Awadhesh Kumar Singh | Dr. Ram Manohar Lohiya Avadh University Faizabad (original) (raw)

Papers by Awadhesh Kumar Singh

Journal of Interdisciplinary Dentistry, 2016

Platelet-rich fibrin (PRF) has been shown to promote soft tissue healing because it contains grow... more Platelet-rich fibrin (PRF) has been shown to promote soft tissue healing because it contains growth factors. Periosteal pedicle graft (PPG) provides not only good and predictable root coverage, but also reduces the need for the second surgical site. Access to the surgical site is obtained by minimally invasive technique known as vestibular incision subperiosteal tunnel access (VISTA) technique. Therefore, the purpose of this case report was to evaluate the PRF-reinforced PPG with VISTA technique for the coverage of exposed root surface. A patient with Miller Class II gingival recession of 6.5 mm was treated by PRF-reinforced PPG with VISTA technique. PRF was prepared from whole blood and applied to the root surface. After 6 months, 5.5 mm, that is, 84.6% of the root coverage was obtained. PRF-reinforced PPG with VISTA technique can be predictably used for the achievement of successful root coverage. The long-term follow-up with histologic studies will be required to obtained more information about PRF-reinforced PPG with VISTA technique for the coverage of exposed root surface. Clinical Relevance to Interdisciplinary Dentistry PRF is a fibrin matrix network in which platelets are trapped. Platelets in PRF release high amount of growth factors which take part in soft tissue and hard tissue repair and regeneration. As PRF-reinforced PPG and VISTA technique for coverage of exposed root surface showing good promising results, PRF can be used in various aspects/disciplines of the dentistry as well as in interdisciplinary dentistry to reinforced natural tissue regeneration (NTR) and natural bone regeneration (NBR).

IOSR Journal of Dental and Medical Sciences, 2014

Background: This initiative is a consequence of the absence of recent information since studies b... more Background: This initiative is a consequence of the absence of recent information since studies being conducted much before in the past on the prevalence of gingivitis and periodontitis among schools children in Lucknow region of Uttar Pradesh, India. Aims and Objectives: To assess the prevalence of gingivitis and periodontitis among schools children and evaluating the pattern of these diseases in different age groups among them. Setting and Design: It was a cross-sectional study done in Lucknow region of Uttar Pradesh, India. Subjects & Methods: A total of 650 school going children were examined, 225 children were in 8-10 years age group and 215 & 210 children were in the age group of 11-14 years & 15-17 years, respectively. The gingival index, given by Loe & Silness was used for recording the severity of gingivitis and periodontal disease index, given by Ramfjord was used for evaluating periodontitis. Result: The prevalence of gingivitis and periodontitis were 77.52% and 16.03%, respectively. Conclusion: The overall prevalence of gingivitis and periodontitis were 77.52% and 16.03%, respectively among schools children of 8 to 17 years of age in Lucknow region of Uttar Pradesh, India. The younger age group children had comparatively lesser percentage of gingivitis and periodontitis than older age group children.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2018

A 17-year-old female patient reported in the Department of Periodontology with chief complaint of... more A 17-year-old female patient reported in the Department of Periodontology with chief complaint of exposure of tooth root in lower front tooth region. On intraoral examination, an isolated Miller Class I labial gingival recession was present at lower left central incisor (tooth no. #31). Tooth no. #31 was malaligned and slightly out of arch. The depth of gingival recession was 6.0 mm when measured from cementoenamel junction to the gingival margin by PCP UNC15 probe (HU-FRIEDY, USA) [Table/Fig-1a]. Probing depth and width of keratinized gingiva were equal, that is, 1.0 mm each. Width of functional mucosa was 0.0 mm. Intraoral periapical radiograph showed no bone loss [Table/Fig-1b]. Despite the aetiology of gingival recession was malocclusion, the aetiology was not corrected first because after orthodontic opinion patient was not willing for orthodontic treatment. Hence, periodontal treatment was attempted first instead of orthodontic treatment.

