Contemporary Clinical Dentistry最新文献

{"title":"Effectiveness of Silver Diamine Fluoride Application at Various Frequencies for Dental Caries Cessation among Preschool Children in India: Randomized Controlled Trial.","authors":"Induja Devan, Chandrashekar Janakiram, Venkitachalam Ramanarayanan, Balagopal R Varma, Sanjeev Vasudevan","doi":"10.4103/ccd.ccd_535_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_535_24","url":null,"abstract":"<p><strong>Background: </strong>Children from marginalized backgrounds show higher susceptibility to early childhood caries which can have serious repercussions. Determining the ideal application frequency of 38% silver diamine fluoride (SDF) is crucial for those with limited access to dental care.</p><p><strong>Objectives: </strong>This study aimed to evaluate the effectiveness of different frequencies of 38% SDF application in halting the progression of active dentin coronal carious lesions in primary teeth of children aged 2-6 years.</p><p><strong>Methods: </strong>A randomized controlled trial with parallel arms was conducted at Amrita Kripa Hospital, Kalpetta, Wayanad, a region with a significant tribal population. Children with cavitated carious lesions were randomly assigned to three groups: (1) annual group (one application per year), (2) biannual group (two applications per year), and (3) four applications per year (at baseline, 2, 4, and 8 weeks). Carrie's arrest was assessed at 6 and 12 months.</p><p><strong>Results: </strong>The study included 80 children and 440 teeth. The four-application group showed the highest caries arrest rate (80.5%), followed by the biannual group (78.2%) and the annual group (58.4%). Statistical analysis revealed significant differences between the groups (<i>χ</i>2 = 21.873, <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>More frequent SDF applications (four times per year) were significantly more effective in halting caries progression compared to biannual or annual applications, particularly evident in tribal children; a high-risk population with limited access to dental care. The study supports the use of SDF as a noninvasive, cost-effective preventive treatment for young children, especially in resource-limited settings, and emphasizes the need for frequent SDF applications in community-based oral health programs with limited dental care access.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"28-35"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative Solutions in Orbital Fracture Management: The Role of Computer-aided Design and Computer-aided Manufacturing Technology.","authors":"Abhishek Kumar Gupta, Rekha Gupta, Aishwarya Saini, Vashi Narula, Rohit Kumar Singh","doi":"10.4103/ccd.ccd_262_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_262_24","url":null,"abstract":"<p><p>Being the intricate architecture of the maxillofacial region, rehabilitation of maxillofacial abnormalities is relatively hard for most maxillofacial surgeons. Orbital roof fractures are among the most uncommon craniofacial abnormalities. The fact that these fractures \"grow\" makes treatment challenging. An encephalocele can form as a result of a hemorrhage or swelling caused by a dural rupture. These \"growing\" fractures are prevalent in children. The etiology of these fractures is uncertain; however, a dural laceration usually occurs along the fracture line. After a latency period, clinical signs and symptoms of an expanding fracture of the orbital roof are observed. During this latent time, the fracture expands in size during the growth stage, causing the brain to herniate and cause ocular symptoms such as eyelid swelling or exophthalmos. Computed tomography scans are commonly used to diagnose this type of fracture, and computer-aided design and computer-aided manufacturing (CAD/CAM) can be used to render the three-dimensional model for treatment planning. Growing orbital roof fractures must be investigated as a differential diagnosis in patients with chronic ocular complaints. The case study that follows sheds light on the relevance of the use of CAD/CAM technology for such patients in treatment planning.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"49-52"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic Enigma and Therapeutic Misadventure of Extraoral Draining Sinus: A Case Report on Oral Rehabilitation with the Role of <i>Morinda citrifolia</i>.","authors":"Ruchika Kundra, Ravneet Kaur, Deepak Sharma, Alpana Kumari","doi":"10.4103/ccd.ccd_20_25","DOIUrl":"https://doi.org/10.4103/ccd.ccd_20_25","url":null,"abstract":"<p><p>This case report describes the management of a misdiagnosed and maltreated extraoral draining sinus associated with a chronic odontogenic infection. Initially, the condition was misdiagnosed leading to conventional treatments, resulting in prolonged infectivity, inflammation, and delayed healing. The case highlights the clinical potential of <i>Morinda citrifolia</i> (Noni) as an adjunctive therapeutic agent in oral rehabilitation, particularly for its reported anti-inflammatory, antimicrobial, and wound-healing properties. Following the integration of <i>M</i>. <i>citrifolia</i> for endodontic therapy, the patient showed marked improvement in symptoms. This report focuses on the importance of thorough diagnostic evaluation and the possible role of alternative remedies in managing complex maxillofacial infections, providing insight into enhanced approaches for effective rehabilitation.