28 results on '"Dodwad V"'
Search Results
2. Fighting five categories of enlargement...from big gums to big smile - A case series.
- Author
-
Rathi, P., Sood, R., Dodwad, V., and Vaish, S.
- Abstract
Introduction: Enlarged Gingiva is one of the prime concerns for both dentists and patients causing esthetic and functional problems. The treatment is based on the understanding of cause and underlying pathologic changes, be it inflammatory, pharmacologically induced, associated with systemic diseases, neoplastic, iatrogenic or idiopathic. Objective: To provide minimally invasive periodontal therapy to patients presenting with gingival overgrowth of five different etiological backgrounds. Materials and Methods: Patients with gingival overgrowths reported to the Department of Periodontology and Oral Implantology, ITS-CDSR, Muradnagar, Ghaziabad. Based on the individual history, the patients were categorized under five sections. First was inflammatory due to local deposits, Second was drug induced (phenytoin and amlodipine), Third was iatrogenic in patient undergoing orthodontic treatment, Fourth idiopathic and Fifth Miscellaneous in which patient himself wanted gingival correction because of esthetic concerns. Different treatment strategies were advocated depending upon the history, clinical examination and medical consent. Results: All patients were successfully treated with full mouth scaling, root planing and surgical therapy. Full mouth gingivectomy and gingivoplasty was conducted one week apart, one quadrant each week with scalpel, electro cautery and LASER depending upon the patient's requirement. Conclusion: This case series emphasizes on the different types of gingival enlargement based on the etiology and highlights different treatment modalities advocated to manage such cases. [ABSTRACT FROM AUTHOR]
- Published
- 2015
3. Aetiology And Severity Of Gingival Recession Among Young Individuals In Belgaum District In India
- Author
-
Dodwad, V., primary
- Published
- 2001
- Full Text
- View/download PDF
4. Effects of Academic Stress on Gingival and Periodontal Health - A Questionnaire Study.
- Author
-
Sayal, D., Dodwad, V., Vaish, S., and Sood, R.
- Subjects
- *
PSYCHOLOGICAL stress , *EMOTIONS , *GINGIVAL recession , *PERIODONTAL disease , *ANALYSIS of variance - Abstract
Background: Stress is a state of physiological or psychological strain caused by adverse stimuli, physical, mental or emotional, internal or external, that tend to disturb the functioning of to avoid an organism and which the organism naturally desires. Several corelational questionnaires have observed a positive relationship between psychological stress and periodontal diseases. This study aimed at studying the prevalence of periodontal disease and its relationship to stress in students in ITS dental college educational society campus in Ghaziabad. Materials and Method: The study included 104 subjects between the age of 18-30 years. The subjects were informed about the study goals and also requested to sign consents. The questionnaire included parts from generic stress questionnaire for students from Ministry of social security, National Solidarity and Reforms Institutions. The clinical examination included, Gingival Index (Bleeding on probing) and Probing Pocket Depth. Results: A significant relationship was found between gingival inflammation and psychological stress. Statistical tests of ANOVA (analysis of variance) and post Hoc bonferroni (Multiple comparison )were applied to compare and evaluate the results. However no significant difference was found between probing depth and psychological stress. Conclusion: Result from the present study indicates that psychological variables related to stress susceptibility and current level of stress do not contribute to significant difference in clinical parameters of probing depth. Moreover, the results indicate that only stressful situations and their subjective impact have a significant correlation with gingival inflammation. [ABSTRACT FROM AUTHOR]
- Published
- 2014
5. Autologous Platelet-Rich Fibrin: A Boon to Periodontal Regeneration - Report of Two Cases.
- Author
-
Shetty, S., Yadav, N., Mehta, M., Vaish, S., and Dodwad, V.
- Subjects
ORAL hygiene ,ORAL diseases ,PERIODONTITIS ,INFLAMMATION ,PERIODONTAL disease - Abstract
Oral health continues to be a major health problem worldwide, chronic periodontitis being one of the most prevalent oral diseases. The pathologic hallmark of periodontitis is the destruction of the supporting structures of the teeth involved. The first goal of periodontal therapy is the complete healing of inflammatory condition and next is the regeneration of all lost structures. One of the most important and currently unsolved problems in clinical periodontics is the covering of multiple adjacent recessions and predictable successful treatment of furcation defects. Currently, no single regenerative material can be considered the gold standard in the treatment of periodontal defects. Recently, importance has been given to the use of platelet-rich fibrin (PRF) for predictably obtaining periodontal regeneration. PRF is an intimate assembly of cytokines, glycan chains, and structural glycoproteins, which are enmeshed within a slowly polymerized fibrin network; it has the potential to accelerate soft and hard tissue healing. The purpose of this article is to present the clinical results of a Grade II mandibular furcation defect and Millers Class I gingival recession treated with PRF. [ABSTRACT FROM AUTHOR]
- Published
- 2014
6. Effect of Anaesthetic Gel while Probing in Patients with Chronic Periodontitis: A Comparative Clinical Study.
- Author
-
Mehta, M., Sharma, N., and Dodwad, V.
