RGUHS Journal of Dental Sciences最新文献

{"title":"Trigger Point Deactivation in MPDS: A Comprehensive Guide to Non-invasive Therapeutic Modalities","authors":"Seema Shantilal Pendharkar, Khan Zeba Sarfaraz Ali","doi":"10.26463/rjds.15_3_16","DOIUrl":"https://doi.org/10.26463/rjds.15_3_16","url":null,"abstract":"Myofascial pain syndrome MPS is defined as pain origination due to the activation of myofascial trigger points present in taut bands of skeletal muscle. This article aimed to review the existing hypothesis regarding the deactivation of trigger points in myofascial region as a treatment modality to reduce the muscle pain. Various pharmacologic interventional methods were reviewed such as are physiotherapy occlusal therapy anti-inflammatory and analgesics manual and massage technique muscle relaxants transcutaneous electric nerve stimulation laser therapy ultrasound therapy and botulinum toxin which may be attempted in severe cases. Through a critical evidence-based review of the pharmacologic and non-pharmacologic treatment options this article aims to provide clinicians with a complete comprehensive knowledge of the interventions for deactivation of trigger points in the treatment of myofascial pain.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135912878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-Surgical Management of Mouth Opening in Oral Sub Mucous Fibrosis: A Network Meta-Analysis","authors":"Roopashri Rajesh Kashyap, Rajesh Kashyap Shanker","doi":"10.26463/rjds.15_3_15","DOIUrl":"https://doi.org/10.26463/rjds.15_3_15","url":null,"abstract":"Background and Aim Oral cancer is one of the most preventable cancers with a typical sequence of emergence as a potentially malignant disorder promotion and transformation into cancer. Oral submucous fibrosis OSMF is a potentially malignant disorder in which the mucosa stiffens and patients have trouble opening their mouth thus affecting their quality of life. Early therapeutic intervention yields better results. However oral submucous fibrosis has never been successfully treated by any single medication so far. Practitioners have tried various combinations of the drugs with variable results. Hence we conducted this meta-analysis to assess which treatment modality gives a better result with regard to improvement in mouth opening in OSMF patients.Methods Electronic search for articles published in various journals were undertaken through various search engines till October 2021. About 29 articles were selected which had performed randomized control trials of various drugs on oral submucous fibrosis. Frequentist network meta-analysis was performed using R studio software and effective treatment ranking was derived.Results According to the treatment ranking generated relative to mouth opening the most effective treatment was the intralesional steroid and hyaluronidase with vitamin E supplementation and the intralesional steroid and hyaluronidase with lycopene being the second best.Conclusion This network meta-analysis has analyzed the efficacy of various drug regimens used in the management of oral submucous fibrosis which can be implemented by the practitioners in the management of initial stages of oral submucous fibrosis thus preventing its progression into oral cancer.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135914296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Evaluation of TruNatomy, XP Endoshaper and Hand K File Systems on Dentinal Microcrack Formation and Vertical Root Fracture Resistance – An In Vitro Study","authors":"Savitha B Naik, Kiran Kumar N, Annie Swathisha, Preetham HS, Shylaja V","doi":"10.26463/rjds.15_3_12","DOIUrl":"https://doi.org/10.26463/rjds.15_3_12","url":null,"abstract":"Background Vertical root fracture VRF accounts for 11 of failures in endodontically treated teeth. Microcracks can occur during instrumentation of root canal system with NiTi rotary files as it exerts forces increasing strain on dentinal wall which may progress to VRF. Newer file systems have been developed to reduce the risk of microcrack formation.Aim The aim of the present study was to evaluate the effect of TruNatomy XP Endoshaper and Hand K files on dentin microcrack formation and vertical root fracture resistance of root canals.Methods One hundred twenty-five extracted teeth were used in the study with 40 samples each in the experimental groups and five samples in the control group. Following instrumentation Group TRN-Trunatomy Group XPS ndash XP Endoshaper Group HF ndash Hand K File 50 of the samples were subjected to stereomicroscopic study for dentinal microcrack evaluation. The remaining samples were obturated and were subjected to Universal testing machine for vertical root fracture resistance assessment. Kruskal Wallis and Post hoc Bonferroni tests were used for statistical analysis.Results Statistically significant difference was observed between XP Endoshaper and other groups in terms of dentinal microcrack formation and vertical root fracture resistance. Significantly higher value was observed for Hand K file and TruNatomy against XP Endoshaper File p lt0.05.Conclusion TruNatomy serves as a file system causing least dentinal damage comparable to Hand K file system while XP Endoshaper caused more cracks.