Regenerative endodontics is a rapidly developing field in dentistry. However, the regenerative endodontic procedures are not familiar to many clinicians in India. This survey aimed at assessing the level of knowledge, attitude, and perception (KAP) among endodontists toward regenerative endodontics. A cross-sectional survey was conducted in the year 2019 to collect data. A questionnaire to collect data on KAP toward regenerative endodontics was administered to 49 faculty and 69 postgraduate students of endodontics from four universities. The Chi-Square test and logistic regression were applied to study the association between KAP and demographic variables. Spearman's rho was computed to study the correlation between KAP scale scores of the participants. The data were analyzed by using Statistical Package for the Social Sciences software program (SPSS), version 15.0 (South Asia, Bangalore). The survey yielded an overall response rate of 81%. Less than 50% of the participants had sound knowledge, 65% had a positive attitude, and only 21% had a positive perception about Regenerative Endodontic Procedures (REPs). Most of the participants (86.5%) were of the opinion that regenerative therapies should be a part of dentistry. Majority of the participants (89.6%) were inclined to receive training in REPs. About 80% of the participants felt that the higher cost of treatment is a significant hurdle for patients to accept REPs. Less than half the participants (41.7%) were using REPs in their clinical practice, such as the use of membranes, scaffolds, and revascularization. Endodontists have a positive attitude toward the use of regenerative therapies. However, there is a deficiency of training in REPs in dental colleges.
1 March 2020 in Journal of International Society of Preventive and Community Dentistry
Aim: The aim of this study was to determine if there is any difference in fracture resistance between different post sizes and lengths when more than one post is involved. Materials and Methods: Thirty extracted maxillary first premolars were endodontically treated and divided into three groups: In Group 1 (control group), no post space preparation was conducted and access cavities were restored with composite; in Group 2 (single post), post space preparation of 10 mm was carried out only in one of the canals; and in Group 3 (double post), post space preparation of 5 mm was conducted in both the canals. Appropriately sized glass fiber posts were cemented in Groups 2 and 3 followed by core buildup. The fracture resistance of the specimen was measured using a universal testing machine and the data analyzed. The mean fracture resistance values of the three groups were compared applying one-way analysis of variance (ANOVA) followed by post hoc Tukey’s test. The data were analyzed using Statistical Package for the Social Sciences software program, version 15.0. South Asia, Bangalore. Results: The control group had a significantly lower fracture resistance value as compared to Groups 2 and 3. No statistically significant difference was observed in the fracture resistance between Groups 2 and 3. Conclusions: No significant difference was observed between the fracture resistance of endodontically treated maxillary first premolars restored with size 3 single post of longer length and size 1 double posts of shorter lengths.
1 June 2023 in Journal of Education and Health Promotion
BACKGROUND: Alcohol use disorders (AUDs) adversely affect a person's general health and the lives of their family and friends. These disorders are also the most undertreated mental illness with severe implications for public health. Hence, the present study aimed to employ the WHOQOL-BREF to assess the quality of life (QoL) of AUDs patients seeking treatment at de-addiction centers and identify the demographic variables associated with the QoL dimension scores. MATERIALS AND METHODS: A cross-sectional study was conducted among alcohol dependents taking treatment in de-addiction centers in Dakshina Kannada District, Karnataka. The WHOQOL-BREF questionnaire was administered to 124 subjects. Multiple regression analysis was carried out to identify the demographic variables associated with the QoL dimension scores. RESULTS: The domain mean scores were between 50 and 60 on the 0 to 100 scale. Age, social class, residential area, marital status, and years of drinking were the demographic variables found to be significantly associated with the dimension scores. CONCLUSIONS: Physicians should monitor the effect of alcoholism on QoL, and a multidisciplinary treatment plan with elements from the medical, social, and psychiatric fields should be used. The demographic variables should be considered while managing patients with AUDs.
The use of resin-based dental composites is multiplying through the years due to the increased demand for tooth-colored restorations. The choice of monomers strongly determines the viscosity, reactivity, mechanical property, water sorption and polymerization shrinkage of the composite material. It is desirable for all monomers to be converted into polymers (Degree of Conversion), but this does not occur clinically, resulting in a poor prognosis for restorations as well as an increase in systemic health risks. The release of monomers occurs due to erosion and degradation, as well as the release of leachable species from the restoration. The potential toxicity of free monomers to dental pulp cells is concerning. Free monomers are not only allergens but also have reported cytotoxic and genotoxic effects. Various methods and practices have thus been employed to counter the ill effects of free monomer release from dental composite restorations for better safety and healthy oral cavities.
The rehabilitation of a patient with multiple edentulous spaces, a collapsed occlusal vertical dimension, and compromised abutment teeth is demanding. For treating such patients, various approaches have been put forth over the years, with dental implants having the best results. However, they cannot be used on all patients due to their high cost and surgical limitations. Therefore, removable dentures are still a popular option. Telescopic removable dentures rest on the natural teeth, preserving the alveolar bone while providing good stability and support for the denture. The treatment goal was to establish normal form, function, and aesthetics to uplift the psychological status and maintain occlusal harmony in the patient. In this case report, a 45-year-old female patient who presented with many missing posterior teeth and a collapse in her vertical dimension received full mouth rehabilitation. The patient requested a maxillary denture with no visible metal clasps when smiling. Consequently, a conventional mandibular removable partial denture (RPD) and a cobalt-chromium maxillary telescopic denture were selected as the appropriate treatments. The final restored occlusion and appearance met the patient's satisfaction.
1 September 2024 in Journal of International Society of Preventive and Community Dentistry
Aim: As an emerging yet underexplored innovation in dentistry, self-adhesive flowable composites (SAFCs) represent a promising and enduring advancement in the dental material technology. Our study aims to evaluate the shear bond strength of two SAFCs and the bonding of conventional flowable composite (CFC) to permanent dentin. Materials and Methods: Thirty-six teeth were embedded in acrylic blocks, with the occlusal third removed to expose the underlying dentin. A cylindrical mold was positioned on the treated dentin surface and filled with the composite resin material to be evaluated. The prepared permanent dentin surfaces were randomly assigned to three groups based on the following application protocols: Group 1: Axo Uni Flow (AXIMACK, India); Group 2: Constic (DMG, Germany); and Group 3: 37% phosphoric acid etchant + Single Bond Universal + Filtek Z350 XT (3M ESPE, USA). The shear bond strength of the prepared specimens was measured by using a universal testing machine. The data were analyzed with Kruskal–Wallis one-way analysis of variance, followed by Dwass–Steel–Critchlow–Fligner pairwise comparisons. Results: Filtek Z350 XT (3M ESPE, USA) demonstrated higher shear bond strength values when compared to Constic (DMG, Germany) and Axo Uni Flow (AXIMACK, India). A significant difference was found between these materials. However, the shear bond strength of the two SAFCs tested did not differ significantly. Conclusion: The investigation’s findings suggest that the SAFCs exhibited inferior shear bond strength compared with CFCs when bonded with permanent dentin.