- Subjects
ANESTHETICS ,PERIODONTITIS ,PATIENT acceptance of health care ,PAIN management ,DENTAL care ,PATIENTS - Abstract
Aim The aim of this study was to evaluate the efficacy of an intrapocket anesthetic gel in the reduction of pain on periodontal probing in a group of individuals with untreated periodontitis. Materials and Method : A randomized, double-masked, split mouth clinical trial was conducted in 30 patients with chronic periodontitis with probing depth greater than 5 mm. Selected patients were randomnly divided into 2 groups. Test group (15 patients) anaesthetic gel (2% lignocaine) was placed in the pockets for 30 sec and then probed. Control group (15 patients) was evaluated without gel placement. Each tooth was assessed at 6 sites and the clinical parameters included were probing depth, plaque index, pocket probing depth and clinical attachment level. Quantification of pain was done by using ungraded visual analogue scale with the left endpoint marked "no pain" and the right end point marked "worst imaginable pain". Result : There were no significant differences in the mean number of teeth probed in the test side of the mouth versus the placebo side, nor was there any significant difference in the amount of gel each tooth received in test sides of the mouth. There was also no significant difference in the amount of time it took to probe placebo or test sides. The results demonstrated a statistically significant reduction in patient's perception of pain for the side of the mouth having the gel compared to the side of the mouth without the gel, reported through VAS pain scoring. Conclusion: The anesthetic gel provides a statistically significant reduction in patients reporting of pain on periodontal probing in patients with untreated periodontitis. It suggests that the gel may be used for those patients who find the full-mouth periodontal probing experience particularly painful. [ABSTRACT FROM AUTHOR]
- Published
- 2014
7. Inter-Relationship between Rheumatoid Arthritis and Periodontal Disease: A Case Control Study.
- Author
-
Mahajan, V., Vaish, S., Dodwad, V., and Nagpal, S.
- Subjects
PERIODONTITIS ,RHEUMATOID arthritis ,ORAL hygiene ,DENTAL plaque ,PERIODONTAL pockets - Abstract
Background: There are some common similarities in the epidemiology and immunopathogenesis of periodontal disease and rheumatoid arthritis(RA). But the associations between their respective disease activities are less well documented. Hence, the present study was conducted to investigate the prevalence and severity of periodontal disease among RA patients. Materials and Method: The study included 40 subjects with RA and 40 healthy controls matched by age and gender. Oral hygiene and Periodontal health was assessed using plaque index (PI), gingival index (GI) and probing depth (PD). The severity of Rheumatoid arthritis was determined by TJC (Tender joints count), SwJC (Swollen joints count), VAS for pain (visual analogue scale), EMS (early morning stiffness), ESR (erythrocyte sedimentation rate), RA factor and DAS28 (disease activity scores). Results: Values of PI and GI were significantly higher in subjects with RA compared to control subjects (1.71 versus 1.54, P < 0.05; 0.51 versus 0.37, P < 0.05).Significant differences were also found in Pocket probing depth, PD (1.88 mm versus 1.71mm; P < 0.05).These values remain more significant in older age groups. Conclusion: Patients with RA have an increased prevalence of periodontitis compared to other non-diseased individuals. Poor manual dexterity along with other parameters may be the potential mediators of this association. [ABSTRACT FROM AUTHOR]
- Published
- 2014
8. Healing of periodontal flaps when closed with silk sutures and N-butyl cyanoacrylate: A clinical and histological study
- Author
-
Kulkarni Sudhindra, Dodwad Vidya, and Chava Vijay
- Subjects
Cyanoacrylate ,healing ,silk suture ,Dentistry ,RK1-715 - Abstract
Background: The closure of the periodontal flaps post-surgery is a necessity for attainment of a primary union between the flap margins and the establishment of a healthy dentogingival junction. N-butyl cyanoacrylate is a tissue adhesive, which can be used for the closure of the incised wounds to overcome the problems associated with conventional suture materials like silk. Objective: The present study was carried out to assess the healing of the periodontal flaps when closed with the conventional silk sutures and N-butyl cyanoacrylate. Materials and Methods: The study was carried out on 24 patients who needed flap surgical procedure for pocket therapy. Results: It was found that healing with the cyanoacrylate is associated with less amount of inflammation during the first week when compared with silk. However, over a period of 21 days to 6 weeks, the sites treated with both the materials showed similar healing patterns. Conclusion: It can be concluded that cyanoacrylate aids in early initial healing.
- Published
- 2007
9. Evaluation of Interdental Papilla Regeneration Using Injectable Hyaluronic Acid: A Clinical Study.
- Author
-
Kaur A, Waghmare PW, Dodwad V, Patil V, Mukul M, and Husain R
- Abstract
Aim: This study aimed to assess the efficacy of hyaluronic acid (HA) gel injections in deficient papillae and record the effects for four weeks., Materials and Methods: Fifteen deficient class 1 papilla sites according to Nordland and Tarnow classification were included. After scaling and root planing, 0.5 ml HA gel was injected into the papillae. Measurements of black triangle height (BTH) and black triangle area (BTA) from the contact point to the most coronal level of the visible papilla tip were done on the clinical photographs using ImageJ software at baseline, one week, and four weeks postoperatively, and a comparison was made. Descriptive data were examined using the mean and standard deviation (SD). Paired t-test was used for intragroup comparisons, with p-values <0.05 considered significant. All the data analysis was done using SPSS software version 25.0., Results: There was a mean decrease in the BTA from baseline (0.54 mm
2 ), one week (0.13 mm2 ), to four weeks (0.26 mm2 ) with a slight loss of papilla volume from the first week to the fourthweek, and this decrease in area was statistically significant. A mean decrease in the BTH throughout the follow-ups from baseline (1.36 mm) to the first week (0.30 mm) to the fourth week (0.73) was recorded with a slight loss of papilla volume from the first week to the fourthweek, and this decrease in height was also statistically significant (p < 0.05). However, the decrease in the BTA and BTH recorded was more from baseline to the first week as compared to baseline to the fourth week postoperatively., Conclusion: HA gel is an effective treatment for minimally invasive papilla augmentation, particularly in class I Nordland and Tarnow papilla deficits., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Institutional Ethics Committee of Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune issued approval EC/NEW/INST/2021/MH/0029. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Kaur et al.)- Published
- 2024
- Full Text
- View/download PDF
10. Comparative Evaluation of the Differentiation and Proliferation Potential of Dental Pulp Stem Cells on Hydroxyapatite/Beta-Tricalcium Bone Graft and Bovine Bone Graft: An In Vitro Study.
