rinkee mohanty - Academia.edu (original) (raw)

Papers by rinkee mohanty

Journal of the California Dental Association, Sep 1, 2012

Localized growths are commonly seen on the gingiva. Many of these enlargements are considered to ... more Localized growths are commonly seen on the gingiva. Many of these enlargements are considered to be reactive rather than neoplastic in nature. Clinically differentiating one from the other as a specific entity is often not possible. Histopathologic examination is needed in order to positively identify the lesion. The peripheral ossifying fibroma is one such lesion. We report in this study, the clinical report of a 20-yr-old male patient with a peripheral ossifying fibroma in the maxilla exhibiting significant size with the disease duration of 1 year. The signs of recurrence in spite of thorough excision and debridement exposed the need for further study of the causes of recurrence and possible modes to avoid the situation. Clinical, radiographical and histological characteristics are discussed and recommendations regarding treatment and followup are provided.

RSBO

Probiotics represent an area in which bacterial interaction with the hosts is being put to practi... more Probiotics represent an area in which bacterial interaction with the hosts is being put to practical and therapeutic use. The mechanism of action of probiotics is related to its ability to compete with pathogenic microorganisms for adhesion sites, to antagonize these pathogens or to modulate the host’s immune response. Therefore, changing the actual composition of plaque from an inflammatory cytokine-rich environment to a more benign environment dominated by neutral or even helpful organisms can contribute to overall systemic health. Objective: This non systematic review summarizes the currently available data on the potential benefits of probiotics for periodontal health. Literature review: Current and relevant references were selected in order to summarize the studies conducted so far on probiotics in preventing and treating oral infections. Conclusion: Probiotics as a treatment modality deserves to be explored further with long term studies with specific focus on its role in prev...

Biomolecules

Naturally sourced products like propolis are commonly employed for the non-surgical treatment of ... more Naturally sourced products like propolis are commonly employed for the non-surgical treatment of periodontal pockets. The use of nanoparticle formulations of these natural remedies has the potential to improve treatment outcomes. The aim of the present study was to evaluate the efficacy of sub-gingivally delivered propolis nanoparticles in the non-surgical management of periodontal pockets. Forty patients diagnosed with periodontitis presenting at least one periodontal pocket with a probing pocket depth between 4 and 6 mm were selected. Patients were randomly assigned into the control group (n = 20), which received scaling and root planing (SRP) and saline (SRP + Saline), and the test group (n = 20), which received SRP and sub-gingivally delivered propolis nanoparticles (PRO) into the periodontal pocket (SRP + PRO). The clinical parameters recorded were plaque index (PI), gingival index (GI), relative attachment loss (RAL), probing pocket depth (PPD), and bleeding on probing (BOP). ...

Journal of Indian Society of Periodontology

Indian Journal of Forensic Medicine & Toxicology

To assess the anti-plaque, anti-inflammatory and antimicrobial efficacy of Myrrh oil as an adjunc... more To assess the anti-plaque, anti-inflammatory and antimicrobial efficacy of Myrrh oil as an adjunct to scaling and root planing in the treatment of gingival inflammation. Materials and Methods: Subjects with moderate to severe gingivitis were recruited for this parallel arm, double blind randomized controlled trial. All subjects underwent SRP at baseline and were randomly divided into Group A (placebo control) and Group B (Myrrh oil). Plaque index (PI), gingival index (GI) and microbiological analysis was carried out at baseline, 48 hrs and 1week interval Results: Thirty subjects completed the study. Myrrh oil showed anti-inflammatory and antibacterial efficacy. There were no statistically significant differences between the groups with respect to plaque score at baseline (p=0.25), after 48 hours (p=0.16) and after 1 week (p=0.37). There was a significantly lower gingival inflammation (p=0.02) recorded in the Myrrh oil group after 48 hrs. A greater reduction in inflammation from baseline at 48hrs was observed, although there was no statistically significant difference in gingival inflammation between the groups after1 week (p=0.39). A significantly greater number of fields were observed with score 1 and lesser number of fields with 2 for gram +ve (p<0.001) and gram -ve (p=0.002) bacteria in Myrrh Oil group indicating overall lesser gram +ve and Gram -ve bacterial count in comparison to commercially available Myrrh oil. No adverse effects were reported by any subject. Conclusion: Myrrh oil when used as an adjunct with scaling and root planning significantly reduced the gingival inflammation in 48 hrs and gram-ve bacteria after 1 week.

