Comparative evaluation of the efficacy of diclofenac sodium administered using different delivery routes in the management of endodontic pain: A randomized controlled clinical trial

Cracked tooth refers to an incomplete fracture of a tooth that may involve the pulp. Both vital and non vital teeth can develop cracks. The causative factors include previous restorative procedures, excess occlusal forces, developmental conditions that result in the formation of weakened tooth structure, trauma, etc. Most commonly involved teeth are the mandibular molars mainly due to the wedging effect of the maxillary mesio-palatal cusp onto the central fissure of the mandibular molar. The crack can involve the crown or the root of the tooth or both. It may be limited to the enamel, may involve dentin or can extend upto the pulp also. Diagnosis of this condition becomes challenging due to varied clinical features. Common symptoms involve pain on releasing the bite due to snapping of the segments or due to independent movement of the fractured segments. The patient has difficulty in identifying the offending tooth and may give a history of numerous dental procedures being performed which fail to relieve pain. This write up deals with the classification, epidemiology, diagnosis and management of cracked teeth, evaluation of crack, nature of symptoms, determining the prognosis and using current, short and long term strategies for successful management.

Section: Introductionmentioning

confidence: 99%

Diagnosis and Management of Cracked Tooth- Decision Analysis

Pai¹

2020

“…We have numerous highly cited publications on well designed clinical trials and lab studies (Govindaraju, neelakantan and Gutmann, 2017;Azeem and Sureshbabu, 2018;Jenarthanan and Subbarao, 2018;Manohar and Sharma, 2018;nandakumar and nasim, 2018;Teja, Ramesh and Priya, 2018;Janani and Sandhya, 2019;Khandelwal and Palanivelu, 2019;Malli Sureshbabu et al, 2019;Poorni, Srinivasan and nivedhitha, 2019;Rajakeerthi and Ms, 2019;Rajendran et al, 2019;Ramarao and Sathyanarayanan, 2019;Siddique, nivedhitha and Jacob, 2019). This has provided the right platforms for us to pursue the current study.…”

Section: Introductionmentioning

confidence: 99%

Probiotics in Prevention of Dental Caries - A Literature Review

S.K¹

2020

Dental caries is a microbial disease induced by oral biofilm containing Streptococcus mutans, leading to destruction of tooth structure. With better understanding of the Ecology and microbiology of the oral cavity and with the advent of Minimal Invasive Dentistry, there has been a shift in the treatment modalities of caries. Recently probiotics have been used extensively to promote a healthy oral flora. This review article aims to promote a better understanding of the probiotic strains, their mechanism of action and the various modes of delivery available. An electronic search was also performed using databases such as Google scholar, PubMed, Science direct and Scopus. Comparisons of different searches were carried out to delete the repeated studies. The articles published in any language other than English were excluded. Several studies proved that Probiotics can influence the caries balance locally through a direct contact with oral tissues and systemically through the gastrointestinal tract. Most of the probiotic strains currently available have been proved safe and promote both general and oral health. There are limited clinical trials with widely different study designs and target population. Also there is lack of evidence, regarding sustainability of the effect of Probiotics.

“…But in contrast, Laser light travels in a straight path (Mathew et al, 2015). Even Though, laser has its own advantages and disadvantages, the clinicians acceptance towards laser technology still remains limited (Meire and De Moor, 2007).We have numerous highly cited publications on well designed clinical trials and lab studies(Govindaraju, Neelakantan and Gutmann, 2017; Azeem and Sureshbabu, 2018;Jenarthanan and Subbarao, 2018;Manohar and Sharma, 2018;Nandakumar and Nasim, 2018;Teja, Ramesh and Priya, 2018;Janani and Sandhya, 2019;Khandelwal and Palanivelu, 2019;Malli Sureshbabu et al, 2019;Poorni, Srinivasan and Nivedhitha, 2019;Rajakeerthi and Ms, 2019;Rajendran et al, 2019;Ramarao and Sathyanarayanan, 2019;Siddique, Nivedhitha and Jacob, 2019). This has provided the right platforms for us to pursue the current study.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude and Practice on Use of Laser in Disinfection of Canals

Kumaran¹

2020

In the present era, Clinicians are keeny searching for better techniques, instruments and materials that enable the patient with better patient comfort and also superior dental treatment.The use of Laser enables the dentist to work more efficiently and precisely. Treatment of root canal leads to preservation of natural teeth that aid in mastication and esthetics.The more recent development in endodontic treatment is the use of laser. The study aims to assess and to create awareness on knowledge,attitude and practice on use of lasers in disinfection of canals.The study had a sample size/respondents of 100 dental students. An online survey with a pretested and validated questionnaire consisting of 11 questions testing awareness of laser use in disinfection of canals. The Questions regarding laser advantages,limitations, mode of action, wavelength used in disinfection of the canal were framed and shared with 100 dental students and their answers were recorded. Data was entered in Microsoft Excel sheets. The results were demonstrated in the form of pie charts. Association between gender and students awareness on different variables were assessed using chi square test.From the present study, we can conclude that female participants are more aware on laser effect, laser advantages, limitations and on adjuvant role of laser with irrigants, wavelength of Er:YAG,Er,Cr:YSGG, Diode, carbon dioxide laser in disinfection of canals and males are more aware of the wavelength of Nd:YAG. But there is a need for an awareness among students regarding the current application of LASER for providing better treatment without any complications.