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"65-68"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Integrated Approach: Improving Tooth Nomenclature to Include Dental Abnormalities for Enhanced Clinical Diagnosis and Communication.","authors":"Aakash Gupta, Arvinder Wander, Prakash Kumar, Ramandeep Singh","doi":"10.4103/ccd.ccd_315_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_315_24","url":null,"abstract":"<p><p>In dentistry, a tooth numbering system helps identify specific tooth positions in the mouth. This system includes quadrant types for primary and permanent teeth, making it easy to locate and document tooth positions. The tooth notation system is crucial for recording an individual's case history and efficient clinical record keeping and standardizing diagnostic makeover. However, existing tooth charting systems lack the denotation of dental anomalies. To address this issue, we have introduced a modification in the commonly used tooth nomenclature (Zsigmondy Palmer system) to incorporate details of both clinical and radiographically diagnosed tooth anomalies. Modified tooth numbering system can be a useful tool in interpreting clinical and radiographical information about dental abnormalities among clinicians.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"73-76"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustainable Development Goals and Oral Health: A Forsaken Link.","authors":"Girish Malleshappa Sogi","doi":"10.4103/ccd.ccd_120_25","DOIUrl":"https://doi.org/10.4103/ccd.ccd_120_25","url":null,"abstract":"","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"1-2"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Evaluation of Antioxidant Effects of 25% Bamboo Salt and 3% Green Tea Extract on Push-out Bond Strength of AH Plus Sealer after Sodium Hypochlorite Irrigation: An <i>In vitro</i> Study.","authors":"Poojitha Jain, G B Shivamurthy, N M Dhanyakumar, D M Yashas","doi":"10.4103/ccd.ccd_62_24","DOIUrl":"https://doi.org/10.4103/ccd.ccd_62_24","url":null,"abstract":"<p><strong>Context: </strong>Sodium hypochlorite (NaOCl), a commonly used intracanal irrigant, adversely affects the organic content of dentin, impacting the bond strength of sealer to root dentin.</p><p><strong>Aim: </strong>The aim of the study was to compare the antioxidant effects of 25% bamboo salt and 3% green tea extract on the push-out bond strength of AH Plus sealer after NaOCl irrigation.</p><p><strong>Subjects and methods: </strong>Forty-five single-rooted mandibular premolars were selected, decoronated, and standardized to a length of 12 mm. During the canal preparation process, ProTaper Next rotary files were used, with each step accompanied by the irrigation of 5 ml of 5.25% NaOCl. Following the instrumentation, the canals were flushed with an additional 5 ml of 5.25% NaOCl and 17% ethylenediaminetetraacetic acid. The specimens were then categorized into three groups (<i>n</i> = 15 each): Group 1, treated with saline; Group 2, treated with a 25% bamboo salt solution; and Group 3, treated with a 3% green tea extract solution. From the coronal and middle thirds of each root, 1.5 mm thick slices were prepared. These slices were then tested for push-out bond strength using a universal testing machine.</p><p><strong>Statistical analysis: </strong>The data collected were subjected to one-way analysis of variance, followed by Tukey's <i>post hoc</i> analysis for detailed examination.</p><p><strong>Results: </strong>The use of 5.25% NaOCl resulted in a significant reduction in the bond strength of AH Plus to dentin (<i>P</i> < 0.05). Among the treated groups, the samples irrigated with 3% green tea extract exhibited a notably higher push-out bond strength compared to those treated with 25% bamboo salt.</p><p><strong>Conclusion: </strong>Within the limitations of this <i>in vitro</i> study, all experimental groups showed significant changes in push-out bond strength after antioxidant treatment.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 1","pages":"10-14"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Two Different Penetration Depths of Micro-osteoperforation on the Rate of Orthodontic Tooth Movement: A Prospective Clinical Study.","authors":"Abhay Kumar Jain, Shresthaa Singh, Parul Priya, Nishita Garg, Abhishek Kumar, Monalisa Goswami","doi":"10.4103/ccd.ccd_107_24","DOIUrl":"10.4103/ccd.ccd_107_24","url":null,"abstract":"<p><strong>Objective: </strong>The objective is to evaluate the effectiveness of two different penetration depths of micro-osteoperforations (MOPs) on the rate of orthodontic tooth movement over 60 days. In addition, the amount of pain and discomfort caused by the MOP was evaluated.</p><p><strong>Materials and methods: </strong>A total of 22 patients (18-30 years) who need fixed orthodontic treatment were recruited and randomly assigned into two groups. Randomization for determination of the experimental side and depth of perforations was done using sealed envelopes. On each patient, the other side of the mouth worked as control side with no MOPs. Patients in group 1 (MOP-5) received 3MOPs on the buccal surface of the alveolar bone each at 5 mm depth, whereas patients in group 2 (MOP-7) received 3MOPs on the buccal surface of the alveolar bone each at 7 mm depth. The amount of canine retraction was measured every 30 days at two intervals on both sides of the mouth. Pain perception was measured after 1 h, 24 h, 72 h, 7 days, and 28 days of procedure. MOP-related pain was measured using a visual analog scale. The level of statistical significance was <i>P</i> ≤ 0.05.