A Knowledge Attitude and Practice Survey Regarding Pulp Therapy Among Dental Students

Authors

  • ABHISHEK NARAM
  • DR. MAHALAKSHMI J
  • DR. DEEPAK S

Keywords:

Apexification, apexogenesis, direct pulp capping, immature, mineral trioxide aggregate, pulpotomy

Abstract

Dental pulp is an unmineralized oral tissue containing soft connective, vascular, lymphatic and nervous elements which occupies the central pulp chamber. It is the most vital part of the tooth. Vital pulp therapy is done to maintain the vitality and preserve the pulp tissue that is compromised and is indicated depending on the amount of exposure of the pulp and presence of infection. The different types of vital pulp therapy are indirect pulp capping, direct pulp capping and pulpotomy. Vital pulp therapy is also indicated for open apex to ensure proper root growth. The aim of our survey was to evaluate the knowledge attitude and practice regarding pulp therapy among dental students. A questionnaire consisting of 16 questions was distributed among dental students in saveetha dental college. Responses were collected through google forms. Data was collected and analysed using SPSS software. From the study it was concluded that there was a fair knowledge and practice regarding pulp therapy among dental students. Continuing education programs should be conducted to increase knowledge regarding pulp therapy.

References

Akhlaghi, N. and Khademi, A. (2015) ‘Outcomes of vital pulp therapy in permanent teeth with different medicaments based on review of the literature’, Dental research journal, 12(5), p. 406.

de Almeida Neves, A. and Coutinho, E. (2011) ‘Current concepts and techniques for caries excavation and adhesion to residual dentin’, Journal of Adhesive. doi: 10.3290/j.jad.a18443.

Andreasen, F. M. (1986) ‘Transient apical breakdown and its relation to color and sensibility changes after luxation injuries to teeth’, Dental traumatology: official publication of International Association for Dental Traumatology, 2(1), pp. 9–19.

CAMP and JH (2002) ‘Pediatric endodontics, endodontic treatment for the primary and young permanent dentition’, Pathways of the pulp, pp. 833–839.

Cao, Y. et al. (2015) ‘Pulp-dentin Regeneration: Current State and Future Prospects’, Journal of dental research, 94(11), pp. 1544–1551.

Capurro, M. and Zmener, O. (1999) ‘Delayed apical healing after apexification treatment of non-vital immature tooth: a case report’, Dental traumatology: official publication of International Association for Dental Traumatology, 15(5), pp. 244–246.

Cho, S.-Y. et al. (2013) ‘Prognostic Factors for Clinical Outcomes According to Time after Direct Pulp Capping’, Journal of endodontics, 39(3), pp. 327–331.

Deogade, S., Gupta, P. and Ariga, P. (2018) ‘Effect of monopoly-coating agent on the surface roughness of a tissue conditioner subjected to cleansing and disinfection: A Contact Profilometric In vitro study’, Contemporary Clinical Dentistry, p. 122. doi: 10.4103/ccd.ccd_112_18.

Dua, K. et al. (2019) ‘The potential of siRNA based drug delivery in respiratory disorders: Recent advances and progress’, Drug development research, 80(6), pp. 714–730.

Dumsha, T. and Hovland, E. (1985) ‘Considerations and treatment of direct and indirect pulp-capping’, Dental clinics of North America, 29(2), pp. 251–259.

Duraisamy, R. et al. (2019) ‘Compatibility of Nonoriginal Abutments With Implants: Evaluation of Microgap at the Implant-Abutment Interface, With Original and Nonoriginal Abutments’, Implant dentistry, 28(3), pp. 289–295.

Ezhilarasan, D. (2018) ‘Oxidative stress is bane in chronic liver diseases: Clinical and experimental perspective’, Arab journal of gastroenterology: the official publication of the Pan-Arab Association of Gastroenterology, 19(2), pp. 56–64.

Ezhilarasan, D., Apoorva, V. S. and Ashok Vardhan, N. (2019) ‘Syzygium cumini extract induced reactive oxygen species-mediated apoptosis in human oral squamous carcinoma cells’, Journal of oral pathology & medicine: official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 48(2), pp. 115–121.

Ezhilarasan, D., Sokal, E. and Najimi, M. (2018) ‘Hepatic fibrosis: It is time to go with hepatic stellate cell- specific therapeutic targets’, Hepatobiliary & pancreatic diseases international: HBPD INT, 17(3), pp. 192– 197.

Farooq, N. S. et al. (2000) ‘Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth’, Pediatric dentistry, 22(4), pp. 278–286.

