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REVIEW ARTICLES
Classification systems of gingival recession: An update
Sanjeev Jain, Harjit Kaur, Ridhi Aggarwal
January-March 2017, 9(1):52-59
DOI:10.4103/0976-4003.201632  
Gingival recession is defined as “the displacement of marginal tissue apical to the cementoenamel junction (CEJ)”. Various classifications have been proposed to classify gingival recession. Miller's classification of gingival recession is most widely followed. With a wide array of cases in daily clinical practice, it is often difficult to classify numerous gingival recession cases according to defined criteria of the present classification systems. This article outlines the limitations of present classification systems and also the new classifications that have been proposed to classify gingival recession.
  16,420 1,907 -
ORIGINAL ARTICLES
Prevalence of dental caries among 6–12 years school children of Mahbubnagar District, Telangana State, India: A cross-sectional study
Kola Srikanth Reddy, Sivakalyan Reddy, Puppala Ravindhar, K Balaji, Harvindher Reddy, Ajay Reddy
January-March 2017, 9(1):1-7
DOI:10.4103/0976-4003.201641  
Background: Dental caries is one of the most common oral problems affecting children globally involving the people of all region and society. It can be seen in all age groups of children involving both deciduous and permanent teeth. Dental caries is a lifetime disease, and the highest priority risk group is between 6 and 12 years of age. Aims: The aim of the study was to evaluate the prevalence of dental caries in both primary and permanent dentition among the school-going children in Mahbubnagar district. Materials and Methods: A cross-sectional study was carried out in 2000 children in different areas of Mahbubnagar district in age group 6–12 years. The dental caries status was assessed by decayed, missing, and filled teeth (DMFT)/dmft index using the World Health Organization criteria 1997. Statistical Analysis: Collected data from each patient is subjected to statistical analysis to know the prevalence of dental caries. Results: Dental caries in both primary dentition and permanent dentition was 64.2% and 26.6%, respectively. The prevalence of dental caries in primary dentition was more in 7–8-year-old children and less in 11–12-year-old children (P > 0.05). Overall, mean dmft score of both males and females is 1.49 ± 1.56, the overall mean DMFT score of both males and females is 0.57 ± 1.23. Conclusion: The present study showed that the frequency of caries was found to be a higher in the Northern region of Mahbubnagar district. The dental caries was more in 7–8 years and less in 11–12 years children, whereas less in local villages of Mahbubnagar.
  13,658 881 -
REVIEW ARTICLES
Trauma from occlusion: The overstrain of the supporting structures of the teeth
Dhirendra Kumar Singh, Md Jalaluddin, Ranjan Rajeev
April-June 2017, 9(2):126-132
DOI:10.4103/IJDS.IJDS_21_16  
Any occlusal force which goes beyond the adaptive capacity of our periodontium causes injury to periodontal structures, and the resultant trauma is called as trauma from occlusion (TFO), several schools of thoughts are there that whether TFO is an etiological factor or cofactor for the occurrence of periodontal diseases. Present review paper is an effort to clear the actual concept of TFO along with its historical background, etiological factors, relevant terminologies, signs and symptoms, and advanced diagnostic methods.
  6,686 1,186 1
REVIEW ARTICLE
Platelet-rich fibrin or platelet-rich plasma – which one is better? an opinion
Shweta Bansal, Arun Garg, Richa Khurana, Parul Chhabra
September 2017, 9(5):49-52
DOI:10.4103/IJDS.IJDS_55_17  
The healing of hard and soft tissue in mediated by a wide range of intracellular and extracellular events that are regulated by signaling proteins. Platelets can play a crucial role in periodontal regeneration as they are the reservoirs of growth factors and cytokines which are the key factors for regeneration of bone and maturation of soft tissue. Platelet-rich plasma (PRP) is first generation platelet concentrate. However, the short duration of cytokine release and its poor mechanical properties have resulted in search of new material. Platelet-rich fibrin (PRF) is a natural fibrin-based biomaterial prepared from an anticoagulant-free blood harvest without any artificial biochemical modification (no bovine thrombin is required) that allows obtaining fibrin membranes enriched with platelets and growth factors. The slow polymerization during centrifugation, fibrin-based structure, ease of preparation, minimal expense makes PRF somewhat superior in some aspect to PRP.
