Lenora Institute of Dental science

andhra Pradesh, India

Lenora Institute of Dental science

andhra Pradesh, India
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Anumula L.,Narayana Dental College | Suneel Kumar K.V.,Narayana Dental College | Murali Krishna C.H.N.V.,Lenora institute of Dental science | Sree Lakshmi K.,RIMS Government Dental College
Journal of Clinical and Diagnostic Research | Year: 2017

Introduction: Dental caries is one of the most common causes of morbidity of the tooth. Attempts have been made to reduce the pathogen population size i.e., Mutans Streptococci (MS) to demote the incidence of caries and increase the resistance of the tooth to cariogenic attack. Aim: To evaluate the antibacterial efficacy of freshly prepared ozonated water, in proposing it as an alternative mouth rinse on MS in comparison to Chlorhexidine (CHX). Materials and Methods: Subjects with high caries incidence and MS counts more than 105 Colony Forming Unit (CFU) were selected and divided by block randomization into two groups of 23 subjects each. The subjects were advised to use the respective mouth rinses under the operator surveillance, consecutively for 14 days. Stimulated salivary samples were collected from the subjects on the first day, 7th and 14th day to analyse the changes in MS counts during the course of use of oral rinses. The obtained data was tabulated and statistically analysed. Results: Freshly prepared ozonated water showed a statistically significant reduction in MS counts after an interval of 7 days and 14 days when compared to CHX. Conclusion: Ozonated water when consecutively used as a mouth rinse resulted in a significant reduction of MS counts. Hence, it can be used as an alternative to chlorhexidine. © 2017, Journal of Clinical and Diagnostic Research. All rights reserved.


Neerupakam M.,Lenora Institute of Dental science | Reddy P.S.,Lenora Institute of Dental science | Babu B.A.,Lenora Institute of Dental science | Krishna G.V.,Lenora Institute of Dental science
Journal of Clinical and Diagnostic Research | Year: 2017

The aim of this case review was to touch upon the various clinical presentations and diagnostic features of Sturge-Weber syndrome (SWS) as seen in the dental/medical practice. Sturge-Weber syndrome is a rare congenital disorder that belongs to a group of disorders collectively known as the phakomatoses. The characteristic pathological elements of the disease include leptomeninges angioma extending out to cerebral cortex with angiomatous lesions on the same side and unilateral facial nevus that affects trigeminal nerve division. The classic oral lesions involve haemangiomatous gingival lesion limited on the same side of upper or lower jaw. An 18-year-old female patient reported to the Department of Oral Medicine and Radiology with oral manifestations of SWS. The evaluation of the patient, radiological findings as well as the management is discussed in this case report. It is important for the dental physician to be aware of the non-oral manifestations of SWS in order to identify and manage it appropriately. The challenge here is to see the oral manifestation as part of the syndrome and not as an isolated oral condition. Early diagnosis and appropriate treatment plan is imperative to prevent development of complications. © 2017, Journal of Clinical and Diagnostic Research. All rights reserved.


PubMed | Sibar Institute of Dental science, SVS Institute of Dental science, MNR Dental College and Hospital, College of St. Joseph and Lenora Institute of Dental science
Type: Journal Article | Journal: Journal of Indian Society of Periodontology | Year: 2015

Both chronic kidney disease (CKD) and its treatment can affect a wide range of tissues and systems. It directly or indirectly affects flow, concentrations and composition of saliva. Hemodialysis can effectively minimize most of these complications to some extent.The main aim of this study was to know the salivary content of sodium, potassium, calcium, urea, bicarbonate and oral manifestations in patients with CKD.For this study, 50 patients diagnosed with CKD and 50 systemically and periodontally healthy individuals were subjected to a detailed general and intraoral examination. Whole un-stimulated saliva samples of all the selected subjects were collected and subjected to calcium (Ca), phosphorous (P), sodium (Na), potassium (K), bicarbonate and urea analysis.Paired t-test, Mann-Whitney test.Among 50 study subjects, 26 subjects had reduced salivary flow in the range of 0.1-0.4 ml/min. Intraoral examination of the study subjects revealed pallor, increased deposition of calculus, bleeding gums, metallic taste, hypoplasia of teeth and fissured tongue. There was a significant difference between healthy and prehemodialysis patients in the salivary sodium, potassium, calcium, phosphorus, urea levels and the difference was insignificant in relation to bicarbonate levels.Alterations in salivary calcium, phosphorous, urea, sodium, potassium levels were significantly higher in the study groups when compared to control groups and the difference was insignificant in relation to bicarbonate level. The increased levels in dialysis patients correlated with renal disease severity.