Indian Journal of Forensic Medicine & Toxicology, 2020

Periodontal disease isprevalent each in advanced and growing nations and affect about 20-50% of t... more Periodontal disease isprevalent each in advanced and growing nations and affect about 20-50% of the worldpopulation. Several hazard factors inclusive of smoking,heredity,diabetes,bad oral hygiene,age,pressureand medication which is related to periodontal illness. The devaluation inside occurrence and popularityof periodontitis can decrease its correlated fundamental illness and diminish their economic impact onhealth care systems. Periodontitisis one of the most important diseases which is chronic and leads to deathand disability worldwide. The speediest increase in the hardship of the chronic disease is acquiring in thegrowing nations.

Journal of Functional Biomaterials

Background: To evaluate the effectiveness of hyaluronic acid (HA) gel injection with and without ... more Background: To evaluate the effectiveness of hyaluronic acid (HA) gel injection with and without plasma rich in growth factors (PRGF) for the management of interdental papillary loss. Methods: A single blinded randomized clinical trial was carried out on 21 subjects with 34 sites. Patients within the age group 18–45 years who had Class I and II papillary recession in the maxillary anterior region were selected. The sites involved were randomly assigned to Group HA alone and Group HA + PRGF. The patients were recalled 4 weeks after receiving supragingival and subgingival instrumentation. HA or HA + PRGF was injected into the defective papilla at baseline and at 3 and 6 weeks. Image based measurements of Papillary Width (PW), Papillary Deficient Height (PDH), Deficient Area (DA), Deficient Volume (DV) were registered at baseline, 3 weeks, 6 weeks and 12 weeks. A vernier caliper was used to measure the papillary depth in the impression made using additional silicone impression material...

Journal of Indian Society of Periodontology, 2010

Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that cau... more Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. Both genetically and pharmacologically induced forms of gingival enlargement exist. This case report addresses the diagnosis and treatment of a case of idiopathic gingival enlargement in a 13-year-old female. The patient presented with generalized diffuse gingival enlargement involving the maxillary and mandibular arches extending on buccal and lingual/palatal surfaces and covering incisal / occlusal third of the tooth resulting in difficulty in speech and mastication since last three years. Patient also gave a history of surgical treatment being carried out four years back in upper anterior region suggesting of recurrence. Biopsy report confirmed the diagnosis of gingival hyperplasia. Gingivectomy was carried out in all four quadrants by using four different methods.

Journal of Clinical Medicine

A lot of modalities for assessing implant stability are available for clinicians, but they fail t... more A lot of modalities for assessing implant stability are available for clinicians, but they fail to assess trabecular changes as they are solely dependent on the operator’s skills. The use of Fractal Dimension (FD) has evolved to be used as a measure for trabecular changes depicting implant stability before and after implant placement. The objective of this systematic review was to qualitatively analyse the available scientific literature describing the use of FD as a tool to measure implant stability on the basis of trabecular changes. An electronic search in PubMed, Web of Science and Scopus was carried out using relevant keywords, such as: fractal dimension; fractal analysis; dental implants; implant stability; osseointegration, etc. Studies reporting the use of FD as a tool to measure implant stability were included and subjected to qualitative analysis using ROBINS-I and Cochrane risk of bias assessment criteria. Fourteen studies were included in this review. Results showed that...