Fuks, A. B. (2002) ‘Current concepts in vital primary pulp therapy’, European journal of paediatric dentistry: official journal of European Academy of Paediatric Dentistry, 3, pp. 115–120.

Gheena, S. and Ezhilarasan, D. (2019) ‘Syringic acid triggers reactive oxygen species-mediated cytotoxicity in HepG2 cells’, Human & experimental toxicology, 38(6), pp. 694–702.

Gomathi, A. C. et al. (2020) ‘Anticancer activity of silver nanoparticles synthesized using aqueous fruit shell extract of Tamarindus indica on MCF-7 human breast cancer cell line’, Journal of Drug Delivery Science and Technology, p. 101376. doi: 10.1016/j.jddst.2019.101376.

Hargreaves, K. M. (2016) ‘Cohen’s Pathways of the Pulp. 10th’, St. Louis, Mo, USA: Mosby.

Hussainy, S. N. et al. (2018) ‘Clinical performance of resin-modified glass ionomer cement, flowable composite, and polyacid-modified resin composite in noncarious cervical lesions: One-year follow-up’, Journal of conservative dentistry: JCD, 21(5), p. 510.

Janani, K., Palanivelu, A. and Sandhya, R. (2020) ‘Diagnostic accuracy of dental pulse oximeter with customized sensor holder, thermal test and electric pulp test for the evaluation of pulp vitality: an in vivo study’, Brazilian Dental Science, 23(1), p. 8.

Jeeruphan, T. et al. (2012) ‘Mahidol Study 1: Comparison of Radiographic and Survival Outcomes of Immature Teeth Treated with Either Regenerative Endodontic or Apexification Methods: A Retrospective Study’, Journal of endodontics, 38(10), pp. 1330–1336.

Jeevanandan, G. and Govindaraju, L. (2018) ‘Clinical comparison of Kedo-S paediatric rotary files vs manual instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial’, European Archives of Paediatric Dentistry, pp. 273–278. doi: 10.1007/s40368-018-0356-6.

Jose, J. and Subbaiyan, H. (2020) ‘Different Treatment Modalities followed by Dental Practitioners for Ellis Class 2 Fracture–A Questionnaire-based Survey’, The open dentistry journal. Available at: https://opendentistryjournal.com/VOLUME/14/PAGE/59/FULLTEXT/.

J, P. C. et al. (2018) ‘Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study’, Clinical implant dentistry and related research, 20(4), pp. 531–534.

Kleier, D. J. and Barr, E. S. (1991) ‘A study of endodontically apexified teeth’, Dental traumatology: official publication of International Association for Dental Traumatology, 7(3), pp. 112–117.

Kumar, D. and Antony, S. (2018) ‘Calcified Canal and Negotiation-A Review’, Research Journal of Pharmacy and Technology, 11(8), pp. 3727–3730.

Levine, N. (1988) ‘Pulpal therapy in primary and young permanent teeth’, Pediatric dentistry: total patient care. Available at: https://ci.nii.ac.jp/naid/10014767975/.

Linde, A. and Goldberg, M. (1993) ‘Dentinogenesis’, Critical reviews in oral biology and medicine: an official publication of the American Association of Oral Biologists, 4(5), pp. 679–728.

Mahalakshmi Nandakumar, I. N. (2018) ‘Comparative evaluation of grape seed and cranberry extracts in preventing enamel erosion: An optical emission spectrometric analysis’, Journal of conservative dentistry: JCD, 21(5), p. 516.

Malli Sureshbabu, N. et al. (2019) ‘Concentrated Growth Factors as an Ingenious Biomaterial in Regeneration of Bony Defects after Periapical Surgery: A Report of Two Cases’, Case reports in dentistry, 2019, p. 7046203.

Manohar, M. P. and Sharma, S. (2018) ‘A survey of the knowledge, attitude, and awareness about the principal choice of intracanal medicaments among the general dental practitioners and nonendodontic specialists’, Indian journal of dental research: official publication of Indian Society for Dental Research, 29(6), p. 716.

Mathew, M. G. et al. (2020) ‘Evaluation of adhesion of Streptococcus mutans, plaque accumulation on zirconia and stainless steel crowns, and surrounding gingival inflammation in primary …’, Clinical oral investigations. Available at: https://link.springer.com/article/10.1007/s00784-020-03204-9.

Mehta, M. et al. (2019) ‘Oligonucleotide therapy: An emerging focus area for drug delivery in chronic inflammatory respiratory diseases’, Chemico-biological interactions, 308, pp. 206–215.