PubMed | Sibar Institute of Dental science, College of St. Joseph and Lenora Institute of Dental science
Type: Journal Article | Journal: Journal of conservative dentistry : JCD | Year: 2016

The aim of this study is to evaluate the response of human pulp tissue to mineral trioxide aggregate (MTA), Emdogain (EMD), and combination of MTA/EMD.This study was performed on sixty intact first and second premolars of human maxillary and mandibular teeth. A standard pulpal exposure was done on all the teeth and was divided into three groups of twenty teeth each and was capped with MTA, EMD, and MTA/EMD combination. The final restoration was done with resin-modified glass ionomer cement. The teeth were then extracted on the 15Differences in inflammatory response and thickness of dentin bridge formation of the exposed pulp to the three different groups were statistically evaluated using Chi-square and Mann-Whitney tests and were found to be significant. No significant difference was found between MTA/EMD and MTA in terms of calcified bridge formation and pulp inflammatory response to the capping materials.MTA and MTA/EMD combination produced a better quality hard tissue response compared with the use of EMD.


PubMed | Private practitioner, SVS Institute of Dental science, Government Dental College & Hospital, College of St. Joseph and Lenora Institute of Dental science
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016

Zinsser-Cole-Engmann syndrome also called Dyskeratosis Congenita (DKC) is a rare genodermatosis first described by Zinsser in 1906. Mutations in DKC1 gene is responsible for DKC. It is usually inherited as an X-linked recessive trait, resulting in a striking male predilection. It is characterized by a triad of reticular skin pigmentation, nail dystrophy and mucosal leukoplakia. Complications include predisposition to malignancy and bone marrow failure. Here, we report a case of DKC in a 9-year-old boy with classic triad of signs. Special investigations like endoscopy, barium swallow and bone-marrow aspiration study confirmed the diagnosis. There is no effective treatment for DKC. Some preventive measures can be adopted and the only long term cure for the haematological abnormalities is allogenic haemopoietic stem cell transplantation.


PubMed | SRM University and Lenora Institute of Dental science
Type: Journal Article | Journal: Journal of oral and maxillofacial pathology : JOMFP | Year: 2016

Granulocytic sarcoma (GS) is an extremely rare condition involving infiltration of myeloblasts or immature myeloid cells in an extramedullary site. It is also known as chloroma, myeloid sarcoma or extramedullary myeloid tumor. It usually occurs concomitantly with acute myelogenous leukemia or with the onset of blastic phase of chronic myelogenous leukemia. On rare occasions, it evolves even before the onset of leukemias, and when it precedes leukemias without any overt signs, it is referred to as the primary type. Although GSs can involve any body part, localization in the oral cavity is extremely rare. The recognition of this rare primary entity is important because early aggressive chemotherapy can cause regression of the tumor and improve survival. Here, we report a rare case of GS in a nonleukemic 62-year-old female who presented with generalized gingival enlargement involving both maxilla and mandible.


PubMed | Lenora Institute of Dental science
Type: Journal Article | Journal: Journal of pharmacy & bioallied sciences | Year: 2015

The purpose of this prospective, randomized, double-blind study was to compare the anesthetic efficacy of 2% mepivacaine and 2% lidocaine (both with 1:80,000 epinephrine) for inferior alveolar nerve block in mesioangular bilaterally impacted third molar extraction.Forty patients with mesioangular bilaterally impacted third molars were taken for the study; either 2% mepivacaine or 2% lidocaine is given in a double-blind manner. Surgery started 5 min after solution deposition. Success was defined as no or mild discomfort (visual analog scale [VAS] recordings) during the surgical procedure.The mean time for onset period 4.2 min and 4.6 min (P = 0.018). The mean duration anesthesia 177.17 min 166.71 min (P = 0.085). No significant difference between the scores of pain reported by the patients by VAS and venovenous bypass treated with mepivacaine and lidocaine (P = 0.000). Slight increased postoperative analgesics required for mepivacaine group (4.000 tablets) and lidocaine group (4.170 tablets) (P = 0.335). The sharp increase of pulse rate with respect to both the solutions at 5 min after postinjection of local anesthetics. However, there was no statically significant difference in systolic and diastolic blood (P = 0.681) and (P = 0.270).Lidocaine and mepivacaine with the same vasoconstrictor have similar action and both solutions are effective in surgical procedures. There were also no significant differences between them in relation to the intensity of postoperative pain.


