Pub Date : 2022-09-03DOI: 10.21276//ujds.2022.8.4.15
Shanvi Ray, C. Joshi, P. Shukla, R. Shiwach
Abstract INTRODUCTION :- Epulis is a pseudo-tumor growth characterized by fibrous connective tissue hyperplasia in gingivobuccal region. The swelling is usually a result of a local irritant such as calculus formation or a poorly adapted margin of a dental restoration. AIM : - The aim of this case report is removal of an epulis using diode laser, which was located at the aesthetic zone of the lower incisors, and to report on associated changes in the periodontal parameters such gingival inflammation and the position of the tooth following the introduction of an effective oral hygiene regime for the patient. OBJECTIVE :- To evaluate the outcome of surgically excised Epulis using diode laser located at the aesthetic zone of the lower incisors in a 27 years old female patient. METHODOLOGY :- Surgical excision of Epulis by diode laser (810 nm) under local anesthesia. RESULT :- Complete re-epithelization and healing was seen at 1 and 4 weeks time interval. CONCLUSION :- Epulis is observed in patients with poor oral hygiene in areas with local irritating factors. Tissue excision should not extend beyond to the periosteum and adjacent teeth should be thoroughly scaled to remove any source of irritation. Coagulation properties associated with the use of diode laser are beneficial during removal of tumors of inflammatory origin with bleeding tendencies. There is less post-operative bleeding, pain and swelling. Keywords: Diode laser, Oral lesions, Epulis granulomatosa, Female
{"title":"Therapeutic Effects of Diode Laser on the Treatment of Epulis : A Case Report","authors":"Shanvi Ray, C. Joshi, P. Shukla, R. Shiwach","doi":"10.21276//ujds.2022.8.4.15","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.4.15","url":null,"abstract":"Abstract \u0000INTRODUCTION :- Epulis is a pseudo-tumor growth characterized by fibrous connective tissue hyperplasia in gingivobuccal region. The swelling is usually a result of a local irritant such as calculus formation or a poorly adapted margin of a dental restoration. \u0000AIM : - The aim of this case report is removal of an epulis using diode laser, which was located at the aesthetic zone of the lower incisors, and to report on associated changes in the periodontal parameters such gingival inflammation and the position of the tooth following the introduction of an effective oral hygiene regime for the patient. \u0000OBJECTIVE :- To evaluate the outcome of surgically excised Epulis using diode laser located at the aesthetic zone of the lower incisors in a 27 years old female patient. \u0000METHODOLOGY :- Surgical excision of Epulis by diode laser (810 nm) under local anesthesia. \u0000RESULT :- Complete re-epithelization and healing was seen at 1 and 4 weeks time interval. \u0000CONCLUSION :- Epulis is observed in patients with poor oral hygiene in areas with local irritating factors. Tissue excision should not extend beyond to the periosteum and adjacent teeth should be thoroughly scaled to remove any source of irritation. Coagulation properties associated with the use of diode laser are beneficial during removal of tumors of inflammatory origin with bleeding tendencies. There is less post-operative bleeding, pain and swelling. \u0000Keywords: Diode laser, Oral lesions, Epulis granulomatosa, Female","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"61 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77219768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Versatility has become key feature for an appliance to be chosen for any orthodontic treatment, one such appliance is transpalatal arch (TPA) which has numerous advantages while using in fixed orthodontic treatment. TPA not only provides additional anchorage but also used for active movement of individual teeth. The aim of this article is to present a broad review of the literature by including various modifications of TPA and their indications, to better assist the clinician for using it in different case
{"title":"Transpalatal Arch and its Modifications","authors":"Pallavi Vishavkarma Pallavi, Isha Aggarwal, Sanjay Mittal, Tanzin Papkit, Merry","doi":"10.21276//ujds.2022.8.4.22","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.4.22","url":null,"abstract":"Versatility has become key feature for an appliance to be chosen for any orthodontic treatment, one such appliance is transpalatal arch (TPA) which has numerous advantages while using in fixed orthodontic treatment. TPA not only provides additional anchorage but also used for active movement of individual teeth. The aim of this article is to present a broad review of the literature by including various modifications of TPA and their indications, to better assist the clinician for using it in different case","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80390344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-02DOI: 10.21276//ujds.2022.8.4.14
A. Ahuja, Tannu Priya
Pyogenic granuloma is a hemorrhagic nodule that happens utmost often on the gingiva (although it can occur on any surface) and that has a robust penchant to persist after simple excision if the connected irritant is not removed. Clinically these lesions usually present as single nodule or sessile papule with smooth or lobulated surface. These may be seen in any size from a few millimeters to several centimeters. Here, we report a case of Pyogenic granuloma in the gingiva of a 20 years old female patient which reoccurred after excisional biopsy.
