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Chole R.H.,Modern Medicine | Gondivkar S.M.,Mgvs Kbh Dental College And Hospital | Gadbail A.R.,Sharad Pawar Dental College and Hospital | Chaudhary S.,Sdks Dental College And Hospital | And 4 more authors.
Oral Oncology | Year: 2012

This study undertook a review of the literature on drug treatment of oral submucous fibrosis. An electronic search was carried out for articles published between January 1960 to November 2011. Studies with high level of evidence were included. The levels of evidence of the articles were classified after the guidelines of the Oxford Centre for Evidence-Based Medicine. The main outcome measures used were improvement in oral ulceration, burning sensation, blanching and trismus. Only 13 publications showed a high level of evidence (3 randomized controlled trials and 10 clinical trials/controlled clinical trials), with a total of 1157 patients. Drugs like steroids, hyaluronidase, human placenta extracts, chymotrypsin and collagenase, pentoxifylline, nylidrin hydrochloride, iron and multivitamin supplements including lycopene, have been used. Only systemic agents were associated with few adverse effects like gastritis, gastric irritation and peripheral flushing with pentoxifylline, and flushingly warm skin with nylidrin hydrochloride; all other side-effects were mild and mainly local. Few studies with high levels of evidence were found. The drug treatment that is currently available for oral submucous fibrosis is clearly inadequate. There is a need for high-quality randomized controlled trials with carefully selected and standardized outcome measures. © 2011 Elsevier Ltd. All rights reserved.


Dable R.A.,SMBT Dental College and Hospital | Nazirkar G.S.,SMBT Dental College and Hospital and Research Institute | Singh S.B.,SMBT Dental College and Hospital and Research Institute | Wasnik P.B.,SMBT Dental College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Background: Quality of life in elderly is a very sensitive issue. It is important to know if the dental problems, general health and dental treatment have an impact on the quality of life in elderly. The elderly population has a typical set of mind regarding their oral health. This study examines the trends in patients' behavioral patterns due to tooth loss, suggestive of some change in quality of life. Aims: The purpose of this study was to identify and acknowledge the problems of completely edentulous patients and their relationship to the Quality of Life (QOL). Also, the study was aimed at exploring the changes in global self-rated general health between the pre and post-treatment scores. Settings and Design: This is a randomized controlled clinical trial study which is done to evaluate the problems in the elderly and quality of life as long as their oral health is concerned. It is conducted on a group of people representing the elderly population with complete edentulism. Material and Methods: Sixty three patients with mean age 69.41 who needed dentures were investigated before and after 6 months of their treatment by administration of GOHAI (Geriatric Oral Health Assessment Index) scale. Comparison between Pre & Post-treatment values of various scores were done with McNemar-Bowker Test. Quantitative data was represented using Mean ± SD and Median, IQR (Interquartile range). Analysis of Pre & Post-treatment quantitative data was done using Wilcoxon Signed Rank Test. Results: The results of the present study showed GOHAI scores increased from 28.90 + 7.28 to 42.19 + 7.60 (p=highly significant). There was a significant change in the quality of life in elderly after their prosthodontic rehabilitation, though the self rated general health did not show any significant improvement. Conclusion: It is the responsibility of the entire dental fraternity to understand the needs of elderly associated to their oral health. It is important to evaluate and assess the psychological effects of tooth loss on their quality of life. A thorough investigation is necessary before and after the dental/prosthodontic care.


Baghele O.N.,SMBT Dental College and Hospital | Mohkhedkar A.S.,SMBT Dental College and Hospital | Malpani P.S.,SMBT Dental College and Hospital
Scientometrics | Year: 2014

