Journal of Contemporary Dental Practice最新文献

{"title":"Assessment of Shear Bond Strength of MTA and ApaCal ART Liners to a Universal Bonding Agent: An <i>In Vitro</i> Study.","authors":"Angel Kurian, Banibrata Lahiri, Archana A Thomas, Gautham Anilkumar, Fawaz Pullishery, Reshma Raju","doi":"10.5005/jp-journals-10024-4031","DOIUrl":"10.5005/jp-journals-10024-4031","url":null,"abstract":"<p><strong>Aim: </strong>The current investigation sought to assess the shear bond strength (SBS) between two distinct liners and a universal bonding agent.</p><p><strong>Materials and methods: </strong>Eighty extracted premolars were cleaned using a periodontal scaler and stored in 0.9% saline until required. Teeth were cut to expose the dentinal surface at a depth of 1 mm using a straight fissure bur. For uniformity, grooves were marked at 1 mm. Then, use a straight fissure bur to create a 1.5 × 3 × 3 mm hollow on the surface. Apply the mineral trioxide aggregate (MTA) to 40 premolar cavities using an amalgam carrier. Apply the ApaCal ART to 40 premolar cavities, then allow it to cure for 40 seconds. Group IA consisted of 10 premolars bonded with MTA liner using a seventh-generation bonding agent; group IB consisted of 10 premolars bonded with ApaCal ART liner using a seventh-generation bonding agent; group IIA consisted of 10 premolars bonded with MTA liner using an eighth-generation bonding agent; and group IIB consisted of 10 premolars bonded with ApaCal ART liner using an eighth-generation bonding agent. Composite was applied to each sample's cavity lining using a two-layer incremental approach after the adhesive was applied. Each layer was cured. Shear bond strength was assessed by using a universal testing machine.</p><p><strong>Results: </strong>Group IIA had the greatest SBS value (14.9780 MPa), and group IB had the least SBS value (12.3110 MPa). Overall analysis of variance (ANOVA) showed significant differences (<i>p</i> = 0.036), though pairwise comparisons were not statistically significant.</p><p><strong>Conclusion: </strong>In both bioactive materials, the eighth-generation adhesives are superior to the seventh-generation adhesives, with MTA exhibiting greater values.</p><p><strong>Clinical significance: </strong>The lifespan and durability of the repair are guaranteed by a strong enough adhesion between the adhesive system and the liner. Stronger adhesion, which can enhance the stability of the restorative material, prevent marginal gaps, and reduce microleakage.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"254-259"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228515","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":"Effect of Various Finishing and Polishing Environments on the Surface Roughness and Microleakage of Composite Restorations: An <i>In Vitro</i> Study.","authors":"Ashok Kumar, Ibadat P Kaur","doi":"10.5005/jp-journals-10024-4038","DOIUrl":"10.5005/jp-journals-10024-4038","url":null,"abstract":"<p><strong>Aim: </strong>Finishing and polishing (FaP) are essential procedures that significantly affect the long-term clinical performance of composite restorations; however, their efficacy under varying environmental conditions remains insufficiently elucidated. This study aims to evaluate the impact of dry, wet, and combined FaP sequences on surface roughness (Ra) and microleakage of composite restorations.</p><p><strong>Materials and methods: </strong>A total of 57 premolars were randomly assigned to five groups: Control (Cg, <i>n</i> = 11), dry (Dg, <i>n</i> = 12), wet (Wg, <i>n</i> = 12), dry-followed-by-wet (DfWg, <i>n</i> = 11), and wet-followed-by-dry (WfDg, <i>n</i> = 11) group. Finishing was performed in all except Cg using a specified four-step sequence, i.e., fine diamond bur, white stone, and fine and extra-fine Sof-Lex discs. Surface roughness was measured using a profilometer, while dual microleakage evaluation was performed by recording microleakage scores (Ms) under a stereomicroscope (40×), and actual microleakage depths (Md) using a Tool Maker's microscope (30×).</p><p><strong>Results: </strong>Statistical analysis was conducted using the Kruskal-Wallis and Mann-Whitney tests. Intergroup comparisons revealed no significant differences in Ra values (<i>p</i> = 0.136). However, statistically significant differences were observed in Ms and Md values along both the occlusal (<i>p</i> = 0.002) and gingival margins (<i>p</i> = 0.000). Pairwise comparisons showed significantly smoother surfaces in Wg vs Dg (<i>p</i> = 0.04), with additional significant differences in microleakage between Cg-Dg, Cg-DfWg (both margins), and Wg-DfWg (gingival margin).