Vol. 12 - 2021

July-December 2021, Issue 2

Original Article

Knowledge, Attitude, and Barriers toward Evidence Based Dentistry among Dental Practitioners in Rohilkhand Region - A Cross-Sectional Survey

Shivangi Sharmaa1 , Sathyajith Naik. N2 , Smriti Saxena3 , Deepshikha4 , Jean N Murry4 , Vaishnavi Singh4

Introduction: The concept of evidence-based practice in dentistry is to provide patients with current treatment that research
has shown to be safe, effective and efficient. Ultimately, the goal of evidence-based practice is to continuously improve patient
care based on new research developments. This article highlights the awareness in the minds of previously un-informed
dentists as well as to demonstrate the need in continuous professional education through seminars, updates, lectures and shortterm courses. Hence, the aim of the present study was to describe the knowledge, attitude, and barriers of dentists toward the
concept of evidence-based dentistry (EBD) in Rohilkhand region, Uttar Pradesh, India. Materials and Methods: A crosssectional survey was conducted with the help of a questionnaire conducted among 300 dentists practicing in Rohilkhand
region. The questions covered the participant’s level of knowledge and use of EBD. Results: Majority of the respondents were
male (76.7%) aged between 25 and 40 years. About 37.7% of these respondents were in general practice with about one-thirds
of all respondents having been in practice for <5 years. Although more than half of these respondents reported being aware
of the concept of EBD, only about one third chose the correct definition. About 54.1% dentists agreed that was an important
concept in practice (54.1%). Conducting continuing dental education programs was found to be the most recommended option
for increasing the awareness of evidence based dentistry. Conclusion: EBD was not a familiar concept to these dentists; the
majority of them preferred consultation with colleagues over seeking evidence from electronic databases.
Key words: Evidence-based dentistry, trends, knowledge, Rohilkhand region

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Review Article

Periodontal Microsurgery- Glory of Magnification

Parth Sharma1 , Nidhi Pandey1 , Siddhanth Singh1 , Prerna Tandon1 , Jaishree Garg2

The use of magnification to perform various procedures in the medical and dental field has long been recognized. Ironically,
the practice of microsurgery in periodontology has not been widely promoted. The purpose of this article is to highlight
the practice of microsurgical principles in several periodontal surgical procedures and thereby emphasize the integration of
microscope into periodontal procedures.
Key words: Magnification, microsurgery, visual acuity, wound healing

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Review Article

Imaging Features of Rhinocerebral Mucormycosis: A Review

Samia Seraj1 , Ashish Aggarwal2 , Nitin Upadhyay3 , Nupur Agarwal4 , Sowmya Gujjar Vishnurao4 , Ankit Singh Rathore5

Mucormycosis is a distinct angioinvasive infection caused by filamentous fungi belonging to the Mucorales order of the
Zygomycetes class. Mucormycosis has surpassed candidiasis and aspergillosis as the third most prevalent invasive mycosis in
patients undergoing hematological and allogeneic stem cell transplantation. Mucormycosis is still a concern in patients with
diabetes mellitus in the Western world. Furthermore, this disease is becoming more widely recognized in newly developed
countries, such as India, in people who have uncontrolled diabetes or in cases of trauma. Data on radiologic features on this
type of mycosis are scant. This review aims to throw light on imaging features of mucormycosis which help in early diagnosis
and prompt treatment of the disease.
Key words: Advanced Imaging, Conventional Imaging, Diagnosis, Fungal Infection, Mucormycosis, Post-COVID complications

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Review Article

3D Imaging in Orthodontics - A Narrative Review

Surabhi Saxena1 , Dhruv Tiwari2 , Anita Pradhan1

Three-dimensional (3D) technology has been widely used in orthodontics in recent years. Conventional computed and
cone-beam computerized tomography (CT/CBCT), ultrasonography (USG), magnetic resonance imaging, and surface
scanning, intraoral scanning are some of the 3D technologies in orthodontics. The purpose of this article is to review the
currently available orthodontic appliances which utilizes 3D technology such as the principles in 3D imaging and its possible
applications of 3D facial imaging in orthodontics, the different techniques of 3D imaging of the teeth as well as the recent
efforts to create the “virtual orthodontic patient” with the help of 3D soft- and hard-tissue data. This article is basically a brief
narrative review of some of the commercially available 3D-based technologies in orthodontics.
Keywords: Three-dimensional, cone beam computed tomography, clinical use, computed tomography, intraoral scanners, magnetic
resonance imaging

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Review Article

Rational Design and Characterization of Novel Dental Implant and Surfaces: Mucointegration with Enhanced Osseointegration

Sonal Singh1 , Darakshan Saifi1 , Mukesh Kumar Singhal2 , Isha Saxena1

An ideal implant system should retain all the favorable features of existing implants that contributed to high survival rates,
and introduction of novel features to facilitate new clinical applications like better integration of the peri-implant soft tissue
and a transmucosal interface that can accommodate deficiencies or changes in the peri-implant mucosa profile. Surface
properties largely contribute to the biological and clinical performance of implants and abutments as long-term success rate of
a dental implant system depends on its integration with the patient’s soft and hard tissues. Numerous manufacturing methods
and surface managements have been developed for regulating the surface micro-topography, nanostructures, and chemistry.
Among all, implants prepared by anodization have shown significant long-standing clinical performance. This article describes
a recent implant system in dentistry with collective surface chemistry, topography, nanostructure, color, and surface energy
features that are likely to address few limitations of foregoing implant systems.
Key words: Anodization, dental implant system, mucointegration, osseointegration, soft-tissue attachment, surface chemistry