Applied Sciences

The adjunctive use of GTR membranes helps us to achieve predictable periodontal regeneration. The... more The adjunctive use of GTR membranes helps us to achieve predictable periodontal regeneration. The aim of this systematic review was to evaluate and compare the treatment efficacy of resorbable versus non-resorbable barrier membranes used in guided tissue regeneration in the treatment of intrabony defects in chronic periodontitis patients. The following databases were searched: Medline, the Cochrane Central Register of Controlled Trails (CENTRAL), SCOPUS, EMBASE. Randomized clinical trials (RCTs) published in English languages over the past 25 years were included. The primary outcomes assessed were: change of probing pocket depth (PD), change in clinical attachment level (CAL) and gingival recession coverage (GRC), and intrabony defect fill (IBDF). A total of eight RCTs were included for systematic review. The outcome of GR at a six-month interval revealed a significant difference in treatment effect with a mean difference of 0.42, 95% CI [0.02, 0.81]; Z = 2.09, (p = 0.04) favouring ...

Indian Journal of Public Health Research & Development, 2018

Indian Journal of Forensic Medicine & Toxicology, 2020

Intraoperative or postoperative bleeding during any periodontal surgical procedure can to some se... more Intraoperative or postoperative bleeding during any periodontal surgical procedure can to some seriouscomplications. Difficulties related to bleeding can be seen in both healthy individuals as well as bleedingdisorder patients, any systemic complications and patients under anticoagulant drug therapy. Having aclear perspective about the preventive measures to be taken to control the profuse bleeding is a must fora practitioner. The purpose of the literature review is to discuss the administration of different types ofhemostatic agents available for controlling bleeding.

Journal of biological regulators and homeostatic agents, 2021

In the last decades, the presence of peri-implant diseases (PD) has increased. One of the therapi... more In the last decades, the presence of peri-implant diseases (PD) has increased. One of the therapies currently used is probiotics with Lactobacillus reuteri (LR). The aim of this article is to determinate, through a systematic review and meta-analysis, the clinical effectiveness of LR in the treatment of PD. We searched the literature until January 2021, in the biomedical databases: Pubmed, Embase, Scielo, Science Direct, Scopus, SIGLE, LILACS, Google Scholar and Cochrane Central Registry of Clinical Trials. The selection criteria of the studies were: randomized controlled clinical trials, without language and time restriction, reporting the clinical effects (depth to probing, plaque index and bleeding index) of the LR in the PD treatment. The risk of study bias was analyzed through the Cochrane tool for randomized studies using Review Manager software. The search strategy resulted in 6 articles of which four investigated peri-implantitis and three peri-implant mucositis. All studies...

Journal of biological regulators and homeostatic agents, 2021

Grape seed extract (GSE), a naturally producing polyphenolic compound, is found to be a potent ho... more Grape seed extract (GSE), a naturally producing polyphenolic compound, is found to be a potent hostmodulatory agent and considered for management of periodontal disease. Its anti-bacterial, antioxidant, and anti-inflammatory property may aid in achieving periodontal health. To assess the clinical efficacy of GSE in adjunct to scaling and root planing (SRP) in healing of periodontal pockets. The present study was a longitudinal, parallel design, randomized clinical trial. Seventy-two patients (mean age 39.2±8.6 years) with periodontal pockets were randomly divided into two groups; Test group received intra-pocket delivery of GSE with SRP and Control group received SRP alone. The clinical parameters like Plaque Index (PI), Gingival Index (GI), Probing Depth (PD) and Relative Attachment Level (RAL) were recorded at baseline and 3 months. 64 patients completed the study. Test group at the end of 3 months had statistically significant reduced PD (p=0.002) and RAL (p=0.01). No significant...

Journal of Dental and Allied Sciences, 2016

Background: Aloe vera is known for its wound healing and anti-inflammatory properties which may b... more Background: Aloe vera is known for its wound healing and anti-inflammatory properties which may be used for periodontal healing. Early healing of the gingival and periodontal wounds promotes the favorable treatment outcome. Aim: To evaluate the efficacy of Aloe vera on wound healing following periodontal flap surgery. Materials and Methods: Fifteen patients with chronic periodontitis requiring periodontal flap surgery were included in this double-blinded, split mouth, randomized, and controlled clinical trial. Sixty interproximal sites were divided into test and control groups. The test sites received an application of fresh Aloe vera extract postoperatively. Postoperative healing was assessed using early healing index (EHI) after the first week and HI after first, second, and third weeks following therapy by a blinded examiner. Results: All patients completed the study (nine male and six female, age range: 30–50 [34.15 ± 3.46] years). Better healing was observed in test sites in comparison to control sites in the first postoperative week as recorded by EHI (P < 0.001) and HI (P = 0.02). However, there were no significant differences between the test and control sites in the second (P = 0.10) and third (P = 0.53) weeks. Conclusion: The application of fresh Aloe vera extract was effective in significantly improving healing scores in the first postoperative week.