Scientifically liberated and developed countries produce huge amounts of cutting-edge publications in peer-reviewed impact-creating journals. These publications may become basis for various policies/other blueprints. There is no reported study regarding the publication trends of Periodontists from India. The aim of this study was to assess the trends of Indian Periodontist's publications in Pubmed database till 1st March, 2012 by taking quantitative bibliometric approach. Studies were identified by running select search phrases on Pubmed search engine. Search inputs included, 'dental', 'oral', 'periodontal', 'gingiva', 'gingival', 'periodontology', 'periodontics', 'periodontia', 'periodontitis', 'gingivitis', and 'dental implant'. A parallel search with above phrases along with 'India' also done to assess India-specific publications. All publications with or without available abstracts were analyzed for selected parameters. Analysis was performed to determine name of the journal, number of authors, year of publication, type of institute, statewide distribution, type of study etc. The approximate contribution of Indian Dental/Periodontal literature to Pubmed database is 1.45 % till 1st March 2012. The number of articles published by Indian Periodontists is 764 across 107 journals and starting from 1960. The number of original articles published were 510 (66.75 %) as opposed to 127 (16.62 %) each for review articles and case reports/case series. The average contribution of an Indian Periodontist to Pubmed database is 0.53 articles. The contribution of Indian Periodontists to world literature through Pubmed database is not voluminous but, the publications are multiplying every passing year almost in an exponential way. There is also an increasing trend towards original articles to be published. © 2013 Akadémiai Kiadó, Budapest, Hungary.


Chavan S.D.,SMBT Dental College and Hospital
Oral health & preventive dentistry | Year: 2010

The aim of the present study was to assess and compare the antibacterial effect of garlic extract with those of chlorhexidine and negative control mouthwashes against Streptococcus mutans. The present study was carried out in two phases. In Phase 1, the zone of inhibition of various concentrations of garlic extract against S. mutans was determined using the cup and plate method. The minimum concentration at which a zone of inhibition appeared was further employed to prepare a mouthwash that was used in Phase 2. This phase included 45 dental students whose baseline salivary S. mutans level was assessed. They were randomly divided into three groups: '1' representing students using garlic extract mouthwash (garlic extract + water + sorbitol + spearmint oil), '2' representing those using chlorhexidine (0.2%) mouthwash and '3' representing those using a negative control (water + sorbitol + spearmint oil). All of the subjects were advised to use 10 ml of the assigned mouthwash once daily after their last meal for a duration of 7 days. On day 8, the post-treatment salivary S. mutans counts were assessed, and the data were analysed and compared by performing appropriate statistical tests. Phase 1: the 3% concentration was the minimum concentration at which a zone of inhibition was observed. Phase 2: a reduction in post-test S. mutans counts in all three groups was found. The mean difference that was observed in the garlic extract group was 5.23 x 105 CFU/ml, in the chlorhexidine group 2.63 x 105 CFU/ml and in the negative control group 1.18 x 105 CFU/ml. The differences among all three groups were statistically significant (P < 0.05) and that between the negative control and the garlic group was highly significant (P < 0.001). Garlic extract is effective against S. mutans when tested both in vitro and in vivo. As S. mutans is one of the primary aetiological organisms in dental caries development (Loesche, 1986), and in the present study garlic extract has been shown to be effective against S. mutans, garlic extract mouth rinse might be used as an effective remedy in the prevention of dental caries.


Chaudhary M.,Smbt Dental College And Hospital | Chaudhary S.D.,Smbt Dental College And Hospital
Journal of Oral and Maxillofacial Pathology | Year: 2012

Tumors of jaw bones are among the most uncommon of all types of neoplasms. Osteosarcoma of jaw bones represents a distinct group of lesions from the conventional type commonly occurring in long bones. Nonetheless, our present knowledge of the tumor allows us to affirm that its clinical behavior and pathologic features differ markedly from those of its homolog in the long bones. The maxillary tumors show predilection for posterior portion of the alveolar process and the antrum, whereas the body is most commonly involved in the mandible followed, by angle, symphysis, and ascending ramus. We have reviewed around 300 cases of osteosarcoma of varied racial origin from PubMed indexed journals spanning from 1967 to 2010 and present their etiology, pathogenesis, features and treatment modalities.


