Background Teledentistry, defined as the use of telecommunication technologies for dental care, has emerged as a transformative approach to oral health services. This prospective observational analysis aims to comprehensively assess the impact of teledentistry on patient outcomes and satisfaction, addressing key aspects such as diagnostic accuracy, longitudinal treatment outcomes, and economic and logistical considerations. Methods The study involved 242 participants selected from diverse dental clinics offering teledentistry services. Participants could choose between traditional in-person visits and teledentistry consultations. The teledentistry interventions included remote consultations, diagnostic evaluations, and treatment planning facilitated through virtual communication tools. Baseline assessments captured initial dental conditions, and follow-up assessments were conducted at three, six, and 12 months. Outcome measures included diagnostic accuracy, patient satisfaction, changes in dental conditions over time, and economic and logistical feedback. Results Descriptive statistics revealed baseline characteristics, with participants evenly distributed between in-person and teledentistry groups. However, the overall satisfaction with diagnoses was significantly lower in the teledentistry group as compared to the in-person group (p < 0.001). Longitudinal assessments demonstrated comparable changes in dental conditions between the two groups. Economic feedback highlighted a cost-saving advantage for teledentistry users, with 80% reporting reduced expenses. Conclusion This study highlights the transformative potential of teledentistry in expanding access to oral health services, reducing costs, and providing comparable treatment outcomes to traditional in-person care. Future efforts should focus on enhancing the teledentistry experience, addressing patient satisfaction concerns, and refining the delivery of remote dental care to maximize its benefits for both patients and healthcare systems.

Background: Teleconsultations have gained prominence as a viable method for delivering medical services remotely. In oral radiology, the ability to interpret radiographic images accurately is crucial for diagnosing and treating various dental conditions. The use of teleconsultations in this domain holds promise for extending specialized care to patients who are geographically distant from dental healthcare facilities. Materials and Methods: A total of 50 patients' oral radiographic images were collected for analysis in this study. These images were obtained from diverse geographical locations, showcasing the applicability of teleconsultations. Two groups of dental professionals, one conducting in-person evaluations and the other performing remote interpretations through teleconsultations, participated in the study. The radiographic findings were assessed for concurrence between the two groups. Statistical analysis included the calculation of P values to determine the level of agreement between the in-person and teleconsultation interpretations. Results: The results of this study revealed a substantial level of agreement between in-person and teleconsultation interpretations of oral radiographic images. The calculated P values indicated a statistically significant concordance between the two evaluation methods (P < .05). This suggests that teleconsultations can be a reliable approach for oral radiology interpretation, offering comparable results to traditional in-person evaluations. Conclusion: In conclusion, teleconsultations have demonstrated their potential as an effective means of interpreting oral radiographic images remotely.

Background: Evaluation of type, nature, and prevalence of common oral pathology lesions involving periodontium and implant in patients of tertiary level dental hospital in Hazaribagh City, Jharkhand. Materials and Methods: A total of 2467 people were requested to take part in the oral examination. The current study cohort was made up of the 62.4% of the initial subgroup who participated in the clinical oral examination and granted their agreement for the use of the data. Between January 2023 and June 2023, the clinical oral examination was completed. Results: No changes were observed in 89.6% of study participants. 88.2% males had no changes while 90.4% females had no changes. Normal variations were observed in 3.4% of study participants. 4.3% males had normal variations while 2.7% females had normal variations. Infectious oral pathology was observed in 3.3% of study participants. 2.4% males had infectious oral pathology while 3.2% females had infectious oral pathology Ulcerative lesions were observed in 4.1% of study participants. 3.6% males had ulcerative lesions while 2.4% females had ulcerative lesions. White lesions were observed in 6.7% of study participants. 8.2% males had white lesions while 5.6% females had white lesions. Conclusion: This study provided a detailed evaluation of type, nature, and prevalence of different oral pathology lesions focusing on periodontium and implant.

