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Original Research Article
ROLE OF SPIRULINA IN MANAGEMENT OF BURNING SENSATION IN ORAL SUBMUCOUS FIBROSIS - RANDOMIZED CLINICAL TRIALAuthor Name: Prathima Shetty, Prashanth Shenai, Laxmikanth Chatra, Rajesh Shetty, Prasanna Kumar Rao
Abstract: OSMF is a potentially malignant disorder which debilitates a patient’s quality of life. Various number of medications have been tried but not all are very effective. Antioxidants have shown to reduce the symptoms and therefore a study was conducted using Spirulina, a natural algae that is incredibly high in protein, vitamins and antioxidants, to see if this new group of antioxidant helped in improving the symptoms.
Keywords: Oral Submucous fibrosis, Spirulina, Antioxidants.
TOOTH BLEACHING A CRITICAL REVIEWAuthor Name: John Paul, Meera Gopalakrishnan, Dinesh Kamath, Ajay Joseph
Abstract: Present tooth-bleaching techniques are based upon hydrogen peroxide as the active agent. It is applied directly, or produced in a chemical reaction from sodium perborate or carbamide peroxide. More than 90% immediate success has been reported for intracoronal bleaching of non-vital teeth. Cervical root resorption is a possible consequence of internal bleaching and is more frequently observed in teeth treated with the thermo-catalytic procedure. When the external tooth-bleaching technique is used, the first subjective change in tooth color may be observed after 2-4nights of tooth bleaching, and more than 90% satisfactory results have been reported. Tooth sensitivity is a common side-effect of external tooth bleaching observed in patients, but clinical studies addressing the risk of other adverse effects are lacking. This review article will help clinicians improve their understanding of the history of bleaching procedures, bleaching types, components, mechanisms, and their effects on soft tissue, tooth structures, resin composite, and bonding.
Keywords: Tooth bleaching, intracoronal bleaching, external bleaching, internal bleaching
GROWTH FACTORS IN PERIODONTAL REGENERATIONAuthor Name: Sasikumar Karuppanan, Sugumari Elavarasu, Thangakumaran, Mohammed Shereef
Abstract: The term growth factor refers to a naturally occurring protein capable of stimulating cellular growth, proliferation and cellular differentiation. Polypeptide growth factors represent a class of biological mediators that regulate critical cellular activities, including migration, proliferation, differentiation, and matrix synthesis. Since the late1980s, there has been a concerted effort to increase the knowledge of how polypeptide growth factors influence the repair and regeneration of tissues. The various types of growth factors were classified and studied to regenerate the lost periodontal tissues. The aim of this review is to study the growth factors(GFs) used in the periodontal regeneration and also to compare the various studies to understand the probable mode of action of growth factors for regenerating the lost periodontal tissues.
Keywords: Growth Factors, Periodontitis, Periodontal Regeneration, Signalling Molecules
DRUGS AND PERIODONTIUM A REVIEWAuthor Name: Sai Megha Menon, Jayachandran
Abstract: Effective periodontal therapy involves a comprehensive mechanical therapy and specific antimicrobial coverage. Use of various chemotherapeutic agents in conjunction with mechanical instrumentation provides an additional beneficial effect, offering an increased opportunity to control disease. Host modulation is an emerging avenue in the use of chemotherapeutic agents. Medications such as the anticonvulsants, antihypertensives, NSAIDs, immunosuppressants etc which have become quite common in the treatment of the multitude of lifestyle associated diseases have a profound influence on the periodontium and this influence should be understood and appropriate care has to be taken while administering these drugs. Finally, the recognition of the beneficial activity of several groups of commensal species such as probiotics might open new strategies for periodontal therapy. This article gives an overview of the various drugs that are used in our day today lives and their influence on periodontium.
Keywords: Drugs, Periodontium, antimicrobial.
DENTIGEROUS CYST ASSOCIATED WITH BILATERAL IMPACTED SUPERNUMERARY TEETHA CASE REPORTAuthor Name: P.G. Antony, Vimalraj R, Bobby John, Shiney Dominic
Abstract: Dentigerous cysts are thought to be caused by a developmental abnormality derived from the remnants of the tooth forming organ. Most common site of dentigerous cysts are those associated with impacted third molar teeth of the mandible, but rarely involve impacted supernumerary teeth in the anterior maxilla which account for 5% of all dentigerous cysts. Dentigerous cyst associated with bilaterally impacted supernumerary teeth is still a very rare entity. Swelling or pain may be the major complaints of the patient. In this case of discussion, radiographic examination reveals bilaterally impacted supernumerary surrounded by a large corticated radiolucency. A provisional diagnosis of infected odontogenic cyst was made. The cyst was enucleated along with the removal of the bilateral supernumerary teeth. Histopathological examination confirmed the diagnosis of infected dentigerous cyst. The patient remained asymptomatic, and no complications were noted.
Keywords: Dentigerous cyst, supernumerary teeth.
TREATMENT OF A CLASS 2 FURCATION DEFECT USING XENOGRAFT AND RESORBABLE GTR MEMBRANEAuthor Name: Ashitha Mohandas, Angel Jacob, Jayachandran P, Mohammed Shareef
Abstract: Periodontal regeneration in furcation defects is one of the most challenging goals of a periodontist. Here we describe a case report of a successful surgical management of a class 2 furcation defect in a mandibular molar of a 21 year old man. This case report evaluates the efficacy of using xenograft along with resorbable membrane for guided tissue regeneration in furcation defects. The patient reported with a chief complaint of pain and swelling in his right lower back tooth. On clinical and radiographic examination a class II furcation defect(Glickman's classification) was observed. After phase 1 therapy ,the flap was reflected and furcation area was debrided. Xenograft was placed into the defect and covered with resorbable collagen membrane and sutured. At the end of 4months a significant bone fill was seen in the furcation defect thus improving the prognosis of the tooth.
Keywords: Furcation defect, xenograft, GTR.
GINGIVAL ENLARGEMENTAuthor Name: Swaroop Chandy, Kiran Joseph, Annie V Issac, Rino Roopak Soman
Abstract: Gingival enlargement is a common pathologic condition that can develop in response to various stimuli. It may be inflammatory, non inflammatory or a combination of both. It can be due to various factors such as poor oral hygiene, mouth breathing or food impaction. This case report discusses a case of gingival hyperplasia in an 18 year old male undergoing orthodontic treatment in relation to lower anteriors for the past 8 months The oral hygiene of the patient was found to be poor. Based on the clinical and histopathological findings, a diagnosis of chronic inflammatory gingival enlargement was made. Along with oral prophylaxis, gingivectomy using scalpel was carried out and results were found to be satisfactory. A proper diagnosis and treatment plan along with proper patient compliance is very essential for successful management of this condition.
Keywords: Gingival hyperplasia, epulides, orthodontic therapy, gingivectomy.