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135912901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Dental Anxiety Between Aerosol and Non-Aerosol Dental Procedures in Children Aged Between 5-13 Years","authors":"Yuthi Milit, Jyothsna V Setty, Ila Srinivasan, Varun Shetty, Anushka Das","doi":"10.26463/rjds.15_3_5","DOIUrl":"https://doi.org/10.26463/rjds.15_3_5","url":null,"abstract":"Background Fear is an unpleasant emotional state consisting of psychological and physiological changes in response to real external threats or dangers. In contrast anxiety is an emotion similar to fear but arising without any objective source of danger. Dental treatments are well known to trigger anxiety and fear in children as most commonly used instruments such as airotor and suction create a sense of fear and anxiety in them. This impacts not only the quality of outcome of treatment but also the attitude of a child towards dentists and dental care.Objective The aim of the study was to compare the levels of anxiety during various aerosol and non-aerosol dental treatments in children.Method One hundred and twenty children aged 5 to 13 years were evaluated for anxiety levels by undergoing various dental treatments aerosol and non-aerosol techniques. The level of dental fear was measured before during and after the treatment with a pulse oximeter Animated Emoji Scale AES and Face Legs Activity Cry Consolability FLACC scale.Results Subjects belonging to the non-aerosol technique group showed least anxiety levels. Maximum relaxation was seen in children undergoing atraumatic restorative treatment ART followed by the HALL technique group and then the conventional restorative procedures. Least comfort was seen in the conventional stainless steel crown group. Conclusion Non-aerosol techniques generate least anxiety in children and should be considered for treatment procedures involving children with higher anxiety levels.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ozone Therapy in Periodontics: A Review","authors":"Aditi Gupta, Srinivasmurthy ST, Suchetha Aghanashini, Darshan Basavaraj Mundinamane, Sapna Nadiger, Apoorva Sokke Mallikarjunappa","doi":"10.26463/rjds.15_3_20","DOIUrl":"https://doi.org/10.26463/rjds.15_3_20","url":null,"abstract":"Oral cavity is in dynamic interaction with external environment exposing it to various microorganisms their colonization and the host defense that aimed for their removal. Formation and development of dental biofilm and its potential to harbor specific microorganisms is directly linked with some of the most common oral ailments like dental caries diseases affecting periodontium. The conventional protocol to treat such ailments primarily include removal of biofilm along with adjunctive course of antibiotics. However these modalities have limitations in their efficacy. Ozone is a natural gas present in the earth stratosphere and acts as a potent oxidant. At low doses ozone has several favorable therapeutic applications in medicine as well as in dental pathologies. Particularly ozone as a treatment modality was used for the first time in dentistry in the 1930s when it was proposed as a disinfectant and wound-healing agent. Owing to its strong oxidation property with the formation of free radicals and its capacity to directly destruct almost all microorganisms it is known as a potential antioxidant anti-inflammatory immunomodulatory anti-hypoxic biosynthetic and antimicrobial agent. In addition ozone has a therapeutic effect that promotes wound healing and improves blood supply. Three most common forms in which ozone can be administered for its therapeutic use are gaseous aqueous and oil forms out of which the gaseous application of ozone is critically evaluated because of its possible side effects on the respiratory system. The objective of the current article was to compile and document various application of ozone in the field of periodontology. Research was based on peer-reviewed sources found through MedlinePubMed Google scholar search and other reviews and journals.