ABSTRACT
Background: Various conceptual hypotheses have been put forth to link association of COVID?19 with various chronic diseases such as periodontitis. Empirical evidence is still lacking to correlate the severity of COVID?19 with periodontal diseases. Objectives: This study was undertaken with an objective to correlate COVID severity in systemically healthy patients suffering from periodontal diseases. Materials and Methods: 44 systemically healthy patients of both genders with minimum of 20 teeth in their oral cavity in age range of 20 to 50 years suffering from periodontitis were recruited and categorised into four stages as per American Academy of Periodontology (AAP) 2017 classification for periodontitis. Serum C?reactive protein (CRP) levels and periodontal disease parameters of all the patients were measured. Because of COVID?19 and the nationwide lockdown, the dental practice was highly affected. With the help of self?designed online questionnaire information regarding COVID?19 infection and associated symptoms were recorded. Cases were categorized into five groups based on the World Health Organization clinical progression scale of COVID severity. Results: All the patients suffering from COVID disease in moderate and severe forms had increased probing pocket depth, clinical attachment level, and raised serum C?reactive protein levels as compared to patients who were uninfected or suffering from mild COVID disease and the results were statistically significant. Conclusion: Prioritisation and Implementation of periodontal treatment as a preventive measure for COVID?19 should be done. A positive correlation is observed between the severity of periodontitis and COVID?19.
ABSTRACT
Objectives: To evaluate the efficacy of chlorohexidine mouthrinse as a pre-procedural rinse in reducing streptococcal bacterial colonies.Study Design: A single-centre, double-masked, placebo-controlled randomised clinical trial conducted over a period of 15 days. 6 patients were included in the study, patients were first asked to rinse with the placebo (distilled water) for 1 minute before the scaling of control site followed by test site rinsing with chlorhexidine mouthwash for 1 minute. The microbial contamination was checked in the operatory, operator’s mouth mask, the patient’s chest, the operator’s chest and the patient’s breath with the help of agar plates. Results: The results revealed that there was statistically significant reduction in the Colony Forming Units (CFU's) formation. Paired sampled t test was used for checking the statistical significance, confidence interval (CI) was 95% and (p<0.05).There was statistical reduction in CFU's in breath sample, 30 minutes after scaling and less number of CFU’s were formed on the operator’s mask after the scaling of the patients with the use of chlorhexidine as the pre-procedural rinse compared to distilled water. Conclusion: The 0.2% chlorohexidine mouth rinse as a pre-procedural rinse has comparatively greater efficacy than distilled water in reduction of streptococcal colony forming units, however this finding was not statistically significant.[Sachit A NJIRM 2016; 7(5):46-52]
ABSTRACT
Periodontitis is a one of the commonly occurring disease. Various therapies have been used and suggested for its treatment which includes nonsurgical, antimicrobial, and surgical therapy. In the recent years, lasers have been used frequently for periodontal therapy. Lasers have been applied for debridement, reshaping as well as the reduction of bacterial load in the pocket. This case series represent the use of lasers for exposure of impacted teeth, second stage surgery for dental implant, and vestibuloplasty. The surgical procedure with a 810 nm diode laser has been described. The laser-assisted procedures provided excellent results without complications as well as high patient and clinician satisfaction.