Journal of Scientific Dentistry

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Volume 13, Number 2, July-December 2023
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EDITORIAL

Aruna Sharma

Role of Research in Undergraduate Education

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:1] [Pages No:37 - 37]

   DOI: 10.5005/jp-journals-10083-1043  |  Open Access |  How to cite  | 

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Original Article

Manovijay Arulmani, Kurinchichelvan Ramalingam, Vanathy Desingu, Alarmelu Natarajan, Sama Dharsh, Natarajan Rajagopal

Comparative Evaluation of the Efficacy of a Novel Composition based on Hypochlorous Acid vs Sodium Hypochlorite in Prevention of Cross-infection during Dental Treatment Procedures: A Pilot Study

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:3] [Pages No:38 - 40]

Keywords: Disinfection, Hypochlorous acid, Sodium hypochlorite, Ultrasonic scaling

   DOI: 10.5005/jp-journals-10083-1039  |  Open Access |  How to cite  | 

Abstract

Introduction: The probability of infection during dental practice is extremely significant, particularly when utilizing water from the dental chair's water boosters, which is often provided directly to the patient. As a result, there is a pressing need to create a unique disinfection composition for use in dental treatments, particularly in water lines. Aim: The aim of this study is to examine and compare the efficacy of a novel composition based on hypochlorous acid (HOCl) vs sodium hypochlorite in preventing cross-infection during dental treatment operations. Materials and methods: Patients with moderate-to-severe gingivitis were randomly assigned to one of three groups of five. They had been designated for ultrasonic scaling. Group I (control): For ultrasonic scaling, freshly prepared reverse osmosis (RO) water was utilized in the dental unit water booster. Group II (test group 1): As a disinfectant in the dental unit water booster, sodium hypochlorite (100 ppm) was utilized. Group III (test group 2): A novel (100 ppm)-based composition was used as a disinfectant in the dental unit water booster. The water units’ oxidation-reduction potential (ORP) after scaling was also assessed. Results: Postoperatively, all three groups exhibit a decrease in oxidation-reduction potential. Group II has a significant decrease in ORP (p = 0.001). Conclusion: This study found that using sodium hypochlorite as an ultrasonic liquid coolant considerably decreases the ORP during scaling when compared to RO water and HOCl. Clinical significance: As an ultrasonic liquid cooler, sodium hypochlorite considerably decreases the ORP during scaling.

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Original Article

Sandhyarani Kumbar, Vriti Kumar Pursnani, Anil T Patil, Sujatha Paranna, Renuka Rajesh Bhurke, Adhithi Prakash

Evaluate the Perspective of the Concrete Operational Stage of Piaget's Theory and Its Correlation with Tell–Show–Do: A Comparative Study

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:4] [Pages No:41 - 44]

Keywords: Behavioral management, Cognitive theory, Pediatric dentistry, Restorative procedure, Tell–show–do

   DOI: 10.5005/jp-journals-10083-1040  |  Open Access |  How to cite  | 

Abstract

Background: One of the most significant problems in pediatric dentistry is behavioral resistance from children during their first dental visit. Most children show variation in the rate of cognitive development when compared with their chronological age. This study utilizes Piaget's theory to identify the cognitive development of children and their segregation into logical thinkers and less logical thinkers, following which the tell–show–do technique was utilized to perform a restorative procedure on these groups. Aim: The study aims to evaluate the perspective of the concrete operational stage of Piaget's theory and its correlation with the tell–show–do technique. Materials and methods: This comparative study was conducted among 84 children whose ages varied from 7 to 10 years. Various characteristics specific to this age group, such as egocentrism, seriation, transitivity, reversibility, classification, and decentering, were assessed using interview questions. A comparison of the tell–show–do technique during a restorative procedure was carried out among the two groups, i.e., logical and less logical children, and behavior was observed at the first visit, during treatment, and after the treatment using the Venham Behavior Rating scale. Results: There was a statistically significant difference between the two groups, i.e., logical and less logical groups. The logical thinkers were able to comprehend instructions to undergo the procedure, while the less logical children were anxious even after explaining the procedure using the tell–show–do technique. Conclusion: This study shows the effectiveness of the use of the tell–show–do technique on logical thinkers during dental treatment.

