Indian Journal of Public Health Research & Development

Arumugam Karthick ¹, Arunajatesan Subbiya ¹, Vijendra Maki Reddy ¹, Dhakshinamoorthy Malarvizhi ¹, Alagarsamy Venkatesh ¹, Venkatachalam Prakash ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, IN

Abstract

Aim: The purpose of this randomized control study was to determine the effect of the administration of the preoperative ketorolac on the success of the inferior alveolar nerve (IAN) block in patients with symptomatic irreversible pulpitis

Materials and Method: Ninety adult volunteers who were actively experiencing pain participated in this study. The subjects were divided into 3 groups on a random basis and were randomly divided into three groups. Group 1 patients were advised to take tablet Ketorol-DT for 2 days as per the dosage recommendation by the manufacturer before the endodontic procedure. Group 2 patients were given tablet Ketorol-DT 1 hour before anesthesia and group 3 patients receive no preoperative medication. All patients received standard inferior alveolar nerve block of 2% lidocaine with 1:80,000 epinephrine. Endodontic access preparation was initiated after 15 minutes of initial inferior alveolar nerve block. Pain during treatment was recorded by using Heft Parker visual analog scale. Success was recorded as none or mild pain.

Result: Preoperative administration of tablet Ketorol-DT before 2days has a significant effect on success rate of Inferior alveolar nerve block in patients with irreversible pulpitis. There is no statistical difference between group 2 and group 3.

Conclusion: Preoperative administration of tablet Ketorol-DT before 2days has a significant effect on success rate of Inferior alveolar nerve block in patients with Irreversible pulpitis.

Keywords

Premedication, Keterol, Pain Management.

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A. G. Lakshmisree ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College And Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Aim: To evaluate the effect of intensity of curing light on depth of cure of resin based composite material and also to bring about the awareness to the dentists community regarding the maintenance of intensity of curing light unit.

Materials and Method: The resin based composite material of A2 shade was tightly packed into a plastic mould (fig1D) of diameter 6mm and depth 5mm. The sample size for each group was 10 in numbers, which was irradiated from the top, for each varying intensity, with light tip in nearest contact. An LED Light Curing unit was used throughout this study; the input voltage to the curing light was controlled by a regulated dc power supply. Four different settings of voltage 2.9V, 3.0V, 3.1V and 3.2V which yielded the light intensity as 200mW/cm², 250mW/cm², 300 mW/cm² and 375 mW/cm², the power supply to the curing light then was set to this voltage level i.e. 5V and the intensity was verified according to the ISO test method to determine the depth of cure of the resin-based composites.

Results: Statistical difference between the groups and among the groups were calculated using Students ‘t’ test. Results clearly shows a statistically significant difference in depth of cure with varying intensity of light used.

Conclusion: Depth of cure is comparatively low when intensity of curing light is low. These measurements provide valuable baseline information about the specific depth of cure for different intensities of curing light on resin-based composite materials used by dentists.

Keywords

Intensity of Light, Depth of Cure, Composite.

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Suresh Mitthra ¹, Balasubramaniam Anuradha ¹, Joseph Changankary Pia ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Comprehensive oral care that combines both art and science to optimally improve dental health, aesthetics and function is termed as cosmetic dentistry. The objective of Cosmetic Dentistry is to provide maximum improvements in aesthetics with the minimum trauma to the dentition. Veneer is a layer of tooth colored material that is applied to a tooth to restore localized or generalized defects and intrinsic discoloration. Veneer are made up of chairside composite, processed composite, porcelain and compressed ceramic materials. This evolution of material sciences, ceramics, and adhesive system permits improvements of the aesthetic smile design of patients. The current manuscript is a review that highlights the diagnostic considerations; repair and maintenance; and recent advances in veneers.

Keywords

Aesthetic Dentistry, Smile Design, Repair of Veneers, Lumineers.

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Alagarsamy Venkatesh ¹, Arunajatesan Subbiya ¹, Suresh Mitthra ¹, Venkatachalam Prakash ¹

Affiliations
1 Department of Conservative Dentistry & Endodontics, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, IN

Abstract

Vertical ischolar_main fracture in teeth can be a barrier in diagnosis. There are other clinical and radiographic findings which can be vigilant to the clinician to the existence of fracture. Knowledge of the diagnostic aspects and the correct correlation and interpretation of radiograph was enough to establish the diagnostic hypothesis of vertical ischolar_main fracture.

Keywords

Endodontics, Diagnosis, Vertical Root Fracture, Three Dimensional Imaging.

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A. G. Lakshmisree ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry And Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Generally permanent maxillary first molar has three ischolar_mains and four canals. While there is usually a single canal in each of the distobuccal and palatal ischolar_mains, the broad buccolingual dimension of the mesiobuccal ischolar_main and associated concavities on its mesial and distal surface is consistent with the majority of the mesiobuccal ischolar_mains having two canals. In the literature with respect to frequency of occurrence of the number of canals in each ischolar_main, there is a wide range of variation with regards to the number of ischolar_mains and incidence of fusion. The ischolar_main canal morphology of teeth is often extremely complex and highly variable. Variations may result because of ethnic background, age and gender of the population studied. The following manuscript is a case report that describes the management of maxillary first molar with 6 canals.

Keywords

Six Canals, Maxillary First Molar, Anatomical Variations.