</p><p><strong>Results: </strong>The result of the intra-examiner reliability using intraclass correlation coefficient more than 0.97 (<i>P</i> < 0.001), indicating excellent repeatability and reliability of the measurements. The baseline characteristics between groups were similar (<i>P</i> > 0.05). Both the groups demonstrated a significantly higher canine movement than the control group. No significant difference was seen between the MOP-5 and MOP-7 groups (<i>P</i> > 0.05) in terms of canine retraction. Mild-to-moderate pain was experienced only in the first 24 h of the procedure.</p><p><strong>Conclusion: </strong>Three MOPs with a depth of 5 mm can be performed as an effective method to increase the rate of tooth movement. However, increasing the depth of perforation beyond 5 mm does not additionally enhance tooth movement.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"15 4","pages":"251-258"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Atrophic Thin Crest by Ridge Splitting Technique before Implant Placement.","authors":"Nada Kriouach, Samir Erraji, Zouheir Ismaili","doi":"10.4103/ccd.ccd_102_24","DOIUrl":"10.4103/ccd.ccd_102_24","url":null,"abstract":"<p><p>Critical alveolar ridge defects can result from several causes. Ridge expansion is a technique that aims to increase the width of the bone crest. A male patient presented an edentulous segment which leads to be careful concerning the adjacent teeth. Through this case report, the used technique was explained with all steps and was combined with guided bone regeneration (GBR). The particularity of this case was the membrane exposure during the healing period before placing the crowns, resulting in bone resorption. This resorption was stable after restauration and follow-up. Ridge split is indicated in cases where the width of the ridge is at least 3.5 mm. The procedure demonstrated a safe and predictable alternative for implant placement in a knife-edge ridge, with a high survival rate of ridge expansion. The patient presented good healing at the follow-up with a little resorption that remained stable in time after crown placing.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"15 4","pages":"275-278"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Traumatically Intruded Permanent Incisors during an Ongoing Orthodontic Treatment.","authors":"Varuni Iyer, Harshavardhan Kidiyoor, Roopak D Naik","doi":"10.4103/ccd.ccd_70_24","DOIUrl":"10.4103/ccd.ccd_70_24","url":null,"abstract":"<p><p>Intrusive luxation is one of the most severe types of dental trauma that needs immediate intervention. Various treatment modalities are passive, active, and surgical repositioning performed to prevent healing complications such as root resorption, pulp necrosis, ankylosis, and infraocclusion of the traumatized teeth. This case report discusses a patient with traumatically intruded incisors while undergoing orthodontic treatment. Active repositioning, namely orthodontic traction using light and continuous forces were directed onto the intruded teeth commenced 1 month post the injury and brought into occlusion. Clinical and radiographic evidence for the pulpal and periodontal evaluation were done after a year of active treatment. Thus, it can be concluded that observation for a span of 6-12 months before treatment is not necessary to be advocated and immediate intervention is advisable.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"15 4","pages":"285-288"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stereomicroscopic Evaluation of Sealing Ability of Three Different Furcal Perforation Repair Materials: An <i>In vitro</i> Study.","authors":"Sriparna De, N Sathyajith Naik, Shivangi Sharma, Pallavi Vashisth, Rasleen Dua, Priya Maheshwari","doi":"10.4103/ccd.ccd_253_24","DOIUrl":"10.4103/ccd.ccd_253_24","url":null,"abstract":"<p><strong>Background: </strong>The choice of sealing material is a crucial factor that influences the outcome of endodontic treatment.</p><p><strong>Aim: </strong>The purpose of this study was to compare the sealing ability of mineral trioxide aggregate (MTA) Angelus, Endocem MTA, and NeoPutty MTA when used as furcal perforation repair materials.</p><p><strong>Materials and methods: </strong>A total of 45 mandibular molars were used. Root canal treatment was carried out following which standardized furcal perforations were made. The specimens were randomly divided into three groups of 15 teeth each. Group A-Furcal perforation repair by means of MTA Angelus, Group B-Furcal perforation repair using Endocem MTA, and Group C-Furcal perforation repair by NeoPutty MTA. Following the repair procedure, the pulp chambers and access openings were filled with temporary restorative material and immersed in 1% basic fuchsin dye for 24 h. The teeth were sectioned longitudinally and the linear dye penetration was measured using a stereo-microscope.</p><p><strong>Results: </strong>The one-way analysis of variance (ANOVA) revealed a statistically significant difference among the groups (<i>F</i> = 16.15, <i>P</i> < 0.001). On calculating the depth of leakage to the total length of the perforation, it was observed that the mean leakage was 32.83% in Group I, 52.92% in Group II and the lowest, 16.35% in Group III. The ANOVA test reveals a statistically significant difference among the groups (<i>F</i> = 15.92, <i>P</i> < 0.001). Comparing the depth of dye penetration of dye, 33.3% of the Group I samples showed ≥50%, 49%-25%, and <25% dye penetration. Although 56.7% of Group II samples showed ≥50% dye penetration, whereas 63.3% of Group III showed <25% dye penetration.</p><p><strong>Conclusion: </strong>The present study indicated that NeoPutty MTA had the least dye penetration followed by MTA Angelus and Endocem MTA.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"15 4","pages":"259-264"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}