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Original Article

Monika Jagadeesan, Sushma Arulanandan, Saravana Kumar Ravindran, Sakthi Devi

Knowledge and Attitude towards Management of Gingival Recession among Dental Professionals in Puducherry

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:4] [Pages No:41 - 44]

Keywords: Esthetic, Gingival recession, Periodontal disease

   DOI: 10.5005/jp-journals-10083-1034  |  Open Access |  How to cite  | 

Abstract

Gingival recession is represented by atrophic periodontal changes. Gingival recession is a problem affecting almost all middle and older aged to some degree. Gingival recession, a riddle or puzzle among clinicians due to its multiple etiologies and various treatment modalities are found to distress in the field of Periodontology. The aim of this study is to evaluate the knowledge on diagnosis, opinions, treatment options and interests among the dental professionals with regard to gingival recession. Data were collected by using a structured, validated, standard, self-administered questionnaire. The questionnaire was sent to interns and post graduate students of all disciplines. Students were approached through known contacts and the questionnaire was sent as an online Google Form. Through the observations, we state that many dentists (interns and non-perio PGs) disregard these perioplastic procedures due to a lack of awareness, expertise and professional incompetence. Early detection and treating the gingival recession with appropriate perioplastic procedures will result in good outcome.

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CASE REPORT

Suganya Rajaram, Santha Devy Arumugam, Vezhavendhan Nagaraj, Vidya Lakshmi, Sivaramakrishnan Muthanandam, Umamaheshwari Giri, R Aarthi

Oral Lichen Planus with Mild Epithelial Dysplasia: A Case Report and Literature Review

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:3] [Pages No:45 - 47]

Keywords: Burning sensation, Case report, Epithelial dysplasia, Oral lichen planus

   DOI: 10.5005/jp-journals-10083-1038  |  Open Access |  How to cite  | 

Abstract

Oral lichen planus (OLP) is a chronic or recurrent inflammatory autoimmune disease with T-lymphocyte infiltration that destroys the basal stratum, which causes white striae, erosions, ulcers, and breaks in epithelial continuity. There is a sex predilection with a female/male ratio of approximately 2:1, and the age of onset is generally between the fourth and sixth decades of life. About 5% of OLP patients will develop cutaneous lesions. Stress, drugs, dental fillings, genetic factors, immunity, and hypersensitivity reactions can contribute to its pathogenesis. This paper presents the case of a 34-year-old male reported to OPD with complaints of burning sensation, pain, and irritation in gums and cheek for the past 6 months. The ubiquitous and polymorphic clinical presentation of the lesion mandates a proper history taking and microscopic examination of the lesioned tissue. As a result, after the clinical and pathological assessment, the diagnosis of oral lichen planus with mild dysplasia was established, and a therapy plan was conducted. On observation, a favorable regression of lesion was noticed after the administration of corticosteroids and immunomodulatory agents.

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CASE REPORT

Abhinandan Patra, Sonal Gupta, Abia Baby

Radiographic Evaluation of Furcal Perforation Repair Using e-MTA® in Primary Molars-90 Days Follow-up: A Case Report

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:4] [Pages No:48 - 51]

Keywords: Case report, Mineral trioxide aggregate, Perforation, Primary teeth, Pulpectomy

   DOI: 10.5005/jp-journals-10083-1044  |  Open Access |  How to cite  | 

Abstract

Introduction: Iatrogenic furcation perforation is an unintended communication between the pulp chamber and the periodontal tissues that can occur during root canal therapy or while locating the root canal orifices. Management of these iatrogenic mishaps especially in primary teeth can be challenging. Recent advancements in the techniques and materials used to repair furcal perforations have improved the outlook for this procedure. Recently, mineral trioxide aggregate (MTA) has been used for several dental purposes. This biocompatible material promotes bone healing and the elimination of clinical symptoms. Case description: The purpose of this case report is to describe the treatment of an iatrogenic furcal perforation using MTA in a primary first molar tooth of an 8-year-old boy patient who had reported a chief complaint of pain in the lower left back tooth region for the past 3 weeks. Clinical examination revealed carious lesions involving enamel, dentin, and pulp in relation to 84. Intra-oral periapical radiograph revealed well-defined radiolucency involving enamel dentin and pulp. The treatment plan was non-vital pulp therapy: Pulpectomy. Following the access cavity preparation, even after debridement and cleaning of pulp from the root canals, there was profuse bleeding in the access cavity. Furcal perforation was confirmed with a radiograph. The perforation site was sealed with MTA, followed by Metapex obturation. Follow-up visits at 90 days showed clinical and radiographic success of treatment. Conclusion: Therefore, MTA may be considered an alternative option for the repair of furcal perforation in primary teeth, prolonging the longevity of these dental elements.