A palatal wound becomes when palatal premolar region is used for obtaining connective tissue graf... more A palatal wound becomes when palatal premolar region is used for obtaining connective tissue graft. To overcome this disadvantage, connective tissue graft is obtained from interdental papilla; as a result, there is no palatal wound. Envelope flap has blood supply by both sides because it contains no vertical incisions. Therefore, the purpose of this case report was to evaluate the free reverse rotated papillary connective tissue graft (CTG) and coronally advanced envelope flap (CAEF) technique for the treatment of gingival recession. A patient with the gingival recession of 5 mm depth and 3 mm width was treated by free reverse rotated papillary CTG and CAEF technique. A partial‑thickness envelope flap was made on the underlying alveolar mucosa. The recipient bed was prepared by de-epithelialization of adjacent papillae to gingival recession. The donor papilla was de-epithelialized on facial aspect, and CTG was harvested. The papillary CTG was then placed on recipient bed in a reverse manner that is base toward cementoenamel junction and the tip toward the base of gingival recession and sutured. The envelope flap was coronally advanced to fully cover the papillary CTG and sutured. After 1 year, 100% root coverage obtained. The histologic studies will be required to confirm the type of attachment obtained by free reverse rotated papillary CTG and CAEF technique on the root surface.

The purpose of this case report was to describe the usefulness of Periosteal Pedicle Graft (PPG) ... more The purpose of this case report was to describe the usefulness of Periosteal Pedicle Graft (PPG) as a barrier membrane and Demineralized Freeze-Dried Bone Allograft (DFDBA) for bone regeneration in periradicular bone defect. A patient with intraoral discharging sinus due to carious exposed pulp involvement was treated by PPG and DFDBA. Clinical and radiological evaluations were done immediately prior to surgery, three months, six months and one year after surgery. Patient was treated using split-thickness flap, PPG, apicoectomy, defect fill with DFDBA and lateral displacement along with suturing of the PPG prior to suturing the flap, in order to close the communication between the oral and the periapical surroundings through sinus tract opening. After one year, successful healing of periradicular bony defect was achieved. Thus, PPG as a barrier membrane and DFDBA have been shown to have the potential to stimulate bone formation when used in periradicular bone defect.

Platelet‑rich fibrin (PRF) has been shown to promote soft tissue healing because it contains grow... more Platelet‑rich fibrin (PRF) has been shown to promote soft tissue healing because it contains growth factors. Periosteal pedicle
graft (PPG) provides not only good and predictable root coverage, but also reduces the need for the second surgical site. Access
to the surgical site is obtained by minimally invasive technique known as vestibular incision subperiosteal tunnel access (VISTA)
technique. Therefore, the purpose of this case report was to evaluate the PRF‑reinforced PPG with VISTA technique for the
coverage of exposed root surface. A patient with Miller Class II gingival recession of 6.5 mm was treated by PRF‑reinforced
PPG with VISTA technique. PRF was prepared from whole blood and applied to the root surface. After 6 months, 5.5 mm,
that is, 84.6% of the root coverage was obtained. PRF‑reinforced PPG with VISTA technique can be predictably used for the
achievement of successful root coverage. The long‑term follow‑up with histologic studies will be required to obtained more
information about PRF‑reinforced PPG with VISTA technique for the coverage of exposed root surface.

A periodontal abscess is a localized, purulent infection involving a greater dimension of the gum... more A periodontal abscess is a localized, purulent infection involving a greater dimension of the gum tissue, extending apically and adjacent to a periodontal pocket. The periodontal abscess is the third most common dental emergency, representing 6-14%of all dental emergencies.The periodontal abscess can be classified depending on their course, number, location and etiological criteria. Etiology of the periodontal abscess have been either directly associated to periodontitis or to sites without prior existence of periodontitis.Local andsystemic predisposing factors make patient prone to the periodontal abscess. Microorganisms that colonize the periodontal abscess have been reported to be primarily gram-negative anaerobic rods. Common clinical features of the periodontal abscess are presence of generalized periodontal disease with pocketing and bone loss, usually associated with a vital tooth, overlying gingival erythematous, tender and swollen, pus discharge via periodontal pocket or sinus opening. The periodontal abscess should differentiated/ ruled out from similar conditions and lesions as gingival abscess,periapical abscess, perio-endo lesion, endo-perio lesion,cracked tooth syndromeand root fracture. Diagnosis of a periodontal abscess is usually based on the chief complaint and the history of the presenting illness, clinical findings and investigations.The management of the periodontal abscess can divided into three stages: immediate management, initial management and definitive therapy. Early diagnosis and prompt treatment are extremely important for the management of a periodontal abscess, since this can lead to loss of involved tooth.In this review article, all aspects of the periodontal abscess were described.

