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Umesh Kumar,Pragnesh Parmar,Ruchi Vashisht,Namita Tandon,Charan Kamal Kaur 대한치과마취과학회 2023 Journal of Dental Anesthesia and Pain Medicine Vol.23 No.2
Background: Extrusion of debris is a major factor that results in postoperative pain during root canal treatment with various instruments and instrumentation techniques. Therefore, instrumentation techniques that extrude minimal debris into the periapical area while reducing pain are desirable. This study aimed to compare the incidence of postoperative pain and intake of analgesic medication (frequency and quantity) after endodontic treatment of mandibular posterior teeth using two single files and full-sequence continuous rotary systems with different kinematic motions. Methods: Thirty-five of 105 patients were assigned equally to three groups according to the instrumentation system used: ProTaper Next (PN) X2, 25/06 (Dentsply, Maillefer, Ballaigues, Switzerland), One Shape (OS), #0.25/06 (Micro Mega, Besancon, France), and Wave One Gold (WG), Red - #0.25, 0.07 (Dentsply, Maillefer, Ballaigues, Switzerland). Five specialists were included in this study design; each professional prepared 21 teeth, and randomly selected 7 per instrument system. The VAS sheet ranging from 0 to 10 was used to record the initial and postoperative pains at 24, 48, and 72 h, and 7th day after single visit endodontic treatment in mandibular premolars and molars with a diagnosis of asymptomatic irreversible pulpitis with or without apical periodontitis. Postoperatively, an analgesic, ibuprofen 400 mg was administered for intolerable pain at a dose of 1 tablet for 6 h. The patients were asked over the telephone regarding postoperative pain at intervals of 24, 48, and 72 h, and 7th day using a visual analogue scale. Result: There were no statistically significant differences among the PN, OS, and WG systems (P > 0.05) with regard to the incidence of postoperative pain at any of the four time points assessed. Conclusion: The intensity of postoperative pain, frequency, and analgesic intake were similar across all three types of instrument systems; however, the reciprocating single file (WG) was associated with less postoperative pain than the full sequence continuous rotary file.
Kumar, Umesh,Rajput, Akhil,Rani, Nidhi,Parmar, Pragnesh,Kaur, Amandeep,Aggarwal, Vivek The Korean Dental Society of Anesthsiology 2021 Journal of Dental Anesthesia and Pain Medicine Vol.21 No.5
Background: The efficacy of local anesthesia decreases in patients with symptomatic irreversible pulpitis. Therefore, it was proposed that the use of premedication with an anti-inflammatory drug might increase the success rate of pulpal anesthesia in mandibular posterior teeth with vital inflamed pulp. Methods: One hundred thirty-four patients who were actively experiencing pain willingly participated in this study. The Heft Parker (HP) visual analog scale (VAS) was used to record the initial pain intensity. Patients were randomly allocated to receive a placebo, 10 mg of ketorolac, and 650 mg of paracetamol. The standard inferior alveolar nerve block (IANB) was administered to all patients using 2% lidocaine with 1:200,000 adrenaline after one hour of medication. After 15 min, the patient was instructed to rate the discomfort during each step of the treatment procedure, such as access to remaining dentin, access to the pulp chamber, and during canal instrumentation on the HP VAS. IANB was considered successful if the patient reported no or mild pain during access preparation and instrumentation. Moderate or severe pain was classified as a failure of IANB and another method of anesthesia was used before continuing the treatment. Results: The rate of successful anesthesia in the placebo, paracetamol, and ketorolac groups was 29%, 33%, and 43%, respectively, and no statistically significant difference was found between the groups. Conclusion: Preoperative administration of paracetamol or ketorolac did not significantly affect the success rate of IANB in patients with irreversible pulpitis. No significant difference was observed between the paracetamol and ketorolac groups.
Bilinear elastodynamical models of cracked concrete beams
Umesh Kumar Pandey,Gurmail S. Benipal 국제구조공학회 2011 Structural Engineering and Mechanics, An Int'l Jou Vol.39 No.4
Concrete structures are generally cracked in flexural tension at working loads. Concrete beams with asymmetric section details and crack patterns exhibit different flexural rigidity depending upon the sense of the applied flexural moment. In this paper, three different models, having the same natural period, of such SDOF bilinear dynamical systems have been proposed. The Model-I and Model-II have constant damping coefficient, but the latter is characterized by two stiffness coefficients depending upon the sense of vibration amplitude. The Model-III, additionally, has two damping coefficients as well. In this paper, the dynamical response of Model-III to sinusoidal loading has been investigated and compared with that of Model-II studied earlier. It has been found that Model-III exhibits regular and irregular subharmonics, jump phenomena and strong sensitivity to initial conditions, forcing frequency, system period as well as the sense of peak sinusoidal force. The constant sustained load has been found to affect the natural period of the dynamical system. The predictions of Model-I have been compared with those of the approximate linear model adopted in present practice. The behaviour exhibited by different models of the SDOF cracked elastic concrete structures under working loads and the theoretical and practical implications of the approach followed have been critically evaluated.
