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   Table of Contents - Current issue
July-September 2021
Volume 8 | Issue 3
Page Nos. 67-87

Online since Monday, September 27, 2021

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Efficacy of darolac probiotic and chlorhexidine mouth rinse in reducing plaque and gingival inflammation in children: A clinical trial p. 67
Yogesh Bande, Sharda Ade, Sudhir Baroopal, Akshada Joshi, Janhabi Pathak, Abhinay V Deshmukh, Sugandha Arya
Background: Chemical agents have been increasingly used as an adjunct to mechanical control. The use of a mouthwash augments maintenance of oral health through its antiplaque and antibacterial chemical properties.Recently, Probiotics can be used an effective alternative for other traditional mouthrinses in reducing plaque accumulation and gingival inflammation. Aim: To evaluate the clinical efficacy of a probiotic and chlorhexidine mouth rinses on plaque and gingival accumulation in children. Materials and Methods: Randomized controlled 14 day trial including 30 healthy children (6–8 years) was done in which 10 children were in control group and 20 children were instructed to rinse 5ml/day for 1 min of each solution (probiotics and chlorhexidine) for 14 days. Results: A Statistically significanct difference was noted between mean PI and mean GI score of control group when compared with probiotic and chlorhexidine after 14 days in comparison to baseline (P < 0.001). However, there was no significant difference in mean plaque accumulation and gingival inflammation between the probiotics and chlorhexidine on the 14th day examination. Conclusion: Probiotics mouth rinse was effective in reducing plaque accumulation and gingival inflammation in 6 to 8 year old children.
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Assessment of outcomes of a hospital-based tobacco cessation intervention program: A retrospective study p. 71
Nilesh Arjun Torwane, Ashwini Dayma, Sudheer Hongal, Priyanka Anil Ahire
Background: Tobacco use among adult Indian population is 34.6% by Global adult tobacco survey (2016–2017) reported 6.8 crores urban, 19.9 crores rural Indians are tobacco consumers. M. P state fact file declares highest tobacco consumers residing in Madhya Pradesh. Methodology: The current study is an individual as well as community-based tobacco intervention program, to evaluate the trends of tobacco use, awareness related to tobacco hazard, quit tobacco regime, withdrawal, relapse in post intervention follow-up. Results: In the total regime of 3 months starting from detox groundwork of body for cessation to behavior modification, phase of nicotine replacement therapy (NRT) to pharmacological intervention at spaced out follow-up the graph gradually declined down of individuals positively motivated for quitting. Conclusion: Tobacco cessation (quitting) with behavior modification, NRT, and Pharmacological mode is a relatively novel approach of tobacco control in India. It is considered to be the most cost-effective intervention as compared to other tobacco control programs and other approaches of reducing tobacco menace.
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A study to compare nasopharyngeal airway space in skeletal Class I, Class II, and Class III malocclusion p. 74
Vijaysinh Ramchandra Tanpure, SV Kalavani, Firoz Babu Palagiri, K Bhagyalakshmi, Satish Babu Devaki
Background: Studies in the past have assessed relation between airway and type of malocclusion and found no association between rhinomanometric measures of airway adequacy and type of malocclusion or craniofacial morphology. Hence, the present study was undertaken to test whether there is any association between pharyngeal airway and type of malocclusion. Methodology: The subjects were divided into 3 groups based on skeletal pattern with 20 subjects in each group: Group 1 with Class I skeletal pattern, Group 2 with Class II skeletal pattern, and Group 3 with Class III skeletal pattern. All the cephalograms were taken in natural head position. Results: There is no significant difference found in total nasopharyngeal area between 3 groups. However, aerial area was significantly reduced in Group 3 (398.4 mm2) than that of Group 2 (485.737 mm2) (P = 0.012). Whereas, significant reduction in adenoidal area was observed in Group 2 (184.021 mm2) when compared with that of Group 3 (286.183 mm2). Conclusion: There was no statistically significant relationship between different skeletal groups and nasopharyngeal soft-tissue characteristics, except for two measurements i.e. aerial and adenoidal area of Group 2 and Group 3.
