Publications by authors named "Gurdeep Singh Gill"

9 Publications

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Evaluating Combined Effect of Oral Premedication with Ibuprofen and Dexamethasone on Success of Inferior Alveolar Nerve Block in Mandibular Molars with Symptomatic Irreversible Pulpitis: A Prospective, Double-blind, Randomized Clinical Trial.

J Endod 2021 May 4;47(5):705-710. Epub 2021 Feb 4.

Department of Conservative Dentistry and Endodontics, JCD Dental College, Sirsa, Haryana, India.

Introduction: The success rate of inferior alveolar nerve block decreases exorbitantly in teeth with symptomatic irreversible pulpitis. The purpose of this prospective, double-blind, randomized clinical trial was to evaluate the combined effect of oral premedication with ibuprofen and dexamethasone on the success rate of inferior alveolar nerve block in mandibular molars with symptomatic irreversible pulpitis.

Methods: Ninety-four adult patients actively experiencing pain and diagnosed with symptomatic irreversible pulpitis willingly participated in this study. Preoperative pain was recorded on the Heft-Parker visual analog scale. Patients were randomly allocated to 4 different groups and received placebo, 0.5 mg dexamethasone, 800 mg ibuprofen, or a combination of 0.5 mg dexamethasone and 800 mg ibuprofen. One hour after oral premedication, all patients received standard inferior alveolar nerve block containing 2% lignocaine with 1:200,000 adrenaline. Access cavity preparation was initiated 15 minutes after the administration of anesthesia. Pain scores were recorded on VAS after anesthesia, at dentin penetration to pulp chamber opening, and on file placement. Success was defined as no or mild pain (0-54 mm) throughout the procedure.

Results: The chi-square test was used for qualitative data comparison. The 1-way analysis of variance test and post hoc Bonferroni test showed a statistically significant difference between the combination of 0.5 mg dexamethasone and 800 mg ibuprofen group and the other 3 groups (P < .001).

Conclusions: Preoperative administration of a combination of dexamethasone and ibuprofen improved the success rate of inferior alveolar nerve block in mandibular molars with symptomatic irreversible pulpitis.
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http://dx.doi.org/10.1016/j.joen.2021.01.005DOI Listing
May 2021

Multidisciplinary Approach for the Management of Mandibular Canines with Rare Configuration.

J Pharm Bioallied Sci 2020 Aug 28;12(Suppl 1):S635-S639. Epub 2020 Aug 28.

Department of Pedodontics, Faculty of Dentistry, Asian Institute of Medical, Science and Technology University, Bedong, Kedah, Malaysia.

It is very rare (2%-6% cases) for a mandibular canine to have two root canals and the incidence of finding two roots with two root canals in a mandibular canine that too bilaterally is almost negligible. This case report discusses the presence and multidisciplinary management of such rarest configuration in both mandibular canines of a female patient. This case shows the importance of recognition of anatomical variations in successful accomplishment of root canal treatment.
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http://dx.doi.org/10.4103/jpbs.JPBS_82_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595556PMC
August 2020

Endodontic Management of a Severely Dilacerated Mandibular Third Molar: Case Report and Clinical Considerations.

Case Rep Dent 2018 8;2018:7594147. Epub 2018 Oct 8.

Department of Oral Pathology, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Kedah, Malaysia.

This article aims at providing an insight to the clinical modifications required for the endodontic management of severely dilacerated mandibular third molar. A 35-year-old patient was referred for the root canal treatment of the mandibular left third molar. An intraoral periapical radiograph revealed a severe curvature in both the canals. A wide trapezoidal access was prepared following the use of intermediate-sized files for apical preparation. Owing to increased flexibility, Hero Shaper NITI files were used for the biomechanical preparation and single cone obturation was carried out. Third molars owing to their most posterior location-limited access coupled with a severe curvature pose utmost clinical challenges require meticulous skill, advanced technology, and patience to achieve success.
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http://dx.doi.org/10.1155/2018/7594147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196887PMC
October 2018

An comparison of the antimicrobial efficacy of positive pressure and negative pressure irrigation techniques in root canals infected with .

