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2018 | December | Volume 9 | Issue 2

RESEARCH ARTICLE

Rithesh Kulal, Poorna Prakash, Mysore S Nalini, Remya Nath

Evaluation of Effect of Moderate to Severe Chronic Periodontitis on Pulp of Teeth: A Histopathological Study

[Year:2018] [Month:December] [Volume:9] [Number:2] [Pages:3] [Pages No:35 - 37]

Keywords: Dental pulp, Histopathologic changes, Inflammation, Periodontitis

PDF  |  DOI: 10.5005/jp-journals-10042-1066  |  Open Access |  How to cite  | 

Abstract

Introduction: The periodontitis affected teeth and the observed changes in the dental pulp have been controversial area of debate. The reason being the close communication between the periodontium and the pulp through the apical foramina and accessory lateral canals postulating the spread of infection between the tissue areas. Aim: Evaluation of the histopathologic changes in dental pulp of teeth with moderate and severe chronic periodontitis. Materials and methods: Human dental pulp was obtained using vital pulpectomy technique from 20 permanent teeth extracted due to hopeless periodontal prognosis. Pulp tissue samples were processed for histological examination and grading of changes observed. Result: Inflammation was usual finding in the samples; however, only 8% of the teeth showed no inflammation. Pulp with moderate fibrosis was seen commonly in many sections. About 44% of samples showed edematous pulp. Conclusion: Periodontitis can induce changes in the dental pulp considerations have to be given to the involved teeth for the depth of pocket and severity of periodontal involvement for proper treatment planning and management.

REVIEW ARTICLE

Shruthi Rangaswamy, Kedarnath N Seshappa, Arun K Puttegowda

Professional Indemnity Insurance for Dental Practitioners in India

[Year:2018] [Month:December] [Volume:9] [Number:2] [Pages:3] [Pages No:38 - 40]

Keywords: Dentist, Indemnity policy, Professional liability

PDF  |  DOI: 10.5005/jp-journals-10042-1067  |  Open Access |  How to cite  | 

Abstract

Dental practitioners are at high risk of facing medical negligence cases because of the nature of the work and high costs involved in the treatment. Professional indemnity insurance protects the doctors from the medical negligence claims and legal liabilities and thus provides financial security. The purpose of this paper is to highlight the importance of professional indemnity insurance and to understand various terminologies in choosing the right policy.

REVIEW ARTICLE

Dipika Dabas

Honey as an Alternative in the Management of Contemporary Wound Healing: A Systematic Review

[Year:2018] [Month:December] [Volume:9] [Number:2] [Pages:8] [Pages No:41 - 48]

Keywords: Burns, Healing, Honey, Manuka, Pain, Ulcers, Wound

PDF  |  DOI: 10.5005/jp-journals-10042-1068  |  Open Access |  How to cite  | 

Abstract

Introduction: In recent times, the traditional honey has shown a revival as a topical treatment for a variety of wounds. The aim of this systematic review is to assess the available evidence and further evaluate the role of honey in modern wound care management. Methods: The databases which were used for this purpose include the PubMed and the ISI web of science. The review only contains the studies being conducted on humans. The review only contains the studies being conducted on humans covering burns, ulcers and other types of wounds (like traumatic, postoperative, malignant wounds). Under “design,” research designs namely, RCTs and CCTs were included. Result: In all three of the identified wound types, honey as a dressing with healing promoting properties is supported by evidence, whereas, the other known properties of honey like debridement, deodorizing, anti-inflammatory and wound pain-reducing effects are found to be less supported by the pieces of evidence. Interpretation: Many limitations were quite evident in the included studies related to the methodology, quality, and sample size. This review tries to reveal all such limitations and gaps and also recommends certain suggestions forthe future research.

META ANALYSI

Dipika Dabas

Therapies for Smoking Cessation: A Meta-analysis of Double-blind Randomized Controlled Trials

[Year:2018] [Month:December] [Volume:9] [Number:2] [Pages:8] [Pages No:49 - 56]