{"title":"Recurrent localised gingival overgrowth: A case report","authors":"A. Ahuja, Tannu Priya","doi":"10.21276//ujds.2022.8.4.14","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.4.14","url":null,"abstract":"Pyogenic granuloma is a hemorrhagic nodule that happens utmost often on the gingiva (although it can occur on any surface) and that has a robust penchant to persist after simple excision if the connected irritant is not removed. Clinically these lesions usually present as single nodule or sessile papule with smooth or lobulated surface. These may be seen in any size from a few millimeters to several centimeters. Here, we report a case of Pyogenic granuloma in the gingiva of a 20 years old female patient which reoccurred after excisional biopsy.","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"156 11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83201680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACT: Fibroepithelial hyperplasia/fibroma is an exophytic growth which occurs due to any reactive or chronic inflammatory condition of the gingiva by plaque, calculus, overhanging margins, trauma and dental appliances. These can cause discomfort to the patient and often causes difficulty in oral hygiene maintenance. This case report presents a case of a fibro-epithelial hyperplasia in a 37 years old female, who presented with a localized diffuse type of gingival enlargement in the left maxillary posterior teeth region. Based on clinical and histopathological evaluation the diagnosis of fibro-epithelial hyperplasia was made. The patient was then kept on regular follow-up and no recurrence of the lesion could be appreciated till date.
{"title":"Management of A Case of Fibro-epithelial Hyperplasia of Gingiva","authors":"Ritam Chandra Pati, Swati Agarwal, Farheen, Anurag Thakuria","doi":"10.21276//ujds.2022.8.4.13","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.4.13","url":null,"abstract":"ABSTRACT: \u0000Fibroepithelial hyperplasia/fibroma is an exophytic growth which occurs due to any reactive or chronic inflammatory condition of the gingiva by plaque, calculus, overhanging margins, trauma and dental appliances. These can cause discomfort to the patient and often causes difficulty in oral hygiene maintenance. This case report presents a case of a fibro-epithelial hyperplasia in a 37 years old female, who presented with a localized diffuse type of gingival enlargement in the left maxillary posterior teeth region. Based on clinical and histopathological evaluation the diagnosis of fibro-epithelial hyperplasia was made. The patient was then kept on regular follow-up and no recurrence of the lesion could be appreciated till date.","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89903804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-30DOI: 10.21276//ujds.2022.8.4.4
Kamal Garg
Background: Serum C-reactive protein (CRP) is non-specific in nature and is seen to be associated with adverse pregnancy outcomes. Thus we aim to compare serum CRP levels in pregnant women with and without periodontitis. Methods: A total of 222 pregnant women aged between 18-45 years were recruited in study and divided into two groups Group A:- Pregnant patient without periodontitis (n=100) and Group B:- Pregnant patient with periodontitis (n=122). Different clinical parameters such as plaque index (PI), gingival index (GI), probing depth (PD) and clinical attachment loss (CAL) were evaluated. A 2 ml of blood sample was taken from antecubital vein for quantative serum CRP analysis. Results: The mean CRP level in Group B was found to be higher (4.22 + 2.247 mg/L) than Group A (1.55 + 0.702 mg/L). In both the groups, statistically significant and positive correlation of PI with GI and CRP level was found (p < 0.05). Similarly, in Group B, PI showed a positive correlation with PD & CAL whereas, PD showed a similar correlation with CAL & CRP level was statistically significant. (p < 0.05). Conclusion: Periodontitis influenced the serum CRP levels in pregnant patients representing increased inflammatory burden.
