Journal of Dental Specialities

90-91

Authors: Vinod Sachdev*

Clinical dental practice frequently witnesses many anxious and skeptical patients specially children. Number of non pharmacological and pharmacological ways to control anxiety have been advocated in such patients. For patients who don’t advantage from nonpharmacological behavior modification, Conscious sedation has been the alternative modality. It was kept dormant due to taboos associated with its use in the past but is being used now increasingly in routine dental practice specially for pediatric patients. 1 Various drugs have been used with different administration routes for conscious sedation, but each one has their own risk index.1

100-108

Authors: Datla Durga Devi*,R Himabindu

Purpose: To evaluate the microbial load on impressions and the efficacy of various disinfectants on reducing microorganisms from the impression surface after disinfection. Materials and Methods: A total of 50 dentulous impressions were made for dentate patients each of age 20 to 50 years using Alginate and Polyvinyl siloxane. Impression compound and zinc oxide eugenol were used for edentulous patients each of age 50 to 70 years, total of 50 edentulous impressions were made. Samples were collected with the help of an 8mm diameter sterile cork borer from each individual impression. Alginate, ZOE and impression compound had 100 samples each. Polyvinyl siloxane had 125 samples. Out of 100 samples the first group of the sample was assigned as control (n=25), the second group of samples (n=25) were immersed in 2% Glutaraldehyde, the third group of samples (n=25) were sprayed with Dimenol, the fourth group of samples (n=25) were placed in the ultraviolet light chamber. For polyvinyl siloxane, an additional fifth sample group (n=25) was subjected to microwave radiation of 650W. The viability of microorganisms that can persist after rinsing and disinfecting the impression surface was tested by inoculating in nutrient media. The colony forming units were counted and compared with the control group. The data were documented and statistically analyzed. Results: There was a significant difference in the count among the control group and the disinfectant groups. Microbial load found on control groups was taken as 100%. Alginate samples which were disinfected with 2% Glutaraldehyde, Dimenol spray and UV light showed microbial load 31%, 46%, 44% respectively, Polyvinylsiloxane samples showed microbial load 35%, 53%, 48% and 0% with microwave radiation respectively. Impression compound samples showed 32%, 49%, 49% respectively & Zinc oxide eugenol samples with 2% Gluteraldehyde, dimenol and UV showed a load of 39%, 51%, 51% respectively. Conclusion: 2% Glutaraldehyde showed higher efficacy in reducing the microflora compared to Dimenol spray and UV radiation. There was complete removal of microorganisms with Microwave radiation.

115-120

Authors: Meltem Bakkal*,Mustafa Sarp Kaya

Introduction: The aim of this retrospective study was to evaluate the long term success of using a ready to use metronidazole paste in the pulpal treatment of non-vital deciduous teeth. The assessment was performed by clinical and radiographic records obtained from follow-ups at 6-30 months. Materials and Methods: Data of 166 children, who had pulpal treatment on their deciduous teeth between April 2013 through June 2016 by a single pediatric dentist, were reviewed for the present study. A pre-treatment history of fistula or swelling, tenderness to percussion, presence of abscess, excessive tooth mobility, radiolucency in the bifurcation and/or periradicular and/or periapical area cases were eligible for inclusion. Finally a total of 42 children with 47 deciduous molars treated with metronidazole paste participated in the study. To determine the success at 6-30 months after treatment, the clinical/radiographic data were evaluated by the principal investigator and a co-investigator. Categorical data association was tested with Chi square test with significance levels at p<0> Result: Success rate of non-vital deciduous teeth was determined as 83% at 6- 30 months after treatment and it was neither associated with gender (p=0.445), first/ second molar (p=0.692) nor maxillary/mandibular molar (p=0.853). Conclusion: Keeping a deciduous tooth in the arch is important to improve oral health of children. Metronidazole paste can be suggested to use for the local treatment of pulpal infections following a dental pulp necrosis and their complications in deciduous teeth, instead of performing extractions for them.

126-130

Authors: Nisheeth Sharma,Shalaj Bhatnagar,Payal Sharma,Piush Kumar,Rishibha Bhardwaj*

Aim: The purpose of this study is to compare the survival rate of orthodontic brackets using two different bonding techniques. Materials and Methods: Twenty patients requiring fixed orthodontic treatment were selected according to the inclusion and exclusion criteria after obtaining informed consent. Result: Twenty patients were selected with the mean age group of 17.5 ±5 years. A total of 360 brackets were bonded (180 brackets in each bonding technique) and were evaluated for survival rate for six months. The direct bonded bracket failure was only 6 out of 180 sample size and for the indirect bonded group was 8 out of 180. The total breakages were 14 including both the groups. The direct bonding group had 95.6% of survival rate which was lower when compared to 96.7% that of direct bonding group. The two bonding groups did not significantly differ in the survival rate. In the posterior region, most of the breakages were observed (12 nos.). ARI score 1 and 2 was found to be more prevalent in the direct bonding technique whereas in the indirect bonding brackets ARI score was found to be equally distributed amongst the group. However there was no significant difference in the ARI scores between the two bonding groups. Conclusion: The overall bond failure rate was minimal, irrespective of the type of technique used to bond the brackets. Bond failure occurred at the bracket-adhesive interface. There was no statistical difference in the ARI scores between the two groups.

