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   Table of Contents - Current issue
July-December 2022
Volume 7 | Issue 2
Page Nos. 31-54

Online since Friday, December 30, 2022

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Comparative evaluation of hydroxyapatite fluoride and casein phosphopeptide amorphous calcium phosphate fluoride as remineralizing agents in primary teeth using pH cycling and single-sectioning technique p. 31
Malvika Chandrashekharan Nair, Raju Umaji Patil, Samhita Ramchandra Bahutule
Background: Hydroxyapatite and casein phosphopeptide-amorphous calcium phosphate are known to remineralize subsurface carious lesions. Aim: The aim of this study was to evaluate the effect of topical application of hydroxyapatite fluoride (HF) and caseinphosphopeptide-amorphous calcium phosphate fluoride paste (CPP-ACPF) in bringing about remineralization changes in artificially induced carious lesions of primary teeth using pH cycling and single-sectioning technique. Materials and Methods: Seventy extracted deciduous teeth were divided into two groups: Group A: HF (Remin Pro) n = 35 and Group B: CPP-ACPF (Tooth Mousse Plus®) n = 35. The samples were immersed in demineralizing solution for 96 h followed by pH cycling for 10 days which included cycles of demineralization and remineralization of their respective groups. Results: Intergroup comparison of the change in the mean value after demineralization and remineralization showed statistically highly significant difference as the change in Group A HF was 213.52 ± 113.17 (standard deviation [SD]) as compared to that in Group B (CPP-ACPF) 76 ± 57.22 (SD). Conclusion: HF was found to be better when compared to CPP-ACPF for tooth remineralization.
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Reasons for patients opting out from root canal treatment and preferring extraction in a prospective study p. 36
Abhinav Kumar Singh
Background: Unfortunately, endodontic care has a bad reputation. To effectively address the problem, it is vital to identify the elements that cause patients' discomfort and so prevent them from participating in RCT. Aim and Objectives: The goal of this study is to assess the factors that lead people from southern India to forego root canal treatment (RCT) in favor of tooth extraction. Methodology: 500 patients who sought therapy for irreversible pulpitis at the department of conservative dentistry and endodontics and ultimately opted for extraction were analyzed. Patients were contacted, and their completed surveys were gathered. To conduct statistical analysis, the recorded explanations were put into SPSS (Statistical Package for the Social Sciences). Frequency distribution tests were performed on the data. Results: Twenty percentage of patients in the study reported that they did not want to undergo RCT because they believed it would be ineffective, while 15% cited the high cost of RCT and a crown as a deterrent. Twenty-five percentage of respondents said they needed pain relief immediately but were unconcerned about tooth loss. Conclusion: Patient misconceptions about the efficacy of RCTs were a major factor in their decision to forego participation in these studies in favor of extraction.
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Dentists' knowledge, practices, and mishaps in relation to post placement for endodontically treated teeth p. 39
Abhinav Kumar Singh
Background: When restoring teeth, the post and core method is often employed. Unfortunately, several reports of endodontically treated teeth failing after placement of this material exist. Objective: The purpose of this research is to determine whether or not dentists have a thorough understanding of the causes of post and core failure. The goal is to evaluate patient outcomes following post coronal restoration procedures, such as post space preparation, post placement, and post final coronal restoration. Methodology: The quantitative methodology has informed a cross-sectional study design. One hundred dentists were chosen at random to fill out the questionnaire, which was then examined statistically. Results: Sodium hypochlorite irrigation, rubber dams, mineral trioxide aggregate management, and follow-up were all mentioned in the findings. Further, it was demonstrated that factors such as tooth size, tooth type, repair time, and repair material all play a role in whether or not a restorative tooth fails. Conclusion: According to the results, the study population had varying degrees of understanding of the post- and core-restorative system. Guidelines should be established to improve restorative practices and expand understanding. Likewise, this aids in avoiding any accidents that could arise as a result of the same causes.
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Health consequences of uninsured adults: An updated review p. 42
Vinit Shashikant Patil, K Sidhulal, Nilima Vaghela, Uzma Belgaumi, PA Rafeeque, MM Siraj
The health consequences of uninsurance are real, vary in magnitude in a clinically consistent manner. Health services research conducted over the past 25 years makes a compelling case that having health insurance or using more medical care would improve the health of the uninsured. Uninsured adults have less access to recommended care, receive poorer quality of care, and experience worse health outcomes than insured adults do. Uninsured adults forego preventive care and seek health care at more advanced stages of disease. Society then bears these costs through lower productivity, increased rates of communicable diseases, and higher insurance premiums. Some mortality studies imply that a 4%–5% reduction in the uninsured's mortality is a lower bound; other studies suggest that the reductions could be as high as 20%–25%. The potential health benefits of expanding insurance coverage for these adults may provide a strong rationale for reform. In its review study, we have highlighted the health consequences of uninsurance among adults.
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A bridge between diabetes and periodontitis p. 45
N Prakash, Anil Melath, K Subair, MR Arjun
Periodontitis is a chronic inflammatory multifactorial disease that affects the supporting structures of teeth, affects the quality of life, and causes the destruction of multiple organs, on the other hand, diabetes is a group of metabolic diseases characterized by increased levels of glucose in the blood (hyperglycemia) resulting from defects in insulin secretion, insulin action, or both. Studies have shown that periodontitis patients have three times more risk of getting diabetes and evidence shows that cytokine, neutrophil, and inflammatory activity relate to both diabetes and periodontitis. This review article intends to cover the vast dilemmas that exist in relation to the double-edged sword; diabetes and periodontitis.
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Are you ready for patient engagement in health care? p. 52
Vinit Shashikant Patil, K Sidhulal, Nilima Vaghela, Uzma Belgaumi, P P Javad Ebn Mohammed Abdulla, Junaid Bin Ahmed
Active patient engagement (PE) is increasingly viewed as essential to ensuring that patient-driven perspectives are considered throughout public health and the research process. However, guidance for PE in research does not exist, the evidence base for practice is limited, and we know relatively little about underpinning values that can impact on PE practice. An explicit statement of values seeks to align all stakeholders on the purpose, practice, and credibility of PE activities. An innovative, flexible, and transparent research environment is valued as essential to developing a trustworthy evidence base with which to underpin future guidance for good PE practice. The recent focus on PE acknowledges that patients have an important role to play in their own health care. This includes reading, understanding and acting on health information (health literacy), working together with clinicians to select appropriate treatments or management options (shared decision-making), and providing feedback on health-care processes and outcomes (quality improvement). This review explores the values that should underpin PE in contemporary public health research to help inform future good practice guidance.
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