Shah M.P.,Narsinhbhai Patel Dental College and Hospital |
Gujjari S.K.,Jss Dental College And Hospital |
Chandrasekhar V.S.,Jss Dental College And Hospital
Journal of Clinical and Diagnostic Research | Year: 2013
Introduction: The purpose of the present study was to evaluate the effect of a probiotic (Inersan®) alone, a combination of the probiotic with doxycycline and doxycycline alone on aggressive periodontitis patients. Methods: Thirty patients who satisfied the inclusion and exclusion criteria, were assigned to one of the above mentioned three groups by using block randomization. The clinical and the microbiological parameters were recorded on day 0, at 2 weeks and at 2 months. On day 0, before recording the clinical parameters, 0.5 ml of un stimulated saliva was collected for the evaluation of the microbiological parameters. The clinical parameters which were recorded were the plaque index, the gingival index, the probing pocket depth and the clinical attachment level. The microbiological parameters which were recorded were Lactobacilli and Aggregatibacter actinomyce-temcomitans. After this, Scaling and Root Planing (SRP) was performed on day 0. Two weeks after the SRP, the patients were recalled for the saliva sample collection and for the evaluation of the clinical parameters. On the same day, medications were given to the patients to be taken for fourteen days according to the group which they belonged to (Group A - pro-biotic alone, Group B - a combination of the probiotic with doxycycline, Group C doxycycline alone). The patients were then recalled at two months for the saliva sample collection and for the evaluation of the clinical parameters. Results: The administration of the probiotic alone, a combination of the probiotic with doxycycline and doxycycline alone, resulted in a decrease in the plaque index, the gingival index, the probing pocket depth and the clinical attachment level at 2 months, which was statistically significant (p < 0.05). The A. ac-tinomycetemcomitans count tended to decrease in all the three groups at 2 months, which was statistically non-significant (p > 0.05). The Lactobacilli count tended to increase signifcantly in the probiotic alone group (p < 0.05). Conclusion: Probiotics have a future in the treatment of aggressive periodontitis, as antibiotics are prescribed most of the time. These antibiotics can lead to the emergence of drug resistant micro-organisms and they can also disturb the beneficial microfora of the body. Thus, as an alternative to antibiotics, probiotics can be used, as they repopulate the beneficial microfora and reduce the pathogenic bacteria.
Prasad D.R.M.,Jawaharlal Medical College |
Manjula S.,JSS Dental College and Hospital
Medicine, Science and the Law | Year: 2012
Normal functional condition of the brain is achieved by maintaining the normal structure and normal function of brain parenchyma. Reduced blood supply and deficiency of available oxygen alter brain perfusion which causes hypoxia or anoxia, and, depending on the severity, alters brain functions temporarily or permanently. This can occur in cases of hanging. Some degree of permanent cerebral damage is inevitable if hypoxic-ischaemia lasts beyond 3-5 minutes. Here we present a case report in which even though the patient was hanged for more than five minutes until the formation of a ligature mark and exhibited cyanosis, unconsciousness and seizures, the outcome was favourable with prompt and early intervention. Recovery was complete such that there were no residual signs and symptoms of reduced brain perfusion.
Jyothikiran H.,Jss Dental College And Hospital
International journal of orthodontics (Milwaukee, Wis.) | Year: 2013
In our opinion, the main goal of orthodontic treatment has now shifted from attaining normal occlusion to achieving a pleasing soft tissue profile. The following case report presents a case in which normal dental and skeletal relations as well as a pleasing soft tissue profile was achieved. The female growing patient presented with convex profile and incompetent lips with deep mentolabial sulcus. On examination she exhibited a normal maxilla, deficient mandible with a horizontal growth pattern and Class II, Div I malocclusion dentally. Her growth potential was utilized fully with the twin block functional appliance followed by fixed orthodontic treatment. A favorable skeletal, dental and soft tissue relationship was achieved using this two phase therapy.
