A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Varghese, Sheeja S.
- Morphological Characteristics of Root Surfaces after Root Planing with Curettes under Microscope, Dental Loupes and Naked Eye-A SEM Study
Authors
1 Department of Periodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IN
Source
Research Journal of Pharmacy and Technology, Vol 12, No 4 (2019), Pagination: 1547-1550Abstract
Aim: To analyze the morphological characteristics of the ischolar_main surfaces with scanning electron microscope after scaling and ischolar_main planing with curettes under microscope, dental loupes, and naked eye. Material and Methods: Extracted teeth were randomly allocated to Group 1: SRP under Naked eye, Group 2: SRP with dental loupes (x3.5), Group 3: SRP under microscope (x12) where N=18 (6 in each group). Presence or absence of smear layer was compared with chi square test and to compare Remaining calculus index (RCI) and Roughness and loss of tooth substance index (RLTSI) between the groups, One way ANOVA was used. Results: The one-way ANOVA test showed statistically significant differences favoring group 3, as to RCI on ischolar_main surfaces (p = 0.007) and RLTSI (p=0.00). The Chi-square test also showed statistically significant difference favoring group 3 (p=0.05) as to the presence or absence of smear layer. Conclusion: Considering the obtained results and the methodology used in this study, it may be concluded that scaling and ischolar_main planing with curettes under microscope of x12 magnification provided smoother ischolar_main surface with nearly no smear layer remaining calculus when compared with SRP done under naked eye and dental loupes of x3.5 magnification.Keywords
Root Planing, Root Surface Morphology, Root Surface, Microsurgery, Surface Roughness.
References
- Slots J. Subgingival microflora and periodontal disease. Journal of clinical periodontology. 1979 Oct 1;6(5):351-82.
- Löe H. Oral hygiene in the prevention of caries and periodontal disease. International dental journal. 2000 Jun 1;50(3):129-39.
- Davies RM, Ellwood RP, Volpe AR, Petrone ME. Supragingival calculus and periodontal disease. Periodontology 2000. 1997 Oct 1;15(1):74-83.
- Axelsson P, Nyström B, Lindhe J. The long‐term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Journal of clinical periodontology. 2004 Sep 1;31(9):749-57.
- Akcalı A, Lang NP. Dental calculus: the calcified biofilm and its role in disease development. Periodontology 2000. 2017 Dec 1.
- Johnson, G., and Brännström, M.: The sensitivity of dentin. Changes in relation to conditions at exposed tubule apertures. Acta Odontol Scandii: 29, 1974.
- Barnes, Jerry E . and Schaffer, Erwin M.: Subgingi val Root Planing: A Comparison Using Files, Hoes and Curettes. J. Periodont. 31:300, 1960.
- Stende, Gregory W . and Schaffer, Erwin M . : A Comparison of Ultrasonic and Hand Scaling. J. Periodont. 32:312, 1961.
- Belting, Charles M . and Spjut, Philip J.: Effect of High-Speed Periodontal Instruments on the Root Surface During Subgingival Calculus Removal. J.A.DA. 69:578, 1964.
- Moskow, B. S. and Bressman, E.: Cemental Re sponse to Ultrasonic and Hand Instrumentation. J.A.D.A. 68:698, 1964.
- Green E. and Ramfjord, S. P.: Tooth Roughness After Subgingival Root Planing. J. Periodont. 37:396, 1966.
- Stokes, Debbie J. (2008). Principles and Practice of Variable Pressure Environmental Scanning Electron Microscopy (VP-ESEM). Chichester: John Wiley and Sons. ISBN 978-0470758748.
- Apotheker H, Jako GJ. A microscope for use in dentistry. J Microsurg. 1981; 3(1):7-10.
- Meyer K, Lie T. Root surface roughness in response to periodontal instrumentation studied by combined use of microroughness measurements and scanning electron microscopy. Journal of clinical periodontology. 1977 Jun 1;4(2):77-91.
- Haffajee AD, Cugini MA, Dibart S, Smith C, Kent RL, Socransky SS. The effect of SRP on the clinical and microbiological parameters of periodontal diseases. Journal of clinical periodontology. 1997 May 1;24(5):324-34.
- Cugini MA, Haffajee AD, Smith C, Kent RL, Socransky SS. The effect of scaling and ischolar_main planing on the clinical and microbiological parameters of periodontal diseases: 12‐month results. Journal of clinical periodontology. 2000 Jan 1;27(1):30-6.
- Fleischer HC, Mellonig JT, Brayer WK, Gray JL, Barnett JD. Scaling and ischolar_main planing efficacy in multiischolar_mained teeth. Journal of Periodontology. 1989 Jul;60(7):402-9.
- Hinrichs JE, Wolff LF, Pihlstrom BL, Schaffer EM, Liljemark WF, Bandt CL. Effects of scaling and ischolar_main planing on subgingival microbial proportions standardized in terms of their naturally occurring distribution. Journal of periodontology. 1985 Apr;56(4):187-94.