  5,552 718 -
REVIEW ARTICLES
New dimensions in mechanical plaque control: An overview
Arnab Mandal, Dhirendra Kumar Singh, Humaira Siddiqui, Diptajit Das, Arka Kanti Dey
April-June 2017, 9(2):133-139
DOI:10.4103/IJDS.IJDS_18_17  
Plaque control is the daily removal of dental plaque, oral biofilm and also prevention of their accumulation on the teeth and other parts of oral cavity. Dental plaque is the major etiology of maximum gingival and periodontal diseases. It is also related with various dental problems. Mechanical plaque control is a very effective method to get rid of plaque accumulation in oral cavity. In 3000 BC there was the first toothbrush invented by human beings. With time several modifications came in toothbrushes to make mechanical plaque control more effective in day to day oral hygiene practice. This article emphasizes on the advanced and emerging tools in mechanical plaque control methods in attaining an optimal level of oral hygiene standards and maintenance of oral health.
  3,942 723 -
ORIGINAL ARTICLES
Gingival biotype assessment: Variations in gingival thickness with regard to age, gender, and arch location
Vipin Agarwal, Sunny , Nidhi Mehrotra, Vivek Vijay
January-March 2017, 9(1):12-15
DOI:10.4103/0976-4003.201639  
Background: An adequate width of the attached gingiva helps in maintaining esthetics and proper plaque control. A thin gingiva may lead to recession after trauma or surgical and inflammatory injuries, thus sufficient thickness of the attached gingiva is desirable. Studies have shown considerable intra- and inter-examiner variation in both width and thickness of attached gingiva, which might be due to the presence of different gingival biotypes present in the adult population. By ascertaining gingival thickness, we can diagnose periodontal diseases and plan a proper treatment which is important for a good prognosis. Aims: The aim of the study is to evaluate the variations in the thickness of gingiva with respect to age, gender, and location in the dental arch. Materials and Methods: A total of 90 (45 males and 45 females) periodontally healthy subjects were divided into three different age groups. These individuals were examined for their gingival thickness in the maxillary and mandibular arches. Results: It was observed that the thickness of gingiva significantly decreased with age in both the arches and was significantly higher in females than males. The maxillary arch had thicker gingiva as compared to mandibular arch. Conclusion: In the present study, we concluded that the thickness of the gingiva varies with age, gender, and arch location.
  3,971 421 -
REVIEW ARTICLES
Evolution of restorative dentistry from past to present
Harpreet Singh, Mandeep Kaur, Jaidev Singh Dhillon, Jagvinder Singh Mann, Amandeep Kumar
January-March 2017, 9(1):38-43
DOI:10.4103/0976-4003.201634  
The history of operative dentistry dates back to the era when Babylonians, Assyrians, and Egyptians (4500–4000 BC) were familiar with gold, and Etruscans and Phoenicians (2700 BC) were practising gold crowns. Since then, there have been numerous advances, developments, and researches which have proceeded continuously. These inventions have transformed the practice of operative dentistry into one which is more efficient and more comfortable for the patients as well as for the operating team. This article highlights the significant advancements in the field of operative dentistry which have occurred over a period of time and have helped us to serve our patients better.
  3,624 621 -
Vascular lesions of head and neck: A literature review
Nazia Masoom Syed
July-September 2016, 8(3):176-182
DOI:10.4103/0976-4003.191726  
Vascular lesions are among the most common congenital and neonatal abnormalities. These anomalies can occur throughout the whole body, with 60%, however, being located in the head and neck region probably due to its intricate vascular anatomy of region. There is a significant confusion in the literature because of the use of confusing descriptive terminology for the same vascular entity and eponyms. Correct naming of lesion, appropriate classification, and clinical appearance of vascular lesions have a direct impact on understanding of etiologies of these complex lesions, diagnosis, and in treating patients. Thus, the aim of this article is to provide comprehensive knowledge about classifications and to have an insight of various important vascular lesions affecting head and neck region based on its pathogenesis, clinical presentation, and management.
