Displaying publications 1 - 20 of 34 in total

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  1. Siang Lin GS, Singbal KP, Abdul Ghani NRN
    J Conserv Dent, 2021 07 05;24(1):67-71.
    PMID: 34475683 DOI: 10.4103/JCD.JCD_616_20
    Aim: The aim is to compare the shaping ability, canal straightening, and the preparation time of five different nickel-titanium rotary files in simulated J-shaped canals.

    Materials and Methods: Ninety J-shaped canals in resin blocks were filled with 2% Methylene Blue solution and pre-instrumentation images were taken using a Leica microscope at a ×10. They were prepared until size 25 taper 0.04 using (n = 18 per group): T-Flex, HyFlex CM, Vortex Blue, S5, and iRace. After instrumentation, images were captured again, and composite images were made using Adobe Photoshop imaging software. The differences in canal width and canal curvature at each respective landmark were measured and compared. The preparation time and canal abbreviations were also recorded. Statistical analyses were performed using one-way ANOVA and post hoc Tukey HSD tests. The level of statistical significance was set to P = 0.05.

    Results: HyFlex CM demonstrated the least difference in canal width after instrumentation, but no significant difference (P > 0.05) as compared to T-Flex and Vortex Blue. The mean canal straightening ranged between 0.91° and 7.65°. T-Flex created the least canal straightening after instrumentation which was significantly less (P < 0.05) than S5, but there was no significant difference (P > 0.05) when compared to HyFlex CM. Instrumentation with the S5 file was significantly faster (P < 0.05), whereas HyFlex CM was the slowest.

    Conclusion: T-Flex, HyFlex CM, and Vortex Blue demonstrated better shaping ability, whilst T-Flex and HyFlex CM maintained the original canal curvatures well. S5 tended to straighten the canals and caused the greatest canal transportation, but it required the least amount of time to shape the canal.

  2. Western JS, Dicksit DD
    J Conserv Dent, 2016 Jul-Aug;19(4):343-6.
    PMID: 27563183 DOI: 10.4103/0972-0707.186457
    AIM OF THIS STUDY: The aim was to evaluate the efficiency of different sterilization methods on extracted human teeth (EHT) by a systematic review of in vitro randomized controlled trials.
    METHODOLOGY: An extensive electronic database literature search concerning the sterilization of EHT was conducted. The search terms used were "human teeth, sterilization, disinfection, randomized controlled trials, and infection control." Randomized controlled trials which aim at comparing the efficiency of different methods of sterilization of EHT were all included in this systematic review.
    RESULTS: Out of 1618 articles obtained, eight articles were selected for this systematic review. The sterilization methods reviewed were autoclaving, 10% formalin, 5.25% sodium hypochlorite, 3% hydrogen peroxide, 2% glutaraldehyde, 0.1% thymol, and boiling to 100°C. Data were extracted from the selected individual studies and their findings were summarized.
    CONCLUSION: Autoclaving and 10% formalin can be considered as 100% efficient and reliable methods. While the use of 5.25% sodium hypochlorite, 3% hydrogen peroxide, 2% glutaraldehyde, 0.1% thymol, and boiling to 100°C was inefficient and unreliable methods of sterilization of EHT.
    KEYWORDS: Autoclaving; extracted human teeth; formalin; sterilization methods; systematic review
  3. Baranwal AK, Paul ML, Mazumdar D, Adhikari HD, Vyavahare NK, Jhajharia K
    J Conserv Dent, 2015 Sep-Oct;18(5):399-404.
    PMID: 26430305 DOI: 10.4103/0972-0707.164054
    Where nonsurgical endodontic intervention is not possible, or it will not solve the problem, surgical endodontic treatment must be considered. A major cause of surgical endodontic failures is an inadequate apical seal, so the use of the suitable substance as root-end filling material that prevents egress of potential contaminants into periapical tissue is very critical.
  4. Western JS, Dicksit DD
    J Conserv Dent, 2017 Jan-Feb;20(1):30-36.
    PMID: 28761250 DOI: 10.4103/0972-0707.209066
    BACKGROUND: All endodontic instrumentation systems tested so far, promote apical extrusion of debris, which is one of the main causes of postoperative pain, flare ups, and delayed healing.

    OBJECTIVES: Of this meta-analysis was to collect and analyze in vitro studies quantifying apically extruded debris while using Hand ProTaper (manual), ProTaper Universal (rotary), Wave One (reciprocating), and self-adjusting file (SAF; vibratory) endodontic instrumentation systems and to determine methods which produced lesser extrusion of debris apically.

