UNIVERSITY JOURNAL OF DENTAL SCIENCES <p><strong>( An official publication of Aligarh Muslim University)</strong></p> en-US (Prof. N.D. Gupta) (Aligarh Web Solutions) Mon, 06 Sep 2021 12:43:12 +0000 OJS 60 Teledentistry-A Boon amidst COVID-19 Era <p>Tele-dentistry refers to the use of telehealth systems and methodologies in dentistry. Cook coined the word "tele-dentistry" in 1997, defining it as "the method of using video-conferencing technology to diagnose and provide treatment advice over a distance. Tele-health refers to a broad variety of technologies and tactics to deliver virtual medical, health, and education services. It is not a specific service, but a collection of means to enhance care and education delivery. Teleconsultation, telediagnosis, tele triage, and telemonitoring are subunits of tele dentistry. It has worked as a boon for bothpatients &amp;dentist during the COVID-19 pandemic by reducing the patient’s anxiety and uncertainty during this difficult time via teleconsultation for <em>one</em> who was already undergoing treatment and/ or to consult emergency dental problems<sup>1</sup>. This pandemic has brought many changes in our day-to-day life, but with the advent of newer technology and internet facilities, online consultation from Dentist for troubleshooting has become ease.</p> Sandhya Maheshwari Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Mon, 06 Sep 2021 00:00:00 +0000 Salivary Interleukin - 6: Assessment In Chronic Generalized Periodontitis Patient With And Without Type 2 Diabetes Mellitus <p><strong>Background: </strong>Periodontitis is affected by various systemic diseases, among them Diabetes Mellitus is a major systemic factor to influence the severity of chronic periodontitis. Various inflammatory markers are produced in the course of disease that can be reflected in saliva. This study evaluates the salivary concentration of interleukin-6 (IL - 6) in periodontitis patients with type 2 diabetes.</p> <p><strong>Materials and Methods: </strong>Whole saliva samples were collected from sixty four patients who were further divided into four groups; Healthy group (control group; n = 16), Chronic Generalized Periodontitis (PD; n = 16), Diabetes Mellitus (DM; n = 16), and Chronic Generalized Periodontitis along with Diabetes Mellitus (PD + DM; n = 16 patients). Salivary IL-6 concentrations were determined by standard enzyme-linked immunosorbent assay and Clinical parameters were recorded like Gingival Index (GI), Oral Hygiene Index (OHI-S), Probing Pocket Depth (PPD), Gingival Recession (GR), Clinical Attachment Level (CAL) with the help of mouth mirror and UNC -15 graduated periodontal probe.</p> <p><strong>Results</strong>: Result showed that the Chronic Generalized Periodontitis patients with and without Diabetes Mellitus exhibited higher concentrations of salivary IL-6 than the control group and diabetes groups. Further, the salivary IL-6 was correlated with glycosylated hemoglobin A levels in patient with diabetes. This is due to the fact that both Diabetes &amp; Periodontitis are chronic inflammatory disease that significantly increase the expression of IL-6 which &nbsp;cause insulin resistance in adipocyte and thereby affecting HbA1c levels. Therefore, both can affect severity of each other. Salivary concentration of IL‐6 was determined using an Human IL-6 (Interleukin- 6) ELISA Kit. Kruskal Wallis test was applied to compare any statistical difference between groups for clinical parameters, HbA1c and IL-6. Spearman correlation test was used to find any relation between HbA1c and IL -6 among all the groups. A significance level of 5% was set (P&lt;0.05).</p> <p>&nbsp;</p> <p><strong>Conclusion: </strong>The salivary concentration of IL-6 was elevated in patients with periodontitis with and without diabetes. Therefore, levels of salivary IL-6 can be considered as an important biomarker in the diagnosis of periodontitis and diabetes.</p> Shreya Modi, Sumedha Srivastava, Veena Kalburgi, Sai Sri Harsha Nimmala, Anushri Gupta, Nida Malik Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Thu, 27 May 2021 06:39:22 +0000 Evaluation of soft tissue cephalometric evaluation using Holdaway analysis in district Solan population. <p><strong>INTRODUCTION: </strong>The soft tissue of the face requires an independent appraisal besides skeletal and dental analysis to comprehensively diagnose and plan treatment to meet objectives of orthodontic treatment leading to a pleasing profile. Soft tissue envelope of face plays an important role in esthetics, functional balance and facial harmony. <strong>AIM:</strong> The aim of the study was to evaluate soft tissue cephalometric evaluation using Holdaway analysis in district Solan population. <strong>MATERIALS