Regenerative treatment of periodontal defects with an agent, or procedure, requires that each fun... more Regenerative treatment of periodontal defects with an agent, or procedure, requires that each functional stage of reconstruction be grounded in a biologically directed process. With this paradigm, we contended the way of periodontal regeneration through the application of current knowledge in the fields of molecular and cell biology, developmental biology and tissue engineering principles as applicable to tissue engineering. Through a combination of transplanted biomaterials containing appropriately selected and primed cells, together with an appropriate mix of regulatory factors to allow growth and specialization of the cells and matrix, we envision a new vista for periodontal regeneration becoming possible.

Probiotics or health-beneficial bacteria have only recently been introduced in dentistry and oral... more Probiotics or health-beneficial bacteria have only recently been introduced in dentistry and oral medicine after years of successful use in mainly gastro-intestinal disorders. The concept of bacteriotherapy and use of health-beneficial microorganism to heal diseases or support immune function was first introduced in the beginning of the 20th century. Later the concept lead to the development of modern dairy industry and even today most probiotic strains are lactobacilli or bifidobacterium used in milk fermentation. The mechanisms of probiotic action appear to link with colonization resistance and immune modulation. Lactic acid bacteria can produce different antimicrobial components such as organic acids, hydrogen peroxide, carbon peroxide, diacetyl, low molecular weight antimicrobial substances, bacteriocins, and adhesion inhibitors, which also affect oral microflora. However, data is still sparse on the probiotic action in the oral cavity. More information is needed on the colonization of probiotics in the mouth and their possible effect on and within oral biofilms. There is every reason to believe that the putative probiotic mechanisms of action are the same in the mouth as they are in other parts of the gastrointestinal tract. Because of the increasing global problem with antimicrobial drug resistance, the concept of probiotic therapy is interesting and pertinent, and merits further research in the fields of oral medicine and dentistry.

The concept of GTR and incorporation of GTR membranes in clinical practice has changed significan... more The concept of GTR and incorporation of GTR membranes in clinical practice has changed significantly the outlook for periodontal regeneration. Different types of membranes to cover periodontal defects are used for regeneration. A membrane should be biocompatible, enable cell exclusion, maintain space, ensure tissue integration and ease to use with biological activity for future generation membrane. Membranes can be non-absorbable and absorbable. Non-absorbable membranes require another surgery for their removal hence today, they are used less frequently. Non-absorbable membranes are made from polytetrafluoroethylene, composite, rubber dam and resin/glass – ionomer. Absorbable membranes do not require their removal which reduce patient discomfort and eliminate surgery related complications. Absorbable membranes can be made from natural materials as collagen, pericardium, dura mater, laminar bone, connective tissue or periosteum, and from synthetic materials as polyglycolic acid, polylactic acid, polyglactin 910, polyester, polyurethane or polydioxanon. They are mostly used today. The future of GTR promises to be exciting, as new materials or modified ones, especially in combination with biological activity will become available.

The laterally positioned fl ap has been shown to effectively treat gingival recession. The averag... more The laterally positioned fl ap has been shown to effectively treat gingival recession. The average percentage of root coverage obtained with laterally positioned fl ap was 68%. When full-thickness laterally positioned fl ap was combined with connective tissue graft, the average percentage of root coverage was 88%. The purpose of this case report was to evaluate percentage of root coverage by laterally positioned double fl ap with the connective tissue graft. Patients and Methods: A patient with Miller class III gingival recession of 9 mm was treated by laterally positioned double fl ap with the connective tissue graft. The connective tissue graft was obtained by "trap-door" technique. Result: At the end of twelve months 83% root coverage was successfully achieved. Conclusion: The laterally positioned double fl ap with the connective tissue graft can be used for treatment of gingival recession defect successfully.

The periosteum is highly cellular connective tissue with rich vascularity and regenerative potent... more The periosteum is highly cellular connective tissue with rich vascularity and regenerative potential, which make it suitable autogenous graft. The periosteum eversion technique utilized periosteum for coverage of denuded root surface. The purpose of this case report was to evaluate the periosteum eversion technique that involves a single surgical site, in terms of root coverage, gingival height, and probing depth. A patient with Miller class I gingival recession of 3.0 mm, gingival height of 2.0 mm and probing depth of 2.0 mm was treated by the periosteum eversion technique. Root conditioning was done with 24% ethylenediaminetetra-acetic acid. In this technique, marginal periosteum was used as a pedicle graft. At the end of 6 months, 100% root surface was covered successfully with 5.0 mm of gingival height and 1.0 mm of probing depth. The periosteum eversion technique can be used for the treatment of gingival recession defect successfully.

Journal of Interdisciplinary Dentistry, 2016

IOSR Journal of Dental and Medical Sciences, 2014

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2018