Indian Journal of Forensic Medicine & Toxicology, 2020

Implants have become an integral part of dentistry today and are widely being used for the replac... more Implants have become an integral part of dentistry today and are widely being used for the replacement of missing teeth. A considerable amount of advancements has come in Implant dentistry including the quality of material, surface coatings and processes, and the surgical techniques as well. This review will deal with the implant surface design and its characteristics which have been done till now to enhance the implant-bone contact resulting in better osseointegration and subsequent long-term success of dental implants.

Cases described here discuss interdisciplinary (periodontal and behavioral) approach in the manag... more Cases described here discuss interdisciplinary (periodontal and behavioral) approach in the management of rare and difficult to diagnose self-inflicted injuries of gingiva such as gingivitis artefacta major. Self-inflicted injuries to the gingiva are rare and their management by periodontal therapy alone is inadequate. Proper management of this condition requires early detection and effective psychological treatment through behavioral therapy in addition to the treatment of dental lesion. Three male patients in their twenties presented with traumatic injuries of gingiva with history of self-injury and underlying emotional disturbances. Following basic periodontal intervention, their self-inflicting behavior was confirmed on psychiatric consultation. All of them underwent cognitive behavior therapy and were able to successfully curb their self-inflicting behavior prior to any definitive dental procedures. These cases illustrate the essentiality of behavioral intervention in addition ...

Journal of Forensic Medicine, 2020

The need of the hour is an accurate and timely diagnosis for an effective treatment plan to cure ... more The need of the hour is an accurate and timely diagnosis for an effective treatment plan to cure or eliminatethe disease. Clinical measurements, traditionally available, have their limitations in helping diagnose an“active” disease. Hence, novel chairside diagnostic kits are essential to detect active disease, predict itsprogression and help in the evaluation of response, of a patient, to therapy, thereby aiding in the managementof periodontal patients. This review article, therefore, discusses the various chairside diagnostic aids availableto aid Periodontists, in diagnosing and treating periodontal patients.

Indian Journal of Forensic Medicine & Toxicology, 2021

Extraction of teeth leads to loss of alveolar bone in several patterns. The bone loss can occur i... more Extraction of teeth leads to loss of alveolar bone in several patterns. The bone loss can occur in a horizontalor vertical direction or a combination of both. Horizontal ridge width deficiency possesses a challenge for theclinician to obtain primary stability during loading and there is risk of fracture of bone segment. Thereforedifferent techniques have been described to gain the ridge width. One of the techniques used is ridge splittechnique which was first described by Simion et al in 1992. It is a technique of bone manipulation in sucha way that it becomes a site for implant placement without removing any bone. Various types of techniqueslike 3 staged approach, one staged approach etc are described for various sites and situation that help inobtaining an adequate width for loading. This article specifically deals with the different types of ridge splittechniques and its description in a simplified manner.

Orthodontic therapy is a combination of process which is related to move the malalligned teeth by... more Orthodontic therapy is a combination of process which is related to move the malalligned teeth by correctingits position. There have been many dental cases where orthodontic tooth movement is assisted by periodontaltherapy and also the periodontal condition is improved by orthodontic therapy. This interdisciplinaryapproach is a symbiotic relation between the two. This review highlights the various orthodontic therapiesrequiring periodontal therapy for better outcome and vice-versa. Harmonious cooperation between theperiodontist and orthodontist would provide satisfactory outcome for the combined orthodontic periodontalproblems. The knowledge of this approach in the field of dentistry would help clinicians’ decide a betteroutcome in patient’s favour.