</p><p><strong>Conclusion: </strong>The finishing of composite restorations under wet environmental conditions is somewhat beneficial with respect to surface roughness and microleakage.</p><p><strong>Clinical significance: </strong>This study describes the use of a standardized approach to assess the influence of varied environmental conditions on FaP outcomes. The findings provide clinically relevant insights that may further improve procedural efficiency, optimize surface quality, and enhance the longevity of composite restorations.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"260-268"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228497","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":"Evaluation of Intercondylar Distance as a Predictor of Vertical Dimension in Edentulous Patients: A Cross-sectional Comparative Study.","authors":"Madhu Ranjan, Surender Kumar, Shivani Singh, Amit V Mahuli, Priya Rani, Ghazala Khurshid","doi":"10.5005/jp-journals-10024-3968","DOIUrl":"10.5005/jp-journals-10024-3968","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the applicability of intercondylar distance (ICD) measurement in determining the vertical dimension of occlusion in edentulous patients.</p><p><strong>Materials and methods: </strong>The first part of the study included 250 dentulous individuals visiting the departmental OPD and the students of the institute (aged 18-40 years) of both genders. Intercondylar distance was measured at the Denar reference point, and occlusal vertical dimension (OVD) was measured between the subnasion and the gnathion during maximum intercuspation. A regression equation was formulated based on the ICD-OVD relationship. The second part involved 40 edentulous patients (20 males, 20 females). Occlusal vertical dimension was assessed using conventional methods (OVD1) and the ICD-based method (OVD2), and their agreement was analyzed.</p><p><strong>Results: </strong>The first part of the study revealed a significant relationship between ICD-OVD (<i>p</i> < 0.001) with a 0.319 mm OVD increase per 1 mm ICD increase in dentulous participants. However, the second part of the study showed a low concordance correlation coefficient (CCC = 0.243) with a mean bias of -0.773 mm in edentulous participants. Gender differences in OVD were significant (<i>p</i> < 0.001), with males showing higher values than females in edentulous participants.</p><p><strong>Conclusion: </strong>Despite low concordance with conventional methods, the ICD method for determining OVD has shown consistent applicability across genders and edentulous durations, thus underscoring its clinical relevance.</p><p><strong>Clinical significance: </strong>Determining the OVD in complete dentures lacks a universal method. The ICD-OVD relationship and its application in edentulous patients remain unclear. Individual differences in recording the OVD using the conventional method can be eliminated with the implementation of the ICD-based method. This method holds clinical promise across genders and edentulous durations.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"248-253"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228492","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":"Scientometric Analysis on the Application of Chlorhexidine Chips in Periodontics and Oral Implantology.","authors":"Fran Espinoza-Carhuancho, Mabel Huaman-De la Cruz, Ivan Calderon, Cesar Mauricio-Vilchez, Felipe Lozano, Frank Mayta-Tovalino","doi":"10.5005/jp-journals-10024-4041","DOIUrl":"10.5005/jp-journals-10024-4041","url":null,"abstract":"<p><strong>Aim: </strong>To perform a scientometric analysis to map and characterize the scientific production on chlorhexidine locally delivered devices, particularly chlorhexidine chips, in periodontics and oral implantology from 2015 to 2025.</p><p><strong>Materials and methods: </strong>A descriptive bibliometric study of scientific publications indexed in Scopus was conducted according to the RAMIBS framework to enhance transparency and reproducibility. A structured search strategy was developed using terms relating to chlorhexidine chips and other local delivery devices. Bibliographic metadata were exported in comma separated value (CSV) format and analyzed using standard bibliometric techniques to map scientific productivity and collaboration and explore keyword co-occurrence networks and themes over time.