Prasad Musale | Muhs Nashik, Maharashtra (original) (raw)

Papers by Prasad Musale

PubMed, May 15, 2023

Purpose: The purpose of this prospective, randomized, parallel-group clinical study was to evalua... more Purpose: The purpose of this prospective, randomized, parallel-group clinical study was to evaluate and compare the clinical outcome of preformed zirconia crowns and preformed stainless steel crowns when used to restore permanent first molars. Methods: Patients with severely decayed, badly broken down hypomineralized or hypoplastic permanent first molars that required a full-coverage restoration were invited to parti- cipate in the study. Sixty-nine healthy, cooperative children, ages six to 12 years, were recruited for the study. Following informed consent, 36 preformed zirconia crowns and 36 stainless steel crowns were placed and assessed at one week, three months, nine months, and 12 months accord- ing to the modified United States Public Health Service Ryge criteria. The parameters evaluated were: the time required for preparation and ce- mentation; plaque accumulation; marginal integrity; fracture of the crown; retention of cement; interference with the eruption of the permanent second molar; and parental acceptance. Results: The clinical evaluation revealed statistically comparable performance in crown retention, fracture, marginal integrity, and plaque retention at 12 months between crown types. Preformed zirconia crowns were preferred by the parents primarily because of esthetics. However, a significant difference was seen in the clinical time required for the preparation and placement of preformed zirconia crowns, which was nearly twice that for stainless steel crowns. Conclusions: After 12 months of clinical evaluation, preformed zirconia crowns performed comparably to stainless steel crowns in their ability to restore decayed or hypomineralized permanent first molars. However, zirconia crowns took nearly twice as long to prepare, fit, and cement.

European Archives of Paediatric Dentistry, 2015

Background The separation of a file during pulpectomy is a rare incident in primary teeth due to ... more Background The separation of a file during pulpectomy is a rare incident in primary teeth due to inherently wider and relatively straighter root canals. A broken instrument hinders the clinician from optimal preparation and obturation of the root canal system invariably leading to failure, although in such teeth, an extraction followed by suitable space maintenance is considered as the treatment of choice. This case report demonstrates successful nonsurgical retrieval of a separated H file fragment in 84. Case report A 7-year-old girl was referred to the Department of Paedodontics and Preventive Dentistry for endodontic management of a primary tooth 84 with a dento-alveolar abscess. Her medical history was noncontributory. After diagnosing a broken H file in the mesiolingual canal, the tooth was endodontically treated in two appointments. At the first session, a broken file was successfully retrieved after using low intensity ultrasonic vibrations through a DG 16 endodontic explorer viewed under an operating microscope. After abscess resolution, Vitapex root canal obturation with a preformed metal crown cementation was completed at a second session. Follow-up The patient was recalled at 3, 6, 12 and 15 month interval and reported to be clinically asymptomatic and radiographically with complete furcal healing. Conclusion Integration of microscopes and ultrasonics in paediatric dental practice has made it possible to save such teeth with a successful outcome. Favourable location of the separated file, relatively straighter root canal system and patient cooperation resulted in successful nonsurgical management in this case.

European Archives of Paediatric Dentistry, 2018

Background Deep carious lesions in immature permanent molars with pulp necrosis pose a serious ch... more Background Deep carious lesions in immature permanent molars with pulp necrosis pose a serious challenge to contemporary paedodontic practice. A further complex clinical scenario is an immature permanent molar with varying root formation in both roots. This case report demonstrates the successful management of an immature permanent mandibular first molar. Case report An 8-year-old boy was referred for endodontic management of 36 by a general practitioner. After clinical and radiographic evaluation, a diagnosis of recurrent chronic periapical abscess with abrupt root closure in the mesial root and cessation of root closure in the distal root was made. Apexification was undertaken in three appointments. In the first appointment, under local analgesia and isolation, the mesial canals were prepared to size #F3 with rotary Protaper Universal and the distal canal was left unprepared. Both canals were irrigated with 5% sodium hypochlorite and calcium hydroxide intracanal medicament was placed. One week later, the mesial canals were obturated and a 4 mm white MTA apical plug was placed in the distal canal. Partial extrusion of the MTA was seen periapically. After 24 h, the hard-setting of the MTA plug was verified, remainder of the distal canal was obturated and core filling was placed followed by a preformed metal crown as an intermediate restoration. Follow-up The patient was asymptomatic and showed resolution of the lesion, normal thickness of the PDL space with continuity of the lamina dura after 12 months. Extruded MTA was partially resorbed. Three years follow-up showed complete resorption of the extruded MTA and an intact lamina dura.