{"title":"Comparative Evaluation of C-reactive Protein In Pregnant Women with or Without Periodontitis: A Randomized Control Trial","authors":"Kamal Garg","doi":"10.21276//ujds.2022.8.4.4","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.4.4","url":null,"abstract":"Background: Serum C-reactive protein (CRP) is non-specific in nature and is seen to be associated with adverse pregnancy outcomes. Thus we aim to compare serum CRP levels in pregnant women with and without periodontitis. \u0000Methods: A total of 222 pregnant women aged between 18-45 years were recruited in study and divided into two groups Group A:- Pregnant patient without periodontitis (n=100) and Group B:- Pregnant patient with periodontitis (n=122). Different clinical parameters such as plaque index (PI), gingival index (GI), probing depth (PD) and clinical attachment loss (CAL) were evaluated. A 2 ml of blood sample was taken from antecubital vein for quantative serum CRP analysis. \u0000Results: The mean CRP level in Group B was found to be higher (4.22 + 2.247 mg/L) than Group A (1.55 + 0.702 mg/L). In both the groups, statistically significant and positive correlation of PI with GI and CRP level was found (p < 0.05). Similarly, in Group B, PI showed a positive correlation with PD & CAL whereas, PD showed a similar correlation with CAL & CRP level was statistically significant. (p < 0.05). \u0000Conclusion: Periodontitis influenced the serum CRP levels in pregnant patients representing increased inflammatory burden.","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"12 21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73837001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthognathic surgery and orthodontic therapy are desired by patients for a number of reasons, including facial asymmetry. The maxillary occlusal cant is commonly associated with asymmetry. Orthognathic surgery combined with orthodontic treatment has been the treatment of choice for correcting an occlusal cant. However, not all patients with facial asymmetry are surgical candidates, patient assessment and selection remain critical components of diagnosis and treatment planning. In this case report, the patient declined any invasive treatment; hence, we opted to treat this facially asymmetrical patient with orthodontic therapy using straightforward mechanics via TADs, which resulted in an exceptional success.
{"title":"An Alternative Treatment For Correcting Transverse Maxillary Cant","authors":"Madhur Sharma, Manish Goyal, Mukesh kumar, Md Abrar, Kalpit Shitalkumar Shaha, Saksham Madhok","doi":"10.21276//ujds.2022.8.3.18","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.3.18","url":null,"abstract":"Orthognathic surgery and orthodontic therapy are desired by patients for a number of reasons, including facial asymmetry. The maxillary occlusal cant is commonly associated with asymmetry. Orthognathic surgery combined with orthodontic treatment has been the treatment of choice for correcting an occlusal cant. However, not all patients with facial asymmetry are surgical candidates, patient assessment and selection remain critical components of diagnosis and treatment planning. In this case report, the patient declined any invasive treatment; hence, we opted to treat this facially asymmetrical patient with orthodontic therapy using straightforward mechanics via TADs, which resulted in an exceptional success.","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85355826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-23DOI: 10.21276//ujds.2022.8.3.17
Sarah, Juhi Gupta, P. Lele, Yashodhara Shah
Abstract: Evolution in implant dentistry has been unprecedented. Several protocols have been proposed in field of implant rehabilitation. Concepts have been redefined considering heightened patient anticipation of alleviation of discomfort, better esthetics, shorter lag time period of treatment. Immediate loading is one such area of interest increasingly done as a substitute for conventional loading. Immediate loading has considerably lessened the lag period between surgical phase and restorative phase. Here presenting a case report of a partially edentulous 33 year old male who underwent implant surgical procedure conforming to immediate loading protocol.