AIM:This investigation was carried out to evaluate the color stability of a nanocomposite restorative material and the erosive potential of carbonated soft drinks (Coca-Cola; The Coca-Cola Company, Atlanta, Georgia, United States) and packaged orange juice (Real Fruit Power Orange; Dabur Ltd, Ghaziabad, Uttar Pradesh, India) on its surface micromorphology.MATERIALS AND METHODS:Sixty discs (2mm thick and 10mm diameter) of nanocomposite material (Herculite Précis; KaVo Kerr, Brea, California, United States) were prepared using a silicon cylindrical mold. Initially, all the specimens were stored in artificial saliva in five Petri dishes; 12 specimens in each dish. In the Petri dishes, the specimens were immersed in the respective beverages once or twice a day. Before and after each immersion, the specimens were stored in artificial saliva at room temperature. Artificial saliva was changed each day, i.e., every 24 hours. The whole procedure was carried out for three months and then evaluated for color stability using a spectrophotometer and surface micromorphology using a scanning electron microscope. Now, the exposure of specimens to aerated drinks (Coca-Cola) and packaged orange juice (Real Orange) was put to a halt, and specimens were kept continuously in artificial saliva. This procedure was carried out for one month and then evaluated for color stability. The information was analyzed using PASW Statistics for Windows, Version 18.0 (Released 2009; SPSS Inc., Chicago, United States). A p-value of 0.05 was considered significant.RESULTS:The p-value after three months, which is < 0.001 (p<0.05) indicates that the mean color difference values for groups I, II, III, IV, and V show a statistically significant change between the five groups, and similarly, the p-value after one month, which is < 0.001 (p<0.05) indicates that the mean color difference values for groups I, II, III, IV, and V show a statistically significant change between the five groups. Specimens immersed in the carbonated drink twice a day showed clinically more color change than packaged orange juice and artificial saliva on the composite restorative material. Coca-Cola, an aerated drink, was shown to have a higher erosive potential on the composite restorative material than Real Fruit Power Orange and fake saliva.CONCLUSION:The findings are consistent with the hypothesis that repeated exposure to carbonated beverages (such as Coca-Cola and packaged juice) degrades the surface qualities of dental restorations.

Background: An international epidemic known as dental anxiety impacts individuals of all ages worldwide. Children, adults, and society as a whole may all be significantly impacted by the disorder, which has a negative influence on quality of life related to dental health. Dental anxiety has a complex aetiology, making it difficult to treat with a single therapy, which is a major deterrent to getting dental care. The paediatric dentist can determine the best management options by properly evaluating the patient and determining their source and level of anxiety. Estimates of dental anxiety's prevalence may also be affected by the techniques employed to measure it. Aim: This systematic review and meta analysis was carried out to evaluate the efficacy of several projective dental associated anxiety measurement tools used in children as well as evaluate the many accessible dental anxiety scales. Methods and materials: The articles were chosen by two independent reviewers in two stages. In the first stage, each reviewer individually searched titles and abstracts according to the eligibility requirements. Articles were added to the systematic review when a third evaluator made a consensus decision in cases of disagreements. The preselected papers were subjected to full text examination by the same reviewers in phase two in order to determine eligibility and extract pertinent data. We employ the PICO framework, which compared (C) the different types of tools for measurement of anxieties like FIS, VPT, and RMS. the outcome (O) was anxiety scores in the population (P) consisting of children in the age range of 3 to 15 years, with no intervention (i) administered. For this meta-analysis, descriptive cross-sectional research were used. Two reviewers extracted the following data from the selected articles: author(s) and year of publication, design of study , objective of research, age and size of population, dental related anxiety measuring tools applied and outcome Results: 13 studies were ultimately chosen for comprehensive assessment. The VPT and the FIS were examined on a combined total of 295 and 293 kids, respectively. In the population under investigation, there was a computed average difference between the two tools of 0.14 (95% CI: 0.27-0.49). There was no significant variance statistically (p value = 0.76), indicating that both scales are equally accurate in determining the level of anxiety in the paediatric population. There were 209 kids evaluated for the RMS and VPT tools in total. In the population under investigation, there was a computed average difference between the two tools of 0.29 (95% CI: 0.81-0.22). Both were on par, showing that both were equally reliable (p=0.33). There were 209 kids evaluated for the RMS and VPT tools in total. In the population under investigation, there was a computed average difference between the two tools of 0.29 (95% CI: 0.81-0.22). Conclusion: We draw the conclusion that VPT, FIS, and RMS scales are the most often used projective measures in paediatric dentistry. These three tools are equally useful in determining how anxious kids are about visiting the dentist. The findings from this paper can be used by academics, clinicians, and psychologists to choose the best dental related anxiety evaluation system for their specific needs. Bangladesh Journal of Medical Science Vol.22 (Special Issue) 2023 p.S -S

