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Savithra P.,Bapuji Dental College and Hospital
Oral health & preventive dentistry | Year: 2013

To assess a) whether the quality of reporting of randomised controlled trials (RCTs) has improved since the formulation of the Consolidated Standards of Reporting Trials (CONSORT) statement and b) whether there is any difference in reporting of RCTs between the selected public health dentistry journals. A hand search of the journals of public health dentistry was performed and four journals were identified for the study. They were Community Dentistry and Oral Epidemiology (CDOE), Community Dental Health (CDH), Journal of Public Health Dentistry (JPHD) and Oral Health and Preventive Dentistry (OHPD). A total of 114 RCTs published between 1990 and 2009 were selected. CONSORT guidelines were applied to each selected article in order to assess and determine any improvement since the publication of CONSORT guidelines. The chi-square test was employed to determine any statistical significant difference in quality of reporting of RCTs before and after the publication of the CONSORT guidelines. A comparison was also done to determine any statistically significant difference in quality of reporting of RCTs between the selected journals. Title, abstract, discussion and conclusion sections of the selected articles showed adherence to the CONSORT guidelines, whereas the compliance was poor with respect to the methodology section. The quality of reporting of RCTs is generally poor in public health dentistry journals. Overall, the quality of reporting has not substantially improved since the publication of CONSORT guidelines.

Rajshekar S.A.,Bapuji Dental College and Hospital | Laxminarayan N.,Bapuji Dental College and Hospital
Journal of Indian Society of Pedodontics and Preventive Dentistry | Year: 2011

Aim: The aims of the study were to determine and compare the primary dentition caries experience and the variables that may influence the occurrence of caries, in preterm low birth weight and full term normal birth weight children aged one to six years. Settings and Design: A cross-sectional comparative study was conducted among 250 full term normal birth weight (FTNBW) and 250 preterm low birth weight (PTLBW) children one to six years, born in the two hospitals in Davangere: Bapuji Hospital and Chigatere Hospital. A purposive sampling was used to select the study group. Materials and Methods: Required and relevant information regarding demographic characteristics, feeding practices and oral hygiene practices were obtained. Dentition status and treatment need index (World Health Organization 1997) was used to record dental caries. Statistical analysis used: Chi-square test, Student's t-test and ANalysis Of VAriance (ANOVA) test were used for statistical analysis. Results: Statistically significant difference was observed in caries prevalence between PTLBW and FTNBW groups (P<0.05), however, the difference in mean Decayed, missing and filled teeth index (dmft) was not statistically significant (P=0.30). Statistically significant differences were observed in caries experience between the two groups in relation to exclusive breast feeding for longer duration, i.e 7-12 months (P<0.05), bottle feeding habits (P<0.05) and sticky food consumption (P<0.01). Conclusions: A significant relationship was found between caries and PTLBW status though the difference in caries experience between the groups was not statistically significant, thus illustrating the higher caries risk in PTLBW children compared to FTNBW children.

Megalamanegowdru J.,Bapuji Dental College and Hospital
Oral health & preventive dentistry | Year: 2012

To assess and compare the periodontal health status among permanent residents of low, optimum and high fluoride areas in Kolar District, India. A house-to-house survey was conducted in a population consisting of 925 permanent residents aged 35 to 44 years in three villages having different levels of fluoride concentrations in the drinking water. The fluoride concentrations in selected villages were 0.48 ppm (low), 1.03 ppm (optimum) and 3.21 ppm (high). The ion selective electrode method was used to estimate the fluoride concentration in the drinking water. Periodontal status was assessed using the Community Periodontal Index (CPI) and loss of attachment (LOA). Results were analysed using the chi-square test and logistic regression. The chi-square test was used to find the group differences and logistic regression to find association between the variables. The overall prevalence of periodontitis was 72.9%; specifically, prevalences were 95.4%, 76.3% and 45.7% in low, optimum and high fluoride areas, respectively. The number of sextants with shallow or deep pockets decreased (shallow pockets: 525, 438, 217; deep pockets: 183, 81, 34) from low to high fluoride areas (odds ratio: 71.3). The low fluoride area had a 7.9-fold higher risk of periodontitis than the optimum fluoride area and a 30-fold higher risk than the high fluoride area, which was highly significant (χ2 = 53.5, P < 0.0001 and χ2 = 192.8, P < 0.001, respectively). The severity of periodontal disease is inversely associated with the fluoride concentrations in drinking water. This relation can provide an approach to fluoride treatments to reduce the prevalence or incidence of this disease.