  3,199 793 1
ORIGINAL ARTICLES
Age-wise and gender-wise prevalence of oral habits in 7–16-year-old school children of Mewar ethnicity, India
Pradeep Vishnoi, Prabhuraj Kambalyal, Tarulatha Revanappa Shyagali, Deepak P Bhayya, Rutvik Trivedi, Jyoti Jingar
July-September 2017, 9(3):184-188
DOI:10.4103/IJDS.IJDS_33_17  
Objectives: The study aimed to check the age- and gender-wise prevalence of oral habits in the children of 7–16-year-old Indian children. Materials and Methods: A cross-sectional survey involving 1029 (661 males and 368 females) children of age 7–16 years was done to record the presence or absence of the oral habits with the aid of the anamnestic questionnaire. The recorded oral habits were tongue thrusting, thumb or digit sucking, mouth breathing, bruxism, lip biting or lip sucking, and nail biting. The collected data were subjected to Pearson's Chi-square statistical analysis to know the overall difference in the prevalence rate of different oral habits and to evaluate the gender- and age-wise difference in the prevalence of oral habits. Results: Oral habits were present in 594 participants (57.73%). The highest prevalence rate was registered for tongue thrusting habit (28.8%), which was followed by nail biting (201/19.5%) and thumb sucking (128/12.4%), mouth breathing (109/10.6%), lip biting (85/8.3%), and bruxism (29/2.8%). The male participants showed a greater prevalence rate for the oral habits than the female participants (58.55% vs. 56.25%). There was a significant difference in the age-wise prevalence of oral habits with older children showing greater prevalence of oral habits than the younger ones. Conclusion: The prevalence of oral habits in the current group of children is high. It warrants the need for the community-based educational preventive and interceptive programs to spread the awareness regarding the deleterious effects of these oral habits.
  3,569 233 -
REVIEW ARTICLES
Oral fluid-based biosensors: A novel method for rapid and noninvasive diagnosis
K Roja Lakshmi, Hasini Nelakurthi, A Sudarshan Kumar, Amrutha Rudraraju
January-March 2017, 9(1):60-66
DOI:10.4103/IJDS.IJDS_6_17  
In the recent times, chair-side/bed-side monitoring tests have gained importance over the routine laboratory tests as they are easier and faster to perform without requiring skilled personnel. Biosensors refer to such type of point-of-care devices that are developed to help in the early diagnosis, periodic monitoring, and treatment of disease. These devices utilize biological reactions for detecting and measuring a particular substance (analyte) of interest. Till date, blood has been the gold standard diagnostic fluid for various diseases. However, oral fluids such as saliva and gingival crevicular fluid offer advantages such as noninvasive collection of sample, smaller sample aliquots, easy storage and transportation, repeated sampling for monitoring over time, and greater sensitivity, making them an alternative clinical tool over serum and tissues for many biomedical diagnostic assays. This review highlights the use of oral fluid-based biosensors for diagnosis of caries, periodontitis, oral cancer, and various systemic diseases.
  3,114 618 1
REVIEW ARTICLE
An overview of caries risk assessment: Rationale, risk indicators, risk assessment methods, and risk-based caries management protocols
Ekta Singh Suneja, Bharat Suneja, Bhuvanesh Tandon, Nebu Ivan Philip
July-September 2017, 9(3):210-214
DOI:10.4103/IJDS.IJDS_49_17  
The paradigm shift in our understanding of the dynamic, multifactorial nature of dental caries and the resultant change in caries preventive and treatment strategies necessitates that caries risk assessment (CRA) should be an integral part of any caries management protocol. This review discusses the rationale for CRA and the role various risk indicators play in the fluctuating demineralization-remineralization cycle of dental caries. It also provides an overview of different CRA methods and a risk-based clinical protocol for dental caries management in infants and children.
  3,019 710 -
REVIEW ARTICLES
Smoking and its effect on periodontium – Revisited
Gurparkash Singh Chahal, Kamalpreet Chhina, Vipin Chhabra, Amna Chahal
January-March 2017, 9(1):44-51
DOI:10.4103/IJDS.IJDS_96_16  
Cigarette smoking represents a major preventable cause of human disease. Smokers have significantly elevated risks of all-cause mortality and developing a variety of pathological conditions. A direct causal relationship between smoking exposure and the prevalence and the severity of periodontal disease has been firmly established. Although the direct cause for periodontitis is oral bacterial infection, smoking is arguably the strongest behavioral risk factor for the incidence and progression of periodontitis. Smoking has a deleterious effect on all the aspects of periodontium. Smokers have been shown to respond less well to nonsurgical as well as surgical therapy than nonsmokers. Based on this evidence, dental health professionals should advise patients about tobacco's negative health effects as well as the benefits of quitting tobacco use, and tobacco cessation counseling should be a part of the armamentarium of the dental office.