Journal of the California Dental Association, Sep 1, 2012

Localized growths are commonly seen on the gingiva. Many of these enlargements are considered to ... more Localized growths are commonly seen on the gingiva. Many of these enlargements are considered to be reactive rather than neoplastic in nature. Clinically differentiating one from the other as a specific entity is often not possible. Histopathologic examination is needed in order to positively identify the lesion. The peripheral ossifying fibroma is one such lesion. We report in this study, the clinical report of a 20-yr-old male patient with a peripheral ossifying fibroma in the maxilla exhibiting significant size with the disease duration of 1 year. The signs of recurrence in spite of thorough excision and debridement exposed the need for further study of the causes of recurrence and possible modes to avoid the situation. Clinical, radiographical and histological characteristics are discussed and recommendations regarding treatment and followup are provided.

RSBO

Probiotics represent an area in which bacterial interaction with the hosts is being put to practi... more Probiotics represent an area in which bacterial interaction with the hosts is being put to practical and therapeutic use. The mechanism of action of probiotics is related to its ability to compete with pathogenic microorganisms for adhesion sites, to antagonize these pathogens or to modulate the host’s immune response. Therefore, changing the actual composition of plaque from an inflammatory cytokine-rich environment to a more benign environment dominated by neutral or even helpful organisms can contribute to overall systemic health. Objective: This non systematic review summarizes the currently available data on the potential benefits of probiotics for periodontal health. Literature review: Current and relevant references were selected in order to summarize the studies conducted so far on probiotics in preventing and treating oral infections. Conclusion: Probiotics as a treatment modality deserves to be explored further with long term studies with specific focus on its role in prev...

Biomolecules

Naturally sourced products like propolis are commonly employed for the non-surgical treatment of ... more Naturally sourced products like propolis are commonly employed for the non-surgical treatment of periodontal pockets. The use of nanoparticle formulations of these natural remedies has the potential to improve treatment outcomes. The aim of the present study was to evaluate the efficacy of sub-gingivally delivered propolis nanoparticles in the non-surgical management of periodontal pockets. Forty patients diagnosed with periodontitis presenting at least one periodontal pocket with a probing pocket depth between 4 and 6 mm were selected. Patients were randomly assigned into the control group (n = 20), which received scaling and root planing (SRP) and saline (SRP + Saline), and the test group (n = 20), which received SRP and sub-gingivally delivered propolis nanoparticles (PRO) into the periodontal pocket (SRP + PRO). The clinical parameters recorded were plaque index (PI), gingival index (GI), relative attachment loss (RAL), probing pocket depth (PPD), and bleeding on probing (BOP). ...

Journal of Indian Society of Periodontology

Indian Journal of Forensic Medicine & Toxicology

To assess the anti-plaque, anti-inflammatory and antimicrobial efficacy of Myrrh oil as an adjunc... more To assess the anti-plaque, anti-inflammatory and antimicrobial efficacy of Myrrh oil as an adjunct to scaling and root planing in the treatment of gingival inflammation. Materials and Methods: Subjects with moderate to severe gingivitis were recruited for this parallel arm, double blind randomized controlled trial. All subjects underwent SRP at baseline and were randomly divided into Group A (placebo control) and Group B (Myrrh oil). Plaque index (PI), gingival index (GI) and microbiological analysis was carried out at baseline, 48 hrs and 1week interval Results: Thirty subjects completed the study. Myrrh oil showed anti-inflammatory and antibacterial efficacy. There were no statistically significant differences between the groups with respect to plaque score at baseline (p=0.25), after 48 hours (p=0.16) and after 1 week (p=0.37). There was a significantly lower gingival inflammation (p=0.02) recorded in the Myrrh oil group after 48 hrs. A greater reduction in inflammation from baseline at 48hrs was observed, although there was no statistically significant difference in gingival inflammation between the groups after1 week (p=0.39). A significantly greater number of fields were observed with score 1 and lesser number of fields with 2 for gram +ve (p<0.001) and gram -ve (p=0.002) bacteria in Myrrh Oil group indicating overall lesser gram +ve and Gram -ve bacterial count in comparison to commercially available Myrrh oil. No adverse effects were reported by any subject. Conclusion: Myrrh oil when used as an adjunct with scaling and root planning significantly reduced the gingival inflammation in 48 hrs and gram-ve bacteria after 1 week.

