ABSTRACT
Aim: The aim of the present study is to evaluate the status of periodontal disease in the sample population of Jammu region.Materials and Methods: The study included 400 males (200 cigarette smokers and 200 non-smokers) aged 16–65 years.The subjects were randomly selected from the patients attending the dental outpatient Department of Periodontics, IndiraGandhi Government Dental College, Jammu. Community periodontal index (CPI) score was recorded for each patient and aquestionnaire was completed by each patient.Results: Periodontal condition as assessed by CPI score showed that there was a statistically significant difference in thefindings between tobacco consumers and non-tobacco consumers, and periodontal health was altered in the subjects whowere tobacco consumers.Conclusion: The increasing prevalence of periodontal diseases is a concerning problem which needs immediate intervention,if not, it would have a serious negative impact on the future oral health.
ABSTRACT
Aim: The aim of the study was to evaluate the comparative effect of Ornigreat gel and Hexigel as a local drug delivery system in association with scaling and root planing (SRP) in patients with chronic periodontitis. Materials and Methods: A double-blind trial was conducted to test the comparative efficacy of the two commercially available Ornigreat gel and Hexigel at Indira Gandhi Govt. Dental College and Hospital, Jammu. These indices were recorded at baseline (“0 day”), 15th day, 30th day, 60th day, and 90th day in 40 sites, >4 mm pockets in 11 patients among which 20 sites received Ornigreat gel and other 20 sites receive Hexigel following SRP were compared. Results: The results of the study showed that the combination of SRP and Ornigreat gel therapy was more effective in reducing the mean values of gingival index and sulcus bleeding index though not statistically significant, but the values of plaque index showed statistical significance on the 60th day and 90th day, and the probing pocket depths showed statistically significant difference from the 15th day to the 90th day at P < 0.05 in comparison with Hexigel. Conclusion: The Ornigreat gel could be an efficient local drug delivery system when used in adjunct to SRP in comparison with Hexigel.
ABSTRACT
The increasing prevalence of obesity and physical inactivity due to population growth, aging, urbanization has prompted the rise in the incidence of diabetes mellitus (DM). Diabetes has emerged as a major healthcare problem in India. About half of the diabetic patients are undiagnosed, as diabetes mellitus is asymptomatic in its early stages. Diabetes and periodontitis interact in a bidirectional manner. Therefore, there is a need to screen patients for diabetes in dental clinics. Glucometers are reliable, rapid, and commonly used for blood glucose determination in diabetes screening. Routine oral examination of patients with periodontal inflammation with or without diabetes produce ample bleeding, which can be used in glucometers for screening DM. Therefore, the main aim of this study is to assess if gingival crevicular blood (GCB) is as efficient as capillary finger prick technique in estimating the glycemic status. Methods: A total of 48 patients participated in the clinical study. All of them were seeking dental check-up or treatment at Department of Periodontology, Government Dental College, Jammu. Probing was done until a sufficient amount of blood appeared in the gingival crevice. Accu -Check Instant S Meter, Roche Diabetes Care India Pvt Ltd. Results: The Gingival crevicular blood(GCB), Capillary finger prick blood (CFB) glucose value ranged between 82 and 299 mg/dl with mean value being 145.25±38.12 and the CFB glucose value ranged between 83 and 289 with a mean value of 138.88±51.243. Pearson’s correlation coefficient showed a positive correla¬tion between GCB and CFB. Conclusion: It is be concluded that GCB may serve as a potential source for screening of blood glucose during routine periodontal examination in populations with an unknown history of DM. Thus, with minimal cost and time investment dental professionals can play a critical role in diagnosis of DM.
ABSTRACT
Hyperlipidemia is a known risk factor for cardiovascular diseases. A common biologic mechanism between systemic diseases, such as cardiovascular diseases, and periodontal diseases has been suggested. The aim of this study is to examine the association between blood lipid profile and periodontitis. Aim: To study the correlation between serum lipid profile and periodontitis. Methods: The levels of serum lipid profile in 60 subjects, 30 with chronic generalized periodontitis based on clinical attachment loss (CAL) constituting the test group and 30 without periodontitis constituting the control group, were measured and compared with each other. Both these groups were free from other systemic illnesses. Statistical Analysis: The mean CAL was positively correlated with serum low-density lipoprotein (LDL) cholesterol (P < 0.01). Results: The mean serum LDL cholesterol (126.62) and total cholesterol (173.32) in periodontitis patients were found to be significantly higher as compared to that of the controls. The mean CAL (5.32 mm) was positively correlated with serum LDL cholesterol. The frequency of persons with pathologic values of LDL cholesterol and total cholesterol was significantly higher in periodontitis patients compared with that of the controls. Conclusion: These results showed that high serum LDL cholesterol and total cholesterol may be associated with periodontitis in otherwise healthy people. However, it is unclear whether periodontitis causes an increase in the levels of serum LDL.
ABSTRACT
Background: Chewing sticks were used throughout the ancient times many communities till date. Many people in today’s modern days still have maintained this practice of oral hygiene due to reasons like cost, customs and religious reasons and accessibility. The miswak, obtained from the twigs of the Salvadora persica tree, may be beneficial due to its mechanical cleaning. The aim of the present study was to compare the oral hygiene status and gingival conditions following the use of conventional tooth brushing and miswak over a period 100 days. Materials and methods: The study was conducted in a madrasa in outskirts of Jammu and Kashmir. Out of the total 154 subjects, a total of 148 subjects who were voluntarily willing to participate in the study were selected. Out of these subjects 72 subjects were using miswak (Group I), 76 subjects were using tooth brush and tooth paste (Group II) as an oral hygiene aid. All of these subjects were evaluated for Gingival and Plaque status on 50th and 100th day following oral prophylaxis. Results: Both Group I showed a significant difference (p≤0.05), at 50th and 100th day in their mean plaque scores. The mean gingival scores recorded for subjects using only miswak and those subjects using both miswak as well as tooth brush and tooth paste increased from 50th day to 100th day and showed a statistical difference between the two means in group I. Conclusion: The results of the present study suggest that miswak can be used as an effective adjunct for oral hygiene maintenance along with toothbrush and tooth paste as it is readily available and inexpensive.