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Satpathy A.,Narsinhbhai Patel Dental College and Hospital | Gujjari A.K.,JSS Dental College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2015

Microstomia is the term used to describe a condition of reduction in the size of oral aperture which can be either acquired or congenital and affects the quality of life. Dentists occasionally come across patients with constricted oral openings. Limited oral opening makes access to the oral cavity for any dental procedure difficult. It’s the duty of a dentist to provide every possible care to the patient with microstomia. This paper describes the treatment of a microstomia patient requiring complete dentures using sectional dentures. The cause of microstomia in the indexed patient was developmental in nature as all other causes of related conditions were ruled out. Finally upper and lower complete denture with sectional components were given to the patient after modification in conventional steps of its construction. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.


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.


Singh H.V.,Biochemist | Pandey A.,Narsinhbhai Patel Dental College and Hospital | Raizada A.,Medicity | Singh S.K.,G R Medical College | Singh N.,G R Medical College
Clinica Chimica Acta | Year: 2013

Background: The blood-brain barrier is compromised in stroke patients. The release of neuro-biochemical protein markers, such as Neuron Specific Enolase (NSE) into the circulation may allow the pathophysiology and prognosis of patients with cerebrovascular diseases to be evaluated further. Method: Present study aimed to investigate the predictive value of NSE and Interleukin-10 (IL-10) with respect to early neurobehavioral outcome which evaluated by National Institute of Health Stroke Scale (NIHSS). We investigated 100 patients of ischemic stroke and blood samples were taken within first 72. h of stroke onset. NSE and IL-10 were analyzed by commercially available ELISA kits. The neurological status was evaluated by a standardized NIHSS at the time of admission. Results: NSE was significantly increased (17.95 ± 4.54 vs 7.48 ± 1.51 {ng/ml} p ≤ 0.05) and IL-10 significantly decreased (11.79 ± 2.77 vs 15.72 ± 2.69 {pg/ml} p ≤ 0.05) in patients when compared with controls. NSE also significantly (r = 0.8, p ≤ 0.001) correlated with degree of neurological deficit but IL-10 level in serum did not show any significant correlation with NIHSS score at the time of admission. Conclusions: Serum concentrations of NSE and IL-10 have a high predictive value for early neurobehavioral outcome after acute stroke. © 2013 Elsevier B.V.


Vachhani K.A.,Narsinhbhai Patel Dental College and Hospital | Asnani M.M.,Narsinhbhai Patel Dental College and Hospital
Nigerian Journal of Clinical Practice | Year: 2015

Aims: The aim was to evaluate the incidence of root fracture of endodontically treated teeth reinforced with glass-fiber posts and metal posts luted with different luting cements. Materials and Methods: Forty maxillary central incisors were sectioned at 1 mm of the cementoenamel junction and endodontically treated. The teeth were divided into four groups (n = 10) and restored with prefabricated metal posts and glass-fiber posts luted with resin-based luting cement and glass ionomer cement. Core built up was done using composite resin. The fracture strength was evaluated using an Instron universal testing machine (Model 4206, Instron Corp., Canton, MA). The results were recorded. Statistical Analysis Used: The Kruskal-Wallis test analysis test was used to analyze the data. Results: Prefabricated metal post was statistically superior to the glass-fiber posts. Posts luted with resin-based luting cement were superior in fracture strength than glass ionomer cement. Conclusions: Teeth restored with prefabricated metal posts present higher fracture strength than those reinforced with glass-fiber posts. Posts luted with resin-based luting cement showed higher fracture strength than glass ionomer cement.


Kemparaj U.,Narsinhbhai Patel Dental College and Hospital | Chavan S.,Narsinhbhai Patel Dental College and Hospital
Indian Journal of Medical Sciences | Year: 2013

Qualitative research refers to, a range of methodological approaches which aim to generate an in-depth and interpreted understanding of the social world, by learning about people's social and material circumstances, their experiences, perspectives, and histories. Requires researchers to become intensely involved, often remaining in field for lengthy periods of time. The greatest value of qualitative research is its ability to address questions of relevance to public health knowledge and practice which are difficult to answer satisfactorily using quantitative methods.

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