ABSTRACT
Background: A working knowledge of the prevalence of hypersensitivity in chronic periodontitis patients, is imperative to adequate prognostication, treatment planning and outcome. The present study, is a primary report of the prevalence of dentinal hypersensitivity, in relation to various patient characteristics (demographic and clinical) in chronic periodontitis patients visiting Government Dental College and Hospital, Srinagar, J&K.Material & Methods:A cross-sectional study design was used to evaluate 100 male and 100 female patients diagnosed with chronic periodontitis both by questionnaire and clinical test for the presence of dentinal hypersensitivity, in relation to various features.Results:An overall prevalence of 34% was found for self-reported and 42 % for actual dentinal hypersensitivity in chronic periodontitis patients. It was highest in females, undergraduates, rural subjects and canine teeth. The most common provoking stimulus was cold, and duration of hypersensitivity was less than 6 months. Clinical attachment loss was found to be more often associated with hypersensitivity than clinical gingival recession.76% of the patients reporting hypersensitivity also reported the use of desensitizing toothpaste.The reported prevalence of hypersensitivity was in concordance with other reports from dental college clinics. The particular geo-social background of the study location could have contributed to the observed difference in precipitating factors, effect of diet, and treatment seeking behaviour. Conclusion: The prevalence of dentine hypersensitivity in chronic periodontitis patients was 34% according to questionnaire and 42% according to the results of clinical test. Periodontal attachment loss was found to be could be an earlier indicator or a possible risk factor of DH, indicating the need for clinical initiative in the management of hypersensitivity in chronic periodontitis patients.
ABSTRACT
Introduction: The contemporary research interest inautologous platelet concentrates is backed by an emergingevidence of their promising regenerative potential in numberof clinical applications. Periapical inflammatory lesionsrepresent a chronic pathology of the periapical tissuesthat result in considerable bone resorption and worsen theoverall tooth prognosis. With this background, the presentstudy was designed to evaluate the effect of the most recentplatelet concentrate preparation, concentrated growth factors(CGF) on osseous regeneration after surgical management ofperiapical lesions.Material and methods: A prospective study was done intwenty patients where CGF was used to fill the periapicaldefects after periapical curettage. Area of radiolucency andmean gray values were assessed at baseline, 1 month, 3months and 6 months after surgery using Image J software.Paired t-test was used to evaluate changes occurring betweenbaseline and 1 month and baseline and 6 months.Results: And early and enhanced healing was evident formthe substantial decrease in area of radiolucency, and meangrayscale values indicated a progressive increase in bonedensity during the observational period. These changes werehighly significant (P< 0.05).Conclusion: CGF can be used as an efficacious and costeffective alternative to conventional bone substitutes forpromoting healing after the surgical debridement of periapicaldefects.
ABSTRACT
Background: Patient compliance plays a decisive role in the outcome of periodontal therapy. Although a number of reports have studied patient compliance and its variables during supportive periodontal therapy, there is a paucity of literature on factors affecting compliance to active periodontal therapy. Moreover, as health beliefs largely stem out of social/religious/ethnic convictions, population specific compliance studies are highly relevant. It is foreseeable, that early identification of compliance-affecting variable will enable institution of a timely and personalized patient education/ motivation programme. Aim: To elucidate factors which affect patient compliance during active periodontal therapy in patients visiting Government dental college and hospital, Srinagar. Materials and methods: 150 patients were included in the study for performance of active periodontal therapy (scaling and root planing) over 3-5 visits every 5 days. They were subjected to pre-validated questionnaire to assess their sociodemographic factors, oral health awareness (OHA) and treatment satisfaction (TS). Results: Sociodemographic factors (education, emplyoyment and gender), OHA and most of all TS were found to influence patient compliance in the given population. Conclusion: Certain sociodemographic factors have a bearing on patient compliance and may be assessed as predictors of compliance to therapy. As treatment satisfaction has a profound effect on the patient‟s willingness to return for treatment, it should be an objective of the overall clinical practice. Roobal Behal, Suhail Majid Jan, Huda Hussain. Evaluation of the effect of various factors on patient compliance among patients visiting Govt. Dental College and Hospital, Srinagar. IAIM, 2018; 5(8): 55-63. Page 56 Pertinently, the crucial role of the periodontist in patient education and management should be realized and utilized to achieve predictable compliance.