  3,078 537 -
CASE REPORTS
Prosthetic rehabilitation of an amputated finger
Meenu Garg, Chetan Pathak, Sonal Batra Tangri, Amit Gupta
July-September 2016, 8(3):163-167
DOI:10.4103/0976-4003.191734  
Amputation of finger causes devastating physical, psychosocial, and economic damage to an individual. The concealment of an amputated part with the help of prosthesis can shield an amputee from social stigma. Prosthesis for such patient must be comfortable to wear lightweight, durable, cosmetically pleasing easy to put on and remove. The restoration of finger amputations depends on the amount of tissue involved, the involvement of bone, the angles and levels of amputation, and the involvement of other fingers. The microsurgical reimplantation helps to save many severely injured and traumatically amputed finger. The prosthetic rehabilitation of an amputated finger is considered when microvascular reconstruction is not possible, unavailable, unsuccessful, or unaffordable. Most accepted material is silicones because of their better esthetics, ease of manipulation, and availability. This paper presents prosthetic rehabilitation of index finger of the right hand with custom made silicon prosthesis.
  2,952 322 -
A fixed partial appliance approach towards treatment of anterior single tooth crossbite: Report of two cases
M Gawthaman, Patil Disha, V Mahesh Mathian, S Vinodh
April-June 2017, 9(2):119-121
DOI:10.4103/IJDS.IJDS_19_17  
Crossbite can be treated using both removable and fixed appliances. This paper describes the report of two cases by a method of treating anterior single tooth in crossbite which is locked out of arch form with a simple fixed partial appliance. Orthodontic treatment was initiated by creating space for the locked out incisor using open coil spring and further corrected using MBT brackets and nitinol archwire for alignment. Treatment goals were achieved, and esthetics and occlusion were maintained postoperatively. Treatment objectives were obtained within a short duration using this technique, and there was an improvement in patients' smile.
  2,924 328 -
REVIEW ARTICLES
Corticosteroids in dentistry
Rishu Bhanot, Jyoti Mago
October-December 2016, 8(4):252-254
DOI:10.4103/0976-4003.196814  
Steroids are one of the widely used drugs in dentistry. These are immunosuppressive agents. The reason for its use is its anti-inflammatory as well as immunosuppressive properties. Corticosteroids have revolutionized the management of several disabling conditions, but its use in term of dosage is inappropriate. The current review highlights its uses, contraindications, side-effects as well as a guideline for its use in dentistry.
  2,361 356 -
ORIGINAL ARTICLES
Comparison of nonsurgical periodontal therapy with hand scaler, conventional ultrasonic scaler, and vector™ ultrasonic system in patients with generalized chronic periodontitis
Ashutosh Nirola, Priyanka Batra, Sharanbir Kaur
October-December 2016, 8(4):226-232
DOI:10.4103/0976-4003.196813  
Background: The purpose of the study was to compare clinical efficacy of nonsurgical periodontal therapy with hand scaler, conventional ultrasonic scaler, and Vector ultrasonic system in patients with generalized chronic periodontitis. Materials and Methods: Sixty patients with generalized chronic periodontitis fitting the inclusion and exclusion criteria were assigned to one of the three treatment groups (n = 20 in each group). Group I – hand scalers, Group II – conventional ultrasonic scalers, and Group III – Vector™ ultrasonic system. Before oral prophylaxis, clinical parameters (gingival index [GI], plaque index [PI], calculus index [CI], periodontal probing depth [PPD], clinical attachment loss [CAL], and hypersensitivity) were recorded. GI, PI, CI, and hypersensitivity were reevaluated at 1, 3, 6 and 12 weeks. PPD and CAL were reevaluated at 6 and 12 weeks. Results and Conclusion: The results showed that nonsurgical therapy with Vector ultrasonic system is clinically comparable in all the parameters, to hand and conventional ultrasonic scalers, suggesting that it can be used as a gentle root debridement device for supportive periodontal therapy, as an alternative to other ultrasonic or sonic scalers.
