RESUMEN
Objective: To compare self-perceived oral symptoms and clinical [plaque index [PI], bleeding on probing [BOP], clinical attachment loss [CAL]] and radiographic [marginal bone loss [MBL]] periodontal parameters among naswar [NW] and non-naswar dippers [NNW]
Methods: One hundred and forty-two individuals [72 patients consuming naswar and 70 controls] were included. All participants completed a baseline questionnaire that included information regarding demographic characteristics and self-perceived oral symptoms. Clinical periodontal parameters [PI, BOP, PD and CAL] were recorded. MBL was measured on digital panoramic radiographs
Results: Pain in teeth, pain on chewing, bleeding gums and burning sensation in the mouth was significantly worse among NW than NNW [p<0.01]. Clinical periodontal parameters and MBL were significantly high in NW than NNW [p<0.001]. There was statistically significant influence of daily use and mean duration of naswar consumption on the severity of PI, BOP, PD [4 to 6 and >6 mm] and MBL among NW group
Conclusion: Self-perceived oral symptoms and periodontal parameters were worse among naswardippers. It is highly recommended that naswar dipping should be considered a potential threat that could have major effects on periodontal tissues
RESUMEN
Gastric perforation is a very rare complication of necrotizing pancreatitis. We present an interesting case of gastric perforation after necrosectomy for necrotizing pancreatitis without generalized peritonitis. Abdominal drain was seen inside the stomach on endoscopy and there were no clinical features of generalized peritonitis even after 10 days of surgery. Patient was re-explored. The drain was removed and stomach was primarily repaired. The patient recovered uneventfully and was discharged home on 6th post operative day. On follow-up visit after one month patient was doing very well and had no complications