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135912885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Sialocele Secondary to Iatrogenic Parotid Duct Injury: A Case Report","authors":"Rajdeep Singh, Anshul Sharma, Amy Elizabeth Thomas, Yashi Mishra, Basumita Majumdar, Dasari Vindhya Vasini","doi":"10.26463/rjds.15_3_1","DOIUrl":"https://doi.org/10.26463/rjds.15_3_1","url":null,"abstract":"Sialocele is extra glandular subcutaneous collection of saliva. Etiology ranges from trauma or laceration to the salivary duct or the gland parenchyma itself. The injurious cause can be trauma or insult from surgeries involving the salivary gland like superficial parotidectomy. The objective of this study is to bring in light the potential of iatrogenic trauma to the Stensonrsquos duct. The paper also includes the key to diagnosis and surgical technique to correct the sialocele resulting from the ductal injury. The surgical procedure of ductal repair of two patients of Sialocele was conducted in the Department of Oral and Maxillofacial Surgery CDCRI. The treatment included distal canulation of the duct intra-orally extra-oral surgical exploration removal of the cystic lining in one patient and catheterising with a paediatric feeding tube the distal part of the duct up to the site of saliva accumulation. Post-operative monitoring done with thorough irrigation and pressure dressing. After 21 post operative days the patency of the tract for saliva drainage was marked. Removal of the feeding tube also showed intact saliva drainage on stimulation. Treatment spectrum ranges from conservative medicinal treatment anti-cholinergic drugs administration and surgical intervention. Enucleation and Catheterization is a promising treatment modality.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visagism: An Essential Concept in Esthetic Dentistry","authors":"Archana K Sanketh, N Kalavathy, Mitha M Shetty, P Roshan Kumar, Anuradha V, Bhuvana SP","doi":"10.26463/rjds.15_3_18","DOIUrl":"https://doi.org/10.26463/rjds.15_3_18","url":null,"abstract":"Creating an aesthetic dental rehabilitation that is as harmonious as possible is unquestionably a complex operation that requires understanding of a wide range of factors such as modelling a restoration including tooth alignment dimensions of the clinical crown and occlusion. Aesthetic treatments are increasingly in demand particularly in the field of dentistry as peoplersquos concerns about appearance have grown. Due to a mismatch between the patientrsquos personality and the smile design the final aesthetic results might fall short of the patientrsquos expectations. Dental professionals have been attempting to match the shapes of the teeth with the entire face based on factors like gender personality and age for decades but successful results have proven elusive. The Visagism concept aids dental clinicians in creating restorations that take into consideration not only the aesthetics of the created image but also its psychosocial components which have an impact on patientsrsquo feelings sense of identity behaviour and self-esteem. Since the patient can take part in the design of his smile with Visagism the professional can be more certain of the treatment outcome. This article aims to glorify the novel idea of Visagism so that the clinician can create smiles that are meant worthy of the patient. The relationship between a patientrsquos smile and personality is one that is unintentionally overlooked during the course of treatment.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135914279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surface Electromyographic Analysis of Masticatory and Neck Muscles in Skeletal Class II Division 1 Malocclusion with EMG Indices - A In Vivo Study","authors":"Narayana Iyer Ramana Ramya Shree, Aravind S Raju, Vinay P Reddy, B S Chandrashekar, Mahesh C M, Nishan Ansari, Thumati P","doi":"10.26463/rjds.15_3_6","DOIUrl":"https://doi.org/10.26463/rjds.15_3_6","url":null,"abstract":"Background amp Objectives To evaluate the activity of oro-facial and neck muscles in skeletal class II division 1 malocclusion with horizontal and vertical growth patterns using surface electromyography.Methods Twenty non-growing patients comprising males and females 18-30 years were selected and grouped into horizontal and vertical growth patterns using lateral cephalograms. sEMG of masseter temporalis sternocleidomastoid and anterior belly of digastric muscles were performed and percentage overlapping coefficient activity Index asymmetry Index and torque Index were recorded.Results The percentage overlapping coefficient was recorded as 112.3 in horizontal and 92.35 in vertical growers. The activity index for horizontal growers was 14.28 microVsec indicating a predominance of the masseter muscle and in vertical growers it was -8.94 microVsec indicating a predominance of anterior temporalis. The asymmetry index for horizontal growers observed was 17.75 microVsec indicating the predominance of rightside muscles and was -10.77 microVsec showing the dominance of left-side muscles in vertical growers. Torque index in horizontal and vertical growth patterns were 24.56 and -43.76 respectively inferring a right-sided mandibular movement in horizontal growers and vice versa. The mean value of sternocleidomastoid muscle observed was 18.74 microVsec in horizontal growers and 14.15 microVsec in vertical growers. The mean values of the anterior belly of digastric muscles were 18.87 microVsec in horizontal growth pattern and 19.57 microVsec in vertical growers.Conclusion There was symmetry between muscles and an increased predominance of the masseter group in horizontal growers while an increased predominance of the temporalis muscle was observed in vertical growers. There was increased activity of right-sided muscles and right-sided mandibular movement in horizontal growers while an increased activity of left-sided muscles and left-sided mandibular movements was noted in vertical growers.