Purpose:The aim of this study was to investigate whether the combination of operating microscope and selective dentin removal increased the frequency of second mesiobuccal (MB2) canal detection in permanent maxillary first molar teeth.Materials and Methods:One hundred fifty permanent maxillary first molars indicated for root canal treatment were randomly selected from patients belonging to the age group of 18–45 years irrespective of gender. After access cavity preparation and location of main canals, the MB2 canal orifice was sought in all teeth with an endodontic explorer under direct vision (Stage I), then under magnification with the aid of operating microscope (Stage II) and finally with the combined use of operating microscope and selective dentin removal (Stage III).Results:MB2 canals were detected in 36%, 54% and 72% of the teeth in Stages I–III, respectively.Conclusion:This study demonstrated that dental operating microscope when used along with adjunctive aids such as selective dentin removal/troughing and good clinical knowledge will increase the ability of dental clinician to locate MB2 canals.
Talon cusp is an uncommon dental anomaly referring to an accessory cusp projecting from the cingulum area, or cemento-enamel junction of maxillary or mandibular anterior teeth, in both the primary and permanent dentition. This paper reports a rare case of talon cusp affecting the mandibular right central incisor and maxillary right lateral incisor, together with other dental abnormalities, viz. an inverted impacted migrating mandibular right second premolar; complete agenesis of the maxillary and mandibular third molars, the maxillary right second permanent molar, and the mandibular left permanent central incisor; severe crowding; deep bite; hypoplastic teeth; bilateral reverse cross-bite in the premolar region; and a retrognathic mandible. The presence of this number of dental anomalies in a single patient is rare.
Misconduct in medical science research is an unfortunate reality. Science, for the most part, operates on the basis of trust. Researchers are expected to carry out their work and report their findings honestly. But, sadly, that is not how science always gets done. Reports keep surfacing from various countries about work being plagiarised, results which were doctored and data fabricated. Scientific misconduct is scourge afflicting the field of science, unfortunately with little impact in developing countries like India especially in health care services. A recent survey and a meta-analysis suggest that the few cases that do float up represents only tip of a large iceberg. This paper therefore highlights reasons for misconduct with steps that can be taken to reduce misconduct. Also the paper throws light on Indian scenario in relation to misconduct.
A malformed tooth characterized by one or more developmental disturbances is often difficult to treat. When such teeth are present in anterior region, they pose a technical challenge for the clinician to restore esthetics as well as function. This case describes endodontic, surgical, and restorative management of fused and dilacerated maxillary central incisor. Cone-beam computed tomography (CBCT) was used in the present case to aid in understanding of complicated tooth morphology and managing the case successfully.
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