Pub Date : 2018-12-31DOI: 10.3126/JNSPOI.V2I2.23619
Rejina Shrestha, S. Pradhan, R. Gorkhali, A. Verma
The resorption of the alveolar ridge is an inevitable phenomenon after tooth extraction and continues throughout the lifespan of an individual. Socket preservation, hard and soft tissue augmentation procedures are indicated to compensate alveolar bone resorption. Compensation can also be done by masking with acrylic flanges, pink porcelain and gingival veneers. However, procedures to preserve the bone anticipatory to the loss after extraction should be prioritised. This paper reports a case of fractured non-vital tooth where root submergence technique was done. A follow-up at 6 months presents intact bone aiding in the aesthetics and function of the prosthesis.
{"title":"Root Submergence Technique: Forgotten Terrain Revisited","authors":"Rejina Shrestha, S. Pradhan, R. Gorkhali, A. Verma","doi":"10.3126/JNSPOI.V2I2.23619","DOIUrl":"https://doi.org/10.3126/JNSPOI.V2I2.23619","url":null,"abstract":"The resorption of the alveolar ridge is an inevitable phenomenon after tooth extraction and continues throughout the lifespan of an individual. Socket preservation, hard and soft tissue augmentation procedures are indicated to compensate alveolar bone resorption. Compensation can also be done by masking with acrylic flanges, pink porcelain and gingival veneers. However, procedures to preserve the bone anticipatory to the loss after extraction should be prioritised. This paper reports a case of fractured non-vital tooth where root submergence technique was done. A follow-up at 6 months presents intact bone aiding in the aesthetics and function of the prosthesis.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122973535","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 : 2018-12-31DOI: 10.3126/JNSPOI.V2I2.23611
Harish Shah, Shivalal Sharma, K. Goel, Sajeev Shrestha, S. Niraula
Background: : Chronic periodontitis is one of the most common form of periodontal diseases which either require non-surgical periodontal therapy or open flap debridement-surgical therapy or both. To date, it is unclear as of how much changes occur after NSPT or OFD and which therapy provides the best outcome in chronic periodontitis having probing pocket depth ≥ 5-7 mm. Aim: The aim of this randomized controlled clinical trial was to evaluate the Probing Pocket Depth and Clinical Attachment Level between NSPT and OFD in chronic periodontitis patients. Materials and Methods: A total of 52 healthy patients with PPD ≥ 5-7 mm were included in the present study. Half of the patients assigned for the NSPT and half in the OFD group. The PPD and CAL were measured at baseline, three and six months. Independent sample t-test was used to compare the change in mean PPD and CAL between NSPT and OFD group at three and six months, respectively. Results: The difference in the mean decrease of PPD between NSPT and OFD group at three and six months were 0.15 mm (P<0.05) and 0.19 mm (P<0.05), respectively. The difference in the mean gain of CAL between NSPT and OFD group at three and six months were 0.03 mm (p>0.05) and 0.12 mm (P<0.05), respectively. Conclusion: Substantial improvement in periodontal status occurred with both the therapies, however, significantly higher decrease in PPD and gain in CAL were seen with surgical therapy.
