Choice of restorative materials by dentists in Class III dental caries in primary maxillary lateral incisors in 3-6-year-old children: A retrospective study

Early childhood caries has an intricate etiology and it requires a helpless tooth surface, fermentable starches, and cariogenic microorganisms throughout some undefined time frame to start the carious cycle. Tooth-hued materials gained popularity in recent years for reestablishing primary and youthful blended dentitions. Hence, the main aim of this study was to investigate the choice of restorative materials in Class III dental caries in primary maxillary lateral incisors in 3-6-year-old children. Data collected from the records of the children 3-6 years of age for the choice of restorative materials of primary maxillary lateral incisors between September 2020 and February 2021 were included in the study. Retrospective study data were collected through the software DIAS and data analysis was carried out using Chi-square tests. Variation in the percentage of children who underwent restoration utilizing strip crowns was the highest within 3-4 years (38.26%) when compared to light composite restorations (LCR) (14.9%), whereas the least preferred restoration was glass-ionomer cement (5.37%) which was noted statistically significant. Considering the age group of 5-6 years preferred form of restoration was LCR (19.80%) when compared to strip crown (17.79%), whereas 4.70% of the treatment cases were utilized for glass-ionomer cement restorations. Strip crowns are a more predominantly used choice of restorative material in Class III dental caries in primary maxillary lateral incisors in between 3- and 6-year-old children.

Purification and characterization of bioactive compounds extracted from Suaeda maritima leaf and its impact on pathogenicity of Pseudomonas aeruginosa in Catla catla fingerlings

Incidence of various dreadful microbial infections and the development of antibiotic resistance by infection causative microbes are the main reasons for reducing aquaculture productivity. Hence, there is an immense need for the discovery of alternative and efficient treatment for quick recovery of diseased fishes. In the present study, Suaeda maritima leaf extracts (hexane, diethyl ether, ethanol, and water) were screened for in vitro and in vivo antibacterial and antioxidant activities. Out of all the four extracts, ethanolic extract showed highest antibacterial activity against S. aureus (4.9 ± 1.3 mm), B. subtilis (1.6 ± 0.3 mm), K. pneumoniae (4.2 ± 1.8 mm), and P. aeruginosa (4.1 ± 1.2 mm). Similarly, antioxidant activity was also higher for ethanolic extract (500 µg/mL) based on DPPH radical scavenging ability (71.6 ± 1.4%) and reducing potential (149 μg/mL) assays. Further, ethanolic extract was purified consecutively via column chromatography and preparative TLC where an active fraction was selected based on highest antibacterial (10.1 ± 1.4 mm) and antioxidant properties (82.3 ± 2.8%). Active fraction was loaded onto mass spectroscopy and identified the presence of four active constituents such as 1,2,9,10-tetramethoxy-6-methyl-5,6,6a,7-tetrahydro-4H-dibenzo[de,g]quinolin-3-yl) methanol; 3',7-Dimethoxy-3-hydroxyflavone; Saponin and (19R)9acetyl19hydroxy10,14dimethyl20oxopentacyclo[11.8.0.0 < 2,10 > .0 < 4,9 > .0 < 14,19 >]henicos-17-yl-acetate. Besides, in vivo studies were conducted on Catla catla fingerlings infected with P. aeruginosa under laboratory conditions. The fingerlings were segregated into 5 groups, among which group 4 and 5 were treated with crude and purified extracts. Both the extracts were efficient in treating infected fingerlings and recorded 100% survival rate which is even better than group-3 treated with a synthetic antibiotic (77%). Hence, S. maritima leaf extract can be considered as a possible alternative medicine in aquaculture.

The Effect of Cavity Design on Fracture Resistance and Failure Pattern in Monolithic Zirconia Partial Coverage Restorations - An In vitro Study

INTRODUCTION

Cavity preparations of posterior teeth have been frequently associated with decreased fracture strength of the teeth. Choosing the correct indirect restoration and the cavity design when restoring the posterior teeth i.e., premolars was difficult as it involves aesthetic, biomechanical and anatomical considerations.

AIM

To evaluate the fracture resistance and failure pattern of three different cavity designs restored with monolithic zirconia.