{"title":"Coming of Age of The Third Dentition : Multi-unit Immediate Loading Protocol.","authors":"Sarah, Juhi Gupta, P. Lele, Yashodhara Shah","doi":"10.21276//ujds.2022.8.3.17","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.3.17","url":null,"abstract":"Abstract: Evolution in implant dentistry has been unprecedented. Several protocols have been proposed in field of implant rehabilitation. Concepts have been redefined considering heightened patient anticipation of alleviation of discomfort, better esthetics, shorter lag time period of treatment. Immediate loading is one such area of interest increasingly done as a substitute for conventional loading. Immediate loading has considerably lessened the lag period between surgical phase and restorative phase. Here presenting a case report of a partially edentulous 33 year old male who underwent implant surgical procedure conforming to immediate loading protocol.","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87994567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
IntroductionTogether with the ongoing serious Covid-19 second wave in India, a serious fungal infection,mucormycosis has been increasingly found in Covid-19 recovered patients. Current trendsindicate that the surge is higher in patient with co-morbidities. Health care facilities need tostrengthen their infection prevention and control (IPC) programmes to prevent healthcare-associated outbreaks.Therefore, we conducted a cross-sectional survey of health-care workers in Rajasthan toassess their awareness of Mucormycosis as a result of the global COVID-19 pandemic, aswell as to learn about the possible link between invasive fungal sinusitis (mucormycosis) andcoronavirus disease, as well as how to prevent and manage it.MethodologyA web based cross–sectional study was conducted using convenience sampling. A self-administered anonymous questionnaire was designed in English and sent to the studyparticipants via link of Google form through social media platforms and email. Total of 378HCPs responded to survey.ResultsOut of 378 HCPs, majority of them were female (68.8%) with age <30 years (73.3%) and ofthese respondents most were dentists (82.2%).In assessing awareness of mucormycosis, 66.7%of HCPs believed the cause of the highprevalence of mucormycosis during COVID-19 was due to the higher prevalence of diabetes,indiscriminate use of steroids, immunocompromised patients with co-morbidities, usage ofunhygienic humidifiers & o2 lines and tubes. 57.9% of HCPs surveyed agreed that carefuland supervised use of systemic steroids should be consistent with current practice and 62.2%of HCPs agree that we need dynamic surveillance and control of diabetes mellitus or pre-diabetes in our population. ConclusionFirst case of Covid-19-related Mucormycosis has now been found in Chile. Thus, it isimportant to recognise this infection at an early stage, so as to potentially reduce soft andhard tissue necrosis and severe complications and alert colleagues of this life-threateninginfection.
{"title":"Awareness of Health care workers regarding Mucormycosis /Black fungus associated with global COVID - 19 pandemic in Rajasthan population – A Cross – sectional survey","authors":"Rimjhim Jain, Ashwini B Prasad, Deepak Raisingani, Harshit Srivastava, Prachi Mital, Ridhima Gupta","doi":"10.21276//ujds.2022.8.4.3","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.4.3","url":null,"abstract":"IntroductionTogether with the ongoing serious Covid-19 second wave in India, a serious fungal infection,mucormycosis has been increasingly found in Covid-19 recovered patients. Current trendsindicate that the surge is higher in patient with co-morbidities. Health care facilities need tostrengthen their infection prevention and control (IPC) programmes to prevent healthcare-associated outbreaks.Therefore, we conducted a cross-sectional survey of health-care workers in Rajasthan toassess their awareness of Mucormycosis as a result of the global COVID-19 pandemic, aswell as to learn about the possible link between invasive fungal sinusitis (mucormycosis) andcoronavirus disease, as well as how to prevent and manage it.MethodologyA web based cross–sectional study was conducted using convenience sampling. A self-administered anonymous questionnaire was designed in English and sent to the studyparticipants via link of Google form through social media platforms and email. Total of 378HCPs responded to survey.ResultsOut of 378 HCPs, majority of them were female (68.8%) with age <30 years (73.3%) and ofthese respondents most were dentists (82.2%).In assessing awareness of mucormycosis, 66.7%of HCPs believed the cause of the highprevalence of mucormycosis during COVID-19 was due to the higher prevalence of diabetes,indiscriminate use of steroids, immunocompromised patients with co-morbidities, usage ofunhygienic humidifiers & o2 lines and tubes. 