A Journal of Clinical Dentistry-Heal Talk

02

Authors: Shakir Hussain Rather1, Humaira Mir2

Apexification is a method to induce a calcific barrier across an open apex or the sustained apical development of an incomplete root in teeth with necrotic pulp. Apical closure occurs approximately three years after eruption. Apexification is a treatment option that is done with the aim of apical repair by formation of hard tissue barrier through apex. Conventionally, a calcified barrier is inducted using a calcium hydroxide mixture. Various materials that can be used for apexification include Calcium hydroxide, MTA, Tricalcium phosphate, Dentin chips, Calcium phosphate ceramics and hydroxyapatite and bone morphogenetic proteins. Calcium hydroxide is the most common and traditional material employed for inducing apexification. Multi visit technique requiring 6-24months to complete by using calcium hydroxide paste with Iodoform.

02

Authors: Mohammad Imran Khan1, Awadhesh Kumar Gupta2

Mandibular anterior teeth often thought to have only single root canal in correspondence to the singular root morphology. In contrast many times two canal system exists in mandibular anterior teeth including premolars also. One should always be care full in finding the other canal in mandibular anterior teeth as missing one leads to the failure of the endodontic treatment. As mandibular incisors, are smaller in dimensions, two canals in a small space makes it challenging and technique sensitive to treat.

03

Authors: Vivek Bhaskar1, J. Sabarinathan2, Kamaraj Loganathan3

The incidence of impacted incisors is relatively low. However, due to their multifactorial etiology and varied clinical presentation, they pose a challenge to the orthodontist. Often, these cases would need to be treated using a multi disciplinary approach. Depending on the intra oral features, these cases can be treated by orthodontic extrusion of the impacted tooth, extraction of the impacted tooth followed by prosthetic rehabilitation etc. This article describes the management of an impacted mandibular lateral incisor whose eruption was impeded by complex odontomes, which was treated by surgical removal of the odontomes and exposure of the impacted incisor, followed by orthodontic extrusion.

04

Authors: Muhammad Mutiur Rahman

The rapid spread of SARS-CoV-2, responsible for the coronavirus disease (COVID-19), has become a worldwide emergency in the public health system. On 30th January 2020, the World Health Organization (WHO) recently announced a global pandemic disease after COVID-19 outbreak began last December from Wuhan, China. Notwithstanding global attempts to control the spread of the disease, the outbreak is still on the rise due to the trend of this virus spreading through the population. The virus has a predominantly respiratory transmission through aerosol and droplets. Dental care settings typically bear the risk of COVID-19 cross infection between patients and dental practitioners due to the complexity of its procedures. For dental practices and hospitals in areas that are (potentially) affected with COVID-19, strict and effective infection control protocols are urgently needed. This review provide dental practitioners with information on clinical symptoms, preventive measures and dental treatment protocols during and post COVID-19 outbreak.

04

Authors: Vinay Kumar Gupta1, Sumit Kumar2, Ayush Mehrotra3, Gaurav Mishra4

Background: Children in early ages, specially below the 4 years of age, spend their maximum time with parents especially mothers or guardians. Therefore, this study was conducted with the aim of assessing Mother's knowledge and beliefs about oral health of their preschool children. Materials &Methods: This was a cross sectional study which was conducted on mothers of preschool children of Lucknow city. A self-structured questionnaire in both Hindi and English language, was used to be filled by mothers as a tool to evaluate the knowledge and belief about their children's oral health. 'dmf' index in the oral cavity of children was recorded to know their dental caries status. Results: Out of those who were sent the survey form, total 324 mothers completed the survey. Children of only those mothers who completed the survey were examined. 87.7% children use toothbrush, 67.9% children brush their teeth once daily, 21% brush their teeth in night also. 18.5% children had experienced dental pain, 3.7% mother have gone to dentist for their child and only 9.9% of mother started brushing their child's teeth right after 1st tooth appeared in oral cavity. Approx. 67% mothers reported that their child had bottle at bed time, approximately 76% reported that they tasted food before feeding to the child with the same spoon, approx. 93% reported that they gave something like chocolate or toffee to calm the child, 51.9% of mother never clean child's teeth/gums after bottle feeding at night.34.5% children had<3 decayed teeth, 9.8% had 3-5 decayed teeth and 55.6 % children did not have any decay. Conclusion: The current study interprets that mother of preschool children have insufficient knowledge and attitude for oral health, the same is reflected in their oral health practices towards their children.