International Journal of Clinical Pediatric Dentistry, Dec 17, 2022

opportunistic infections, pain, and bleeding are commonly occurring acute oral complications seen... more opportunistic infections, pain, and bleeding are commonly occurring acute oral complications seen in patients receiving chemotherapy and radiation therapy. 7 The lack of specificity of chemotherapeutic agents and radiation therapy for differentiating rapidly dividing neoplastic cells from metabolically active normal cells might lead to abnormalities in dental and facial development. An additional indirect effect might also occur due to altered hypothalamic-pituitary function, leading to diminished growth hormone production that may adversely affect odontogenesis and craniofacial development. 8 The primary and permanent teeth develop over a span of years and could be affected by chemotherapeutic agents given to treat cancer. Postoperative defects with radiotherapy in adults and children have been widely discussed before, but the

Quintessence international (Berlin, Germany : 1985), Aug 17, 2022

International Endodontic Journal, 2019

Knowledge of root and canal morphology is essential for the effective practice of root canal trea... more Knowledge of root and canal morphology is essential for the effective practice of root canal treatment. Paediatric endodontics aims to preserve fully functional primary teeth in the dental arch; however, pulpectomy procedures in bizarre and tortuous canals encased in roots programmed for physiological resorption is a unique challenge. A new coding system for classifying the roots and main canals

International Journal of Dentistry, 2021

Objectives The main purpose of the study was to assess the material wear, antagonistic natural pr... more Objectives The main purpose of the study was to assess the material wear, antagonistic natural primary teeth wear, and microhardness of zirconia (ZR), a recently launched novel glass-fiber-reinforced composite crown (GFRC). The research question was, are these aesthetic crowns resulting in antagonistic natural primary tooth wear and the crown material itself? Methods Forty-five primary canines were divided into three groups (15 per group) and mounted against Zr (Group A), GFRC (Group B), and natural teeth as control (Group C) in the wear test machine. All samples were assessed for surface wear with pre- and post-3-dimensional scanning. In addition, microhardness was assessed for all three groups. Results The mean microhardness value for the Zr disc was 1157 ± 7 HV; for the GFRC disc, it was 29.35 ± 2 HV; while with natural teeth, it was 105 ± 4 HV. There was a statistically significant difference in teeth wear in the prescan and postscan in the natural tooth (p < 0.05) group, hig...

Pediatric Dentistry, 2016

This study's purpose was to assess clinical and radiographic outcomes of Copaifera langsdorff... more This study's purpose was to assess clinical and radiographic outcomes of Copaifera langsdorffii oil resin (CLOR) as a pulpotomy medicament compared with one-minute full-strength formocresol (FC) and white mineral trioxide aggregate (WMTA). Determined by a power analysis, 152 primary molars of 64 four- to eight-year-olds with at least two asymptomatic molars requiring vital pulpotomies were recruited, randomly assigned to receive CLOR, WMTA, or FC, and restored with prefabricated metal crowns. At the 12-month follow-up, recordings of 59 children with 142 treated teeth were taken for clinical and radiographic symptoms. Clinical evaluation was performed by a blinded calibrated evaluator, whereas four evaluators scored each radiograph for pathologies based upon a modified scale previously proposed. The data were statistically analyzed. At 12 months, 100 percent clinical success was observed with all groups. CLOR had the highest frequency of pathologic radiolucencies at 12 months. Th...

