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PubMed | Sharavthi Dental College, Sri Venkateshwara Dental College, AMEs Dental College and Hospital, HKDETs Dental College and Hospital and Maharaja Ganga Singh Dental College and Research Center
Type: Journal Article | Journal: Journal of International Society of Preventive & Community Dentistry | Year: 2016

The present study aims to compare the peri-implant bone status around immediately loaded dental implants treated with aminobisphosphonate solution and untreated control implants in terms of clinical and radiographical parameters.A total of 24 patients were randomly divided equally into two groups. This study was conducted in accordance to the Helsinkis declaration of 1975, revised in 2000, and with the approval of the institutional ethical committee. In the control group after preparation, osteotomy sites were irrigated with normal saline solution, whereas in the test group osteotomy sites were irrigated with modified bisphosphonate solution and then TRX-OP, Hi-Tec dental implants were inserted. Clinical parameters, such as modified plaque and gingival index, probing depth, mobility, and radiographic parameters were recorded at baseline (0), 3, 6, and 9 months. Data analysis was performed using the Statistical Package for the Social Sciences version 17 for windows, and the statistical techniques employed were repeated measures analysis of variance, independent sample t-test, and paired sample t-test.Reduction in mean radiographic bone levels (height) was observed on the mesial and distal aspect of the control group in comparison to its baseline at all intervals. In the test group, there was reduction in mean radiographic bone levels on mesial and distal aspect of the implant site in comparison to its baseline till 6-month follow up, however, at 9 month, there was gain in bone level on both mesial and distal aspect of implant. This represents the effectiveness of sodium alendronate in enhancing the bone formation. On comparison, between both groups on mesial and distal aspect of implants, statistically significant differences were observed at 3 and 9 months on mesial and distal aspect, respectively, without any clinical evidence of mobility in the test group.Implant site treated with aminobisphosphonate solution represents greater efficacy in enhancing bone formation when used as an irrigant; thus, it is considered beneficial in implant dentistry.


PubMed | The Oxford Dental College & Hospital and AMEs Dental College and Hospital
Type: Journal Article | Journal: Journal of international oral health : JIOH | Year: 2014

To determine the susceptibility of teeth for repigmentation after bleaching.Forty premolars were assigned to three groups (n = 12). Group 1 was bleached using 30% w/v hydrogen peroxide 15 min 3 times a day every other day for 4 days. In Group 2 was bleached using 16% carbamide peroxide (Polanight), 90 min a day for 15 days. 2 days later, the shades of the bleached teeth were recorded. Remaining 4 teeth were bleached according to Group 1 and 2 and were subjected to atomic force microscopy, scanning electron microscopy analysis.Specimens of athome bleaching were lighter than the specimens of inoffice bleaching.The susceptibility of enamel to pigmentation can be increased after bleaching, and pigmentation is greater if bleaching is performed with H2O2. The percentage change (lighter) was more for athome bleaching specimens as compared to inoffice bleaching specimens.


PubMed | AMEs Dental College and Hospital, Chitwan Medical College and Teaching Hospital and KLEs Institute of Dental science
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

The aim of the study was to assess the correlation between the oral health status, oral health related quality of life and the evaluations of their smiles as assessed by the children, their parents, and through measurements of the childrens videotaped smiles and compare the smiling patterns in children suffering from untreated traumatic injuries to anterior teeth and control group.Fifty eight children of the age 5-15 years of both sexes were selected for the study and categorized into experimental group and control group. The experimental group consisted of 29 children with untreated trauma to one or more anterior teeth while the control group consisted of 29 children with good oral health. Oral examination of all children was done to include in study groups. Children and parents participating in the study responded to two separate Oral Health Related Quality of Life questionnaires for children and parents respectively. The children were asked to watch a funny cartoon show and a video was made while the children watched the show. The video was cropped into still images at 25 predetermined points. Width and openness of the childrens mouth and number of teeth shown were measured during the taped sessions to assess the childrens video-based smiling patterns.The childrens self evaluation scores had statistically significant correlation with their smiling patterns, the number of traumatized teeth and the parental assessment of their childrens oral health. Children with trauma to anterior teeth had more impacts on their smiling pattern compared to control group.Children suffering from trauma to anterior teeth had more effects on the emotions, the self confidence and social interaction than children without any traumatic injury.


