Most Downloaded Articles

   
 
CASE REPORT
Faisal Nazar, K Radhakrishnan Nair, G Praveena, Aadit Anilkumar, Ratheesh Rajendran

Single-visit Apexification using Biodentin

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:40-42][No of Hits : 1104]


ABSTRACT

Trauma to the tooth mainly results in pulpal injury, and these injuries during formative stage can result in incomplete root formation. This can result in failure in closure of root apex, resulting in wide open apex. This causes problem for the conventional root canal therapy as there is no apical stop against which the obturation material can be condensed. The management of a nonvital tooth with open apex is aimed at creation of an apical barrier. The newly introduced bioactive dentin substitute commercially available as biodentin is a promising material. It is a cement for stimulating hard tissue formation, i.e., the formation of reactive or reparative (tertiary) dentin. This case report describes the management of a traumatized permanent maxillary central incisor with an open apex.

Keywords: Apexification, Apical barrier, Biodentin, Open apex.

How to cite this article: Nazar F, Nair KR, Praveena G, Anilkumar A, Rajendran R. Single-visit Apexification using Biodentin. Cons Dent Endod J 2017;2(1):40-42.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
R Abhilash, Jithin Balan, K Shoba, MR Sreelakshmi

External Inflammatory Root Resorption: Management of a Tooth with hopeless Prognosis

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:24-27][No of Hits : 950]


ABSTRACT

The treatment of external root resorption and associated periodontal defect can be challenging to the most ingenious clinician. A correct diagnosis and an understanding of the etiology and dynamics of root resorption, which is the progressive loss of dentin and cementum through action of osteoclastic cells, are critical for effective management. The article describes the management of an external root resorption in maxillary central incisor where a combined endo-perio management strategy was implemented. Cone beam computed tomography was used as an adjunctive diagnostic aid. A combined approach using biodentine for root surface repair, bone graft, collagen membrane, and platelet-rich fibrin to address the associated osseous lesion appears to be viable modality in treatment of the same. After a follow-up period of 12 months, the patient was found to be asymptomatic. Postoperative radiographs also demonstrated satisfactory bone fill and arrest of the resorptive lesion.

Keywords: Biodentine, External root resorption, Osseous graft, Platelet-rich fibrin.

How to cite this article: Abhilash R, Balan J, Shoba K, Sreelakshmi MR. External Inflammatory Root Resorption: Management of a Tooth with hopeless Prognosis. Cons Dent Endod J 2017;2(1):24-27.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Arvind Kumar, Sheerin Sarthaj

Glide Path in Endodontics

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:48-51][No of Hits : 875]


ABSTRACT

Endodontic success depends primarily on good obturation. Obturation is a complex procedure that depends on many important steps. Overlooking any step may lead to failure of the endodontic treatment. Glide path is one of the most important steps during biomechanical preparation, which determines the canal patency until the apex and successful subsequent obturation. This article reviews some of the parameters regarding this very important step.

Keywords: Extrusion of debris, Glide path, Reciprocating handpiece.

How to cite this article: Kumar A, Sarthaj S. Glide Path in Endodontics. Cons Dent Endod J 2017;2(2):48-51.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
N Subha, Koshy Minu, V Prabhakar, M Prabu

Root Canal Morphology of Permanent Mandibular Second Molar in a South Indian Population using Computed Tomography

[Year:2016] [Month:January-June] [Volumn:1 ] [Number:1] [Pages:24] [Pages No:1-5][No of Hits : 1538]


ABSTRACT

Aim: To examine the root canal morphology of mandibular second molars in a South Indian population, using spiral computed tomography (CT).

Materials and methods: One hundred ten extracted mandibular second molars were scanned by spiral CT scanner and analyzed for number of roots, number of root canals per root and root canal configuration in each root.

Results: The total of 91.91% of the molars had two roots and 4.55% were three rooted. Single roots were also found (5.45%) and occurrence of four roots was rare (0.91%). Three root canals were found in 62.73% of the teeth, followed by two canals in 20.02%. C-shaped canals were seen in 4.55% of teeth.

Conclusion: In the teeth examined, there was a predominance of two roots and three canals. Type IV canal configuration was common in mesial roots and Type I in distal roots. Three roots and C-shaped canals were also recorded.

Keywords: C-shaped canal, Mandibular second molar, Spiral computed tomography, Vertucci’s classification.

How to cite this article: Subha N, Minu K, Prabhakar V, Prabu M. Root Canal Morphology of Permanent Mandibular Second Molar in a South Indian Population using Computed Tomography. Cons Dent Endod J 2016;1(1):1-5.

Source of support: Nil

Conflict of interest: None


 
INVITED REVIEW
Vinod Krishnan

Scientific Publishing with Integrity—The Problems and Its Solutions: Part I

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:25-27][No of Hits : 1236]


ABSTRACT

In the modern era where the buzz word is “publish or perish,” numerous articles suspicious of misconduct are observed. People often do this out of sheer ignorance of its consequences or to get speedier publication, which lead to both career progression and fame. It is essential that one should be aware of the after-effects of “cut/copy and paste” from another source without giving due credit to the original work, lack of which can lead to serious consequences. This two-part article is intended to make the scientific dental community aware of various forms of misconduct observed as far as scientific publishing is concerned. This also outlines the measures observed so that the amount of plagiarism or misconduct can be minimized or prevented

. Keywords: Ethics in publishing, Mosaic plagiarism, Plagiarism, Verbatim plagiarism

. How to cite this article: Krishnan V. Scientific Publishing with Integrity-The Problems and Its Solutions: Part I. Cons Dent Endod J 2016;1(2):25-27

. Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Snehal S Sonarkar, Rucheet Purba, Shishir Singh, Rajesh Podar

Healing of Large Periapical with Tricalcium Silicate-based Root End Filling Material

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:41-45][No of Hits : 1214]


ABSTRACT

Periradicular disease is mainly caused by varied microflora present in the root canal system. These microorganisms are removed to some extent with the help of various steps in root canal treatment. The infected teeth are treated nonsurgically rather than treating directly by surgical root canal treatment. For the successful surgical treatment, root end filling material is placed at the root end. This case report describes a case which is prior to nonsurgical method; however, because of complications these teeth are treated surgically. Biodentine being a biocompatible material can be used as a root end filling material, according to the manufacturer’s instructions. The patient was recalled at a regular interval and it was found that periradicular tissue responded well to the restorative material. However, the long-term success rate for this material is yet to be evaluated, so for evaluation this case is followed up.

Keywords: Apicoectomy, Biodentine, Endodontic microsurgery, Periradicular pathology, Periradicular surgery.

