the rotating part/terminal end(s) of the TPA every fourth week until rotation is completely corrected. The de-rotation achieved and change in the intermolar width are assessed using digital cast analysis performed by Ilexis FACAD (AB-2014 version 3.8.00) software and by comparing the pre and post maxillary occlusal radiographs with marker wires. Result: Pre and post values showed that the de-rotation is achieved in both cases. Inter-molar width showed no significant changes in both cases, suggestive of minimal/no expansion. Conclusion: The Keles TPA resulted in better transverse molar control during molar de-rotation owing to its superior precision self-locking design. When Keles TPA is used in correction of unilateral molar rotation, it causes successful de-rotation on the affected side and minimum or no changes on the unaffected side

73-79

Authors: Raikar Anita S, Nayak Aarati R, Kotrashetti Vijaylaxmi S, Kunal Keshaw, Sumedha Shree.

Introduction: Toll like receptors along with their co receptors contribute an essential task in immune and destruction mechanism. The aim of the present study was expression of Toll like receptor 4 and Cluster of differentiation 14 in healthy group and chronic periodontitis group. Materials and Method: Forty gingival biopsies were harvested of which10 were of healthy subjects and 30 from chronic periodontitis based on clinical records. All specimens were fixed, processed and stained by haematoxylin and eosin to histologically classify periodontitis. Later the sections were stained immunohistochemically using primary antibody for toll like receptor 4 and cluster of differentiation 14 respectively. Results: The positive expression of both Toll Like Receptor 4 and Cluster of Differentiation14 was defined as light or dark brown granules in the cytoplasm of the cell. Expression was higher in zone1 followed by zone 2 and zone 3 in chronic periodontitis. Conclusion: Toll Like Receptors act as a two-edged sword, not only maintaining periodontal health but also contributing to periodontal tissue destruction.

85-88

Authors: Fabio Arriola Pacheco, Jasica Ancona Alcocer, Maria Rodrí guez, Fernández.

The Giant Central Cell Lesion is a potentially aggressive intraosseous condition that appears exclusively in the upper and lower jaws, and normally in patients 30 years old, or younger. Its potentiality of causing bone and root reabsorption, and tooth displacement, make its occurrence, although rare, significant. The etiology, as well as the treatment of this lesion has been debated over the years within a scholar community that condemns surgical removal as the only potential treatment, while others report the benefits of alternative pharmacological approaches that have provided diverse results. This case study involves a giant central cell lesion that appeared in an 11 year old girl who initially reported having suffered mandibular trauma. The patient underwent a treatment with intralesional corticosteroid injections (triamcinolone acetonide) during 6 sessions, over an eight month period. The patient was monitored during a 2 year period; subsequent X-ray monitoring revealed that the lesion dissipated. The results of this study showed that the use of intralesional corticosteroids is a non-invasive alternative to surgery, especially in connection to the type of patients that normally present this condition.

42-45

Authors: Md. Shakeel Anjum, M. Monica, K. Yadav Rao, P. Parthasarathi Reddy, Irram Abbas, Sadhu Vishnu Priya.

Dentistry is one among the most challenging and stressful fields. Research evidence that a person’s emotional intelligence (EI) influences their educational and occupational performance is increasing. Hence, our aim was to assess the influence of trait emotional intelligence on the academic performance of dental undergraduates. A cross sectional study was done on 462 students of 2nd, 3rd, 4th years and interns from five dental colleges using simple random sampling. Trait emotional intelligence was measured using the shorter version of Trait Emotional Intelligence Questionnaire (TEIQUE-SF), and academic performance was assessed using score obtained in the university examination. The mean EI was found to be 101.01. Majority of them agreed that in-spite of finding it difficult to regulate emotions; they could deal effectively with people. Almost 59% of them agreed that they could deal with stress and 66% were able to control their emotions. There was also a significant difference between EI and age (p=0.000). Emotional Intelligence had a significant association with the academic performance of the students.

51-54

Authors: Marlin Duran, Mercedes Martinez, Nayma Fabian.

In 2009, a study was conducted for the purpose of comparing the effectiveness of two bleaching agents: sodium perborate and 37% carbamideperoxide gel. Thirteen patients diagnosed with “non-vital teeth with traumatic dyschromias” were treated at the Universidad Autónoma de Santo Domingo School of Dentistry, Dominican Republic. The findings showed that both bleaching agents were effective; however, 37% carbamideperoxide worked more rapidly and was easier to administer. Because it comes in individualised pre-measured syringes, the gel is immediately ready for application, thereby giving patients the results they desire in a considerably shorter amount of time. After five years, the 13patients previously treated with the non-vital dental bleaching products were recalled to be re-evaluated for possible reversal of tooth discolouration and the development of cervical resorption. Only four patients came to this follow-up dental visit. In all four of the patients’ radiographic findings, there was a complete absence of external cervical resorption. Three of the patients had reversal of tooth discolouration; however, for one patient there were no observable dyschromias. Regardless of the bleaching agent used, if the patient had poor final dental restoration(s) post-bleaching procedure and a lifestyle counter to the maintenance of proper dental health (i.e. smoking, excessive alcohol consumption, and excessive simple sugar consumption), the dyschromias tended to return.

58-60

Authors: Ritesh Modi, Shivani Kohli, Shekhar Bhatia.

A patient with severely attrited dentition suffers from generalized sensitivity, mobility of teeth, compromised esthetics and decreased vertical dimension of occlusion which results in a dentition compromised in form, function and esthetics due to which the patient suffers from lack of confidence. The objectives of the treatment for such case should be preservation of the remaining tooth structure, restoration of optimum function, esthetics with least invasive procedures, cost effective treatment, and shorter treatment time.