  1,951 327 1
REVIEW ARTICLES
Infant oral health care: An invaluable clinical intervention
Kanika Singh Dhull, MD Indira, Rachita Singh Dhull, Bhavya Sawhney
July-September 2016, 8(3):183-186
DOI:10.4103/0976-4003.191736  
Dental assessments and evaluations for children during their 1st year of life have been recommended by the American Academy of Pediatric Dentistry and the American Association of Pediatrics. Early dental intervention evaluates a child's risk status based on parental interviews and oral examinations. These early screenings present an opportunity to educate parents about the medical, dental, and cost benefits of preventive rather than restorative care and may be more effective in reducing early childhood caries than traditional infectious disease models. A comprehensive infant oral care program includes: (1) risk assessments at regularly scheduled dental visits, (2) preventive treatments such as fluoride varnishes or sealants, (3) parental education on the correct methods to clean the baby's mouth, and (4) establishment of dental home and use of anticipatory guidance. The present article highlights the important guidelines of infant oral health care.
  1,764 401 -
ORIGINAL ARTICLES
Comparative evaluation of fracture resistance of endodontically treated teeth with epoxy resin-based sealers AH plus and mineral trioxide aggregate fillapex: An in vitro study
Anika Mittal, Shifali Dadu, Paridhi Garg, Bidya Yendrembam, Anju Abraham, Kulshrest Singh
January-March 2017, 9(1):8-11
DOI:10.4103/IJDS.IJDS_83_16  
Aim: This study aims to evaluate and compare the fracture resistance of endodontically treated teeth obturated with gutta-percha using two sealers, AH Plus, and mineral trioxide aggregate (MTA) Fillapex. Materials and Methods: Twenty single-rooted mandibular premolars, decoronated at cementoenamel junction, were divided into two groups (n = 10 each). Cleaning and shaping of root canals were done using ProTaper rotary files and 3% sodium hypochlorite irrigation. Obturation was done using sealers, AH Plus (Dentsply, Germany) in Group 1 and MTA Fillapex (Angeles, Brazil) in Group 2 and gutta-percha. The teeth were subjected to vertical loading using a universal testing machine, and the readings were recorded at the point at which fracture of the roots occurred. The data were subjected to statistical analysis followed by pairwise comparison using Tukey's post hoc test. Results: According to the study, it was found that AH Plus showed better fracture resistance than MTA Fillapex. Statistically, no significant difference was found between the two groups. Conclusion: AH Plus and MTA Fillapex gave comparable results as root canal sealers.
  1,893 271 -
Evaluation of the mechanical properties of high impact denture base resin with different polymer to monomer ratios: An In vitro study
Sheen Juneja Arora, Aman Arora, Viram Upadhyaya, Aditi Goyal
April-June 2017, 9(2):67-72
DOI:10.4103/IJDS.IJDS_26_17  
Aim: This study aims to evaluate the flexural strength, hardness, and impact strength of heat-cured high-impact denture base resins with different polymer/monomer ratios. Materials and Methods: A total of 150 acrylic samples were prepared using high impact denture base resin (Travelon Hi). The samples were divided into five groups based on different powder/liquid ratios (g/ml) with 30 samples in each group. The P/L ratio in Group 1 (Ratio - 2.2:1) was the manufacturer's recommended ratio and was used as control. In Group 2, the ratio was 2.7:1, in Group 3, the ratio was 3.2:1, in Group 4, the ratio was 1.9:1, and Group 5 the ratio was 1.6:1. Each group with 30 samples was further subdivided into three different subgroups comprising 10 samples each, based on the properties to be evaluated, i.e., for flexural strength, hardness, and impact strength evaluation. The samples were tested for flexural strength, Vicker's hardness number (VHN) and impact strength. One-way ANOVA including post hoc-Tukey's tests was used to calculate the difference of means for quantitative variables and for intergroup comparison as well. Results: The results showed that the flexural strength values and VHN values showed a similar trend. The values decreased significantly as the ratio was increased or decreased from the control group. The results also showed that there was nonsignificant difference between the mean impact strength values for all the groups. Conclusion: For reinforced resins or high impact resins, the manufacturer's recommended polymer/monomer mixing ratio should be used to obtain the appropriate strength of the material.