How to cite this article: Sonarkar SS, Purba R, Singh S, Podar R. Healing of Large Periapical with Tricalcium Silicate-based Root End Filling Material. Cons Dent Endod J 2016;1(2):41-45.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Sudheer Kumar Prabhu, CU Vivek Chand, VG Sam Joseph, Mini K John

Management of Complicated Crown-root Fracture

[Year:2016] [Month:January-June] [Volumn:1 ] [Number:1] [Pages:24] [Pages No:9-13][No of Hits : 974]


ABSTRACT

Traumatic injuries of the teeth and their structures are complex and require comprehensive examination, accurate diagnosis, consideration of various factors involved and a multidisciplinary approach for successful treatment outcome. Dental trauma, in which the fracture line originates in the crown portion of the tooth, extends apically into the root in an oblique direction is referred to as a crown-root fracture. Subgingival fracture of a tooth presents a challenging restorative problem and needs efficient assessment for treatment. A fractured tooth presents a multifaceted problem which warrants a multidisciplinary treatment. A fractured tooth presents a multifaceted problem which warrants a multidisciplinary treatment. Interdisciplinary treatment approach holds true especially in multifaceted problems like traumatic tooth fracture. Every dental professional must be prepared to assess and treat efficiently.

Keywords: Computed crown-root fracture, Dental traumatic injuries, Orthodontic extrusion, Subgingival fracture management.

How to cite this article: Prabhu SK, Chand CUV, Joseph VGS, John MK. Management of Complicated Crown-root Fracture. Cons Dent Endod J 2016;1(1):9-13.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Khaleel Ahamed Thaha, Nasil Sakkir, Mali G Nair, A Ajaz, Lija Issac Parackal

Endodontic Management of a Taurodontic Mandibular Second Molar

[Year:2016] [Month:January-June] [Volumn:1 ] [Number:1] [Pages:24] [Pages No:14-17][No of Hits : 923]


ABSTRACT

Taurodontism is a dental anomaly in which the involved tooth has an enlarged and elongated pulp chamber with short roots. Endodontic treatment of a taurodont tooth presents challenges to a clinician for visibility, cleaning and shaping as well as obturation of the root canals. In this case report, a 16-year-old female patient presented with spontaneous pain in relation to mandibular right second molar. On radiographic examination, the tooth had a carious lesion extending to the pulp chamber which was large and elongated with apically located furcation and two short roots. The taurodontic index (TI) for this particular tooth was 34.2, corresponding to mesotaurodontism. Endodontic treatment was successfully completed using lateral condensation technique and postendodontic restoration given.

Keywords: Bull teeth, Enlarged pulp chamber, Mesotaurodontism, Taurodontism.

How to cite this article: Thaha KA, Sakkir N, Nair MG, Ajaz A, Parackal LI. Endodontic Management of a Taurodontic Mandibular Second Molar. Cons Dent Endod J 2016;1(1):14-17.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Subija K Narayanankutty, S Amal, VG Sam Joseph, SG Anupama

Probiotics: An End to Caries?

[Year:2016] [Month:January-June] [Volumn:1 ] [Number:1] [Pages:24] [Pages No:6-8][No of Hits : 831]


ABSTRACT

Probiotics have been recently introduced in dentistry and is one of the newer approaches in caries management. They have been used successfully for several years mainly for gastrointestinal disorders. Most probiotic strains belong to Lactobacilli or bifidobacteria group. Mechanism of action of probiotics is mainly unknown but may include intermicrobial species interactions and immunostimulatory effects. Randomized controlled trials have shown the inhibitory effect of probiotics against caries. Even though direct recommendations for the use of probiotics cannot yet be given, scientific evidence so far indicates that probiotic therapy may be a reality in dentistry in the future.

Keywords: Bifidobacterium, Dental caries, Lactobacillus, Probiotics.

How to cite this article: Narayanankutty SK, Amal S, Joseph VGS, Anupama SG. Probiotics: An End to Caries?. Cons Dent Endod J 2016;1(1):6-8.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
CS Deviprasad, G Praveena, Manoj C Kuriakose, Neethu Rajeev, Athira A Hari

Single-visit Apexification using Calcium Phosphate Cement

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:46-49][No of Hits : 785]


ABSTRACT

An immature tooth with pulpal necrosis and periapical pathology imposes a great difficulty to the endodontists. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barriers and revascularization. Calcium phosphate is a calcium silicate-based cement that exhibits physical and chemical properties similar to those described for certain Portland cement derivatives. This article demonstrates the use of calcium phosphates as an apical matrix barrier in root end apexification procedure. This case report presents apexification and follow-up of a case with the use of calcium phosphate as an apical barrier matrix.

Keywords: Apexification, Apical barrier, Calcium phosphate cement.

How to cite this article: Deviprasad CS, Praveena G, Kuriakose MC, Rajeev N, Hari AA. Single-visit Apexification using Calcium Phosphate Cement. Cons Dent Endod J 2016;1(2):46-49.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
SL Satheesh, Preethi A Koshy, C Ganesh, M Noora

Preservation of the Fractured Natural Tooth by Reattachment with Fiber Post: Two Case Reports

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:50-54][No of Hits : 769]


ABSTRACT

Reattachment of a fractured tooth fragment is a conservative approach that helps to restore form, function, esthetics, and phonetics in a short time. Reattachment procedures have become more predictable with developments in adhesive materials, posts, and preparation techniques that enhance the durability and strength of the procedure. This article discusses the management of two complicated crown fractures that were successfully treated by fragment reattachment using a minimally invasive approach.

Keywords: Crown fracture, Fibre post, Reattachment.

How to cite this article: Satheesh SL, Koshy PA, Ganesh C, Noora M. Preservation of the Fractured Natural Tooth by Reattachment with Fiber Post: Two Case Reports. Cons Dent Endod J 2016;1(2):50-54.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Shabeer Ummer, Prasanth Dhanapal, Liza George, KM Charlie, Asha Joseph

Evaluation and Comparison of Three Chemical Agents with a New Herbal Agent for Disinfection of Gutta-percha Cones: An in vitro Study

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:33-37][No of Hits : 749]


ABSTRACT

Aims: To evaluate the effectiveness of grape seed extract (GSE) as a gutta-percha disinfectant and to compare the efficacy with 5% sodium hypochlorite, 2.5% sodium hypochlorite, and 2% chlorhexidine against Bacillus subtilis.

Materials and methods: Minimum inhibitory concentration and minimum bactericidal concentration of GSE were calculated by serial dilution and well-diffusion method. Five hundred gutta-percha cones of ISO size 25 were divided into 10 equal groups (n = 50). The 10 groups of gutta-percha cones were inoculated with cultured Bacillus species and incubated for 72 hours for allowing bacterial growth. Each group was then treated with the test solutions for 1 and 5 minutes. The treated groups of gutta-percha cones were then incubated in brain heart infusion agar allowing for bacterial growth, which were later analyzed by the turbidity of the medium. The results were statistically analyzed.

Results: Gutta-percha cones when treated with 2% chlorhexidine gluconate for 1 and 5 minutes showed the most inhibiting activity against B. subtilis. Grape seed extract was found to have limited activity against B. subtilis in both 1- and 5-minute interval. Both concentrations of NaOCl, 2.5 and 5%, showed reduced activity against B. subtilis.

Conclusion: Grape seed extract though has antibacterial activity, when used as gutta-percha disinfectant, was found to be less effective than chlorhexidine gluconate against B. subtilis.