Endodontic treatment is a major and increasing portion of the activity of pediatric dentists evol... more Endodontic treatment is a major and increasing portion of the activity of pediatric dentists evolving from hand instrumentation to rotary, each of which method has its merits and demerits. The major concern of hand instrumentation in primary teeth is increased preparation time, especially in young children with limited cooperation.

Enamel hypoplasia is quantitative enamel defect, having reduced thickness of enamel. Dental ename... more Enamel hypoplasia is quantitative enamel defect, having reduced thickness of enamel. Dental enamel defects have been associated with a broad spectrum of etiologies including genetic and epigenetic factors such as systemic (bronchial asthma), local and environmental factors. Partial anodontia can be caused due to environmental and genetic factors which can cause failure of tooth development. The purpose of the case report is to emphasize the possible correlation between bronchial asthma and enamel hypoplasia and the clinical management of the same.

Internal inflammatory root resorption in primary teeth is a well-known entity with unknown preval... more Internal inflammatory root resorption in primary teeth is a well-known entity with unknown prevalence. The diagnosis and conservative treatment of such a lesion has perplexed practitioners for decades. The management of a non-perforating internal root resorption is long been debated by general dentists and paediatric dentists alike. This case presentation describes the case of a 4-year old boy with non-perforating internal root resorption in a primary molar treated successfully with endodontic procedure and monitored routinely for four years. The objective here was to suggest a minimally-invasive treatment alternative to conventional treatment practices.

Journal of Indian Society of Pedodontics and Preventive Dentistry, 2019

Objective: Pediatric endodontics has witnessed many advances in recent years, thus facilitating a... more Objective: Pediatric endodontics has witnessed many advances in recent years, thus facilitating a faster and efficient treatment option in root canal therapy in children. This in vitro evaluation aims to determine the amount of dentin removal in primary mandibular first and second molars instrumented with hand and rotary files using cone-beam computed tomography (CBCT). Materials and Method: Sixty primary mandibular molars were divided into two groups: Group I was prepared by manual instrumentation using K-type files and Group II was prepared with rotary instrumentation using 0.04 Hero Shaper Classics. Both these groups were further divided into two subgroups, namely (a) primary mandibular first molar and (b) primary mandibular second molar. All the root canals were prepared up to size 30 using the stepback technique. They were mounted on silicone-based impression material and subjected to CBCT scans for the evaluation of dentin removal before and after instrumentation. Dentin removal was calculated by superimposing images using the InVivo 5.1 Anatomage software. Data were statistically analyzed using independent samples t- test. Results: An average amount of dentin removed was found to be significantly higher in manual instrumentation compared to rotary instrumentation in both primary mandibular first and second molars (P < 0.001). Conclusions: Rotary technique serves as an efficient alternative to the traditional manual instrumentation by overcoming its shortcomings in terms of conservation of the remaining dentin thickness and the time required for its preparation.

Journal of Pediatrics Review, Jul 30, 2019

Context: Dental enamel is the hardest and highly mineralized structure in human body. However, De... more Context: Dental enamel is the hardest and highly mineralized structure in human body. However, Developmental Enamel Defects (DEDs) may occur due to an interplay between multiple factors ranging from genetic inadequacy to environmental insults. Primary enamel defects provoke the local or systemic insults that the child might undergo pre-, peri-and post-natally. Several gene mutations and environmental factors, including systemic illnesses have already been identified that can permanently imprint enamel damage. The DED may appear as enamel hypoplasia or hypomineralization. Clinically, DED often presents problems of aesthetics and stained defects, tooth sensitivity, susceptibility to dental caries, erosion and tooth wear. Evidence Acquisition: An electronic search was conducted on PubMed, Cochrane, ScienceDirect and Clinical Key databases with the focus on articles published since 2000. The following keywords were applied: "Developmental Enamel Defect (DED)", "Enamel hypoplasia", and "Primary teeth". Results: Managing the enamel defects involves early diagnosis and aesthetic rehabilitation of defective enamel, while maintaining its form and function. This should involve close cooperation between the paediatricians and the paediatric dentists, so that preventive regimens can be institutionalised at the earliest. Conclusions: Despite our understanding of DED, further research is required to establish accurate clinical diagnosis and successful treatment of such enamel defects.