背景:慢性牙周炎是最常见的牙周病之一，需要非手术牙周治疗或开瓣清创术联合手术治疗，或两者兼而有之。迄今为止，对于探测袋深度≥5- 7mm的慢性牙周炎患者，尚不清楚NSPT或OFD后会发生多少变化，以及哪种治疗方法能提供最好的结果。目的:本随机对照临床试验的目的是评估NSPT和OFD在慢性牙周炎患者的探诊袋深度和临床依恋水平。材料与方法:本研究共纳入52例PPD≥5-7 mm的健康患者。一半的患者被分配到NSPT组，一半被分配到OFD组。分别在基线、3个月和6个月测量PPD和CAL。采用独立样本t检验比较NSPT组和OFD组分别在3个月和6个月时的平均PPD和CAL的变化。结果:NSPT组与OFD组在3个月和6个月时PPD的平均降幅分别为0.15 mm (P0.05)和0.12 mm (P<0.05)。结论:两种治疗方法均可显著改善牙周状况，但手术治疗可显著降低PPD和增加CAL。
{"title":"Probing Pocket Depth and Clinical Attachment Level between Non-Surgical and Surgical Periodontal Therapy in Chronic Periodontitis Patients: A Randomised Controlled Clinical Trial","authors":"Harish Shah, Shivalal Sharma, K. Goel, Sajeev Shrestha, S. Niraula","doi":"10.3126/JNSPOI.V2I2.23611","DOIUrl":"https://doi.org/10.3126/JNSPOI.V2I2.23611","url":null,"abstract":"Background: : Chronic periodontitis is one of the most common form of periodontal diseases which either require non-surgical periodontal therapy or open flap debridement-surgical therapy or both. To date, it is unclear as of how much changes occur after NSPT or OFD and which therapy provides the best outcome in chronic periodontitis having probing pocket depth ≥ 5-7 mm. \u0000Aim: The aim of this randomized controlled clinical trial was to evaluate the Probing Pocket Depth and Clinical Attachment Level between NSPT and OFD in chronic periodontitis patients. \u0000Materials and Methods: A total of 52 healthy patients with PPD ≥ 5-7 mm were included in the present study. Half of the patients assigned for the NSPT and half in the OFD group. The PPD and CAL were measured at baseline, three and six months. Independent sample t-test was used to compare the change in mean PPD and CAL between NSPT and OFD group at three and six months, respectively. \u0000Results: The difference in the mean decrease of PPD between NSPT and OFD group at three and six months were 0.15 mm (P<0.05) and 0.19 mm (P<0.05), respectively. The difference in the mean gain of CAL between NSPT and OFD group at three and six months were 0.03 mm (p>0.05) and 0.12 mm (P<0.05), respectively. \u0000Conclusion: Substantial improvement in periodontal status occurred with both the therapies, however, significantly higher decrease in PPD and gain in CAL were seen with surgical therapy.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"142 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131848599","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 : 2018-06-04DOI: 10.3126/jnspoi.v2i1.23603
Surbhi Porwal, A. Mathur, Neema Shetty, B. Manohar, B. Makhijani, Rohit Mundra
Background: Plaque is the soft deposit that forms the biofilm consisting of microorganisms adhering to the tooth surface and is proved beyond doubt to be the initiator of gingival and periodontal disease. Plaque control is the mainstay in periodontal disease. Aim: To compare the effect of 0.2% chlorhexidine gluconate, raw propolis and 3% hydrogen peroxide mouthwash on dental plaque and gingival inflammation. Materials and Methods: Thirty subjects in the age group of 20-40 years were enrolled in the study. Plaque index and Modified Gingival Index were recorded at baseline and oral prophylaxis was performed. Subjects were then randomly divided into three groups (n=10) and were asked to rinse with 10ml mouthwash twice daily for 15 days. Group I received 0.2% chlorhexidine gluconate mouth wash, Group II raw propolis diluted with distilled water (1:1), and Group III 3% hydrogen peroxide (1:1) mouthwash. Subjects were recalled on 7 day and 28 day for re-evaluation and recording plaque index and modified gingival index. Statistical analysis was done to evaluate the efficacy of all the three mouthwashes. Results: The results showed that all the three mouthwashes were effective in reducing plaque and gingival inflammation. Chlorhexidine gluconate 0.2% showed to be the most effective in reduction of dental plaque. Propolis was observed to be the most effective in reducing gingival inflammation over a period of 28 days. Conclusion: Propolis can be effectively used as a mouthwash without any potential side effects as an alternative to chlorhexidine mouthwash in reducing gingival inflammation.
