Objective: To compare the effect of Green, Tulsi, and Areca teas on the color stability of two composite materials on the 30th and 60th days. Materials and Methods: Two light cure composite restorative materials, Brilliant EverGlow (Group 1) and Brilliant NG, (Group 2) with different resin and filler characteristics were selected. The test solutions selected were Green tea, Tulsi tea, Areca tea, and artificial saliva (control group). In total, 104-disc shaped specimens were fabricated using a custom made brass mold as per the manufacturer instructions. All specimens were put in storage for rehydration and complete polymerization at 37°C in distilled water for 24 hours. Specimens of each composite material were randomly divided into four subgroups of 13 samples. Tea solutions were freshly prepared, and specimens were immersed in the respective solutions every day for 15 minutes for 60 days. Specimens were stored in artificial saliva after the immersion regimen. The color evaluation was done before immersion, on the 30th and 60th day, using a digital reflectance spectrophotometer. Results: At 30 days, Group 1 specimens immersed in Areca and Green teas showed significantly higher mean values than those in control and Tulsi tea. At 60 days in Group 1, specimens in Areca tea showed significantly higher mean value, followed by Green tea, Tulsi tea, and control. At 30 and 60 days in group 2, specimens in control had significantly lower mean values than other tea preparations. Group 1 showed a higher mean difference in ΔE than Group 2 specimens immersed in Green and Areca teas at 30 days (P=0.001 and 0.001) and 60 days (P=0.001 and <0.001), respectively. Conclusion: All herbal tea preparations exhibited staining potential, which increased over time, and Areca tea showed the highest staining potential. Understanding the staining potential of newer tea preparations on recent composite materials helps the clinician to choose the right restorative materials.
Gemination, a relatively uncommon dental anomaly, is characterized by its peculiar representation as a tooth with a bifid crown and a common root and root canal. It usually occurs in primary dentition. To come across gemination in a supernumerary tooth is a rare phenomenon. The purpose of this paper is to present a unique case of hyperdontia wherein gemination in an impacted supernumerary tooth resulted in a trifid crown unlike the usual bifid crown. The role of conventional radiographs as well as computed tomography, to accurately determine the morphology and spatial location, and to arrive at a diagnosis, is also emphasized in this paper.
The mesiobuccal root of the maxillary molars is well known to pose a hindrance during endodontic therapy. Presented here is a case of a maxillary left second molar where three canals were located in its mesiobuccal root with the use of visual and diagnostic aids. Difficulties encountered during the process of unveiling the tooth's internal anatomy were discussed. The dilemmas encountered pertained to the root canal configuration, the nomenclature of the extra canals, and the justification for the presence of a third canal. The root canal configuration of 3-2-1 was confirmed for the mesiobuccal root using information gained from clinical, radiographic, and multi-detector computed tomography (MDCT) scan findings. This case demonstrates the need for efforts to locate extra canals in the mesiobuccal root of the maxillary molars as their internal anatomy remains a mystery.
Radicular cysts are inflammatory jaw cysts confined to the apices of teeth with infected and necrotic pulp. They arise from the epithelial residues in the periodontal ligament as a result of inflammation, following the death of pulp. The treatment of such lesions vary with regard to their sizes; the small cystic lesions heal after an endodontic therapy, but larger lesions, may require additional treatment. Apical surgery for radicular cysts generally involves apical root resection and sealing with endodontic material. This case report, describes the treatment of a cyst related to the maxillary central and lateral incisors using platelet rich fibrin along with synthetic nanocrystalline hydroxyapatite granules for the regeneration of lost tissues. A follow-up evaluation at 6 months and 1-year revealed a significant radiographic bone fill with satisfactory healing at the surgical site.
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