PubMed | Meghna Institute of Dental science, Priyadarshini Dental College & Hospital, SRM University and Narayana Dental College & Hospital
Type: Journal Article | Journal: The journal of contemporary dental practice | Year: 2017
Implant-supported prosthesis has high predictability and success and improves quality of life. This study aims at assessing awareness among the patients regarding implant-supported prosthesis.A cross-sectional study was conducted among 391 study participants. A structured questionnaire was distributed to assess implant-related awareness among the study participants. The questionnaires were analyzed for the responses.Among the 391 respondents, 37.5% of the respondents reported having moderate knowledge regarding the tooth replacement options. Nearly 50% considered implants as a viable treatment option. The majority of them enlisted the dentist as the major source of information regarding implants, and media had a share of about 7.03% only. High cost was a major barrier in selecting implants as a treatment option.This survey showed that awareness among people was low regarding the dental implants. Efforts need to be directed to increase the awareness levels by utilizing media as a tool to achieve the target.A patient who is aware of the advantages of the implant-supported dentures will make an informed decision for better functional stability and retention of the denture, especially in the mandibular arch.
Madhan B.,Jawaharlal Institute of Postgraduate Medical Education & Research |
Gayathri H.,Sri Venkateshwaraa Dental College Hospital and Research Center |
Garhnayak M.,Siksha ‘O’ Anusandhan University |
Naik E.S.,Meghna Institute of Dental science
Journal of Clinical and Diagnostic Research | Year: 2016
Introduction: There is a growing demand on our health care system, including Dentistry, to shift from a bio-medical approach to Integrative model of care. The attitudes of health professionals towards Integrative Medicine (IM) are an important factor that influences this transition. Aim: The aim of this study was to evaluate and compare the orientation of the dental professionals in India towards the principles and practice of Integrative Medicine. Materials and Methods: A cross-sectional survey was conducted on 286 dental faculty and postgraduate students from three dental schools in India. The participants voluntarily and anonymously completed the ‘Integrative Medicine-30’ questionnaire, a 30 item self-report instrument that measures the health care provider’s orientation towards Integrative Medicine in five subscales. Data analysis included summary statistics and intergroup comparisons by gender and professional status with independent samples Mann-Whitney U test. Results: The overall orientation of the dental professionals towards IM was almost neutral. While the use of learning resources on Complementary and Alternative Medicine was lower, they showed a more positive orientation towards patient-centred care. Compared to postgraduate students of Dentistry, the dental faculty were more oriented towards IM (median score of 82 vs. 79.5, p<0.01), especially in terms of learning from alternate paradigms (14 vs. 12, p<0.01) and safety of Complementary and Alternative Medicine (13 vs. 12, p<0.01). Females scored better than males both in terms of overall orientation (82 vs. 78, p<0.01) and towards patient-centred care (12 vs. 11, p<0.001). Conclusion: The results highlight the impending need to improve the orientation of dental professionals in India towards the principles and practice of IM. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.
PubMed | Meghna Institute of Dental science
Type: Journal Article | Journal: Journal of international oral health : JIOH | Year: 2013
Closing the surgical incision is an important step in the surgical procedures, the success of surgery is sometimes compromised by the defective suturing techniques or improper suturing materials, black silk sutures are more or less most often used materials in the day today surgical procedures, but these suture materials demand more time and effort from the surgeon and there is a need to substitute these materials with more user friendly and more successful wound closing materials such as cyanoacrylates. This study intends to compare effectiveness of the black silk sutures with cyanoacrylate adhesives in closing the surgical incisions.10 patients of age group between 15-30 years who underwent bilateral apicoetomy were given 3-0 black silk sutures on one side and n-butyl-2cyanoacrylate adhesive on the other side of the frenum to close the surgical incision, and a clinical comparison was made on the 1st, 2nd, 3rd, and 7th post-operative days, on the seventh postoperative day following removal of sutures, small punch biopsies were obtained from both the sites and the tissue specimens were examined under transmission electron microscope.Clinical observations revealed that on the 3rd and 7th postoperative days epithelialization was better on the sides treated with n-butyl-2cyanoacrylate but the sites closed with black silk suture showed significant inflammation and scar formation , electron microscopic observation of both tissue specimens revealed that sutured tissue specimens showed dense inflammatory infiltrate but the sites treated with cyanoacrylate adhesive showed less inflammatory infiltrate and uniform distribution of neutrophils, lymphocytes, histocytes and eosinophils unlike the sutured specimens which showed more scar tissue and dense infiltrate concentrated along the margins of the gap.This study has indicated that the use of cyanoacrylate glue has resulted in less postoperative inflammation and good clinical and histological healing when compared to the silk sutures. How to cite this article: Kumar MS, Natta S, Shankar G, Reddy SH, Visalakshi D, Seshiah GV. Comparison between Silk Sutures and Cyanoacrylate Adhesive in Human Mucosa- A Clinical and Histological Study. J Int Oral Health 2013;5(5):95-100.