Raina A.,JSS Dental College and Hospital |
Guledgud M.V.,JSS Dental College and Hospital |
Patil K.,JSS Dental College and Hospital
Dentomaxillofacial Radiology | Year: 2012
Objective: Haller's cells or infraorbital ethmoid cells refer to the ethmoidal pneumatization of the superior aspect of the maxillary sinus and floor of the orbit. The clinical importance of these entities initiated this study with an aim to determine the prevalence and characteristics of Haller's cells on panoramic radiographs. Methods: The study group comprised 600 healthy adults of both genders with an age range of 18-60 years. One panoramic radiograph for each of the patients was made and interpreted for the presence of Haller's cells. The data collected were subjected to statistical analysis: frequencies/percentages, descriptive statistics, χ 2 test and cross-tabulation (contingency table analysis) to obtain the results. Results: Haller's cells were noted in 96 patients, accounting for a prevalence of 16%. Of these patients, 77.1% were unilateral while 22.9% were bilateral. Among 96 cases, a total of 204 cells were found. The majority of the cells were round or ovoid in shape. The unilocular type of Haller's cells occurring unilaterally was statistically significant. Conclusion: This study has attempted to explore the characteristics of Haller's cells on panoramic radiographs. A description of Haller's cells on these radiographs may prove vital in enumerating the differential diagnosis for patients afflicted with intractable orofacial pain and reduce the risk of untoward intraoperative complications during endonasal procedures. © 2012 The British Institute of Radiology.
Sujeeth S.,JSS Dental College and Hospital |
Dindawar S.,76 Devasthan Marg
International Journal of Oral and Maxillofacial Surgery | Year: 2011
The anatomy of the buccal region of the face is complex and injuries in this region can lead to significant complications. Trauma in this region can easily injure the parotid duct and facial nerve. The management of parotid duct injuries is usually by microsurgical anastomosis, diversion of salivary flow by creating an oral fistula, or suppression of salivary gland function. The authors present a case of parotid duct injury treated by using an epidural catheter. © 2011 International Association of Oral and Maxillofacial Surgeons.
Rao Deepika P.C.,JSS Dental College and Hospital
Quintessence international (Berlin, Germany : 1985) | Year: 2013
Periodontitis is associated with glycemic control in patients with diabetes. The purpose of this study was to determine if glycosylated hemoglobin is elevated in patients with severe periodontitis who are nondiabetic adults. A total of 60 patients were selected and were divided into test and control groups. The test group included 30 adults without diabetes but with severe periodontitis (more than 30% of the sites showing clinical attachment loss [CAL] >= 5 mm and bleeding on probing [BOP]), and the control group included 30 healthy adults (probing depth ≤ 4 mm, BOP ≤ 15% and no CAL). Glycosylated hemoglibin (HbA1c) was assessed in the laboratory for these patients. Groups were compared using the t test, Mann-Whitney U test, chi-square test, and Pearson's correlation. There was a slight increase in mean HbA1c scores in the test group (cases 5.76%, controls 5.63%, P= .071). Mean body mass index (BMI) among cases and controls were similar. On intragroup comparison among BMI subgroups of the test group. HbA1c levels in the overweight subgroup were significantly higher compared to the normal BMI subgroup (overweight 5.89%, normal 5.68%, P=.017). Among controls, values were similar. Intergroup comparison showed that among overweight patients, the test group showed a significant increase in the mean HbA1c value compared to controls (cases 5.89%, controls 5.65%, P = .016). Pearson's correlation comparing plaque scores and HbA1c values of the entire sample was positive and revealed significance at the level of 0.01. There was no clear-cut link between severe periodontitis and glycemic control in nondiabetic individuals. Severe periodontitis patients who were also overweight showed significantly higher HbA1c values compared to their normal counterparts.