  1,611 294 -
CASE REPORT
Bilateral buccal exostosis evaluated by cone-beam computed tomography: A rare accidental finding
Humaira Siddiqui, Dhirendra Kumar Singh, Silpiranjan Mishra, Arnab Mandal
January-March 2017, 9(1):34-37
DOI:10.4103/IJDS.IJDS_95_16  
Buccal exostoses are broad-based, non-malignant surface growth occurring on the outer or facial surface of the maxilla and/or mandible, found usually in the premolar and molar region. Etiology is still not established, but it has been suggested that the bony overgrowth can be because of abnormally increased masticatory forces to the teeth. Compensatory response to periodontal disease has been proposed to explain some cases of exostoses; they tend to appear in early adolescence and may very slowly increase in size with time. They are painless, self-limiting and may increase patient concern about poor esthetics, inability to perform oral hygiene procedures, and compromised periodontal health by causing food lodgment. The following article presents a very rare case of bilateral buccal-sided maxillary and mandibular exostoses in the anterior region which was an accidental finding in a chronic generalized periodontitis patient.
  1,738 150 -
ORIGINAL ARTICLES
An in vitro study: Evaluation of intracanal calcium hydroxide removal with different file systems
Atul Jain, Nakul Patidar, Neeraj Nigam, Kanchan Bhadoria, Bharat Choudhary
January-March 2017, 9(1):26-29
DOI:10.4103/0976-4003.201633  
Background: Calcium hydroxide (Ca(OH)2) is the most commonly used intracanal material; it needs to be removed in entirety before obturation. Several techniques have been used for the same including use of various hand and rotary files. Aim: This study was carried out to compare the efficacy of Hand K files and single and multiple rotary file system in removal of Ca(OH)2. Methodology: Distobuccal root of 45 maxillary molars were selected on the basis of specified inclusion and exclusion criteria. They were divided into three groups - Group 1 (H and K file), Group 2 (HERO Shaper), and Group 3 (One Shape). Biomechanical preparation (BMP) was carried out as per the manufacturer's instructions; 2.5% sodium hypochlorite was used as the irrigant and 17% ethylenediaminetetraacetic acid as the penultimate irrigant. Ca(OH)2powder was mixed with normal saline to obtain a paste; canals were filled with this paste using a Lentulo spiral and were sealed. After 7 days, Ca(OH)2was removed, using the same file system as that used for BMP. Samples were sectioned longitudinally and evaluated under a stereomicroscope. Statistical Analysis: Statistical analysis of the obtained data was carried out using one-way analysis of variance test. Results: HERO Shaper displayed better removal of Ca(OH)2than One Shape and Hand K file. Moreover, removal was better in the middle third of canal than apical third. Conclusion: Multiple rotary file system (HERO Shaper) is more effective in removal of Ca(OH)2than the single file system (One Shape)
  1,666 203 -
Comparison of efficacy of three different mouthwashes in reducing aerosol contamination produced by ultrasonic scaler: A pilot study
Shivam Yadav, Shubham Kumar, Pratima Srivastava, Krishna Kumar Gupta, Jagriti Gupta, Yasir Shahab Khan
January-March 2018, 10(1):6-10
DOI:10.4103/IJDS.IJDS_103_17  
Background and Objective: Aerosol produced during the procedure of scaling and root planing is a potent source of infection. Preprocedural mouthrinsing has been found effective in reducing the bacterial load of the aerosol produced during the procedure. Thus, the aim of the present study was to evaluate and compare the efficacy of three different mouthwashes containing Chlorhexidine, Essential Oils & Herbal Extracts by using them as preprocedural rinsing agent in reducing the bacterial load of the aerosol produced by ultrasonic scaler. Material and Methodology: 40 subjects age and gender matched were randomly divided into four groups on the basis of agents used for preprocedural mouthrinsing - Group I: Distilled Water (Control), Group II: Chlorhexidine (CHX), Group III: Herbal Extracts (HR) & Group IV: Essential Oils (EO). The aerosols were collected on three previously prepared and sterilised blood agar plates at three different positions in the operatory. The colony forming units were counted after incubating the plates for 48 hours. Result: At all locations, the mean CFU was highest in Group I followed by Group III, Group IV and Group II. Conclusion: In the study 0.2 % chlorhexidine was found to be most effective preprocedural mouthwash in reducing the bacterial load in the aerosol produced during ultrasonic scaling followed by essential oil and herbal mouthwash respectively.
