BackgroundTo comparatively evaluate the esthetic improvement of white-spot lesions (WSLs) treated by: BiominF, CPP-ACP paste with fluoride & ICON resin infiltration, using Spectrophotometer & Diagnodent.Material and MethodsThe study was done using 72 sound permanent extracted premolars, divided into four groups (18 teeth per group). After taking the ethical approval the study was commenced. WSLs were created on human premolars and randomly assigned to four groups: Group A: Artificial Saliva, Group B: CPP-ACP with fluoride, Group C: BiominF, Group D: Resin infiltration (Icon). The color change (∆E) of each specimen was measured with a Spectrophotometer (VITA Easy Shade Compact), and fluorescence loss (∆Q) was measured by a laser fluorescence device (DIAGNOdent, Kavo, Biberach, Germany), at different time points after treatment: baseline (0 weeks), 2 weeks, 4 weeks, and 6 weeks.ResultsThe ∆E and ∆Q baseline values for the four groups before the treatments did not differ significantly. Icon treatment improved the WSL color significantly and gave the lowest ∆E (5.12± 3.92) & ∆Q (1.64 ±0.72) compared with other treatments at end of 6 weeks (P< .01). In the BiominF and CPP-ACP with fluoride treatment groups, ∆Q & ∆E showed significant recovery compared with the baseline values (P< .05).ConclusionsWithin the limitations of the study, it can be concluded that all the three remineralizing agents used in the study could effectively remineralize artificial enamel caries and showed improvement in color change and fluoresence as compared to the baseline. Therefore they can be effectively used for the treatment of the white spot lesions. Key words:White spot lesions(WSL), Resin infiltration (ICON), BiominF, CPP-ACP with fluoride.
A bstract Aim This study aimed to study the intensity and duration of patients’ pain perception after placement of elastomeric separators and the effects of various methods to reduce the pain. Materials and methods Elastomeric separators were placed on either side of first molars in 120 patients which were divided into 4 groups. Patients in group I were control group, group II underwent low-level LASER therapy, group III were subjected to topical anesthetic gel, and group IV underwent TENS (transcutaneous electric nerve stimulation). And then they were asked to measure pain using a visual analog scale (VAS) at 5 intervals of time, i.e., immediately after separator placement, after day 1, day 2, day 3, and day 4. Results Turkey's post hoc test showed that pain score after immediate placement of separators was found to be the least in the anesthetic gel than that in other groups and pain score was least in the LASER group out of all four groups on day 1, 2, 3, and 4. Conclusion It was found that low-level LASER therapy was more effective in reducing pain after placement of elastomeric separators. How to cite this article Oza MJ, Desai H, Iyengar SS, et al. Comparative Study of Effects of LASER, TENS, and Anesthetic Gel for Controlling Pain after Placement of Elastomeric Separators: A Clinical Trial. Int J Clin Pediatr Dent 2020;13(S-1):S82–S86.
The advent of dentin adhesive technology in endodontics has made monoblock a well known concept in endodontics. However it has created many controversies on whether monoblock would reinforce the roots and provide a superior coronal seal.In this review, attempts have been made to understand monoblock in a broader aspect and understand how the monoblock concept can be applied to the materials used till date which rehabilitates the root canal space. The potential of currently available bondable materials to achieve mechanically homogeneous units with root dentin is then discussed in relation to the classical concept in which the term monoblock was first employed in restorative dentistry and subsequently in endodontics.
The main aim of this case report was to report the clinical efficacy of decompression for treating large periapical lesions. Tooth with large periapical cystic lesions were treated with decompression after root canal treatment. A conventional decompression technique such as aspiration/irrigation technique was used in this case. An 18-G needle with a syringe was used to aspirate the cystic lesion. Two needles were then inserted into the lesion copious saline irrigation was delivered from 1 needle and until clear saline was expressed from the other. Complete enucleation and root-end surgery was not done in the case. Healed lesions or lesions in healing were observed after 14 months. On the basis of the presented case and published case reports regarding large periapical cystic lesions, conservative decompression may be used for certain cases before or in lieu of apical surgery. Decompression enables healing of large, persistent periapical lesions after root canal treatment.
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