J Conserv Dent 2018 Jul-Aug;21(4):438-442

Private Practitioner, Dental Solutions Clinic and Implant Centre, Ludhiana, Haryana, India.

Aim: The aim of this study was to compare the efficacy of irrigation with the negative pressure and the traditional positive pressure in eradicating from the root canal.

Materials And Methods: A total of 40 extracted mandibular premolars were sterilized and divided into four groups with 10 samples each. Then, they were prepared to apical size #35 (Group 1, 3) and 45 (Group 2, 4) and inoculated with E. faecalis for 7 days and then irrigated with 3% sodium hypochlorite and 17% ethylenediaminetetraacetic acid. The positive pressure irrigation was performed in Group 1 and Group 2 while the negative pressure irrigation (NPI) using the Endovac in Group 3 and Group 4. Samples taken after the root canal irrigation procedures were cultured and the colony-forming units were counted. Data were statistically analyzed using the Fisher's exact test.

Results: Results were statistically significant when comparing apical negative-pressure irrigation size 45 (Group 4) to positive-pressure irrigation size 35 (Group 1).

Conclusion: The results of this study showed that the apical NPI method (Endovac) was more effective in removing from the root canal at the larger apical preparation size.
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http://dx.doi.org/10.4103/JCD.JCD_328_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080188PMC
August 2018

Effect of local anesthesia containing vasoconstrictor on sealing ability of dentin with two adhesive systems: Dye leakage and scanning electron microscopy study.

J Conserv Dent 2018 May-Jun;21(3):339-343

Department of Conservative Dentistry and Endodontics, JCD Dental College, Sirsa, Haryana, India.

Objectives: To evaluate the effect of 2% lignocaine containing 1:80,000 adrenaline on the microleakage and ultrastructure of resin tooth interface using an acetone based total etch adhesive (Prime and Bond NT) and an ethanol water based self etch adhesive system (Xeno III).

Materials And Method: Class V cavities were prepared on buccal surfaces of 72 maxillary first premolars scheduled for orthodontic extraction. In 36 premolars procedure was performed under local anaesthesia (LA) and in other 36 teeth without LA. Restorations were done with hybrid composite Spectrum TPH using either Prime and Bond NT or Xeno III bonding agents.

Results: Administration of 2% lignocaine with 1:80,000 adrenaline significantly reduced microleakage and improved quality of hybrid layer and tubular penetration in Prime and Bond NT specimens; but no significant effect was observed in Xeno III specimens.

Conclusion: Under clinical conditions, administration of LA reduced microleakage and improved quality of hybrid layer and tubular penetration in total etch adhesive systems.
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http://dx.doi.org/10.4103/JCD.JCD_409_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977787PMC
June 2018

The prevalence and pattern of cavitated carious lesions in primary dentition among children under 5 years age in Sirsa, Haryana (India).

J Int Soc Prev Community Dent 2015 Nov-Dec;5(6):494-8

Department of Conservative Dentistry, Jan Nayak Choudhary Devi Dental College, Sirsa, Haryana, India.

Background: To determine the prevalence and pattern of cavitated carious lesions in primary dentition in children below 5 years of age in Sirsa, Haryana.

Aims: The aim of this study was to evaluate the status of dental caries in primary dentition and compute data for planning anticipatory programs in children aged less than 5 years.

Settings And Design: The study was conducted among children attending the outpatient department of pedodontics, JCD Dental College, Sirsa, Haryana (India) from April to December 2014.

Materials And Methods: This study consisted of 576 children of both sexes (311 males and 265 females) up to 5 years of age. Dentition status and treatment proforma (WHO, 1997) was used to assess the prevalence of cavitated carious lesions. Selection of children for the study was done by simple random sampling method.

