A simple solution to help with feeding difficulties in neonates with cleft palate: A case report

Feeding a neonate baby with a complete cleft lip and palate is a problematic pursuit because of the communication between the oral and the nasal cavity and associated problems. This present case is of a 6-day-old underweight neonate with feeding difficulties due to the cleft palate. In this case report, simple, uncomplicated steps for the fabrication of a feeding obturator are explained to aid in the proper nourishment of neonates for definite corrective procedures in the future with overall growth.

Fluoride and its Implications on Oral Health: A Review

This article aims to review the literature about the history of fluoride, its toxicity, prevalence, prevention, diagnosis, and management in oral healthcare practice. Fluoride is the cornerstone of oral health, playing a pivotal role in oral health. Fluoride can be administered topically or systemically. Topically, it is found in toothpaste, mouth rinses, and professional treatments such as fluoride varnish. These directly shield teeth from decay and strengthen the existing enamel. Systemically, fluoride is ingested through water, foods, or supplements, benefiting tooth development, especially in children. Nevertheless, responsible fluoride use is essential. Overexposure can lead to dental fluorosis, affecting tooth aesthetics. Consulting a dentist for personalized guidance on fluoride usage can help strike the right balance between oral protection and potential side effects, ensuring a radiant and healthy smile for life.

Assessment of Knowledge, Attitude, and Practice of Pharmacovigilance and Materiovigilance among Oral Health Practitioners in India

Aim

This electronic survey was carried out to assess the knowledge, attitude, and practices among the oral health practitioners.

Methods

A questionnaire survey was conducted among undergraduates, graduated practitioners, and specialist practitioners. A Google Form that included a specified instruction format, informed consent with a clear description of the purpose of the study, and questions in different categories were sent through Whatsapp and email. Descriptive statistics were used to analyze responses. The association of knowledge and attitude with respect to oral health professionals was analyzed with the Chi-square test.

Results

The questionnaire was completed by 570 participants. Thirty percent of participants encountered ADR related to the drugs available in the market and 33.2% of participants encountered adverse reaction related to materials used in practice. ADR should be reported as soon as it is detected, according to this study about 12.1% of participants reported the ADRs, and this reporting is primarily for patient safety. Almost 66.8% of participants perceived that dental products can cause ADR owing to a lack of information about ADR and reporting procedures, or due to fear of legal concerns. Only about 9.5% of the participants had previously attended an ADR workshop.

Conclusion

Oral health practitioners have a general understanding of ADR; however, there is substantial evidence of underreporting and a lack of reporting system information. Organizing an orientation program and raising awareness about ADR reporting could help improve spontaneous reporting and better patient care.

Evaluation of the Impact of Different Instrumentation Techniques on the Incidence of Postoperative Pain in Patients Undergoing Root Canal Treatment

BACKGROUND

Postoperative pain is a common concern in root canal treatment, and the choice of instrumentation technique can significantly impact patient comfort. This study aimed to evaluate the impact of different instrumentation techniques on the incidence of postoperative pain in patients undergoing root canal treatment.

METHODS

A randomized controlled trial was conducted on 208 patients randomly assigned to four groups: step-back preparation, crown-down preparation, hybrid technique, and conventional instrumentation. Pain intensity was assessed using a verbal rating scale (VRS) at six, 12, 24, 48, and 72 hours postoperatively. Data were analyzed using appropriate statistical methods.

RESULTS

The mean pain scores and standard deviations (SDs) were calculated for each instrumentation technique at different time intervals. At six hours, the step-back preparation group reported a mean pain score of 2.3 (SD = 0.8), the crown-down preparation group had a score of 2.8 (SD = 0.9), the hybrid technique group had a score of 2.5 (SD = 0.7), and the conventional instrumentation group had a score of 3.1 (SD = 0.1). The differences in pain scores between the groups were statistically significant at all time intervals (p < 0.05).

CONCLUSION

The choice of instrumentation technique significantly influenced the incidence of postoperative pain in root canal treatment. The step-back preparation technique was associated with lower pain intensity than the crown-down preparation, hybrid technique, and conventional instrumentation. These findings highlight the importance of considering the instrumentation technique to optimize patient comfort during and after root canal treatment.

Comparison of Amnion Membrane and Hyaluronic Acid in Gingival Recession Coverage and Gain in Clinical Attachment Level following Coronally Advanced Flap Procedure-A Clinical Study

Background

Gingival recession is defined as the apical migration of gingival margin to the cementoenamel junction. Recently, amnion membrane, the third-generation membrane which is a placental-derived tissue, has been introduced.

Materials and Methods

Study included 45 subjects with age group of 20-60 years of both genders. Patients with Miller's Class I and Class II gingival recession were selected for the study. The progress was assessed at baseline one, three, and six months observation interval through clinical parameters RD, RW, PD, and CAL at the end of six months.

Results

Recession depths in the first, third, and sixth month were 1.82 ± 0.442, 1.31 ± 0.47 mm, and 0.91 ± 0.29, respectively, which showed a significant reduction from the baseline. Recession widths in the first, second, and third weeks were 3.04 ± 0.442 mm, 1.31 ± 0.47 mm, and 1.49 ± 0.59 mm, respectively. There was a statistically significant reduction (P > 0.005) when compared to the baseline. Pocket depths in the first, third, and sixth month were 0.93 ± 0.447, 0.42 ± 0.50, and 0.24 ± 0.43 (P > 0.005) which is significant when compared to baseline. Clinical attachment levels in the first, third, and sixth month were 2.73 ± 0.751, 1.78 ± 0.70, and 1.18 ± 0.53 (P > 0.005) which is significant compared to six months.

Conclusion

Within the limitations of the present study, the data obtained by periodic assessment of the clinical parameters indicate the use of amnion membrane and hyaluronic acid, and proper technique may thus be the panacea for root coverage procedure.

To Analyze the Mesiobuccal Root Canal of Maxillary First Molar using Cone Beam Computed Tomography: An Ex-vivo Study

Aim and Objectives

The purpose of this study was to use cone bar CT to investigate the root trench morphology of two-hundred mesiobuccal permanent first molars in the maxilla.

Materials and Methods

The distobuccal and palatal roots were removed at the furcation in 250 maxillary first molars. The mesiobuccal roots were then imaged using cone beam computed tomography on all specimens. The specimens were analyzed and compared to one another." This study looked into the following factors. How Many Canals There Are and What Shape Those Canals Take Errors such as lateral canals, apical delta, calcified segments, and others.

Result

Vertucci's trench configuration, kinds I, II, III, IV, V, and VII, were seen in 30%, 20%, 5%, 6%, 7%, and 2.5% of the teeth, respectively. Calcified sections were found in the coronal third of the MB1 trench for eight of the samples, and in the central third for two of the samples. The MB1 trench did not have any calcifications at its very end. The coronal 33 percent of the MB2 trench was calcified in eight samples, but no calcifications were seen in the middle or upper thirds.

Conclusion

Noninvasively and with little radiation, a cone beam CT scan can help you learn about your root canal setup.