PubMed | KLE University, AMES Dental College and Hospital, Vyas Dental College and Indraprasthaal College
Type: Journal Article | Journal: European journal of dentistry | Year: 2015

Acquired Immunodeficiency Syndrome (AIDS) is a highly lethal, progressively epidemic viral infection characterized by profound impairment of the immune system. Oral manifestations are common in Human Immunodeficiency Virus (HIV) infected AIDS patients, and are usually the first indicator of symptom and disease progression. The main objective of the current study was to compare the prevalence of oral manifestations in HIV patients on Highly Active Antiretroviral Therapy (HAART) with those, not on HAART therapies.A cross sectional study was conducted among 100 patients diagnosed as human immune virus sero-positive. These patients were divided equally into two groups (50 each); Group I patients on HAART and Group II patients who were not on HAART. Information regarding age, sex and cluster of differentiation 4 cell count was obtained from the medical records. Oral examination was done, and findings were recorded by using internationally accepted presumptive clinical criteria. Statistical analysis was performed using Chi-square statistical test.The presence of oral manifestations was significantly decreased in subjects on HAART (32%) compared to those who are not on HAART (56%). The most common oral lesions detected in patients on HAART were increased oral hyper-pigmentation (14%), recurrent aphthous stomatitis (8%), non-specific ulcerations (4%), pseudo-membranous candidiasis (2%), periodontitis (2%) and xerostomia (2%), whereas in non HAART oral hyperpigmentation (10%), pseudo-membranous candidiasis (8%), angular cheilitis (4%), and erythematous candidiasis (4%) and Periodontitis (14%) were more prevalent.The number and severity of oral manifestation decreased, and even there was a change in the type of oral manifestations on HAART, which may be because of the improvement in immunity gained by the therapy.


Kishan K.,Coorg Institute of Dental science | Hegde V.,AMEs Dental College and Hospital | Ponnappa K.,Coorg Institute of Dental science | Girish T.,Coorg Institute of Dental science | Ponappa M.,Coorg Institute of Dental science
Journal of Natural Science, Biology and Medicine | Year: 2014

This study is to report the rare localization of a radicular groove on the palatal aspect of the maxillary lateral incisor and to discuss the pathology and management of the concomitant endo-periodontal defect. Unilateral palato-radicular groove was located on the Maxillary right lateral incisor of an 18-year-old female patient. The groove was associated with deep local periodontal pocket resulting in pulp necrosis and the formation of a large periapical lesion. A collaborative management was carried out using a combination of endodontic therapy, surgical enucleation, odontoplasty, and periodontal regenerative procedure resulting the successful healing of the periapical lesion.


Guttiganur N.,Ames Dental College And Hospital | Devanoorkar A.,Ames Dental College And Hospital | Aspalli S.,Ames Dental College And Hospital | Shetty S.,Ames Dental College And Hospital
Indian journal of dental research : official publication of Indian Society for Dental Research | Year: 2013

Herpes zoster is an uncommon acute viral infection caused by reactivation of varicella zoster virus. During the prodromal stage, the only presenting symptom may be odontalgia, which may prove to be a diagnostic challenge for the dentist. Practicing dentist may carry out emergency treatment that might result in irreversible damage or may delay the appropriate treatment. With an ever-increasing number of elderly and immunocompromised patients reporting to the dentist, the dental profession can expect to encounter an increased number of herpes zoster patients. Dentist must be familiar with the presenting signs and symptoms of patients experiencing the prodromal manifestations of herpes zoster of the trigeminal nerve. This article focuses on the difficulties in management of such cases, and one such case is reported here.


Devanoorkar A.,Ames Dental College And Hospital | Kathariya R.,Dr Dy Patil Dental College And Hospital | Guttiganur N.,Ames Dental College And Hospital | Gopalakrishnan D.,Dr Dy Patil Dental College And Hospital | Bagchi P.,Dr. DY Patil Dental School
Disease Markers | Year: 2014

Biomarkers are highly specific and sensitive indicators of disease activity. Resistin is a recently discovered adipocytokine, having a potent biomarker quality. Initially resistin was thought to be produced by adipocytes alone; however, emerging evidence suggests that it is also produced in abundance by various cells of the immunoinflammatory system, indicating its role in various chronic inflammatory diseases. Data suggests that resistin plays a role in obesity, insulin resistance, cardiovascular diseases, and periodontitis. Resistin derived its name from the original observation that it induced insulin resistance (resist-in: resist insulin) in mice and is downregulated in mature murine adipocytes cultured in the presence of insulin sensitizing drugs like thiazolidinediones. It is well recognized that obesity, is associated with insulin resistance and diabetes. A three-way relationship has been established between diabetes, obesity and periodontitis. Recent evidence also suggests an association between obesity and increased risk for periodontitis. Our previous research showed incremental elevation of resistin with periodontal disease activity and a reduced level of resistin, after periodontal therapy. Thus resistin would be one of the molecular links connecting obesity, periodontitis, and diabetes and may serve as a marker that links periodontal disease with other systemic diseases. A Medline/PubMed search was carried out for keywords "Diabetes Mellitus," "Periodontitis," and "Resistin," and all relevant research papers from 1990 in English were shortlisted and finalized based on their importance. This review provides an insight into the biological action of resistin and its possible role in periodontitis influenced diabetes mellitus and diabetes induced periodontitis. © 2014 Archana Devanoorkar et al.


