Sibar Institute of Dental science

andhra Pradesh, India

Sibar Institute of Dental science

andhra Pradesh, India

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Kattimani V.S.,SIBAR Institute of Dental science | Chakravarthi P.S.,SIBAR Institute of Dental science | Prasad L.K.,SIBAR Institute of Dental science
Journal of Craniofacial Surgery | Year: 2016

Background: Improving quality of human life has been the rationale for increase in the applications of bone substitute materials for bone regeneration. High prevalence of loss of bone tissue due to disease remains a major challenge for reconstruction. Shortcomings of autografts and allografts have made the clinicians go for artificial implant materials. Aim and Objective: To prospectively study the structural and esthetic reconstruction of resected mandibular site with biograft porous block hydroxyapatite (BBHA). The study evaluated the efficacy ofBBHAas a material for reconstruction of large bone defects. Methods: Patients requiring reconstruction after resection of cyst/ tumors and who denied conventional reconstruction were enrolled for BBHA reconstruction during 2008 to 2015. All patients were clinically and radiologically followed and assessed for a range of 4 to 60 months for outcome. Results: During follow-up periods no one had infection, dissolution, migration, or absorption, but new bone formation and bridging observed in proximity with graft and bone interface. Conclusion: Structural and esthetic reconstruction using BBHA significantly reduces donor site morbidity. BBHA have satisfactory results in relation to esthetics and are useful material for reconstruction. Clinical application of this technique will minimize an additional surgical procedure required to harvest donor bone. BBHA provides good esthetics and structural balance to face. As this is an ongoing study the outcome is expected to improve. The incorporation of implants in the BBHA block may fulfill the function also in near future. Copyright © 2015 Mutaz B. Habal, MD.

Sreeramaneni S.K.,Sibar Institute of Dental science | Chakravarthi P.S.,Sibar Institute of Dental science | Krishna Prasad L.,Sibar Institute of Dental science | Raja Satish P.,Sibar Institute of Dental science | Beeram R.K.,Sibar Institute of Dental science
International Journal of Oral and Maxillofacial Surgery | Year: 2011

Jacob's disease is a rare condition consisting of pseudojoint formation between enlarged coronoid process and the inner surface of the zygoma. The authors report a 45-year-old female patient who presented with limited mouth opening (5 mm) and swelling of the left zygoma. No temporomandibular joint disease was diagnosed. 3D computed tomography images showed a mushroom-shaped coronoid growth with pseudojoint formation medial and superior to the zygomatic arch. Under general anaesthesia, coronoidectomy was carried out through a combined extraoral and intraoral approach. Histopathological examination revealed normal trabecular bone covered with hyaline cartilage. To the best of the authors' knowledge this case is the fifth typical mushroom-shaped Jacob's disease; only four similar cases have been reported. A review of the literature revealed only 39 histologically proved cases of Jacob's disease cases up to 2010. Aggressive physical treatment was given to improve function and maximum mouth opening, which had increased to 40 mm at 3 months follow-up. The literature concerning this condition's aetiology, pathogenesis, clinical characteristics, diagnosis, and treatment is reviewed. © 2011 International Association of Oral and Maxillofacial Surgeons.

Medaiah S.,Farooquia Dental College | Srinivas M.,SIBAR Institute of Dental science | Melath A.,Coorg Institute of Dental science | Girish S.,Coorg Institute of Dental science | And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2014