Memarpour, M., Mesbahi, M. and Shafei, F. (2010) ‘Three-and-a-half-year Clinical Evaluation of Posterior Composite Resin in Children’, Journal of dentistry for children, 77(2), pp. 92–98.

Menon, S. et al. (2018) ‘Selenium nanoparticles: A potent chemotherapeutic agent and an elucidation of its mechanism’, Colloids and Surfaces B: Biointerfaces, pp. 280–292. doi: 10.1016/j.colsurfb.2018.06.006.

Mente, J. et al. (2009) ‘Mineral Trioxide Aggregate Apical Plugs in Teeth with Open Apical Foramina: A Retrospective Analysis of Treatment Outcome’, Journal of endodontics, 35(10), pp. 1354–1358.

Noor, S. and Others (2016) ‘Chlorhexidine: Its properties and effects’, Research Journal of Pharmacy and Technology, 9(10), pp. 1755–1760.

Ohman, A. (1965) ‘HEALING AND SENSITIVITY TO PAIN IN YOUNG REPLANTED HUMAN TEETH. AN EXPERIMENTAL, CLINICAL AND HISTOLOGICAL STUDY’, Odontologisk tidskrift, 73,

p. 166.

Panchal, V., Jeevanandan, G. and Subramanian, E. M. G. (2019) ‘Comparison of post-operative pain after root canal instrumentation with hand K-files, H-files and rotary Kedo-S files in primary teeth: a randomised clinical trial’, European archives of paediatric dentistry: official journal of the European Academy of Paediatric Dentistry, 20(5), pp. 467–472.

Pc, J., Marimuthu, T. and Devadoss, P. (2018) ‘Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study’, Clinical implant dentistry and related research. Available at: https://europepmc.org/article/med/29624863.

of Pediatric Dentistry, A. A. and Others (2008) American Academy of Pediatric Dentistry reference manual. American Academy of Pediatric Dentistry.

Pishbin, L. et al. (2018) [No title]. researchgate.net. Available at: https://www.researchgate.net/profile/Fatemeh_Sajadi4/publication/324583619_Knowledge_and_practice_o f_vital_pulp_therapy_in_young_permanent_teeth_among_general_dental_practitioners_in_Kerman_Iran/li nks/5ae4396fa6fdcc3bea944efc/Knowledge-and-practice-of-vital-pulp-therapy-in-young-permanent-teeth- among-general-dental-practitioners-in-Kerman-Iran.pdf (Accessed: 12 June 2020).

Prabakar, J. et al. (2018) ‘Comparative Evaluation of Retention, Cariostatic Effect and Discoloration of Conventional and Hydrophilic Sealants - A Single Blinded Randomized Split Mouth Clinical Trial’, Contemporary clinical dentistry, 9(Suppl 2), pp. S233–S239.

Rajakeerthi, R. and Ms, N. (2019) ‘Natural Product as the Storage medium for an avulsed tooth--A Systematic Review’, Cumhuriyet Dental Journal, 22(2), pp. 249–256.

Rajendran, R. et al. (2019a) ‘Comparative Evaluation of Remineralizing Potential of a Paste Containing Bioactive Glass and a Topical Cream Containing Casein Phosphopeptide-Amorphous Calcium Phosphate: An in Vitro Study’, Pesquisa brasileira em odontopediatria e clinica integrada, 19. Available at: http://www.scielo.br/scielo.php?pid=S1983-46322019000100364&script=sci_arttext.

Rajendran, R. et al. (2019b) ‘Comparative Evaluation of Remineralizing Potential of a Paste Containing Bioactive Glass and a Topical Cream Containing Casein Phosphopeptide-Amorphous Calcium Phosphate: An in Vitro Study’, Pesquisa Brasileira em Odontopediatria e Clínica Integrada, pp. 1–10. doi: 10.4034/pboci.2019.191.61.

Rajeshkumar, S. et al. (2018) ‘Biosynthesis of zinc oxide nanoparticles usingMangifera indica leaves and evaluation of their antioxidant and cytotoxic properties in lung cancer (A549) cells’, Enzyme and microbial technology, 117, pp. 91–95.

Rajeshkumar, S. et al. (2019) ‘Antibacterial and antioxidant potential of biosynthesized copper nanoparticles mediated through Cissus arnotiana plant extract’, Journal of photochemistry and photobiology. B, Biology, 197, p. 111531.

Ramadurai, N. et al. (2019) ‘Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial’, Clinical oral investigations, 23(9), pp. 3543–3550.

Ramakrishnan, M., Dhanalakshmi, R. and Subramanian, E. M. G. (2019) ‘Survival rate of different fixed posterior space maintainers used in Paediatric Dentistry - A systematic review’, The Saudi dental journal, 31(2), pp. 165–172.