Clinical significance: Different methods of gutta-percha cone disinfection have been advocated and GSE for gutta-percha cone disinfection was attempted owing to its herbal antibacterial nature.

Keywords: Bacillus subtilis, Grape seed extract, Gutta-percha cones.

How to cite this article: Ummer S, Dhanapal P, George L, Charlie KM, Joseph A. Evaluation and Comparison of Three Chemical Agents with a New Herbal Agent for Disinfection of Gutta-percha Cones: An in vitro Study. Cons Dent Endod J 2016;1(2):33-37.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Jinu George, S Anand, VG Sam Joseph, J Sreeja

Endodontic Management of Foreign Body Impaction in Teeth

[Year:2016] [Month:January-June] [Volumn:1 ] [Number:1] [Pages:24] [Pages No:18-20][No of Hits : 641]


ABSTRACT

Foreign objects are often diagnosed unexpectedly during a dental treatment. The occurrence of foreign bodies in teeth is more frequent in children, as they have a tendency to place objects in mouth. Food lodgement in carious involved teeth also lead to object lodgement as patients tends to clean it with sharp objects. The foreign objects act as foci of infection and leads to pulpal pathosis. This case report discusses the foreign body impaction in a tooth, its retrieval and management of the involved teeth.

Keywords: Central incisor, Endodontic management, Foreign body.

How to cite this article: George J, Anand S, Joseph VGS, Sreeja J. Endodontic Management of Foreign Body Impaction in Teeth. Cons Dent Endod J 2016;1(1):18-20.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Athira A Hari, Praveena Geetha, Neethu Rajeev, CS Deviprasad

Nonsurgical Management of Tooth with Apical Resorption

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:55-58][No of Hits : 611]


ABSTRACT

Usually external tooth resorption follows trauma to periodontal ligament. Based on clinical and histological manifestations, it can be classified into five categories. Due to the alkaline pH, calcium hydroxide has long been used as an intracanal medicament to slow down the resorption process. Both external and internal resorptions can also occur on the same tooth, making the management more complex. This case report presents the management of a tooth with apical resorption. Apical resorption can be managed both surgically and nonsurgically. In this case, as the tooth itself has created an apical barrier, it was decided not to break the apical seal and to manage it nonsurgically. Follow-up was done for 3 and 6 months respectively.

Keywords: Calcium hydroxide, External root resorption, Osteoclast.

How to cite this article: Hari AA, Geetha P, Rajeev N, Deviprasad CS. Nonsurgical Management of Tooth with Apical Resorption. Cons Dent Endod J 2016;1(2):55-58.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Minimol K Johny, Rupesh S, Haeigin Tom Varghese, Benley George, Baby James

Esthetic Rehabilitation of Mutilated Maxillary Anterior Teeth under General Anesthesia in a Patient with Mild Intellectual Disability and Seizure Disorder

[Year:2016] [Month:January-June] [Volumn:1 ] [Number:1] [Pages:24] [Pages No:21-24][No of Hits : 574]


ABSTRACT

Intellectual disability (ID) is one of the most common developmental disorders of childhood. Intellectual disability formerly known as mental retardation is a disability characterized by significant limitation in both intellectual function and adaptive behavior as expressed in conceptual social and practical adaptive skills. This disability originates before the age of 18. Intellectual disability affects the mind, body and everyday life skills like thinking, talking and self care. People with disability often need extra help to attain and preserve good health which includes oral hygiene. Poor dental health which is prevailing in most of these children may further compromise their mental health; both of which may affect their psychological well being. There are numerous obstacles in delivering quality dental care under local anesthesia (LA) in ID children because of various behavioral problems. So general anesthesia is a safer and preferred option for such patients and currently it is a widely accepted treatment modality in rendering oral care in ID patients. This article describes a unique case of esthetic rehabilitation of maxillary anterior teeth in a 16 years old male patient under general anesthesia who was diagnosed with mild ID and seizure disorder.

Keywords: Caries, Esthetics, General anesthesia, Intellectual disability, Rehabilitation.

How to cite this article: Johny MK, Rupesh S, Varghese HT, George B, James B. Esthetic Rehabilitation of Mutilated Maxillary Anterior Teeth under General Anesthesia in a Patient with Mild Intellectual Disability and Seizure Disorder. Cons Dent Endod J 2016;1(1):21-24.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Tarek Rabi

Knowledge, Attitude, and Practice Survey of Dentists in Palestine toward Deep Dentin Caries Removal

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:28-32][No of Hits : 522]


ABSTRACT

Aims: The objective of this study was to assess the knowledge, attitude, and practice of dentists in Palestine toward deep dentin caries removal and the associated restorative strategies preferred.

Materials and methods: The study was conducted through an online survey among the dentists registered with the Palestinian Dental Association. A total of 300 dentists were administered a structured, self-administered questionnaire to assess their knowledge, attitude, and practice toward deep dentin caries removal. The questionnaire consisted of an eight-item written survey instrument constructed for the survey purpose.

Results: Among the 300 dentists, 201 dentists responded to the survey with a response rate of 67%. Hardness of remaining dentin was the most important criterion employed to assess excavation. To treat an exposed pulp, 74% of dentists considered direct capping, whereas 79% refuted partial excavation fearing caries progression or pulp damage. To facilitate restoration longevity, 56.6% reported preferring more invasive treatment. Only 16% reported that they would prefer a step-wise caries excavation.

Conclusion: A higher percentage of surveyed dentists were skeptical about leaving caries during excavation, and they did not prefer incomplete caries removal. Direct pulp capping was the preferred treatment strategy when pulp exposure occurred.

Clinical significance: The beneficence of partial excavation should be highlighted in under- and postgraduate education in Palestine. It would pave the way to promote minimally invasive techniques in restorative dentistry.

Keywords: Deep dentin caries removal, Dental pulp capping, Dental pulp exposure, Palestine, Restorative dentistry, Step-wise caries excavation.

How to cite this article: Rabi T. Knowledge, Attitude, and Practice Survey of Dentists in Palestine toward Deep Dentin Caries Removal. Cons Dent Endod J 2016;1(2):28-32.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Nikhil Murali, B Jyothi Lekshmi, Iqbal Sha, Rajesh Pillai, Nettiyat O Varghese, Abdul S Afzal

Effect of Herbal Alternative Irrigant (Green Tea Polyphenols) on the Microhardness of Root Canal Dentin after Instrumentation with Thermomechanically Treated NiTi Instruments: An in vitro Study

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:11-16][No of Hits : 108]


ABSTRACT

Introduction: The aim of this study is to evaluate the effects of herbal alternative (green tea polyphenols) and ethylenediaminetetraacetic acid (EDTA) + NaOCl on the microhardness of root canal dentin after instrumentation with ProTaper Next (PTN; Dentsply) and Twisted Files (TF; SybronEndo).

