The dental profession as a whole needs to acquire a deeper understanding of the global effects of superfluous antibiotic prescription. Antibiotics when judiciously used are precise life-saving drugs.
ContextVarious restorative materials are introduced in dentistry to achieve adequate strength and restore aesthetics. Dental amalgam is a versatile material with self-sealing property, but is unaesthetic. Other restorative materials like composites require conservative preparation, but exhibit polymerisation shrinkage resulting in microleakage. To overcome these drawbacks, a high strength restorative material reinforced with ceramic and zirconia fillers known as Zirconomer (Shofu Inc., Japan) has been introduced.AimsThis in vitro study aims to evaluate and compare the microleakage of zirconia-infused glass ionomer cement (Zirconomer) with Miracle Mix (GC Fuji Miracle Mix, Japan) and amalgam.Materials and methodsIn this in vitro study, 30 non-carious premolar teeth were randomly divided into three groups (n=10) depending on the restorative material used—Silver Amalgam (DPI, India), Miracle Mix, and Zirconomer. Standard Class V cavities were prepared on the buccal surface of 30 non-carious extracted premolars. The restored teeth were thermocycled and then immersed in 2% methylene blue dye for 24 hours. All teeth were bisected longitudinally in a buccolingual direction and observed under a stereo microscope at 40X magnification for the evidence of dye penetration. The data were analyzed using one-way analysis of variance (ANOVA) and Kruskal-Walis tests (p<0.01).ResultsZirconomer showed the least microleakage in Class V cavity restoration with a statistically significant difference to amalgam and Miracle Mix.ConclusionsZirconomer has proven to be an excellent restorative material as it showed the least microleakage followed by Miracle Mix and amalgam. Zirconomer raises the bar for restorative reinforced glass ionomers by outperforming conventional glass ionomers and amalgam restoration.
Introduction: Aesthetic and functional problems in the dentofacial complex among children are often attributed to the disturbances in the dentofacial growth and development. This can be recognized during routine dental visits. This study pursued to assess the occlusion of the primary dentition in three to five-year-old children. Aim:To study the occlusal traits of the primary dentition in a group of three to five-year-old North Gujarat children of Mehsana district and the variation in their occlusion relative to age and gender in the same group. Materials and Methods:The study was a cross-sectional survey based on clinical examination and photographic evaluation of the primary dentition, 383 preschool children aged three to five years who were randomly selected from preschools in Mehsana district, Gujarat, India, using a multistage sampling technique. The study group was evaluated for the several occlusal parameters that include primary molar relation based on Baume classification and canine relation, overjet, overbite were assessed using Foster and Hamilton criteria. Chi-square test was performed to carry out statistical analysis. The p-value<0.05 was taken as statistically significant. Results:Out of 383 participants, 55.35% had flush terminal plane; 43.34% mesial step molar relationship and 1.31% distal step molar relationship, 63.2% had straight profile, 95.8% had Class I canine relationship, 71.3% primate spaces, 56.7% physiologic spaces. Flush terminal plane was common at three years while, mesial step at four to five years, and Class I canine relationship was prevalent in both age groups. Flush terminal plane was more common in female participants than the males. Amongst other occlusal characteristics, increased overbite and open bite were prevalent. Conclusion
Introduction: Dental trauma has emerged as a significant aspect of dental public health. Traumatized teeth require early and appropriate treatment, which frequently relies on the competence of the dentists, doctors, and nurses who provide the primary care. Aim: To assess the knowledge and attitude of paramedical students about the emergency management of avulsed tooth. Materials and Methods: A cross-sectional questionnaire survey consisting of 17 questions was designed and circulated among 365 paramedical students (nursing, pharmacy and physiotherapy) of Sankalchand Patel University, Visnagar, Gujarat, India, to assess their knowledge and attitude about the emergency management of avulsed tooth. Descriptive statistics were applied by Statistical Package for Social Sciences (SPSS) software version 20.0. Results: Total 260 (71.23%, mean age of 23 years) students responded, with 71 students from Physiotherapy, 106 from Nursing and 83 from Pharmacy. A total of. 178 (68.46%) students comprehend the meaning of avulsion. While 193 (74.23%) students had knowledge that tooth re-implantation is possible. Of all the respondents, 192 students (73.84%) were familiar about the benefit of mouth guards for prevention of sports injury and 125 students (48.07%) opined that it is very important to be acquainted with emergency management of dental trauma. Conclusion: Though the paramedical students had good understanding about tooth avulsion, they were unaware about the emergency management of the situation. This warrants the need of incorporating training programmes dedicated to the subject in their curriculum.
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