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   Table of Contents - Current issue
October-December 2022
Volume 9 | Issue 4
Page Nos. 91-110

Online since Thursday, December 29, 2022

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Knowledge, materials, methods, and attitudes employed during endodontic treatment by dentists to evaluate and improve the quality of practice of endodontic treatment p. 91
Rahul Sasidharan
Background: This procedure, known as root canal treatment, is widely used in modern dental care. Modern endodontics frequently includes the introduction of many modern devices, materials, and methods, and yet it is one of the fastest-expanding fields in everyday clinical practice. Root canal fillings, coronal restorations, and the dentist's own knowledge, attitude, and expertise all have a role in the success of endodontic therapy, which is why it is important to maintain these high standards. Aim and Objectives: This study's objectives were similar to those of the aforementioned audit to collect data on the various approaches, specific and regular strategies, materials, and attitudes utilized by both general dental specialists and endodontists during root trench treatment, to analyze these choices in depth, and to disseminate endodontic treatment standards to evaluate the state of current practice and make adjustments as necessary. Methodology: The materials and techniques used by general dentists during root canal treatment were the subjects of a survey. Before the research itself could begin, a questionnaire had to be created and tested in advance. Results: The current study's findings provide light on the mindsets, strategies, supplies, and procedures used by dentists during root canal treatment. In the field of health-care evaluation, the survey questionnaire is a frequent tool. In this investigation, data were acquired by interviewing dentists in person and writing down their responses, a method that ultimately helped eliminate bias. Conclusion: Using the tried-and-true method of positioning the apical stop 1 mm from the radiographic apex, most dentists today continue to do so. The trend toward doing root canal treatment in a single office visit applies to all patient types. As a remarkable characteristic, both types of responders made very little use of rubber dams for isolation purposes during endodontic treatment.
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A study to evaluate the preferences of dentists for the materials chosen to restore endodontically treated teeth and the influence of both clinical experience and level of specialization on the dentist's choice of posts p. 95
Arun Kumar Talkal, Ushma Hardik Prajapati, SN Shashank, Mahesh C Swamy, H G Harshitha Patil, Mahesh Kumar Reddy
Background: In endodontics, dentist's choice for using posts/materials relevant to posts used to restore endodontic-treated teeth is influenced by clinical experience, whether concerning the length of practice time and level of specialization. Objective: Traditional restorative approaches are being modified as newer materials become available and patient preferences shift. The purpose of the study was to see if dentists' preferences for using posts and other materials associated to post used to restore endodontically treated teeth are influenced by practical experience, whether measured by the length of clinical practice time or level of specialty. Methodology: A cross-sectional study was conducted with dentists (n = 100) working in Karnataka utilizing a questionnaire. Data on sociodemographics, clinical experience, postgraduate training, and postendodontic restoration characteristics (posts/types of cement and rubber dam application) were obtained. The samples only included general and specialist dentists. A descriptive analysis was performed on the data. The Chi-square test and Fisher's exact test investigated the relationships. Results: The most chosen materials were metal posts (60%) and resin cement (70%). There was a statistically significant association between clinical practice duration and postuse type (P = 0.017). In addition, there was a highly significant relationship (P = 0.001) between clinical practice time, level of specialty, and the use of rubber dams. Conclusions: Dentists favored metal posts for post endodontic restorations, while resin-based cement was the preferred luting cement for the posts' cementation. Additional training and more clinical practice time were factors in several dental postselection decisions.
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Unfolding the journey of scaffold p. 99
Bhumika Jhawar, Shirish Kujur, Vineeta Gupta, Pragya Kumari, Hungyo Chanreiphy
Periodontal tissues can be destructed by chronic periodontal disease, which can lead to tooth loss. In support of the treatment for periodontally diseased tooth, various biomaterials have been applied starting as a contact inhibition membrane in the guided tissue regeneration that is the current gold standard in dental clinic. Recently, various biomaterials have been prepared in a form of tissue engineering scaffold to facilitate the regeneration of damaged periodontal tissues. From a physical substrate to support healing of a single type of periodontal tissue to multiphase/bioactive scaffold system to guide an integrated regeneration of periodontium, technologies for scaffold fabrication have emerged in the last years. This review covers the recent advancements in development of scaffolds designed for periodontal tissue regeneration and their efficacy tested in vitro and in vivo.
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A neoteric platelet concentrate – Titanium-prepared platelet-rich fibrin p. 103
Bhumika Jhawar, Shirish Kujur, Vineeta Gupta, Hungyo Chanreiphy, Pragya Kumari
Titanium-prepared platelet-rich fibrin (TPRF) is the future of modern regenerative dentistry that has a wider application not only in the periodontic field and implant dentistry but also in oral surgery, endodontics, tissue engineering, and other medical fields including orthopedic and plastic surgery. It accelerates wound-healing properties along with its antibacterial and antihemorrhagic are beneficial for patients which attract more clinicians to adopt this technology. To discover the biological properties of TPRF and its broader applications in the area of periodontic and implant dentistry, TPRF is increasingly being investigated. Positive growth and improved healing results and less patient pain have been seen in current studies.
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Prosthodontic management of Atwood's order V and VI mandibular ridge with cocktail impression technique p. 106
Riddhi Sharma, Naveen Oberoi, Gurpreet Kaur, Ravpreet Singh, Jaspreet Singh
Residual ridge resorption is the reduction in size of the bony ridge under the mucoperiosteum. The resorption occurs faster in the mandibular arch as compared to the maxillary arch. Fabrication of any dental prosthesis over a compromised residual alveolar ridge is really a challenge for prosthodontists. The pattern of bone resorption observed in Atwood's Orders V and VI causes difficulty in providing successful dentures, especially lower denture where stability of denture may get compromised. This clinical case report elicits a combination of different impression techniques to improve mandibular denture stability in severely resorbed ridges preventing their further resorption.
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