Aim: The aim of this study was to clinically evaluate the use of biodegradable chlorhexidine chip when used as an adjunct to scaling and root planing(SRP) in the treatment of moderate to severe periodontitis patients. The study also intended to compare the combined therapy(SRP and Chlorhexidine chip) with chlorhexidine chip alone in individuals with periodontitis. Materials and Methods: Fifteen patients with three sites having a probing depth of 5-8mm were considered for the study. Sites were numbered 1, 2, 3 randomly. The clinical parameters assessed were the Plaque Index (PI), gingival index (GI), Bleeding on probing (BOP), Clinical attachment level (CAL) and Probing pocket depth (PPD). Following baseline evaluation, on two sites scaling and root planing (SRP) was performed, no treatment was carried out in the third site. Chlorhexidine chips were placed on one site with SRP and another without SRP. A periodontal pack was placed on the site to prevent dislodgement of the CHX chip. Clinical parameters were recorded at baseline, one month and three months. Duration of the study was for three months. Statistical Analysis: T-test and Analysis of variance (ANOVA) has been carried out in the present study. Results: All three groups presented with an improvement in the clinical parameters compared to baseline. There was no statistically significant difference between the SRP and SRP + CHIP group in all parameters. There was a significant difference when these two groups were compared to the chip alone group. The mean reductions in PPD were 2.8mm (SRP group), 2.6 (SRP+CHIP group), 0.8 (chip alone group) The mean gain in CAL were 2.8mm (SRP group), 2.5 (SRP+CHIP group), 0.7 (chip alone group). Reduction in bleeding on probing were significant for the SRP and SRP +CHIP group but not for the chip alone group. Conclusion: The CHX chip did not provide any clinical benefit beyond that achieved with conventional scaling and rootplaning after a three month period.

Chakravarthi P.S.,Sibar Institute of Dental science | Ghanta R.,Suraksha Neurocenter | Kattimani V.,Sibar Institute of Dental science
Journal of Craniofacial Surgery | Year: 2011

Purpose: The purpose of the study was to evaluate the effectiveness of microvascular decompression treatment prospectively in 40 patients with trigeminal neuralgia who were resistant to medical treatments and underwent microvascular decompression surgery (MVDS) between the years 2008 and 2010. Methods: The patients' data were collected as per norms suggested by Zakrzewska and Lopez and followed up using annual trigeminal neuralgia survey given by Zakrzewska et al, through direct interview during follow-up visits. Patients were operated on in supine position with lateral suboccipital surgical approach. Results: Forty patients with a mean age of 48 (SD, 13) years underwent surgery. The etiological factors were estimated as idiopathic or vascular compression in 39 patients and epidermoid tumor in 1. During the postoperative period of 8 to 46 months, 37 (92.5%) of the patients were pain-free without any further medical treatment. Conclusions: Our result supports the notion that MVDS is the treatment of choice for patients with trigeminal neuralgia. Pure MVDS can offer long-term cure rate of more than 98% of success for neuralgia in the presence of clear-cut and marked vascular compression at surgery. Copyright © 2011 by Mutaz B. Habal, MD.

Koyio L.,Ministry of Health | Ranganathan K.,Ragas Dental College and Hospital | Kattappagari K.K.,SIBAR Institute of Dental science
Oral Diseases | Year: 2016

Objectives: Review the meaning of 'health need', consider oral health inequalities and oral health promotion among people with HIV and outline methods to enhance coordination, standardization and dissemination of research efforts. Methods: This workshop involved a brief introduction of each topic by an invited speaker followed by participant discussion. Participants were dentists and dental students attending the 7th World Workshop on Oral Health & Disease in AIDS Results: A health need was regarded as a population's ability to benefit from care. Oral health inequalities called for both downstream and upstream health promotion. A community health programme to reach people with HIV infection in the community was described. Despite deploying community health workers to reduce costs, the programme required additional resources for comprehensive implementation. The Indian National AIDS Control Program exemplified coordinated efforts. Knowledge transfer can be achieved via educational, linkage and exchange and organizational interventions. Stakeholder engagement in a combination of all three types of intervention is the most effective. Conclusions: The discussion centred on the difficulties of Indian dentists who felt they did not receive sufficient revenue to treat patients with HIV. An opposing view approach treated all patients using universal standards of infection control. Dental regulatory bodies, professional organizations and governments may need to demonstrate leadership and advocacy for the oral health of people with HIV infection. © 2016 John Wiley & Sons A/S.

Reddy R.B.V.,Sibar Institute of Dental science | Shekar P.C.,Sibar Institute of Dental science | Chandra K.L.P.,Sibar Institute of Dental science | Aravind R.S.,Sibar Institute of Dental science
Journal of Oral and Maxillofacial Pathology | Year: 2013

Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) are closely related severe, acute mucocutaneous reactions usually caused by drugs. They are acute life-threatening conditions and cause widespread necrosis of the epithelium. There is persistence of a high risk of SJS or TEN in relation to human immunodeficiency virus (HIV) infection associated with exposure to nevirapine (NVP). In this article, we present nine cases of SJS and one case of TEN in HIV-seropositive individuals who developed cutaneous, oral, ocular and genital lesions while being treated with NVP.