</p><p><strong>Results: </strong>On December 2, 2025, overall 33 documents published in 26 sources are identified with -14.8% of annual growth and high citation impact (30.9 citations/article). The research landscape was characterized by collaborative authorship structure with 188 unique authors and 18.1% of publications are international collaborations. Highly cited, high-impact publications were produced by institutions with a strong track record of academic visibility, including authors from Harvard University, Columbia University and Madrid's Complutense University. Core publishing venues included the Journal of Clinical Periodontology (CiteScore 12.2) and Journal of Periodontology (CiteScore 9.4) which emerged as the leading sources. Thematic keyword co-occurrence analysis identified chlorhexidine as the central thematic axis.</p><p><strong>Conclusions: </strong>This scientometric analysis shows that research on chlorhexidine devices for local delivery, in particular, chlorhexidine chips from 2015 to 2025 is fairly scarce but consolidated with a declining trend in publications, showing high impact, and with a stable thematic focus on periodontal and peri-implant outcomes.</p><p><strong>Clinical significance: </strong>These findings indicate that research on dedicated chlorhexidine local delivery devices represents a mature field with a stable level of productivity, stability in collaborators and citation impact. This thematic structure highlights the importance of chlorhexidine in an interdisciplinary research area covering periodontal treatment, biomaterials, and drug delivery.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"318-324"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148227860","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":"Evaluation of Fracture Resistance of Tooth Fragment Reattached with Cavity Disinfectants in Primary and Permanent Teeth: An <i>In Vitro</i> Study.","authors":"Komal P Bhosale, Vishnu R Chamarthi, Dhanraj Kalaivanan, Santham Krishnamoorthy, Sumaiyya Saleem, Akr Santhosh Priya, Sai Sk Kothimbakkam","doi":"10.5005/jp-journals-10024-4027","DOIUrl":"https://doi.org/10.5005/jp-journals-10024-4027","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study is to evaluate the effect of 2% chlorhexidine digluconate and a combination of 2.5% sodium hypochlorite with 10% ascorbic acid on fracture resistance of reattached fragments in primary and permanent anterior teeth.</p><p><strong>Materials and methods: </strong>An <i>in vitro</i> study was conducted on 102 extracted human anterior teeth (51 primary and 51 permanent), allocated into six groups (<i>n</i> = 17): Group A (primary incisors)-Conventional fragment reattachment, group B (primary incisors)-Chlorhexidine pretreatment, group C (primary incisors)-Sodium hypochlorite + ascorbic acid pretreatment, group D (permanent incisors)-Conventional fragment reattachment, group E (permanent incisors)-Chlorhexidine pretreatment, and group F (permanent incisors)-Sodium hypochlorite + ascorbic acid pretreatment. All specimens underwent standardized bonding, thermocycling (1,000 cycles, 5-55°C), and fracture testing in a universal testing machine. Data were analyzed with one-way analysis of variance (ANOVA) (SPSS v25, IBM, USA).</p><p><strong>Results: </strong>In primary teeth, sodium hypochlorite-ascorbic acid showed the highest mean fracture resistance (54.63 ± 10.70 N), followed by chlorhexidine (52.43 ± 12.38 N) and conventional reattachment (43.19 ± 9.38N), with statistically significant differences. In permanent teeth, chlorhexidine demonstrated the highest mean value (151.63 ± 25.05 N), followed by conventional reattachment (145.73 ± 29.08 N) and sodium hypochlorite-ascorbic acid (130.92 ± 20.15 N), with no statistically significant differences among groups.</p><p><strong>Conclusion: </strong>Cavity disinfectants improve fracture resistance of reattached fragments, particularly in primary teeth. Sodium hypochlorite with ascorbic acid enhances bonding in primary dentition, while chlorhexidine provides consistent performance in both dentitions.