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Review Article

Root-end Filling Materials – A Literature Review

Tanu Singh1 , Anuraag Gurtu2 , Varnika Saxena3

Following endodontic surgery, root-end filling materials are widely employed; however, their influence on neighboring soft
tissues is unknown. Exposure of the affected area, root-end excision, and preparation and implantation of root-end filling
material are common clinical procedures. This article offers a review of the literature on the materials that have been
recommended for clinical usage as root-end filling, as well as the change toward the present materials of choice.
Key words: Amalgam, Glass Ionomer Cement, Bioceramics, Mineral Trioxide Aggregate, Periapical Surgery, Root Canal
Treatment

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Review Article

Anatomy of Root Apex and it’s Significance in Endodontics

Anuraag Gurtu1 , Rashmi Bansal2

The anatomy of root apex is an area of interest to the endodontist. Endodontic treatment aims to remove micro-organisms from
the root canal system while also preventing reinfection. To achieve this objective, it is important to understand the anatomy
of this region in detail. There are various morphological landmark in this region, namely, apical constriction, apical foramen,
root apex (anatomic and radiographic), and cementodentinal junction for better outcome, it is important to understand their
variation and contribution in endodontic success.
Key words: Apical constriction, Apical foramen, Cementodentinal junction, Root apex (anatomic and radiographic)

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Case Report

Surgical Management of Panfacial Injury: A Case Report

Archana Chaurasia1 , Bhart Vashishat2 , Abhishek Singh Panwar3 , Gaurav Bhagia3 , Azmi Malik4 , Smriti Saxena5

Pan facial injuries are multiple injuries of the face that involve the upper third, middle third, and lower third of the face. Pan
facial injuries occur majorly due to road traffic accidents and physical assaults. Because of multiple facial injuries, it is difficult
for the surgeon to re-establish facial contours and regaining anatomical and functional work of the facial region. Persistent
deformity of the facial skeleton can occur due to inadequate reduction of all the component of fractured segments or lack to
stability in fracture bones. To diagnose multiple facial injuries a better clinical evaluation is necessary and 3 Dimensional
computed tomography scans are gold standard in evaluating displaced, non displaced fractures, and finding multiple injuries
of the facial region. Treatment protocol for pan facial fractures can be closed reduction or open reduction internal fixation.
This case report tells about a brief discussion on the management of a 25-year-old male patient who had suffered from multiple
facial injuries.
Key words: Clinical and radiographical evaluation, panfacial injury, persistent deformity, road traffic accidents

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Case Report

Mucormycosis in Maxillofacial Region: A Case Report

Archana Chaurasia1 , Gaurav Bhagia2 , Niyati Mishra3

In this post-COVID era, the changing trend in the pattern of osteomyelitis and prevalence of mucormycosis has been on
tremendous increase and requires utmost concern. The early diagnosis and aggressive intervention followed by antifungal
therapy is the key to a successful treatment of mucormycosis in maxillofacial region. Therefore, in this case report, we will
be sharing one of our cases treated in our department of oral and maxillofacial surgery and its intraoperative observations and
hurdles that were encountered.
Key words: Antifungal therapy, fungal osteomyelitis, maxillofacial, mucormycosis

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Case Report

Elimination of Orthopedic Instability between Occlusal and Joint Position with Stabilization Appliance-a Case Report

Kumari Sweta Prakash1 , Priyanka Chourasiya1 , Rashmi Joshi1 , Chandana Nair2

Interocclusal orthopedic appliances or stabilization splints are routinely used in the treatment of temporomandibular joint
(TMJ) disorders and masticatory system. It is proven therapy for facilitating diagnosis and alleviating the pain. Related to
different types of temporomandibular dysfunctions and parafunctional habits such as bruxism and clenching. This case report
potentiates the practice of employing occlusal splints for initial non-surgical management of TMJ internal derangement and
masticatory pain with stabilization appliance as an adjunct to other pharmacological and physical therapy. A self-cured acrylic
stabilization appliance was fabricated and delivered to the patient, which significantly reduced the pain within 4 weeks.
Key words: Temporomandibular disorders, masticatory pain, facial asymmetry, occlusal splint, stabilization appliance

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Case Report

Depigmentation: A Report of 2 Cases

Mayank Priyadarshi1 , Anshika Suman1 , Shaurya Upadhyay1 , Manvi Chandra Agarwal2

Gingival depigmentation is a periodontal plastic surgical procedure where the hyperpigmentation is removed using various
techniques. Gingival hyperpigmentation has an impact on esthetics and also creates physiological negativity among individuals.
There are a wide array of depigmentation techniques available to manage this condition such as laser technique, scalpel
technique, cryosurgery etc. Due to scarcity of literature, it becomes difficult for the clinician to choose the most appropriate
technique for the treatment, hence, the aim of this study is to evaluate the more appropriate available depigmentation technique
between Scalpel and Laser. This article compares the management of hyperpigmented gingiva using two very commonly used
techniques that are- Scalpel technique and Laser technique, it also highlights the relevance of scalpel technique.
Key words: Depigmentation, hyperpigmentation, melanin, periodontal surgery, repigmentation

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