Vol. 13 – 2022

January-June 2022, Issue 1


A Questionnaire-based Dental Survey for the Purpose of Evaluating the Knowledge Level, of School Teaching Staff on First-aid Management of Traumatic Dental Injuries in Bareilly Region

Shashank Kumar Singh1 , Sathyajith Naik. N2 , Pallavi Vashisth2 , Shivangi Sharmaa3 , Deepshikha1 , Ankita Gupta1

Aim: Tooth trauma has been and continues to be the common occurrence that every school teacher and especially sports

teacher must have sufficient knowledge which can improve the prognosis of traumatized teeth of school children through

immediate on-site management or on time referral to healthcare providers. The aim of this particular study was evaluating the

knowledge level of school teaching staff in Bareilly city and also their attitude with respect to emergency first-aid management

of traumatic dental injuries (TDI) taking place in Bareilly schools.

Materials and Methods: A cross-sectional.descriptive

study among 348 school teaching staff was undertaken in Bareilly region. This was conducted through a questionnaire-based

dental survey which included demographic characteristics, behavioral attitude, and knowledge regarding first-aid management

of TDI.

Results: A total of 348 school teachers responded to the questionnaire. Majority of them, that is, 75.9% had not

received any first aid training. A total of 46.6% teachers were aware that the fractured tooth fragment can be used for the

treatment. When inquired about the luxation injury, 15.5% were aware that the child should be referred to a dentist. In case of

avulsion, 56.3% of the teachers were aware that the tooth can be used for replantation. And only 40.8% of the teachers would

refer the child to a dentist and 24.1% would refer the child to pediatric dentist. Conclusion: The knowledge of the school

teachers in Bareilly about first-aid management of TDI is limited. Programs and guidelines should be formulated to train the

teachers regarding first aid and emergency management of dental trauma.

Key words:  TDI, Dental Trauma, First aid management


Aim: Comparison of the pedodontic pain perception during periodontal corrections using two different techniques, automated

and conventional.

Materials and Methods: A total of 90 adolescents (10–12 years) were attended to in two equal groups –

A and B. Group A was treated by ES, while Group B with conventional using blade. Pain was determined comprehensively

on successful consummation. Each one of them referred to degree of the pain. The extracted data were subjected to statistics

by Chi-square test and analyzed on computer monitor using SPSS software. Results: The data were analyzed for statistical

significance (P < 0.05). In Group A, those indicating low pain degree was largest (71.1%) while severe pain was the lowest

(2.2%). In Group B contrastingly, almost one-fifth (17.8%) conveyed perception of severe pain. Moreover, a remarkable

differentiation was drawn between the two for reverse pain perceptions – low and severe (P < 0.005 for low degree and P < 0.01

for severe degree).

Conclusion: Electrosurgery technique demonstrated less pain and enhanced healing.

Key words: Esthetic corrections, electrosurgery, pediatric dentistry, pain assessment


Original Research

A Ten Year Retrospective Analysis of Early Childhood Caries among Children Visiting at Institute of Dental Sciences Bareilly

Deepshikha1 , Sathyajith Naik. N2 , Shivangi Sharmaa3 , Nandita Gautam4 , Ankita Gupta1 , Shashank kumar Singh1

Aim: The purpose of this study was to know the prevalence of Early Childhood Caries (ECC) in children reporting to the

Department of Department of Pediatric and preventive dentistry, Institute of Dental Sciences Bareilly.

Methods: This is a

retrospective study of data from the Department of Pediatric and preventive dentistry, Institute of Dental Sciences Bareilly

from May 1, 2011, to May 1, 2021. Results: The prevalence of ECC was 51.7%. The prevalence of ECC increased with the

increasing age with the highest prevalence among 5–6 year (69.2%) followed by 57.9%, 48.9%, 46.2%, 32.1%, and 0% among

4–5, 3–4, 2–3, 2–1, and <1 year old, respectively.

