Objectives: The aim of this study was to evaluate the clinical performance of a nano filled flowable and nano hybrid bulk fill resin composite in class I restorations. Methods and Materials: Twenty patients were selected for this in vivo study. Each patient received at least one pair of restorations, restored with nano hybrid bulk fill resin composite (IPS Empress direct [IED]) and nano hybrid Tetric N Ceram flowable composite [TNC]. Each restorative resin system was used with its respective adhesive system according to manufacturers’ instructions. A total of 40 class I restorations were placed by one operator. Restorations were blindly evaluated by two examiners at baseline and 3, 6, and 12 months respectively using modified US Public Health Service Ryge criteria. The data obtained was statistically analyzed using Chi square test to compare the two restorative materials for each category. Results: At 3, 6 and 12, months, recall rate was 100%, 95% and 85%, respectively, with a retention rate of 100%. There were statistically significant differences between the two restorative resins in terms of marginal adaptation and marginal discoloration (p<0.05). No differences were observed between the restorative resins in terms of retention (p<0.05). None of the restorations showed postoperative sensitivity, or loss of anatomic form. Conclusion: Within the limitations of this study, nano hybrid bulk fill composite resin viz. IPS EMPRESS DIRECT showed better clinical performance than nano filled flowable composite in terms of marginal discoloration and marginal adaptation. Keywords: direct composite, bulk, hybrid filled resin
Aims: Aim is to evaluate the clinical and radiographic outcome of Intentional Replantation of teeth utilizing Atraumatic extraction technique and Biodentin as root end restorative material Materials and Methods: Any patients irrespective of age & sex who reported to the Department of Conservative Dentistry & Endodontics, D. J. College of Dental Sciences & Research with the post endodontic treatment periapical pathology where orthograde retreatment and apical surgery was unfeasible or declined by patients and where extraction be the last resort was selected for the procedure. Informed consent was taken. Retention and healed status without complications (periapical radiolucency, external root resorption, ankylosis, signs/symptoms, probing <6 mm) was recorded and analyzed with Kaplan-Meier survival analysis and Cox proportional hazard regression model (P < .05). Bivariate associations of the investigated variables with the main complications (ankylosis, periapical radiolucency, external root resorption) evaluated. Results: Cumulative healed rates from 60% at 6 months to 92% at 12months seen. Complications leading to extraction observed in 1 of 15 attending teeth. The Kaplan-Meier survival function suggested an expected 1-year cumulative retention rate of 92%. Among the 15 teeth, 1 tooth with complication was due to persistent periapical radiolucency and mobility. Null hypothesis was that IR is to preserve the natural dentition, there by upholding the main goal of Conservative treatment. Conclusions: Within the limitations of this study, after analyzing the results and obtaining a complete follow up of 12 months radiographically and clinically, it can be concluded that Intentional replantation is an alternative treatment and should be included in the savior procedures as it has shown a success rate of 92%. Keywords: endodontic complications, intentional replantation, physics forceps, Biodentin
The main goal of endodontic treatment should be to focus on the predictable elimination of microorganisms from the root canal system. Irrigation has become a critical component of adequate root canal treatment. To obtain the goal of safe and effective irrigation methods this article review is to give a brief idea about irrigation devices and recent methods of irrigation. The irrigation process is often dismissed during endodontic treatment, must not be overlooked. It is one of the major keys of success for endodontic treatment.
Today's dentists have a variety of treatment options for restoring a smile with discoloured vital teeth. Treatment options include full crowns, veneers, and direct restorations, as well as minimally invasive procedures such as microabrasion, macroabrasion, and bleaching. Bleaching of teeth is the least invasive and conservative treatment option, so it is gaining popularity. The purpose of this case report is to describe an in-office vital tooth bleaching case in a young patient using POLA OFFICE + (37.5%percent hydrogen peroxide gel). By the end of the second visit, the results were satisfactory, with no side effects. Keywords: In office Bleaching, Pola Office +, Discoloration
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