    METHODOLOGY: An extensive electronic database search was done in PubMed, Scopus, Cochrane, LILACS, and Google Scholar from inception until February 2016 using the key terms "Apical Debris Extrusion, extruded material, and manual/rotary/reciprocating/SAF systems." A systematic search strategy was followed to extract 12 potential articles from a total of 1352 articles. The overall effect size was calculated from the raw mean difference of weight of apically extruded debris.

    RESULTS: Statistically significant difference was seen in the following comparisons: SAF < Wave One, SAF < Rotary ProTaper.

    CONCLUSIONS: Apical extrusion of debris was invariably present in all the instrumentation systems analyzed. SAF system seemed to be periapical tissue friendly as it caused reduced apical extrusion compared to Rotary ProTaper and Wave One.
  5. Vankayala B, Anantula K, Saladi H, Gudugunta L, Basavarajaiah JM, Yadav SS
    J Conserv Dent, 2020 08 20;22(6):559-563.
    PMID: 33088065 DOI: 10.4103/JCD.JCD_221_19
    Aim: This study aims to evaluate the amount of apical extrusion of bacteria during root canal instrumentation using K3XF, Protaper Gold, Edge taper platinum, and Hyflex CM Rotary systems.

    Materials and Methods: Sixty freshly extracted maxillary incisors teeth collected in saline. Access cavity prepared and canals were made free of bacterial and pulp. The teeth were mounted on the bacteria collecting apparatus. Root canals were contaminated with the Fusobacterium Nucleatum (ATCC25586) and dried at 37°C for 24 h. In Group 1 (Control group): No instrumentation was done and biomechanical preparation done in all other groups with Group 2: Hand K-files, Group 3: Protaper gold, Group 4: K3XF, Group 5: Edge taper platinum, and Group 6: Hyflex CM rotary file systems. Then, the extrude was collected, and it is incubated in Mueller-Hinton agar for 24 h and the number of colony forming units were counted and statistical comparison was done using Kruskal-Wallis test and Mann-Whitney U test.

    Results: Hand K-files extruded more bacteria when compared to other four rotary systems, K3XF file system extruded least number of bacteria.

    Conclusion: All instrumentation techniques extruded intracanal bacteria apically. However, engine-driven nickel-titanium instruments extruded less bacteria than the manual technique. The K3XF rotary file system comparatively extruded less bacteria than other rotary file systems.

  6. Singbal K, Jain D, Raja K, Hoe TM
    J Conserv Dent, 2017 Mar-Apr;20(2):64-67.
    PMID: 28855748 DOI: 10.4103/0972-0707.212236
    BACKGROUND: Apical extrusion of debris during instrumentation is detrimental to the patient.
    AIM: The aim of this study was to evaluate the apical extrusion of debris during root canal instrumentation using two single file rotary Ni-Ti systems.
    MATERIALS AND METHODS: Thirty freshly extracted mandibular premolars with straight roots were sterilized and divided into two groups instrumented using: One Shape rotary Ni-Ti system with Endoflare orifice shaper (Group 1) and Neo-Niti rotary Ni-Ti system with C1 orifice shaper (Group 2). Preweighed Eppendorf tubes fitted for each tooth before instrumentation. During instrumentation, 1 mL of distilled water with a 30-gauge needle was used to irrigate after every instrument. Tips of the tooth were irrigated with 2 ml distilled water after removal from Eppendorf tubes. The total volume of irrigant in each group was the same 8 ml. All tubes were incubated at 68°C for 15 days and subsequently weighed. The difference between pre- and post-debris weights was calculated, and statistical analysis was performed using independent t-test and level of significance was set at 0.05.
    RESULTS: The difference between pre- and post-weights was significantly greater for the One Shape system.
    CONCLUSIONS: The Neolix Niti single file was associated with less extrusion compared to One Shape single file system.
  7. Chhabra N, Desai K, Singbal KP
    J Conserv Dent, 2022;25(5):555-560.
    PMID: 36506618 DOI: 10.4103/jcd.jcd_270_22
    CONTEXT: Endodontically treated premolars are currently restored with direct bonded techniques in conservative manner enabling them to bear functional stresses homogeneously.

    AIM: The study aimed to evaluate the effect of placement of compactable glass fibers in reinforcing the endodontically treated teeth in a novel conservative manner.

    SETTINGS AND DESIGN: Research laboratory, in vitro study.