Background: Forensic dentistry is a subspecialty of forensic science that handles, examines, and presents evidence from teeth in the most ethical manner possible. In addition to doing research, forensic odontology (FO) entails managing, examining, assessing, and presenting evidence from dentistry in civil or criminal investigations. In these circumstances, the forensic odontologist aids the court system by reviewing the dental findings. Aim: The present investigation was carried out to assess the dental faculty member's awareness, interest, and knowledge of FO at dental educational institutions in Jharkhand, India. Methods and materials: The sample size calculation assumes a simple random sampling technique and a large population size using the formula E=sqrt((Z^2*p*(1-p))/n). A total of 102 dental teaching faculty members from diverse dental specialties participated in the survey. Utilizing a validated questionnaire that was sent directly after receiving approval from the institutional ethics committee in January 2023, data were gathered in a tailored manner. The questionnaire included 12 questions to gauge the dental teaching faculty members' awareness, knowledge, and interest in FO. Closed-ended questions were included. The outcomes were computed using a percentage system. Results: In this study, 95% of study participants agreed with the fact that teeth are a possible source of DNA, while 5% were unaware of this fact. 68% of study participants said that visual examination constitutes the initial stage in the identification process for unidentified bodies while 8% of study participants said that DNA fingerprinting constitutes the initial stage in the identification process for unidentified bodies. However, 8% of study participants didn’t know anything about this aspect. 72% of dental teaching faculty members agreed to the fact that Barr bodies should be used to determine sex. 89% of study participants responded positively to the question "Can teeth or enamel serve as a tool for determining age?" 11% of study participants did not know that teeth or enamel can serve as a tool for determining age. 41% of study participants had the correct information that FO instruction for bachelor of dental surgery (BDS) students takes place and, as per Dental Council of India (DCI) standards, should be given in both BDS second and third years. Conclusion: The results of the current survey provided information on FO practices among Jharkhand dental institutes' dental faculty. The poll revealed that they have the necessary information, which they must have learned either while studying, participating in continuing dental education, or teaching.

Introduction: Oral cancer is one of the most common cancers in the world. Early recognition leads to higher cure rates and better quality of life. Homeopathy and Ayurveda can help improve the general well-being and vitality of patients without inducing any side effects. Aim: To assess knowledge, opinion, and practices towards oral cancer among homeopathy and ayurvedic students. Objectives: To find the correlation between knowledge and practices followed by homeopathy and ayurvedic students. Method: A descriptive cross-sectional study was conducted among 157 homeopathy and 153 ayurvedic students in Indore city, Central India. The subjects were selected using a convenient sampling technique, and the data was collected using a pre-tested close-ended self-administered questionnaire with 24 questions. The data were analyzed by IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp. using descriptive and analytical (Chi-square and independent sample t-tests) statistics. Correlation analysis was performed to assess the relation between knowledge and preventive practices score. Results: Homeopathy students showed a significantly higher mean knowledge (4.74+0.96) and practice score (4.82+1.54) as compared to ayurvedic students (knowledge score 4.49+1.11) (practice score 4.09+1.98). No significant differences were observed in the mean knowledge and practice scores of the homeopathy students. There was a statistically significant difference between the mean knowledge score and practice score of third-, fourth-, and fifth-year ayurvedic students at p-value <0.05. A positive (p-value <0.0001) correlation was observed between the knowledge and practice scores for ayurvedic students. As the year of professional studies increased, the overall practice of the students regarding oral cancer also increased, with fifth-year students showing significantly better practice (OR-1, p-value = <0.05) than the other year students. Conclusion: Homeopathy students showed better knowledge, whereas ayurvedic students showed better opinions and practices towards oral cancer.

