Vol. 12 - 2021

January-June 2021, Issue 1


Association between Anthropometric Measurements and Dental Caries in Children

Pankhuri Priya, Anshul Gangwar, Sathyajith Naik, Ankita Gupta

Aim: The purpose of this study was to investigate the association between anthropometric measurements and dental caries in
6–12 years old children.

Materials and Methods: A total 100 children were randomly selected from the outpatient department.
Caries score was recorded by a qualified using DMFT and deft indices. Anthropometric measurements included body weight,
height, neck circumference, triceps circumference, waist circumference, hip circumference, and body mass index (BMI) were
calculated using formula kg/m2. Results: The prevalence of children with DMFT ≥1 was 59% and deft ≥1 was 60% in
this study. The caries scores were not significantly different with anthropometric measurements categories except for deft
significantly associated with BMI and DMFT significantly associated with high weight.

Conclusion: This study showed that
high weight, BMI, and dental caries have common risk determinants and require a comprehensive multidisciplinary approach
by dentists and oral health-care professionals.
Key words: Anthropometric measures, body mass index, dental caries


Background: The coronavirus disease (COVID)-19 pandemic has put the entire world’s population at risk of infection, which
is a big source of concern, primarily for susceptible populations like dentists. Objective: The objective of the study was to
examine dental trainees’ levels of COVID-19-related stress and anxiety, modifications in hygienic and social practices, and
perceptual concerns about the dental profession.

Methods: Student at Bareilly International University in Bareilly was sent
a self-structured questionnaire. Demographic details, inquiries on personal hygiene and social routines, students’ perceptions
of the sufficiency of information obtained during the outbreak and its source, subjective concerns about the dentistry field,
and the Generalized Anxiety Disorder 7-item scale were all included in the study. A total of 258 replies have been obtained.
Results: Moderate and severe anxiety was reported by 17% of students and 4% of students, respectively, with no significant
relationships between anxiety and gender or degree of study. A large number of students (46.5%–62.4%) reported significant
changes in most sanitary and social practices, with a highly significant link between changing sanitizer purchases and anxiety
levels. About 46% believed that their work performance was not up to par, and 31% said that they were considering changing
careers, with male students reporting the latter more frequently (63.8%).

Conclusion: COVID-19 has made a significant
number of students in our college concerned and has caused them to adjust their hygiene and social practices. One-third of
participants have concerns about the dentistry profession, necessitating the use of counseling and mental health support.
Key words: Anxiety, Bareilly International University, Coronavirus disease-19, dental students, Generalized Anxiety Disorder-7


Original Research

Assessment of Knowledge Regarding Equipment Ergonomics among Interns and Final Year Dental Students in Bareilly

Anushtha Kushwaha, Shivalingesh K. K, Nandita Gautam, Prasanjeet Kumar

Aim: The aim of the study was to assess the prevailing perception of BDS interns and BDS final year students regarding
EE in Bareilly. Settings and Design: Authors conducted a cross-sectional survey in December 2020 amidst the BDS intern
and final year students of Bareilly International University, Bareilly.

Subjects and Methods: The data were collected
using 18-item custom designed proforma, comprising of questions evaluating student’s basic knowledge about EE.
Statistical Analysis

Used: Statistical analysis was done using SPSS version 23. Kruskal Wallis ANOVA was used to compare
the responses among the two groups.

Results: Of 100 subjects surveyed, 45.8% final year and only 20% interns ever used chair
side exercises in their clinical work. In addition, only 18.6% of final years and 42% interns believed that the accentuation on
EE is less in the current dental curriculum.

Conclusions: In the current cross sectional study, the participants lacked a proper
understanding of EE and the newer advances in the conventional instruments. Within the limitations of this study, we suggest
improvising the scenario of an acquaintance of EE in the dental curriculum.
Key words: Equipment ergonomics, final year, Bareilly, musculoskeletal injuries


Original Article

The Use of Topical Anesthesia among Dentists: An Online Survey

Sathyajith Naik, Ankita Chandak, Pallavi Vashisht

Introduction: Providing “painless” dental care has been one of the main goals of dental surgeons for decades. The experience
of pain with dental procedures can lead to avoidance of much needed oral health care due to dental fears and anxiety. According
to the American Academy of Pediatric Dentistry, the prevention of pain during dental procedures can nurture the relationship
of the patient and dentist, building trust, allaying fear and anxiety, and promoting a positive dental attitude.

Aim: This study
aims to determine the current usage of various topical anesthetics (TAs) among dentists.

Methodology: Surveys were sent
online to dentists asking about their usage of TA. The survey included questions ranging from the type of TA used, waiting
time after the application of TA, if the practitioner considered the TA effective, and what percentage of the patients had an
adverse drug reaction (ADR) to TA. Data were analyzed by computing the percentage response for each question. Results: TA
is used by most dentists and the most commonly used is lignocaine spray (15% w/w). About 40.3% waited for 11–30 s after
the application of the TA. Most patients (70.1%) disliked the taste of TA and ADRs are rarely seen.

Conclusion: TA has been
commonly used, however, the perception of its effectiveness is varied. There also appears to be a better acceptance of flavored
TA in the pediatric dental population.
Key words: Dental clinicians, pedodontia, topical anesthesia, web-based survey


Original Article

Oil Pulling Boon for Oral Diseases: A Randomized Controlled Study

Ankita Chandak, Shivangi Shrma, Sathyajith Naik, Vaishnavi Singh

Background: Oil pulling treatment has been utilized broadly as a conventional Indian solution for some years to prevent
oral diseases and making teeth, gums, and jaws healthy.