</p><p><strong>Clinical significance: </strong>Appropriate selection of cavity disinfectants based on dentition can improve the clinical success of fragment reattachment. Sodium hypochlorite followed by ascorbic acid may be beneficial in primary teeth by enhancing fracture resistance, while chlorhexidine can be safely used in permanent teeth without adversely affecting bond strength. This approach may contribute to improved longevity of restorations in pediatric trauma management.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"269-273"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228524","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":"Perceptual, Psychosocial, and Clinical Determinants of Oral Health among Incarcerated Adolescent Females: A Mixed-construct Appraisal of Developmental Well-being in Custodial Environments.","authors":"Swati Sharma, Shivlingesh Kamate, Neha Awasthi, Bhumika Gupta, Meena Jain","doi":"10.5005/jp-journals-10024-4025","DOIUrl":"https://doi.org/10.5005/jp-journals-10024-4025","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the oral health and self-perceived status of juvenile female inmates.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted among 100 female juvenile inmates aged 11-14 years, selected through convenience sampling. Data were collected using a self-administered questionnaire covering sociodemographics, Decayed, Missing, and Filled Teeth (DMFT), Oral Hygiene Index-Simplified (OHI-S), and the Child Perceptions Questionnaire (CPQ11-14) for self-perceived oral health.</p><p><strong>Results: </strong>Statistical analysis was performed using the Pearson correlation coefficient. Decayed, Missing, and Filled Tooth scores were significantly associated with CPQ categories, with 63.3% of caries-free children reporting excellent oral health-related quality of life (OHRQoL). As DMFT increased, OHRQoL declined-only 25.8% with DMFT = 2 reported excellent OHRQoL, while 12.9% rated it poor. Similarly, better oral hygiene was linked to higher OHRQoL: 55.6% of children with good hygiene reported excellent OHRQoL, compared to 40.6% with fair hygiene. Poorer clinical status correlated with lower self-perceived OHRQoL.</p><p><strong>Conclusion: </strong>The study highlights a clear link between poor oral health and negative self-perception among female juvenile inmates.</p><p><strong>Clinical significance: </strong>Integrating oral health care with education and psychological support in detention settings is crucial to improve their overall well-being, self-esteem, and rehabilitation outcomes.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"310-317"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148227833","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":"Evaluation of Fabrication Technique on the Marginal Fit and Fracture Resistance of an Interim Bridge: An <i>In Vitro</i> Study.","authors":"Ahmed M Hassan, Cherif A Mohsen","doi":"10.5005/jp-journals-10024-4040","DOIUrl":"10.5005/jp-journals-10024-4040","url":null,"abstract":"<p><strong>Aim: </strong>To compare computer-aided design/computer-aided manufacturing (CAD/CAM) and 3D-printing fabrication techniques of an interim bridge on marginal fit and fracture resistance.</p><p><strong>Materials and methods: </strong>Thirty bridges were divided into two groups according to fabrication technique: Group I (<i>n =</i> 15) by CAD/CAM milling and group II (<i>n =</i> 15) by 3D-printing technology. A typodont model, with the first maxillary molar and premolar, and a missing second premolar, was selected for this study. The prepared master model was digitally scanned. The scans were exported to obtain the final virtual 3D master model, which was then used to fabricate the test models and to design and fabricate the provisional dental prosthesis using CAD/CAM technology (milling and printing). The vertical marginal gap was measured. All groups were subjected to thermocycling, and then the marginal gap was remeasured to analyze the influence of thermomechanical aging on the marginal gap. Then the specimens were loaded for the fracture resistance test.</p><p><strong>Results: </strong>The 3D-printed group demonstrated a higher mean marginal gap compared to the milled group before and after thermocycling. While specific combinations of procedure, surface, and tooth type were affected by thermocycling. For the fracture resistance, the milled group demonstrated substantially higher fracture resistance than the 3D-printed group.</p><p><strong>Conclusion: </strong>The CAD/CAM-milled restoration showed better marginal fit and higher fracture resistance than the 3D-printed restoration in temporary prosthesis, but both groups were within clinically acceptable limits. The thermocycling aging influenced the marginal fit of interim fixed bridges.