PubMed | Meghna Institute of Dental science and Government Dental College
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2017
One of the most prevalent systemic conditions seen in the elderly individuals is hypertension, but very sparse knowledge regarding the influence of hypertension on oral health in known.Therefore, this study was carried out to evaluate the relationship between hypertension and salivary pH, flow rate and its effect on oral health status.The study included 40 elderly individuals above 60 years of age, of which 20 individuals (control group) were normotensive without using any medication and 20 individuals (study group) were hypertensive using anti-hypertensive medication. Stimulated and unstimulated saliva samples were collected from all individuals and pH was measured using saliva pH strips, flow rate was measured using calibrated test tubes and was correlated with oral health status. Then the values were sent for statistical analysis where unpaired t-test, chi-square test were used.The results showed that there was no significant association of hypertension with stimulated and unstimulated flow rate, rather there was a significant association of hyper-tension with stimulated salivary pH i.e., there was a significant decrease in the pH of stimulated saliva. The study also revealed a significant association with presence of bleeding on probing and periodontal pockets in individuals who were hypertensive and using anti-hypertensive medication.Hence, it is a necessity to monitor blood pressure for reconstruction and maintenance of oral health in older adults. More longitudinal studies are to be carried out to explore further relationship between oral health and hypertension in older adults.
PubMed | Meghna Institute of Dental science
Type: Comparative Study | Journal: The journal of contemporary dental practice | Year: 2013
The primary goal of periodontal therapy is to restore the tooth supporting tissues lost due to periodontal disease. The aim of the present study was to compare the efficacy of combination of GTR membrane and alloplastc bone graft with open flap debridement (OFD) in treatment of periodontal intrabony defects.Twenty paired intrabony defects were surgically treated using split mouth design. The defects were randomly assigned to treatment with OFD, GTR membrane+bone graft (test) or OFD alone (control). The clinical efficacy of two treatment modalities was evaluated at 6 months postoperatively by clinical, radiographical parameters. The measurements included probing pocket depth (PD), clinical attachment level (CAL), gingival recession (GR), bone fill (BF), bone density (BD).The mean reduction in PD at 0 to 6 months was 3.200.82 mm and CAL gain of 3.101.51 mm occurred in the GTR membrane+bone graft (test) group; corresponding values for OFD (control) were 2.100.63 mm and 1.900.57 mm. Similar pattern of improvement was observed when radiographically postoperative evaluation was made. All improvement in different parameters was statistically significant (p<0.01).Treatment with a combination of collagen membrane and bone graft led to a significantly more favorable clinical outcome in intrabony defects as compared to open flap debridement alone.
PubMed | Meghna Institute of Dental science and Kamineni Institute of Dental science
Type: | Journal: BMJ case reports | Year: 2014
The peripheral odontogenic fibroma is a relatively rare, benign, unencapsulated and gingival mass of fibrous connective tissue, considered to be the extraosseous counterpart of the central odontogenic fibroma. Peripheral odontogenic fibroma was earlier quite commonly confused with peripheral ossifying fibroma, until WHO classification (1992), classified it under odontogenic tumours. Peripheral odontogenic fibroma is seen so infrequently that little is known about this neoplasm; the largest series of cases have been that of Farman who found five cases in the literature and added another 10 cases. Through this case report we try to clarify the features of this condition and attempt to clear its distinction with other commonly occurring conditions.
PubMed | Vananchal Dental College & Hospitals, Meghna Institute of Dental science, Navodaya Dental College and Consultant Pedodontist
Type: Journal Article | Journal: Journal of international oral health : JIOH | Year: 2014
The overall health, well-being, education, learning abilities, development of children, families, and communities can be affected by oral health. However in the developing nations, the importance of oral health in comparison to general health is minimal. The objective was to evaluate and compare the oral health problems in relation to general health problems of the same children by a group screening method.A total of 592 children in the age group of 10-14 years were selected from class 6 to 10, the focus initially was on general health screening, vision screening, oral health screening, tonsillar, and auditory screening of students. Among these children, 296 individuals were apparently healthy with no undiagnosed health aliments; the remaining children were having some health problems. Statistical analysis was performed using paired t-test.About 50% of children were apparently healthy, 19.9% had oral health problems, which was considerably higher than other health problems. The general health problems were 15.20%.By conducting such a study, we can know that the awareness and identification of other health problems are in urban school children is higher than the oral health problems. This recommends promoting awareness on the oral health and importance of regular dental check-up in children.
