ABSTRACT
CONTEXT: Local administration of antimicrobial agents offer a "site-specific" approach to the periodontal therapy and it has several benefits. AIM: The present study was aimed to assess the clinical and microbial changes by subgingival irrigation using different subgingival irrigants in periodontitis patients and also to assess the mechanical effect of different local irrigation devices; if any. SETTINGS AND DESIGN: Split-mouth design was employed on ten individuals. MATERIALS AND METHODS: The study sample consisted of 10 individuals in whom full-mouth scaling and root planing was performed and subgingival irrigation therapy was instituted for an experimental period of 30 days. The clinical as well as microbiological parameters were evaluated. STATISTICAL ANALYSIS USED: To calculate baseline data with day thirty data, paired t-test was used. Intergroup comparison was carried out using one-way ANOVA. Multiple comparisons among groups were carried out using post hoc Tamhane's T2 test. RESULTS: Among the different subgingival irrigants used, 0.2% chlorhexidine gluconate is most effective followed by ozonated water, whereas saline was found to be ineffective when compared to the other two subgingival irrigants. Subgingival irrigation using pulsated device may not have any additive effect in alteration of the subgingival microflora. CONCLUSION: Within the limits and scope of the study, it can be safely concluded that 0.2% chlorhexidine may be used as an adjunct to mechanical therapy for achieving a significant reduction in inflammatory periodontal changes and also reduction in periodontopathogenic microflora.
ABSTRACT
Bleeding is a common sequela of oral and periodontal surgery. Generally, bleeding is self-limiting. Following traumatic injury or surgical procedures, hemorrhage can range from a minor leakage or oozing at the site, to extensive bleeding leading to complete exsanguinations. Significant postsurgical hemorrhage following periodontal surgery is uncommon due to the primary closure of the soft tissues. This case report describes the unique formation of a "liver clot" or "currant jelly clot" following periodontal flap surgery. The likelihood of this may be attributed to many factors, like infection, intrinsic trauma, presence of foreign bodies like splinter of bone, a fleck of enamel, or a piece of dental restorative dressing material that may cause repeated, delayed organization of blood coagulum.
Subject(s)
Hematoma/etiology , Oral Hemorrhage/etiology , Periodontal Pocket/surgery , Postoperative Hemorrhage/etiology , Anti-Infective Agents, Local/therapeutic use , Female , Follow-Up Studies , Humans , Povidone-Iodine/therapeutic use , Reoperation , Root Planing , Subgingival Curettage , Surgical Flaps , Therapeutic Irrigation , Young AdultABSTRACT
BACKGROUND: The aim of the study was to evaluate the relationship between obesity and periodontitis. MATERIALS AND METHODS: A total of 300 subjects aged 20 years and above suffering from generalized periodontitis were recruited from Department of Periodontics, Pacific Dental College and Hospital, Udaipur. Periodontal status of the subjects was recorded. Body mass index and waist circumference were used as measure to assess obesity. Other variables like age, gender, oral hygiene index were also recorded. RESULTS: When evaluation was done for prevalence of periodontal disease according to BMI in obese and non-obese, the prevalence of periodontal disease was significantly (P=0.03) more in obese (88%) than in non-obese (74.4%) individuals. [OR=-20.4 and 95% confidence interval (CI) 1.3-1.3]. CONCLUSION: The prevalence of periodontal disease is higher among obese subjects. Obesity could be a potential risk factor for periodontal disease in all age groups.