Evaluation of efficacy of an ayurvedic mouthwash on dental plaque and gingivitis: a double blinded parallel randomized controlled study

Introduction: Due to inherent limitations of chlorhexidine, search for an effective and potentially safe anti-plaque agent has led to emergence of alternative products. Aim: To evaluate and compare the effects of Oral Pal Plus mouth rinse and chlorhexidine on dental plaque and gingivitis. Materials and Methods: The present study was randomized parallel group controlled trial. A group of 90 healthy subjects in the age group of 18-21 yrs received complete supragingival scaling at baseline and study variables viz, Plaque index and Gingival index were recorded. Subjects were then randomly divided into three groups (30 in each group) and were randomly intervened with three different mouthwashes. ie, Chlorhexidine, Oral Pal Plus and normal saline. Variables were again recorded on the 7th day 14th day after use of mouthwashes and data obtained was subjected to statistical analysis. Results: There was statistically significant reduction in plaque and gingival scores from baseline to 14 days in both the groups A & B. Conclusion: Chlorhexidine (0.2%) and Oral Pal Plus mouthwash showed significantly reduction in plaque scores and gingival scores whereas no improvement was seen in Group C using normal saline over 14 days. (AU)

Prevalence of dental fluorosis among primary school children in association with different water fluoride levels in Mysore district, Karnataka.

Background: Fluoride intake at optimal level decreases the incidence of dental caries. However, excessive intake, especially during developmental stages can cause adverse effects such as dental and skeletal fluorosis. Aim: To assess the prevalence and severity of dental fluorosis in primary school children born and raised in three villages of Mysore District. The three selected villages have different water fluoride concentrations. Materials and Methods: Three villages namely, Nerale (water fluoride 2.0 ppm), Belavadi (1.2 ppm) and Naganahally (0.4 ppm) were selected for the study. Then, a total of 405 children, 10–12‑year‑old (204 [50.4%] males and 201 [49.60%] females) were selected from three schools of the villages. Dean’s fluorosis index recommended by World Health Organization was used to evaluate fluorosis among the study population. Results: The overall prevalence of dental fluorosis was found to be 41.73%. An increase in the community fluorosis index (CFI) was higher among those living in high water fluoride area. Conclusion: A significantly positive correlation was found between CFI and water fluoride concentration in drinking water.

Neonatal meningitis caused by Salmonella enteritidis with multiple brain abscesses - a case report

Meningitis in neonates caused by the non-typhoidal salmonella, S. enteritidis is rare but is a rapidly progressive infection and may lead to irreversible brain damage. We report here a 10-day-old neonate with Salmonella enteritidis meningitis who presented with disseminated intravascular coagulation and central nervous system complications. Blood, stool and cerebrospinal fluid [CSF] culture grew Salmonella enteritidis. CT brain done on the day of admission showed multiple supratentorial and infratentorial hypodense white matter lesions with dilatation of the ventricle. Rapid progression of the infection and the age would have contributed to the complications seen in our patient

Papillon Lefevre Syndrome

Papillon-Lefevre syndrome is a very rare autosomal recessive condition characterised by pronounced palmoplantar hyperkeratosis and severe early onset periodontitis, leading to early loss of teeth. Here, we report a case of Papillon-Lefevre syndrome with a brief discussion on treatment aspect