{"title":"Comparative Evaluation of the Effect of Chlorhexidine Gluconate, Raw Propolis and Hydrogen Peroxide on Dental Plaque and Gingival Inflammation","authors":"Surbhi Porwal, A. Mathur, Neema Shetty, B. Manohar, B. Makhijani, Rohit Mundra","doi":"10.3126/jnspoi.v2i1.23603","DOIUrl":"https://doi.org/10.3126/jnspoi.v2i1.23603","url":null,"abstract":"Background: Plaque is the soft deposit that forms the biofilm consisting of microorganisms adhering to the tooth surface and is proved beyond doubt to be the initiator of gingival and periodontal disease. Plaque control is the mainstay in periodontal disease. \u0000Aim: To compare the effect of 0.2% chlorhexidine gluconate, raw propolis and 3% hydrogen peroxide mouthwash on dental plaque and gingival inflammation. \u0000Materials and Methods: Thirty subjects in the age group of 20-40 years were enrolled in the study. Plaque index and Modified Gingival Index were recorded at baseline and oral prophylaxis was performed. Subjects were then randomly divided into three groups (n=10) and were asked to rinse with 10ml mouthwash twice daily for 15 days. Group I received 0.2% chlorhexidine gluconate mouth wash, Group II raw propolis diluted with distilled water (1:1), and Group III 3% hydrogen peroxide (1:1) mouthwash. Subjects were recalled on 7 day and 28 day for re-evaluation and recording plaque index and modified gingival index. Statistical analysis was done to evaluate the efficacy of all the three mouthwashes. \u0000Results: The results showed that all the three mouthwashes were effective in reducing plaque and gingival inflammation. Chlorhexidine gluconate 0.2% showed to be the most effective in reduction of dental plaque. Propolis was observed to be the most effective in reducing gingival inflammation over a period of 28 days. \u0000Conclusion: Propolis can be effectively used as a mouthwash without any potential side effects as an alternative to chlorhexidine mouthwash in reducing gingival inflammation.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129506337","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 : 2018-06-04DOI: 10.3126/JNSPOI.V2I1.23570
S. Pradhan
No abstract available.
没有摘要。
{"title":"Tooth as a Graft Material?","authors":"S. Pradhan","doi":"10.3126/JNSPOI.V2I1.23570","DOIUrl":"https://doi.org/10.3126/JNSPOI.V2I1.23570","url":null,"abstract":"No abstract available.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134069641","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 : 2018-06-04DOI: 10.3126/jnspoi.v2i1.23602
Aritra Mandal, B. Manohar, Neema Shetty, A. Mathur, B. Makhijani, N. Sen
Background: Citrus sinesis belongs to Rutaceae family is an enriched source of vitamin C, flavonoid compounds and antioxidants are helpful in reducing inflammation. Few in-vitro studies the ethanolic extract of orange peels has successfully reduced periodontal pathogens which has influenced us to prepare a mouth wash with ethanolic extract of orange peel. Aim: To evaluate and compare the effect of indigenously prepared 4% ethanolic extract of Citrus sinseis (Orange peel) mouthwash to commercially available 0.2% Chlorhexidine mouthwash as an anti-plaque agent. Materials and Methods: Twenty subjects in the age group of 18-60 years with moderate to severe gingivitis were divided into two equal groups. Clinical parameters like Plaque Index, Sulcus Bleeding Index and Gingival Index were recorded at baseline, 7th and 14th day respectively. Following oral prophylaxis Group-I (n= 10) subjects were instructed to rinse twice daily with 10ml of 0.2% chlorhexidine mouthwash and Group-II (n= 10) subjects were instructed to rinse twice daily with 10ml of 4% ethanolic extract of Citrus sinesis mouthwash for 14 days. All the subjects were recalled on the 7th and 14th day for follow up to record the clinical parameters. Results: Citrus sinesis 4% mouthwash was seen to be as efficient as 0.2% Chlorhexidine in reducing Plaque Index and more effectively reducing gingival inflammation and gingival bleeding index. Conclusion: Citrus sinesis 4% mouthwash can be used for short term purpose without any potential side effects as an alternative to 0.2% Chlorhexidine mouthwash in reducing plaque and gingival inflammation.