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Impact of COVID-19 pandemic on learning of the undergraduate and postgraduate dental students p. 78
P Swati Manohar, N Sneharaj, Arshiya Shakir, Manjaree Talukdar, MP Pavana
Background: More than 95% of all countries worldwide reported infections with the severe acute respiratory syndrome coronavirus-2 described as coronavirus disease-2019 (COVID-19). Therefore, most countries put physical distancing measures (e.g., closing of public, cultural, and educational institutions) in place to decelerate the infection rate. Consequently, dental education at universities worldwide is strongly affected by the COVID-19 pandemic. The present study was done to know the effect of COVID-19 pandemic on dental education. Materials and Methods: A self-designed, structured, online questionnaire of 22 close-ended questions was generated and distributed among the undergraduates and postgraduate dental students in Bangalore city. A total of 450 forms were sent through online by messages, WhatsApp, and emails. Online consent was obtained before participation in the study and it was mandatory to answer all questions. Data obtained were subjected to descriptive and inferential statistics, and significant proportions were available. The level of significance was considered as P ≤≤≤ 5. Results: The study showed that in this pandemic, 73.4% of the students feel e-learning as a boon for learning dental students, but 87.1% of students feel classroom lectures are more interactive compared to online lectures. About 12.4% of the students felt difficult to access the Internet for online classes, whereas 87.6% of students had access. Students feel understanding clinical procedures is difficult through e-learning; hence, 83.6% of students search web for better understanding. Almost 92.5% of the students feel they are lacking clinical experience due to online classes. Conclusion: COVID-19 has definitely affected the world; similarly, it has affected the clinical practice of dental students in dental schools. As education continues through e-learning, still, few students are deprived of education due to access to the Internet.
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Endodontic management of a mandibular second molar with C-shaped canals p. 81
Tapan Kumar Mandal, Deepyanti Dubey, Deepak Kurup, Nitish Kumar Pandey, Kiran Verma, Shazia Mahreen
The aim of this case report is to explain the etiology and management of C-shaped canals. An important anatomic variant in root canal morphology, the C configuration, presents as a thin fin connecting the canals with a predilection for mandibular second molars. Early recognition of the C-shape becomes imperative for its successful management. Newer diagnostic tools have facilitated a more precise diagnosis of this condition. Clinical and radiographic diagnoses can aid in the identification and negotiation of the fan-shaped areas. The inaccessible areas and unique canal patterns make provision of optimum treatment quality a highly challenging proposition. Successful endodontic therapy of this canal configuration can be achieved with rotary and hand instrumentation assisted with ultrasonics.
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Anterior esthetic rehabilitation using a casted palatal loop connector p. 85
Pronoy Mukhopadhyay, Arun Khalikar, Sattyam Wankhade, Suryakant Deogade
This article aims to demonstrate an esthetic rehabilitation of the anterior teeth region with increased prosthetic space with a fixed prosthesis without compromising esthetic proportions. In cases where excess pontic space is present, the use of a conventional prosthesis would jeopardize the esthetic proportions to maintain the integrity of the prosthesis. A loop connector, which is usually a spring cantilever connector system, can be advocated in such cases to re-establish form without obliterating preexisting spaces or diastema. This case report demonstrates prosthetic rehabilitation of a missing anterior tooth in a 37-year-old female patient with an increased pontic space using a loop connector system that takes bilateral support to better support the prosthesis functionally from the abutments and the palatal tissues that it is rested upon in close adaptation with. In situations that pose constraints in placing an isolated implant-supported prosthesis, a loop connector fixed prosthesis is warranted, to maintain spaces around the pontic that would not compromise with the esthetics and even mechanically sustain well.
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