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REVIEW ARTICLE

Anusha Divvi, Shivashankar Kengadaran, Daniel J Caplan, Shyam Sivasamy, Senthil Murugappan

A Brief Review on Children's Oral Health Related Quality of Life Measures in Dentistry

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:3] [Pages No:52 - 54]

Keywords: Instrument, Oral health, Oral health-related quality of Life

   DOI: 10.5005/jp-journals-10083-1041  |  Open Access |  How to cite  | 

Abstract

Developing measurements for assessing oral health-related quality of life (OHRQoL) in children presents unique challenges. Oral health is greatly influenced by age, resulting in notable differences in OHRQoL between children and adults. While numerous tools exist for measuring adult OHRQoL, this complexity hinders the creation of suitable measurement instruments tailored to children and adolescents. However, developing instruments specifically for these younger populations enables researchers to pinpoint and explore OHRQoL factors unique to them, such as self-image, social acceptance, and the school environment. This paper aims to provide a concise overview of instruments designed to assess the OHRQoL in children.

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REVIEW ARTICLE

Annapoorani Sevagaperumal, Winnifred Christy

microRNA—Does it Presage the Malignant Change of Oral Potentially Malignant Disorders: A Systematic Review

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:6] [Pages No:55 - 60]

Keywords: Biomarker, microRNA, Malignancy, Oral potentially malignant disorders, Prognosis

   DOI: 10.5005/jp-journals-10083-1024  |  Open Access |  How to cite  | 

Abstract

Aim: The aim of this systematic review is to uncover the role of microRNAs (miRNAs) in foreseeing malignant progression in oral potentially malignant disorders (OPMD) as the need for an effective yet noninvasive independent biomarker for malignancy is the need of the hour. In recent times, numerous miRNAs have been investigated for their role. Thus, a deduction about the most effective one is needed. Materials and methods: The article search for this systematic review was done using PubMed database, proceeded to adapt preferred reporting items for systematic reviews and meta-analyses (PRISMA) and population, intervention, control, and outcomes (PICO) guidelines. Followed by an assessment of bias and quality in the included articles. Results: As a result of the search strategy, 19 articles were selected. As a result, various miRNAs and their regulation were analyzed. Conclusion: microRNAs were allied with the progression of OPMD into malignancy and also in predicting the progression and prognosis of malignant lesions. Thus, they can be used as a noninvasive independent biomarker for OPMD screening and assessing malignant lesions status.

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EXPERT OPINION

Pradnya V Kakodkar

Geriatric Oral Health Research: Research Designs and Areas of Research

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:2] [Pages No:61 - 62]

   DOI: 10.5005/jp-journals-10083-1042  |  Open Access |  How to cite  | 

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CLINICAL TECHNIQUE

Janaki Ramesh, Sreeramulu Basapogu, Vineela Pyla, Bharat Chandra Velamakuri

A Simple Flask Extension Technique for Processing of Obturators: Clinical Technique

[Year:2023] [Month:July-December] [Volume:13] [Number:2] [Pages:3] [Pages No:63 - 65]

Keywords: Acrylic resins, Maxillofacial prostheses, Palatal obturator, Prosthesis retention

   DOI: 10.5005/jp-journals-10083-1045  |  Open Access |  How to cite  | 

Abstract

Obturators are prostheses that are used to rehabilitate maxillary defects. The lateral wall height of the obturator is an important aspect that affords the prosthesis with retention and stability. To overcome the difficulty faced with the use of readymade denture flasks in accommodating this height during processing, a simple flask extension technique using self-cure acrylic resin is described here. This procedure is reversible, does not require any special equipment, and can be used routinely in dental laboratories.

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