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Jaipur, India

Ahamed S.,Malabar Dental College | Jalaluddin M.,Kalinga Institute of Dental science | Khalid I.,MGM Dental College | Moon N.,Dental College and Research Center | And 2 more authors.
Journal of Contemporary Dental Practice | Year: 2013

Background: Local delivery of antimicrobial agents provides higher concentration of the drug in the periodontal site for longer periods than systemically delivered methods. In the present study an attempt is made to know the efficacy of controlled local drug delivery of doxycycline as an adjunctive treatment in the management of chronic periodontitis. Materials and methods: A total of 12 patients, diagnosed as Chronic Periodontitis in the age of 25 to 55 years, were selected of both the sexes in this study. They were divided into Experimental group consisted of 30 sites who received complete scaling and root planing (SRP) followed by placement of Atridox gel and control group consisted of 30 sites who received only SRP. Clinical parameters were recorded at, baseline, days 30, 90 and 180. Parameters were plaque index, gingival index, gingival bleeding index and microbial analysis, probing pocket depth and Clinical attachment level (CAL). The microbiological analysis was done at baseline visit and at 90th day. Probing pocket depth and CAL were recorded only on day 0 and 180th day. Results: In 180 days study, both the groups exhibited a significant improvement in periodontal status. Significant gain in attachment level was observed in both the group. Between both the groups the clinical parameters in the experimental groups exhibited better results as compared to the control group. Both the groups exhibited significant reduction in the number of spirochetes. Conclusion: Combination therapy of SRP and 10% DH gel demonstrated better results at all levels suggesting that this therapy can play a significant role as an adjunct to SRP in the management of chronic periodontitis.

Jatol-Tekade S.,Modern Dental College and Research Center | Khatri J.,CSMSS Dental College and Hospital | Karandikar G.,MGM Dental College | Karandikar A.,Ymt Dental College | And 2 more authors.
Journal of Datta Meghe Institute of Medical Sciences University | Year: 2013

Background and Objectives: During orthodontic space closure with sliding mechanics, frictional force is generated at the bracket arch wire interface and has a tendency to inhibit the desired tooth movement. The purpose of this in-vitro study was to evaluate new combination of wire and ligature to reduce friction more. Methods: The testing model consisted of 5 stainless steel 0.022-in preadjusted brackets for second premolar, first premolar, canine, lateral incisor, and central incisor. The canine bracket was welded to a sliding bar that allowed for different vertical positions. The forces generated by 5 sizes of wires (0.012-, 0.014-, and 0.016-in superelastic nickel-titanium) with the 2 types of elastomeric ligatures CEL (Conventional Elastomeric Ligature) and NCEL (Non Conventional Elastomeric Ligature) at different amounts of upward canine misalignment (1.5, 3, 4.5, and 6 mm) were recorded. Results and Conclusions: Significant differences between CEL and NCEL were found for all tested variables (P _.01) Noticeable amount of force was generated with the NCEL at all 4 canine positions with all wire sizes (from about 88 to about 600 g). With 4.5 mm of canine misalignment or more, the average amount of released force with the CEL was approximately zero.

Khandelwal V.,Modern Dental College and Research Center | Nayak U.A.,MGM Dental College | Nayak P.A.,Mahatma Gandhi Dental College | Ninawe N.,VSPM Dental College
BMJ Case Reports | Year: 2013

Significant numbers of patients visiting the paediatric dental clinics have aesthetically objectionable brown stains and desire treatment for them. Intrinsic tooth discolouration can be a significant aesthetic, and in some instances, functional, problem. Dental fluorosis, tetracycline staining, localised and chronological hypoplasia, and both amelogenesis and dentinogenesis imperfecta can all produce a cosmetically unsatisfactory dentition. The aetiology of intrinsic discolouration of enamel may sometimes be deduced from the patient's history, and one factor long associated with the problem has been a high level of fluoride intake. Optimal use of topical fluorides leads to a decrease in the caries prevalence but may show an increase in the prevalence of fluorosis staining because of metabolic alterations in the ameloblasts, causing a defective matrix formation and improper calcification. A 12-year-old male patient was screened at the dental clinic for routine dental care. He wanted us to remove and/or minimise the noticeable brown/yellow staining of his teeth. He requested the least invasive and most cost-effective treatment to change his smile. Various treatment modalities are present for the treatment of fluorosis stains. This report discusses the microabrasion technique in the patient having dental fluorosis. Copyright 2013 BMJ Publishing Group. All rights reserved.

Sana S.,MGM Dental College | Bansal A.,MGM Dental College | Sami L.,MGM Dental College | Roopali,MGM Dental College | Gaikwad S.,MGM Dental College
Journal of Clinical and Diagnostic Research | Year: 2014

Most Class II division 2 malocclusion manifest a severe deep bite, the orthodontic correction of deep overbite can be achieved with several mechanisms one such mechanics is true intrusion of anterior teeth. Deep overbite correction by intrusion of anterior teeth affords a number of advantages which includes simplifying control of the vertical dimension and allowing forward rotation of mandible to aid in Class II correction. It also aid in correction of a high gingival smile line. This case report presents the patient of a 14-year-old boy with Class II division 2 subdivision malocclusion treated with connecticut intrusion arch and also highlights the biomechanical aspect of this appliance. Intrusion of anterior teeth is difficult. An appropriate, effective and clinically manageable biomechanical system is required. The treatment approach shown in this case can treat the deep overbite precisely with incisor intrusion. The article shows the versatility of Connecticut Intrusion Arch and by applying the sound biomechanical principles we can execute the planned mechanics with minimal side effects.

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