Indian journal of dentistry最新文献

Objective: To assess the availability of fluoride concentration in saliva following the use of fluoride mouthrinse and dentifrice.

Materials and methods: The experiment was carried out in 7-15 year-old school children of Chandigarh (n = 90). The children were nonfluoride users. Baseline saliva samples were collected. The subjects were exposed to two test agents, i.e., fluoride mouthrinse (0.05%, 225 ppm F) and dentifrice (1000 ppm F) for 7 days and on the day 8, saliva samples were collected over a 20 hrs period. Wash out period of 3(1/2) months was there before the subjects were exposed to the second test agent. Fluoride in saliva was estimated using fluoride ion-specific electrode. Written informed consent was taken.

Statistical analysis: Kolmogorov-Smirnov test was applied to test the normality of the variables. Mann-Whitney U-test was used to compare the fluoride concentration available in saliva at respective time intervals subsequent to use of the two test agents.

Results: Fluoride concentration was elevated in saliva compared to baseline for both the test agents. Fluoride mouthrinse (0.05% sodium fluoride [NaF]) and dentifrice (1000 ppm monofluorophosphate [MFP]) showed a biphasic clearance. Peak in saliva occurred at 15 mins postuse. Night-time use resulted in higher concentration of fluoride in saliva compared to baseline. There was statistically significantly higher fluoride concentration available in saliva for the dentifrice at 5 hrs, 10 hrs, and 20 hrs postuse (P < 0.05).

Conclusion: Subsequent to the use of NaF (0.05%) daily mouthrinse and MFP dentifrice (1000 ppm) the fluoride concentration in saliva remained elevated to a level of 0.12 ppm for mouthrinse and 0.14 ppm for dentifrice compared to baseline (0.03 ppm) up to 20 hrs postuse. The therapeutic window though not yet established but suggested is 0.1-1 ppm for prevention of demineralization, indicating that daily use of fluoride mouthrinse and dentifrice provides fluoride concentration in saliva for the prevention of demineralization.

Calcifying odontogenic cyst (COC) was first described and classified by Gorlin et al. It is defined as a cystic lesion in which the epithelial lining shows a well defined basal layer of columnar cells, an overlying layer that often resemble stellate reticulum and masses of ghost cells that may be in the epithelial cystic lining or in the fibrous capsule. The lesion generally occurs in the region anterior to maxillary and mandibular molars and either intraosseous or extraosseus. This entity might present as a cystic or solid lesion. Praetorius et al. classified COC into 2 main entities namely a cyst (Type 1) and a neoplasm (Type 2). The present case report exhibit a cystic lesion with both luminal and mural component.

Aim and objectives: The aim of this study is to evaluate the frictional forces generated by five different orthodontic brackets when used in combination with stainless steel (SS), titanium molybdenum alloy (TMA), and nickel-titanium (NiTi) archwires in dry conditions at physiological temperature.

Materials and methods: Five different types of maxillary upper right side self-ligating brackets (SLBs) (Damon 3MX, Smart Clip and Carriere LX) and conventional SS brackets (Mini 2000, Optimum Series and Victory Series) with a slot size 0.022 inch were coupled with 0.016" NiTi and 0.019 × 0.025" SS/titanium molybdenum alloy (TMA) archwires. Tests were carried out for each group of the bracket-wire combination at physiological temperature and in the dry state. Frictional forces were measured by Instron universal testing machine.

Results: SLB showed lower fictional values in comparison with elastic ligatures. Frictional force increased proportionally to the wire size; TMA and NiTi archwires presented higher frictional resistance than SS archwires.

Conclusion: SS brackets tied with conventional ligatures produced high and low friction when ligated with SLBs with passive clip.

The use of dental implants for the rehabilitation of missing teeth has broadened the treatment options for patients and clinicians equally. As a result of advances in research in implant design, materials, and techniques, the use of dental implants has increased dramatically in the past two decades and is expected to expand further in the future. Success of dental implants depends largely on the quality and quantity of the available bone in the recipient site. This however may be compromised or unavailable due to tumor, trauma, periodontal disease, etc., which in turn necessitates the need for additional bone manipulation. This review outlines the various bone manipulation techniques that are used to achieve a predictable long-term success of dental implants.

Context: The use of nickel-containing alloys in dentistry has been questioned because of the biological liabilities of nickel and the release of nickel ions from dental appliances into the oral cavity. The potential health hazards of nickel and chromium and their compounds have been the focus of attention for more than 100 years. It has established that these metals could cause hypersensitivity.

Aims: To assess the nickel release from various dental appliances used in pediatric dentistry.

Settings and design: It is a in vitro study.

Materials and methods: The study was undertaken to analyze in vitro biodegradation of space maintainers and stainless steel crowns made out of stainless steel materials from different manufacturers. The leaching effect simulating the use of clinical practice was studied by keeping the respective number of Stainless Steel Crowns and space maintainers in the artificial saliva incubating at 37°C and analyzing for nickel release after 1,7,14,21 and 28 days using atomic absorption spectrophotometer.

Statistical analysis: The results were statistically analyzed by using One way ANOVA and repeated measures of ANOVA was applied at different time intervals i.e. 1,7,14,21,28 days. The critical value for statistical significance was set at P = 0.05.

Results: Results showed that there was measurable release of nickel which reached maximum level at the end of 7 days which was statistically significant (P < 0.05).

Conclusions: The release of nickel and chromium very much below when compared with the average dietary intake of nickel (200-300 ppm/day) which were not capable of causing any toxic effects.

Displacement of tooth or root in submandibular or parapharyngeal spaces is one of the serious complications while extracting mandibular third molar by the general practitioners. Possibilities enhance in cases with extremely thin lingual plates. Moreover, there are no posterior fascial borders limiting the sublingual and submandibular spaces. In addition, no fascial border separates these spaces from the inferior parapharyngeal space. Thus, there is free communication between these spaces and tooth easily may dislodge into further spaces and lead to serious complications ahead. Patients may represent with pain and swelling of the submandibular region and sometimes the limitation in mouth opening when the patient had undergone an unsuccessful surgical procedure and third molar displacement into submandibular space. Two cases of such complications are presented ahead. On clinical examination, submandibular area on the left side of the mandible was tender on palpation. Panoramic radiographs elicited presence of a radiopaque mass similar to that of a tooth root. The computed tomography (CT) scan confirmed the presence of a high-density area in the submandibular region. Orthopantomography and cone beam CT in another patient revealed the displaced third molar in submandibular space. Patients were planned to retrieve the tooth under local anesthesia and the postoperative course was uneventful.