- Author
-
Shikarkhane V, Dodwad V, Bhosale N, Patankar SA, Patankar A, and Nair VS
- Abstract
Background: Stem cells of mesenchymal origin have good proliferative capacity when compared to other stem cell types. Dental pulp stem cells (DPSCs) are a variety of mesenchymal cells obtained from the pulpal tissue of teeth and are abundantly available and easy to obtain. DPSCs facilitate and improve the formation of new bone using different bone graft scaffolds. This present study aims to evaluate and compare the osteogenic potential of DPSCs on alloplastic and xenogeneic bone grafts., Materials and Methods: Hydroxyapatite and beta-tricalcium bone graft and bovine bone graft were used in a triplicate manner in the laboratory. DPSCs were obtained from the pulpal tissue of extracted third molars in the laboratory. The cytotoxicity, osteogenic potential, and difference in the rate of proliferation of mesenchymal cells on the biomaterials were assessed., Results: Darker purple staining was seen in the case of hydroxyapatite/beta-tricalcium bone graft on MTT colorimetric assay stating that there was an increase in cell viability in hydroxyapatite/beta-tricalcium bone graft as compared to the bovine bone graft. Hydroxyapatite/beta-tricalcium bone graft showed more osteogenic potential as compared to the bovine bone graft as a higher degree of red staining was seen in Alizarin staining., Conclusion: Higher cell viability and higher osteogenic proliferation and differentiation were seen on the hydroxyapatite/beta-tricalcium bone graft compared to the bovine bone scaffold., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Bharati Vidyapeeth Dental College & Hospital Institutional Ethics Committee issued approval EC/NEW/INST/2021/MH/0029. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Shikarkhane et al.)
- Published
- 2024
- Full Text
- View/download PDF
11. A Comparative Evaluation of Advanced Platelet-Rich Fibrin Combined With Demineralized Freeze-Dried Bone Allograft and Demineralized Freeze-Dried Bone Allograft Alone in the Treatment of Periodontal Infrabony Defects: A Clinical and Radiographic Study.
- Author
-
Goswami A, Lanjewar S, Mangalekar S, Dodwad V, Oza R, Vhanmane P, and Shirbhate U
- Abstract
Aim Allografts, autografts, alloplast and xenografts are frequently used for periodontal regeneration. The aim of this study was to determine the efficacy of advanced platelet-rich fibrin (A-PRF) in combination with demineralized freeze-dried bone allograft (DFDBA) and DFDBA alone in periodontal infrabony defects. Methodology This was a split-mouth design study where 20 infrabony defects in 10 patients were included. Patients were randomly divided into two groups, where DFDBA allograft and A-PRF were used in the test group, while the DFDBA allograft alone was used in the control group. Furthermore, the results were evaluated at baseline, three, and nine months, respectively, in terms of clinical and radiographic parameters. Data were analysed with an unpaired t-test at the significance level of P < 0.05 (statistically significant). Results Both treatments showed reduced clinical and radiographic parameters from baseline to nine months. There was a non-significant difference in the plaque index (PI), bleeding on probing (BOP), clinical attachment level (CAL), and radiographic defect fill (RDF). In comparison to the control group (3.40 ± 0.516), the probing pocket depth (PPD) in the test group at nine months (3.22 ± 0.422) was statistically significant showing reduction in the PPD (P = 0.042). Conclusion Within its limitations, the study showed that A-PRF plus DFDBA and DFDBA alone treatment modalities reduced clinical and radiographic parameters from baseline, at 9 months; however, the inclusion of A-PRF did not substantially improve the treatment outcome when comparing both the groups, except for the probing pocket depth after nine months., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Institutional Ethics Committee of Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli issued approval BV(DU)MC & H/Sangli/IEC/Dissertation 2018-19/D-06. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Goswami et al.)
- Published
- 2024
- Full Text
- View/download PDF
12. Comparative Evaluation of Mogibacterium timidum in the Subgingival Plaque of Periodontally Healthy and Chronic Periodontitis Patients: A Real-Time Polymerase Chain Reaction (PCR) Study.
- Author
-
Shikarkhane V, Dodwad V, Patankar SA, Pharne P, Bhosale N, and Patankar A
- Abstract
Background: Mogibacterium timidum is a new genus of anaerobic bacteria discovered in the year 2000. It is one of the most common bacteria present in the host microbial flora of dental plaque. The levels of M. timidum are supposedly higher in inflammatory conditions., Aims and Objectives: This study aimed to quantify the levels of M. timidum species in the subgingival plaque samples of healthy patients and patients with chronic periodontitis., Materials and Methods: A total of 24 samples of the subgingival plaque, 12 healthy samples and 12 samples of chronic periodontitis patients, were collected in a buffer solution using a sterile Gracey curette. These samples were then sent to a laboratory for real-time polymerase chain reaction (PCR) testing., Results: M. timidum was found in higher quantities in plaque samples taken from chronic periodontitis patients when compared to healthy patients., Conclusion: M. timidum can be said to be associated with chronic periodontitis condition. Further studies are required to know the exact nature of the pathogen., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Institutional Ethics Committee of Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital issued approval EC/NEW/INST/2021/MH/0029. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Shikarkhane et al.)
