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Semi R.S.,Military Dental Center | Thapliyal G.K.,AFDC | Menon S.,Vydehi Institute of Dental science
Journal of Maxillofacial and Oral Surgery

The odontogenic keratocyst is a distinct entity arising from odontogenic epithelium. The unique histopathological appearance and the propensity for recurrence has made it management controversial in terms of the conservatism to be followed. This article describes the management of a case of recurrent odontogenic keratocyst with an aggressive therapy being adopted due to the nature of the pathology. © 2010 Association of Oral and Maxillofacial Surgeons of India. Source

Ramesh M.V.,Vishnu Dental College | Vijetha K.,Vydehi Institute of Dental science
Journal of Clinical and Diagnostic Research

Introduction: The acceptable concentration of fluoride in drinking water is 1.5mg/l. Excess fluoride in drinking water causes fluorosis. Fluorosis is an important public health problem in India. Several treatment technologies suggested in the past for removing excess fluoride generated and causes various chemical by products which are hazardous to public. In recent years, there has been a resurgence of interest to use natural materials due to cost and associated health and environmental concerns of synthetic organic polymers and inorganic chemicals. Aim: The aim of this study was to evaluate and compare the defluoridating capability of the brushite-calcite with that of two indigenous herbs, tulsi and wheat grass. Materials and Methods: One gram of brushite-calcite combination, tulsi and wheat grass were separately added to 10 containers, each containing 1.0 l of prepared distilled water with a fluoride concentration of 5ppm and naturally fluoridated water at 2ppm. Half of the samples were boiled for one minute in a domestic electric kettle for one minute and allowed to cool. The remaining half of the samples was left un-boiled. Fluoride concentration in all the samples was assessed at the end of 30 minutes and 24 hours using fluoride ion selective electrode method. Data was analyzed using unpaired t-test and one-way ANOVA. Results: For water with 2ppm and 5ppm fluoride, brushite-calcite had shown highest de-fluoridation capacity (p=0.001) at the end of both 30 minutes and 24 hours in boiled samples whereas tulsi (p=0.001) was most effective in un-boiled samples. Conclusion: The results of the study suggest that tulsi can be used for domestic water defluoridation as it is economic, safe and effective. © 2016, Journal of Clinical and Diagnostic Research. All Rights Reserved. Source

Menon S.,Vydehi Institute of Dental science | Manerikar R.,Pravara Dental College | Sinha R.,AFMC
Journal of Maxillofacial and Oral Surgery

Transverse maxillary deficiencies are a common occurance, prevalent in both syndromic and non syndromic patients. Treatment usually combines a orthodontic-surgical intervention in adults. This article reviews the procedures along with the experience of the authors in the correction of maxillary transverse deficiency in adults. © 2010 Association of Oral and Maxillofacial Surgeons of India. Source

Mittal M.,RKDF Dental College | Hassan B.,RKDF Dental College | Reddy S.G.,Vydehi Institute of Dental science
Journal of Clinical and Diagnostic Research

Background: The associational studies between periodontitis and rheumatoid arthritis are less documented, although they are found to have similar inflammatory pathogenesis. Resistin, a novel adipokine is suggested to be a common link between periodontitis and rheumatoid arthritis. The aim of the present study was to reinforce the inter-relationship between periodontitis and rheumatoid arthritis by using resistin as a potent inflammatory marker. Materials and Methods: Hundred patients (aged >30 y) of either sex were selected for this study and were divided equally into four groups of 25 patients each. Group A consisted of healthy individuals, Group B consisted of patients with chronic periodontitis, Group C of patients with rheumatoid arthritis and Group D had patients suffering from both arthritis and periodontitis. Periodontal parameters assessed were plaque index (PI), modified gingival index (GI) and probing depth (PD). Panoramic radiographs were taken to confirm the diagnosis of periodontitis. Rheumatoid arthritis was confirmed by the rheumatologists and seropositivity for rheumatoid factor (RF) was checked. Resistin levels were analysed in GCF collected from all the four groups and statistical analysis was done by using Pearson correlation coefficient. Results: The GCF of all the patients showed presence of resistin. The level of resistin was highest in Group D patients and least in Group A patients. On analysing the samples together positive co-relation was found between GCF resistin and PD, PI, GI and RF. Conclusion: Resistin levels are increased in both chronic periodontitis and rheumatoid arthritis. Therefore, the increased level of GCF resistin can be regarded as potential inflammatory marker for periodontitis and rheumatoid arthritis. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved. Source

Rath S.K.,Army Hospital Research and Referral | Sinha R.,Vydehi Institute of Dental science | D'Souza D.,200 MDC
Medical Journal Armed Forces India

Background: Remodelling of bone in the form of resorption generally follows the extraction of a tooth. During all stages of atrophy of the alveolar ridge, characteristic shapes result from the resorptive process, as influenced by anatomic alterations in the alveolar bone. Various ridge augmentation procedures have been documented as predictable means of establishing new vital bone for implant placement, out of which distraction osteogenesis is one such modality. Hence the following study has been conducted to evolve a surgico-prosthetic rehabilitation protocol in grossly atrophic alveolar ridge by distraction osteo-genesis and subsequent implant placement and to provide an effective alternative to lost dental tissue to serving soldiers, their families and ex-servicemen of the Indian Army in a cost effective manner.Methods: A total of 30 patients with ridge defects in age group between 18 to 70 years were selected for the study. The net success rate of distraction procedure was 93.33% (100% in maxilla and 80% in mandible) with 2 cases deemed as failures out of a total of 30 cases. The average amount of defect compensated was 76.1% (85.1% and 59.5% in maxilla and mandible respectively).Results: For the implant surgical procedure the success rate was 100% and subsequently prosthetic rehabilitation on implants was proved to be successful.Conclusion: Distraction ostoeogenesis of an atrophied ridge for further implant placement certainly proves to be successful procedure by this study. Further studies in the same procedure using a larger sample size will definitely be more beneficial. © 2012, Armed Forces Medical Services (AFMS). All rights reserved. Source

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