Ramamoorthi, S., Nivedhitha, M. S. and Divyanand, M. J. (2015) ‘Comparative evaluation of postoperative pain after using endodontic needle and EndoActivator during root canal irrigation: a randomised controlled trial’, Australian endodontic journal: the journal of the Australian Society of Endodontology Inc, 41(2), pp. 78–87.

Ramanathan, S. and Solete, P. (2015) ‘Cone-beam Computed Tomography Evaluation of Root Canal Preparation using Various Rotary Instruments: An in vitro Study’, The journal of contemporary dental practice, 16(11), pp. 869–872.

Ramesh, A. et al. (2018) ‘Comparative estimation of sulfiredoxin levels between chronic periodontitis and healthy patients - A case-control study’, Journal of periodontology, 89(10), pp. 1241–1248.

Ravinthar, K. and Others (2018) ‘Recent Advancements in Laminates and Veneers in Dentistry’, Research Journal of Pharmacy and Technology, 11(2), pp. 785–787.

Samuel, S. R., Acharya, S. and Rao, J. C. (2020) ‘School Interventions-based Prevention of Early- Childhood Caries among 3-5-year-old children from very low socioeconomic status: Two-year randomized trial’, Journal of public health dentistry, 80(1), pp. 51–60.

Sethi, P. et al. (2017) ‘Endodontic practice management with cone-beam computed tomography’, Saudi Endodontic. Available at: http://www.saudiendodj.com/article.asp?issn=1658- 5984;year=2017;volume=7;issue=1;spage=1;epage=7;aulast=Sethi.

Sharma, P. et al. (2019) ‘Emerging trends in the novel drug delivery approaches for the treatment of lung cancer’, Chemico-biological interactions, 309, p. 108720.

Siddique, R. et al. (2019) ‘Qualitative and quantitative analysis of precipitate formation following interaction of chlorhexidine with sodium hypochlorite, neem, and tulsi’, Journal of conservative dentistry: JCD, 22(1), p. 40.

Sridharan, G. et al. (2019) ‘Evaluation of salivary metabolomics in oral leukoplakia and oral squamous cell carcinoma’, Journal of oral pathology & medicine: official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 48(4), pp. 299–306.

Taha, N. A. and Khazali, M. A. (2017) ‘Partial Pulpotomy in Mature Permanent Teeth with Clinical Signs Indicative of Irreversible Pulpitis: A Randomized Clinical Trial’, Journal of endodontics, 43(9), pp. 1417– 1421.

Teja, K. V. and Ramesh, S. (2019) ‘Shape optimal and clean more’, Saudi Endodontic Journal, 9(3), p. 235.

Teja, K. V., Ramesh, S. and Priya, V. (2018) ‘Regulation of matrix metalloproteinase-3 gene expression in inflammation: A molecular study’, Journal of conservative dentistry: JCD, 21(6), p. 592.

Varghese, S. S., Ramesh, A. and Veeraiyan, D. N. (2019) ‘Blended Module-Based Teaching in Biostatistics and Research Methodology: A Retrospective Study with Postgraduate Dental Students’, Journal of dental education, 83(4), pp. 445–450.

Vijayashree Priyadharsini, J. (2019) ‘In silico validation of the non-antibiotic drugs acetaminophen and ibuprofen as antibacterial agents against red complex pathogens’, Journal of periodontology, 90(12), pp. 1441–1448.

Vishnu Prasad, S. et al. (2018) ‘Report on oral health status and treatment needs of 5-15 years old children with sensory deficits in Chennai, India’, Special care in dentistry: official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 38(1), pp. 58–59.

Wahab, P. U. A. et al. (2018) ‘Scalpel Versus Diathermy in Wound Healing After Mucosal Incisions: A Split-Mouth Study’, Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 76(6), pp. 1160–1164.

Welbury, R. and Walton, A. G. (1999) ‘Continued apexogenesis of immature permanent incisors following trauma’, British dental journal, 187(12), pp. 643–644.

Yu, C. and Abbott, P. V. (2007) ‘An overview of the dental pulp: its functions and responses to injury’, Australian dental journal, 52, pp. S4–S6.

Downloads

Published

2021-04-30

How to Cite

NARAM, A. ., J, D. M. ., & S, D. D. . (2021). A Knowledge Attitude and Practice Survey Regarding Pulp Therapy Among Dental Students. The Journal of Contemporary Issues in Business and Government, 27(2), 2929–2943. Retrieved from https://cibgp.com/au/index.php/1323-6903/article/view/1198