- Published
- 2024
- Full Text
- View/download PDF
13. Comparative Evaluation of the Effect of Photobiomodulation on Pain Reduction in Individuals Undergoing Segmental Retraction Using a Closing Loop: A Randomized Controlled Clinical Trial.
- Author
-
Khot TA, Lele P, Dodwad V, Patil A, Bhosale N, and Yewale M
- Abstract
Background: Pain following orthodontic treatment is a common reason for apprehension and treatment discontinuation. Research on modalities to control pain in orthodontic patients has gained special attention. Low-level laser therapy (LLLT) is studied as an alternative pain management modality free of the adverse effects of analgesic medications., Objectives: This study evaluated the effectiveness of photobiomodulation therapy (PBMT) for pain control following the activation of a closing loop for canine retraction., Method: This is a split-mouth, placebo-controlled, single-blinded randomized clinical trial that evaluated 16 patients who need canine retraction using closing loops. Two maxillary quadrants were allotted into test and control groups using the coin toss method. In the test group, a low-intensity laser with 810 nm wavelength for 60 seconds in pulsated non-contact mode was used in the buccal, palatal, mesial, and distal regions of the canine immediately after activating the loop. The control site received placebo radiation. The pain level was recorded 2, 24, 48, and 72 hours after intervention in the control and test groups using the Visual Analogue Scale (VAS). The test and control groups were compared using Student's t-test. A p-value ≤0.05 was considered statistically significant. Analyses were conducted using IBM SPSS Statistics for Windows, Version 25.0 (Released 2017; IBM Corp., Armonk, New York, United States)., Result: Both groups had a significant statistical difference in the pain score. The laser group showed a statistically significant lower pain score compared to the control group at all time points., Conclusion: Photobiomodulation by 810 nm 300 mW diode laser can effectively reduce pain following the retraction of maxillary canines., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Khot et al.)
- Published
- 2024
- Full Text
- View/download PDF
14. Comparative Evaluation of the Effectiveness of Three Commercially Available Desensitizing Mouthwash on Dentinal Tubule Occlusion: An In Vitro Scanning Electron Microscopic Study.
- Author
-
Khot T, Lele P, Dodwad V, Bhosale N, Yewale M, and Mariam S
- Abstract
Aim: To compare and evaluate the effectiveness of three commercially available desensitizing mouthwashes on dentinal tubule occlusion in vitro using a scanning electron microscope (SEM)., Materials and Methods: Twenty-seven premolar maxillary teeth were collected and cleaned to remove debris and tissue using an ultrasonic scaler. Enamel was removed with the help of a high-speed plain cut tungsten carbide fissure bur under continuous water spray. Dentinal discs measuring 5 mm × 5 mm × 3 mm were prepared from the coronal region of the extracted teeth using a double-sided carborundum disc and straight micromotor handpiece. Using carborundum paper, the discs were polished and washed with distilled water. The discs were etched using 37% phosphoric acid to remove any smear layer that was caused by the grinding process and to simulate dentinal hypersensitivity by opening the dentinal tubules. The specimens were again washed and stored in distilled water until use. Samples were then randomly allocated into Group A: calcium sodium phosphosilicate mouthwash, Group B: potassium nitrate mouthwash, and Group C: dipotassium oxalate monohydrate mouthwash. The specimens were immersed in a test tube filled with the respective mouthwash and vigorously shaken for 60 s for simulating the natural mouth rinsing action. This procedure was repeated for 7 days, twice daily. To compare and assess the proportion of dentinal tubule occlusion, all the samples were processed and examined under an SEM., Results: The efficacy of the mouthwash on the obliteration of dentinal tubules was compared using the Kruskal-Walis analysis of variance test followed by the post hoc Mann-Whitney U test for pairwise comparison. Group A showed completely occluded tubules in 5 (55.6) and mostly occluded tubules in 4 (44.4). Group B showed mostly occluded in 4 samples (44.4) and partially occluded in 5 samples (55.6) and Group C showed completely occluded tubules in 3 samples (33.3) and mostly occluded tubules in 6 samples (66.7). A P value of 0.05 or less is regarded as statistically significant. * P ≤ 0.05 is statistically significant. Between Group A and Group B as well as between Group B and Group C, there was a statistically significant difference. However, a statistically significant difference between Group A and Group C does not exist., Conclusion: The calcium sodium phosphosilicate group was shown to have the most occlusion of the dentinal tubule, followed by dipotassium oxalate monohydrate and potassium nitrate group., Competing Interests: There are no conflicts of interest., (Copyright: © 2023 Journal of International Society of Preventive and Community Dentistry.)
- Published
- 2023
- Full Text
- View/download PDF
15. The Buccal Pedicle Sliding Flap Technique for Keratinized Tissue Augmentation During the Second-Stage Surgery: A Report of Two Cases.
