Management of an endodontically treated tooth is a challenging task. Post and core procedure helps to enhance the fracture resistance of endodontically treated teeth. Hence the present study was done to evaluate the fracture resistance of custom made GC Everstick post to prefabricated Tenax fiber post and Angelus Reforpostluted with two different resin cements on endodontically treated teeth. Sixty extracted human mono-radicular teeth were included. They were endodontically treated and standardized to 15mm from the root apex and then decoronated. The specimens were randomly divided into 3 groups and each group was further alienated into 2 subgroups. The teeth were randomly selected and treated with an Everstick post, Angelus reforpost, Tenax trans fiber post and were cemented using Maxcem elite and GC Fujicem cement. The core was standardized to 4mm. All the Samples were thermocycled and embedded in the acrylic resin blocks then subjected to compressive load of 1mm/min at 1350 angulation to evaluate the fracture resistance. Thus, we show that the GC Everstick Post showed better fracture resistance when compared to other post irrespective of the resin cement used.Maxcem elite resin cement provided better fracture resistance.
This case report describes a 35-year-old female with a 1-year history of painless swelling in the left parotid region. The swelling, progressively increasing in size, was diagnosed as a pleomorphic adenoma based on clinical and cytological findings. This report provides an overview of the diagnostic evaluation and details the step-by-step surgical management of the patient.
Aim:The study compared the clinical effectiveness of Giomer and Zirconomer in patients with gingival recession (GR) associated with noncarious cervical lesions (NCCLs), and evaluated their outcomes when combined with coronally advanced flap (CAF). Materials and Methods:Nine subjects with bilateral Cairo et al. recession type 1 associated with NCCL suggestive of CAF with restorations underwent a split-mouth randomized clinical trial. Eighteen sites were randomly assigned to one of the two groups and restored using Zirconomer (Group A) or Giomer (Group B). CAF was performed after 2 weeks, and patients were followed up at 3 and 6 months. Plaque index (PI), gingival bleeding index (GBI), pocket depth (PD), relative GR (RGR), clinical attachment level (CAL), height of NCCL (NCCL-H), thickness (KTT), and width (KTW) of keratinized tissue and dentinal hypersensitivity (DH) were recorded at baseline, 3, and 6 months postsurgery. Results:Both groups revealed excellent root coverage and CAL gain, although Group A significantly had higher KTW than Group B. After 6 months, the PI, PD, CAL, RGR, and KTW displayed statistically notable variations between the groups. At 6 months, Group A displayed better relief in DH as well as improved RGR and CAL. Conclusion:Both Zirconomer and Giomer, coupled with CAF, achieved sufficient soft-tissue coverage after 6 months. The Zirconomer group, however, had marginally better outcomes in terms of PI, RGR, NCCL-H, KTW, and DH, while Giomer performed better in terms of PD and CAL.
Background: Ensuring effective pain management following periodontal flap surgery is crucial. Triphala guggulu is an Ayurvedic polyherbal formulation and is used to manage a number of conditions such as Shotha (~inflammation), Arsha (~hemorrhoids), Gulma (~type of lump), etc. Aim: Considering the potential benefits of Ayurvedic medication, this study evaluated the analgesic, anti-inflammatory, and wound-healing properties of Triphala guggulu and ketorolac tromethamine following periodontal flap surgery. Materials and Methods: Two groups of 20 outpatients from the Department of Periodontology, KVG Dental College, Sullia, were selected for this study. Patients scheduled for periodontal surgery were randomly assigned to receive either Triphala guggulu (500 mg) or ketorolac tromethamine (10 mg) at least 30 min before the administration of local anesthesia. Pain intensity was assessed using the Visual Analog Scale (VAS) scale for the first 8 h on the day of surgery and two times (morning and night) for the next 2 days. Tissue response (tissue color and edema), wound healing, and patient discomfort were evaluated on the 7 th day postoperatively. The data was analyzed using the Chi-square test. Results: The VAS pain scale demonstrated a significant pain reduction in both groups, with Triphala guggulu providing slightly greater pain relief than ketorolac tromethamine ( P < 0.05). Both groups showed better tissue response and wound healing after the surgical procedure. Patients reported fewer adverse effects with Triphala guggulu , making it a safer and well-tolerated analgesic for pain management. Conclusion: The present study concluded that both drugs significantly reduced postoperative pain in all subjects following periodontal flap surgery. In addition, tissue color, tissue edema, postoperative discomfort, and wound healing showed marked improvement after 1 week. Both medications significantly reduce pain and enhance tissue response and healing, but Triphala guggulu showed slightly superior pain relief and fewer adverse effects, making it a safer option for patients.
Background and objectives: Most of the dento-alveolar trauma that occurs frequently in childhood is often linked to avulsion injuries. Two considerable elements influencing the prognosis of tooth avulsion after replantation are extraoral dry duration and the characteristics of the storage media to support the viability of cells. The study aimed to compare and assess the effectiveness of Hanks' balanced salt solution (HBSS) (HiMedia Laboratories, Thane, India) and Placentrex (Albert David Limited, Kolkata, India) against propolis (5% and 10%) as storage media in preserving the vitality of periodontal ligament (PDL) cells. Materials and methods: Four groups with 15 samples each were selected for the study. Sixty recently extracted premolars were left to incubate for 30 minutes in 15 -ml falcon tubes containing 2.5 ml of collagenase 0.2 mg/ml in phosphate -buffered saline and 2.4 mg/ml of dispase in HBSS, Placentex, propolis 5%, and propolis 10%. After the addition of bovine serum, it was centrifuged for 4 minutes. Trypan blue 0.4% was utilized to recognize the cells, and a hemocytometer was employed for counting the live PDL cells under a light microscope. Results: Propolis 5% and 10%, HBSS, and Placentrex all showed statistically significant differences in PDL cell viability; however, HBSS was significantly outperformed by Placentrex and propolis. Conclusion: Placentrex is a superior substitute storage medium in cases of tooth avulsion as opposed to alternatives such as propolis 5% and 10%.