Materials and methods: Twenty single-rooted human premolar teeth will be instrumented up to the working length with PTN and TF (10 each) and then will be longitudinally sectioned into 40 segments and then embedded in an autopolymerizing acrylic resin. The microhardness of the dentin in the specimen will be measured with a Vickers diamond indenter at the apical third of the roots. Then the specimens will be divided randomly into two groups: 17% EDTA + 2.5% NaOCl and green tea polyphenols. Posttreatment microhardness values will be obtained and the decrease in microhardness will be calculated as a percentage. Microhardness values will be statistically analyzed using the Kruskal-Wallis and Mann-Whitney U tests.

Results: Statistical analysis using one-way analysis of variance (ANOVA) showed that both the file groups with NaOCl + EDTA showed significant reduction in root dentin microhardness (p > 0.05).

Conclusion: Even though green tea polyphenols showed lesser reduction in microhardness, its ability to remove smear layer completely and the antibacterial efficacy and practicality of using green tea as a root canal irrigant require further investigations. Its potency to discolor tooth and ability to eliminate biofilm is a matter of debate.

Keywords: Green tea polyphenol, Microhardness, ProTaper Next, Root canal dentin, Twisted File.

How to cite this article: Murali N, Lekshmi BJ, Sha I, Pillai R, Varghese NO, Afzal AS. Effect of Herbal Alternative Irrigant (Green Tea Polyphenols) on the Microhardness of Root Canal Dentin after Instrumentation with Thermomechanically Treated NiTi Instruments: An in vitro Study. Cons Dent Endod J 2018; 3(1):11-16.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Geetha Ramachandran, Priya Madhusudanan, Rajesh Pillai, Nettiyat O Varghese, Sheila George, U-Nu Sujathan

Effect of Thermocycling on Microhardness of Two Nanohybrid and One Microhybrid Composites Cured at Different Durations: An in vitro Study.

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:27-33][No of Hits : 92]


ABSTRACT

Aim: The aim of this study was to evaluate the effect of thermocycling on microhardness of three composites cured at different durations.

Materials and methods: One hundred and twenty disks (N = 120) were made with a dimension of 5 mm diameter and 2 mm height using a metal mold from three composites (Filtek Z350 XT, Tetric N Ceram, Z100 Universal Restorative). Forty disks each were made with each composite, which were again divided into two subgroups according to the duration of curing, 20 and 40 seconds. Microhardness test was done before and after thermocycling using Vickers microhardness test. Thermocycling was done at -5 and at 55°C for 250 cycles. Values were analyzed using analysis of variance (ANOVA) test, Tukey’s simultaneous comparison.

Results: Among the groups cured for 40 seconds, in the control group, Z100 restorative showed higher microhardness. After thermocycling, even though there was a significant reduction in microhardness in all three composites, Tetric N Ceram showed minimal change in values compared with the other two composites.

Conclusion: It was concluded that after thermocycling, the composite resins are susceptible to significant reduction in microhardness.

Clinical significance: Patient’s oral conditions, such as the cyclic thermal gradient and humidity can have negative effects on the mechanical properties of restorative materials. This is one of the factors contributing to a future need for replacement of dental restorative materials.

Keywords: Microhardness, Nanocomposites, Thermocycling.

How to cite this article: Ramachandran G, Madhusudanan P, Pillai R, Varghese NO, George S, Sujathan U-Nu. Effect of Thermocycling on Microhardness of Two Nanohybrid and One Microhybrid Composites Cured at Different Durations: An in vitro Study. Cons Dent Endod J 2018;3(1):27-33.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Aparna Ramachandran, B Jyothi Lekshmi, Rajesh Pillai, Nettiyat O Varghese, Afzal A Salim, U-Nu Sujathan

Effect of Conditioning on Adhesion of Glass Ionomer Cements to Dentin

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:6-10][No of Hits : 92]


ABSTRACT

Aim: To compare the shear bond strength (SBS) to dentin, of three different glass ionomer cements (GIC): Ketac Universal (with and without conditioner), Fuji IX, and Ketac Molar.

Materials and methods: Forty-eight extracted human maxillary premolars were selected. Depth holes measuring 1.5 mm were drilled in the deepest part of central fossa of each tooth sample. Occlusal surfaces were ground on a trimmer to expose flat dentinal surface and polished. The specimens were then embedded in autopolymerizing acrylic resin. Groups I, III, and IV specimens were restored with Ketac Universal, Fuji IX, and Ketac Molar respectively after conditioning. Group II specimens were restored with Ketac Universal without conditioning. A cellophane tube of diameter 4 mm was used to prepare GIC restorations. The samples were kept in water bath at 37°C for 24 hours. Each GIC specimen was loaded in a universal testing machine (INSTRON) with a crosshead speed of 0.5 mm/min. The bond strength (MPa) was calculated by dividing the shear force in Newton (N) by area of adhesion (m2).

Statistical analysis: The results were statistically analyzed by Welch test and analysis of variance (ANOVA) test with pairwise “t” test.

Results: The mean value of SBS was found to be highest for Ketac Molar, followed by Ketac Universal with conditioner, and Fuji IX GIC, and was lowest for Ketac Universal without conditioner.

Conclusion: Ketac Universal, when used without conditioner, showed significant values of SBS, but is less than other conventional GICs.

Keywords: Fuji IX, Ketac Molar, Ketac Universal, Shear bond strength.

How to cite this article: Ramachandran A, Lekshmi BJ, Pillai R, Varghese NO, Salim AA, Sujathan U-Nu. Effect of Conditioning on Adhesion of Glass Ionomer Cements to Dentin. Cons Dent Endod J 2018;3(1):6-10.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Shemil M Sha, Sajeena Narayanan, Baji Babu, Rajesh Pillai, Nettiyat O Varghese, Afzal A Salim, Abe Antony

Effect of Microelectric Current and Other Activation Techniques on Dissolution Abilities of Sodium Hypochlorite at Different Temperatures in Bovine Tissues: An in vitro Study

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:1-5][No of Hits : 87]


ABSTRACT

Aim: To study the effects of microelectric current and other methods at different temperatures, on the dissolution of sodium hypochlorite (NaOCl).

Materials and methods: Bovine muscle tissues (n = 165) were prepared and grouped into three temperature groups: (1) Room temperature, (2) 45°C, and (3) 600°C. Each temperature group was divided into five subgroups: (i) Control group: 5.25% NaOCl; (ii) 5.25% NaOCl with pipetting; (iii) 5.25% NaOCl with sonic activation; (iv) 5.25% NaOCl with ultrasonic activation; and (v) E-NaOCl = 5.25% NaOCl with microelectric current. Weight of specimens before and after treatment was done. In each group average, standard deviation and median were found out. The data were analyzed using multiway analysis of variance (ANOVA) test and Tukey honestly significant difference (HSD) tests. The alpha-type error was set at <0.05.

Results: Tissue dissolution was highest with the ultrasonic group (p < 0.05), and the tissue dissolution ability of other groups was significantly higher than the positive control (p < 0.05) at room temperature. E-NaOCl group dissolved greater quantity of tissue (p < 0.05) at 45°C and at 60°C.

Conclusion: NaOCl used along with microelectric current produced a higher tissue-dissolving ability. Combining with other techniques provides a synergistic effect on tissue dissolution.

