Current Trends in Irrigation Practice during Endodontic Treatment among Dental Practitioners in Nellore Urban Area: A Survey

2016 ◽  
Vol 1 (2) ◽  
pp. 47-55
Author(s):  
Madhusudhana Koppolu ◽  
Yelloji Paramesh ◽  
Chinni Suneelkumar ◽  
Anumula Lavanya

ABSTRACT Aim The purpose of this study was to determine the current trends in irrigation practice among the practicing dentists in Nellore urban area of Andhra Pradesh, India. Materials and methods A self-prepared questionnaire comprising 20 questions was given to 150 dentists practicing in Nellore urban area. The information gathered was the individual irrigant selection, irrigant concentration, smear layer removal, and use of adjuncts to irrigation, gauge of needle, tip design of needle, depth of needle penetration, volume of the syringe used, volume of irrigant used, duration of irrigation, choice of irrigant in vital teeth, teeth with radiographic evidence of periapical lesion, and retreatment cases. Results Our data indicated that majority of respondents (55.6%) are using saline as primary irrigant at a concentration of 0.9% whereas 44.4% of respondents primarily use sodium hypochlorite (NaOCl), with 51.4% of them using it at a concentration of 2.6 to 4%. Twenty-six gauge needle with single-beveled tip design being most preferred for syringe irrigation. Only 59.7% of respondents aimed to remove the smear layer during endodontic treatment with only 11.9% using an adjunct to irrigation. Conclusion Regardless of the critical nature of the irrigation step in the endodontic therapy, the results from the study were not satisfying, especially when it comes to the use of primary irrigant, adjuncts, or newer irrigating systems. Thus there is a need to regularly update and check the practices adopted by dental practitioners. How to cite this article Koppolu M, Paramesh Y, Suneelkumar C, Lavanya A. Current Trends in Irrigation Practice during Endodontic Treatment among Dental Practitioners in Nellore Urban Area: A Survey. J Oper Dent Endod 2016;1(2):47-55.

2014 ◽  
Vol 02 (02) ◽  
pp. 080-083
Author(s):  
Saurav Miglani ◽  
Babita Karda ◽  
Palvi Sarangal ◽  

Abstract Aim: The purpose of this study was to determine current trends in irrigation practice among the practicing dentists in Himachal Pradesh. Methodology: A self prepared questionnaire comprising of 15 questions was e-mailed to 1970 members of the State Dental Council of Himachal Pradesh. The information gathered was the individual irrigant selection, irrigant concentration, smear layer removal, and use of adjuncts to irrigation. Results: A total of 544 replies were evaluated thus making the response rate of 27.6% for the study. Our data indicated that 38% of respondents primarily use sodium hypochlorite, with 61% of them using it at a concentration >5.0%. Only 21% of respondents aimed to remove the smear layer during endodontic treatment with only 7% using an adjunct to irrigation. Antibacterial activity was rated as the most important reason while selecting an irrigant. Conclusion: In spite of the crucial nature of the irrigation step in the endodontic therapy, the results of the study were not very satisfying especially when it comes to the use of adjuncts or newer irrigating systems. Thus there is need to regularly update and gauge the practices adopted by dental practitioners in the state.


2014 ◽  
Vol 40 (5) ◽  
pp. 618-624 ◽  
Author(s):  
Gina M. Savani ◽  
Wael Sabbah ◽  
Christine M. Sedgley ◽  
Brian Whitten

1991 ◽  
Vol 22 (2) ◽  
pp. 51-59 ◽  
Author(s):  
Kathy L. Coufal ◽  
Allen L. Steckelberg ◽  
Stanley F. Vasa

Administrators of programs for children with communicative disorders in 11 midwestern states were surveyed to assess trends in the training and utilization of paraprofessionals. Topics included: (a) current trends in employment, (b) paraprofessional training, (c) use of ASHA and state guidelines, and (d) district policies for supervision. Selection criteria, use of job descriptions, training programs, and supervision practices and policies were examined. Results indicate that paraprofessionals are used but that standards for training and supervision are not consistently applied across all programs. Program administrators report minimal training for supervising professionals.


1988 ◽  
Vol 20 (3) ◽  
pp. 265-274 ◽  
Author(s):  
Roy A. Carr-Hill

SummaryThe conventional belief since the publication of the Black Report is that social inequalities in health have been increasing since 1931–32 although it has been argued that the measure of inequality used is inappropriate. All analyses have been based on mortality rates which, in large part, reflect inequalities in health over the previous 50 years and not current trends. This paper argues that time trends should be assessed with a current health status measure and suggests using height at age 20 as a good measure of the achieved health status of a group. Analysis of a government survey shows that inequalities have stayed the same since 1940, both for men classified by their own occupation and for women classified by their father's occupation.


Akademos ◽  
2021 ◽  
pp. 150-153
Author(s):  
Corina Zagaievschi ◽  
◽  
Beatrice-Ionela Enache ◽  

This article deals with the problem of effective learning of modern languages. We aim to point out the current, progressive guidelines on language learning followed by their actual use in various cultural contexts. Spontaneous, instinctive and natural learning, through simple exposure to the target language, is a current trend in learning modern languages, because a language is easier to learn in real, concrete contexts, hearing, speaking, participating.


2013 ◽  
Vol 5 (2) ◽  
pp. 3-5
Author(s):  
R.S. Bassvanna ◽  
Chitra Gohil

ABSTRACT Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.