{"title":"A Comparative Evaluation of Anti-Inflammatory and Antiplaque Efficacy of Citrus Sinesis Mouthwash and Chlorhexidine Mouthwash","authors":"Aritra Mandal, B. Manohar, Neema Shetty, A. Mathur, B. Makhijani, N. Sen","doi":"10.3126/jnspoi.v2i1.23602","DOIUrl":"https://doi.org/10.3126/jnspoi.v2i1.23602","url":null,"abstract":"Background: Citrus sinesis belongs to Rutaceae family is an enriched source of vitamin C, flavonoid compounds and antioxidants are helpful in reducing inflammation. Few in-vitro studies the ethanolic extract of orange peels has successfully reduced periodontal pathogens which has influenced us to prepare a mouth wash with ethanolic extract of orange peel. \u0000Aim: To evaluate and compare the effect of indigenously prepared 4% ethanolic extract of Citrus sinseis (Orange peel) mouthwash to commercially available 0.2% Chlorhexidine mouthwash as an anti-plaque agent. \u0000Materials and Methods: Twenty subjects in the age group of 18-60 years with moderate to severe gingivitis were divided into two equal groups. Clinical parameters like Plaque Index, Sulcus Bleeding Index and Gingival Index were recorded at baseline, 7th and 14th day respectively. Following oral prophylaxis Group-I (n= 10) subjects were instructed to rinse twice daily with 10ml of 0.2% chlorhexidine mouthwash and Group-II (n= 10) subjects were instructed to rinse twice daily with 10ml of 4% ethanolic extract of Citrus sinesis mouthwash for 14 days. All the subjects were recalled on the 7th and 14th day for follow up to record the clinical parameters. \u0000Results: Citrus sinesis 4% mouthwash was seen to be as efficient as 0.2% Chlorhexidine in reducing Plaque Index and more effectively reducing gingival inflammation and gingival bleeding index. \u0000Conclusion: Citrus sinesis 4% mouthwash can be used for short term purpose without any potential side effects as an alternative to 0.2% Chlorhexidine mouthwash in reducing plaque and gingival inflammation.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"478 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133604236","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 : 2018-06-04DOI: 10.3126/JNSPOI.V2I1.23606
S. Shakya, S. Pradhan, M. Alam
Amelogenesis imperfecta is a developmental disturbance that interferes with normal enamel formation in the absence of a systemic disorder. This case report describes a multidisciplinary team approach for the oral rehabilitation of a young adult patient diagnosed with hypocalcified amelogenesis imperfecta with anterior single tooth crossbite. The specific objectives of this treatment were to enhance esthetics, eliminate tooth sensitivity and restore masticatory function. Treatment included maintenance of gingival health, correction of crossbite, surgical crown lengthening of the maxillary and mandibular posterior teeth and placement of full mouth metal-ceramic crowns. The patient was highly satisfied with the aesthetic and functional outcome of the treatment.
{"title":"Team Approach for the Management of Amelogenesis Imperfecta","authors":"S. Shakya, S. Pradhan, M. Alam","doi":"10.3126/JNSPOI.V2I1.23606","DOIUrl":"https://doi.org/10.3126/JNSPOI.V2I1.23606","url":null,"abstract":"Amelogenesis imperfecta is a developmental disturbance that interferes with normal enamel formation in the absence of a systemic disorder. This case report describes a multidisciplinary team approach for the oral rehabilitation of a young adult patient diagnosed with hypocalcified amelogenesis imperfecta with anterior single tooth crossbite. The specific objectives of this treatment were to enhance esthetics, eliminate tooth sensitivity and restore masticatory function. Treatment included maintenance of gingival health, correction of crossbite, surgical crown lengthening of the maxillary and mandibular posterior teeth and placement of full mouth metal-ceramic crowns. The patient was highly satisfied with the aesthetic and functional outcome of the treatment. ","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"os-14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127854881","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 : 2018-06-04DOI: 10.3126/jnspoi.v2i1.23608
D. Aryal, Kripa Shahi, S. Shrestha
Gingival overgrowth caused by drug is a well-documented unwanted side effect and mostly caused by Nifedipine. Newer generation calcium channel blocker, amlodipine, has been used with the increasing frequency to overcome the adverse effect of first and second generation dihydropyridine derivatives of Calcium Chanel Blocker. The pathogenesis of gingival enlargement is uncertain and the treatment is still largely limited to the maintenance of an improved level of oral hygiene and surgical removal of the overgrowth tissue. This article reports the amlodipine induced gingival enlargement and its treatment in a 60 years old hypertensive female patient.