Clinical, cosmetic and investigational dentistry, 2018

This narrative aims at reviewing the available literature for mineral trioxide aggregate (MTA) pu... more This narrative aims at reviewing the available literature for mineral trioxide aggregate (MTA) pulpotomy to understand the procedure better and eventually improve the clinical and radiographic outcomes. An electronic search was conducted in PubMed, Cochrane, ScienceDirect and ClinicalKey databases with the following keywords: MTA pulpotomy, clinical outcomes, radiographic outcomes, primary teeth. No specific inclusion or exclusion criteria were applied as to what articles would be included in this review. The time period for the search began from 2001 with respect to MTA pulpotomy. However, this was not restrictive during the search. MTA pulpotomy has been a successful treatment modality in primary molars with proven success over the years. There is limited literature to support its success in primary incisors.

Pediatric Dentistry for Special Child, 2016

Universal Research Journal of Dentistry, 2015

Mucocele is a common benign neoplasm of oral soft tissues and the most common after fibroma. It o... more Mucocele is a common benign neoplasm of oral soft tissues and the most common after fibroma. It occurs on the lower lip, and its treatment includes excision of the cyst and the responsible salivary gland, in order to prevent recurrences. An 11-year-old girl presented with the complaint of a swelling on the lower lip. History revealed that the lesion was operated with conventional methods; however, the swelling reappeared 2 months back and had slowly increased to its present size. Histopathologic evaluation revealed the lesion as recurrent mucocele and was treated with a neodymium-doped yttrium aluminum garnet laser with follow-up, up to 6 months.

Journal of Dental Lasers, 2012

The lingual frenum has been a topic of controversy for a long time. Ankyloglossia causes problems... more The lingual frenum has been a topic of controversy for a long time. Ankyloglossia causes problems in eating, dyspnoea, and speech disturbances. Hence, it is necessary to perform a lingual frenectomy in cases where ankyloglossia is very severe. Various methods such as surgery, diathermy, and lasers have long been used. The following case report highlights and discusses lingual frenectomy using Nd:YAG laser over other methods in children.

Pediatric dentistry, 2016

PURPOSE This study's purpose was to assess clinical and radiographic outcomes of Copaifera la... more PURPOSE This study's purpose was to assess clinical and radiographic outcomes of Copaifera langsdorffii oil resin (CLOR) as a pulpotomy medicament compared with one-minute full-strength formocresol (FC) and white mineral trioxide aggregate (WMTA). METHODS Determined by a power analysis, 152 primary molars of 64 four- to eight-year-olds with at least two asymptomatic molars requiring vital pulpotomies were recruited, randomly assigned to receive CLOR, WMTA, or FC, and restored with prefabricated metal crowns. At the 12-month follow-up, recordings of 59 children with 142 treated teeth were taken for clinical and radiographic symptoms. Clinical evaluation was performed by a blinded calibrated evaluator, whereas four evaluators scored each radiograph for pathologies based upon a modified scale previously proposed. The data were statistically analyzed. RESULTS At 12 months, 100 percent clinical success was observed with all groups. CLOR had the highest frequency of pathologic radiolu...

ABSTRACT A root anomaly in primary canines is a rare entity. Primary maxillary canines have a sin... more ABSTRACT A root anomaly in primary canines is a rare entity. Primary maxillary canines have a single conical root, but a few bi-rooted canines have been reported previously in the literature. This report presents a unique anomaly of a primary maxillary right canine (PMRC) with three roots and its endodontic treatment. Such an anatomic variation has not been reported previously. On radiographic examination the contralateral canine and the mandibular canines were single rooted. The purpose of the present case report is to increase awareness about this morphological aberration and its clinical significance.