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Objective:The objective of the study was to compare and evaluate the clinical and radiographic outcome of single- versus multivisit endodontic treatment in teeth with periapical pathology at the end of 1, 3, and 6 months.Materials and Methods:Sixty single- and multi-rooted teeth indicated for root canal treatment with periapical pathology were included in the study. The teeth were assigned randomly into two groups Group I and Group II (n = 30 each), which were further subdivided into subgroup IA, subgroup IB and subgroup IIA, subgroup IIB (n = 15 each), respectively. Group I was medicated with ApexCal paste and obturated using the standardized protocol in second visit 7–10 days later, whereas Group II was obturated at the first visit. In subgroup IA and subgroup IIA, obturation was done using Apexit Plus sealer, whereas, in subgroup IB and subgroup IIB, AH Plus sealer was used. Patients were recalled at intervals of 1, 3, and 6 months to evaluate teeth for periapical healing.Results:Kruskal–Wallis and one-way ANOVA test showed no significant difference between Groups I and II, whereas Wilcoxon signed-rank test showed improvement in all the subgroups with highly significant P value (≤0.001).Conclusion:Single-visit root canal treatment can be considered as a viable option for treatment of teeth with periapical pathology.

Successful management of furcation perforations poses a challenge for a clinician. The perforation can result from iatrogenic causes, caries or resorption. It is advisable to repair the perforation as soon as it is identified, since any delay allows the bacterial ingress leading to a complicated endodontic–periodontal lesion and ultimately in the treatment failure. This case report describes successful management of a furcal perforation in a mandibular first molar, which was repaired using Biodentine. The endodontic treatment was completed and the tooth was coronally restored with composite followed by full coverage restoration. Two years follow up of the case showing absence of pain; periradicular healing of the lesion, along with functional tooth stability indicated a successful outcome of endodontic treatment and sealing the perforation using Biodentine.

Immature teeth are difcult to manage with conventional endodontic treatments and thus it becomes very challenging for clinicians. This case report describes an apexication with Biodentine in a maxillary left central incisor. The tooth became necrotic after the traumatic injury. According to the treatment procedure root canals were chemo-mechanically prepared, medicated with triple antibiotic paste followed by Biodentine plug to stimulate hard tissue apical barrier formation. Follow-up clinical and radiographic examinations were done after 1st quarter, 2nd quarter, 4th quarter and 2 years respectively. After two years follow-up the tooth was completely asymptomatic as well as resolution of periapical radiolucency was seen. Biodentine can be considered as basic, simple, biologically active, more limited setting time, improved mechanical properties and worthy cost. Therefore, it is a promising approach to other methods of an apexication.

Tamaka Shwasa (Bronchial Asthma) is considered basically a disorder of Pranavaha Srotasa in which other Srotasa are also involved. In this condition, there is vitiation of Vayu from its normal state due to obstruction of Srotasa because of Kapha. Vitiation of Vayu leads to severe episodes of breathlessness and the patient feels darkness all around. As “Breathlessness” is the predominant symptom along with feeling of darkness, hence this disease is named so. There are similarities in the etiopathogenesis, signs and symptoms of Tamaka Shwasa (Bronchial Asthma) and Bronchial asthma. Clinically Tamaka Shwasa (Bronchial Asthma) is most important among different types of Shwasa described in Ayurveda. This paper emphasizes about the Ayurvedic view of Shwasa especially Tamaka Shwasa (Bronchial Asthma) along with modern perspective and establishes the strong resemblances between them.