MATERIALS AND METHODS

Human maxillary premolars atraumatically extracted for orthodontic reasons were chosen. A total of 40 teeth were selected and divided into four groups (n=10). Group I-Sound teeth (control with no preparation). Group II-MOD Inlay, Group III-Partial Onlay, Group IV-Complete Onlay. Restorations were fabricated with monolithic partially sintered zirconia CAD (SAGEMAX- NexxZr). All the 30 samples were cemented using Multilink Automix (Ivoclar) and subjected to fracture resistance testing using Universal Testing Machine (UTM) (Instron) with a steel ball of 3.5 mm diameter at crosshead speed of 0.5 mm/minute. Stereomicroscope was used to evaluate the modes of failure of the fractured specimen. Fracture resistance was tested using parametric one way ANOVA test, unpaired t-test and Tukey test. Fracture patterns were assessed using non-parametric Chi-square test.

RESULTS

Group IV (Complete Onlay) presented highest fracture resistance and showed statistical significant difference. Group II (MOD Inlay) and Group III (Partial Onlay) showed significantly lower values than the Group I (Sound teeth). However, Groups I, II and III presented no significant difference from each other. Coming to the modes of failure, Group II (MOD Inlay) and Group III (Partial Onlay) presented mixed type of failures; Group IV (Complete Onlay) demonstrated 70% Type I failures.

CONCLUSION

Of the three cavity designs evaluated, Complete Onlay had shown a significant increase in the fracture resistance than the Sound teeth.

Unilateral Cauliflower Ear due to Leprosy or Trauma - A Diagnostic Challenge

The terminology Cauliflower ear refers to the appearance of external ear, sequelae to underlying primary inflammation/infection. Trauma and secondary infection or perichondritis being the most common cause of cauliflower ear, this article describes a case of unilateral cauliflower ear due to multibacillary leprosy. This case shows the importance of skin smears and the histopathological identification and classification of leprosy patients with unusual lesions.

Pityriasis Rosea Localized to the Skin Patches of Leprosy. A Wolf's Isotopic Response?

Pityriasis rosea is one of the commonly encountered papulo squamous disease in dermatology outpatient department. Its clinical presentations are varied, and it also has many atypical forms. We report a case of a male patient with classical Pityriasis rosea lesions limited to the patches of Hansen's disease. This is probably being reported for the first time in literature.

Acitretin and aloe-emodin loaded chitin nanogel for the treatment of psoriasis

The present study focuses on the development of an effective topical nanogel formulation of two anti-psoriatic drugs; Acitretin (Act) and Aloe-emodin (AE) using natural polymer chitin. Simple regeneration chemistry was used to prepare Chitin Nanogel Systems (CNGs). The developed control chitin (CNGs) nanogels, acitretin loaded chitin nanogels (ActCNGs) and aloe-emodin loaded chitin nanogels (AECNGs) were characterized by DLS, SEM, FTIR, XRD and TG-DTA. The systems were found to be spherical in shape with a size range of 98±10, 138±8 and 238±6nm having zeta potential values of +28±3, +27±3 and +25±6mV for CNGs, ActCNGs and AECNGs respectively. The in vitro haemolysis assay revealed that all the nanogel systems are blood compatible. The systems exhibited higher swelling and release at acidic pH. The ex vivo skin permeation studies using porcine skin confirmed the higher deposition of the systems at epidermal and dermal layers, which was confirmed further by fluorescent imaging. The in vivo anti-psoriatic activity study using Perry's mouse tail model and skin safety studies confirmed the potential benefit of the system for topical delivery of acitretin and aloe-emodin in psoriasis.

Comparative evaluation of Shear bond strength of different Pit and fissure Sealants in Primary and Permanent teeth - An In-Vitro Study

BACKGROUND

Dental caries among children is one of the greatest challenges faced by dentists globally; especially that of susceptible surfaces like the Pit and fissures. Dental sealants have proved to be an effective way to prevent caries development. The Clinical success of any material depends upon its adhesion to tooth structure, resistance to wear and ability to withstand the masticatory or occlusal forces. Hence it is important to evaluate the shear bond strength (SBS). The Present study's aim was to evaluate and compare the shear bond strength of different pit and fissure sealants placed on Primary molars and Permanent Premolars.