57.9% of HCPs surveyed agreed that carefuland supervised use of systemic steroids should be consistent with current practice and 62.2%of HCPs agree that we need dynamic surveillance and control of diabetes mellitus or pre-diabetes in our population. \u0000ConclusionFirst case of Covid-19-related Mucormycosis has now been found in Chile. Thus, it isimportant to recognise this infection at an early stage, so as to potentially reduce soft andhard tissue necrosis and severe complications and alert colleagues of this life-threateninginfection.","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86876690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-18DOI: 10.21276//ujds.2022.8.3.7
Dr Sharmistha Vijay, Dr Rekha Meena, Dr Debopriya Chatterjee, Dr Rajeev Soangra, Dr Akansha Goyal, Dr Vasundhara Prakash
BACKGROUND- Since historical times, for both medical and dental therapy many herbal agents, like Aloe vera (AV), have been used. Aloe vera (AV) belonging to the Liliaceae Family, presents with anti-inflammatory, antioxidant, antibacterial, antiviral, antifungal and immune boosting properties. It also promotes wound healing by accelerating epithelial cell migration and collagen maturation, facilitating tissue restoration. This study aims at investigating the clinical effectiveness of locally delivered AV gel used as an adjunct to scaling and root planing (SRP) in the treatment of chronic periodontitis (CP).MATERIAL AND METHODS: Sixty patients with probing depth (PD) ≥5mm and clinical attachment (CA) level ≥3mm were randomly divided into two groups. All patients underwent SRP. Aloe Vera gel was locally delivered in Group 1 patients and Placebo in Group 2 patients. Clinical recording of full mouth plaque index (PI), bleeding index (BI), probing depth (PD) and clinical attachment (CA) level was done first at baseline and then at intervals of 3 months and 6 months.RESULT: Patients in AV group showed significantly greater mean reductions in PI, BI and PD and mean gain in CA level compared to those in placebo group from baseline to 3 months. Gain in CA level was significantly greater in AV group at all time intervals than the placebo group.CONCLUSION: Adjunctive use of AV gel LDD, in comparison to placebo gel LDD, is associated with greater reduction in PI, BI and PD as well as more gain in CA level in patients with CP.
{"title":"Local Drug Delivery of Aloe Vera Gel in Chronic Periodontitis Patient.","authors":"Dr Sharmistha Vijay, Dr Rekha Meena, Dr Debopriya Chatterjee, Dr Rajeev Soangra, Dr Akansha Goyal, Dr Vasundhara Prakash","doi":"10.21276//ujds.2022.8.3.7","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.3.7","url":null,"abstract":"BACKGROUND- Since historical times, for both medical and dental therapy many herbal agents, like Aloe vera (AV), have been used. Aloe vera (AV) belonging to the Liliaceae Family, presents with anti-inflammatory, antioxidant, antibacterial, antiviral, antifungal and immune boosting properties. It also promotes wound healing by accelerating epithelial cell migration and collagen maturation, facilitating tissue restoration. This study aims at investigating the clinical effectiveness of locally delivered AV gel used as an adjunct to scaling and root planing (SRP) in the treatment of chronic periodontitis (CP).MATERIAL AND METHODS: Sixty patients with probing depth (PD) ≥5mm and clinical attachment (CA) level ≥3mm were randomly divided into two groups. All patients underwent SRP. Aloe Vera gel was locally delivered in Group 1 patients and Placebo in Group 2 patients. Clinical recording of full mouth plaque index (PI), bleeding index (BI), probing depth (PD) and clinical attachment (CA) level was done first at baseline and then at intervals of 3 months and 6 months.RESULT: Patients in AV group showed significantly greater mean reductions in PI, BI and PD and mean gain in CA level compared to those in placebo group from baseline to 3 months. Gain in CA level was significantly greater in AV group at all time intervals than the placebo group.CONCLUSION: Adjunctive use of AV gel LDD, in comparison to placebo gel LDD, is associated with greater reduction in PI, BI and PD as well as more gain in CA level in patients with CP.","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73333596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-17DOI: 10.21276//ujds.2022.8.4.2
