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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. Source

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. Source

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. Source

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. Source

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. Source

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