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Singh A.K.,Banaras Hindu University | Kar I.B.,JKK Nataraja Dental College and Hospital | Mishra N.,JKK Nataraja Dental College and Hospital | Raut S.,Hi Technology Dental College and Hospital
Journal of Oral and Maxillofacial Surgery | Year: 2014

Reconstruction of lower lip is a challenge to the surgeon who seeks excellence in restoration of both aesthetics and functions. The defects may arise either due to trauma, developmental anomaly or post-excision of malignant conditions. The reconstruction of rectangular shaped full thickness defects of lip may be achieved with bilateral advancements of the remaining lip segments. We report two cases with post-traumatic full thickness avulsion of central two third of lower lip, reconstructed with Karapandzic flap. © The Association of Oral and Maxillofacial Surgeons of India 2015. Source


Bai P.M.,Hi Technology Dental College and Hospital | Vaz A.C.,P.A. College
Journal of Clinical and Diagnostic Research | Year: 2014

Background: Tongue-tie (more formally known as ankyloglossia) is a congenital anomaly characterized by an abnormally short lingual frenulum, which may restrict the mobility of the tongue tip impairing its ability to fulfil its functions. Ankyloglossia is uncommon, but not rare. Incidence figures reported in the literature vary widely, ranging from 0.02% to 4.8%. Incidences of upto 10.7% have been reported. Since the literature provides no uniformity of information with regard to the incidence of tongue tie. The aim of this study was to evaluate the occurrence of tongue-tie in general population and mentally challenged population, measure the grades of tongue-tie and also to determine the relations of gender with tongue-tie. Materials and Methods: Seven hundred school children in the age group of 9-17 years were examined for the presence of tongue-tie, 350 from regular schools and 350 from special schools. The presence of tongue-tie was evaluated, measured and graded into grades 1 to 5 according to KOTLOW's method and data subjected to statistical analysis. Results: Significantly higher incidence of 16.4% population having tongue-tie was identified, of which 18.57% were from general schools and 13.71% from special schools but the differences were not statistically significant. Males showed greater incidence than females and grades I, II, III were more predominantly seen than grade IV, but the differences were not significant statistically. Conclusion: Diagnostic criteria and definitive classifying systems are needed to allow for further comparative studies. Source


Patri G.,Kalinga Institute of Dental science | Agnihotri Y.,Hi Technology Dental College and Hospital | Rama Rao S.,Hi Technology Dental College and Hospital | Lakshmi N.,Hi Technology Dental College and Hospital | Das S.,Hi Technology Dental College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Aim: To investigate the pulp chamber penetration of bleaching agent in intact teeth and teeth following restorative procedure. Methodology: Sixty extracted human incisors were selected and divided into 6 Groups. Four Groups were restored with hybrid composite resin and resin modified glass ionomer cement respectively, while 2 Groups were left intact. The Groups were then immersed in the treatment agents for 60 mins at 37°C. The optical density of the resultant blue solution obtained by adding leucocrystal violet and horseradish peroxidise to the acetate buffer solution present in the pulp chamber was measured spectrophotometrically and the data thus obtained was statistically analysed using ANOVA and paired t-test. Results: The amount of pulpal peroxide penetration in restored teeth was significantly higher than intact teeth (p< 0.001). the control Group showed no peroxide penetration. Groups restored with resin modified glass ionomer cement showed higher pulpal peroxide levels than Groups restored with hybrid composites, though the difference was not statistically significant (p = 0.52). Conclusion: Peroxide readily penetrates into the pulp through intact and restored teeth, with restored teeth showing higher pulpal peroxide levels than intact teeth. Teeth restored with resin modified glass ionomer cement showed higher pulpal peroxide level than teeth restored with composite resins. Source


Pattnaik S.,Hi Technology Dental College and Hospital | Anand N.,Sree Balaji Dental College and Hospital | Chandrasekaran S.C.,Sree Balaji Dental College and Hospital | Chandrashekar L.,Hi Technology Dental College and Hospital | And 2 more authors.
European Journal of Clinical Microbiology and Infectious Diseases | Year: 2015

A controlled-release device (CRD) containing chlorhexidine gluconate, such as PerioCol™CG (Eucare Pharmaceuticals Pvt. Ltd,, Chennai, India), for subgingival application has little reported data with clinical as well as antimicrobial efficacy. This study evaluated clinical and subgingival microbial changes on using indigenously developed PerioCol™CG as an adjunct to scaling and root planing (SRP) in the treatment of chronic periodontitis. Forty posterior first molar sites having probing pocket depth ≥5 mm were selected and divided into two groups, with 20 sites in each group, in a split-mouth design. Group A (test site) was treated with SRP and PerioCol™CG, while group B (control site) was treated with SRP alone. Subgingival microbial samples were collected at baseline and 1 month after the initial SRP, while probing depth (PD), clinical attachment level (CAL) and gingival index (GI) were recorded at baseline, after 1 month and after 3 months. Microbial detection of Porphyromonas gingivalis (P. gingivalis) and Tannerella forsythia (T. forsythia) was done by means of polymerase chain reaction (PCR). A significant improvement was observed in all clinical measures in sites treated with PerioCol™CG as compared to the control sites during the study period. Also, there was a statistically significant reduction in the proportion of occurrence of P. gingivalis and T. forsythia after intervention in test sites as compared to control sites. Our data suggest that SRP combined with subgingival administration of PerioCol™CG has a significantly better and prolonged effect compared to SRP alone on the PD, clinical attachment loss and elimination of periodontopathogens. © 2015, Springer-Verlag Berlin Heidelberg. Source

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