Aims and Objectives: Comparative evaluation of antiplaque
efficacy of sesame oil, coconut oil, and placebo with chlorhexidine mouthwash among schoolchildren of 15–18 years.
Materials and Methods: A randomized controlled study was carried out among 160 schoolchildren aged 15-18 years. Out
of those, 40 subjects each were randomly selected and categorized as Group 1 (sesame oil), Group 2 (coconut oil), Group 3
(chlorhexidine mouthwash), and Group 4 (placebo). Subjects in the study group were given respected constituents and were
advised to rinse for 5 min, once daily in the morning for a period of 15 days, and their plaque index (PI) and gingival index
were assessed and compared Student’s paired t-test (p< 0.05) (software SPSS version 15). Results: The comparisons of the
pre- and post-therapy values of PI and modified gingival index were done and there was a marked reduction in the values.
Conclusion: Oil pulling therapy has shown a positive response toward the reduction of gingival and periodontal diseases.
Key words: Chlorhexidine, coconut oil, oil pulling therapy, sesame oil


Review Article

Root Apex and its Management Strategies

Deeksha Kulkarni, Anuraag Gurtu, Ashish Aggarwal, Sivani Sangam, Saummya Singh, Mamnoon Ghafir

The anatomy of the root apex is an area of interest to the endodontist. Achieving an optimum working length and a proper
apical seal is essential for successful root canal treatment. The variations in the anatomy of the root apex and its treatment
are technical challenges for the endodontists. Practitioners can execute better with amplified illumination and magnification.
Both the quality and biocompatibility of apical seals have been improved with advancements in the root canal filling materials.
Along with these advances, the art and science of endodontic surgery has improved the chances of saving a tooth which was
earlier considered for extraction. This article highlights the importance of root apex and various methods for its management
to achieve a successful endodontic treatment.
Key words: Root apex, root canal treatment, apical foramen


Review Article

Lasers in Dentistry

Naveena Gahlot, Varada R. Hiremath

Lasers are an up and coming technology in the field of dentistry. Various studies are being conducted in vitro as well as
in vivo to study the effects and benefits of lasers for various dental procedures including endodontic disinfection, bleaching,
apicocectomy, caries removal, and soft-tissue surgeries. This article highlights the working and mechanism of action of laser
and its use in various fields of dentistry.
Key words: Cavity preparation, bleaching, non-carious cervical lesions


Case Report

Endodontic Management of Type V Canal Configuration in Palatal Root of Maxillary First Molar: A Case Report

Priya Mishra, Saummya Singh, Chandra Vijay Singh, Rashmi Bansal, Yesha Yadav

Anatomical variations in the human teeth are not unusual. Among them, molars present high anatomical variations in relation to
number of roots and root canals. Clinician while performing root canal therapy of molars must be aware of the rare anatomical
variations which when treated cautiously will increase the long-term success of endodontic therapy. As the missed canals are
the most common causes of failure of endodontic treatment, a thorough knowledge of anatomy of tooth and their roots is must.
This case report is an example of careful evaluation and treatment of a missed bifurcation in palatal root of maxillary first
Key words: Bifurcated palatal canal, palatal root of maxillary first molar, Vertucci class V


Case Report

Correction of High Frenal Attachment in Improving Esthetics: A Case Report

Lubna Shoaib, Lavanya Kunche, Manvi Chandra Agarwal

Introduction: Labial frenum of maxillae is capable of creating recession and diastema disturbing esthetics. Frenectomy
was first proposed, later, a number of variations have been established to resolve the problem caused by an abnormal labial
frenum. Apart from their advantages, conventional scalpel technique has some drawbacks as compared to electrocautery and

Material and Methods: Conventional scalpel technique was used for frenectomy procedure, clinical parameters were
assessed at baseline, 1 week, and 1 month.

Results: There was similar improvement at both the given point of time, that is, at
1 week and 1 month postoperatively.

Conclusion: This case series showed equivalent clinical results for both the cases treated
with conventional frenectomy procedure.
Key words: Diastema, frenectomy, frenum, papillary attachment, recession


Case Report

Recession Coverage using Coronally Advanced Flap (CAF) with Platelet- Rich Fibrin (PRF): A Case Report

Satyaki Verma, Nidhi Pandey, Prerna Agarwal, R. G. Shiva Manjunath

Gingival recession (GR) is the most commonly seen problem in middle age and elderly population as well as periodontally
affected individuals. GR leads to various complications including dentinal hypersensitivity, root caries, and poor esthetic.
Many periodontal surgical procedures have been used for the treatment of GR but the most optimum outcomes are seen with
coronally advanced flap (CAF). Various regenerative materials such as sub-epithelial connective tissue graft, free gingival
graft, and platelet-rich fibrin (PRF) have been used with CAF to aid its clinical outcome. PRF membrane is easily available and
good regenerative potential becomes material of choice. Therefore, in this case series, our objective was to gain root coverage
in cases of Miller’s Class I and Class II GR using CAF with placement of PRF.
Key words: Recession Coverage, Aesthetic Surgery, PRF


Case Report

Self-Ligating Brackets: A Case Report

Resham Irshad, Ankur Gupta, Sumit Joshi, Akash Prakash Singh, Shubhi Gangwar

This case report describes the orthodontic treatment of a young male subject having Angle’s Class I malocclusion with
moderate crowding in both the arches and increased overjet. Since it was a borderline case and the patient was concerned
regarding the extractions, he was planned to be treated with non-extraction approach using Damon Clear system. At the end of
the treatment, molar relation was maintained as Class I bilaterally with ideal overjet and overbite. The total treatment duration
in this case was 15 months.
Key words: Angle’s Class I malocclusion, borderline case, Damon Clear system, self-ligating brackets


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