    MATERIALS AND METHODS: Seventy-five extracted maxillary premolars were procured. Fifteen teeth were left untreated (Group A) and the remaining teeth were endodontically treated followed by standardized mesio-occluso-distal preparation and randomly assigned to experimental groups (n = 15) as follows: (B) no restoration, (C) restoration with composite, (D) EverStick® POST followed by composite, and (E) vertical glass fibers within 3 mm of the coronal root canal space and buccopalatal flaring of the coronal fibers followed by composite. After conditioning and thermocycling, specimens were loaded under a universal testing machine to evaluate fracture resistance and fracture pattern of specimens.

    STATISTICAL ANALYSIS USED: Obtained scores were statistically analyzed using one-way analysis of variance test for stress analysis, post hoc Tukey's test for intergroup comparison, and Chi-square test for analysis of favorable and unfavorable fracture.

    RESULTS: The fracture resistance was highest to lowest as follows: Group A > E > C > D > B (P < 0.001).

    CONCLUSION: EverStick®POST used in conservative manner improved fracture strength of teeth significantly.

  8. de Moraes Porto IC, Honório NC, Amorim DA, de Melo Franco AV, Penteado LA, Parolia A
    J Conserv Dent, 2014 Jan;17(1):65-9.
    PMID: 24554865 DOI: 10.4103/0972-0707.124151
    The radiopacity of contemporary adhesive systems has been mentioned as the indication for replacement of restorations due to misinterpretation of radiographic images.
  9. Ooi HY, Tee WY, Davamani F, Nagendrababu V
    J Conserv Dent, 2019 8 2;22(3):241-244.
    PMID: 31367106 DOI: 10.4103/JCD.JCD_521_18
    Introduction: The aim of this study is to compare the antimicrobial activity of pediocin with chlorhexidine (CHX) and calcium hydroxide (Ca(OH)2) against Enterococcus faecalis and Staphylococcus epidermidis biofilms.

    Materials and Methods: The prepared root canals of 80 teeth were contaminated with E. faecalis (n = 40) and S. epidermidis (n = 40) for 21 days to create biofilms. The samples in each group were allocated randomly into the following four subgroups (n = 10) according to the decontamination protocol: Group 1: 1% Pediocin, Group 2: 2% CHX, Group 3: Ca(OH)2, and Group 4: saline (negative control). At 5 days, the antimicrobial efficacy of the medicaments against E. faecalis and S. epidermidis was assessed by collecting dentin shavings from the canal walls created using Gates Glidden drill sizes 4 and 5, corresponding to a depth into the root canal walls of 200 μm and 400 μm, respectively. The total number of colony-forming units (CFUs) was counted. The Wilcoxon signed-rank test was used to compare the difference in CFUs between the two depths (P > 0.05).

    Results: There was no bacterial growth in samples treated with pediocin, CHX, or Ca(OH)2 at either depth.

    Conclusion: In this laboratory experimental model, pediocin exhibited the same antimicrobial properties against E. faecalis and S. epidermidis as CHX and Ca(OH)2.

  10. Ang Y, Tew IM
    J Conserv Dent, 2021 02 11;23(6):644-647.
    PMID: 34083924 DOI: 10.4103/JCD.JCD_533_20
    Restoring extensively damaged endodontically treated posterior teeth is always a challenge in dentistry. The use of endocrowns has gained popularity in restoring severely damaged endodontically treated teeth (ETT) in recent years. In this clinical report, a structurally compromised mandibular second molar with symptomatic irreversible pulpitis and normal apical tissue was endodontically treated. Surgical crown lengthening was attempted thereafter to increase the crown height. However, marginal periodontal tissue re-growth occurred after surgical crown lengthening. The tooth was subsequently restored with endocrown which was fabricated using computer-aided design and computer-aided manufacturing-based hybrid-ceramic. In conclusion, endocrown can be a viable restorative modality for ETT with compromised clinical crown height.
  11. Ahmed HM, Omar NS, Luddin N, Saini R, Saini D
    J Conserv Dent, 2011 Oct;14(4):406-8.
    PMID: 22144813 DOI: 10.4103/0972-0707.87212
    This study aims to evaluate the cytotoxicity of a new fast set highly viscous conventional glass ionomer cement (GIC) with L929 fibroblasts.
  12. Subhi H, Reza F, Husein A, Nurul AA
    J Conserv Dent, 2018 4 10;21(1):21-25.
    PMID: 29628642 DOI: 10.4103/JCD.JCD_86_17
    Aim: The aim of this study was to evaluate the cytotoxicity effects of experimental gypsum-based biomaterial prepared with various concentrations of chitosan (Gyp-CHT).