PubMed | Hke Societys S Nijalingappa Institute Of Dental Science And Research, Bharati Vidyapeeth Deemed University, AMEs Dental College and Hospital, Indira Gandhi Institute of Dental science and Al Badar Rural Dental College and Hospital
Type: Journal Article | Journal: Journal of Indian Society of Periodontology | Year: 2015

The dimensions of dentogingival junction have been evaluated from autopsy jaw specimens. Previous studies demonstrated variability in histologic biologic width (BW) in periodontal health and mild periodontitis. Few studies have been done on the measurement of clinical BW in periodontitis. BW variation provides implications for selection of surgical or nonsurgical approaches. The purpose of this study was to determine clinical BW in periodontal health and chronic generalized periodontitis and to compare it with histologic dimensions of BW.A total of 20 subjects with chronic generalized periodontitis and 20 subjects with healthy periodontium were included in the present study. Plaque index and community periodontal index of treatment needs were scored; moreover, probing depth (PD) and clinical attachment level were measured. Full mouth intraoral periapical radiographs were taken, and digitalized images were obtained to measure the crestal bone level using computerized software.Clinical BW was significantly greater in both healthy and periodontitis groups than previously reported histologic BW of 2.04 mm (P < 0.001). The mean clinical BW was 3.98 mm.Mean clinical BW in both groups was significantly greater than histologic BW and sites with shallow PDs demonstrated greatest BW, suggesting that these sites may be at increased risk for losing significant attachment during surgical procedures.


PubMed | Manipal University India, AMES Dental College and Hospital and Craniofacial and Dental Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2014

Vascular anomalies of the head and neck region pose a certain diagnostic and therapeutic paradox. Management of arteriovenous malformations (AVM) is a challenge owing to the presence of abnormal vascular communications and high recurrence. We report a case of a 19-year-old male patient, who presented with diffuse swelling in the right temporal region. Magnetic Resonance Angiography (MRA) suggested it to be an AVM in the temporalis muscle, having afferents in the ascending pharyngeal artery, with cavernous angioma. Surgical excision of the lesion was carried out under carotid control. Histopathology of the excised specimen utilizing special stains confirmed the presence of AVM. An absence of distinct nidus concomitant along with the exuberant proliferation of capillaries between the muscle fibres suggested it be an infiltrative angioarchitectural variant. The present case highlights significance of diagnosing AVM in temporalis muscle which is a rare occurrence in head and neck region. Also, the importance of ruling out other closely resembling vascular diathesis, both non neoplastic and malignant is discussed.


PubMed | State University of New York at Stony Brook, Niloufer Hospital, AMEs Dental College and Hospital, Dr Dy Patil Dental College & Hospital and Dr Dy Patil Medical College Hospital & Research Center
Type: Journal Article | Journal: Journal of international oral health : JIOH | Year: 2015

Both osteoporosis (OP) and periodontitis are chronic inflammatory diseases associated with bone loss mediated by local and systemic factors. The two diseases share common risk factors. Previous studies have suggested that OP in itself is a predisposing factor for periodontal tissue destruction in postmenopausal women. However, only a moderate correlation has been shown between the two conditions. In this study, we compared the severity of periodontal disease in postmenopausal osteoporotic women and postmenopausal women without OP.The study group consisted of 100 postmenopausal women in the age group of 50-65 years: Group 1 (50 osteoporotic) and Group 2 (50 non-osteoporotic women). Periodontal parameters included sulcus bleeding index, oral hygiene index simplified, probing pocket depth (PPD), and clinical attachment loss (CAL), interproximal alveolar bone loss (ABL), and number of missing teeth. The correlation of periodontal disease status with systemic bone mineral density (BMD) was evaluated by dual-energy X-ray absorptiometry.The results indicated that osteoporotic (Group 1) women had a significantly greater PPD, CAL, and ABL when compared with the non-osteoporotic Group 2 (P < 0.0001). There was no significant correlation between BMD and various parameters between the groups.Within the limitations of the present study it was noted that postmenopausal OP is associated with an increased incidence and severity of periodontal disease. Educating postmenopausal osteoporotic women regarding the importance of good oral care should be part of their management regime. Hence, it could be inferred a possibility of a probable relationship between OP and periodontal disease, but long-term prospective studies are warranted in the future in order to provide definitive evidence.

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