Kumar M.N.,Jss Dental College And Hospital
The European journal of prosthodontics and restorative dentistry | Year: 2012
To investigate the literature regarding the survival rate of dental implants in bisphosphonate users as compared to non-users. An online search of literatures through MEDLINE-PUBMED (1950-March 2012), Cochrane Database of Systematic reviews, the Cochrane Central Register of Controlled Trials (CENTRAL) (1800-March 2012) and EMBASE (1966-March 2012) databases was performed. All the relevant publications were identified and full texts of these articles were obtained. After scrutinizing the relevant articles and their related references five articles that fulfilled the inclusion criteria were finalized. Only one study stated that dental implant failure was higher in patients under bisphosphonate therapy. The implant survival rates ranged between 95% and 100% in case of bisphosphonate users and 96.5% to 99.2% in non-users. Within the limitations of this review, it can be concluded that short term bisphosphonate therapy does not increase or decrease the survival rate of dental implants in bisphosphonate users as compared to non-users.
Devishree,JSS Dental College and Hospital |
Gujjari S.K.,JSS Dental College and Hospital |
Shubhashini P.V.,JSS Dental College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2012
The frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. The frena may jeopardize the gingival health when they are attached too closely to the gingival margin, either due to an interference in the plaque control or due to a muscle pull. In addition to this, the maxillary frenum may present aesthetic problems or compromise the orthodontic result in the midline diastema cases, thus causing a recurrence after the treatment. The management of such an aberrant frenum is accomplished by performing a frenectomy. The present article is a compilation of a brief overview about the frenum, with a focus on the indications, contraindications, advantages and the disadvantages of various frenectomy techniques, like Miller's technique, V-Y plasty, Z-plasty and frenectomy by using electrocautery. A series of clinical cases of frenectomy which were approached by various techniques have also been reported.
Biradar A.K.,Jss Dental College And Hospital
World journal of orthodontics | Year: 2010
To establish soft tissue norms using profile angles and esthetic analysis in the South Indian population. A clinically effective method is used for accurately placing the esthetic horizontal line on cephalometric radiograph. A series of two vertical lines provides the determinants for the horizontal positions of the soft tissue chin, soft tissue chin thickness, upper lip position and thickness, lower lip, maxillary incisors, and mandibular incisors in relation to the profile. Using these lines, the esthetic analysis is performed on the lateral cephalograms of 90 subjects (38 males and 52 females) of South Indian descent with a well-balanced facial profile and normal occlusion. A mild convex profile with a mean profile angle of 19.7 ± 2.4 degrees and 19.4 ± 3.2 degrees for males and females, respectively, is esthetically pleasing and encases functionally stable occlusion. There is no statistically significant difference between males and females except for maxillary incisor position. Mild protrusion of incisors with upper and lower lip fullness is an acceptable treatment outcome. © 2011 BY QUINTESSENCE PUBLISHING CO, INC.
Vaibhav Patel P.,JSS Dental College and Hospital |
Kumar Gujjari S.,Banaras Hindu University
Journal of Clinical and Diagnostic Research | Year: 2013
We are presenting 2 cases where ozone therapy was used in the form of ozonated oil on an exophytic fibrous gingival lesion. A 42-years female patient was selected, who presented with a mild to moderately painful, exophytic, fibrous lesion on the upper anterior gingiva. This gingival lesion was treated with 2ml of ozonated oil, thrice daily for one week. After the ozone therapy, the postoperative outcomes were measured and analyzed. Finally, the lesion was subjected to an excisional biopsy and a histopathological evaluation. After the ozone therapy, the patient revealed that there was less pain. On examination of the lesion, an improvement was observed in the clinical sign of the inflammation and also a reduction in the surface ulceration. During the final biopsy, less bleeding was observed. The morphometrical analysis showed a reduction in the size of the lesion. The histopathological analysis showed a reduction in the collagen fibres and in the inflammatory cells in the connective tissue stroma. Topical ozone therapy provides potential benefits for the treatment of exophytic gingival lesions. The observed benefits in present case report needs to be verified in future with well-controlled clinical trials.