- Author
-
Akolu P, Lele P, Dodwad V, and Yewale M
- Abstract
The need for adequacy of keratinized tissue (KT) around dental implants has been a topic of debate over the past few years. Peri-implant tissues differ from those around natural teeth. Therefore, the requirement for healthy peri-implant tissue is of importance. There is general agreement that a thick zone of KT around implants promotes accurate prosthetic procedures, permits maintenance of oral hygiene, resists recession and enables esthetic blending with surrounding tissues. Soft tissue augmentation around implants, when required, can be performed at various stages of implant therapy. The second stage of surgery involves the uncovery of the implant and placement of the healing abutment of desired collar height to achieve a biologic seal around the implant. It can be performed either by excision or by incision depending upon the clinical situation. This stage is a golden opportunity for the implant surgeon to modify the periodontal phenotype around the implant if need be. Different procedures such as palatal roll flap, rotated pedicle flap, free gingival graft, etc. can be performed to increase the keratinized tissue width (KTW) around implants. This case series demonstrates a novel minimally invasive technique to augment the KT in the maxillary arch during the second stage of surgery., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Akolu et al.)
- Published
- 2023
- Full Text
- View/download PDF
16. ISP good clinical practice recommendations for gum care.
- Author
-
Kumar A, Grover V, Satpathy A, Jain A, Grover HS, Khatri M, Kolte A, Dani N, Melath A, Chahal GS, Thomas B, Pradeep AR, Pandit N, Pillai BRM, Manjunath RGS, Nandkeoliar T, Puri K, Singhal R, Dodwad V, Bhardwaj A, Thakur R, Jalaluddin M, Boyapati R, Singh MK, and Bansal M
- Abstract
Oral health is vital for the general well-being, overall body health and the quality of life throughout our lifetime. Most of the oral diseases and conditions are largely related to the maintenance of oral hygiene, lacking that people suffer from diverse oral diseases at different times in their life. With greater life expectancy, the individuals have teeth involved with periodontal diseases that would not only require professional care but also home gum care for them to last a lifetime. Indian Society of Periodontology (ISP) has recognized the need for systematic documents to update everyday clinical practice of general dental practitioners and have provided evidence-based consensus documents, namely good clinical practice recommendations from time to time to raise the oral health-related awareness and standards of oral healthcare delivery across the country. The current set of clinical practice recommendations focused to "Gum Care for All", is aimed at emphasizing and enhancing the awareness regarding oral health promotion, maintenance, and disease prevention. Twenty-five subject matter experts from across the nation, prepared these recommendations after a thorough literature review and group discussions. The document has been prepared in three distinct sections, namely pretherapeutic, therapeutic, and post therapeutic, to provide guidance during the respective phases of patient management and may serve as a quick and concise reference to the readers. The guidelines shall provide the distinct definitions, signs and symptoms, treatment required; recall visit specifications for plausible clinical case situations, home care advice regarding maintenance of oral hygiene including information on brushing technique, care and change of brush, use of interdental aids, and mouthwashes, etc. The document should advocate and guide the combined efforts of general dentists, and the population at large toward an empowered, evidence based, integrated, and comprehensive oral health care, which shall enhance the healthful functioning and longevity of the dentition and general health of the individual., (Copyright: © 2023 Indian Society of Periodontology.)
- Published
- 2023
- Full Text
- View/download PDF
17. A comparison of the efficacy of scaling and root planning with application of pomegranate chip, pomegranate gel, and scaling and root planing in sufferers with adult periodontitis - A prospective study.
- Author
-
Tyagi P, Dodwad V, Kukreja BJ, and Kukreja P
- Abstract
Context: The use of herbal compounds is a comparatively safer alternative to synthetic compounds for periodontal therapy., Aim: This study aims to investigate effect of extracts from pomegranate in a chip and gel form on periodontitis following scaling and root planing in adult periodontitis patients., Settings and Design: An in vivo prospective study., Materials and Methods: Thirty patients of adult periodontitis with initial pocket depth ≥4 mm were enrolled into the research and divided randomly into three groups, (10 in every group). After baseline examination, scaling root planing of tooth was achieved. Then subgingival application of medicated chips in Group 1, gel in Group 2, and placebo in Group 3 was done. Plaque index, gingival index, probing pocket depth, and relative attachment ranges were recorded at baseline, 21 days and 45 days., Statistical Analysis Used: Analysis of variance test., Results: The study confirmed significant improvements of plaque index ratings in Group 1 at day 21. It showed significant improvements of gingival index scores, probing pocket depth, and clinical attachment at day 21 and 45. Gingival index rankings and probing pocket depth were extensively elevated altogether in three groups at day 21 and 45. Relative attachment degree was extensively raised in Group 1 and Group 2 at day 21 and day 45 and in Group 3 at day 45. The relative attachment degrees confirmed significance at day 21 between Group 1 and Group 2, and Group 1 and Group 3., Conclusion: Pomegranate extracts in chip and gel shape may offer additionally advantages to scaling and root planing for remedy of periodontal pockets., Competing Interests: There are no conflicts of interest., (Copyright: © 2021 Journal of Indian Society of Periodontology.)
- Published
- 2021
- Full Text
- View/download PDF
18. Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity.