MATERIALS & METHODS

Sixty noncarious extracted teeth comprising of thirty Primary molars and thirty Permanent Premolars were divided into four groups of 15 each. The buccal surfaces of all teeth were dried, etched and the etched surfaces of Primary molars (Group I) and Permanent Premolars (Group III) were placed with Helioseal-F while Groups II and IV, that included Primary molars and Permanent Premolars received Clinpro. Shear bond strength was evaluated and the mean was obtained for all the groups. The results were analyzed using twoway analysis of variance followed by Tukeys post hoc procedure to check for significant differences.

RESULTS

The specimens of unfilled sealant Clinpro (Groups II & IV) showed higher Shear bond strength when compared to the specimens of filled sealant Helioseal-F (Groups I & III).

CONCLUSION

The unfilled sealant showed a better Shear bond strength compared to the filled sealant. The bond strength in Primary molars was slightly higher compared to Permanent Premolars. How to cite the article: Pushpalatha HM, Ravichandra KS, Srikanth K, Divya G, Done V, Krishna KB, Patil V. Comparative evaluation of Shear bond strength of different Pit and fissure Sealants in Primary and Permanent teeth - An In-Vitro Study. J Int Oral Health 2014;6(2):84-9.

(4'-Acet-yloxy-1,3,1'-trioxo-1,3,4,4a,4b,5,6,7,9,9a-deca-hydro-spiro-[indene-2,9'-pyrano[4,3-a]pyrrolizin]-3'-yl)methyl acetate

In the title compound, C₂₃H₂₃NO₈, the dihedral angle between the five- and six-membered rings of the indene-dione moiety is 3.09 (13)°. The mean plane of the five-membered ring (which has a flat envelope conformation with the spiro C atom as the flap) is inclined to the mean plane of the central five-membered ring of the pyrrolizine unit by 76.48 (12)°. This central ring has a twist conformation on the N—C(spiro) bond. The outer ring of the pyrrolizine unit has an envelope conformation with the N atom as the flap. The mean planes of these two fused rings are inclined to one another by 65.28 (15)°. The pyran ring has a screw-boat conformation and its mean plane makes a dihedral angle of 29.50 (11)° with the mean plane of the central five-membered ring of the pyrrolizine unit. In the crystal, mol­ecules are linked via C—H⋯O hydrogen bonds, forming two-dimensional networks lying parallel to the ab plane.

1-(3,5-Di-meth-oxy-phen-yl)-4,5-dimethyl-2-phenyl-1H-imidazole

In the title mol-ecule, C19H20N2O2, the imidazole ring makes dihedral angles of 57.29 (5) and 31.54 (5)° with the attached di-meth-oxy-phenyl residue and the phenyl ring, respectively. The dihedral angle between the di-meth-oxy-phenyl and phenyl rings is 61.15 (5)°. In the crystal, pairs of C-H⋯N hydrogen bonds connect the mol-ecules into inversion dimers.

Proteomic profiling of high glucose primed monocytes identifies cyclophilin A as a potential secretory marker of inflammation in type 2 diabetes

Hyperglycemia is widely recognized to be a potent stimulator of monocyte activity, which is a crucial event in the pathogenesis of atherosclerosis. We analyzed the monocyte proteome for potential markers that would enhance the ability to screen for early inflammatory status in Type 2 diabetes mellitus (T2DM), using proteomic technologies. Monocytic cells (THP-1) were primed with high glucose (HG), their protein profiles were analyzed using 2DE and the downregulated differentially expressed spots were identified using MALDI TOF/MS. We selected five proteins that were secretory in function with the help of bioinformatic programs. A predominantly downregulated protein identified as cyclophilin A (sequence coverage 98%) was further validated by immunoblotting experiments. The cellular mRNA levels of cyclophilin A in various HG-primed cells were studied using qRT-PCR assays and it was observed to decrease in a dose-dependent manner. LC-ESI-MS was used to identify this protein in the conditioned media of HG-primed cells and confirmed by Western blotting as well as ELISA. Cyclophilin A was also detected in the plasma of patients with diabetes. We conclude that cyclophilin A is secreted by monocytes in response to HG. Given the paracrine and autocrine actions of cyclophilin A, the secreted immunophilin could be significant for progression of atherosclerosis in type 2 diabetes. Our study also provides evidence that analysis of monocyte secretome is a viable strategy for identifying candidate plasma markers in diabetes.