- Cortellini, P. and Tonetti, M. (2001) Microsurgi- cal approach to periodontal regeneration. Initial evaluation in a case cohort. Journal of Periodontology 72, 559–569.
- Wachtel, H., Hu ̈ rzeler, M., Ko ̈ ttgen, C., Bolz, W., Zuhr, O. and Weng, D. (2003a) A micro- surgical approach to guided tissue regenera- tion treatment. Journal of Clinical Periodontology 30, 496–501.
- Cortellini, P. and Tonetti, M. S. (2007a) A minimally invasive surgical technique with an enamel matrix derivative in the regenerative treatment of intra-bony defects: a novel approach to limit morbidity. Journal of Clinical Periodontology 34, 87–93.
- Cairo F, Carnevale G, Billi M, Prato GP. Fibre retention and papilla preservation technique in the treatment of infrabony defects: a microsurgical approach. Int J Periodontics Restorative Dent. 2008; 28(3):257-63.
- Assessment of Diagnostic Accuracy of Intraoral Digital Radiography When Compared to Cone-Beam Computed Tomography for Assessment of Vertical Defect Depth in Grade 2 Furcation Defects
Authors
1 Postgraduate Student, Department of Periodontology, Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, IN
2 Department of Periodontology, Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 3549-3553Abstract
Background: Periodontal disease is a chronic inflammatory condition resulting in attachment loss and alveolar bone loss. This destruction progresses apically exposing the furcation of multiischolar_mained teeth. Although we routinely employ conventional two-dimensional (2D) radiographs for diagnosing bone levels in periodontal disease, inaccuracy caused due to overlap of structures makes diagnosis almost impossible.
Aim: To assess the diagnostic accuracy of digital intraoral radiography technique when compared to the cone beam computed tomography in detecting vertical defect depth in grade 2 furcation defects.
Materials and Method: A total of 41 grade 2 furcations including 21 buccal and 20 lingual furcations were included. Vertical defect depth was assessed using IOPA and CBCT and then compared.
Results: There was a variation between the IOPA measurements and the CBCT measurements of vertical defect depth. The variation ranged from 0.04 to 5.9 mm. The mean variation between the 2 groups was found to be 1.77 ± 1.39. The mean VDD measured in CBCT was 2.85 ± 1.58 and the mean VDD measured in IOPA was 2.85 ± 1.74.
Conclusion: IOPA is not an accurate method to measure vertical defect depth in grade 2 furcation defects as compared to CBCT.
Keywords
Furcation, Periodontitis, Intrabony Defect, Multiischolar_mained Teeth.- Papillary Reconstruction using Sub Epitheial Connective Tissue Graft-A Case Report
Authors
1 Postgraduate Student, Department of Periodontology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IN
2 Professor and Head, Department of Periodontology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 3593-3596Abstract
The shape of an interdental papilla play an important role in esthetics. Interdental papilla may be lost due to various reasons such as periodontitis, pathological migration or even as a result of periodontal therapy. This results in formation of black triangle between the teeth causing esthetic concerns. The spaces created also tends to cause food accumulation and further bone loss. Several techniques for papilla reconstruction have been proposed. This case report attempts to report a case of papillary reconstruction procedure done by the Hans and Takei technique, that resulted in good outcome in 6 months.Keywords
Interdental Papilla, Esthetics, Black Triangle, Reconstruction.- A Gender Specific Comparative Study of Oral Self Care and Oral Health Attitude between Dental Undergraduate and Post Graduate Students
Authors
1 Postgraduate Student, Department of Periodontology, Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, IN
2 Department of Periodontology, Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 3597-3602Abstract
Background: Oral health constitutes an important determinant of overall health and well-being, yet oral diseases remain among the most prevalent problems in our society. Dental school students’ knowledge, beliefs and attitudes about dental health greatly determine the oral health care level of their future patients.
Aim: The purpose of this study was to compare the oral self care practices among dental undergraduate and postgraduate male and female students.
Methods: A study questionnaire consisting of 14 questions was formulated and distributed to 200 dental students for this cross sectional study, out of which 166 questionnaires were returned after completion. The students consisted of 82 postgraduate females, 12 postgraduate males, 42 undergraduate females and 30 undergraduate males. The questionnaire comprised of questions to assess the aptitude on oral health, self care practices, presence of deleterious habits and frequency of dental visit.
Result: There was no significant difference in dental health, oral self care and dental visits neither between the post graduate and undergraduate dental students nor between the male students and female dental students. However, there was a significantly higher number of smokers with relatively greater frequency and longer duration among postgraduate male dental students compared to other groups, followed by the undergraduate male dental students. Also there was a higher number of smokers in males than in female dental students.
Conclusion: The number of years in dental education does not influence the attitude and behavior among the dental students with respect to oral self care practices. However their age and gender influences their intensity of deleterious habits.