S. Gupta, A. Pandit, S. Mathur, M. Aggarwal
The use of herbal/ natural compounds can be comparatively safer alternative to those of synthetic compounds for periodontal therapy. The present study aims to investigate the effect of pomegranate extracts in form of chip for treating adult patients affected with periodontitis followed with scaling and root planing. The study was conducted in two parts: Invitro and Invivo. The study was a randomized controlled study and was addressed by clinical and microbiological parameters at base line and subsequent intervals. Material and methods:In vitro release was performed by using Keshary-chien diffusion cell for randomly selected strip. In vivo30patients with adult periodontitis having initial pocket depth ≥4 mm were enrolled into this research. For each subject two experimental sites were chosen located in symmetrical quadrants. Sites were randomly assigned to control group or test group. Then subgingival application of medicated chips was done in both groups. The clinical parameters were recorded at baseline, 30 days and 90 days. Descriptive statistical analysis has been carried out in present study. Results: The in vivo study confirmed significant improvements of plaque index ratings with significant reduction in gingival index, plaque index and relative attachment level scores at 90 days as compared to control group. While Porphyromonasgingivalis ,Prevotellaintermedia , Fusobacteriumintermedia and Aggregatibacteractinomycetemcomitans showed a more significant reduction at 90 days as compared to control group. In vitro results showed complete drug release in – 72- 80 hours .Matrix degrades between 3 to 4 days. Pomegranate extracts in chip may provide additional advantages to scaling and root planing for improving periodontal status. KEYWORDS: Chip, gingiva, periodontal, pomegranate, punicagranatum
{"title":"Punicagranatum as a local drug delivery system: A Clinico microbiological study","authors":"S. Gupta, A. Pandit, S. Mathur, M. Aggarwal","doi":"10.21276//ujds.2022.8.4.2","DOIUrl":"https://doi.org/10.21276//ujds.2022.8.4.2","url":null,"abstract":"The use of herbal/ natural compounds can be comparatively safer alternative to those of synthetic compounds for periodontal therapy. The present study aims to investigate the effect of pomegranate extracts in form of chip for treating adult patients affected with periodontitis followed with scaling and root planing. The study was conducted in two parts: Invitro and Invivo. The study was a randomized controlled study and was addressed by clinical and microbiological parameters at base line and subsequent intervals. \u0000Material and methods:In vitro release was performed by using Keshary-chien diffusion cell for randomly selected strip. In vivo30patients with adult periodontitis having initial pocket depth ≥4 mm were enrolled into this research. For each subject two experimental sites were chosen located in symmetrical quadrants. Sites were randomly assigned to control group or test group. Then subgingival application of medicated chips was done in both groups. The clinical parameters were recorded at baseline, 30 days and 90 days. Descriptive statistical analysis has been carried out in present study. \u0000Results: The in vivo study confirmed significant improvements of plaque index ratings with significant reduction in gingival index, plaque index and relative attachment level scores at 90 days as compared to control group. While Porphyromonasgingivalis ,Prevotellaintermedia , Fusobacteriumintermedia and Aggregatibacteractinomycetemcomitans showed a more significant reduction at 90 days as compared to control group. In vitro results showed complete drug release in – 72- 80 hours .Matrix degrades between 3 to 4 days. Pomegranate extracts in chip may provide additional advantages to scaling and root planing for improving periodontal status. \u0000KEYWORDS: Chip, gingiva, periodontal, pomegranate, punicagranatum","PeriodicalId":100856,"journal":{"name":"King Saud University Journal of Dental Sciences","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76458029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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