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Background: Dental erosion is a complex pathology of multifactorial etiology in which chemical, biological and behavioural factors influence the erosive process. The etiology has been related to the regular use of products with low endogenous pH and high acidity including liquid medicaments. Aim: To investigate the endogenous erosive potential of commonly used pediatric liquid medicaments. Methods: Endogenous pH and titratable acidity of eight commonly used pediatric liquid medicaments were measured using a digital pHmeter. 54 exfoliated or extracted primary and permanent teeth without any carious lesion, maintained in pediatric liquid medicaments were observed under SEM after 1 minute and 10 minutes of time intervals. Results: Most of the medicaments showed etched prism pattern on primary teeth and crater formation whereas etched prism pattern was seen on all permanent enamel surfaces. Conclusion: Evidence of dental erosion was observed on both primary and permanent enamel.
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The increased prevalence and severity of periodontitis seen in patients with diabetes, especially those with poor metabolic control, has led to the designation of periodontal disease as the “sixth complication of diabetes” and successful periodontal therapy in diabetic patients entails the stabilization of blood glucose to a normal range. Hence, present study evaluates whether the noninvasive method of testing gingival blood glucose, is a reliable tool for screening diabetes in chronic periodontitis patients. Methods: The study sample comprised of 75 patients with probing pocket depth of > 4mm and clinical attachment loss of >3mm. Under aseptic measures and proper isolation, after gently probing the gingival sulcus the blood was drawn onto the glucometer strip and the readings were recorded. At the same visit blood was also collected from the index finger onto the glucometer strip. The statistical methods applied were Student's t-test (unpaired) to compare mean values between the two groups and Pearson's correlation for Means and Standard Deviation of the different parameters were calculated. Results: There is a positive correlation between GCBG and CFBG with all the clinical parameters. Fasting blood glucose level is negatively associated with age, plaque index and clinical attachment level (r=0.083, r=0.22 and p=0.042, respectively) whereas Post prandial blood glucose level is negatively associated with age, plaque index and probing pocket depth (r=0.117, r=0.099 and r=0.06, respectively). CFBG is slightly positively correlated with age, plaque index and clinical attachment whereas GCBG is strongly associated with probing pocket depth. Conclusion: The gingival crevicular blood glucose levels also found a positive correlation with the fasting blood glucose levels and post prandial blood glucose levels, suggesting the use of gingival crevicular blood as a screening marker for diabetes. Also a correlation was found between the gingival crevicular blood glucose levels and the clinical parameters suggesting that the treatment of periodontal disease can be considered as an important factor, which can help in improvement of the blood glucose levels in periodontitis subjects.
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Furcation involvement (FI) refers to the invasion of the bifurcation and trifurcation areas of multi-rooted teeth by periodontal disease. Diagnosis of FI by 2D radiographs can be overcome by the use of cone-beam computed tomography (CBCT) imaging technique. Objective: To compare the measurements of furcation depth by clinical method and CBCT in assessing the FI. Methods: The present study comprised of 60 furcation involved mandibular molars from 45 patients suffering from Chronic Generalized Severe Periodontitis. Teeth having probing pocket depth of ≥6mm were considered for the study. Clinical measurements of furcation depth were made on buccal or lingual sides of mandibular molars by using endodontic file with stopper which was done by two clinicians. The CBCT measurements were performed by measuring the deepest vertical and horizontal furcation defects at each furcation entrance. These measurements were then recorded, compiled and statistically analysed. Results: The comparison of furcation involvement clinically by clinician 1 and CBCT measurements in buccal side was statistically significant (p=0.0255*), while it was statistically not significant (p=0.3696 NS) on lingual side. Similarly, the comparison of furcation involvement clinically by clinician 2 and CBCT measurements in buccal side was statistically significant (p=0.0278*), while it was statistically not significant (p=0.4951 NS) on lingual side. Conclusion: CBCT technique can be considered a reliable tool for detecting FI as CBCT imaging showed high accuracy and moderate reproducibility in the assessment of furcation depth.
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Background: Otitis Media or infection of Middle Ear is a broadterm that encompasses all the inflammation of the middle earwithout any specific etiology or pathogenesis. The presentstudy was conducted with the aim to determine the incidenceof dental caries amongst the subjects with middle ear infection.Materials and Methods: Controls were subjects who didn’thad dental caries of ear infection. Children with any othermedical condition were excluded from the study. Children withinfection of middle ear were categorized according to age andgender. Group I subjects were having middle ear infection andGroup II were controls. Centrifugation was done for 10 minsand the deposits obtained were used for culturing. All the datathus obtained was arranged in a tabulated form and analyzedusing SPSS software. Probability value of less than 0.05 wasconsidered as significant.Results: The mean age of the subjects was 10.67+/-3.62years. The mean colony forming units in Group I was 5.7+/-9.65 and in Group II was 1.6+/-2.78. There were 5 children inGroup I and 30 children in Group II with very good health ofteeth. Good oral health was seen amongst 5 subjects in GroupI and 20 subjects in Group II. Majority of subjects in Group I(40) had average oral health. There was a significant differencein the Groups amongst oral health amongst the groups.Conclusion: There was an increased risk of early childhoodcaries amongst children with middle ear infection.