Keywords: Microelectric current, Sodium hypochlorite, Temperature, Tissue dissolution.

How to cite this article: Sha SM, Narayanan S, Babu B, Pillai R, Varghese NO, Salim AA, Antony A. Effect of Microelectric Current and Other Activation Techniques on Dissolution Abilities of Sodium Hypochlorite at Different Temperatures in Bovine Tissues: An in vitro Study. Cons Dent Endod J 2018;3(1):1-5.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Minimol K Johny, Balaram Naik, Priya Horatti, Aravindan Devadathan, Baby James, Benley George

Effect of Materials and Techniques on Impact Strength of Reattached Anterior Fractured Teeth: An in vitro Study

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:17-21][No of Hits : 69]


ABSTRACT

Aim: To evaluate the effects of bonding agents, composite resins, and reattachment techniques on impact strength of permanent maxillary central incisors in which fragment reattachment was done.

Materials and methods: Ninety permanent maxillary central incisors were collected and standardized fragments were obtained from 80 incisors by sectioning them 3 mm away from the incisal edge. The teeth specimens were distributed into eight test groups and one control group (n = 10) according to the reattachment technique (direct bonding or circumferential chamfer); adhesive system (single bond or Clearfil SE Bond); and intermediate material (Filtek flow or RelyX U200). The impact strength of reattached tooth was evaluated using universal testing machine Instron. The results were analyzed using one-way analysis of variance (ANOVA) and Tukey’s multiple post hoc analysis.

Results: The fragment reattachment using circumferential chamfer was significantly superior to direct bonding. The use of single bond significantly increased the impact strength when compared with the use of Clearfil SE.

Conclusion: No technique or material, when individually considered, was capable of achieving the impact strength of the sound teeth; however, the association of reattachment technique circumferential chamfer with adhesive system (single bond) could approximate the impact strength of sound teeth.

Clinical significance: By achieving knowledge about the right materials and techniques for reattachment, this treatment modality could be used as a viable and feasible option for the uncomplicated fractured anterior teeth.

Keywords: Composites, Reattachment, Tooth fracture.

How to cite this article: Johny MK, Naik B, Horatti P, Devadathan A, James B, George B. Effect of Materials and Techniques on Impact Strength of Reattached Anterior Fractured Teeth: An in vitro Study. Cons Dent Endod J 2018;3(1):17-21.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Arvind K Alexander, R Mohana Priya, Sheerin Sarthaj, S Maria Antony

Comparative Evaluation of Different Surface Treatments on the Repair Shear Bond Strength of Three Nanohybrid Composites: An in vitro Study

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:22-26][No of Hits : 68]


ABSTRACT

Aim: To evaluate the effects of different surface treatments on the repair bond strength of three different nanohybrid composites, namely conventional nanohybrid, bulk fill, and ceramicincorporated composites.

Materials and methods: A split mold of height 5 × 5 mm in diameter was taken; 60 composite blocks were prepared based on three composites used. Group I: Kerr nanohybrid, group II: Tetric N-Ceram Bulk Fill, and group III: NanoCeram. Composite material was restored with incremental layering technique of 2 mm thickness. Aging of the composite blocks was achieved by storing them in distilled water for 1 week and then thermocycling. The samples were surface treated as subgroup A: sandblasting with silica particles, subgroup B: coarse grit diamond bur, subgroup C: etching with 10% hydrofluoric acid, and subgroup D: control group. Surface roughness of each surface-treated sample was evaluated using three-dimensional (3D) profilometer. A silane coupling agent and an adhesive agent were applied. Composite blocks were restored with the respective composite resins using a repair mold. A shearing force test was performed using universal testing machine. A load was applied to the interface at a crosshead speed of 0.5 mm/minute until fracture. Analyses were performed using analysis of variance (ANOVA) and post hoc Tukey test.

Results: Highest shear bond strength was observed in composites surface treated with sandblasting followed by bur and hydrofluoric acid. The lowest shear bond strength was observed in the control group.

Conclusion: Sandblasting surface treatment of Kerr composite manifested the highest bond strength, followed by Tetric N-Ceram and NanoCeram groups. Bur treatment of Tetric N-Ceram showed the higher bond strength values compared with the other groups. HF3 surface treatment of NanoCeram composite presented inferior bond strength values. Repair bond strength of aged nanohybrid resins could be improved with sandblasting, silane, and adhesive resin application compared with other surface treatments.

Keywords: Nanohybrid, Sand blasting, Shear bond strength, Silane coupling agent, Surface treatment.

How to cite this article: Alexander AK, Priya RM, Sarthaj S, Antony SM. Comparative Evaluation of Different Surface Treatments on the Repair Shear Bond Strength of Three Nanohybrid Composites: An in vitro Study. Cons Dent Endod J 2018;3(1):22-26.

Source of support: Nil

Conflict of interest: None


 
SCIENTIFIC PROGRAM
Ravi Varma, Prabhat Singh

CAESOK 16th Midterm and 8th Postgraduate Convention, Kochi

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:34][No of Hits : 63]


CAESOK 16TH MIDTERM AND 8TH POSTGRADUATE CONVENTION, KOCHI


 
SCIENTIFIC PROGRAM
Baby James, Josey Mathew, Jeev Thomas Cherian

CAESOK 16th Annual conference and family meet, Kumarakom

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:35-36][No of Hits : 61]


ABSTRACT

Friends come & go, but family lasts forever!!
We wholeheartedly invite all the members of the Caesok family for the 16th Caesok annual conference & family get together, on 15th and 16th September 2018 at Lakesong resort, Kumarakom.


 
Editorial
Ganesh Chitharanjan

Editorial

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:iv][No of Hits : 52]


ABSTRACT.

The newer instruments are ushering in a transformation in the Endodontic field. From lateral condensation to single cone obturation and now back to the warm vertical obturation, the wheel has truly turned a full circle. Predictability and precision are now the new mantras of Endodontics.


 
Secretary's Message
Romel Joseph

Secretary's Message

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:vi][No of Hits : 50]


ABSTRACT

Dear members,
Season’s Greetings.
It gives me immense pleasure to write this message in my capacity as CAESOK Secretary. I am privileged to be part of CAESOK team and to take part in its quest for greater success.


 
President's Message
K Ravi Varma

President's Message

[Year:2018] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:33] [Pages No:v][No of Hits : 46]


ABSTRACT

A fruitful and productive 2018 has advanced half way through. I wish all CAESOKians a happy and dynamic time ahead.
CAESOK as we all know has crossed the childhood and reaching the adulthood. With 300 odd members including postgraduate students our association is one of the strongest among the state speciality associations.


