BACKGROUND The complex anatomy of root canal makes it very difficult to clean and shape to eliminate the bacteria in the canal. Multiple root canal medicaments and irrigants are used to eliminate the canal microbials. Many of the pathogens have undergone resistance to the medicaments and the irrigants used. Thus, antibacterial nanoparticles have been introduced to overcome this problem. Nano dentistry mainly infers the use of nanomaterials and dental nanorobots in the field of diagnosis and treatment, aiming improvement in complete oral health. The use of nanoparticles is extending in many oral health–related issues such as management of dentin hypersensitivity, elimination of bacterial biofilm, diagnosing as well as treating oral cancers, bone replacement and so on. It possesses a unique physical and chemical property. The usage of nanoparticles in different forms like solutions for irrigation, as intracanal medication, in conjunction with sealers or restorative materials aimed at evaluating and mainly improving the antimicrobial efficacy in endodontic and conservative treatments. These nanoparticles act on the bacteria through various mechanisms. The bactericidal effect of the nanoparticles has been investigated in many in vitro studies. In the field of endodontics, nanomaterials are inculcated mainly focusing on strategies improving antimicrobial efficacy, mechanical integrity of already diseased dentinal matrix, regeneration of the tissues and many more. Recently, many more new technologies are in process to be tested in the field, keeping an eye on overcoming the microbial challenge. This review intended to give a look on the literature available, uses, applications and advantages of the nanoparticles in endodontics. KEY WORDS Nanotechnology, Nanoparticles, Antibacterial Efficacy, Endodontics
Despite huge developments in oral health, dental caries still remains a community health issue globally. Dental caries is prevalent worldwide amongst adults and school children; nearly 100 % of the population is affected in most of the countries. Caries harms the outer dental structures, eventually reaching the dental pulp, making the teeth undermined and ultimately compromising functional abilities. It is the major reason for loss of tooth. For the management of carious lesions, the tissues which are decayed should be removed and replaced by dental restorations. Increased potential for causing dental anxiety and uneasiness in many patients has been reported with the usage of routine caries removal systems such as diamond and tungsten carbide rotating burs. Moreover, with the use of high and low rotating speed drills, which is used for complete dentin removal, over excavation of caries (when the deeper dentin layers are involved) may happen eventually leading to increased risk of exposing and damaging the pulp irreversibly. These disadvantages have led to exploration of new alternatives such as stepwise, minimal or no dentinal caries removal procedures that illustrate clinical benefit over comprehensive caries removal in the treatment of dentinal caries. Laser technology has reformed the management of dental caries. Laser has been found to be the latest, most recent, conservative, less traumatic and minimally invasive caries removal procedure. The energy of laser is absorbed which is then transformed to heat, leading to microstructural and chemical alterations in the surface of enamel which is irradiated thereby improving enamel acid resistance. Laser also helps to maintain a dry surrounding that improves the dentist’s vision of the working field thereby resulting in an improved outcome. KEY WORDS Lasers, White Spot Lesions, Dental Caries, Laser Fluorescence, Orthodontic Therapy, Carbon-Dioxide Laser
Leiomyoma is the commonest benign uterine condition arising from smooth muscles. Extra uterine leiomyoma is rare. The incidence of broad ligament fibroid is less than 1%. Because of its rarity broad ligament fibroid poses specific diagnostic difficulties causing an error in making the final diagnosis and therefore the management. Here we report a case of rare broad ligament fibroid got neglected sadly in this modern era, where the facilities like USG which can easily diagnose this rare entity are readily available. Presented as ANC with no labor pains and accidentally diagnosed as a case of huge broad ligament fibroid. Managed surgically by myomectomy with conservation of uterus and bilateral internal iliac artery ligation for minimizing bleeding.
Root canal infections usually occur due to many micro-organisms, among which most frequent are the obligatory anaerobes. One of the predominantly found microbes is Candida albicans that requires special attention. Herbs have and are being used for health ailments and avoiding diseases that include epidemics for decades. A lot of plants are used as Phytomedicines in the dental profession because they have various biological and antimicrobial effects. Various irritants are used such as NaOCl, Chlorhexidine, hydrogen peroxide, ethylenediaminetetraacetic acid (EDTA), citric acid etc. to eradicate microbes. However, these irrigants may have several disadvantages. In Endodontics, plants and their extract can be used as irrigant and intracanal medicament to prevent the potential side effects caused by conventional chemical agents. Less toxic herbal products are being used since ancient era, and they are Triphala, Morinda citrofolia, Propolis, Azadirachta indica, Carvacrol, Green tea, Orange oil, tea tree oil, Arctium lappa, Garlic extract etc. Most commonly used are Triphala, Morinda citrofolia, Propolis, Azadirachta indica, Green tea, Garlic extract. Such herbal preparations are derived from the roots, leaves, seeds, stems and flowers of medicinal plants. This systematic review aims to enlighten and focus on various herbal products that can be used in endodontics to eradicate the root canal infection and to create the environment necessary for periapical healing. This is essential for successful Root canal treatment.
Epilepsy is the most common management of neurological problems and stands after stroke and dementia in its prevalence. Epilepsy is a chief public health problem all over the world. The percentage of the general population with active epilepsy at a given time ranges from 4-10 per 1,000 people. The case study discussed here is of 4 year 5-month-old male child, known case of seizure disorder with his 1st episode at seven months due to febrile illness seizure manifested as generalized tonic-clonic (GTC) type of seizure lasting for 3-5min; then he came to Ayurvedic OPD and was given ayurvedic regimen (i.e. shankhapushpadya ghrita SaraswatarishtaMedhya drug) along with panchakarma procedure. The child had significant relief from signs and symptoms of epilepsy. The recurrence or the frequency of disease was found to be markedly reduced. The Ayurvedic regimen, along with the panchakarma procedure, proved to be beneficial in this case.
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