PubMed | Meghna Institute of Dental science
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016
If adhesive restorations are carried out imme-diately, the Shear Bond Strength (SBS) to bleached enamel is reduced. The use of antioxidants can be highlighted since it seems to be a more effective alternative to reduce or remove the residual oxygen and immediate improvement in SBS.The purpose of this in-vitro study was an attempt to regain the lost bond strength, for which, the comparison of SBS of composite resin to bleached enamel was carried out using various antioxidants i.e., 5% grape seed extract, 5% pine bark extract, 5% pomegranate peel extract.Labial enamel surfaces of 50 extracted human maxillary central incisors were randomly divided into 5 groups based on the antioxidant used as follows: Group I (n=10): Bleaching with 40% hydrogen peroxide gel for 10 minutes, without the use of an antioxidant; Group II (n=10): Bleaching followed by the use of 5% grape seed extract solution; Group III (n=10): Bleaching followed by the use of 5% pine bark extract solution Group IV (n=10): bleaching followed by the use of 5% pomegranate extract solution; and Group V (n=10): Control group in which no Bleaching was done. SBS of the specimens was tested using universal testing machine. The data were tabulated and statistically analyzed using computer software Statistical Package for Social Sciences (SPSS) version 16.0. One-way analysis of variance (ANOVA) followed by Mann Tukey Post hoc test.Mean SBS values were compared in all the groups and there was a statistically significant difference present among the groups (p<0.05). The SBS values were observed to be significantly higher in unbleached teeth (control group) followed by 5% pine bark extract, 5% grape seed extract, 5% pomegranate extract and the group in which teeth bleached with no antioxidant used.The use of antioxidant immediately after bleaching the enamel surface, completely neutralizes the deleterious effects of bleaching and increases the SBS significantly. Among the antioxidants, 5% pine bark extract application after bleaching showed better bond strength.
PubMed | Meghna Institute of Dental science, Sri Padmavathi Hospital, AECS Maaruti Dental College, Government Dental College & Hospital and Githam Dental College
Type: | Journal: Case reports in dentistry | Year: 2015
Primary oral malignant melanoma, very rare neoplasm of melanocytic origin, usually presents as a bluish black to tan-brown colored lesion Which is accounting for 0.2 to 8% of all melanomas, 1.6% of all head and neck malignancies, and 0.5% of all oral neoplasia. In general, the prognosis of oral melanoma is poor and worse than that of cutaneous melanoma. Here a case of oral malignant melanoma is presented, which was undetected during the first visit to a dental clinic. When a simple oral surgical treatment was carried out in that region, it resulted in the appearance of a massive pigmented lesion which was histopathologically diagnosed as malignant melanoma. This paper is presented to reemphasize the fact that any pigmented lesion in the oral cavity should be viewed with suspicion and proper investigation (biopsy) should be carried out to rule out any untoward experiences later.
PubMed | Meghna Institute of Dental science
Type: Journal Article | Journal: Contemporary clinical dentistry | Year: 2015
Obstructive sleep apnea (OSA) is considered to be a potentially life threatening disorder, which is characterized by repeated collapse of the upper airway during sleep with cessation of breathing. The cephalometric method despite being a static, two-dimensional evaluation of dynamic three-dimensional structures of the head and neck is useful in diagnosing patients with OSA, as they have shown that significant differences exist between asymptomatic controls and patients with OSA.This study is designed to compare and validate the craniofacial morphology in patients with OSA using lateral cephalometry in both upright and supine position.Sixty subjects participated in the study of which 30 were patients with OSA diagnosed by questionnaire and 30 were healthy control group with age range of 25-45 years.The study group demonstrated an increased ANB, mandibular plane angles (GoGn-SN), lower anterior facial height which are statistically significant with a significant P < 0.05. Significant decrease in posterior airway space, increased soft palate length, tongue length, and thickness suggesting reduced airway space in supine posture.Evaluation of craniofacial morphology in OSA patients using lateral cephalometry helps in recognizing the morphological changes induced by altered sleep pattern and for appropriate treatment planning.