AND METHOD:</strong> The study was conducted in the Department of Orthodontics and Dentofacial Orthopedics, Bhojia Dental College, Baddi, Distt. Solan(HP). Pretreatment lateral cephalograms of 60 subjects(30 males and 30 females) with Class II division 1 were taken. The patients aged between 12 and 26 years. Each of them fulfilled the following criteria, proclined maxillary anteriors, increased overjet, increased overbite, incompetent lips. Various cephalometric landmarks were identified and marked according to Holdaway analysis. The following measurements were recorded: Facial angle, H-line angle, upper sulcus depth, skeletal convexity at point A, Nose prominence, soft tissue subnasale to H-line, basic upper lip thickness, upper lip thickness, upper lip strain, lower lip to H-line, lower sulcus depth, soft tissue chin thickness. <strong>RESULTS:</strong> In the present study, significant variations were seen in facial angle, H-line angle, upper lip strain and lower sulcus depth when comparison of cephalometric measurement changes between males and females was done. <strong>CONCLUSION:</strong> District Solan population showed significant difference in facial profile with more facial angle in females and more H-line angle, upper lip strain and lower sulcus depth in males.</p> Tarannum Soni Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Thu, 27 May 2021 06:46:26 +0000 A cross sectional survey on Practice adaptation among dental health care professionals against COVID- 19 :- A Central India experience <p><strong>INTRODUCTION </strong>: Novel coronavirus disease (COVID-19) an outbreak has affected major aspect of life. Healthcare dental professionals are at the high risk of getting infected of COVID-19 because of close contact with patient who might be infected. More over high chance of infection to dental healthcare workers and patients while providing dental treatment had called for additional infection control measures. <strong>METHODOLOGY</strong>: A cross sectional study was conducted using online google form survey. A well-constructed questionnaire was designed to assess the knowledge, attitude and practice of dental health care professionals towards infection control measures. The statistical analysis was done using one way annova method and total of 393 dental professional was included in this study. <strong>RESULTS:</strong> Out of all participants 88.72%, 69.53%, 57.34 % had good knowledge, attitude and practice respectively about infection control measures during the COVID 19 pandemic. On Comparison of Knowledge, Attitude and practice based question among health professionals, statistically significant results were found. <strong>CONCLUSION:</strong> Infection control measures would safeguard dentist as well as patient against COVID- 19. Furthermore, dental operatory must follow the Ministry of Health (MOH) recommendation while facilitating treatments to patients and education to dental auxillaries.</p> jyoti Raghuvanshi, Nikita Agrawal, Parimala Kulkarni, . Shikha Mali, Anup Kumar, Sanjana Bhargawa AKHANI Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 12:52:08 +0000 “Is a transdermal diclofenac patch better than oral diclofenac tablets”: A Randomized controlled, Trial clinical. <p><strong><em>Aim: </em></strong><em>This study aimed to compare the analgesic effect of transdermal Diclofenac with oral Diclofenac tablets.</em></p> <p><strong><em>Method: </em></strong><em>In this randomised controlled clinical trial a total of 80 patients were divided randomly in two groups with one group of patients (N1)were given Transdermal diclofenac patch(200 mg) and other group of patients(N2) were given&nbsp; diclofenac tablets after extraction Patients were assessed for pain at various intervals and the assessment of side effects.</em></p> <p><strong><em>Results:&nbsp; </em></strong><em>Significant results were seen at 6 hours with higher number of subjects reporting VAS score 0 and 1-3 in group NI, while subjects reported higher VAS score 4-6 and 7-10 in group N2. Also 20 % of the patients in group N2 (Diclofenac tablet group) complains of gastric irritation after 24 hrs.&nbsp; Statistically no significant difference exists in uniformity of pain control and interference in routine activities during past 24 hours among both the groups. </em></p> <p><strong><em>Conclusion:&nbsp; </em></strong><em>We can conclude that diclofenac patch is more effective in pain control in the early stage after extraction of the tooth and have lesser side effects as compared to diclofeanc tablets. </em></p> <p><strong><em>Keywords:&nbsp; </em></strong><em>Gastric irritation; Transdermal patch; VAS score.