PubMed | Lenora Institute of Dental science
Type: Journal Article | Journal: Journal of pharmacy & bioallied sciences | Year: 2015

Epidemiological studies have shown strong evidence that periodontal disease does not affect all subjects in the same manner.There are subjects and sites with higher risk for disease progression. This study tested parameters to select a priori sites and subjects potentially at risk.The data from periodontal clinical examinations of 2273 subjects was used. The clinical loss of attachment was measured in 6 sites per tooth. Using computer software, the patients were distributed into 14 age groups, with intervals of 5 years, from 11 years to greater than 75 years of age. The measure of each site was compared with the average and the median values of the subject age group, with the results indicating site comparative severity (SCS). Three global parameters were calculated: parameter 1 (PI) - percentage of sites with clinical attachment loss > 4 mm; parameter 2 (P2) - percentage of sites with clinical attachment loss j> 7 mm; parameter 3 (P3) - percentage of sites with clinical attachment loss surpassing the median value for the age group by 100% or more.There were 1466 (65%) females and 807 (35%) males. Most subjects had PI, P2 and P3 values less than 30%. Parameter 3 allowed a division of the sample similar to that of Parameters 1 and 2, with the advantage of analyzing the subject in relation to his/her age group. It was suggested that the methodology of SCS is useful for selecting a population with a high disease prevalence, and that cut-off lines between 10% and 20% would be appropriate for using parameter.


PubMed | College of St. Joseph and Lenora Institute of Dental science
Type: Journal Article | Journal: Journal of conservative dentistry : JCD | Year: 2016

To compare and evaluate the bonding ability of resin composite (RC) to three different liners: TheraCal LC (TLC), a novel resin-modified (RM) calcium silicate cement, Biodentine (BD), and resin-modified glass ionomer cement (RMGIC) using an universal silane-containing adhesive and characterizing their failure modes.Thirty extracted intact human molars with occlusal cavity (6-mm diameter and 2-mm height) were mounted in acrylic blocks and divided into three groups of 10 samples each based on the liner used as Group A (TLC), Group B (BD), and Group C (RMGIC). Composite post of 3 mm diameter and 3 mm height was then bonded to each sample using universal adhesive. Shear bond strength (SBS) analysis was performed at a cross-head speed of 1 mm/min.Statistical analysis was performed with one-way analysis of variance (ANOVA) and post hoc test using Statistical Package for the Social Sciences (SPSS) version 20.No significant difference was observed between group A and group C (P = 0.573) while group B showed the least bond strength values with a highly significant difference (P = 0.000). The modes of failure were predominantly cohesive in Groups A and B (TLC and BD) while RMGIC showed mixed and adhesive failures.Hence, this present study concludes that the bond strength of composite resin to TLC and RMGIC was similar and significantly higher than that of BD following application of universal adhesive.


PubMed | Lenora Institute of Dental science
Type: Journal Article | Journal: Journal of International Society of Preventive & Community Dentistry | Year: 2016

Achalasia Cardia is an idiopathic esophageal motor disorder distinguished by the loss of esophageal peristalsis and insufficient relaxation of the lower esophageal sphincter. The oral manifestation of the disease is dental erosion caused by the regurgitation of the gastric contents and vomiting. A female patient aged 14 years reported to the Department of Prosthodontics, Lenora Institute of Dental Sciences, with complaints concerning aesthetics and pain in relation to several teeth. Patient gave history of loss of tooth structure over the past few years with associated sensitivity and pain in several teeth. Patient also gave history of inability to consume sufficient amount of food owing to the repeated vomiting. This paper aims to present a rare case report of achalasia cardia by rehabiliting the remaining teeth with overlay denture.

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