Aims and Objective:To investigate the root canal configuration of permanent maxillary first molar in Khasi population of Meghalaya.Material and Methods:Sixty (60) permanent maxillary first molars collected from patients of Khasi population of Meghalaya were studied using canal staining and clearing technique. Observations of the number of roots, root canal configuration, lateral canal, apical delta, and presence of the additional type of canals were made.Results:Based on Vertucci's classification the different types of canal identified are: Mesiobuccal root, Type I (28.3%), Type II (28.3%), Type IV (30.0%), Type V (5.0%), Type VI (6.7%), and an additional type of canal (2-1-2-1-2; 1.7%) were observed. The distobuccal root displayed Type I (95%), Type II (1.7%), Type V (3.3%). The most prevalent canal configuration in the palatal roots is Type I (98.3%), Type II (1.7%).Conclusion:In Khasi population of Meghalaya, the most prevalent root canal configuration in the mesiobuccal root is Type IV followed by Type I and Type II. MB2 canals are present in more than 65% cases. In palatal and distobuccal roots, Type I configuration is present in most cases. Racial divergence may be responsible for such variations.
Introduction:Pain management remains the utmost important qualifying criteria in minimizing patient agony and establishing a strong dentist–patient rapport. Symptomatic irreversible pulpitis is a painful condition necessitating immediate attention and supplemental anesthetic techniques are often resorted to in addition to conventional inferior alveolar nerve block.Aim:The purpose of the study was to evaluate the anesthetic efficacy of X-tip intraosseous injection in patients with symptomatic irreversible pulpitis, in mandibular posterior teeth, using 4% Articaine with 1:100,000 adrenaline as local anesthetic, when the conventional inferior alveolar nerve block proved ineffective.Materials and Methods:X-tip system was used to administer 1.7 ml of 4% articaine with 1:100,000 adrenaline in 30 patients diagnosed with irreversible pulpitis of mandibular posterior teeth with moderate to severe pain on endodontic access after administration of an inferior alveolar nerve block.Results:The results of the study showed that 25 X-tip injections (83.33%) were successful and 5 X-tip injections (16.66%) were unsuccessful.Conclusion:When the inferior alveolar nerve block fails to provide adequate pulpal anesthesia, X-tip system using 4% articaine with 1:100,000 adrenaline was successful in achieving pulpal anesthesia in patients with irreversible pulpitis.
BACKGROUND Drinking tea has antioxidant, anti-inflammatory and anti-carcinogenic properties. In addition, tea is also considered beneficial for cardiovascular health and oral health. Health benefits of green tea are attributed to its polyphenol content. Catechins are the major polyphenols in green tea and in black tea the catechins are oxidized to theaflavins. Polyphenols present in tea have exhibited antimicrobial effects against a wide range of pathogenic bacteria. Studies have shown that green tea catechins are bioavailable in both plasma and urine. The aim of the present study is to evaluate the antibacterial activity of black tea extract against standard strains of S. mutans, S. aureus, L. acidophilus, Klebsiella and E. coli. METHODS Black tea extract was prepared by boiling black tea leaves in distilled water. It was then filtered, and the filtrate was treated with chloroform and ethyl acetate. The ethyl acetate was evaporated in a rotary evaporator and a brown coloured residue was obtained. Its antibacterial activity was studied against standard strains of five common bacteria i.e.; S. mutans, L. acidophilus, S. aureus, Klebsiella spp, and E. coli and the MIC of the black tea extract was determined using serial dilution method. RESULTS Black tea extract showed sufficient antibacterial activity against the tested bacteria. The MIC of black tea extract was lowest against Staphylococcus aureus. CONCLUSIONS Tea extracts have significant antimicrobial activity at varying concentrations against different bacterial pathogens.
Mineral trioxide aggregate is the mainstay of treatment of large internal resorption defects. But its cost may be a deterrent to its use in some patients. The present case report describes the successful endodontic management of an extensive internal resorptive lesion in a mandibular molar with metal reinforced glass ionomer cement.
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