Purpose of the Study: Mineral trioxide aggregate (MTA) is a biocompatible material and has excellent sealing ability. It is proved and claimed that it provides double seal due to its physical sealing ability as well as ability to induce cementogenesis that provides biological seal. Aim and Objectives: The aim of the study was to assess the shear bond strength of MTA with three different types of adhesive systems: (1) self-adhering flowable composite, (2) etch and rinse (ER) adhesive system, and (3) self-etch (SE) adhesive system. Materials and Methods: Ninety MTA specimens were prepared using cylindrical acrylic blocks, having a central cavity with 2 mm depth and 4 mm diameter. MTA was mixed and placed in the prepared cavity and was covered with moist cotton pellet and temporary filling material (Cavit). They were further divided into three groups which were further divided into two subgroups. After the bonding agents was applied, the composite resin was placed over the MTA surface. The specimens were then tested for shear bond strength; statically analysis was done. Result: After 24 h, the mean value of ER group was found to be significantly higher than SE and the self-adhering composite groups. Among the 45 min groups, there was no significant difference observed. Conclusion: In single visit, after 45 min, self-adhering flowable can be used successfully as a final restorative material in place of conventional flowable composite without using any alternative adhesive system over MTA.
Background: Patients health education by healthcare workers has been affected by pandemic guidelines. This study aimed to evaluate the influence of an audio-mediated intervention for patient health education (PHE) on treatment compliance and treatment satisfaction among patients seeking prosthodontic treatment during the Covid pandemic. Methods: A total of 666 patients (aged 40-70 years) who fulfilled the study criteria were treated for denture-associated disease. PHE for 5 different categories was performed using an educational audio (MP3) in the experimental group (Group E), and traditional methods (oral/verbal) in the control group (Group C). Patient/clinician satisfaction with the PHE program was evaluated with a prevalidated questionnaire, whereas treatment compliance and satisfaction were evaluated using a denture hygiene index (DHI) and a visual analog scale (VAS). Differences between qualitative variables were determined using the chi-square test, whereas continuous variables were assessed using an unpaired t-test. Differences were considered to be statistically significant at p ≤ 0.05. Results: Patient satisfaction with PHE was significantly higher and differed in the Group E for two parameters: education method (80%), educational material (94%). For all parameters of procedural education, patient/clinician satisfaction was significantly higher for Group E [method (93%), material (85%), patient preparation (89%), personalized education (84%), program (93%)]. From three different ratings of disease education, 70% in Group E rated education as "effective" as compared to 41% in the Group C. Effectiveness of post treatment, education measured through DHI, revealed a lower hygiene score in Group E (m = 1.18) as compared to Group C (m = 2.92), with differences being significant. For treatment satisfaction, patients in Group E rated higher for speech (m = 8.21), ease of chewing (m = 7.36), and general satisfaction (m = 7.9). Conclusion:This study concluded that using audio as a means of imparting PHE positively influences the treatment compliance and satisfaction among outpatients and overcomes the drawback of wearing mask during the pandemic.
Background: Dentists must have accurate knowledge and affirmative attitudes about dental care in order to prevent dental caries. Therefore, the present was conducted with aim to find out knowledge, attitude and actual practices (KAP) for caries prevention in adults on Indian dentist Material and Methods: This cross-sectional questionnaire study was conducted on private dental practitioners of Ghaziabad city. Knowledge on preventive dentistry was assessed by 16 questions with true/false or multiple choice pattern. A total of 8 questions each were utilized for attitude and practices, respectively on a 5-point likert scale. Student’s t-test and One way ANOVA followed by post hoc test was applied to determine the relationship between mean scores of KAP and demographic variables. The significance level was set at below 0.05. Results: Slightly better scores for KAP was found in participants belonging to <30 years of age. The total mean KAP scores of dentists were 8.9 ± 2.2, 26.1 ± 1.7, 21.1 ± 1.9, respectively. Approximately 37% dentist agreed or strongly agreed that fluoride application can prevent dental caries in adults. And 31.5% dentist never advised/performed fluoride application in high caries patients. Conclusion: Strategies to update dentists’ knowledge and practices of primary preventive measures for dental caries may be beneficial in promoting oral health. Findings help in emphasizing the inception and initiation of preventive oral health policies and services in the Indian scenario.
Background and objectives: Cone Beam Computed tomography (CBCT) has become an important part of the diagnosis and treatment planning of various dental procedures including endodontics. Modern endodontics has become very advanced and it need very fine radiographic details which can be obtained through CBCT. The present study was carried with a purpose of evaluation of main reasons for referral of endodontic subjects for Cone Beam Computed Tomography (CBCT) and impact of preoperative CBCT over the diagnosis and treatment planning in these referred cases. Materials and methods: In this study complete case study of patients who reported for endodontic procedures were examined. From this data those cases were selected which were further referred for CBCT examination. The CBCT images were analysed and information were gathered regarding the number of patients and teeth examined with CBCT, the main purpose to refer the case for CBCT examination, whether the teeth were endodontically treated previously, if there was presence of endodontic lesion, whether symptoms were present at the time of CBCT examination, if there was change in the diagnosis and treatment planning after CBCT examination and what type of treatment was carried out for each tooth after CBCT examination.
Objective: The most common dental condition is root canal infection. A focal infection is a localised or widespread infection that is caused by the systemic spread of microbes or their metabolites from one or more different foci of infection. A focus of infection, which is described as "a restricted area that is continuously infected with hazardous bacteria," may exist everywhere in the body. In the literature on medicine and dentistry, the tonsils, adenoids, oral tissues, and other structures have all been considered as potential infection sites. This review will evaluate the current research on the dynamic relationships between infections of endodontic origin, endodontic therapy, and overall health in light of new information that has since come to light. Methods and materials: A comprehensive search was conducted for all non-grey literature published using the online platforms PubMed, MEDLINE, and Scopus, web of sciences. To make sure that all pertinent studies were found, the succeeding search keywords were applied.: “endodontic infections”, “systemic conditions”, “management”, “apical periodontitis”, “diabetes”, “hypertension”. Furthermore, all appropriate scientific papers on role of endodontic infections and their management in different systemic diseases were included. 18 articles were included in the review. Results: Articles showed that the advancement and progression of CVDs have been linked to higher concentrations of inflammatory markers in individuals with periodontitis at root apex, according to a number of systematic reviews and meta-analyses. Persistent periodontitis at root apex may influence the onset and development of atherosclerosis through a number of different possible mechanisms. The literature provides significant support for the notion that people with DM had higher rates of apical periodontitis, larger periapical lesions, and more periapical infections than patients without diabetes. Conclusion: There is growing evidence that prolonged apical periodontitis-related bacteraemia and reduced inflammatory cytokines may have a deleterious impact on systemic health, including CVD development, autoimmune disorders, and diabetic metabolic dysregulation. Bangladesh Journal of Medical Science Vol.22 (Special Issue) 2023 p.78-88
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