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Introduction: Mishaps such as the accidental ingestion of endodontic instruments and crowns may occur during dental treatment in children. Although such accidents are rare, they can be potentially harmful to patients. The use of a rubber dam is not always possible in paediatric dentistry; thus, the attachment of floss to endodontic files is commonly done during the pulpectomy procedure. However, there are some challenges associated with using Flossed Endodontic Files (FEFs). To overcome these difficulties, a system called i-Grip was introduced. Aim: To evaluate the perception and compare the ease, convenience and safety of i-Grip versus FEFs as perceived by Paediatric Dentists during pulpectomy procedures in children. Materials and Methods: A post-test quasi-experimental study was conducted in the Department of Paediatric and Preventive Dentistry, D.Y. Patil University, School of Dentistry, Navi Mumbai, Maharashtra, India, among 40 Paediatric Dentists over a period of three months. The Paediatric Dentists were asked to use the i-Grip for four weeks, after which they completed validated questionnaires. Statistical Package for the Social Sciences (SPSS) software version 23.0 was used for data analysis. The answers to the questions were statistically analysed using the Z-test of proportion. Results: The mean age of males were 35±0.743 years and females were 25.37±0.543 years. A total of 27 (67.5%) participants found placing the file in the i-Grip to be very easy. 22 (55%) found the i-Grip to be very convenient to use. 31 (77.5%) Paediatric Dentists found the i-Grip to be extremely safe, 6 (15%) considered it to be moderately safe and none found it to be extremely unsafe. There was a statistically significant difference between the ease, comfort and safety of i-Grip compared to FEF (p

Traumatic Dental Injuries (TDIs) to the maxillary anterior teeth occur frequently in paediatric and adolescent populations. Prompt diagnosis, correct treatment planning, and a multidisciplinary approach are pertinent aspects of successfully managing multiple TDIs in a patient. The present case report of a 13-year-old female patient describes a multidisciplinary approach necessary to successfully manage dental trauma of an avulsed maxillary central incisor and a complicated crown fracture involving the maxillary left lateral incisor in an adolescent. The complicated crown-root fracture was treated with endodontic therapy, followed by the placement of a fibrereinforced post, core build-up, and the cementing of a porcelain-fused-to-metal crown. Bone grafting with a mandibular symphysis block autograft, followed by prosthetic rehabilitation with transitional implants, was performed to restore the aesthetics, form, and function of the avulsed maxillary central incisors. The use of osseointegrated implants has gained wide acceptance in the adult population. However, due to concerns regarding growth, their use in the paediatric population is not as common. This accounts for a scarcity of clinical cases reported in the literature. There are no established guidelines for the placement of implants in growing patients. Thus, authors believe that the present case report contributes to the literature on this subject. The treatment of this complex, multi-dental injury in the maxillary anterior region of a young female required a holistic approach with a step-wise progressive, long-term treatment plan. Traumatic injuries in adolescent patients can adversely impact their oral health-related quality of life if not treated correctly.

The use of medicinal herbs in dentistry continues to expand rapidly across the globe. Herbal dentistry presents an attractive alternative to conventional synthetic materials. With a shift towards evidence-based dental practice, there is a need for dental clinicians to be fully aware of the alternatives and options currently available to them. This review article provides insight into the various herbal products currently available in dentistry. It provides a better understanding of the mechanism of action of the herbal products used to treat various dental problems. This narrative review identifies and summarises the most common medicinal herbs in various preventive and therapeutic spheres of dentistry. High anti-microbial, anti-inflammatory, antioxidant, and immunomodulatory activities along with wound healing ability and sedative-anxiolytic were identified to be the properties favouring use of these medicinal plants in dentistry. Although the natural alternatives discussed in the current narrative review have shown to be either superior or comparable to the synthetically available options, further long-term in-vivo clinical trials are required to substantiate this evidence and justify the replacement of later with herbal alternatives in dentistry.