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June 2020 Volume 7 Issue 2

Assessment and Comparison of Levels of Serum C- reactive Protein in Periodontally Diseased and Healthy Subjects: A Case Control Study

Dr. Shruti Gupta, Dr. Ira Gupta, Dr. Neelam Das, Dr. Rohit Gupta, Dr. Roopa D.A, Dr. Janardhana Amaranath B.J

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Aims and Objectives: C-reactive protein is an acute-phase-reactant primarily produced by the liver in response to infection or trauma. Recent studies have demonstrated a correlation between periodontitis and elevated CRP levels. This study aims to compare the serum-CRP level in chronic and aggressive periodontitis patients with healthy controls. Materials and Method: A case-control clinical study was conducted with a total of 75 systemically healthy subjects, where 25 subjects were selected in each groups: Group I, Healthy control subjects; Group II, generalized chronic periodontitis patients and Group III, generalized aggressive periodontitis patients. Serum-CRP levels were quantified by using Turbid metric immuno-assay kit at baseline. Kit used was “TURBILYTE-CRP” (Tulip diagnostics, Goa, India). Results: Mean serum CRP levels were significantly higher in both GCP and GAP group as compared to control group at baseline. On comparing the clinical parameters at baseline for GCP & GAP group with control group values, mean score of serum CRP levels for GAP group was statistically significant (P<0.001) in comparison to GCP group, which in turn was statistically significant as compared to control group. Conclusion: The present study indicates a positive correlation between CRP and periodontal disease severity with particular concern in younger individuals, where it could be a possible underlying pathway in the association between periodontal disease and risk for cardiovascular disease in periodontitis patients. Keywords: Aggressive periodontitis, C - reactive protein, chronic periodontitis, nonsurgical therapy..

Evaluation of the Efficacy of Systemic Ornidazole as an Adjunct to Scaling and Root Planning in Chronic Periodontitis Patients- A Clinical Study

Dr. D.A. Roopa , Dr. Ira Gupta, Dr. Rohit Gupta , Dr. Shruti Gupta, Dr. Neelam Das, Dr. Shashwat Pratik

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Background: The purpose of this study is to evaluate the adjunctive clinical effects of systemic administration of ornidazole along with the scaling and root planning in cases of generalized chronic periodontitis. Method: Thirty patients with a minimal of 3 to 4 periodontal pockets in each quadrant with probing pocket depth of 5 to 7 mm were selected. Of the 30 patients selected for the study, 15 patients were assigned under group A for where scaling and root planning was done. The other 15 patients were assigned to group B, where scaling and root planning was combined with systemic administration of Ornidazole. The clinical outcomes evaluated were plaque index, gingival index, clinical attachment level and probing pocket depth at baseline, 1 week and three months. Results: By the three months, there was a decrease in the probing depth scores as well as clinical attachment loss in both the control as well as the test group. However, there was a greater decrease in the probing depth scores in Group B i.e., test group, and this decrease in the test group (Group B) was statistically significant (p<0.05).Also, there was a decrease in the clinical attachment level scores in both the control as well as the test group. However, there was a greater decrease in the clinical attachment level scores both at 1 week and 3 months in Group B i.e., test group, and this decrease in the test group (Group B) was statistically significant (p<0.05). Conclusion: The systemic use of ornidazole when used in conjunction with initial periodontal treatment consisting of scaling and root planning in chronic periodontitis, achieves significantly better clinical results than initial periodontal treatment alone. Keywords: Non-surgical therapy, ornidazole, periodontal disease, root planing, scaling

Peripheral Ossifying Fibroma: A Case Report

Dr. Ira Gupta, Dr. Mohd. Amir Khan, Dr. Shruti Gupta, Dr. Neelam Das

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Peripheral ossifying fibroma (POF) is one of the inflammatory reactive hyperplasia of gingiva. It represents a separate clinical entity rather than a transitional form of pyogenic granuloma and shares unique clinical characteristics and diverse histopathological features. The lesion occurs over a wide age range with females being affected more often than males. Furthermore, the POF has a propensity to occur in the incisor cuspid area affecting maxilla more than the mandible. POF is known to arise as a focal exophytic mass exclusively on the gingival commonly appearing to originate from the inter dental gingival and does not commonly involve the underlying bone. Irritation to the gingival by calculus, plaque, ill-fitting dentures, and hormonal influence has been considered in the etiopathogenesis. Here, we represent a case report of 21 year old male patient with a solitary gingival enlargement in the left maxillary posterior region i.e. 24, 25, 26. Patient gives the history of excision of enlargement one year before. The enlargement reappeared three months back. On current examination the lesion was approximately 1.2×1.5 cm size and was found to be reddish in color, irregular in shape, sessile, non-lobulated, firm in consistency and non-tender on palpation. On histological examination it was diagnosed as peripheral ossifying fibroma. Keywords: Calcifications, Fibroma, Gingival, Peripheral ossifying fibroma, Reactive lesion.

Dental Practice Framework: A Review

Dr. Devina Pradhan, Dr. Lokesh Sharma, Dr. Rahul Srivastava, Dr. Om veer Singh

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The essence of modern-day dentistry is ‘Teamwork’ which is very essential and critical in delivering high quality dental care. Building of a good team starts with leadership qualities. So, the leader in the dental practice is the dentist itself. Efficient leaders enhance the performance of their team by providing them with essential tools and opportunities. The team generally comprises of dental professionals according to the specific skills and knowledge, dental nurses, hygienists, dental therapist, practice managers, receptionists, care co- coordinators and dental technicians. A successful dental practice will be led by those dental practitioners who have an overview of all the aspects and opportunities and possess great enthusiasm in meeting new challenges. This review therefore focuses on in-depth dental practice framework. Keywords: Dental, Practice, Managers, Framework

Rehabilitation of Fractured Tooth by a Custom-Made Fiber Reinforced Composite Post: A Case Report

Dr. Priyanka Sharma, Dr. Omveer Singh, Dr. Lokesh Sharma, Dr. Devina Pradhan, Dr. Rahul Srivastava, Dr Amit Kumar

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Management of traumatic injuries to the teeth is a challenge to the practicing dentist. It has no prescriptive method for occurring, possesses no significant predictable pattern of intensity or extensiveness and occurring at times when dentists are least prepared for it. Ninety-two percent of traumatic injuries results in fracture of maxillary permanent central incisors because its protrusive and anterior positioning. The young permanent maxillary central incisor root canal chamber is large and tapered. This case report describes the management of Ellis Class III fractured tooth in a young permanent maxillary central incisor by an innovative clinical procedure. Keywords: tooth fracture, composite resin, and dental pulp cavity.

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