Keywords: Double blind, Nicotine spray, Smoking, Therapy

PDF  |  DOI: 10.5005/jp-journals-10042-1069  |  Open Access |  How to cite  | 

Abstract

Background: Several placebo-controlled randomized trials have shown a substantial effect of many products used for smoking cessation. The trials have revealed results by performing either a direct or indirect comparisons. The present metaanalysis is an endeavor to compare the effect of the currently available and widely used seven pharmacological interventions as an aid to smoking cessation. Methods: The databases like MEDLINE, EMBASE and the Cochrane reviewed published trials were investigated and further screened to meet the inclusion criteria. For example, only double-blind randomized controlled trials were included who have validated the results of abstinence at 6 and 12 months biochemically. Results: A total of 69 trials were identified with a total number of 32,908 participants. Out of seven therapies chosen for the analysis, six were found to be more effective than placebo, the odds ratio (OR) for varenicline was 2.41, 95% CI 1.91–3.12, for nicotine spray (OR) 2.37, 95% CI 1.12–5.13, bupropion with (OR) 2.07, 95% CI 1.73–2.55, transdermal nicotine patch (OR) 2.07, 95% CI 1.69–2.62, nicotine tablet (OR) 2.06, 95% CI 169–2.62, and for gum (OR) 1.71, 95% CI 1.35–2.21. Though OR of 2.71 in case of nicotine inhaler favors its effectiveness over placebo, but this result remained inconclusive as the 95% CI, in this case, includes unity (0.95–5.43). On the contrary, when all the seven interventions were analyzed by putting them all together, all of them were found to be effective than a placebo. When varenicline was compared against bupropion (control arm), the former was found to be superior in its effect on smoking cessation than the latter with (OR 2.18, 95 CI% 1.09–4.08). Interpretation: The interventional products used for smoking abstinence for 6 and 12 months, namely varenicline, bupropion, and 5 nicotine replacement therapies like nicotine gum, inhaler, transdermal patch, tablet, and lozenges were all found to be effective than placebo.

CASE REPORT

Ramakrishnan Kesavan, Abraham V Mary

A Rare Case of Multiple Compound Odontomas Impeding the Eruption of Right Upper Permanent Central Incisor: A Case Report

[Year:2018] [Month:December] [Volume:9] [Number:2] [Pages:4] [Pages No:57 - 60]

Keywords: Compound, Incisor, Maxillary, Odontogenic, Odontoma, Tumors

PDF  |  DOI: 10.5005/jp-journals-10042-1070  |  Open Access |  How to cite  | 

Abstract

Odontomas are developmental anomalies consequential from the advancement of fully distinguished epithelial and mesenchymal cells which develop into odontoblast and ameloblast. These are common odontogenic tumors fundamentally made up of enamel, dentin, and capricious quantities of cementum and pulp material. They can cause expansion and resorption of adjacent bone but does not invade neighboring tissue which renders them treatable by curettage along with conservative surgical removal. In the present article, we report a case of rare multiple compound odontomas which obstructs the eruption of the permanent incisor. The lesion is completely removed, and the patient was asked to report after three months. According to scientific literature, odontomas which are completely removed does not relapse, but close observation is essential in young children to prevent eruption disturbances in the developing dentalarch.

CASE REPORT

Krishna Kripal, Senthil Rajan, Kavita Chandrasekaran, Thaslim Fathima

Treatment of Grade II Mandibular Furcation Defects by Concentrated Growth Factors and Hydroxyapatite Bone Substitute (Sybograf®): A Case Report

[Year:2018] [Month:December] [Volume:9] [Number:2] [Pages:5] [Pages No:61 - 65]

Keywords: Concentrated growth factor, Furcation involvement, Hydroxyapatite crystals, Periodontal disease

PDF  |  DOI: 10.5005/jp-journals-10042-1071  |  Open Access |  How to cite  | 

Abstract

Aim: This case report attempts an evaluation of the clinical and radiographic outcome of concentrated growth factors (CGF) along with nanohydroxyapatite bone substitute in considering grade II mandibular furcation defects. Background and objectives: Periodontal disease, if not interfered, will headway further with attachment loss, adequate enough to have a consequence on the bifurcation or trifurcation of multirooted teeth. There is a paucity of studies comparing the effects of CGF and nanohydroxyapatite crystals bone substitute in furcation defects. Case discussion: A male patient, 66 years old, had visited the outpatient department of periodontology, with a chief complaint of sensitivity in the lower left back tooth region for the past few months. The probing depth as measured by UNC-15 probe was 5 mm mesiobuccal, 10 mm midbuccal, 5 mm distobuccal and 5 mm midlingual. The furcation defect was filled using an appropriate combination of CGF and bone graft material (Sybograf). The flap was sutured with 3–0 silk suture to obtain primary closure. Conclusion: The results have shown significant improvement in the gingival index and probing pocket depth (horizontal and vertical). There was a significant amount of bone fill also that was evident radiographically. Clinical significance: The current case report boons a new approach for the treatment of grade II mandibular furcation defects through a collective approach of CGF and nanohydroxylapatite bone substitute.

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