- Author
-
Tevatia S, Khatri V, Sharma N, and Dodwad V
- Abstract
Context: Dentinal hypersensitivity (DH) is a chronic disorder in which patients report sharp and acute pain to a variety of stimuli. Till date, a standardized procedure to treat DH is missing, though several alternative treatment strategies have been designed, including laser therapies., Aim: The aim of the study was to treat DH with minimum chemical concentration and least laser energy level with longer follow-up period., Materials and Methods: One hundred and twenty patients were randomly divided into four groups: (i) Group 1-5% potassium nitrate (KNO
3 ); (ii) Group 2 - gallium-aluminum-arsenide diode laser (62.2 J/cm2 , wavelength - 980 nm, noncontact pulse mode, and power wattage - 0.5 W); (iii) Group 3 - combined 5% KNO3 and the diode laser; and (iv) Group 4 - placebo (control). The visual analog scale (VAS) scores were recorded, analyzed, and compared to tactile stimuli, cold water, and air blast tests at different intervals for 6 weeks., Results: Synergistic use of 5% KNO3 and diode laser (Group 3) significantly reduced the DH pain, which was almost negligible after 6th week (97%-99% of the pain was reported to be relieved) and showed promising results than any other studied groups. Further, the diode laser (Group 2) showed better results than 5% KNO3 (Group 1). One-way ANOVA and Bonferroni correction post hoc test revealed the combination of groups with significant differences in the mean VAS scores at the different interval of time ( P < 0.01)., Conclusions: Convincingly, the combined application of 5% KNO3 with the diode laser can be recommended for treating DH patients., Competing Interests: There are no conflicts of interest.- Published
- 2017
- Full Text
- View/download PDF
19. Association of interleukin-1 α (-889) gene polymorphism in patients with generalized aggressive and chronic periodontitis.
- Author
-
Puri K, Chhokra M, Dodwad V, and Puri N
- Abstract
Background: There is a strong evidence that genetic as well as environmental factors affect the age of onset, severity and lifetime risk of developing periodontitis. The objective of the present study was to compare and to evaluate the association between interleukin (IL)-1α(-889) and gene polymorphisms in patients with generalized aggressive periodontitis, chronic periodontitis and healthy controls., Materials and Methods: A total of 60 Indian patients, with 20 aggressive periodontitis, 20 chronic periodontitis and 20 healthy controls were recruited for this study. From each patient, a volume of 2 ml of blood was collected by venipuncture in the ante-cubital fossa and was stored in sodium EDTA vacutainers and was used for genotyping assays with the polymerase chain reaction restriction fragment length polymorphism technique. Clinical parameters such as oral hygiene index, gingival index and clinical attachment loss (CAL) were evaluated for each patient. Genotype distribution between different groups were analyzed using Chi-square test. A P = 0.05 or less was set for significance., Results: The mean oral hygiene index was 3.7 ± 0.86 and 3.25 ± 0.30 for chronic and aggressive periodontitis cases respectively. The CAL was 4.29 ± 0.63 mm for chronic periodontitis and 6.44 ± 0.57 mm for aggressive periodontitis. Homozygous genotype 2,2 was more predominant in cases of aggressive periodontitis whereas in chronic periodontitis, heterozygous genotype 1,2 was more predominant when compared with others (P < 0.001). Odds ratio for aggressive versus chronic periodontitis was calculated as 6.2 (95% confidence interval 6.019-7.892)., Conclusion: The results of the present study support a positive association between aggressive periodontitis and the presence of the IL-1α-889, allele 2 polymorphism in Indian patients.
- Published
- 2015
- Full Text
- View/download PDF
20. A comparative evaluation of platelet-rich plasma in combination with demineralized freeze-dried bone allograft and DFDBA alone in the treatment of periodontal intrabony defects: A clinicoradiographic study.
- Author
-
Kukreja BJ, Dodwad V, Kukreja P, Ahuja S, and Mehra P
- Abstract
Background: The aim of the present clinical trial was to compare PRP combined with a DFDBA to DFDBA mixed with a normal saline solution in the treatment of human intrabony defects., Materials and Methods: Twenty interproximal intrabony osseous defects in twenty non-smoking, healthy subjects diagnosed with chronic periodontitis were treated in this study. Ten subjects each were randomly assigned to the test group (PRP + DFDBA) or the control group (DFDBA + saline). Clinical and radiographic measurements were made at baseline, three month and at six-month evaluation., Results: The results at three and six months, when compared to the baseline, indicated that both treatment modalities resulted in significant changes in all clinical parameters (gingival index, bleeding on probing, probing depth, clinical attachment level and gingival recession; P < 0.01) and radiographic parameters (hard-tissue fill and bone-depth reduction; P < 0.01). However, the test group exhibited statistically significantly greater changes compared to the control group in plaque index at three months (P = 0.00), probing depth reduction at 6 months (P = 0.02) and the radiographic defect fill at 6 months (P = 0.01)., Conclusions: Treatment with a combination of PRP and DFDBA led to a statistically significantly greater improvement in plaque index at 3 months, probing depth at 6 months and radiographic defect fill at 6 months in intrabony periodontal defects as compared to DFDBA with normal saline.
- Published
- 2014
- Full Text
- View/download PDF
21. Periosteal fenestration vestibuloplasty procedure for sulcus deepening in a hemimandibulectomy patient following implant therapy.
- Author
-
Kukreja BJ, Gupta U, Dodwad V, and Kukreja P
- Abstract
Ablative surgery of the jaws may be necessary when malignant disease or destructive benign disease occurs. Surgical reconstruction needs to include the restoration of masticatory function so that the quality of life after the operation is optimal. When resection includes part of the upper or lower jaw, the aim of reconstruction should encompass not only the restoration of aesthetics, speech and swallowing, but also the recreation of an alveolar ridge suitable for prosthetic rehabilitation of the dental occlusion. In the present case, depth of vestibule was inadequate following implant placement thereby severely compromising prosthetic rehabilitation. Hence vestibuloplasty was done with periosteal fenestration operation, which provided retention and stability of mandibular prosthesis and hence greatly improved his overall quality of life.
