Introduction The main aim of this study was to compare and evaluate different chemical agents and herbal products in disinfecting gutta-percha (GP) cones through an in vitro study. Materials and Methods For this study, 160 GP cones were taken in test tubes, which were contaminated with Enterococcus faecalis inocula, prepared by dissolving it in Brain Heart Infusion (BHI) broth. The GP cones were then taken from the test tubes and dried on Whatman filter paper no. 1 and were divided into four groups according to the decontaminant used for the study—group 1 (5% sodium hypochlorite [NaOCl]), group 2 (2% chlorhexidine), group 3 (propolis), and group 4 (Aloe vera)—which were further subdivided into subgroups on the basis immersion time periods of 1 and 10 minutes. The GP cones were then again dried and taken in the test tubes containing freshly prepared BHI broth to check the turbidity. Results It was found that 2% chlorhexidine was the most effective disinfectant against E. faecalis, 5% NaOCl was the second best disinfectant followed by propolis, while Aloe vera had not shown any effect as GP disinfectant. Conclusion Since 2% chlorhexidine showed better disinfection efficacy against E. faecalis than 5% NaOCl, it can be recommended for chairside disinfection of GP. One-minute immersion of GP in 2% chlorhexidine is sufficient for elimination of E. faecalis.

Introduction This study aimed to determine the upper and lower incisors to points A and B on lateral cephalogram and study model in North Indian population. This article evaluated the present relationship of upper and lower incisors position to point A and B on the cephalogram and studied the model as a diagnostic tool for orthodontic treatment planning. Materials and Methods The study included 32 patients, aged 15 to 25 years. The sample was divided into two groups as group I (n = 32, cephalometric analysis) and group II (n = 32, study model analysis) of the same patient. In group I incisors position was related to points A and B on the cephalograms and in group II incisors position was related to points A and B on study model by using transparent grid. Results As per Indian norms, outcome mean value for cephalometric norms was 6.3 and 3.2 mm and for study model norms was 4 and 1.3 mm. Statistically significant differences (p < 0.002) were observed for mandibular incisor position on cephalograms and for maxillary incisors (p < 0.001) on study casts when compared with Chile sample norm. Conclusion The anteroposterior position of upper and lower incisors in relation to points A and B on cephalogram and casts has been determined in North Indian patients.

Introduction The establishment of accurate working length is one of the most critical steps in endodontic therapy from the biomechanical and obturation points of view. Traditionally, the use of radiography and tactile sense methods were used for working length estimation, but recently, the use of electronic apex locator (EAL) has come into existence. The aim was to evaluate the effect of conventional and herbal irrigants on working length determination by Root ZX. Materials and Methods A total of 110 extracted single rooted teeth were taken. Standard access cavities were prepared and samples were randomly divided into 11 groups (n = 10) according to the type of irrigating solutions used. The actual root canal length was measured, and the readings in dry conditions and wet conditions were recorded. The point where Root ZX showed beep was recorded and difference was recorded as well. The recorded data was calculated and statistically analyzed using unpaired t-test. Result In dry conditions, only saline, H₂O₂, Aloe vera, and green tea gave exact working length using apex locator values. Whereas in wet conditions, only Aloe vera and green tea gave exact working length. Conclusion Although the irrigants and dry conditions influenced the results, Root ZX can be considered to be accurate, and the difference was within the clinically acceptable range and not statistically significant.

Introduction The aim of the current study was to evaluate shear bond strength of resin composite bonded to Theracal LC, Biodentine, and resin-modified glass ionomer cement (RMGIC) using universal adhesive and mode of fracture. Materials and Methods A total of 50 caries-free maxillary and mandibular molars extracted were taken; occlusal cavities were prepared, mounted in acrylic blocks, and divided into five groups based on the liner used. Group 1: Biodentine liner placed into the cavity and bonding agent and resin composite applied after 12 minutes. Group 2: Biodentine liner placed into the cavity and bonding agent and resin composite applied after 14 days. Group 3: RMGIC liner placed into the cavity and bonding agent and resin composite applied immediately. Group 4: RMGIC liner placed into the cavity and bonding agent and resin composite applied after 7 days. Group 5: Theracal LC liner placed into the cavity and bonding agent and resin composite applied immediately. Each sample was bonded to resin composite using universal adhesive. Shear bond strength analysis was performed at a cross-head speed of 0.1 mm/min. Statistical Analysis Statistical analysis was performed with one-way analysis of variance and posthoc Bonferroni test using SPSS version 22.0. Results and Conclusion Biodentine liner when bonded immediately to resin composite showed minimum shear bond strength. RMGIC when bonded to resin composite after 7 days showed maximum shear bond strength. Mode of fracture was predominantly cohesive in groups having Biodentine and Theracal LC as liner.