Samatha Y.,Sibar Institute of Dental science
The New York state dental journal | Year: 2013

Pyogenic granuloma, or granuloma pyogenicum, is a common, tumor-like growth of the oral cavity or skin that is considered to be an exaggerated, localized connective tissue reaction to a minor injury or irritation. A total of five clinical cases of oral pyogenic granuloma were randomly selected in the age group between 26 and 41 years. All these cases were treated with sodium tetra decyl sulphate and examined for regression and reccurrence of the lesion for six months. Various treatment modalities consist of conservative surgical excision, cryosurgery, laser surgery and sclerotherapy. Sclerotherapy with sodium tetra decyl sulphate is a relatively simple and effective method for treating oral pyogenic granuloma.

Sudarshan R.,Sibar Institute of Dental science | Vijayabala G.S.,Thai Moogambikai Dental College and Hospital
Journal of Oral Pathology and Medicine | Year: 2012

Background and objectives: Oral submucous fibrosis (OSMF) is a potentially malignant disorder of the oral mucosa, mainly associated with the practice of chewing gutka and betel quid. The pathogenesis is obscure, and till date, no definitive therapy is available for the management of OSMF. Hence, this preliminary study was carried out to compare the efficacy of Aloe vera with antioxidants in the treatment for OSMF. Methods: Twenty study subjects with OSMF were included in the study. Patients were divided into two groups. There were 10 patients in each group; group A subjects received 5mg of aloe vera gel to be applied topically three times daily for 3months and group B subjects received antioxidant capsules twice daily for 3months. The results were analyzed with paired 't' test and unpaired 't' test. Results: Aloe vera responded better in all the parameters assessed and responded in all the clinicohistopathological stages particularly in those with mild-stage clinically and early-stage histopathologically. Aloe vera showed a statistically significant reduction in burning sensation (P=0.008), improvement in mouth opening (P=0.02), and cheek flexibility (P=0.01) on comparing with the antioxidant group. Interpretation and conclusion: Overall assessment of the parameters depicted that Aloe vera group showed a better treatment response compared to the antioxidants group. It reduces the burning sensation and improves mouth opening thereby enhanced the patients' compliance. It proves to be a relatively safe, can be applied topically, easily available, economical, noninvasive, and efficacious in the treatment for OSMF. © 2012 John Wiley & Sons A/S.

Vardhan T.H.,Sibar Institute of Dental science
Quintessence international (Berlin, Germany : 1985) | Year: 2010

Dens evaginatus is a developmental malformation characterized by the presence of an extra cusp that takes the form of a tubercle arising from the occlusal or the lingual surface of the tooth. It is also referred to as talon cusp in the anterior teeth and Leong premolar in the premolars. Dens invaginatus is a deep surface invagination of the crown or the root lined by enamel, dentin, and pulp. Though many case reports of dens evaginatus and dens invaginatus have been found in the literature, an association of both is a rare anomaly. Only two cases of concomitance of dens invaginatus and dens evaginatus have been reported. This article is a case report of dens evaginatus and dens invaginatus involving all four maxillary incisors in a 25-year-old patient.

Samatha Y.,Sibar Institute of Dental science
Quintessence international (Berlin, Germany : 1985) | Year: 2012

White sponge nevus is a rare, inherited disorder that usually presents as nonpainful white plaque primarily involving the buccal mucosa, gingiva, and palate. Extraoral lesions most often occur in the esophagus or anogenital area, but almost invariably follow the development of typical buccal lesions. This article presents a familial case of white sponge nevus in which oral lesions were found in patients in three generations of the same family. Histologic findings include hyperkeratosis, acanthosis, and perinuclear eosinophilic condensation of epithelial cell cytoplasm, which serve to confirm white sponge nevus as the diagnosis. Clinical presentation and histopathology of white sponge nevus are discussed in relation to the differential diagnosis of other oral leukokeratoses.

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