Statistical Analysis: Chi-square test and t-test were used to compute data for statistical analysis.

Results: 33.85% of children in the study population showed presence of cavitated carious lesions. Males showed slightly higher prevalence of cavitated carious lesions than females (P = 0.35). Incidence of caries was higher in mandibular arch in both the sexes (males P = 0.9, females P = 0.7) and in posterior teeth (both sex wise and arch wise). Higher caries prevalence was noticed in maxillary anterior teeth (P = 0.04) and mandibular posterior teeth (P = 0.7). Primary second molars showed highest caries prevalence (P = 0.39) in both the arches and sexes.

Conclusion: The mean prevalence of cavitated carious lesions in primary dentition was found to be 33.85%. Males were more affected than females. Mandibular molars and maxillary anterior teeth were the predominantly affected teeth. Mandibular anterior teeth were least affected. The increase in incidence of cavitated carious lesions shows that there is necessity of implementing dental health awareness programs and modifications in types of food consumed are needed to eliminate the cause of decay.
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http://dx.doi.org/10.4103/2231-0762.170527DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4697235PMC
January 2016

Management of A Rare Case of Communicating Internal-External Inflammatory Resorption.

J Clin Diagn Res 2015 May 1;9(5):ZD39-40. Epub 2015 May 1.

Assistant Professor, Department of Paediatric Dentistry, Adesh Institute of Dental Sciences and Research , Bathinda, Punjab, India .

The present case describes the successful management of a rare case of communicating internal-external resorption in which both internal and external resorption seem to develop independent of each other. The case report highlights the importance of correct diagnosis and need of revision of classification system of resorptive defects.
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http://dx.doi.org/10.7860/JCDR/2015/12750.5987DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484180PMC
May 2015

Management of a large internal resorption lesion with metal reinforced glass ionomer cement.

Case Rep Dent 2014 4;2014:205028. Epub 2014 Nov 4.

Department of Conservative Dentistry & Endodontics, JCD Dental College, Jan Nayak Ch. Devi Lal Vidyapeeth, Sirsa, Haryana 125201, India.

Mineral trioxide aggregate is the mainstay of treatment of large internal resorption defects. But its cost may be a deterrent to its use in some patients. The present case report describes the successful endodontic management of an extensive internal resorptive lesion in a mandibular molar with metal reinforced glass ionomer cement.
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http://dx.doi.org/10.1155/2014/205028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4236975PMC
December 2014

Root canal configuration of permanent maxillary first molar in Khasi population of Meghalaya: An in vitro study.

J Conserv Dent 2014 Jul;17(4):359-63

Department of Conservative Dentistry and Endodontics, Regional Dental College, Guwahati, Assam, India.

Aims And Objective: To investigate the root canal configuration of permanent maxillary first molar in Khasi population of Meghalaya.

Material And Methods: Sixty (60) permanent maxillary first molars collected from patients of Khasi population of Meghalaya were studied using canal staining and clearing technique. Observations of the number of roots, root canal configuration, lateral canal, apical delta, and presence of the additional type of canals were made.

Results: Based on Vertucci's classification the different types of canal identified are: Mesiobuccal root, Type I (28.3%), Type II (28.3%), Type IV (30.0%), Type V (5.0%), Type VI (6.7%), and an additional type of canal (2-1-2-1-2; 1.7%) were observed. The distobuccal root displayed Type I (95%), Type II (1.7%), Type V (3.3%). The most prevalent canal configuration in the palatal roots is Type I (98.3%), Type II (1.7%).

Conclusion: In Khasi population of Meghalaya, the most prevalent root canal configuration in the mesiobuccal root is Type IV followed by Type I and Type II. MB2 canals are present in more than 65% cases. In palatal and distobuccal roots, Type I configuration is present in most cases. Racial divergence may be responsible for such variations.
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http://dx.doi.org/10.4103/0972-0707.136511DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127696PMC
July 2014
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