Nilotpol Kashyap

Abstract

Pediatric dentistry is not only about the hard (Teeth) and soft tissues which are visible and can be treated. There are so many dental anomalies which can not be seen through naked eyes inspite of them being in the oral cavity unnoticed i.e, anomalies of the root.These anomalies are detected only while patient undergo treatment for the culprit tooth and these anomalies are present adjacent to the tooth or the tooth which undergoes radiographic examination for the diagnosis. During diagnosis primary molar radiographs shows extra root (Supernumerary root). The normal anatomy of mandibular molars consists of two roots but in rarest of the rare conditions there are three roots called extra roots. When this extra root is present distolingually to the main distal root it is called “Radix Entomolaris” and when it is present mesiobuccally to main mesial root it is called “Paramolaris”. The purpose of this article is to discuss the prevalence, anatomy, classification, clinical and radiographic diagnosis, and significance of supernumerary roots in contemporary clinical pediatric dentistry practice.   Keywords: Extra roots, Radix Entomolaris, Radix paramolaris periapical radiographs.

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Abstract

Background: Minimally Invasive Dentistry (MID) is a modern concept that attempt to keep teeth functional for life. It is the management of caries with biological approach rather than traditional surgical approach. It is to leave the traditional GV Black concept of ‘Extension for Prevention’ behind. Now, the present-day principle is ‘Constriction with Conservation’. This has been noticed that the concept of MID is still very unclear to the practicing dentists & even to the undergraduates. To understand the knowledge and awareness of undergraduates about MID a survey is important. Aim: The aim of this study is –Firstly, to assess the knowledge about MID technique among the undergraduate students and interns from my dental institution. Secondly, to also investigate whether the knowledge acquired by the students reflects in the form of a positive attitude towards practice of MID principles. Materials and Methods: A cross-sectional survey involving 50 dental students and interns of my dental institution. The questioner is close ended. The questions are to assess the respondent levels of agreement regarding diagnostic, preventive and minimally invasive restorative techniques. Synthesis: In this study it was found that interns had greater knowledge of MID than final years as they had greater clinical exposure. Conclusion: There is a need to introduce evidence-based dentistry in the dental curriculum as well as establish guidelines for caries detection, diagnosis, treatment discussion & treatment performance.   Keywords: Radiographs, Effectiveness, Remineralisation

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Abstract

Pulpotomy is one of the most common treatment modalities in pediatric dentistry where amputation of only coronal pulp is done. Radicular pulp remain untouched and treated with long term clinically successful medicaments such as formocresol, glutaraldehyde, ferric sulphate etc. The success of pulpotomy depends on assessment of the pulp and the technique. Due to the availability of newer material nowadays pulp regeneration can also be done.   Keywords: Pulpotomy, Pulp, Formocresol, MTA.

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