- Published
- 2014
- Full Text
- View/download PDF
22. Restorative aspects of periodontal disease: an update part 1.
- Author
-
Puri K, Puri N, Dodwad V, and Masamatti SS
- Subjects
- Alveolar Process physiology, Dental Restoration, Permanent adverse effects, Gingiva physiology, Humans, Periodontal Diseases etiology, Periodontal Diseases therapy, Surface Properties, Treatment Outcome, Dental Prosthesis Design, Dental Restoration, Permanent methods, Periodontium physiology
- Abstract
Unlabelled: Today's dentistry is dominated by restorative procedures which are carried out to meet the demands of not only function but also aesthetics. Prosthetic and restorative therapies generally require a healthy periodontium as a prerequisite for successful treatment outcome. A mouth with a healthy periodontium may be affected by restorations of poor quality, and restorations of the highest quality may fail in a mouth with periodontal disease. This is the first of two articles that attempt to explain the concept of the complex question of biologic width and the problems that occur after improper margin placement in the periodontium. Initially, the dimensions of biologic width are considered and then margin placement and reasons for restorative procedures are discussed. This article also addresses the interactions between periodontal tissues and restorative procedures., Clinical Relevance: Understanding the impact of restorative procedures on periodontal health in regular dental examination by dentists can help in early diagnosis and treatment of periodontal diseases. This could prevent further progression of disease and reduce the frequency of tooth loss.
- Published
- 2014
- Full Text
- View/download PDF
23. Establishing an Association between Renal Failure and Periodontal Health: A Cross Sectional Study.
- Author
-
Chhokra M, Manocha S, Dodwad V, Gupta U, and Vaish S
- Abstract
Unlabelled: Periodontal infections can act as focus of infection, aggravating the immunocompromised state of End Stage Renal Disease patients (ESRD)., Aim: Evaluation of the periodontal health status of ESRD patients undergoing haemodialysis and establishing the underlying association between renal failure and periodontal disease., Material and Methods: Eighty control and test subjects were included in the study, after matching age and sex. Creatinine and GFR were measured in each patient. Oral hygiene index- Simplified (OHI-S), Gingival Index (GI), Pocket Depth (PD) and Clinical Attachment Level (CAL) were recorded as periodontal parameters to assess the correlation between the subjects of the two groups. Further, the test group was divided into three sub-groups, on basis of duration, as less than 6 months, from 6 months to one year and more than one year., Statistical Analysis: Student's t - test and ANOVA were used to analyze the inter-group and intragroup comparisons., Results: Statistical significant difference was observed for all periodontal parameters between the test and control group. However, difference amongst periodontal parameters on basis of duration of haemodialysis was seen between the subgroups of test subjects, it was not found to be statistically significant., Conclusion: Severity of periodontal diseases in ESRD patients undergoing haemodialysis majorly affected due to debilitating condition of the subjects. Dialysis vintage has only a small role to play in worsening of the condition. Further research is needed to potentiate the establishment of two-way relationship between renal disease and periodontal condition.
- Published
- 2013
- Full Text
- View/download PDF
24. Effect of controlled-release Periochip™ on clinical and microbiological parameters in patients of chronic periodontitis.
- Author
-
Puri K, Dodwad V, Bhat K, and Puri N
- Abstract
Background: The aim of the present study was to evaluate and compare the clinical and microbiological effectiveness of Periochip™ as an adjunct to scaling and root planing (SRP) with SRP alone in patients with chronic periodontitis., Materials and Methods: This randomized, split mouth, 3-month clinical and microbiological trial included 30 sites in 15 patients aged 30-50 years diagnosed with chronic periodontitis. In each patient, two bilateral pockets probing 5-7 mm were randomly assigned to test and control groups. The test group received SRP plus Periochip™, whereas the control group received SRP alone. Clinical indices and anaerobic culture analysis was done at baseline, 1 month, and 3 months interval. Total bacterial count and analysis of four major periodontopathogenic bacteria Porphyromonas gingivalis (Pg), Prevotella intermedia (Pi), Aggregatibacter actinomycetemcomitans (Aa), and Fusobacterium nucleatum (Fn) was done., Results: Significant improvement was obtained in all clinical variables in the test group as compared to the control group over the study period. Total colony counts were significantly reduced in the test group as compared to control over the period of time. At baseline Aa was recovered from 4 test group sites and 5 control group sites, Pg from 15 test group and 14 control group sites, Pi from 5 test group and 2 control group sites, Fn from 7 test and 7 control group sites. At 3 months, Aa was recovered from 1 test group and 4 control group sites, Pg from 4 test group and 8 control group sites, Pi from 1 test group and 1 control group site, Fn from 3 test and 4 control group sites., Conclusion: Periochip™ placement as an adjunct to SRP, showed promising results, when compared to SRP alone. Healthy microflora can be maintained for a longer period of time and delay in the repopulation by periodontopathic microorganisms was observed.
- Published
- 2013
- Full Text
- View/download PDF
25. Effect of locally delivered tetracycline hydrochloride as an adjunct to scaling and root planing on Hba1c, C-reactive protein, and lipid profile in type 2 diabetes: A clinico-biochemical study.