Paresthesia diagnosed using cone-beam computed tomography: a case report
Kumar, Umesh,Kaur, Charan Kamal,Vashisht, Ruchi,Rattan, Vidya The Korean Dental Society of Anesthsiology 2020 Journal of Dental Anesthesia and Pain Medicine Vol.20 No.2
Various dental procedures, such as injection administration, surgical treatment, and endodontic treatment, can cause injury to the nerves. The most commonly injured nerves are the inferior alveolar and lingual nerves. This can manifest as altered sensation to the area of innervation of the injured nerve, such as the lower lip, chin, teeth, tongue, and mucosa. Altered sensations or loss of sensation are relatively infrequent complications in daily dental practice. Here, we report an uncommon case of altered sensation in the midfacial region caused by an endodontic procedure and discuss the need to consider local dental causes in the differential diagnosis of numbness in the facial region.
Cavitation resistance of concrete containing different material properties
Kumar, G.B. Ramesh,Bhardwaj, Arjit,Sharma, Umesh Kumar Techno-Press 2018 Advances in concrete construction Vol.6 No.1
In the present investigation, influence of various material parameters on the cavitation erosion resistance of concrete was investigated on the basis of laboratory experiments. As there is no well-established laboratory test method for evaluating the cavitation resistance of concrete, a test set up called 'cavitation jet' was specially established in the present study in order to simulate the cavitation phenomenon experienced in the hydraulic structures. Various mixtures of concrete were designed by varying the grade of concrete, type and quantity of pozzolana, type of aggregates and cement type to develop good cavitation resistant concrete constructed using marginal aggregates. Three types of aggregates having three different Los Angeles abrasion values (less than 30%, between 30% and 50% and more than 50%) were employed in this study. To evaluate the cavitation resistance a total of 60 cylindrical specimens and 60 companion cubes were tested in the laboratory respectively. The results indicate that cavitation resistance of concrete degrades significantly as the L.A. abrasion value of aggregates goes beyond the 30% value. Incorporation of pozzolanic admixtures was seemed to be beneficial to enhance the cavitation resistance of concrete. Influence of other material parameters on the cavitation resistance of concrete was also noted and important observations have been made in the paper.
SOME RESULTS ON PROJECTIVE CURVATURE TENSOR IN SASAKIAN MANIFOLDS
Gautam, Umesh Kumar,Haseeb, Abdul,Prasad, Rajendra Korean Mathematical Society 2019 대한수학회논문집 Vol.34 No.3
In the present paper, we study certain curvature conditions satisfying by the projective curvature tensor in Sasakian manifolds with respect to the generalized-Tanaka-Webster connection. Finally, we give an example of a 3-dimensional Sasakian manifold with respect to the generalized-Tanaka-Webster connection.
Bilinear elastodynamical models of cracked concrete beams
Pandey, Umesh Kumar,Benipal, Gurmail S. Techno-Press 2011 Structural Engineering and Mechanics, An Int'l Jou Vol.39 No.4
Concrete structures are generally cracked in flexural tension at working loads. Concrete beams with asymmetric section details and crack patterns exhibit different flexural rigidity depending upon the sense of the applied flexural moment. In this paper, three different models, having the same natural period, of such SDOF bilinear dynamical systems have been proposed. The Model-I and Model-II have constant damping coefficient, but the latter is characterized by two stiffness coefficients depending upon the sense of vibration amplitude. The Model-III, additionally, has two damping coefficients as well. In this paper, the dynamical response of Model-III to sinusoidal loading has been investigated and compared with that of Model-II studied earlier. It has been found that Model-III exhibits regular and irregular sub-harmonics, jump phenomena and strong sensitivity to initial conditions, forcing frequency, system period as well as the sense of peak sinusoidal force. The constant sustained load has been found to affect the natural period of the dynamical system. The predictions of Model-I have been compared with those of the approximate linear model adopted in present practice. The behaviour exhibited by different models of the SDOF cracked elastic concrete structures under working loads and the theoretical and practical implications of the approach followed have been critically evaluated.