Author(s):  
Ksenia Sidorova

ABSTRACTHow can we approach the process of construction of young men and women as subjects in the case of a group of high school students, who, in some cases, come from the families of maya origin and are inhabitants of a marginalized urban area in the southeast of Mexico? In this paper I argue that their way of being, relationship with structures, future projects, and notions of “good life” become intelligible through an approach that puts into dialogue the concepts of social experience (Dubet, 2011) and otherness. The first one is a valuable tool that allows to discover a particular dialectic of integrationsubjectivation, which characterizes the relationship of these young people with social institutions and actors. The second one locates the students as constructors of a symbolic universe, where different cultural elements, among them those originated in the family and in school, interact. The representation of a young subject that I construct differs from the stereotypes – usually negative and homogeneous– that are used to describe the urban area in question; it also allows to understand the necessities and aspirations of these individuals according to their own notions of good life, in which the individual and the communal aspects are merged.RESUMEN¿Cómo podemos estudiar la construcción del sujeto en el caso de un grupo de jóvenes estudiantes de un bachillerato universitario, algunos de los cuales provienen de las familias de origen maya, habitantes de una zona urbana marginal, en el sureste de México? Arguyo que su forma de ser, relación con las estructuras, proyectos a futuro y nociones de la vida buena cobran inteligibilidad mediante un acercamiento que pone a dialogar los conceptos de experiencia social (Dubet, 2011) y alteridad. El primero representa una herramienta conceptual valiosa para descubrir una dialéctica sui géneris de integración-subjetivación que caracteriza la relación de estos jóvenes con las diversas instituciones y actores sociales. El segundo ubica a los jóvenes como constructores de un universo de sentido, en el que interactúan elementos culturales propios de sus familias de origen y el bachillerato universitario, entre otros. La representación del sujeto joven que construyo se aleja de aquellos estereotipos –generalmente negativos y homogeneizantes– que circulan acerca de los jóvenes de la zona en cuestión; asimismo permite comprender las necesidades y aspiraciones de estos individuos acorde a sus propias nociones de la vida buena en las cuales se funden lo individual y lo comunal.


2021 ◽  
Author(s):  
Ikhlas El karim ◽  
Henry F Duncan ◽  
Siobhan Cushley ◽  
Venkatesh Nagendrababu ◽  
Lise-Lotte Kirkevang ◽  
...  

Abstract BackgroundThe outcome of endodontic treatment is generally assessed using a range of patient and clinician-centred, non-standardised clinical and radiographic outcome measures. This makes it difficult to synthesise evidence for systematic analysis of the literature and the development of clinical guidelines. Core outcome sets (COS) represent a standardised list of outcomes that should be measured and reported in all clinical studies in a particular field. Recently, clinical researchers and guideline developers have focussed on the need for integration of a patient-reported COS with clinician-centred measures. This study aims to develop a COS that includes both patient reported outcomes and clinician centred measures for various endodontic treatment modalities to be used in clinical research and practice.MethodsTo identify reported outcomes (including when and how they are measured), systematic reviews and their included clinical studies, which focus on the outcome of endodontic treatment and were published between 1990 and 2020 will be screened. The COSs will be defined by a consensus process involving key stakeholders using semi-structured interviews and an online Delphi methodology followed by an interactive virtual consensus meeting. A heterogeneous group of key ‘stakeholders’ including patients, general dental practitioners, endodontists, endodontic teachers, clinical researchers, students and policy-makers will be invited to participate. Patients will establish, via interactive interviews, which outcomes they value and feel should be included in a COS. In the Delphi process, other stakeholders will be asked to prioritise outcomes identified from the literature and patients interviews, and will have the opportunity at the end of the first round to add outcomes that are not included, but which they consider relevant. Feedback will be provided in the second round, when participants will be asked to prioritise the list again. If consensus is reached, the remaining outcomes will be discussed at an online meeting and agreement established via defined consensus rules of outcome inclusion. If consensus is not reached after the second round, a third round will be conducted with feedback, followed by the online meeting. Following identification of a COS, we will proceed to identify how and when these outcomes are measured.DiscussionUsing a rigorous methodology, the proposed consensus process aims to develop a COS for endodontic treatment that will be relevant to stakeholders. The results of the study will be shared with participants and COS users. To increase COS uptake, it will also be actively shared with clinical guideline developers, research funders and the editors of general dental and endodontology journals.Study registrationThe study is registered in COMET (https://comet-initiative.org/Studies/Details/1879)


2021 ◽  
Vol 6 (4) ◽  
Author(s):  
Mohammed Sarhan Alzahrani

Objective: This study aims to determine post-endodontic flare-up incidence for patients treated by endodontic specialists and general dental practitioners. Methods: The investigators measured the postoperative pain using a visual analog scale after 24 and 48 hours for patients treated endodontically by specialists and general dentists. The patient factors and operative variables were documented for every patient. The data was then analyzed using SPSS. A Chi-square test was used to evaluate a relationship between categorical variables, where a P < 0.05 was taken to indicate statistical significance. Results: In total, 143 participants were included in this study (male: n=62, 43.3%; and female: n=81, 56.7%). The incidence of post-endodontic treatment flare-ups was 14.8%. The incidence of 48 hours postoperative pain was higher (29%) with the endodontic specialists compared to the general practitioners. The factors that were associated with a higher postoperative flare-up include; patient age, smoking, preoperative pain, and periapical lesion size. Conclusion: Post-endodontic flare-up incidence in this study was within the reported range of flare-up. Patient factors are associated with the occurrence of the postoperative flare-up more than the operative factors.


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