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Background: Diabetes Mellitus is a complex disease with varying degree of systemic and oral complications. The prognosis is quite favorable if a disease is diagnosed in early stages. Since a large number of patients seek dental treatment routinely, screening procedures for early detection of subclinical cases can help in diagnosis of asymptomatic diabetes. Aim: The present study was undertaken to evaluate if gingival crevicular blood can be used for the estimation of blood glucose levels in periodontitis patients. Material and Methods: A prospective study was carried out comprising 150 patients Group A comprised of 75 subjects with gingivitis and group B comprised of 75 subjects with periodontitis. For gingival crevicular blood glucose (GCBG) level estimation, the blood was drawn onto the glucometer strip after gently probing the gingival sulcus and the readings were recorded. At the same time, blood Vijayendra Pandey, Akhilesh Chandra, Deepak Kumar, Anup Kumar Singh, Priyankesh, Alok Kumar Gupta. Estimation of gingival blood glucose using a sensitive self-monitoring device in periodontitis patients. IAIM, 2019; 6(6): 51-56. Page 52 was also collected from the index finger onto the glucometer strip for the capillary finger-prick blood glucose (CFBG) sample. Both the values were compared and statistical analysis of data was performed. Results: The mean GCBGL and CFBGL in group A was 98.43 mg/dl ± 18.62 and 103.48 mg/dl ± 13.90 respectively, while in group B it was 136.37 mg/dl ± 36.95 and 141.62 mg/dl ± 51.84, respectively. There was no statistically significant difference (p> 0.05) between the two values in both the groups. Conclusion: It can be concluded that GCBG levels are positively correlated with CFBG levels. Therefore, clearly indicating that gingival crevicular blood collected during diagnostic periodontal examination may be an excellent source of blood sample for glucometric analysis.
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Background: There are considerable amount of population suffering from malocclusion. An increasing number of patients are demanding orthodontic treatment for improved esthetics and a better mastication system. The present study was conducted to assess tooth movement with piezocision and its periodontal transversal effects in class II malocclusion patients. Methods: The present study was conducted in the department of Orthodontics. It comprised of 120 patients with class II malocclusion. Before canine distalization and after the alignment and leveling phases, piezocision was performed on experimental side (Group I). Tooth mobility and gingival index was assessed on both sides. Results: In group I, there was 3.56± 1. 4 months and in group II there was 5.61± 1.2 months for distalization. There was 1.54± 1.3 mm and 0.80± 1.1 mm distalization in group I and group II. The difference was significant (P< 0.05). The mobility score was 1.2 and 1.4 before and after distalization in group I and 1.3 and 1.5 before and after distalization in group II. The difference was non- significant. Gingival index score was 1.4 and 1.3 before and after distalization in group I and 1.5 and 1.6 before and after distalization in group II. The difference was non- significant (P> 0.05). Conclusion: Piezocision-assisted distalization accelerates tooth movement, decreases the anchorage loss for posterior teeth, and does not induce any maxillary transversal change. This technique does not have any adverse effects on periodontal health.
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Background: Fluoride in groundwater is more common in crystalline igneous rocks and alkaline soils located in semiarid climate, which exist in the northwestern parts of the Jharkhand state in the district of Garhwa and Palamu. The present study was undertaken to evaluate the intelligent quotient among children affected with and without dental fluorosis visiting dental college in the Garhwa district. Methods: The present prospective study comprised of 30 subjects selected randomly in the age group of 6-12 years visiting Vananchal dental college & hospital, Garhwa. The study compared IQ levels of children of study and control groups by means of Seguin Form Board Test. Data so obtained was statistically analyzed using Student ‘t’ test with p value <0.05 as significant value. Results: Regarding drinking water source, 45% was drinking groundwater among study group. Mean scores for average timing category was found to be significantly higher (P<0.05) among children with dental fluorosis (29±2.87) than among children without dental fluorosis (27±3.02). Conclusion: The present study concludes that children with dental fluorosis have low Intelligence Quotient (IQ) than children without dental fluorosis. About half of the patients suffering from dental fluorosis were dependent on groundwater for drinking purposes. Fluoride water level of villages located in these regions should be selected in priority for application of defluoridation measures.
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Background: Tobacco comprises of one of the most common addiction in the society. All the forms of the tobacco are harmful, causing alterations in the cellular parameters of the oral mucosal cells. A number of techniques and methods are available along with chair side examination for supplementing the diagnosis of tobacco induced premalignant lesions. Exfoliative cytology is one such technique, which is non-invasive and can be used for mass screening. Therefore, we evaluated the cytological and cytomorphometric changes in the oral squames using brush biopsy from buccal mucosa of tobacco users. Methods: A total of 300 patients with age group of 25 to 60 years were included in the study. Detailed history of the patients were taken to known the method (smoking, smokeless or both) and frequency of tobacco intake. Scrapings from the buccal mucosal scrape were obtained, smeared on slides and were subsequently stained with Hematoxylin and Eosin staining. Observation and analyses of the smears was done under microscope followed by analysis in the computer using software Dewinter Biowizard version 3.0. various cellular parameters were assessed and compared in between different groups. Patients were divided into two major groups- Habituers and Nonhabituers. The habituers were again divided into: Tobacco smokers, Tobacco chewers and patients having combined habit. Independent-Samples T Test and One-Way ANOVA were used to assess the level of significance. Results: Significant results were obtained while comparing nuclear parameter, cellular area, cellular perimeter, cell contour and nucleo-cytoplasmic ratio in between lesional group and tobacco smoking group. While comparing between tobacco smoking group and Non habituers group, significant results were obtained in all the parameters except for cell contour and N/C ratio. Significant results were obtained while comparing between lesions and combined habit groups. While comparing between habituers and non- habituers group, except for cell contour significant results were obtained in all other cellular parameters. Conclusion: Early changes detection in clinically normal oral mucosa of tobacco users is possible by using non-invasive, painless procedures like oral brush biopsy and cytomorphometry. Further studies recommended.