Indian Journal of Forensic Medicine & Toxicology, 2020

Periodontal disease isprevalent each in advanced and growing nations and affect about 20-50% of t... more Periodontal disease isprevalent each in advanced and growing nations and affect about 20-50% of the worldpopulation. Several hazard factors inclusive of smoking,heredity,diabetes,bad oral hygiene,age,pressureand medication which is related to periodontal illness. The devaluation inside occurrence and popularityof periodontitis can decrease its correlated fundamental illness and diminish their economic impact onhealth care systems. Periodontitisis one of the most important diseases which is chronic and leads to deathand disability worldwide. The speediest increase in the hardship of the chronic disease is acquiring in thegrowing nations.

Journal of Functional Biomaterials

Background: To evaluate the effectiveness of hyaluronic acid (HA) gel injection with and without ... more Background: To evaluate the effectiveness of hyaluronic acid (HA) gel injection with and without plasma rich in growth factors (PRGF) for the management of interdental papillary loss. Methods: A single blinded randomized clinical trial was carried out on 21 subjects with 34 sites. Patients within the age group 18–45 years who had Class I and II papillary recession in the maxillary anterior region were selected. The sites involved were randomly assigned to Group HA alone and Group HA + PRGF. The patients were recalled 4 weeks after receiving supragingival and subgingival instrumentation. HA or HA + PRGF was injected into the defective papilla at baseline and at 3 and 6 weeks. Image based measurements of Papillary Width (PW), Papillary Deficient Height (PDH), Deficient Area (DA), Deficient Volume (DV) were registered at baseline, 3 weeks, 6 weeks and 12 weeks. A vernier caliper was used to measure the papillary depth in the impression made using additional silicone impression material...

Journal of Indian Society of Periodontology, 2010

Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that cau... more Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. Both genetically and pharmacologically induced forms of gingival enlargement exist. This case report addresses the diagnosis and treatment of a case of idiopathic gingival enlargement in a 13-year-old female. The patient presented with generalized diffuse gingival enlargement involving the maxillary and mandibular arches extending on buccal and lingual/palatal surfaces and covering incisal / occlusal third of the tooth resulting in difficulty in speech and mastication since last three years. Patient also gave a history of surgical treatment being carried out four years back in upper anterior region suggesting of recurrence. Biopsy report confirmed the diagnosis of gingival hyperplasia. Gingivectomy was carried out in all four quadrants by using four different methods.

Journal of Clinical Medicine

A lot of modalities for assessing implant stability are available for clinicians, but they fail t... more A lot of modalities for assessing implant stability are available for clinicians, but they fail to assess trabecular changes as they are solely dependent on the operator’s skills. The use of Fractal Dimension (FD) has evolved to be used as a measure for trabecular changes depicting implant stability before and after implant placement. The objective of this systematic review was to qualitatively analyse the available scientific literature describing the use of FD as a tool to measure implant stability on the basis of trabecular changes. An electronic search in PubMed, Web of Science and Scopus was carried out using relevant keywords, such as: fractal dimension; fractal analysis; dental implants; implant stability; osseointegration, etc. Studies reporting the use of FD as a tool to measure implant stability were included and subjected to qualitative analysis using ROBINS-I and Cochrane risk of bias assessment criteria. Fourteen studies were included in this review. Results showed that...

