Objective: To compare the efficacy of caries removal, time taken and to evaluate the pain threshold experienced by the patient during various caries removal methods. Study Design: Eighty patients between the age groups of 5-9 years were selected and caries removal was done by Hand instruments, Airotor, Carisolv and Papacarie. The efficacy, time taken and the pain threshold was evaluated during the caries removal by Ericson D et al scale, visual analogue scale respectively. Results: Highly significant relation (<0.05) was observed when intergroup comparison was made using one way analysis of variance (ANOVA). Conclusion:It was concluded that chemomechanical removal of caries with Papacarie and Carisolv were found to be effective measures of caries removal and could be considered as viable alternatives to painful procedures like Airotor in management of dental caries especially in children.
Lockdown of 1.3 billion people in India during Covid-19 pandemic: A survey of its impact on mental health COVID-19 pandemic presented as a black swan event, and as a measure to curtail it the governments of different countries took various approaches (Tandon, 2020). However, most countries announced complete lockdown, with draconian travel and social restrictions. On March 24, 2020, the Government of India ordered a nationwide lockdown for 21 days, limiting movement of the entire population of 1.3 billion.
SARS-CoV-2, a virus causing severe acute respiratory syndrome, has inundated the whole world, generating global health concerns. There is a wildfire-like effect, despite the extensive range of efforts exercised by the affected countries to restrain the expanse of this pandemic, owing to its community spread pattern. Dental specialists in the upcoming days will likely come across patients with presumed or confirmed COVID-19 and will have to ensure stringent infection prevention and control to prevent its nosocomial spread. This paper strives to provide a brief overview of the etiology, incubation, symptoms, and transmission paradigms of this novel infection and how to minimize the spread in a dental healthcare setting. This review presents evidence-based patient management practice and protocols from the available literature to help formulate a contingency plan with recommendations, for the dental practices prior to patients’ visit, during in-office dental treatment, and post-treatment, during the pandemic and after.
Introduction:Gonial angle is an important parameter of the craniofacial complex giving an indication about the vertical parameters and symmetry of the facial skeleton. Both orthopantomogram (OPG) and lateral cephalograms can be used for the measurement of gonial angle. Because of the superimpositions seen on lateral cephalograms, reliable measurement of the gonial angle becomes difficult. The aim of the present study is to check the possible application and reliability of OPG for gonial angle determination by clarifying whether there is any significant difference between the determination of gonial angle from OPG and cephalogram.Materials and Methods:Gonial angle measurements were made on lateral cephalograms and orthopantomograms of 98 patients - 44 males (mean age 25.9 years) and 54 females (mean age 21.3 years), and compared using Statistical Package for Social Sciences.Results:One-way analysis of variance demonstrated no significant differences between the values of gonial angles determined by lateral cephalogram and panoramic radiography. Pearson correlation showed a high correlation between cephalometric and OPG gonial angle value.Conclusion:Panoramic radiography can be used to determine the gonial angle as accurately as a lateral cephalogram. For determination of the gonial angle, an OPG may be a better choice than a lateral cephalogram as there are no interferences due to superimposed images of anatomical structures as in a lateral cephalogram. Thus, the present study substantiates the possibility of enhancing the clinical versatility of the panoramic radiograph, which is an indispensable tool for dental diagnosis.
Eruption cysts are benign cysts that appear on the mucosa of a tooth shortly before its eruption. They may disappear by themselves but if they hurt, bleed or are infected they may require surgical treatment to expose the tooth and drain the contents. Here we present 2 case reports of eruption cysts presenting with different chief complaint. The treatment included incising the eruption cyst and draining the contents of the cyst.
PICA is an act or habit of eating non-food items such as stone, bricks, chalk, soap, paper, soil etc., It occurs in children who actually start seeing the world through the oral cavity. There are many theories behind it such as iron and zinc deficiency etc., We as dentists should be able to diagnose and treat such conditions, as they may cause ill-effects to the developing dentition. This case report attempt to highlights the importance of proper diagnosis and treatment of pica.
The current study was conducted to assess the extent of maxillary arch collapse on the cleft vis-a-vis non-cleft sides in the same individual presenting withunilateral cleft lip and palate (UCLP), using cone-beam computed tomography (CBCT). Thirty-one children (eighteen boys andthirteen girls) with surgically repaired UCLP, who met the inclusion criteria, were selected. Following the acquisition of CBCT scans, fourteen bilateral landmarks were selected. The distance of the bilateral landmark was calculated from the midsagittal plane on the cleft and non-cleft sides for both frontal and axial views. Tracings were done;the data obtained was subjected to statistical analysis;and intra-observer variability was checked with intraclass correlation coefficient (ICC) and two-way ANOVA. Subsequently, the measurements were subjected to paired t-tests at the 95% level of significance with Bonferroni correction. A significant reduction of pyriforme and an alveolar crest above the maxillary 1st molar were discerned in frontal analysis on the cleft side. In the axial view, the zygomatic arch, malar, porion and alveolar crest at the molar region were non-significant, but the alveolar crest at the premolar region (p < 0.004)) was significantly decreased. In the frontal analysis, pyriforme and the alveolar crest above the maxillary 1st molar, and, in the axial view, premolar widths, showed significant reduction when comparing the cleft vis-a-vis non-cleft sides.
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