RESUMO
AIM: To study the comparison in terms of root coverage the effect of gingival massaging using an ayurvedic product and semilunar coronally repositioned flap (SCRF) to assess the treatment outcomes in the management of Miller's classâIâgingival recessions over a-6 mo period. METHODS: The present study comprised of total of 90 sites of Miller's class-Iâgingival recessions in the maxillary anteriors, the sites were divided into three groups each comprising 30 sites, GroupâI-were treated by massaging using a Placebo (Ghee) Group II-were treated by massaging using an ayurvedic product (irimedadi taila). Group III-were treated by SCRF. Clinical parameters assessed included recession height, recession width, probing pocket depth, width of attached gingiva, clinical attachment level and thickness of keratinized tissue. Clinical recordings were performed at baseline and 6 mo later. The results were analyzed to determine improvements in the clinical parameters. The comparison was done using Wilcoxon signed rank test. The overall differences in the clinical improvements between the three groups was done using Kruskal-Wallis test. The probability value (P-value) of less than 0.01 was considered as statistically significant. RESULTS: Non-surgical periodontal therapy and gingival massaging improves facial gingival recessions and prevents further progression of mucogingival defects. Root coverage was achieved in both the experimental groups. The SCRF group proved to be superior in terms of all the clinical parameters. CONCLUSION: Root coverage is significantly better with semilunar coronally repositioned flap compared with the gingival massaging technique in the treatment of shallow maxillary Miller classâIâgingival recession defects.
RESUMO
Peripheral cemento-ossifying fibroma (PCOF) is a rare osteogenic neoplasm that ordinarily presents as an epulis-like growth. This is of a reactive rather than neoplastic nature and its pathogenesis is uncertain. PCOF predominantly affects adolescent and young adults with greatest prevalence around 28 years. We report here a rare clinical case of PCOF of the mandible, 1 cm mesiodistally and 1.5 cm occluso-gingivally in diameter, which caused difficulty in eating and speech, in a 42-year-old female patient. She was asymptomatic for 1 year and on follow-up for 6 mo post surgically showed gingival health and normal radioopacity of bone without any recurrence. Clinical, radiographic and histological characteristics are discussed and recommendations regarding differential diagnosis, treatment and follow up are provided. The controversial varied nomenclature and possible etiopathogenesis of PCOF are emphasized.
RESUMO
Over the last 20 years, a great many innovations have been introduced that are designed to reduce laborious activities; however, an unexpected consequence of these developments is a trend toward a sedentary lifestyle and prolonged static postures that are accompanied by musculoskeletal disorders (MSDs). MSDs have become a major issue of concern because the afflictions can be severe enough to disable professional careers. Although clinical dentistry is a field with immense potential for MSDs, only a few studies have investigated this issue. The present study was carried out addressing prevalence and awareness level of MSDs among 500 dental professionals from Central India. Also, the interrelationship between practices of working postures with occurrence of pain in different body parts were assessed using a structured questionnaire format. The results were statistically significant, and indicated that the prevalence of MSDs is high and that there is a dire need to enhance awareness regarding correct working postures. This study encompassed all factors that can be addressed as causes for MSDs among dentists.