 
CASE REPORT
Aparna Raj, K Radhakrishnan Nair, Praveena Geetha, Aadit Anilkumar, Rinsu N Alexander, Meenu M Kumar

Management of a Complicated Vertical Crown Fracture

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:52-55][No of Hits : 466]


ABSTRACT

Coronal fractures of the anterior teeth are a common form of dental trauma affecting mainly children and adolescents. Trauma with accompanying fracture of anterior teeth is an agonizing experience for a young individual, which requires immediate attention, not only because of the physical disfigurement but also because of the psychological impact on the patient. Coronal fractures may be vertical or horizontal. Vertical crown fracture with pulpal involvement usually presents mild symptoms and pain. Pain is mainly due to the mobility of the fractured segment during function. This study describes the single-visit management of a complicated vertical coronal fracture in a maxillary central incisor. Esthetic management of the fracture line was done by resin composite by preparing grooves and followed by joining the fragments together. After esthetic management, endodontic treatment was done for the tooth. Crown was given at a later stage to prevent the extension of fracture line and for the longevity of tooth.

Keywords: Composite, Coronal fractures, Trauma.

How to cite this article: Raj A, Nair KR, Geetha P, Anilkumar A, Alexander RN, Kumar MM. Management of a Complicated Vertical Crown Fracture. Cons Dent Endod J 2017;2(2):52-55.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Rinsu N Alexander, K Radhakrishnan Nair, Praveena Geetha, Nino John, Aparna Raj, Meenu M Kumar

Management of a Fractured Anterior Tooth by Reattachment using Fiber-reinforced Post

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:56-59][No of Hits : 433]


ABSTRACT

Reattachment is an effective, economical, and conservative procedure to restore the natural shape, contour, translucency, surface texture, occlusal alignment, and color of the fractured tooth that results in positive emotional and social response in a patient. This case report details the multidisciplinary management of a fractured central incisor with fracture line extending subgingivally in the palatal region. Access opening was done through the fractured segment of 21 and it was detached and stored in saline. After completion of endodontic therapy, crown lengthening procedure was done. Fiber post was placed for added reinforcement and the fragment reattached. A new trauma occurred after 4 months, but the reattached fragment did not get detached.

Keywords: Crown lengthening, Crown-root fracture, Fiber post, Reattachment.

How to cite this article: Alexander RN, Nair KR, Geetha P, John N, Raj A, Kumar MM. Management of a Fractured Anterior Tooth by Reattachment using Fiber-reinforced Post. Cons Dent Endod J 2017;2(2):56-59.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Aadit Anilkumar, K Radhakrishnan Nair, Faisal Nazar, Ratheesh Rajendran

Management of an Anterior Tooth with External and Internal Resorption

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:32-35][No of Hits : 421]


ABSTRACT

Tooth resorption is a condition associated with either a physiologic or a pathologic process resulting in a loss of dentin, cementum, and/or bone. Inflammatory process is initiated when the predentin or precemental layer of the tooth is damaged. Resorption can either be external or internal in form. In order to control the tooth resorption, it is necessary to treat the root canal by removing all the pulp tissue. Due to varied root canal morphology, root canal treatment poses a challenge for the clinician. In such cases a combination of conventional lateral compaction and thermoplasticized gutta percha can enable the three-dimensional obturation of the canal space. This case report describes a nonsurgical mode of management of a tooth having internal and external (surface) resorption.

Keywords: External, Gutta percha, Internal, Resorption, Thermoplasticized.

How to cite this article: Anilkumar A, Nair KR, Nazar F, Rajendran R. Management of an Anterior Tooth with External and Internal Resorption. Cons Dent Endod J 2017;2(1):32-35.

Source of support: Nil

Conflict of interest: None


 
INVITED REVIEW
Vinod Krishnan

Scientific Publishing with Integrity: Self-plagiarism, Salami Slicing, and Copyright Infringement – Part II

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:1-3][No of Hits : 418]


ABSTRACT

Plagiarism is a serious concern in recent era, wherein one copies from others’ work without properly citing the source, making redundancy in literature. This ever-growing problem ruining scientific database can be controlled if one knows clearly about the consequences of copying from other sources. The first part of the article has dealt with the various aspects of plagiarism and this second and final part will deal with its legalities. This part will highlight the areas of self-plagiarism, copyright infringement, and the funniest part of various excuses made by people who often plagiarize.

Keywords: Copyright infringement, Ethics in publishing, Salami slicing, Self-plagiarism.

How to cite this article: Krishnan V, Orth M. Scientific Publishing with Integrity: Self-plagiarism, Salami Slicing, and Copyright Infringement - Part II. Cons Dent Endod J 2017;2(1):1-3.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Deepak Dinesh, George Chacko, Ganesh Chitharanjan

Nonsurgical Management of a Central Incisor with severe Internal Resorption and an Immature Apex

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:12-15][No of Hits : 413]


ABSTRACT

Resorption is a pathologic process that always confuses the dentists with its varied etiologic factors and clinical presentations. Resorption can be classified into internal and external. Internal resorption lesions are notoriously difficult to manage because of their irregular and aberrant root canal anatomy. Immature apexes also possess a similar clinical challenge because of the absence of an apical stop. This article describes the nonsurgical management of a central incisor with severe internal resorption and an immature apex utilizing single-step mineral trioxide aggregate apexification along with injectable gutta-percha obturation.

Keywords: Calcium hydroxide, Injectable gutta-percha obturation, Internal root resorption, Mineral trioxide aggregate, Open apex.

How to cite this article: Dinesh D, Chacko G, Chitharanjan G. Nonsurgical Management of a Central Incisor with severe Internal Resorption and an Immature Apex. Cons Dent Endod J 2017;2(1):12-15.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Noble Joy Manayanipuram, Prasanth Dhanapal, Liza George, KM Charlie, Anuja Anna Cherian

Radiation Safety: Endodontic Perspective

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:8-11][No of Hits : 375]


ABSTRACT

Endodontists belong to the category of specialist dentists who depend much on dental radiography. Starting from the stage of disease diagnosis, radiography is of much importance in different stages of endodontic therapy, and further on radiographic evaluation is a tool for assessment of endodontic treatment. There is a heavy dependency on dental radiography in some form or other in the speciality of endodontics. As is the case with any ionizing radiation, radiation hazard is a phenomenon that matters a lot to this group of dental professionals. There needs to be a change in our attitude toward radiation safety measures, as many of our professional colleagues are seen much not to be bothered about the cumulative outcomes of radiation hazard, which can create havoc in our professional and personal lives. This article outlines the potential hazards that can happen by routine radiographic utilization in endodontic setup and tries to highlight the measures that need to be taken to mitigate the negative effects.

Keywords: Protective measures, Radiation exposure, Radiation hazards, X-ray radiation.

How to cite this article: Manayanipuram NJ, Dhanapal P, George L, Charlie KM, Cherian AA. Radiation Safety: Endodontic Perspective. Cons Dent Endod J 2017;2(1):8-11.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Ratheesh Rajendran, K Radhakrishnan Nair, Manoj C Kuriakose, Aadit Anilkumar, Faisal Nazar

Management of Discolored Tooth with Separated Instrument

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:36-39][No of Hits : 369]


ABSTRACT

Tooth discoloration commonly occurs after trauma to tooth, which leads to pulpal injury. Trauma to the pulpal blood vessel leads to hemorrhage and releases iron from hemoglobin. The iron which is released from hemoglobin combines with hydrogen sulfide to form iron sulfide, which gives the tooth its characteristic dark appearance. Tooth discoloration can be treated by nonvital tooth bleaching, if the tooth structure is intact. A combination of hydrogen peroxide and sodium perborate reduces the discoloration of the tooth by a process of oxidation. During root canal preparation procedures, the common mishap that occurs is instrument separation inside the root canal. The fractured fragment in the root canal can hinder proper preparation of root canal space. Continuous pain or discomfort may result if it is not removed or bypassed. It is more conservative to bypass the fractured instrument, particularly in cases where access to the fragment is restricted (apical one-third of canal or beyond the canal curvature) and its removal may lead to excessive removal of dentin with associated sequelae.

