This study aimed to evaluate the radiological and clinical outcomes of Biodentine apical plugs compared to mineral trioxide aggregate (MTA) in treating immature molars with apical lesions in children. Materials and Methods: Thirty immature roots of 24 permanent lower first molars with apical lesions were randomly divided into two groups: group 1 (15 roots) treated with MTA apical plugs and group 2 (15 roots) treated with Biodentine apical plugs. Treatment radiological outcomes were assessed using the periapical index (PAI) scale after 6 and 12 months of treatment. The presence or absence of apical calcified barrier (ACB) was assessed after 12 months of treatment. The visual analog scale (VAS) was used to compare the postoperative pain between the two groups after 1, 3, 7, and 14 days of treatment. PAI scores between the two groups were compared using the Mann–Whitney U test, the presence or absence of the ACB was compared using the chi-square test, and the VAS scores were compared using the t-test. The statistical significance threshold was set at 0.05. Results: There were no statistically significant differences in the PAI between the two groups at 6 and 12 months postoperatively. After 12 months, four cases in the Biodentine group showed ACB formation, whereas ACB was not found in any case treated with MTA. The VAS scores were statistically lower in the MTA group on the first day after treatment. Nevertheless, these scores were not statistically significantly different after 3, 7, and 14 days of treatment between the two groups. Conclusions: Biodentine can be used as an apical plug to treat immature permanent molars with apical lesions in a single visit in children. Biodentine showed favorable outcomes in apical lesions healing, which was comparable to MTA but with a decreased treatment time associated with its use.

Hydrocephalus affects the central nervous system as a result of progressive ventricular dilatation from the accumulation of cerebrospinal fluid in the brain’s lateral ventricles. This paper reports on the oral characteristics of a child with congenital hydrocephalus, discusses her complex dental care needs, and presents dental management of this case. Despite the complex and challenging dental needs, this child received dental treatment in a chairside approach without general anesthesia. A thorough knowledge of the patient’s medical condition, together with expert clinical skills, was indispensable for managing the child and improving the quality and length of her life.

The purpose of this study was to compare the sealing ability and time required for the formation of Biodentine and mineral trioxide aggregation (MTA) apical plugs, using three different delivery methods: an amalgam carrier (AC), the Micro Apical Placement (MAP) System or a novel tool using a modified cannula (MC). Materials and Methods: A total of 60 uniformed molar roots were divided into three main groups, according to the technique of apical plug formation: AC, MAP, and MC. Each group was divided into two subgroups, according to the filling material used: MTA and Biodentine. A timer was used to calculate the required time for apical plug formation. After setting the filling materials, the apical microleakage of the formed plugs was quantified using the dye extraction method and spectrophotometry. The differences between the groups were analyzed using the one-way ANOVA and LSD post hoc tests. The significance level was set at 0.05. Results: No significant differences were reported in the time required to form the apical plugs in all groups (p > 0.05). However, the apical plugs formed by the AC method had significantly higher microleakage than those formed using the MAP and MC methods (p < 0.05). Conclusion: Within the limitations of this study, the sealing ability of the apical plugs formed by the MC method is comparable to the MAP method and better than the AC method.

Background:In restorative dentistry we usually use Sandwich Technique for posterior restorations where GIC is placed below and a resin composite is placed over it. The bonding strength between these two materials are low. We are looking for the best adhesive system to put it in between. We think that the self-etching bond will give the best bonding strength between them whereas total etch will give lower bonding strength than self-etching system. Methods:ION-Z GIC was bonded to resin composite by using two different bonding agents. The thirty specimens used were prepared by using acrylic blocks with holes in each hole to retain the ION-Z GIC. The specimens were randomly divided into three groups:Group I: Control group.Group II: Total-etch adhesive was applied and cured over ION-Z GIC.Group III: Self-etch adhesive was applied and cured.The composite resin placed over the ION-Z GIC and cured. The shear bond strength was measured by shearing of the bonded specimens on Universal Testing Machine (Model 114) using speed of 0.1mm / minute. The reading was tabulated and subjected to statistical analysis using ANOVA and Tukey's test.Results:The test showed statistically significant difference between Group III and Group I and between Group III and Group II. Group III had the highest shear bonding strength.Conclusion:Self-etch adhesive agent produces have better shear bond strength to ION-Z than total-etch adhesive and to the group without any bonding agent.

In restorative dentistry, we usually use Sandwich Technique for posterior restorations where GIC is placed below and a resin composite is placed over it. The bonding strength between these two materials is low. We are looking for the best adhesive system to put in between. We think that the self-etching bond will give the best bonding strength between them whereas the total-etch will give lower bonding strength than the self-etching system.