Applied Sciences

The adjunctive use of GTR membranes helps us to achieve predictable periodontal regeneration. The... more The adjunctive use of GTR membranes helps us to achieve predictable periodontal regeneration. The aim of this systematic review was to evaluate and compare the treatment efficacy of resorbable versus non-resorbable barrier membranes used in guided tissue regeneration in the treatment of intrabony defects in chronic periodontitis patients. The following databases were searched: Medline, the Cochrane Central Register of Controlled Trails (CENTRAL), SCOPUS, EMBASE. Randomized clinical trials (RCTs) published in English languages over the past 25 years were included. The primary outcomes assessed were: change of probing pocket depth (PD), change in clinical attachment level (CAL) and gingival recession coverage (GRC), and intrabony defect fill (IBDF). A total of eight RCTs were included for systematic review. The outcome of GR at a six-month interval revealed a significant difference in treatment effect with a mean difference of 0.42, 95% CI [0.02, 0.81]; Z = 2.09, (p = 0.04) favouring ...

Indian Journal of Public Health Research & Development, 2018

Indian Journal of Forensic Medicine & Toxicology, 2020

Intraoperative or postoperative bleeding during any periodontal surgical procedure can to some se... more Intraoperative or postoperative bleeding during any periodontal surgical procedure can to some seriouscomplications. Difficulties related to bleeding can be seen in both healthy individuals as well as bleedingdisorder patients, any systemic complications and patients under anticoagulant drug therapy. Having aclear perspective about the preventive measures to be taken to control the profuse bleeding is a must fora practitioner. The purpose of the literature review is to discuss the administration of different types ofhemostatic agents available for controlling bleeding.

Journal of biological regulators and homeostatic agents, 2021

In the last decades, the presence of peri-implant diseases (PD) has increased. One of the therapi... more In the last decades, the presence of peri-implant diseases (PD) has increased. One of the therapies currently used is probiotics with Lactobacillus reuteri (LR). The aim of this article is to determinate, through a systematic review and meta-analysis, the clinical effectiveness of LR in the treatment of PD. We searched the literature until January 2021, in the biomedical databases: Pubmed, Embase, Scielo, Science Direct, Scopus, SIGLE, LILACS, Google Scholar and Cochrane Central Registry of Clinical Trials. The selection criteria of the studies were: randomized controlled clinical trials, without language and time restriction, reporting the clinical effects (depth to probing, plaque index and bleeding index) of the LR in the PD treatment. The risk of study bias was analyzed through the Cochrane tool for randomized studies using Review Manager software. The search strategy resulted in 6 articles of which four investigated peri-implantitis and three peri-implant mucositis. All studies...

Journal of biological regulators and homeostatic agents, 2021

Grape seed extract (GSE), a naturally producing polyphenolic compound, is found to be a potent ho... more Grape seed extract (GSE), a naturally producing polyphenolic compound, is found to be a potent hostmodulatory agent and considered for management of periodontal disease. Its anti-bacterial, antioxidant, and anti-inflammatory property may aid in achieving periodontal health. To assess the clinical efficacy of GSE in adjunct to scaling and root planing (SRP) in healing of periodontal pockets. The present study was a longitudinal, parallel design, randomized clinical trial. Seventy-two patients (mean age 39.2±8.6 years) with periodontal pockets were randomly divided into two groups; Test group received intra-pocket delivery of GSE with SRP and Control group received SRP alone. The clinical parameters like Plaque Index (PI), Gingival Index (GI), Probing Depth (PD) and Relative Attachment Level (RAL) were recorded at baseline and 3 months. 64 patients completed the study. Test group at the end of 3 months had statistically significant reduced PD (p=0.002) and RAL (p=0.01). No significant...

Journal of Dental and Allied Sciences, 2016

Background: Aloe vera is known for its wound healing and anti-inflammatory properties which may b... more Background: Aloe vera is known for its wound healing and anti-inflammatory properties which may be used for periodontal healing. Early healing of the gingival and periodontal wounds promotes the favorable treatment outcome. Aim: To evaluate the efficacy of Aloe vera on wound healing following periodontal flap surgery. Materials and Methods: Fifteen patients with chronic periodontitis requiring periodontal flap surgery were included in this double-blinded, split mouth, randomized, and controlled clinical trial. Sixty interproximal sites were divided into test and control groups. The test sites received an application of fresh Aloe vera extract postoperatively. Postoperative healing was assessed using early healing index (EHI) after the first week and HI after first, second, and third weeks following therapy by a blinded examiner. Results: All patients completed the study (nine male and six female, age range: 30–50 [34.15 ± 3.46] years). Better healing was observed in test sites in comparison to control sites in the first postoperative week as recorded by EHI (P < 0.001) and HI (P = 0.02). However, there were no significant differences between the test and control sites in the second (P = 0.10) and third (P = 0.53) weeks. Conclusion: The application of fresh Aloe vera extract was effective in significantly improving healing scores in the first postoperative week.