Objective: To assess the effects of Manuka honey, Ocimum sanctum, Curcuma longa, and 0.2% chlorhexidine mouthwash on Streptococcus mutans and Lactobacillus acidophilus levels. Material and Methods: A randomized controlled trial will be conducted on dental students of Teerthanker Mahaveer Dental College and Research Centre, Moradabad. The study participants will be divided into four groups. Each group will have a total of 20 individuals. By using a lottery system, Group A (Manuka honey mouthrinse), Group B (Ocimum sanctum mouthrinse), Group C (Curcuma longa mouthrinse), and Group D (0.2% chlorhexidine mouthrinse) will be chosen. To match the circadian cycle, saliva will be collected at baseline and again after 2 weeks between 10 and 10.30 a.m. The sterile container will subsequently be delivered to the microbiological laboratory and processed as soon as possible to measure Streptococcus mutans and Lactobacillus acidophilus count. For 2 weeks, participants were told to use 10 mL of mouthrinse twice daily. Results: The mean oral hygiene index-simplified (OHI-S) score of all the four groups showed reduction in their scores from baseline to after the study period. For both S. mutans and L. acidophilus, there was a substantial Percentage Reduction (PR) between the prerinse and postrinse samples in all four groups. Discussion: Because quantitative actions play a crucial part in the caries disease process, the changes in microbial activity before and after administration of experimental mouthwashes were examined. Conclusion: Essential oil aqueous extracts were as efficient antibacterial mouthwashes as chlorhexidine and iodine mouthwashes.

Background:Proof of identity acts as a key title role in any criminal investigation. Training of tongue prints has been documented and acknowledged as the gold standard for personal identification worldwide nowadays. Tongue printing has proved as an innovative biometric tool and can be relied upon as an authoritative forensic tool. Research works have been carried out on tongue print independently. However, studies focusing on the morphology or shape of the tongue have not been commenced to a prodigious scope. Aim:The contemporary trial was undertaken upon the people to train and scrutiny the morphological shape of the tongue and validate their magnitude as assistance in sexual dimorphism. Materials and Methods:Hundred dental students in the age group of 18-25 years were included in the trial. For the trial clinical scrutiny, photographs and lingual impressions were recorded of the tongue. Results:In the current trial of the shape of the tongue for gender identification, we used two classifications. According to TCM criteria, five tongue shapes were used for gender identification: rectangle, acute triangle, obtuse triangle, square, and circle. Among the 100 subjects, the square-shaped tongue was chiefly observed, trailed by the circle and obtuse triangle. In the second criteria, Stefanescu et al. classified tongues into two shapes: U- and V-shaped. When the tongue shape was scrutinized, U shape was seen in 79 persons and V shape in 21 persons out of 100 subjects. Conclusion:Hence, the trial concluded that tongue prints exhibited a qualitative result among diverse sex groupings. It can be preached that the human tongue possibilities to distribute a point of exceptionality in morphological shape; besides, it is apt for utilization in gender acknowledgment.

It is of interest to report data on periodontal Health among elderly people in Bushland, Jharkhand, Magadha and Patna, India. The sample comprised of a 130 elderly people. The studies device comprised of a semi-structured survey with thirteen questions. Data shows that old people in Jharkhand suffered from advanced periodontal ailment (47.6%) with easy gingivitis (33.8%). Data also shows that grownups (88.2% grownup males, 64.5% girls in Jharkhand and 34.5% grownup males and 88.9% girls in Bihar) used toothpaste and toothbrush as their primary style for tooth cleansing. These data help in providing improved dental service to rural population in India.