Introduction The aim of obturation in the root canal is to completely seal the canal space to eliminate all the portals of entry and exit between root canal and periodontal space. Various techniques have been developed to achieve a hermetic seal. Materials and Methods As many as 150 extracted human maxillary central incisors were taken for the study. Biomechanical preparation was done up to F5 protaper file. According to different obturation techniques, samples were divided into six groups, keeping 30 samples in experimental and 15 samples in control groups. Group I–Lateral Condensation, Group II–Thermafil, Group III–Beefill, Group IV–GuttaFlow, Group V–Positive Control group, Group VI–Negative Control group. After obturation, the samples were immersed in 2% Rhodamine-B dye for 24 hours. Each sample was longitudinally sectioned to examine under confocal laser scanning microscope. Statistical Analysis The results were evaluated with ANOVA and posthoc Tukey honest significant difference (HSD) comparison test. Results The mean values of dye penetration of different groups were Group I (Lateral Condensation) 1.51 ± 0.451, Group II (Thermafil) 0.918 ± 0.399, Group III (Beefill) 1.30 ± 0.559. Group IV (GuttaFlow) 0.655 ± 0.396, Group V (Positive Control group) 1.96 ±0.046, Group VI (Negative Control group) 0 ± 0. The lowest mean value of apical microleakage was found in GuttaFlow amongst all experimental groups. Conclusion It can be concluded that the GuttaFlow obturating material exhibited better apical sealing ability with canal walls.

Introduction Replacing missing anterior teeth with a prosthesis that resembles natural form and function has always been challenging for a prosthodontist. Removable and fixed options both have been extensively studied and researched upon. In modern dentistry, implants have proved to be a more logical option for the same. The morphology of bone present in the premaxilla serves as guide to plan implant angulation during osteotomy. Factors such as age-related bone resorption, trauma or pathologic bone resorption due to periodontitis, etc. causes implants to be placed at angles that are difficult to restore with conventional straight abutments. Angled abutments can help build up favorable functional prosthesis in such cases, but they experience the drawback of transferring unfavorable forces to the implant or bone, thereby compromising the prognosis of the treatment. Clinically, the effect of these forces is difficult to evaluate, so a finite element analysis was done to estimate stress distribution at the bone implant interface. Materials and Methods In this study, premaxilla was modeled with 15 mm in bone height, 7 mm in bone length, and 12 mm in bone width with 1.5 mm thick cortical bone surrounded by a core of cancellous bone. The implant was modeled as a cylindrical, round-ended device with dimensions, 4.3 mm × 11.5 mm. Abutments with angulations 0°, 10°, 15° and 25° were used. To simulate clinical conditions, a 100 N load axially and 30 N load obliquely was applied. Result It was seen that, as the abutment angulation changes from 0° to 25°, both the compressive as well as tensile stresses increased; however, they were within the tolerance limit of the bone. Conclusion The study suggests angled abutments can be used with reasonable success, keeping in mind the basics of implant prosthodontics intact.

Eyes are among the first features of the face to be noticed. Loss of an eye due to congenital, traumatic, or pathologic etiologies causes disfigurement and loss of sensory feedback. It leaves a psychological impact on the patient; thus, prosthesis should be provided at the earliest to raise the spirits of the afflicted. Iris positioning is one of the important steps in fabricating customized ocular prosthesis. In facial asymmetry cases, comparison of both irises together can be a major disadvantage. This case report illustrates the use of a regular eyeglass in one technique and the use of a bioart facebow in the second technique for centering of iris in a customized ocular prosthesis to overcome the disadvantages of earlier used standard techniques (McArthur's ocular locator and fixed calliper, pupillometer, visual judgement, and graph grid) of iris centering.