A Study of anxiety and fear level in dental practitioners from coronavirus and need of clinical practice modification to combat Covid -19

An outbreak of novel corona virus (COVID-19) in China has influenced several aspects of the life of healthcare professionals, especially dentists, who are actually exposed to a higher risk of getting infected due to close interaction with their patients during treatments. The study was conducted to understand the anxiety and fear level of dental practitioners in getting infected during practice in the current corona virus (COVID-19) situation. In addition, also to evaluate their awareness about various practice modifications needed or required to combat COVID-19 during clinical practice. A cross-sectional study was conducted by an online survey from 3rd Aug to 8th Sept 2020. For the central region, a well-defined survey was planned at Google doc. A total of 239 participants from 16 different states of India had responded. Post scrutiny, completed questionnaires (n = 210) were included in the study. Statistical analysis was performed using SPSS version 25. Chi-Square and tests were applied The fear and anxiety levels of dentists are found as; 69% of participants were afraid getting infected from a patient visiting their clinics. 74.8% were scared while providing treatment to patients. 47.1% felt suggest or think not to do practice until the number of COVID-19 patient cases decreases.54.3% participants felt anxiety and scared while interacting to patients while treatments, 81% have fear to carry the infection from clinic to their home and can get their family infected. 40% were afraid of getting quarantined and 59.5% were concerned about the cost of treatment on the off chance if get Infected. Dental practitioners are in a state of anxiety and fear while treating their patients due to the pandemic impact around the community. A number of dental practitioners have either modified their clinical practice process as per recommended guidelines for emergency treatment only, or closed down clinics for an uncertain period.

Conserving a tooth in esthetic way - A case report

Esthetic treatment is the main concern for everyone in today’s world. Clinicians are in search of a durable and tooth colored restorative material. All ceramics with high strength are better alternative to composite, amalgam and gold for posterior tooth restoration. Tooth-colored restorations made from composite resin or ceramic has solved many of the esthetic concerns. This case report presented a durable and more conservative esthetic treatment for a broken tooth with bruxZir inlay.

Focal fibrous hyperplasia beneath the tongue – A rare case report

Focal fibrous hyperplasia is a slow growing connective tissue tumor that frequently occurs in different anatomic sites of the oral cavity. The present case report describes the occurrence of this lesion on the ventral surface of the tongue which is hitherto least reported intraoral site, in a 11 year old male patient, which was successfully excised.

The effect of 5% NaOCl and 17% EDTA, at 24hrs and 8days, on the microhardness of MTA, Biodentine and Pozzolan cement: An in- vitro study.

Aim & Objectives: The aim of this study was to evaluate the effects, at 24 h and 8 days, of 5% NaOCl and 17% EDTA on the Vicker’s microhardness of Mineral Trioxide Aggregate(MTA Angelus) (MTAA), Biodentine(Septodont, Saint Maur des Fosse’s France) and Pozzolan based endodontic cement named Endocem MTA(Maruchi, Wonju, Korea). Materials and method: Sixty samples of MTAA, Biodentine and Endocem MTA were tested for baseline microhardness at 24 h. They were divided into 12 subgroups (5% NaOCl or 17% EDTA, 24 h and 5% NaOCl or 17% EDTA at 8 days) and microhardness was evaluated at different time points. Results were recorded and analysed statistically via one-way ANOVA and Tukey’s post hoc test. Results: MTAA had a higher baseline microhardness than both biodentine and Endocem MTA. At 24 hrs, the microhardness of all the materials was reduced by NaOCl and EDTA. At 8 days, NaOCl reduced the microhardness of MTA but that of Biodentine and Endocem MTA was increased. EDTA at 8 days, reduced the microhardness of both MTAA and Biodentine but an increase was seen with Endocem MTA. Conclusion: Changes in microhardness of MTAA, Biodentine and Pozzolan cement(Endocem MTA) were associated with the time for which the materials are allowed to set as well as the irrigating agent used,.