Nosocomial infections are a major concern to both clinicians and health care seekers. Investigations have suggested that laptops & mobile phones may contribute to cross-contamination and can serve as vehicles for infection transmission. Therefore, it is of interest to document the data on hidden reservoirs such as mobile phones and laptops of pathogens in dental settings at the Hazaribag College of dental sciences and Hospital, Jharkhand. The samples were collected from 25 laptops and 25 mobile phones from dentists working in a dental college in Hazaribag city. The samples were collected aseptically using sterile cotton swabs dipped in sterile saline by rotating the swabs on the keyboard surfaces of laptops and mobile phones, inoculated into Brain Heart Infusion broth, vortexed for 1 minute in Fischer Vortex Genie 2 on highest setting & streaked immediately on 5% sheep blood agar plates and were incubated at 37°C for 24 hours aerobically. The isolates were identified based on the colony morphology, colony characteristics and biochemical reactions. The bacterial species isolated were Staphylococcus aureus, Coagulase negative Staphylococcus, Bacillus species, Enterococci, Micrococci, and Pseudomonas etc. Predominant species isolated was Staphylococcus aureus and least was Micrococci. Higher percentage of organisms was found at the Department of Periodontics, Endodontics and least was found in Department of Public Health Dentistry. The percentage and type of organism isolated from keyboards of laptops and mobile phones were similar. Thus, laptops and mobile phones act as vehicles for transfer of potential pathogens associated with dental hospitals. Disinfecting the hands prior to examination of patients and disinfection of laptops and mobiles with alcohol wipes should be done to prevent nosocomial infections.

The alarming high occurrence of head and neck cancer in India demands massive public awareness in this area. Knowledge about prevention of potential causes like tobacco chewing, smoking1or awareness to approach for medical help at the earliest when the early sign of cancer is shown needs to be encouraged. In this study, an attempt has been made to evaluate the real scenario of cancer awareness among the local people of Hazaribag. Data from Shrinivas Hospital and Research, Hazaribag has been considered from 2018-2020. It shows the large number of patients approaching for medical advices only in the last stages of the disease which throws light on the ignorance of the common people living in this area towards this deadly disease, CANCER.

AIM:This study aimed to investigate the association between endodontic clinical signs and symptoms and the presence of Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia employing polymerase chain reaction (PCR).MATERIALS AND METHODS:Microbial samples were obtained from 60 cases with necrotic pulp with primary teeth infections. DNA extracted from samples were analyzed for endodontic pathogens by using species-specific primers.RESULTS:P. gingivalis/T. denticola were detected in 15 symptomatic teeth associated with periapical lesions. T. forsythia/T. denticola were found in 16 symptomatic teeth associated with pain and swelling. P. gingivalis was detected in 9 teeth which were associated with pain, 2 with tenderness on percussion, and 15 with periapical lesions. Statistically significant associations were found between T. forsythia as well as T. denticola in relation to clinical findings of pain and swelling. (P < 0.05). Red complex bacteria showed no statistical significant association with the presence of signs and symptoms.CONCLUSION:Prevalence of P. gingivalis, T. denticola, and T. forsythia suggested association of these bacteria with symptomatic infected pulp and periradicular diseases.

Intraoral appliances such as transpalatal arch and Nance appliance fail to resist forces that tend to loosen the anchorage. The infirmity arises due to the long-lever arm and the mesial force that is perpendicular to the long axis of the appliance. The butterfly arch is presented here as an intraoral appliance that withstands the mesially directed forces with a mechanism that puts strain on a stiff wire along its long axis. The unique shape of the butterfly arch is advantageous in maximum anchorage cases, cases in which arch width preservation is critical and cases with a vertical growth pattern. With the aid of the butterfly arch, clinical concerns such as patient cooperation, wearing extraoral appliances, complicated mechanics in extraction cases, and control of the arch length, arch width, and vertical dimension would be greatly diminished.

The upper deciduous incisors are frequently the teeth most commonly affected either by dental caries or due to the impact of trauma. In such cases, there may be complete coronary destruction of teeth. As they erupt around 7½–9 months of age and the roots only complete at approximately 18–24 months, pulp involvement may occur even before the end of this process. Hereby, we highlight the case of a 15-month-old male patient who reported with a history of trauma. Treatment plan of apexification was made after confirming with multiple radiographs. Root-end closure was obtained after a period of 7 months.