Indian Journal of Forensic Medicine & Toxicology, 2020

Implants have become an integral part of dentistry today and are widely being used for the replac... more Implants have become an integral part of dentistry today and are widely being used for the replacement of missing teeth. A considerable amount of advancements has come in Implant dentistry including the quality of material, surface coatings and processes, and the surgical techniques as well. This review will deal with the implant surface design and its characteristics which have been done till now to enhance the implant-bone contact resulting in better osseointegration and subsequent long-term success of dental implants.

Cases described here discuss interdisciplinary (periodontal and behavioral) approach in the manag... more Cases described here discuss interdisciplinary (periodontal and behavioral) approach in the management of rare and difficult to diagnose self-inflicted injuries of gingiva such as gingivitis artefacta major. Self-inflicted injuries to the gingiva are rare and their management by periodontal therapy alone is inadequate. Proper management of this condition requires early detection and effective psychological treatment through behavioral therapy in addition to the treatment of dental lesion. Three male patients in their twenties presented with traumatic injuries of gingiva with history of self-injury and underlying emotional disturbances. Following basic periodontal intervention, their self-inflicting behavior was confirmed on psychiatric consultation. All of them underwent cognitive behavior therapy and were able to successfully curb their self-inflicting behavior prior to any definitive dental procedures. These cases illustrate the essentiality of behavioral intervention in addition ...

Journal of Forensic Medicine, 2020

The need of the hour is an accurate and timely diagnosis for an effective treatment plan to cure ... more The need of the hour is an accurate and timely diagnosis for an effective treatment plan to cure or eliminatethe disease. Clinical measurements, traditionally available, have their limitations in helping diagnose an“active” disease. Hence, novel chairside diagnostic kits are essential to detect active disease, predict itsprogression and help in the evaluation of response, of a patient, to therapy, thereby aiding in the managementof periodontal patients. This review article, therefore, discusses the various chairside diagnostic aids availableto aid Periodontists, in diagnosing and treating periodontal patients.

Indian Journal of Forensic Medicine & Toxicology, 2021

Extraction of teeth leads to loss of alveolar bone in several patterns. The bone loss can occur i... more Extraction of teeth leads to loss of alveolar bone in several patterns. The bone loss can occur in a horizontalor vertical direction or a combination of both. Horizontal ridge width deficiency possesses a challenge for theclinician to obtain primary stability during loading and there is risk of fracture of bone segment. Thereforedifferent techniques have been described to gain the ridge width. One of the techniques used is ridge splittechnique which was first described by Simion et al in 1992. It is a technique of bone manipulation in sucha way that it becomes a site for implant placement without removing any bone. Various types of techniqueslike 3 staged approach, one staged approach etc are described for various sites and situation that help inobtaining an adequate width for loading. This article specifically deals with the different types of ridge splittechniques and its description in a simplified manner.

Orthodontic therapy is a combination of process which is related to move the malalligned teeth by... more Orthodontic therapy is a combination of process which is related to move the malalligned teeth by correctingits position. There have been many dental cases where orthodontic tooth movement is assisted by periodontaltherapy and also the periodontal condition is improved by orthodontic therapy. This interdisciplinaryapproach is a symbiotic relation between the two. This review highlights the various orthodontic therapiesrequiring periodontal therapy for better outcome and vice-versa. Harmonious cooperation between theperiodontist and orthodontist would provide satisfactory outcome for the combined orthodontic periodontalproblems. The knowledge of this approach in the field of dentistry would help clinicians’ decide a betteroutcome in patient’s favour.