    Materials and Methods: The study was performed using cell viability assay for mitochondrial dehydrogenase activity in stem cells from human exfoliated deciduous teeth (SHED), after 1, 2, and 3 days of exposure to the biomaterial extracts of varying concentrations. Differences in mean cell viability values were assessed by one-way analysis of variance, followed by Dunnett T3 post hoc test for multiple comparisons (P < 0.05).

    Results: The cell viability to Gyp-CHT in low extract concentrations was statistically similar to that of the control and different from that of high extract concentrations. Gyp-5% CHT showed the highest percentage of cell viability with 110.92%, 108.56%, and 109.11%. The cell viability showed a tendency toward increment with low extract concentration and no constant effect of CHT on cell viability toward higher or lower.

    Conclusions: Gyp-CHT biomaterial has no cytotoxic effects on the cultured SHED.

  13. Abdullah D, Syed Mohamed AMF, Cheen Liew AK
    J Conserv Dent, 2019 3 2;22(1):102-106.
    PMID: 30820092 DOI: 10.4103/JCD.JCD_113_18
    Although corticosteroid provides many clinical benefits, it may cause a range of side effects. A 47-year-old female patient presented with a complaint of pain from her teeth, triggered upon taking cold, hot, and sweet food and drink. From her medical history, she was previously diagnosed with ulcerative colitis. She consequently developed pyoderma gangrenosum, and high-dose prednisolone was administered to treat this condition (prednisolone 30 mg bd for 4 months followed by tapering dose 5 mg/week). She claimed the pain started at the end of steroid therapy. The pain mimicked symptoms of dentine hypersensitivity, but without the presence of the clinical signs associated with hypersensitivity, suggesting that the pain was steroid induced. Patients in this condition will find that their dietary choices will be limited and effective oral hygiene be impeded. Reassurance and advising patients to maintain oral hygiene are the most appropriate treatment as this condition would eventually wear off with time.
  14. Abd Wahab MH, Bakar WZ, Husein A
    J Conserv Dent, 2011 Oct;14(4):387-90.
    PMID: 22144809 DOI: 10.4103/0972-0707.87207
    Porcelain from prosthesis such as crown or bridge can be fractured if exposed to trauma; and, can be repaired at chairside using composite resin.
  15. Rath A, Ramamurthy PH, Fernandes BA, Sidhu P
    J Conserv Dent, 2017 9 1;20(2):134-136.
    PMID: 28855763 DOI: 10.4103/0972-0707.212237
    Tooth surface loss (TSL) is a complex phenomenon characterized by the loss of hard tooth structure at various locations of the teeth, usually due to more than one factor. TSL due to abrasion can be significant in patients consuming coarse, abrasive diet. The present case reports an interesting incisal edge abrasion in a female patient, attributed to a particular dietary behavior of long-term consumption of sunflower seeds. All her family members and most of the people from her native place were also reported to have similar lesions by the patient. Larger epidemiological studies to assess the prevalence and severity of such abrasive lesions in geographic areas with this particular dietary habit need to be carried out so that people may be made aware and educated about alternative ways of eating sunflower seeds that will not cause any form of tooth wear.
  16. Reza F, Lim SP
    J Conserv Dent, 2012 Apr;15(2):123-6.
    PMID: 22557808 DOI: 10.4103/0972-0707.94576
    To compare push-out bond strength between self-cured and dual-cured resin cement using a titanium post.
  17. Zuryati AG, Qian OQ, Dasmawati M
    J Conserv Dent, 2013 Jul;16(4):356-61.
    PMID: 23956541 DOI: 10.4103/0972-0707.114362
    Home bleaching agents may not be safe for composite resins. The purpose of this study was to evaluate the effects of 10 and 20% Opalescence(®) PF home bleaching agents on the surface roughness and hardness of universal nanocomposite (Filtek Z350), anterior nanocomposite (KeLFiL), and nanohybrid composite (TPH 3).
  18. Chhabra N, Gangaramani S, Singbal KP, Desai K, Gupta K
    J Conserv Dent, 2018 8 21;21(4):428-432.
    PMID: 30122826 DOI: 10.4103/JCD.JCD_72_18
    Aim: The study evaluated the effectiveness of three intermediate endodontic irrigating solutions in eliminating the residual sodium hypochlorite (NaOCl), thus preventing the formation of the orange-brown precipitate when 2% chlorhexidine (CHX) is used as the final irrigant.