{"title":"Amlodipine induced Gingival Overgrowth","authors":"D. Aryal, Kripa Shahi, S. Shrestha","doi":"10.3126/jnspoi.v2i1.23608","DOIUrl":"https://doi.org/10.3126/jnspoi.v2i1.23608","url":null,"abstract":"Gingival overgrowth caused by drug is a well-documented unwanted side effect and mostly caused by Nifedipine. Newer generation calcium channel blocker, amlodipine, has been used with the increasing frequency to overcome the adverse effect of first and second generation dihydropyridine derivatives of Calcium Chanel Blocker. The pathogenesis of gingival enlargement is uncertain and the treatment is still largely limited to the maintenance of an improved level of oral hygiene and surgical removal of the overgrowth tissue. This article reports the amlodipine induced gingival enlargement and its treatment in a 60 years old hypertensive female patient.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134559608","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 : 2018-06-04DOI: 10.3126/JNSPOI.V2I1.23605
M. Humagain, A. Dawadi
Periodontal plastic or aesthetic surgery by its definition comprises of surgical procedures performed to correct or eliminate anatomic, developmental or traumatic deformities of the gingiva or oral mucosa. ‘Perfect smile’ has been the common desire of many people in this era. Smile has significant role in the expression, appearance and in the development of self-esteem. Excessive gingival display, which is commonly termed as ‘gummy smile’ will adversely affects smile aesthetics and is therefore undesirable to many people. It is one of the several developmental or acquired deformities and conditions that manifest in the periodontium. Different literature reveals common consensus on considering gingival display of greater than 3 mm is gummy smile and is unaesthetic. Lip repositioning surgery has been establishing as a promising less invasive alternative treatment modality in aesthetic rehabilitation for the cases of excessive gingival display. Perseverance and application of such technique shall provide many more a horizon to this young but highly imaginative and creative technique in periodontal therapy to charter.
{"title":"Lip Repositioning Surgery: A Newer Paradigm in Periodontal Aesthetics","authors":"M. Humagain, A. Dawadi","doi":"10.3126/JNSPOI.V2I1.23605","DOIUrl":"https://doi.org/10.3126/JNSPOI.V2I1.23605","url":null,"abstract":"Periodontal plastic or aesthetic surgery by its definition comprises of surgical procedures performed to correct or eliminate anatomic, developmental or traumatic deformities of the gingiva or oral mucosa. ‘Perfect smile’ has been the common desire of many people in this era. Smile has significant role in the expression, appearance and in the development of self-esteem. Excessive gingival display, which is commonly termed as ‘gummy smile’ will adversely affects smile aesthetics and is therefore undesirable to many people. It is one of the several developmental or acquired deformities and conditions that manifest in the periodontium. Different literature reveals common consensus on considering gingival display of greater than 3 mm is gummy smile and is unaesthetic. Lip repositioning surgery has been establishing as a promising less invasive alternative treatment modality in aesthetic rehabilitation for the cases of excessive gingival display. Perseverance and application of such technique shall provide many more a horizon to this young but highly imaginative and creative technique in periodontal therapy to charter.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125945692","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 : 2018-06-04DOI: 10.3126/JNSPOI.V2I1.23607
Shweta Agrawal, P. Koirala, S. Pradhan, R. Gorkhali
Free gingival graft is one of the technique used for root coverage so as to increase the inadequate keratinized tissue. The donor tissue is most frequently taken from the palate and generally the donor site is not covered or protected. Platelet rich fibrin is one of the good option for the wound coverage of donor site after free gingival graft so as to reduce the pain perception to patient and faster wound healing. The case report includes two cases with gingival recession, treated on the same day with free gingival graft with the use of platelet rich fibrin in the donor site in case 1 and without platelet rich fibrin in case 2 respectively which were compared for pain perception and wound healing postoperatively at 24 hours, 3 days, 5 days, 7 days and 14 days. There was less pain perception and discomfort in the donor site with the use of platelet rich fibrin and enhanced healing compared to donor site without platelet rich fibrin.