Keywords
Oral Health, Smoking, Mouthwash, Dental Floss.- Evaluation of Methylcellulose Gel as a Vehicle for Metronidazole Compared to Commercially Available Topical Metronidazole Gel - An In Vitro Study
Authors
1 Postgraduate Student, Department of Periodontology, Saveetha Dental College and Hospitals, Chennai, IN
2 Professor and Head, Department of Periodontology, Saveetha Dental College and Hospitals, Chennai, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 3635-3638Abstract
Background: The pathogenesis of the periodontal disease is primarily due to the gram-negative bacteria found in the plaque. Adjunctive to the routine mechanical debridement, use of systemic and local antimicrobials for reduction and eradication of specific periodontal pathogens have also been used for quite some time. Various locally delivered therapeutic drugs have been used. The success of the locally delivered therapeutic drugs are determined by the usage of vehicles.
Aim: The purpose of this study was to evaluate the efficacy of carboxy methyl cellulose gel as a vehicle for metronidazole when compared to commercially available Metrogyl® DG gel in an in vitro condition.
Methods: 20 patients with chronic periodontitis were selected and subgingival plaque samples were collected using curettes and then subjected to anaerobic culture. The samples were inoculated on Brucella Blood Agar (BBA) plates by streaking the plate with the swab sticks within 12 hours from sample collection. A well with a diameter of 8 mm is punched and 100 μm of the 1.5% metronidazole with the 2 different vehicles ((methyl cellulose gel, Metrogyl® DG gel) were introduced into the wells. These plates were kept in an an anaerobic jar along with an aero gas pack and incubated at 37°C for 48 hours to 72 hours. The antimicrobial activity was quantitatively assessed by the presence or absence of inhibition zone and zone diameter.
Result: It was found that anaerobic bacteria found in subgingival plaque, showed sensitivity to the drug released from both the vehicles. The inhibition zone diameter present around methylcellolose gel + metronidazole was 23.85 ± 1.73 mm and that around Metrogyl® was 14.4 ± 1.76 mm.
Conclusion: Methylcellulose gel is a more effective vehicle than commercially available vehicles in releasing metronidazole for use in subgingival delivery in the management of chronic periodontitis.
Keywords
Methylcellulose, Metronidazole, Periodontitis, Anaerobes.- Titreated Case of Oral Lichen Planus:18 Months Follow Up Report
Authors
1 Postgraduate Student, Department of Periodontology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, IN
2 Professor and Head, Department of Periodontology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 3639-3641Abstract
Oral Lichen planus (OLP) is a common chronic immunological inflammatory mucocutaneous disorder. The different etiological factors considered for OLP are genetic background, dental materials, drugs, infectious agent, autoimmunity, immunodeficiency, food allergy, stress, habits, trauma, diabetes, hypertension, malignant neoplasm. The treatment goal is 2-fold, that is, alleviation of symptoms and monitoring of dysplastic changes. This case report attempts to report a case of oral lichen planus, successfully treated with 18 months follow up.Keywords
Lichen Planus, Autoimmunity, Immunodeficiency, Desmoglein.- Comparison of Effectiveness of COE PAK and Barricaid with Respect to Wound Healing and Patient Satisfaction
Authors
1 Postgraduate Student, Department of Periodontology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai
2 Professor and Head, Department of Periodontology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 3642-3647Abstract
Background: Periodontal dressing is a physical barrier placed post operatively to cover and protect the surface of surgical wound created by periodontal therapy. Conventional periodontal dressings set chemically, requires manual kneading and are not very esthetic in terms of colour. Visible light cure periodontal surgical dressing, Barricaid®, is a single-component, light-activated periodontal dressing, tinted pink with a translucent character.
Aim: To assess the effectiveness of 2 different periodontal dressings (Coe-pak®, Barricaid®) after periodontal flap surgeries with respect to wound healing and patient satisfaction Materials and Method: The study was conducted in 16 surgical sites (8 matched pairs) among 8 systemically healthy adults aged between 18-55 (mean age 31.68± 11.11) requiring open flap debridement. Smokers were excluded from the study. Informed consent was obtained. All sites were randomly allocated to 2 different groups with 8 sites in each group. Flap surgery was done and either COE PAK or Barricaid was used. Parameters such as color, consistency, VAS score, healing index and post operative discomfort were recorded 1 week post operatively.
Results: The data showed favourable results in parameters such as in color, consistency, VAS score, healing index and post operative bleeding towards the use of Barricaid® group, and in parameters such as post operative ease in mastication and facial swelling towards the use of COE PAK® group. But, the difference was not statistically significant in any of the clinical parameters.
Conclusion: It can be concluded that there was no statistically significant difference between the 2 periodontal dressings (COE PAK®, Barricaid®) in terms of wound healing and patient satisfaction.