Keywords: Bypassing, Instrument separation, Nonvital tooth bleaching, Sodium perborate.

How to cite this article: Rajendran R, Nair KR, Kuriakose MC, Anilkumar A, Nazar F. Management of Discolored Tooth with separated Instrument. Cons Dent Endod J 2017;2(1):36-39.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
M Remya, VP Prabath Singh

Cone beam Computed Tomography a Noval Innovation for assessing the Canal Morphology of Maxillary First Bicuspid

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:4-7][No of Hits : 367]


ABSTRACT

Aim: To evaluate the root canal morphology of maxillary first premolar using Cone beam computed tomography (CBCT).

Materials and methods: A total of 125 teeth were selected and CBCT scans were taken and following factors were recorded - number of roots, number of root canals, anatomy, and configuration of canals.

Results: Overall 88% teeth had two roots. Most frequent canal configuration was type I in 93.6%; 94.4% teeth had single canal exiting in single apical foramen.

Conclusion: Within the limitation of the study, it was concluded that among the study population, there is a high incidence of two-rooted maxillary first bicuspid with two canals with type I Vertucci canal configuration.

Keywords: Cone beam computed tomography, Maxillary first premolar, Root canal morphology.

How to cite this article: Remya M, Singh VPP. Cone Beam Computed Tomography a Noval Innovation for assessing the Canal Morphology of Maxillary First Bicuspid. Cons Dent Endod J 2017;2(1):4-7.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Devika R Krishnan, Nicky Haridas, VP Prabath Singh, Biju Balakrishnan

Effective Management of a Perio-endo Lesion associated with Palatoradicular Groove

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:16-23][No of Hits : 356]


ABSTRACT

This case report highlights the effective management of a maxillary lateral incisor with perio-endo lesion precipitated and complicated by the presence of a deep palatoradicular groove extending up to the root apex. Despite an apparently poor prognosis, the tooth was successfully managed by a collaborative endodontic and surgical periodontal therapy. The periodontal ligament attachment and periradicular healing were appreciated both clinically and radiographically at 3-month follow-up.

Keywords: Bone graft, Mineral trioxide aggregate, Palatoradicular groove, Periodontal regeneration, Perio-endo lesion.

How to cite this article: Krishnan DR, Haridas N, Singh VPP, Balakrishnan B. Effective Management of a Perio-endo Lesion associated with Palatoradicular Groove. Cons Dent Endod J 2017;2(1):16-23.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Sree L Varada, Jenaki E Veetil, Ganesh C Nair

Antimicrobial Efficacy of Simarouba glauca (Lakshmi Taru) Plant Extract against Enterococcus faecalis Biofilm: An in vitro Study

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:43-47][No of Hits : 353]


ABSTRACT

Aim: The aim of this study was to assess the antimicrobial activity of Simarouba glauca plant extract as intracanal medicament against Enterococcus faecalis and to compare its effect with that of metapex (calcium hydroxide with iodoform paste).

Materials and methods: In the study, 30 human premolar teeth infected with E. faecalis were used. Contaminated teeth were randomly separated into three groups (n = 10) and treated as follows: Group I, calcium hydroxide-based medication; group II, S. glauca-based medication; and group III, contaminated teeth without medication. After 7 days of treatment, teeth from each group were assessed for the level of microbial growth after a period of treatment.

Results: Metapex and S. glauca were associated with a reduction in E. faecalis after removal of the dressing; however, saline is associated with an increase in colony-forming units (CFU) per milliliter.

Conclusion: In this laboratory study using extracted teeth, S. glauca (Lakshmi Taru) was able to significantly reduce the CFU per milliliter values of E. faecalis in the root canal system similar to metapex.

Keywords: Enterococcus faecalis, Metapex, Phytotherapy, Simarouba glauca.

How to cite this article: Varada SL, Veetil JE, Nair GC. Antimicrobial Efficacy of Simarouba glauca (Lakshmi Taru) Plant Extract against Enterococcus faecalis Biofilm: An in vitro Study. Cons Dent Endod J 2017;2(2):43-47.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
P Sajith Chandran, Anulekh Babu, CU Vivekchand, Lija I Parackal, Susan Jacob, Deepthi Simon

Local Drug Delivery as an Adjunct to Surgical Intervention in the Management of Periapical Cyst

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:28-31][No of Hits : 332]


ABSTRACT

Radicular cysts are the most common cystic lesions affecting the jaws. They arise from the epithelial remnants in the periodontal ligament as a result of the stimulus from periapical infection following pulpal necrosis. Treatment options to manage large periapical lesions range from nonsurgical root canal treatment or apical surgery to extraction. New approaches involve the use of local drug delivery systems based on microparticles/ nanoparticles made from biocompatible polymers along with surgical intervention. Such devices enable the introduction of antimicrobial agents or other drugs directly in the periradicular area or inside the root canal, and the prolonged release of constant concentrations of these agents for fast and better healing. The present case report illustrates the combined endodontic and surgical management of a large periapical cyst with local drug delivery as an adjunct.

Keywords: Biodentin, Hydroxyapatite, Local drug delivery, Periapical cyst.

How to cite this article: Chandran PS, Babu A, Vivekchand CU, Parackal LI, Jacob S, Simon D. Local Drug Delivery as an Adjunct to Surgical Intervention in the Management of Periapical Cyst. Cons Dent Endod J 2017;2(1):28-31.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Meenu M Kumar, K Radhakrishnan Nair, Praveena Geetha, Faisal Nazar, Rinsu N Alexander, Aparna Raj

Management of Endodontic Failure

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:60-64][No of Hits : 233]


ABSTRACT

There are several reasons for a root canal therapy to be unsuccessful. One of the causes for endodontic failure is instrument separation. As a consequence of fracture, access to the apical portion of the root canal is obstructed, leading to improper disinfection. The retrieval of separated instrument followed by obturation to the working length is the treatment option. Many factors can make retrieval difficult. In such cases, management can be done even by bypassing the separated instrument. Another factor for endodontic failure is underobturation. It may be due to block or ledge in the apical third of the canal. Proper instrumentation with frequent confirmation of apical patency during instrumentation can prevent formation of ledge. The inability to treat all the canals is the other cause leading to endodontic failure. Bacteria residing in these canals lead to the persistence of symptoms. Proper evaluation of the radiograph with proper deroofing can prevent chances for missed canals. Combination of all these factors can make retreatment difficult. This case report discusses two endodontic failure cases. In the first case, a premolar tooth with separated instrument and incomplete obturation was treated by retrieval of separated instrument and the obturation of both canals to working length was done. The second one was a molar tooth which had a missed canal, a separated instrument, and an incomplete obturation. Missed canal was negotiated and the fractured instrument was bypassed and root canal was obturated.