Conclusion: According to the findings of this study, the prevalence of ECC

was high among children who visited the Department of Pediatric and Preventive Dentistry, Institute of Dental Sciences,

Bareilly. As a result, caries prevention and treatment strategies for this group of youngsters are required.

Key words: Caries free, Early childhood caries, 10 year


Original Article

Assessment of Self-Medication Practices among Students of Dental College of Bareilly City: A Cross-Sectional Study

Prasanjeet Kumar1 , Shivalingesh K. K.2 , Anushtha Kushwaha1 , Nandita Gautam1

Introduction: Self-medication is defined as use of medicines by the individuals on their own without professional advice to

treat self-diagnosed conditions.

Aim: This study aims to assess the self-medication behaviors of interns and postgraduates

students at the dental college in Bareilly. Materials and Methods: During the months of August and September 2021, a cross sectional survey was done among interns and postgraduates students aged 17–25, sample size of 165 at Institute of Dental College in Bareilly city. A questionnaire consisting of 20 closed-ended questions related to various aspects of self-medication practice was handed to the students.

Results: Among 165 students, 68.5% of the participants were female. The majority of students (64.2%) obtained information through a past sickness or doctor’s prescription, directly from the pharmacy (20.3%), or by accessing the web (15.5%). Around 72.7% of students knew enough about adverse medication reactions.

Conclusion: The vast majority of dental students self-medicate. Actions should be adopted to minimize this type of behavior by educating students about the benefits and drawbacks of using medications without a prescription.

Key words: Self-medication, dental students, non-prescription drugs


Review Article

Emerging Applications of 3D Printing in Forensic Odontology: A Review

Rupali Pandey1 , Ashish Aggarwal2 , Nitin Upadhyay3 , Nupur Agarwal4 , Sowmya Gujjar Vishnurao4 , Ankit Singh Rathore5

“Forensic odontology” is an essential branch of forensic science that has long played a role in criminal investigations. It is crucial

for identifying people who have died in big disasters or crimes who cannot be identified visually or by other means. Although

it is common practice to exhibit physical representations of evidence in court, a variety of legal and ethical problems frequently

restrict investigators from presenting any physical evidence with human origins in court. Laser scanners, photogrammetry,

structured light scanners, and other three dimensional (3D) digitizing techniques have changed the field of forensic sciences. 3D

printing can aid in the depiction of evidence spatial connections within a scene and the comprehension of complex terminology.

As a result, these 3D digitizing technologies can be effectively applied to the advancement of forensic sciences.

Key words: 3 Dimensional printing, forensic odontology, forensic science


Case Report

Free Gingival Graft with Titanium-Reinforced Platelet-rich Fibrin for Palatal Wound Healing – A Case Report

Lavanya Kunche1 , Parth Sharma1 , R. G. Shiva Manjunath2 , Manvi Chandra Agarwal3

Introduction: Treatment of mucogingival problems is one of the main concerns of regenerative periodontal therapy. Free gingival graft (FGG) is a proven mucogingival procedure, successfully employed to increase the zone of the keratinized tissue, and helps in the root coverage of the denuded roots. Materials and Methods: Autogenous FGG was harvested from the palatal donor site to increase

the width of attached gingiva and also for root coverage in patient with Millers ClassI gingival recession and shallow vestibular depth

in the mandibular premolar. Titanium-prepared platelet-rich fibrin (T-PRF) membrane was placed on the donor site. Results: The healing was uneventful 2-week postoperatively at both the sites. There was a significant gain in the width of the attached gingiva at the treated sites.

Conclusion: FGG is an effective treatment option in conditions with inadequate width of attached gingiva and shallow

vestibular depth. T-PRF was an effective alternate to decrease the patient morbidity by minimizing post-operative complications.

Key words: Attached gingiva, Free gingival graft, Palatal wound healing, Recession, Titanium-prepared platelet-rich fibrin


Case Report

Interdisciplinary Management of Periodontal-endodontic Continuum: A Case Report

Sivani Sangam1 , Chandra Vijay Singh2 , Anurag Singhal2 , Varnika Singh1

Aim: The aim of the study was to use interdisciplinary approach for the management of endo-perio lesion.

