Satyam Jaiswal

Abstract

Esthetics can be described study of the beautiful, it objectives beauty and elicits pleasure. Esthetic materials can be described as those that closely mimic the tooth structure. There are large number of aesthetic material that have become available in the market. The variety of restorative options accessible to clinicians has changed spectacularly over the period of last 30 years. In 1981, the materials decisions to be made by a new dentist were very dissimilar than what they are nowadays. A progressively more mystifying array of potential new materials has now seen a way into the market. The dentist must decide material of choice for a particular case without relying on the claims the manufacturer promises. This review article emphasizes on the newly introduced materials such as Ormocers, Cention N and Zirconomers, and materials which are under research, and may see an introduction into the market in the near future for e.g. an antibacterial composite and a Glass ionomer cement incorporating bioactive glass, their advantages over the traditional predecessors and their properties. Keywords: Esthetic materials, Bioactive composites, Glass inomer incorporating niobium, Zinc based glass ionomer cements, Ormocers, Cention N, Zirconomers.

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Abstract

Successful management of endodontic problems is reliant on diagnostic imaging techniques to provide critical information about the teeth under investigation. CBCT is of great help in diagnosing conditions and diseases related to pulp and periapical tissue. It is also useful in detecting missed canal, extra canals, bizarre root form, extra roots, and diverse other anatomical variations. This review article emphasizes on the working of CBCT and its applications in endodontics. Keywords: CBCT in endodontics, 3D imaging, TACT, Magnetic resonance imaging (MRI).

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Abstract

Compromised teeth are challenging to the dentist which complicate the treatment plan which affects the long-term prognosis. Maxillary molars showing untreatable endodontic failure, periodontal attachment loss, extensive carious involvement or fractures involving the furcation area are often difficult to manage. Treatment option for such multi-rooted teeth can be root resection, or extraction and prosthetic replacement. Root resection procedure offers an economically viable treatment option for the patients to preserve the natural tooth. This article highlights 2 case reports of root resection in maxillary molar with different etiologies combined with the periodontal approach and prosthetic management with resultant successful oral rehabilitation. Keywords: With its crown portion on the other  

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Abstract

Introduction: A randomized control trial was conducted, to assess the effect of cold saline irrigation on post-operative pain in patients presenting with pain due to pulpal and periapical diseases. Materials and Methods: A total of 30 patients with pulpal necrosis and symptomatic apical periodontitis presenting in teeth, (whose preoperative visual analog scale (vas) was higher than 3, Out of 5), were chosen for the randomized trial. The patients were randomly allocated into control and experimental groups, after completion of cleaning and shaping. The experimental group received 20ml cold saline (2.5oc) irrigation delivered to the working length, with a sterile cold needle for 5 mins. The same protocol was used in the control group with normal saline solution at room temperature. The patients were then instructed to record the presence, duration and level of postoperative pain at 6 hours and 24 hours, and analgesic intake. Chisquare test was used to compare, the incidence of postoperative pain. Comparison of number of analgesics between two groups, duration of pain and differences in post-operative pain intensity (at 6 and 24 hours) was analyzed using Mann-Whitney test. Result : There was no statistical difference between the two groups. Conclusion: There is no significant difference between the experimental and the control group. Further studies are required with a larger sample size to get statistically significant results. Keywords: Cold saline irrigation, Cryotherapy, Inflammation, Postoperative pain, Pulpal necrosis, Symptomatic apical Periodontitis.

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