Agarwal G.,Bapuji Dental College and Hospital
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) | Year: 2012

Alveolar ridge resorption has long been considered an unavoidable consequence of tooth extraction and can be a significant problem in implant and restorative dentistry. Postextraction maintenance of the alveolar ridge minimizes residual ridge resorption and allows placement of an implant that satisfies both esthetic and functional criteria. Guided bone-regeneration techniques and the use of bone-replacement materials have been shown to enhance socket healing and potentially modify the resorption process. The prime indication for socket preservation is the prevention of alveolar-bone and soft-tissue collapse, which would cause unacceptable prosthesis esthetics. This review describes the rationale behind socket preservation, and the various techniques and materials used for extraction site grafting.

Koralakunte P.R.,Bapuji Dental College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2014

Occlusal splints of various types and designs are used in the diagnosis and treatment of different masticatory muscle and TMJ disorders. These appliances or devices provide a relatively simple, reversible and non-invasive form of treatment management. Treating such a disorder is really challenging for both dental and medical specialists and often it is difficult to diagnose as the presenting symptoms can be variable. The present article thus describes a case report on fabrication of simplified customized occlusal splint emphasizing the importance of medico-dental team approach for successful management with occlusal splint therapy.

Koralakunte P.R.,Bapuji Dental College and Hospital
Journal of oral science | Year: 2012

A study was performed to examine the correlation between maxillary central incisor tooth form and face form in males and females in an Indian population. The selection of prosthetic teeth for edentulous patients is a primary issue in denture esthetics, especially in the case of maxillary central incisors, which are the most prominent teeth in the arch. Two hundred dental students of Indian origin comprising 79 males and 121 females aged 18-28 years studying at Bapuji Dental College and Hospital were randomly selected as the study subjects. A standardized photographic procedure was used to obtain images of the face and the maxillary central incisors. The outline forms of the face and the maxillary right central incisor tooth were determined using a standardized method. The outline forms obtained were used to classify both face form and tooth form on the basis of visual and William's methods. The means were considered after evaluation by five prosthodontists, and the results were tabulated. Statistical analysis was performed using the chi-squared test for association and Z-test for equality of proportions. A correlation greater than 50% was observed between tooth form and face form by the visual method, compared with one of 31.5% by William's method. There was no highly defined correlation between maxillary central incisor tooth form and face form among the male and female Indian subjects studied.

Hans V.M.,Bapuji Dental College and Hospital
Journal of oral science | Year: 2011

Recent evidence suggests that polymorphisms in Fcγ receptors are associated with different forms of periodontitis. However, the FcγR genotypes and their allele frequency differ among subjects from different ethnic backgrounds. The aim of the present study was to determine whether specific FcγRIIa, FcγRIIIa, and FcγRIIIb alleles and/or genotypes are associated with susceptibility to generalized aggressive periodontitits (GAgP) in a South Indian population. Buccal scrapings were obtained from 60 subjects with GAgP and 60 periodontally healthy individuals, and DNA was extracted from each of the samples. FcγRIIa and FcγRIIIa genotyping was performed by polymerase chain reaction (PCR) amplification of DNA with allele-specific primers followed by allele-specific restriction digestion of the products, whereas FcγRIIIb genotyping was done by allele-specific PCR. There was no significant difference in the distribution of the FcγRIIa H/R genotype between GAgP patients and healthy subjects, although significant over-representation of the R allele was noted in GAgP patients. With regard to FcγRIIIa F/V genetic polymorphism, the homozygous V/V genotype and V allele were significantly over-represented in the GAgP group, whereas the F/F genotype and F allele were over-represented in the controls. Furthermore, there was significant over-representation of the FcγRIIIb-NA2 allele and NA2/NA2 genotype in GAgP patients, and of the NA1/NA1 genotype and NA1 allele in the controls. These data suggest that the FcγRIIIa V/V genotype and/or V allele, as well as the FcγRIIIb NA2/NA2 and/or NA2 allele, along with the FcγRIIa- R allele, may be risk factors for GAgP in the population of South India.