Aftermath of Covid-19 Pandemic on oral surgery and orthodontic practices in Northern India

The scuttlebutt is already churning out projections about what the post COVID-19 work environment might look like. While we get ‘old-school’ in tackling challenges, we may also want to consider getting ‘tech savvy’ in regards to oral health delivery via teledentistry for prior consultation ultimately decreasing footfall in OPDs. The COVID-19 outbreak serves as both a reminder and an opportunity to assist. This is an ever evolving dynamic situation, and recommendations discussed herein are based on the best currently available information. However, the decision of the treatment of patients still rests with the individual practitioner. The blanket instruction is to dodge all aerosol related procedures in dental setups. It’s dentist prerogative to install all fail-safes and perform restorative procedure requiring AGPs with all efforts to mitigate the risk of transmission of the SARS-Cov-2 virus and for minimal working times with the appropriate PPE and infection control protocols. Even when not using AGPs, it is important that robust infection control measures are employed as this isn’t a perfect world, and we’re still in the throes of a pandemic, making it imperative to cultivate the right mind-set within ourselves. The intent of the present review is to consider changes in the clinical oral and maxillofacial surgery and orthodontic workflow and, allow for a smoother transition, with less risk to our patients and healthcare personnel.

Prevalence of oral mucosal lesion in peri-urban area of Lucknow city (Uttar Pradesh)

Introduction: . The oral mucosa performs essential protective functions that affect the general health of the patient. Oral lesions can cause discomfort or pain that interferes with mastication, swallowing, and speech. Aim: The aim of this study is to assess the prevalence of oral mucosal lesions in periurban area in the city of Lucknow aged 15 years and above. Settings and Design: A multistage random sampling was done for identifying the study sample. Materials & Methods: In the first stage. all peri-urban areas of Lucknow city was grouped into four geographical zones. Second stage consisted of random selection of 20 peri-urban areas by lottery method (5 from each zone). In third stage there was selection of individuals using simple random method. A total of 45 individuals was selected. Thus a total 900 individuals was selected (i.e. 225 from each zone). Results: The prevalence of oral mucosal lesion in the present study was found to be 11.8%. The percentage of patients suffering from leukoplakia, oral submucous fibrosis and lichen planus was 51.9%, 20.8% & 11.3% respectively. Conclusion: This survey high-lighted the rampant misuse of variety of harmful substances as well as the high prevalence of oral lesions in the community.

Prevalence of dentin hypersensitivity in Bihar and Jharkhand- A multicentric study

Aim: Dentine hypersensitivity is a common oral problem. This pilot study investigated the prevalence of dentine hypersensitivity in the diverse population across four centres of Bihar and Jharkhand. Materials and Methods: A multi-stage, random sampling method was used to investigate the study population. A total of 5622 subjects were examined at four centres in Bihar and Jharkhand. Subjects were divided into 8 age groups. Participants completed a dentine hypersensitivity questionnaire and underwent clinical examination. The diagnosis of dentine hypersensitivity was confirmed. Gingival recession of sensitive teeth was measured by a Williams periodontal probe. Results: Among 5622 subjects, 1253 were found to be suffering from dentin hypersensitivity indicating a prevalence of 22.28%. Females were more prone to dentin hypersensitivity with male to female ratio of 1:1.31. While subjects in age group of 50-59 were predominantly affected, the molars and premolars were commonly affected with dentin hypersensitivity. Conclusion: The prevalence of dentine hypersensitivity in East India was 22.28%, indicating that it is a common condition. For its effective management, public education about the condition and effective treatment of dentine hypersensitivity are required. Clinical Significance: Assessment of prevalence of hypersensitivity in this demographical location would enable the dental care health workers to devise strategies to educate masses about the prevention and management of this disease

Hemisection: An alternative to extraction : A case report

Hemisection is sectioning of multi-rooted teeth followed by removal of compromised root along with its associated crown portion and leaving the healthy root (with crown) intact. This treatment option can be considered when caries, resorption, perforation, or periodontal damage is restricted to one root while the other root is relatively healthy. The most critical factor determiningthe long term success in such cases is the appropriate case selection. This case report describes a case of hemisectionof a mandibular molar followed by adequate restoration in a young patient.