- Author
-
Dodwad V, Ahuja S, and Kukreja BJ
- Abstract
Aim: The aim was to assess the levels of HbA1c, C-reactive protein, and lipid profile in patients with type 2 diabetes mellitus by treating the pockets using collagen impregnated sustained release resorbable tetracycline fiber (periodontal plus AB fiber) following scaling and root planing (SRP)., Materials and Methods: A total of 40 patients with type 2 diabetes mellitus were randomly distributed into two groups receiving either SRP and tetracycline fiber or SRP alone. Patients were evaluated clinically with gingival index, plaque index, probing depth, and relative attachment level, and bio-chemically with HbA1c, C Reactive Protein, and lipid profile at baseline, 1 month, and 3 months., Results: Significant reduction in all the clinical parameters was seen in the tetracycline group compared to the control group. Bio-chemical analysis also revealed similar results except for cholesterol and High density lipoprotein who did not show any significant reduction., Conclusion: Locally delivered tetracycline as a better treatment modality compared to SRP alone.
- Published
- 2012
- Full Text
- View/download PDF
26. Aloe vera: Nature's soothing healer to periodontal disease.
- Author
-
Bhat G, Kudva P, and Dodwad V
- Abstract
Background: Recent interest and advances in the field of alternative medicine has promoted the use of various herbal and natural products for multiple uses in the field of medicine. Aloe vera is one such product exhibiting multiple benefits and has gained considerable importance in clinical research. This clinical study focuses on Aloe vera and highlights its property when used as a medicament in the periodontal pocket., Materials and Methods: A total number of 15 subjects were evaluated for clinical parameters like plaque index, gingival index, probing pocket depth at baseline, followed by scaling and root planing (SRP). Test site comprised of SRP followed by intra-pocket placement of Aloe vera gel, which was compared with the control site in which only SRP was done, and clinical parameters were compared between the two sites at one month and three months from baseline., Results: Results exhibited encouraging findings in clinical parameters of the role of Aloe vera gel as a drug for local delivery., Conclusion: We conclude that subgingival administration of Aloe vera gel results in improvement of periodontal condition. Aloe vera gel can be used as a local drug delivery system in periodontal pockets.
- Published
- 2011
- Full Text
- View/download PDF
27. Clinical efficacy of subgingivally delivered 0.5% controlled release azithromycin gel in the management of chronic periodontitis.
- Author
-
Tyagi P, Vaish S, and Dodwad V
- Subjects
- Administration, Sublingual, Adult, Anti-Bacterial Agents administration & dosage, Delayed-Action Preparations, Dose-Response Relationship, Drug, Female, Follow-Up Studies, Humans, Male, Treatment Outcome, Azithromycin administration & dosage, Chronic Periodontitis drug therapy, Root Planing methods
- Abstract
Background: Recent developments suggest that the local delivery of antimicrobials into periodontal pockets can improve periodontal health. Azithromycin (AZM) has a wide antimicrobial spectrum of action toward anaerobic bacteria as well as Gram-negative bacilli. It is effective against periodontal pathogens such as Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis. Therefore, this study was undertaken to investigate the clinical effectiveness of AZM at 0.5% concentration in an indigenously prepared bioabsorbable controlled release gel as an adjunct to non-surgical mechanical therapy in the treatment of chronic periodontitis., Materials and Methods: Thirty sites in patients with chronic periodontitis and probing depth (PD) 4-6 mm were categorized randomly into two treatment groups: Scaling and root planing (SRP) plus 0.5% AZM gel (group 1) and SRP only (group 2). Clinical evaluation was undertaken using the Gingival Index (GI) of Loe and Silness and plaque was assessed using the Turesky et al. modification of Quigley Hein Index at baseline and 21 days. Pocket PD and clinical attachment level (CAL) were also measured., Statistical Analysis: Results were expressed as mean±standard deviation and percentages and the data were analyzed using Statistical Package for Social Sciences (SPSS version 16.0, SPSS, Chicago, IL) software., Result: Both therapies resulted in significant improvements. Mean reduction in GI from baseline to 21 days was 1.20±0.41 and 0.73±0.45 in group 1 and group 2, respectively. Plaque Index also improved through the study period in both groups, i.e., 0.86±0.51 in group 1 and 1.6±0.97 in group 2. Mean PD reduced significantly with SRP plus AZM gel application in group 1, i.e., 2.1±0.91 mm as compared to 1.0±1.06 mm achieved with SRP alone. A significant gain in mean CAL gain was observed in the test group (1.8±0.63 mm) as compared to control group (1.0±1.06 mm)., Conclusion: Although both treatment strategies seem to benefit patients, the adjunctive use of 0.5% of AZM showed significant results.
- Published
- 2011
28. Propolis mouthwash: A new beginning.
- Author
-
Dodwad V and Kukreja BJ
- Abstract
Background: This study was carried out to investigate the effectiveness of a propolis-containing mouthrinse in inhibition of plaque formation and improvement of gingival health., Materials and Methods: Thirty subjects were selected and randomly assigned into three groups of ten subjects each, which received a propolis-containing mouthrinse, or a negative control (Saline) or a positive control (Chlorhexidine 0.2%). Plaque index and gingival index were assessed at baseline and at a five-day interval., Results: Chlorhexidine mouthwash was found to be better than propolis and saline in inhibiting plaque formation. Propolis was found to be only marginally better than chlorhexidine in improving gingival scores., Conclusion: The present study suggests that propolis might be used as a natural mouthwash, an alternative to chemical mouthwashes, e.g., chlorhexidine. Further, long term trials are required for more accurate data and any conclusive evidence.
- Published
- 2011
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.