Indian Journal of Dental Education

 Objective: The study highlighted the effect of patient-related factors on levels of pain felt by subjects during root canal treatment, as well as the association between treatment duration and pain severity. Study design maxillary central incisors with either necrotic pulp or irreversibly inflamed pulp, with or without pre operative pain were studied in 160 subjects aged 18 years and above. Subject’s age and gender, as well as pulp status and pre operative pain status were recorded. The procedure was done using a standard protocol visual analogue scale (VAS) was used to record the level of pain felt., Results: Those with irreversible pulpitis felt higher pain. None with necrotic pulp experienced intense pain, while those in the 51 -60+ year age band had severe, unbearable or intense pain. Mild pain was a common denominator in all age bands. Pain level increased with treatment duration., Conclusion: Supplemental local anesthesia should be employed in women and in teeth with irreversible pulpitis, while efforts should be made to accomplish procedures within a reasonable time.

Key Words: Flare-up, root canal therapy, pain level, maxillary central incisor, visual analogue scale.

 A major problem in implant biomechanics is to unravel the biologic significance of the nonuniform stresses around implants,and to determine when the stress in bone around an implant exceed danger limits. Implant biomechanics should familiarize the clinician with key issues to be taken into consideration when using oral implants.It should also provide some analytical and computational tools that will help clinician do better case planning and evaluation.It should also help clinician understand the biomechanical reasons for success verses failure of implants.

Key words: Implant, forces, peri-implant tissue.

 Securing an airway in oral and maxillofacial surgeries is an important part of management for both the surgeon as well as the anaesthetist. Intermaxillary fixation (IMF) is required intraoperatively in most of the surgical procedures and oral intubation significantly impedes this. In certain cases nasal intubation is also contraindicated. In these circumstances, Submental intubation helps in avoiding potential complications associated with nasal intubation and tracheostomy and at the same time allows an unobstructed surgical field in management of not only trauma cases but also in orthognathic surgeries and rhinoplasty. In this paper, the use and the technique of submental intubation is discussed.

Key Words: Submental intubation, intermaxillary fixation 

 The purpose of the study was to compare the clinical efficacy of tetracycline impregnated fibrillar collagen in conjunction with scaling and root planing to scaling and root planing alone in the treatment of chronic periodontitis. The study was conducted in a split mouth design. Thirty five patients having at least two non adjacent sites in different quadrants with periodontal pockets e” 5mm and with bleeding on probing at initial visit were treated with both scaling and root planing plus tetracycline fibers or with either scaling and root planing alone. Baseline and follow up measurements included plaque index, gingival index, probing pocket depth and clinical attachment level. Both treatment modalities were affective in improving clinical parameters over three months observation period. The combined antimicrobial and mechanical debridement therapy has shown better results as compared to scaling and root planing alone. Application of tetracycline in modified collagen matrix following scaling and root planing might be beneficial in treatment of chronic adult periodontitis and improving periodontal parameters for 3 months duration.

How will the new era signify dental practice of occupational safety, dental health education and its challenges? At present, the dental profession is confronted by an outburstof technology, population explosion, problems in dental health care delivery systems. As a result, dentists find it increasingly difficult to meet their responsibilities to patients and society. In such conditions, reaffirming the fundamental and universal principles and values of dental professionalism, which remain principles to be pursued by all oral physicians becomes important. This paper reviews dental education in India and challenges in oral health owing to issues such as lack of awareness, lack of oral hygiene, quackery etc.

Key Words: Dental education, curriculum, history, India, infrastructure, street dentistry, quackery

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