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Karnik R.,Yogita Dental College and Hospital | Shetty S.,University of Mumbai | Desai R.S.,University of Mumbai | Shetty K.,Nair Hospital Dental College
Indian Journal of Dental Research | Year: 2016

Separation of the endodontic instrument within the root canal system and sharp injuries to the dentist is not an uncommon event in endodontic practice. Although root canal instruments can fracture at any stage of endodontic treatment, its fracture within the dentist's hand is a very rare event. An unusual case of accidental separation and lodgment of rotary endodontic file in the dentist's thumb is presented along with its management. A 33-year-old dentist reported with an accidental lodgment of rotary endodontic file into his thumb. The fractured instrument was removed successfully by a surgeon. The present case describes a rare event of occupational risk in endodontic practice. © 2017 Indian Journal of Dental Research | Published by Wolters Kluwer-Medknow.


Objectives: To determine the prevalence of amlodipine-induced gingival overgrowth (GO) among elderly subjects attending an Indian teaching hospital and find any association with demographic factors, drug variables, oral hygiene status and gingival inflammation. Methods: A cross-sectional pilot study included 157 dentate patients aged 60 years or more, taking Amlodipine for at least 3 months. Data were collected from past medical records and oral examination. Clinical assessment of GO was correlated with patient's age, gender, drug dosage (2.5, 5 or 10 mg/day), duration of drug therapy (3-4, 4-6, 6-12, 12-24 and >24 months) and also with subjects' plaque index and gingival index scores. Results: Eight patients (5.09%) had GO. No statistically significant relation was observed between age (p = 0.79), gender (p = 0.56), drug dosage (p = 0.25) and duration of drug intake (p = 0.62) and prevalence of GO. GO prevalence related highly significantly (p < 0.001) with plaque and gingival index scores. Conclusions: Prevalence of amlodipine-associated GO in the sample of elderly Indian patients was noted higher than that previously reported. Plaque and gingival inflammation were highly correlated with this condition, while demographic characteristics and drug dosage did not relate significantly. © 2012 The Gerodontology Society and John Wiley & Sons A/S.


PubMed | Yenepoya Dental College, SMS Medical College and Hospital and Yogita Dental College and Hospital
Type: Journal Article | Journal: Journal of pharmacy & bioallied sciences | Year: 2015

Two cases are reported with malpositioned implants. Both the implants were placed 6-7 months back. They had osseointegrated well with the surrounding bone. However, they presented severe facial inclination. Case I was restored with custom cast abutment with an auto polymerizing acrylic gingival veneer. Case II was restored with custom cast UCLA type plastic implant abutment. Ceramic was directly fired on the custom cast abutments. The dual treatment strategy resulted in functional and esthetic restorations despite facial malposition of the implants.


PubMed | Himachal Dental College, Government Dental College and Research Institute and Yogita Dental College and Hospital
Type: Journal Article | Journal: Contemporary clinical dentistry | Year: 2015

The present clinical trial was designed to investigate the effectiveness of subgingivally delivered satranidazole (SZ) gel as an adjunct to scaling and root planing (SRP) in the treatment of chronic periodontitis.Seventy subjects with probing depth (PD) 5 mm were selected. Thirty-five subjects each were randomly assigned to SRP + placebo (Group 1) and SRP + SZ (Group 2). The clinical outcomes evaluated were plaque index, gingival index, clinical attachment level (CAL), and PD at baseline; 1 month, 3 months, and 6 months interval. Furthermore, microbial analysis using polymerase chain reaction was done to estimate the number of sites harboring periodontopathogens.Sixty four subjects were evaluated up to 6 months. At 6 months, the Group 2 resulted in greater mean reduction (4.10 mm) in PD as compared to Group 1 (1.49 mm), and also a greater mean CAL gain (4.20 mm) in Group 2 as compared to Group 1 (1.13 mm). These subjects also showed a significant reduction in the number of sites harboring periodontopathogens.The use of 3% SZ gel, when used as an adjunct to nonsurgical periodontal therapy in subjects with periodontitis, achieved better results than initial periodontal treatment alone.


PubMed | New Horizon Dental College and Research Institute, Institute of Dental science Bhubaneswar, Yogita Dental College and Hospital and Ranchi Institute of Neuro Psychiatry and Allied science
Type: Journal Article | Journal: The journal of contemporary dental practice | Year: 2016

Behavioral management of patients forms one of the foremost components of pediatric dental treatment. Some children readily cooperate with dental treatment, while others require general anesthesia as a part of treatment protocol for carrying out various dental procedures. Hence, we evaluated the pediatric patients with and without mental retardation, who underwent dental treatment under general anesthesia.The present study analyzed the record of 480 pediatric patients reporting in the department of pedodontics from 2008 to 2014. Analysis of the records of the patients who underwent dental treatment under general anesthesia was done and all the patients were divided into two study groups depending upon their mental level. For the purpose of evaluation, the patients were also grouped according to their age; 4 to 7 years, 8 to 12 years, and 13 to 18 years. Measurement of decayed, missing, and filled teeth and scores for both deciduous and permanent dentition was done before and after the commencement of the dental treatment. Chi-square test and independent t-test were used for evaluating the level of significance.While comparing the patients in the two groups, maximum number of patients is present in the age group of 13 to 18 years. While comparing the indices score between the two study groups in various age intervals, no statistically significant results were obtained. Restorative treatment and dental extractions were the most common dental treatments that were seen at a higher frequency in the intellectual disability study group.In patients with mental retardation, a higher frequency of restorative treatment and extractions occurs as compared to healthy subjects of similar age group. Therefore, they require special attention regarding maintenance of their oral health.Special attention should be given for maintaining the oral health of patients with special health care needs as compared to their physically and mentally normal counterparts.