Methods: A 35-year-old male patient with pain in the lower left back tooth region visited the department of endodontics.

On clinical examination, there was occlusal caries in 37 and an 8 mm periodontal pocket in relation to 36. The endodontic

procedure was to be done first, and then the periodontal procedure. Therefore, in 36 cases, endodontic therapy was started

following oral prophylaxis. Then under local anesthetic, open debridement was done in 36 and bone graft was planted in

the fault. Over the graft, resorbable membrane was applied. Periodontal dressing was applied, sutures were positioned,

and a 9-month follow-up was conducted. Results: Resolution of the inflammation and a reduction in probing pocket

depth and gain in clinical attachment gained was observed irt 36. IOPAR taken after 3months showed a healing stage in

furcational area.

Conclusion: This case report shows that an endodontic lesion with apical and periodontal bone loss can nevertheless have a fair prognosis, despite the generally poor prognosis associated with endodontic-periodontal lesions.In this instance, it was accomplished through successful periodontal or surgical treatment that was followed by root canal therapy.

Key words: Endoperio lesion, bone graft, Periodontal pocket


Case Report

Radix Entomolaris: A Case Report

Pooja Pandey1 , Anisha Luthra1 , Chandra Vijay Singh2 , Tanu Morya3 , Shubhi Gupta1 , Saurav Kumar Dutta1

An extra root can be found disto-lingually, termed radix entomolaris (RE), or mesio-bucally, named radix paramolaris, on

lower molars (RP). Root canal treatment is more successful when the complexities of root canal morphology are recognized

and understood.

Key words: Anatomical variations, Endodontic treatment, Lower molar, Radix entomolaris



Pinhole Technique and T-PRF: Proportioning Pink and White Esthetics – A Case Report

Lubna Shoaib1 , Satyaki Verma1 , Prerna Tandon1 , R.G. Shiva Manjunath2 , Manvi Chandra Agarwal3 , Shaurya Upadhyay1

Introduction: Field of periodontal plastic surgery is gaining fascination, because the importance of pink esthetics is increasing.

Preserving the lost soft tissue that too by minimally invasive procedure is being an attractive treatment modality which is been

accepted by patients on a larger scale. Hence, the aim of the article was to reposition the gingival margin to it’s original position

with minimally manipulating the tissues. Materials and Methods: A 45-year-old male patient reported to our department

with chief complaint of unaesthetic appearance and sensitivity in upper front tooth region. Following which patient has been

planned for minimally invasive pinhole surgery technique (PST), along with placement of titanium-platelet rich fibrin (T-PRF) after thorough phase I therapy.

Results: The patient had 4 mm of recession depth before surgery which was coronally advanced

until CEJ after 15 days postoperatively with the beneficial effects of T-PRF as a biomaterial and minimally invasive PST.

Conclusion: The patient treated by minimally invasive Pinhole technique showed reduction in recession depth after 15 days

with minimal post-operative complications.

Key words: Gingival recession, minimally invasive surgery, pinhole surgery, titanium platelet rich fibrin


Case Report

Management of a Non-vital Discolored Tooth with an Open Apex using MTA and Walking Bleach Technique: A Case Report

Vertika Mahar, Chandra Vijay Singh, Mohd. Wasil Khan, Anurag Singhal

Trauma causes injury to the pulp causing necrosis. The necrotic agents or the hemolyzed products penetrate the dentinal

tubules causing discoloration. Any traumatic injury causing necrosis at an early stage before the root completion causes the

formation of open apex. A single visit apexification using mineral trioxide aggregate (MTA) is an efficient treatment option

for open apices and has gained popularity in the recent times. For discolored teeth, bleaching is an effective alternative to

direct and indirect restorations. In this case report, we have attempted to present successful treatment of a discolored maxillary

incisor with an open apex with MTA followed by walking bleach technique.

Key words: Apexification, Bleaching, Mineral trioxide aggregate


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