  1,518 273 -
Effects of topical application of Curcuma longa extract in the treatment of early periodontal diseases
Vikrant Sharma, Devinder Singh Kalsi
July-September 2016, 8(3):118-123
DOI:10.4103/0976-4003.191725  
Background: Treatment of plaque-induced periodontal disease is largely based on the mechanical debridement of the tooth surface and meticulous maintenance of oral hygiene thereafter. Various chemical plaque control agents are used as adjuncts along with the mechanical plaque control methods for this treatment. Most of these chemical plaque control agents have varied side effects. This has led to the search of natural products which are highly effective in controlling plaque microbes while being biocompatible. Turmeric is one such well-known plant product, known for its varied medicinal value. Aim: The aim of this study is to evaluate the clinical efficacy of Curcuma longa oral formulation in treatment of infective inflammatory early periodontal diseases. Materials and Methods: This clinical study comprised twenty individuals presenting with clinical features of plaque-induced gingivitis and mild periodontitis. Three groups were randomly made in mouth of each patient selected for the study. Group I was treated with scaling and root planing (SCRP) only. Group II was treated with SCRP plus C. longa oral formulation topical application for 2 weeks. Group III was treated only with topical application of C. longa extract oral formulation for 2 weeks. Gingival index, sulcus bleeding index, and plaque index were scored in each group before and after the treatment. Results: The results showed statistically significant improvement with respect to all the clinical parameters in all the three groups. However, Group II showed the maximum improvement (P < 0.001), followed by Group I (P < 0.001) and Group III (P < 0.05). The intergroup difference between the three groups for the improvements in clinical parameters was statistically nonsignificant. Conclusion: The oral formulation containing C. longa extract is effective in treating early infective-inflammatory periodontal diseases not only when used as an adjunct to SCRP but also when used alone.
  1,436 308 -
CASE REPORTS
Rehabilitation of failing dentition with interim immediate denture prosthesis
Amit Sharma, Divia Chugh, Bhavika Sachdeva, Manish Sen Kinra
July-September 2016, 8(3):168-171
DOI:10.4103/0976-4003.191724  
Advances in therapy have helped patients with periodontal disease to retain part of their natural dentition for an extended period. These patients can be well served by properly designed removable partial dentures. For the patient facing the loss of all his/her remaining natural teeth, there are three treatment options. One is for the patient to have all remaining teeth extracted and wait for 6–8 weeks for the extraction sites to heal. The conventional complete denture is made following healing, leaving the patient without teeth not only during the healing phase but also during the time required for the fabrication of the conventional complete denture. A second option is to convert an existing removable partial denture into an interim immediate complete denture. A third option is to make a conventional immediate complete denture. The aim of this clinical report was to describe the fabrication of interim immediate denture in a patient with hopeless existing dentition.
  1,434 267 -
REVIEW ARTICLES
Autogenous tooth bone graft: Ingenious bone regeneration material
Chadalavada Sarala, Meghna Chauhan, P Sathyamurthy Sandhya, CH Dharmendra, Nirban Mitra
January-March 2018, 10(1):56-59
DOI:10.4103/IJDS.IJDS_129_17  
Tooth-derived bone graft material, which is proved to be rich in bone growth factors and bone morphogenic proteins (BMPs), have been becoming a practical substitute to bone grafting. It can also be used as a carrier for growth factors and stem cells as reported in many recent studies. Autogenous-tooth bone grafting technique is significant as this biomaterial has excellent bone regeneration capacity and also relatively non-existent chances of antigenicity, genetic diseases and disease transmission. In this article, a broad overview of the published findings with regard to the properties and uses of tooth-derived regenerative bone grafting is discussed.
  1,357 286 -