Baghele O.N.,SMBT Dental College and Hospital
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) | Year: 2012

Anatomical abnormalities are frequently associated with problems. One such abnormality is crestal attachment of the frenum or muscle on the alveolar process. Crestal attachment of buccinator muscle is a rare phenomenon. It may cause various problems in routine oral exercises or restoring the edentulous area. Presented here is a case of abnormal buccinator muscle attachment, which was relocated apically by surgical means using an acrylic stent. The healing was uneventful, and significant apical repositioning was observed. The area was then considered for prosthodontic therapy. A fixed bridge was fabricated and the long-term results of the fixed bridge therapy were assured, because the patient could maintain oral hygiene well after the muscle repositioning operation.


PubMed | SMBT Dental College and Hospital
Type: Case Reports | Journal: Indian journal of pathology & microbiology | Year: 2016

Lichen sclerosus (LS) is a rare disease affecting the skin and the mucous membrane, and it is chronic inflammatory in nature. It occurs in both males and females, but mainly affects females in the fifth or sixth decade of life. It mainly involves the genital and perianal areas but can affect any part of the body and the involvement of the oral mucosa is exceptionally rare, but sometimes it affects only the oral mucosa. It requires differentiating from other lesions of the oral cavity which looks similar to this lesion. In considering the rarity of the reported cases, the present article reports one more case of LS affecting the soft palate in an edentulous 66 year-old male patient.


PubMed | Hospital & Research Center, Malabar Dental College, SMBT Dental College and Hospital and Dr Vaishampayan Memorial Government Medical College
Type: | Journal: Case reports in dentistry | Year: 2016

Certain dipteran flies larvae causing invasion of the tissues and organs of the humans or other vertebrates are called as myiasis, which feed on hosts dead or living tissues. It is well documented in the skin and hot climate regions; underdeveloped countries are affected more commonly. Oral cavity is affected rarely and it can be secondary to serious medical conditions. Poor oral hygiene, alcoholism, senility, or suppurating lesions can be associated with the oral myiasis. Inflammatory and allergic reactions are the commonest clinical manifestations of the disease. In the present case, gingiva of maxillary anterior region was affected by larval infection in a 13-year-old mentally retarded patient.


PubMed | Clinical Practitioner and SMBT Dental College and Hospital
Type: Journal Article | Journal: Journal of Indian Prosthodontic Society | Year: 2016

Loss of mandibular continuity results in deviation of remaining mandibular segment toward the resected side primarily because of the loss of tissue involved in the surgical resection. The success in rehabilitating a patient with hemimandibulectomy depends upon the nature and extent of the surgical defect, treatment plan, type of prosthesis, and patient co-operation. The earlier the mandibular guidance therapy is initiated in the course of treatment; the more successful is the patients definitive occlusal relationship. Prosthodontic treatment coupled with an exercise program helps in reducing mandibular deviation and improving masticatory efficiency. This case report describes prosthodontic management of a patient who has undergone a hemimandibulectomy and was rehabilitated using provisional guide flange prosthesis followed by a definitive maxillary and mandibular cast partial denture with precision attachments designed to fulfill the patients needs and requirements.


PubMed | SMBT Dental College and Hospital
Type: Journal Article | Journal: The journal of contemporary dental practice | Year: 2016

In this in vitro study, the efficacy of 2% carbonic acid and 2% acetic acid on the surface, microhardness of white mineral trioxide aggregate (MTA) and dentin after 1 day of setting and 21 days of setting of MTA is measured.Tooth molds were made using 60 single-rooted premolars by slicing them to 4 mm in the mid-root region. White MTA (Angelus) was mixed and packed in the molds. Three experimental groups were formed and exposed to 2% carbonic acid, 2% acetic acid, and saline for 10 minutes on 1 and 21 days of setting respectively. Vickers hardness test of white MTA and dentin was done before and after exposure. Data were subjected to analysis of variance (ANOVA) and post hoc tests.The results show that 2% acetic acid was significantly effective in reducing the microhardness of white MTA compared to 2% carbonic acid and saline on exposure for 10 minutes.The results of the present study indicate that 2% acetic acid has maximum efficacy in reducing the surface microhardness of partial and completely set MTA, followed by 2% carbonic acid.The following study will help find an adjunct for retrieval of MTA, which was found difficult with the existing methods.

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