ABSTRACT
AIM: The aim of this study is to assess the prevalence of temporomandibular disorders (TMDs) among university students. OBJECTIVES: The etiology of TMD is of multifactorial, and our study is designed to assess the prevalence of TMD in an institution within a university. Various parameters including trauma, malocclusion, stress assessment - its correlation with the timing, the duration of TMD in meeting the deadlines, and examinations have been assessed. MATERIALS AND METHODS: A standard questionnaire-based study with modified Fonseca anamnestic index is used. The questionnaire study was conducted with a statistically calculated sample size of 402 students within a university. The data were analyzed statistically for significance and correlations. Statistical analysis was performed using SPSS for Windows release 14.0 (SPSS Inc., Chicago, IL, USA). Differences at the 5% level were accepted as being statistically significant. RESULTS: TMD and its associated symptoms are frequent among students of health and science studies. Female predominance is seen. There was also an increased prevalence of symptoms in people who described themselves as being tense. The relationship between orthodontic therapy and TMDs were also evaluated, and the duration of therapy is found to be significant. There was a significant association between history of trauma and presence of TMDs. CONCLUSIONS: TMD and its associated symptoms are frequent among students of health and science studies. A simple anamnestic index is of use in identifying and classifying temporomandibular joint and TMD symptoms in patients according to the severity of the disorder. Females showed a greater prevalence of signs and symptoms of TMD than males. Longitudinal studies are recommended to identify and follow-up the prevalence and health-care needs of patients with TMDs.
ABSTRACT
BACKGROUND: The intake of green tea has been increased recently due to its medicinal values. The antibacterial and antioxidant properties of green tea were found to be beneficial in the treatment of gingival and periodontal diseases. The aim of this comparative study was to compare the efficacy of the mouthwash containing green tea and chlorhexidine in the management of dental plaque-induced gingivitis. MATERIALS AND METHODS: Thirty patients who participated in the study were divided randomly into two groups, each group of 15 patients was prescribed with either chlorhexidine or green tea mouthwash. Turesky modification of Quigley-Hein plaque index, Löe and Silness gingival index, Ainamo and Bay bleeding index, tooth stain, and tongue stain (TS) were recorded at baseline, 15 days, and 1 month. The subjects were asked to report any discomfort or alteration in taste. RESULTS: There was a significant decrease in plaque index, gingival index, and bleeding index in both the groups. However, green tea mouthwash resulted in a statistically significant decrease in bleeding index compared to chlorhexidine group. There was no significant difference in tooth stain and TS in both the groups. CONCLUSION: The green tea-containing mouthwash is equally effective in reducing the gingival inflammation and plaque to chlorhexidine.
ABSTRACT
BACKGROUND: Multiple approaches have been used to replace lost, damaged or diseased gingival tissues. The connective tissue graft (CTG) procedure is the golden standard method for root coverage. Although multiple sites often need grafting, the palatal mucosa supplies only a limited area of grafting material. To overcome this limitation, expanded mesh graft provides a method whereby a graft can be stretched to cover a large area. The aim of this study was to evaluate the effectiveness and the predictability of expanded mesh CTG (e-MCTG) in the treatment of adjacent multiple gingival recessions. MATERIALS AND METHODS: Sixteen patients aged 20-50 years contributed to 55 sites, each site falling into at least three adjacent Miller's Class 1 or Class 2 gingival recession. The CTG obtained from the palatal mucosa was expanded to cover the recipient bed, which was 1.5 times larger than the graft. Clinical measurements were recorded at baseline and 3 months, 12 months postoperatively. RESULTS: A mean coverage of 1.96 mm ± 0.66 mm and 2.22 mm ± 0.68 mm was obtained at the end of 3(rd) and 12(th) month, respectively. Twelve months after surgery a statistically significant increase in CAL (2.2 mm ± 0.68 mm, P < 0.001) and increasing WKT (1.75 ± 0.78, P < 0.001) were obtained. In 80% of the treated sites, 100% root coverage was achieved (mean 93.5%). CONCLUSIONS: The results of this study demonstrated that multiple adjacent recessions were treated by using e-MCTG technique can be applied and highly predictable root coverage can be achieved.