Aim: To assess the prevalence of dental caries in visually impaired children and adults aged 6–25 years attending special schools in Delhi. Materials and Methods: A total of 1131 visually impaired individuals studying in various special care institutions in Delhi were examined. Extraoral as well as intraoral examinations were carried out and decayed-missing-filled teeth (DMFT) index and decayedextracted-filled teeth (deft) index were used. The relevant findings were entered in the proforma. Result: It was seen that of 285 students in the mixed dentition group, 77 individuals had dental caries constituting 27.02%; whereas in the other group, of 1131, 575 individuals presented with DMFT scores constituting 50.84%. On the whole, it was noted that 44.3% of the individuals were caries free in both the groups. Conclusion: The DMFT index showed a cumulative increase with age. As age advanced, the incidence increased. Dental caries prevalence was more in males as compared to females.

Introduction: Occupational exposure to acids has been described in association with oral health, which is explained by the high irritant and corrosive acid effects that damage the enamel structure, cause inflammatory and immune reactions, and reduce the salivary pH, which can also compromise resistance to infections in oral cavity. So, this study was conducted to access the dental erosion and afford them the necessary treatment. Aim: The aim of this study was to evaluate the association between occupational health behaviors and occupational dental erosion in the employees of battery company, Bengaluru, Karnataka, India. Materials and Methods: A case–control study was planned among the workers of battery company in Bengaluru City. Total 362 subjects were selected for the study, among which 181 were cases and 181 were controls. The data were collected by administering a questionnaire, which included demographic data, years of experience, and oral hygiene practices. The dental erosion was assessed according to recommended diagnostic criteria of Smith and Knight Tooth Wear Index. Results: A total of 35.2% of the subjects had dental erosion in the age of 50–59 years. Comparison of dental erosion among the age-group revealed a statistically significant difference (P < 0.00). Approximately 14.5% cases and 1.75% of the controls had at least one tooth surface with dentine, which was statistically significant (P < 0.00). Conclusion: This study documents the association between deterioration of the oral health status and a hazardous workplace environment. Findings pointed to the need of establishing appropriate educational, preventive, and treatment measures coupled with efficient surveillance and environment monitoring for the detection of acid fumes in the workplace environment.

Aim: To assess the effectiveness of health education on knowledge about tobacco use among police personnel in Haldia City, West Bengal. Objectives: 1. To assess the existing knowledge about tobacco use among police personnel in Haldia City. 2. To assess the effectiveness of health education on knowledge about tobacco use among police personnel in Haldia City. Materials and Methods: The present study was an interventional study. The study was conducted over a period of 1 month among police personnel in Haldia city. At baseline a pretested questionnaire was given to the police personnel about the knowledge on tobacco use. After they completed the questionnaire Health Education on tobacco use was given to the participants. After 1 week the same questionnaire was given to the police personnel to assess the changes in the knowledge about tobacco use in them. Results: There was a significant difference found in the knowledge on tobacco use among the police personnel in the pre and post intervention.

Introduction: Tobacco accounts for the largest number of preventable deaths. Along with creating awareness and educating people regarding the ill effects of tobacco on health, it is necessary to have laws regulating the sales of tobacco and its product. Cigarettes and other tobacco products act give the regulations for it. Aim: The aim of this study was to conduct an audit of the point of sales (POS) tobacco advertising and assess compliance with advertising ban in Bengaluru city. Materials and Methods: A cross-sectional observational study was conducted over a period of 2 months. Data were collected from stores in urban areas from eight zones of Bengaluru city using multistage random sampling. Four wards were randomly selected from each of the 8 zones, 4 areas were randomly selected from each ward and 10 shops were randomly selected from each area in the ratio of 1 supermarket: 1 liquor store: 3 convenience store: 5 tuck shops. Results: Results indicated that the 93.9% of the existing shops were not within the 100 yards of any educational institute, 75.8% of them had product showcasing, 81.9% of the stores had boards displayed promotional message, 30.6% had tobacco logo at POS, 93.6% of the stores had more than one interior advertisements, 85.25 of the stores had product placement <1 m of snacks counter, 88.2% of the stores did not display warning signage, 88.3% of the stores did not display no smoking signage, and 85.7% of the stores did not display no smoking area or smoking here is an offense. Conclusion: The results of the present study suggested that there is a lack of compliance with tobacco advertising ban among stores selling tobacco in Bengaluru city. POS advertising has become strategic locations for tobacco companies to advertise their brands.