IntroductionFormocresol has been a popular pulpotomy medicament for many years. It is considered the “gold standard“ in pediatric dentistry. However, concerns have been raised over its use in children. It has been reported that formocresol has toxic and mutagenic effects in cell culture, dental crypts, and precancerous epithelial cells. Therefore, additional biocompatible treatment alternatives are required to replace formocresol pulpotomy.AimsThis study compared the clinical and radiographic success rates of ferric sulfate (FS) and bioactive tricalcium silicate cement (Biodentine, Septodont) as pulpotomy agents in primary molar teeth over a period of 9 months.Materials and methodsFifty primary molar teeth, symptom free, requiring pulpotomy in children aged 4 to 8 years were treated with conventional pulpotomy procedures. Ferric sulfate 15.5% solution (applied for 15 second for 25 teeth) and Biodentine (for 25 teeth) were used as pulpotomy agents. Permanent restorations were stainless steel crowns in most cases, in both groups. Patients were recalled for follow-up at 1, 3, 6, and 9 months intervals. The data were statistically analysed using chi-square test.ResultsAt 9 months, 96% clinical success rate was observed in the FS and 100% in the Biodentine group. Radiographic success rate in the FS group was 84%, whereas 92% in the Biodentine group at 9 months. No statistically significant difference was found between the two groups.ConclusionBiodentine can be used as a pulpotomy agent but further long-term studies are required.How to cite this articleSirohi K, Marwaha M, Gupta A, Bansal K, Srivastava A. Comparison of Clinical and Radiographic Success Rates of Pulpotomy in Primary Molars using Ferric Sulfate and Bioactive Tricalcium Silicate Cement: An in vivo Study. Int J Clin Pediatr Dent 2017;10(2):147-151.
Changing concepts of dentistry have the aim to manage initial caries lesions with the help of remineralizing agents in an attempt to arrest or revert the disease progression by the process of depositing calcium and phosphate ions in enamel and hence, gaining net mineral loss. Concentrating mainly on prevention and early intervention of caries, minimally invasive dentistry's first basic principle is the remineralization of early carious lesions. The purpose of this article is to review current knowledge and technologies for tooth remineralization and their applications in clinical practices.
Dental traumas are one of the most frequent facial traumas especially in children. Maxillary incisors are the most frequently involved teeth. Here we present, a report of a child who sustained a crown fracture with lost portion of tooth embedded in her lower lip for 6 months. The fragment was surgically retrieved and successfully reattached to the fractured 21 using acid-etch resin technique.How to cite this article: Marwaha M, Bansal K, Srivastava A, Maheshwari N. Surgical Retrieval of Tooth Fragment from Lower Lip and Reattachment after 6 Months of Trauma. Int J Clin Pediatr Dent 2015;8(2):145-148.
How to cite this article: Nishant Singh, Meghna Kumar, Shivendra Singh, Ankit Singla¸ Rahul Srivastava. Primary closure versus secondary closure after third molar surgery : a comparative evaluation of post -operative sequelae. International Journal of Contemporary Medicine Surgery and Radiology. 2020;5(1):A52-A55. A B S T R A C T Introduction:The post-operative complications of third molar surgery vary significantly with variation in surgical technique. The purpose of this study was to assess the post-operative pain, swelling and trismus after removal of impacted third molar using primary versus second closure techniques. Materials and Methods: In this study, 30 patients (19 males and 11 females) within the age range of 18 -35 years requiring surgical removal of impacted mandibular third molar teeth under local anesthesia were included. Patients were divided randomly into two equal groups: Group 1 -15 patients who underwent primary closure in which the flap was repositioned and sutured in an interrupted pattern and Group 2 -15 patients who underwent secondary closure in whom a wedge of mucosa, width 5 -6 mm was removed distal to second molar and the flap was repositioned and sutured. Parameters assessed in the study were pain, swelling and trismus. Results: A significant difference was observed in swelling, pain and trismus at 1% level of significance. i.e. p < 0.001 with more pain, swelling and trismus in Group 1 using the two-way ANOVA. Conclusion: The result of our study suggests that secondary healing after surgical removal of impacted mandibular third molars may have considerable advantages over primary healing in terms of post-surgical quality of life, however multicentre studies are required to be conducted with a larger study sample.
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