Keywords: Endodontic failure, Radix entomolaris, Separated instrument, Ultrasonic.

How to cite this article: Kumar MM, Nair KR, Geetha P, Nazar F, Alexander RN, Raj A. Management of Endodontic Failure. Cons Dent Endod J 2017;2(2):60-64.

Source of support: Nil

Conflict of interest: None


 
SCIENTIFIC PROGRAM
Ravi Varma K, Prabhat Singh

CAESOK 16th Midterm and 8th PG Convention

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:65-66][No of Hits : 198]


ABSTRACT


 
Secretary's Message
Romel Joseph

Secretary's Message

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:vi][No of Hits : 193]


ABSTRACT

It gives me immense pride and pleasure to inform that CAESOK is the first state specialty organization, of its kind, in the entire country. We have formed a membership coordination committee to increase the membership. Also for the first time we have proposed to have CAESOK funded research/study program. In addition to this, CAESOK is happy to announce a reward for the best outgoing postgraduate (PG) student with an award “CAESOK Best Outgoing Post Graduate Student” from this academic year onward.


 
Editorial
Ganesh Chitharanjan

Editorial

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:iv][No of Hits : 167]


ABSTRACT

The first issue of Conservative Dentistry and Journal (CEJ) for the year 2017 is now available online. The online article submission platform has helped streamlining the reviewing process and has helped give a professional quality to the journal. In addition to original articles and case reports, this Issue also has the second part of the article on Plagiarism and Scientific publishing. I hope the postgraduates will go through the article, as it can clear a lot of their doubts.


 
Editorial
Ganesh Chitharanjan

Editorial

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:iv][No of Hits : 149]


ABSTRACT

Diagnosis is one of the most neglected part of our Speciality, we call ourselves Conservative Dentist and Endodontist, but how many of us are willing to give vital pulp therapy a chance before doing Endodontics. As the Endodontists in us flourish, the Conservative Dentist is often idle or kept at an arms distance.


 
SCIENTIFIC PROGRAM
Josey Mathew, Jeev Thomas

16th CAESOK Annual Conference

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:67][No of Hits : 145]


ABSTRACT

Friends come & go, but family lasts forever!! We wholeheartedly invite all the members of the Caesok family for the 16th Caesok annual conference & family get together, on 15th and 16th September 2018 at Lakesong resort, Kumarakom. Lakesong resort is a nature lovers heaven nestled amidst the picturesque backwaters of Kumarakom.


 
PRESIDENT’ MESSAGE
K Ravi Varma

President's Message

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:42] [Pages No:v][No of Hits : 142]


ABSTRACT

Warm greetings to all fellow CAESOK members. I am extremely honored and very proud to occupy the highest seat in our CAESOK family. Indeed, it is a great moment in my life to head a society which has assumed great heights in a short span of time. The full credit goes to the previous office bearers from 2002 onward who have been very much instrumental in achieving this position for the society. Each and every member of CAESOK family also contributed equally to this success.


 
PRESIDENT’ MESSAGE
K Ravi Varma

President's Message

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:v][No of Hits : 132]


ABSTRACT

2018 - Let this be the dawn of new, innovative and fruitful trends and ventures and hence we should start afresh with enhanced and recuperated enthusiasm. I take the opportunity to wish all the members of the CAESOK family a very happy and prosperous NEW YEAR


 
Secretary's Message
Romel Joseph

Secretary's Message

[Year:2017] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:24] [Pages No:vi][No of Hits : 125]


ABSTRACT

Seasonal Greetings It gives me immense pleasure to pen some words in this column as secretary of this coveted organization. The organization has kept the pace under the able leadership of our beloved President Dr Ravi Varma and I am sure that it will definitely go to greater heights, with the selfless dedication, and efforts of all past and present office bearers of the society and unflinching support of the members.


 
CASE REPORT
Neethu Rajeev, K Radhakrishnan Nair, M Arun, CS Deviprasad, Athira A Hari

Restoring the Natural

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:38-40][No of Hits : 397]


ABSTRACT

Coronal fractures of the anterior teeth are a commonly found fracture affecting children and adolescents. Management of fractured tooth depends on the availability of the fractured segment, extent of the fracture, and extraoral time of the fragment. If the fractured segment is intact and available, reattachment is an option. Reattachment of fractured tooth fragments can provide immediate and long-lasting esthetics. Additional retention that is needed in some cases is fulfilled by placement of a post. Fiber-reinforced composite post will give better esthetics compared to metallic one. Patient cooperation and understanding of the limitations of the treatment is of utmost importance for good prognosis. This study reports a coronal tooth fracture treated by tooth fragment reattachment with fiberpost reinforcement.

Keywords: Dual cure resin cement, Esthetic fiber post, Reattachment.

How to cite this article: Rajeev N, Nair KR, Arun M, Deviprasad CS, Hari AA. Restoring the Natural. Cons Dent Endod J 2016;1(2): 38-40.

Source of support: Nil

Conflict of interest: None


 
EDITORIAL
Ganesh C

Editorial

[Year:2016] [Month:January-June] [Volumn:1 ] [Number:1] [Pages:24] [Pages No:iv][No of Hits : 338]


ABSTRACT

Conservative Dentistry and Endodontic Journal (CEJ) is now in a partnership with Jaypee Brothers Medical publishers, which is one of the pioneers and most trusted publishing houses in India. This new beginning for the journal, will further broaden our reach and will assist in establishing it in the dental scientific publishing world.


 
Guest Editorial
Anil Kishen, Suja Shrestha, Craig Bellamy

Bioactive Molecule delivering Nanoparticle Systems for Regenerative Endodontics

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:iv-v][No of Hits : 313]


ABSTRACT

Bioactive Molecule delivering Nanoparticle Systems for Regenerative Endodontics

Bioactive molecules (BMs) is an umbrella term referring to a diverse group of molecules encompassing growth factors, chemokines, cytokines, extracellular matrix (ECM) molecules, and bioactive peptides. Bioactive molecules are critical to mammalian cell growth and thus are fundamental in the processes of tissue development, function, and healing.


 
President’s Message
Prasanth Dhanapal

President’s Message

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:vi][No of Hits : 249]


ABSTRACT

Hello to all in Conservative and Endodontic Society of Kerala (CAESOK),
It is a matter of immense joy for me to pen this President’s message in the online version of our own journal “Conservative Dentistry and Endodontics Journal - CEJ”.


 
Secretary’s Message
Rajesh Pillai

Secretary’s Message

[Year:2016] [Month:July-December] [Volumn:1 ] [Number:2] [Pages:34] [Pages No:vii][No of Hits : 229]


ABSTRACT

Dear Caesokians,

It gives me an immense pleasure to address you all in this wonderful year when CAESOK is at its very best in terms of membership growth and quality of scientist’s education meted out.



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