Agarwal P.,Kmshah Dental College And Hospital | Nagesh L.,Bapuji Dental College and Hospital
Contemporary Clinical Trials | Year: 2011

Objective: To assess and compare the effect of 0.2% Chlorhexidine mouth rinse, Listerine mouth rinse and 4% Tulsi extract mouth rinse on salivary Streptococcus mutans level. Methods: The present study is an experimental study of cross over type, employing Latin square design. 45 school children aged 14-15. years were divided into three groups/blocks. The baseline unstimulated saliva samples were obtained from each group and assessed for Streptococcus mutans counts. The study was divided in to three phases, each phase lasted for 8. days separated by a washout period of 15. days in between them. Groups A, B and C were treated with 0.2% Chlorhexidine, Listerine and 4% Tulsi extract mouth rinses respectively in the phase I. The study subjects were instructed to use the assigned mouth rinse twice daily for 1. min for 7. days. On day 8th the subjects were instructed to use the mouth rinse only once in the morning. The follow up unstimulated saliva samples were collected 1. h after the use of the assigned mouth rinse and assessed for salivary Streptococcus mutans counts. After phase I, mouth rinses were crossed over as dictated by the Latin square design in phase II and III. Results: All the three mouth rinses have individually shown a statistically significant reduction in the salivary Streptococcus mutans counts. When the three mouth rinses were compared the difference did not reach statistical significance. Conclusion: Tulsi has stood the test and is as effective as Chlorhexidine and Listerine in reducing the salivary S. mutans levels. © 2011 Elsevier Inc.

Parekh D.J.,Bapuji Dental College and Hospital
International journal of oral science | Year: 2010

Management of mid-root fractures presents a formidable challenge for clinicians because of the difficulty of achieving a stable reunion of fracture fragments. This article presents two varied treatment options for mid-root fractures. A 15-year-old female reported an impact injury to the maxillary anterior teeth 2 days after its occurrence. Clinically, the maxillary left central incisor was palatally-extruded with a negative vitality response and radiographic evidence of an oblique fracture at the middle third of the root. An endodontic implant was employed which utilized an open technique and has been on follow-up for ten months. A 32-year-old male reported an injury, which resulted in a mobile maxillary right central incisor, three months after its occurrence. Through clinical and radiographic means, a discolored, extruded, and non-vital maxillary right central incisor with an oblique root fracture at the alveolar-crest level was observed. Exploratory surgery was performed; an apical barrier was created with a mineral trioxide aggregate and obturated with gutta percha. The fragments were stabilized with a fiber post and patient has been on follow-up for five months. Short-term follow-up for both of the cases showed promising results both clinically and radiographically.

Arali V.,Rajarajeswari Dental College and Hospital | Mytri P.,Bapuji Dental College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2015

Background: Lidocaine is the gold standard anaesthetic solution that has been used since its inception into dentistry till date. Around 80% of failures have been reported when lignocaine has been used for inferior alveolar nerve block in children and adults with irreversible pulpitis. There is a need to use newer drugs which are available which have been reported to be effective like lignocaine, such as articaine. Although articaine has been used in adults, literature supporting its use in children is sparse. Aim: The purpose of this study is to compare the anaesthetic efficacy of 4% articaine buccal infiltration and 2% lignocaine inferior alveolar nerve block in children with irreversible pulpitis. It also aims to assess the need for supplemental intrapulpal injections. Materials and Methods: This study was designed as a randomized double-blind cross over trial comparing the anaesthetic effectiveness of 4% articaine with 1:100,000 epinephrine in buccal infiltration and 2% lignocaine IAN block anaesthesia. The study subject and the pediatric dentist performing the pulpectomy procedures were blinded to the study. A sample size of 40 subjects in the age group of 5-8 y was included in the study. Results: The onset of anaesthesia with 4% articaine was faster as compared to 2% lignocaine. The duration of anaesthesia with articaine infiltration was shorter. The need for supplemental injection in the articaine group was less. Conclusion: Four percent articaine infiltration can be used in children with irreversible pulpitis. It can be used to replace the IAN block in children thereby reducing the post anaesthetic complications like lip biting. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.

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