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Wesly Sophreniaa ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Postoperative pain is more likely to arise within a few hours following ischolar_main canal treatment. Patients who have postoperative pain need analgesics that have fewer side effects for relieving the pain. Postoperative discomfort reduction by various preoperative means is a tried and tested method. Here, we predict symptoms that arise after treatment and try to deal with them before they begin. For those patients presenting with preoperative pain, it has been reported that up to 80% of this population will continue to report pain of different degrees even after endodontic treatment. A number of factors concerning the etiology of postoperative pain have been evaluated. The main contributing factors of pain during ischolar_main canal treatment comprises of mechanical, chemical, and microbial injuries to the pulp or periradicular tissues which are induced or exacerbated during treatment. Pretreatment analgesia is providing analgesia to patients before initiation of endodontic treatment, which can decrease the establishment of central and peripheral sensitization and has the potential to reduce postoperative pain and postoperative analgesic intake. Administration of a nonsteroidal anti-inflammatory drug before ischolar_main canal therapy will interfere with the inflammatory process before it begins; therefore, presumably decreasing postoperative pain.

Keywords

Post Operative Pain, Premedication, Analgesics, NSAIDS.

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Wesly Sophreniaa ¹, Arumugam Karthick ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Many associated risk factors are shared by systemic diseases and oral infections that could confound a relationship between them. Periodontal disease has received considerable interest when these interrelationships were studied. Endodontic infections have received much less attention, despite the fact that many of microbial pathogens are common in those 2 diseases. Many of the systemic diseases were found to affect the outcome of endodontic treatment.A number of observational studies and a longitudinal cohort studyhave described, at least in part, a possible association between systemic involvement and endodontic periapical infection. To date, the role of systemic medical conditions as a modulating factor in the development of endodontic periapical infection has been a subject of controversy with authors who found a strong association and those who found weak to no association. Therefore, the purpose of this review was to discuss the pathogenesis and scientific evidence reporting any relationships between lesion of endodontic origin and risk of systemic diseases.

Keywords

Systemic Disease, Apical Periodontitis, Periapical Infection, Diabetes Mellitus, CVD, Liver Disease.

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Sahithi Reddy ¹, Alagarsamy Venkatesh ¹, Nagarajan Geethapriya ¹, Arunajatesan Subbiya ¹

Affiliations
1 Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research, Narayanapuram, Pallikaranai, Chennai, Tamilnadu, IN

Abstract

Dentistry has been revolutionized by the development of ultrasonic tips. It gives a minimally invasive approach, and with optimum magnification it can favor a successful conservative treatment. Ultrasonics are ideal for endodontic use and offers many applications and advantages like improved techniques and use of materials, and helps enrich the way endodontics is being practiced beginning from access preparation to re-treatment and also surgical treatment. They offer numerous advantages over conventional methods and a viable option employed by the dentists. Most frequent applications of ultrasonics in endodontics are access refinement, finding calcified canals, and removal of attached pulp stones and intracanal obstructions, increased action of irrigating solutions, condensation of gutta-percha, placement of mineral trioxide aggregate, in surgical endodontics and ischolar_main canal preparation. Due to its efficiency there is an increased focus on the use and possible consequences of ultrasonics. This review article describes the various uses of ultrasonics in surgical and non surgical ischolar_main canal treatment in a clinical perspective.

Keywords

Ultrasonics, Retro-Tips, RCT, Root-End Cavity, Post.

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Thirunavukkarasu Manojkumar ¹, Paramasivam Vivekanandhan ², Malarvizhi Dhakshinamoorthy ³, Ramachandran Tamilselvi ⁴, Arunajatesan Subbiya ⁵

Affiliations
1 Post graduate Student, Sree Balaji Dental College and Hospital, Bharath University, Chennai, IN
2 Professor, Sree Balaji Dental College and Hospital, Bharath University, Chennai, IN
3 Assistant Professor, Sree Balaji Dental College and Hospital, Bharath University, Chennai, IN
4 Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath University, Chennai, IN
5 HOD & Professor, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath University, Chennai, IN

Abstract

Aim: The aim of this study is to compare and evaluate the cyclic fatigue resistance of 3 different Nickel Titanium rotary file systems: Hyflex CM, Neoendo Flex files and ProTaper Gold by static method in three different curvatures, namely, 45°, 60° and 90°.

Materials and Method: Thirty Hyflex CM (25/.06), Thirty Neoendo Flex (25/.06) and Thirty Protaper Gold (25/.08) instruments were included in this study. The static cyclic fatigue test was performed using a custom-made jig. The artificial canal is made of stainless steel jig with an inner diameter of 1.5mm, a 45°, 60°, 90° angles of curvature and radii of curvature of 5 mm. All the instruments were rotated according to manufacturer’s recommendations until failure occurred. The time taken to failure was recorded in seconds for each group using a digital chronometer. The data were analyzed statistically using one way ANOVA, Post hoc test of Bonferroni was performed to identify pair-wise significance via SPSS 21.0 software (SPSS Inc, Chicago, IL). The statistical significance was set at 5%.

Result: In 45° and 60° Hyflex CM and Neoendo Flex are better than Pro Taper Gold. At 90°, Neoendo Flex is better than Hyflex CM (P<.05).

Conclusion: Within the limitation of this study, it can be concluded that, Neoendo Flex files exhibited highest cyclic fatigue resistance at 90° angle of curvature. In 45° and 60° angle of curvature Neoendo Flex files and Hyflex CM rotary instrument were more resistant to cyclic fatigue. Protaper Gold showed the least cyclic fatigue resistance than the other files tested.

Keywords

Cyclic Fatigue, Nickel Titanium Alloy, Neoendo Flex, Protaper Gold, Hyflex CM, Instrument Design.

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