{"title":"Platelet Rich Fibrin as Wound Coverage of Donor Site in Free Gingival Graft","authors":"Shweta Agrawal, P. Koirala, S. Pradhan, R. Gorkhali","doi":"10.3126/JNSPOI.V2I1.23607","DOIUrl":"https://doi.org/10.3126/JNSPOI.V2I1.23607","url":null,"abstract":"Free gingival graft is one of the technique used for root coverage so as to increase the inadequate keratinized tissue. The donor tissue is most frequently taken from the palate and generally the donor site is not covered or protected. Platelet rich fibrin is one of the good option for the wound coverage of donor site after free gingival graft so as to reduce the pain perception to patient and faster wound healing. The case report includes two cases with gingival recession, treated on the same day with free gingival graft with the use of platelet rich fibrin in the donor site in case 1 and without platelet rich fibrin in case 2 respectively which were compared for pain perception and wound healing postoperatively at 24 hours, 3 days, 5 days, 7 days and 14 days. There was less pain perception and discomfort in the donor site with the use of platelet rich fibrin and enhanced healing compared to donor site without platelet rich fibrin.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"22 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115972549","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 : 2018-06-04DOI: 10.3126/JNSPOI.V2I1.23572
S. Bista, K. Adhikari, C. Saimbi, Bikash Agrahari
Background: Frenum that encroaches on the margin of the gingiva may interfere with plaque removal and can lead to gingival recession and midline diastema. Thus in order to facilitate maintenance of proper oral hygiene and prevention of gingival recession, frenectomy is done. Aim: The aim of this study was to compare the effects of the diode laser and the scalpel technique on the degree of postoperative pain experienced by patients after frenectomy. Materials and Methods: Twenty patients requiring frenectomy were randomly assigned to two treatment groups, one with a diode laser and the other with a scalpel. The postoperative pain of each patient was assessed using a Visual Analog Scale and the number of analgesic used was recorded on postoperative days one and seven. Results: Patients treated with the diode laser had significantly less postoperative pain at day one and used less number of analgesic (2.30 ±0.94) as compared to scalpel surgery (4.40 ±1.07). Conclusion: This comparative study indicates that diode laser treatment for frenectomy provides better patient perception in terms of pain compared to scalpel technique.
{"title":"Comparison of Patient Perceptions with Diode Laser and Scalpel Technique for Frenectomy","authors":"S. Bista, K. Adhikari, C. Saimbi, Bikash Agrahari","doi":"10.3126/JNSPOI.V2I1.23572","DOIUrl":"https://doi.org/10.3126/JNSPOI.V2I1.23572","url":null,"abstract":"Background: Frenum that encroaches on the margin of the gingiva may interfere with plaque removal and can lead to gingival recession and midline diastema. Thus in order to facilitate maintenance of proper oral hygiene and prevention of gingival recession, frenectomy is done. \u0000Aim: The aim of this study was to compare the effects of the diode laser and the scalpel technique on the degree of postoperative pain experienced by patients after frenectomy. \u0000Materials and Methods: Twenty patients requiring frenectomy were randomly assigned to two treatment groups, one with a diode laser and the other with a scalpel. The postoperative pain of each patient was assessed using a Visual Analog Scale and the number of analgesic used was recorded on postoperative days one and seven. \u0000Results: Patients treated with the diode laser had significantly less postoperative pain at day one and used less number of analgesic (2.30 ±0.94) as compared to scalpel surgery (4.40 ±1.07). \u0000Conclusion: This comparative study indicates that diode laser treatment for frenectomy provides better patient perception in terms of pain compared to scalpel technique.","PeriodicalId":282202,"journal":{"name":"Journal of Nepalese Society of Periodontology and Oral Implantology","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115995813","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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