COMPARING THE EFFECT OF PROBIOTIC STREPTOCOCCUS SALIVARIUS K12 AND M18 ON THE STREPTOCOCCUS MUTANS COUNT, SALIVARY PH AND BUFFER CAPACITY: A RANDOMIZED DOUBLE BLINDED CLINICAL TRIAL

Aim: To evaluate and compare the effect of probiotic Streptococcus salivarius K12 and M18 on the Streptococcus mutans count, salivary pH and buffer capacity. Materials and method: 69 Subjects within the age group of 18-40 years were randomly allocated to three groups of 23 subjects each. Subjects enrolled in Group A received BLIS K12TM, Subjects in Group B received BLIS M18TM and Subjects in Group C belonged to the control group and did not receive any form of probiotics. Unstimulated salivary samples were collected at baseline and after 30 days. The samples were analysed for Streptococcus mutans level, salivary pH and buffer capacity. Results: A statistically significant reduction in salivary S. mutans levels and an increase in the salivary pH was observed after the use of probiotics when compared to the baseline. The buffer capacity remained unaltered following the use of both the probiotics. There was no change in the Streptococcus mutans level, salivary pH and buffer capacity for the subjects belonging to the control group. Conclusion: Within the limitations of the present study it can be concluded that a 30day use of Streptococcus salivarius K12 and M18 resulted in a reduction in the Streptococcus mutans count while simultaneously improving the salivary pH

Endodontic Management of Mandibular First Molar with Middle Distal Canal: A Case Report

The knowledge of variations in root canal morphology is critical for a successful endodontic treatment. This article presents the endodontic management of a unique case of mandibular molar with middle distal canal which is quite uncommon

Research experiences, attitudes, and barriers to publishing among the dental postgraduate teachers: A cross-sectional study

Introduction: Research is important in medical and dental sciences to improve healthcare. Faculties play an important role in research productivity and student motivation in research. Aim: The aim of this paper was to assess the attitude and experiences of dental post-graduate teachers toward article writing and reading and to discuss the barriers faced by them. Materials and Methods: A total of 150 dental post-graduate teachers from various Dental Colleges in South India participated as the study group. A questionnaire relating to publishing practices was distributed, and the results were analyzed. Result: Majority of the study group (82%) were involved in the publication with many (48.4%) doing so for career progression. Journal prestige was the main reason for selection of journals. Lack of time was the main reason for those not involved in the publication. Conclusion: This study revealed the positive attitude of teachers toward scientific reading and writing. They only require motivation and time

Prevalence of impacted permanent mandibular second molars in South Indian population: A cross-sectional study

Aims: The aim of this study is to retrospectively determine the prevalence of impacted second molars and associated dental and radiographic findings in South Indian population. Settings and Design: Cross-sectional design. Materials and Methods: Dental records of 4976 patients depending on the selection criteria from various dental clinics in South India were retrospectively analyzed in this study. All selected radiographs and records were examined by the two authors. The angle of impacted second molars was also recorded on panoramic radiographs. Data were tabulated and analyzed. Results: The prevalence of impacted second mandibular molars was found to be 0.16%. In seven cases, the impaction was unilateral with three on the left and four on the right, and in one case, it was bilateral. The prevalence was found to be more in females than males. The angle of impaction was found to range from 19° to 80°. Conclusions: Although the prevalence of impacted second molars is low, it is crucial to diagnose early for optimal treatment

Effectiveness of casein phosphopeptide-amorphous calcium phosphate and xylitol chewing gums on salivary pH, buffer capacity, and Streptococcus mutans levels: An interventional study

Aim: The aim of the study is to compare the anticariogenic effectiveness of Casein phosphopeptide- Amorphous Calcium phosphate (CPP-ACP) and xylitol chewing gums based on salivary pH, buffer capacity, and Streptococcus mutans levels. Materials and Methods: A group of twenty individuals in the age group of 18–25 years were randomly divided into two Groups A and B. Test arm A received xylitol gums and test arm B received CPP-ACP gums and they were instructed to use the gums thrice daily for 2 weeks. Unstimulated salivary samples were collected before they began the use of the gums for baseline values, 24 h after beginning the usage of chewing gums and at the end of 14 days. The samples were analyzed for pH, buffer capacity, and S. mutans levels. Results: A statistically significant reduction of salivary S. mutans levels, improvement in salivary pH, and buffer capacity were displayed in both groups 24 h and 14 days after the intervention when compared with baseline. Group B showed more statistically significant improvement in pH than group A after 24 h (P = 0.028) and at the end of 2 weeks (P = 0.041). Conclusion: CPP-ACP has better ability than xylitol in improving the pH of saliva. Both CPP-ACP and xylitol gums individually have remarkable ability in bringing down S. mutans levels while simultaneously improving the pH and buffer of saliva

Comparative evaluation of antimicrobial efficacy of silver nanoparticles and 2% chlorhexidine gluconate when used alone and in combination assessed using agar diffusion method: An In vitro study

Context: Silver nanoparticle (AgNP) is a potent antimicrobial that is widely used in several fields of medicine. Chlorhexidine (CHX) gluconate is a well-known agent used in dentistry to eliminate oral microbial flora. Aims: The aim of this study is to evaluate the efficacy of AgNPs, 2% CHX gluconate, and the combination of two solutions against endodontic pathogens such as Enterococcus faecalis, Klebsiella pneumoniae, and Candida albicans. These organisms are frequently found in the root canal space and their persistence may lead to endodontic failure. The synergistic effect of the two solutions has been evaluated in this study. The antibiotic gentamycin was taken as the control group. Settings and Design: Agar well diffusion method was used and minimum inhibitory concentration of AgNP was found to be 15 μg/mL. AgNPs were synthesized from the aqueous plant extract of Cassia roxburghii. The combination of CHX-AgNP solution was stirred together by a glass rod. The values were tabulated and subjected to statistical analysis using the SPSS software version 20. One-way ANOVA test was used to compare within the groups and between groups. The level of significance was set at 5%. Results: CHX-AgNP combined solution exhibited the highest efficacy in comparison to these solutions used alone. They showed the highest efficacy against C. albicans among the three organisms tested. Conclusion: The present study demonstrates the antimicrobial efficacy of a novel mixture of CHX-AgNP solution, and it may be developed as a promising antimicrobial agent against endodontic flora

Endodontic Management of Mandibular First Molar with Middle Distal Canal: A Case Report

The knowledge of variations in root canal morphology is critical for a successful endodontic treatment. This article presents the endodontic management of a unique case of mandibular molar with middle distal canal which is quite uncommon