136-139

Authors: Preeti Bhagia*,Ipseeta Menon,Ricky Pal Singh,Anubhav Sharma,Jyoti Goyal

Aim: To study effect of educational status of Anganwadi Workers on oral health education program and its impact on improving oral health of preschool children in Muradnagar block, Ghaziabad. Materials and Methods: Study was done amongst 30 Anganwadi Centres of Muradnagar selected by simple random sampling. Sample size was calculated to be 503. Anganwadi Workers were divided into four groups depending on their educational status. Pre tested questionnaire was used to assess baseline knowledge of Anganwadi workers on oral health. Oral health education was imparted to them. Clinical examination of preschool children attending Anganwadi centres was done at baseline and after oral health education program. Data was analysed using descriptive statistics and Statistical Package for Social Sciences software version 18. Results: Mean values of knowledge scores were found to be higher in Anganwadi workers (36.7) with high educational status leading to higher improvement (76%) in oral health status of preschool children. Conclusion: Educational Status of Anganwadi Workers has a significant impact on their oral health knowledge and efficiency of improving oral health status of preschool children.

145-150

Authors: Lakita Gulati*,Prerna Mohan,Rahul Chopra,Nikhil Sharma,Trishu Chowdhery

Introduction: Cosmetic expectations have increased with time and pigmentation of gingiva is a negative factor in an otherwise acceptable “smile window”. Amongst the various treatment modalities for depigmentation like scalpel technique, cryosurgery, laser, abrasion etc, there seems to be a need to compare efficacy of cryosurgery with TFE and Diode laser. Objective: The objective was to compare the efficacy of cryosurgery with 1,1,1,2 tetrafluroethane and Diode Laser for the treatment of gingival pigmentation. Materials and Methods: A randomized controlled split mouth study was conducted for 10 patients with gingival pigmentation, wherein one quadrant was treated with the TFE cooled swab( Group A) and the other quadrant was treated using diode laser (980nm at 1W) (Group B). Pre and post treatment photographs, VAS pain scores, were evaluated by the clinician at 4 days, 1 week, 1month and also number of analgesics required to be taken by the patient following treatment with both the techniques. Results: Clinically significant results were seen in both the groups. Mild erythema was seen immediately after the application of cryogen following which a whitish slough could be separated from the underlying connective tissue at fourth day. In group B, a white fibrin slough was seen 24hrs after the procedure. The healing was uneventful and complete epithelialization takes place in 3-4 weeks in both the groups. Though, the patient acceptance was good for both the procedures, mild pain and discomfort was experienced by the patient in group B. Conclusion: Depigmentation of gingival melanin hyperpigmentation by cryosurgery using TFE and diode laser were found to be an effective procedures, however the patient compliance and acceptance was greater in Tetrafluoroethane cryosurgery when compared to the Diode laser.

156-159

Authors: Ishani Chawla*,Ipseeta Menon,Ricky Pal Singh,Anubhav Sharma

Aim: To evaluate the knowledge of dental postgraduate students regarding publication of research papers. Materials and Methods: This was a questionnaire based comparative study in which after ethical approval the 2 groups compromising 30 post graduates students each( Group 1 = exam going final year Post Graduates, Group 2 = Post Graduates who just entered final year) were selected from a dental institution by simple random sampling. Then their knowledge regarding research publication was assessed using a self administered questionnaire. Results: The post graduates appearing for the exam has higher knowledge scores (mean score=5.87± 2.44) regarding research publication as compared to those who just entered the final year as their mean knowledge score (mean score=7.10±2.46). Conclusion: This study pinpoints the deficiencies in knowledge among Post graduates about research publication. To benefit the latter workshops and lectures on research publication should be made, part of post graduate curriculum so that they would be in ease during conducting and publishing their work without getting involved in fraudulent affairs.

166-168

Authors: Philip Mathew,Manoj Kumar Bhaskaran,Varun Menon P,Rahul VC Tiwari*,Kritika Sehrawat

Introduction: Palatal fistulas can be managed conservatively or surgically depending on the size of defect. Giant fistula is usually treated with local flaps or local flaps combined with regional flaps. Tongue flaps are an excellent alternative to close wide or recurrent palatal fistulae. Here we report a case of a giant palatal fistula postcleft palate surgery which had been operated thrice and failed in different centers. This fistula has been successfully repaired in our center with posteriorly based tongue flap.

172-173

Authors: Amita Poswal*,Harsha Jain,Balram Garg,Pradeep Sharma

Introduction: We present a case of chemical burn due to use of aspirin for pain control as self-medication. A patient placed Aspirin tablet in the right posterior lingual vestibule. A diagnosis of chemical burn was made based on history and clinical examination. Patient was advised to discontinue the habit and self- medication and was treated symptomatically.

177-181

Authors: Resham Narula*,Saru Dhir,Saurabh Gupta,Bharat Gupta,Neha Patil

With the growth of cosmetic dental procedures, the practise of dentistry has become increasingly centred on fulfilling patient desires. Porcelain veneers are increasing in popularity among today’s patients and dental practitioners for conservative restoration of unaesthetic anterior teeth. The ability to place restorations without significant removal of structure is becoming more critical than ever. Besides being painless and conservative, it is a durable material and doesn’t stain like composite making it attractive for a much longer period of time thus making contemporary dentistry, increasingly oriented toward elective and cosmetic procedures.