    Materials and Methods: A total of 40 extracted human maxillary anterior teeth were selected, disinfected, and decoronated to obtain a standardized length of 10 mm. The teeth were prepared with Protaper universal rotary files until size F4 using 2.5% NaOCl as an irrigant during instrumentation. The teeth were then randomly divided into four groups of 10 samples each based on the irrigating solutions used during final wash sequence as follows: Group A - (2.5% NaOCl and 2% CHX), Group B - (2.5% NaOCl followed by 70% Isopropyl Alcohol and 2% CHX), Group C - (2.5% NaOCl followed by 6.25% sodium metabisulfite and 2% CHX), and Group D - (2.5% NaOCl followed by 3.86% sodium Thiosulfate and 2% CHX). The roots were sectioned longitudinally and the canal surface was evaluated under dental operating microscope (×16) for the presence of orange-brown precipitate. The results were tabulated as per scoring criteria and statistically analyzed.

    Statistical Analysis Used: One-way ANOVA test and post hoc Tukey's test.

    Results: The lowest mean score was observed in Group C, followed by Group D and Group B, respectively. In comparison, there was a statistically significant (P < 0.001) difference in results between Group C and the other experimental groups. However, there was no statistically significant difference between Group B and Group D.

    Conclusion: Sodium metabisulfite was found to be very effective in preventing the formation of orange-brown precipitate.

  19. Ismail IH, Al-Bayaty FH, Yusof EM, Gulam Khan HBS, Hamka FA, Azmi NA
    J Conserv Dent, 2021 02 10;23(5):489-496.
    PMID: 33911359 DOI: 10.4103/JCD.JCD_528_20
    Introduction: Enterococcus faecalis can be found in failed endodontic treatment (FET) even after performing primary endodontic treatment (PET). Calcium hydroxide (Ca(OH)2) cannot fully eliminate this microorganism during PET. Brazilian green propolis (bee glue) was found to be more effective against E. faecalis when compared to Ca(OH)2. A much less studied Malaysian geopropolis (MP) as well as Aloe vera (AV) is antibacterial but is unknown against E. faecalis.

    Objective: The objective of this study is to determine the antimicrobial effects of MP, AV, and MP + AV in comparison with Ca(OH)2 against E. faecalis, as an intracanal medicament.

    Materials and Methods: Antimicrobial activity of MP, AV, MP + AV, Ca(OH)2, and dimethyl sulfoxide was tested against E. faecalis using antimicrobial sensitivity testing, minimum inhibitory concentration (MIC), and minimum bactericidal concentration (MBC). The results were analyzed by Kruskal-Wallis test with Mann-Whitney post hoc test and repeated measures analysis of variance with Bonferroni post hoc test (P < 0.05).

    Results: For agar well-diffusion method, MP + AV gave maximum inhibition zone diameter (mean: 8.11 ± 0.015 mm), MP (mean: 6.21 ± 0.046 mm, Ca(OH)2 (mean: 5.5 ± 0.006), and AV (mean: 5.05 ± 0.012) with P < 0.05. MIC for MP + AV was 2 mg/ml, MP at 8 mg/ml, Ca(OH)2 at 8 mg/ml, and AV at 16 mg/ml. The MBC for MP + AV is at 4 mg/ml, MP at 16 mg/ml, Ca(OH)2 at 16 mg/ml, and AV at 32 mg/ml.

    Conclusion: The combination of MP and AV consistently showed better antimicrobial activity compared to MP and AV alone against E. faecalis. The findings suggest that MP and AV used in combination may be an ideal intracanal medicament in FET and PET.

  20. Vivekananda Pai AR
    J Conserv Dent, 2023;26(1):3-11.
    PMID: 36908722 DOI: 10.4103/jcd.jcd_422_22
    Sodium hypochlorite (NaOCl) is one of the most commonly used irrigant because of its several advantages. However, it is highly cytotoxic and can lead to severe tissue damage. NaOCl accident occurs when it is extruded beyond root confines into periapical or periradicular tissues. It is an irrigant mishap which can be life threatening and/or cause residual or long term or permanent consequences with malpractice and medico-legal implications. There are many factors which can influence the occurrence and progress of NaOCl accident. These factors can be broadly categorized as patient (host)-, tooth-, operator-, and NaOCl-related factors. They can be further categorized as predisposing and extent factors. It is vital for a clinician to thoroughly understand and identify various influencing factors to prevent NaOCl accident with its associated consequences including any potential medico-legal issues. The purpose of this article is to provide a narrative review on various factors which predispose to the occurrence of NaOCl accident and influence its extent and/or outcome.
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