</p><p><strong>Clinical significance: </strong>This study demonstrates that the fabrication technique and thermocycling impact the marginal fit and fracture resistance of interim bridges. The milling technique provides superior marginal fit and fracture resistance; therefore, it is recommended that clinicians prioritize the milling technique to enhance longevity and stability of dental prostheses.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"274-281"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228483","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":"Assessment of Maximum Bite Force in Edentulous Patients with Varying Facial Types: An <i>In Vivo</i> Comparative Study.","authors":"Swathi Nallagampalli Papudesi, Shanthi Priya Kota, Sravanthi Ennala, Ravi Teja Boppana Venkata Hemanath, Bhanu Chander Vayadadi, Sasikala Nijamala, Naseemoon Shaik","doi":"10.5005/jp-journals-10024-4026","DOIUrl":"10.5005/jp-journals-10024-4026","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate and compare the maximum bite force (MBF) among completely edentulous patients with different facial types and to assess its variation according to gender.</p><p><strong>Materials and methods: </strong>A total of 120 completely edentulous subjects (60 males and 60 females) aged 50-60 years were classified into euryprosopic, mesoprosopic, and leptoprosopic facial types based on facial index measurements. Maximum bite force was recorded bilaterally in the premolar-molar region using a custom-made strain gauge transducer, and the mean value was calculated for each subject. Data were analyzed using one-way ANOVA and independent <i>t</i>-tests, with statistical significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>The mean (±SD) MBF values for Euryprosopic, Mesoprosopic, and Leptoprosopic facial types were 6.327 ± 1.505 kg f, 4.406 ± 0.709 kg f, and 3.070 ± 1.263 kg f, respectively, with a statistically significant difference among groups (<i>p</i> < 0.001). Males demonstrated significantly higher MBF (5.615 ± 1.627 kg f) compared to females (3.586 ± 1.334 kg f) (<i>p</i> < 0.001). Euryprosopic individuals exhibited the highest bite force, followed by mesoprosopic and leptoprosopic subjects.</p><p><strong>Conclusion: </strong>Maximum bite force in completely edentulous individuals varies significantly with facial morphology and gender. Higher bite forces were observed in Euryprosopic individuals and males, suggesting superior masticatory efficiency.</p><p><strong>Clinical significance: </strong>Assessment of facial morphology and bite force before prosthetic rehabilitation may aid in optimizing denture design, improving occlusal balance, and enhancing masticatory performance and patient satisfaction.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"288-293"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228499","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":"Impact of Oral Health Education on Visually Impaired Adolescents in Tamil Nadu: A Randomized Controlled Trial.","authors":"Bharath Champakesan, Saranyan Ravi, Baby John John, Veeresh D Jaisubhash, Saravanan Natarajan","doi":"10.5005/jp-journals-10024-3969","DOIUrl":"10.5005/jp-journals-10024-3969","url":null,"abstract":"<p><strong>Aim: </strong>To assess and compare the effectiveness of two educational approaches for oral health among visually impaired adolescents aged 10-21 years in Tamil Nadu.</p><p><strong>Materials and methods: </strong>A randomized controlled trial with a double-blind, parallel-arm design was carried out among visually impaired adolescents, with an estimated sample size of 370. Participants were randomly assigned to group A (Braille and audio aids) or group B (Braille, audio, Audio Tactile Performance technique, and Novel Tactile Graphics). Assessments were conducted at baseline, 3 months, and 6 months, including the improvement in plaque score, gingival score, and oral health knowledge. Data were analyzed using Student's <i>t</i>-test and Chi-squared test, with <i>p</i> < 0.05 considered statistically significant.