Displaying publications 21 - 34 of 34 in total

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  1. Karobari MI, Khijmatgar S, Noorani TY, Assiry A, Alharbi T
    J Conserv Dent, 2021 02 10;23(5):518-521.
    PMID: 33911363 DOI: 10.4103/JCD.JCD_220_19
    Objective: The aim of this study is to determine the role of clinical audit in improving endodontic treatment outcomes.

    Materials and Methods: An audit at the department of endodontics at dental specialty centre kingdom of Saudi Arabia was carried out. The audit was conducted by developing endodontics treatment and success predictors based on evidence, that can be measured for endodontic care. A total of 12 months' data was examined from the previous dental records. Ten clinical cards were which included root canal treatment were selected. The audit was carried out for a minimum of 50 teeth and a maximum of 200 teeth. The radiographs of record cards were studied and a single dentist completed the audit tool.

    Results: The vitality test was performed in 1.98% cases, intra-canal medicament was used and named in 3.96% cases, 3.96% the teeth were extracted due to endodontic failure. Further, in 6.93% of the cases that were identified had certain spaces but overall root canal filling was evaluated as satisfactory.

    Conclusion: The vitality test, type of intracanal medicament, and assessment of root canal filling were not done, but there was an overall performance of predictors for endodontic treatment.

  2. 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.

  3. Hussein TA, Bakar WZ, Ghani ZA, Mohamad D
    J Conserv Dent, 2014 Nov;17(6):531-5.
    PMID: 25506139 DOI: 10.4103/0972-0707.144585
    To investigate the effect of acidic solution on surface roughness and microleakage of tooth-colored restorative materials.
  4. Gudugunta L, Mynampati P, Jeevan MB, Kumar SM, Akkaloori A, Tejavath SK
    J Conserv Dent, 2019 12 6;22(4):336-339.
    PMID: 31802815 DOI: 10.4103/JCD.JCD_31_19
    Aim: The aim of the study was to evaluate and compare the vertical marginal discrepancy of computer-aided design (CAD)/computer-aided manufacturing (CAM) and pressable lithium disilicate onlays.

    Materials and Methods: A maxillary first premolar typodont tooth was prepared to receive lithium disilicate onlay. Mesio-occluso-distal cavity was prepared with palatal cusp reduction and collar preparation. In the proximal box, gingival seat was placed 1 mm coronal to the cementoenamel junction and mesiodistal width of the seat was kept to 1 mm. Thirty stone models were prepared from thirty rubber base impressions and divided into two groups, based on the technique of fabrication of onlays: (1) Group CL (CAD/CAM lithium disilicate) and (2) Group PL (Pressable lithium disilicate). Fifteen onlays per each group were fabricated by following the manufacturer instructions. Marginal fit of all the samples were analyzed by using stereomicroscope with Image Analysis software. Statistical analysis was done by t-test.

    Results: Statistical significant difference was found between both the groups. The lowest marginal discrepancy (41.46 μm) was measured for Group CL (CAD/CAM lithium disilicate) specimens, and the highest (55.95 μm) discrepancy was observed on the Group PL (Pressable lithium disilicate) specimens.

    Conclusion: Although there was a statistically significant difference between the two groups, marginal gap of both the groups were in clinically acceptable levels.

  5. 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.

  6. 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.

  7. 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.
  8. 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.
  9. Alshehadat SA, Halim MS, Carmen K, Fung CS
    J Conserv Dent, 2016 9 23;19(5):490-3.
    PMID: 27656074 DOI: 10.4103/0972-0707.190021
    BACKGROUND: "Stamp" technique is a new method for placing large composite restorations with accurate occlusal topography. It was introduced mainly to restore Class I cavities and erosively damaged teeth. This technique is indicated when the preoperative anatomy of the tooth is intact and not lost due to the carious lesion. A precise tooth-like filling an accurate functional occlusion is obtained when the stamp technique is applied. However, using this technique to restore Class II cavities is not established yet.

    AIM: To introduce modifications of the stamp technique that make it applicable to restore Class II composite restorations.

    MATERIALS AND METHODS: The traditional materials and tools used for direct composite restorations are needed with no additional instruments. Clinical illustrations and step-by-step description are provided in this paper.

    RESULTS AND CONCLUSION: Using the stamp technique to restore Class II cavities is achievable, simple and practical, and result in a very accurate anatomical restoration.

  10. Ahmed HM, Al Rayes MH, Saini D
    J Conserv Dent, 2012 Jan;15(1):77-9.
    PMID: 22368341 DOI: 10.4103/0972-0707.92612
    Crown fractures are common detrimental consequences of dental traumatic injuries. Early management of such cases is mandatory in order to prevent subsequent pathological changes that could further complicate the treatment. Pulp necrosis, chronic and cystic apical periodontitis can be the fate if these teeth are left untreated. Despite these serious complications, root canal treatment followed by apical surgery is considered a valid treatment option when such cases become complicated with large periapical lesions. However, whether a retrograde filling is essential to be placed or not is still a matter of debate. This case report discusses the orthograde endodontic management, the surgical approach and the clinical outcomes of longstanding crown fractured teeth with large cyst-like periapical lesions with and without retrograde filling.
  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. 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.
  13. 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.
  14. Ab-Ghani Z, Jaafar W, Foo SF, Ariffin Z, Mohamad D
    J Conserv Dent, 2015 Sep-Oct;18(5):355-9.
    PMID: 26430296 DOI: 10.4103/0972-0707.164028
    To evaluate the shear bond strength between the dentin substrate and computer-aided design and computer-aided manufacturing feldspathic ceramic and nano resin ceramics blocks cemented with resin cement.
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