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135914580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Evaluation of Antimicrobial Efficacy of Green Tea Herbal Mouth-wash and 0.2% Chlorhexidine Gluconate Mouthwash Against Streptococcus mutans in Dental Plaque - A Randomized Controlled Trial","authors":"Aarcha S Kumar, Mallayya C Hiremath, SK Srinath, Raja Jayadev Nayak, Kala Yadav, Chetana GS","doi":"10.26463/rjds.15_3_9","DOIUrl":"https://doi.org/10.26463/rjds.15_3_9","url":null,"abstract":"Background and Aim Several chemical agents can alter the profile of oral microflora but can cause undesirable effects on oral tissues. Green tea Camellia sinensis contains adequate amounts of catechins and polyphenol compounds. It has demonstrated antibacterial antioxidant anti-inflammatory antiviral antimutagenic and anticaries properties.The purpose of this clinical trial was to evaluate and compare the antimicrobial efficacy of commercially available 0.5 green tea herbal mouthwash with 0.2 chlorhexidine gluconate mouthwash against Streptococcus mutans in dental plaque samples of school children. Methods This clinical trial was conducted including thirty healthy cooperative children who were randomly divided into two groups Group A 0.2 Chlorhexidine gluconate mouthwash and Group B 0.5 Green tea mouthwash. Baseline and day 15 post-rinse plaque samples were collected. Streptococcus mutans colony counting was done on day zero and on day 15 and the results were compared statistically.Results Within the group paired t-test analysis showed a significant reduction p lt0.05 of Streptococcus mutans counts from baseline to post-rinse in both 0.2 chlorhexidine 1.68plusmn0.63 95 CI -1.45 to 1.77 and green tea 0.5 1.54plusmn0.16 95 CI - 1.37 to 1.69 groups. Between groups independent t-test analysis did not show any significant difference both at baseline and post-rinse p gt0.05.Conclusion Both 0.2 chlorhexidine mouthwash and green tea 0.5 mouthwash were equally efficient in reducing S. mutans counts. However 0.2 Chlorhexidine mouthwash was marginally better. Green tea mouthwash has the advantage of being non-staining having no taste disturbance and having good participant compliance.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitude, and Practice Related to Health Care Ethics among Dental Students in Davangere City - A Cross-sectional Study","authors":"Lilly BK, Prashant GM, Sushanth VH, Mohammed Imranulla, Allamaprabhu CR, Vivek HP","doi":"10.26463/rjds.15_3_13","DOIUrl":"https://doi.org/10.26463/rjds.15_3_13","url":null,"abstract":"Background Public awareness of the ethical treatment of emergency medical crisis has been increasing and complaints against doctors seem to be getting worse. It is a matter of immediate concern that lawsuits against doctors have risen recently. Objectives To assess the knowledge attitude and practices related to healthcare ethics among dental students in Davangere city.Study Design A descriptive cross-sectional study design was performed through the convenience sample method.Methodology The pre-validated questionnaires assessing the knowledge and practice of dental students regarding healthcare ethics were distributed to about 221 dental students in Davangere city and data were collected and analyzed using frequency distribution and Chi-square test with SPSS software version 22.0. Results A total of 221 questionnaires were distributed of which 205 participants responded recording a response rate of 93.18. About 50.2 participants were final year BDS students and 49.8 were pursuing internship. 66.3 had good knowledge about the Hippocratic oath and the Nuremberg code. 45.9 of participants said that they would refer their patients to another doctor who shares the patientrsquos belief when he she refuses treatment due to certain religious beliefs.Conclusion Though majority of the participants had a fair knowledge of healthcare ethics training regarding the practice of ethics should be the focus. Maintaining a specific level of service while in practice is the dentists responsibility. All dentists should uphold a set of professional conduct norms when performing their duties.","PeriodicalId":155332,"journal":{"name":"RGUHS Journal of Dental Sciences","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}