</p><p><strong>Results: </strong>When compared to group A, group B demonstrated a significant reduction in plaque and gingival index scores at follow-ups compared to baseline (<i>p</i> < 0.05), indicating improved oral hygiene, gingival health, and plaque control, which was statistically significant <i>p</i> < 0.05, underscoring the superior efficacy of the intervention. Mean plaque scores post intervention were 1.46 ± 0.48 (group A) and 1.44 ± 0.74 (group B); mean gingival scores were 1.54 ± 0.45 (group A) and 1.36 ± 0.32 (group B), with statistically significant differences (<i>p</i> < 0.05). The intragroup comparisons showed statistically significant differences from baseline to 6 months for both groups.</p><p><strong>Conclusion: </strong>The findings of this study revealed that the oral health education techniques, like audio-tactile performance (ATP), tactile graphics, were more effective than the traditional combination of Audio and Braille text in promoting proper oral hygiene among visually impaired children.</p><p><strong>Clinical significance: </strong>Visually impaired adolescents face barriers to oral health education. The use of ATP with Novel Tactile Graphics offers an effective, accessible, and user-friendly educational tool to improve oral health among visually impaired adolescents. These results highlight the importance of multisensory, interactive approaches in overcoming educational barriers and improving health outcomes in special-needs populations.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"242-247"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228564","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":"Smear Layer Removal and Dentinal Tubules Penetration of an Ethyl Acetate Fraction of <i>Salvadora persica</i> Combined with Low-concentration Sodium Hypochlorite.","authors":"Andina Rp Kusuma, Diatri N Ratih, Dyah Irnawati, Nuryono Nuryono","doi":"10.5005/jp-journals-10024-4037","DOIUrl":"10.5005/jp-journals-10024-4037","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the smear layer removal ability, dentin mineral alteration, and dentinal tubules penetration of an ethyl acetate fraction (FEA) of <i>Salvadora persica</i> (Miswak) at 5 mg/mL, used alone and in combination with 1.25% sodium hypochlorite (NaOCl), compared with saline, 2.5% NaOCl, and EDTA.</p><p><strong>Materials and methods: </strong>Forty human single-rooted premolars extracted for orthodontic purposes were prepared using rotary instrumentation. Specimens were randomly allocated into four groups (<i>n</i> = 10): saline (negative control), FEA miswak (5 mg/mL), FEA miswak + 1.25% NaOCl, and EDTA (positive control). Smear layer removal was evaluated using scanning electron microscopy (SEM) with a four-grade ordinal scoring system, and dentinal mineral content was analyzed using energy-dispersive X-ray spectroscopy (EDX). Dentinal tubule penetration was assessed by crystal violet bleaching depth. Statistical analysis was performed using the Kruskal-Wallis test with <i>post-hoc</i> comparisons for smear layer scores and one-way ANOVA with Bonferroni correction for penetration depth.</p><p><strong>Results: </strong>Significant differences were observed among irrigation groups in smear layer removal (<i>p</i> < 0.05). The FEA miswak + NaOCl group showed smear layer scores comparable to EDTA (<i>p</i> > 0.05), while FEA miswak alone performed significantly better than saline. Dentinal tubules penetration differed significantly between groups (<i>p</i> < 0.05), with mean penetration depths (µm) as follows: Saline at 84.55 ± 33.71 μm, 2.5% NaOCl at 163.82 ± 32.92 μm, FEA miswak + NaOCl at 201.39 ± 24.61 μm, and FEA miswak alone at 212.71 ± 37.76 μm. No significant differences were found between NaOCl, FEA miswak, and FEA miswak + NaOCl (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>The FEA miswak, particularly when combined with low-concentration NaOCl, demonstrated smear layer removal comparable to EDTA and enhanced dentinal tubules penetration, with minimal mineral alteration.</p><p><strong>Clinical significance: </strong>Conventional root canal irrigation requires multiple solutions, is time-consuming, and risks dentin over demineralization. This study addresses the clinical need for simplified, multifunctional irrigants that maintain efficacy while preserving dentin integrity. The FEA miswak + low-concentration NaOCl combination offers translational potential as a single-dose root canal irrigant, potentially reducing chair time and adverse tissue effects in endodontic practice.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"27 3","pages":"282-287"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148227842","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}