PubMed | Dr D Y Patil Dental College And Hospital, Mgv Dental College And Hospital and Yogita Dental College and Hospital
Type: Journal Article | Journal: Journal of Indian Society of Periodontology | Year: 2016

High frenum attachment is a very common problem in the population. Various conventional techniques are available which has certain disadvantages; in addition to that high frenum also hinders oral hygiene maintenance. This study aims to evaluate patients response to two different frenectomy technique, and oral hygiene maintenance before and after frenectomy.Twenty patients with high labial frenum were randomly selected from the outpatient department. Patients were divided into two groups according to the technique used. Each group contained ten patients. One group was treated by conventional scalpel technique and other group by new paralleling technique. To evaluate patients response, visual analogue scale for pain and speech were taken at first postoperative day, 1-week and 1-month. In other part of the study the oral hygiene maintenance was evaluated by using plaque and gingival bleeding index at baseline before frenectomy, 1-week and 1-month after frenectomy.Results showed that new paralleling technique for frenectomy causes less postoperative discomfort and also there was significant improvement in the oral hygiene maintenance by the patient after frenectomy.High maxillary frenum causes hindrance in oral hygiene maintenance. Paralleling technique for frenectomy causes less discomfort to the patient during healing phase when compared with the conventional technique.


Sarode S.C.,Dr D Y Patil Dental College And Hospital | Sarode G.S.,Dr D Y Patil Dental College And Hospital | Vaidya K.,Yogita Dental College and Hospital
Journal of Oral Pathology and Medicine | Year: 2014

Central granular cell odontogenic tumor (CGCOT) is a rare benign odontogenic neoplasm reported with various terms and is not included in the 2005 WHO classification of odontogenic tumors. It shows a predilection for middle-aged women, usually presenting as an asymptomatic swelling of the mandibular premolar-molar region. Radiographic manifestations include unilocular or multilocular radiolucent lesion, but mixed density lesions can also occur. Histopathology shows sheets and lobules of round to polygonal cells with abundant eosinophilic, granular cytoplasm and eccentrically placed nuclei. Immunohistochemical and ultrastructural features suggest the histiocytic origin of granular cells. The neoplasm does not exhibit an aggressive biological behavior and hence enucleation or curettage ensuring complete removal remains the treatment of choice. We present a systematic review on clinical, radiological, histopathological, immunohistochemical and treatment aspect of CGCOT. Published articles were identified through a literature search using online databases (PubMed, MEDLINE, Scopus) and cross-references for papers published from the year 1950 to March 2013. From a total of 37 papers, 26 (38 cases) were extracted from the database for systematic review. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.


Sarode S.C.,Dr D Y Patil Dental College And Hospital | Vaidya K.,Yogita Dental College and Hospital | Sarode G.S.,Dr D Y Patil Dental College And Hospital
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology | Year: 2013

Central granular cell odontogenic tumor (CGCOT) is a rare benign odontogenic neoplasm reported with various terms. We present a case of CGCOT involving the right side of mandible crossing the midline of a 25 year old female. The orthopantomogram showed a well-demarcated multilocular radiolucent lesion extending from distal of right mandibular second molar to the mesial of left mandibular lateral incisor. Histopathological examination showed sheets and lobules of predominantly large round granular cells with eccentric nuclei. Islands and cords of inactive looking odontogenic epithelium formed by two or more rows of epithelial cells, some with clear cytoplasm permeating the granular cells, were also observed. Looking at the less aggressive nature of CGCOT and patient's age, enucleation and thorough curettage via intra-oral approach was done under general anesthesia along with extraction of the associated teeth. The extracted teeth showed apical root resorption. There was no evidence of recurrence after 1 year. © 2012 Asian AOMS, ASOMP, JSOP, JSOMS, JSOM, and JAMI.


PubMed | P.A. College and Yogita Dental College and Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

Oral verrucous carcinoma (VC) is a variant of well differentiated oral squamous cell carcinoma (OSCC) characterized by exophytic over growth. Oral submucous fibrosis (OSMF) is a potentially malignant disorder associated with chronic betel nut chewing habit. The development of OSCC is seen in one-third of the OSMF patients, but the development of VC is rare in such patients. There are very few cases of OSMF with VC reported in literature. Here, present a rare case of an elderly patient with VC in conjunction with OSMF.


PubMed | Yogita Dental College and Hospital
Type: Journal Article | Journal: Journal of cancer research and therapeutics | Year: 2016

The present study was taken up to evaluate the AgNOR counts in the buccal mucosa cells of gutkha chewers and compare that with the sex-matched controls.In all, 100 gutkha chewers and 50 sex-matched non-chewers (controls) were chosen. None of the patients in both groups had any clinical oral lesions or systemic diseases. After rinsing with 0.9% sodium chloride, cytologic smears were prepared and stained using the AgNOR method and observed in immersion oil at 1000 magnification. Finally, 50 cells were selected at random; AgNOR dots were counted and their mean was recorded. The student t-test was used for analysis of data.Comparison between mean AgNOR counts of gutkha chewers (2.68 0.23) and non-chewers (2.01 0.14) was found to be statistically significant.Cytology associated with AgNOR staining can effectively detect the early molecular changes within buccal mucosa cells of oral mucosa.

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