</em></p> Sourav Kumar Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 13:06:08 +0000 Effects of polymeric herbal gel on plaque and gingivitis a randomized controlled clinical trial <p>Dental diseases are recognized as major public health problem throughout the world. Numerous epidemiological studies showed that the diseases such as tooth decay and diseases of the periodontium are among the most common afflictions of mankind.<sup>&nbsp; </sup>Dental plaque plays a major role in the etiology of periodontal disease: and that there is a direct relationship between the presence of dental plaque and the development of gingivitis.<sup>&nbsp;&nbsp; </sup>Various synthetic chemical agents have been evaluated over the years with respect to their antimicrobial effect in oral cavity, however, all are associated with various side effects.<sup>&nbsp; </sup>Thus patients are going away of modern day medicines, and they prefer using herbal ayurvedic preparations which are efficient without causing any side effects. Hence the purpose of present study was to evaluate the effects of novel herbal polymeric gel on gingival inflammation clinically and microbiologically.</p> <p><strong>Methods: </strong></p> <p>This was a split mouth clinical trial, designed for comparison of 3 treatment modalities, scaling, scaling plus novel herbal polymeric gel and only novel polymeric gel. Both sexes belonging to age group 18-55 years were included in the study. Plaque index, gingival index and gingival bleeding index were recorded at baseline, 7day, 14 day and 21 day. Microbiological assessment was done at baseline and 21 day.</p> <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong></p> <p>Statistical analysis used: paired t test &amp; ANOVA</p> <p>&nbsp;</p> <p>Results: The results showed significant reduction in the clinical parameters within group. Between the groups, clinically there was more improvement in the group which received both scaling and topical application of herbal gel. There is significant reduction in microbial parameters from baseline to 21<sup>st</sup> day in a group which received both herbal gel and scaling.</p> <p>Conclusions: Results confirmed that novel herbal polymeric gel is an effective agent for treating plaque induced gingivitis along with scaling, compared to only herbal gel application or scaling with least side effects. Further long term studies are needed to confirm effects of this gel on periodontal diseases.</p> Annapurna Ahuja, shobha prakash, NARAYAN W, NARAYAN W Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 13:11:33 +0000 A Comparative Evaluation of the Positional Accuracy of Multiple Implants by Open Tray Impression Technique using Three Different Splinting Materials: An in vitro study <p>&nbsp;</p> <p><strong>Aim</strong>: To comparatively evaluate the positional accuracy of multiple implants by open tray impression technique using three different splinting materials namely self-cure acrylic resin, pattern resin and flowable composite.</p> <p><strong>Materials and Methods</strong>: An edentulous maxillary model was fabricated with heat-cure acrylic resin. Four dummy implants were placed bilaterally at canine and second premolar positions in the acrylic model, perpendicular to the horizontal plane and parallel to each other. Open tray impression copings were attached to dummy implants. The copings were splinted with dental floss onto which self-cure acrylic resin was added, which was sectioned and rejoined (for Group A). Similarly, pattern resin (for Group B) and flowable composite (for Group C) were used as splinting materials after sectioning and rejoining as previously described for Group A. Open tray impressions were made using polyvinylsiloxane impression material to obtain 10 casts for each group categorized according to the splinting material used. Interimplant distances were measured between implants on the master model and between the implant analogs in the retrieved casts in three different groups using a Coordinate measuring machine and a comparative evaluation of positional accuracy was done.</p> <p><strong>Results</strong>: Splinting with materials of all three Groups showed minimal variation in positions of multiple implants and within clinical limits. Group B (pattern resin) had more accurate values similar to master model compared to Group A (self-cure acrylic resin) and Group C (flowable composite), although statistically insignificant. The results with Groups A and C were similar. No statistically significant difference was derived between the three different groups.</p> <p><strong>Conclusion:</strong>&nbsp;It was concluded that all the three splinting materials evaluated in the study can be recommended as splinting material of choice for multiple implants using open tray impression technique.</p> Amrita Jayaswal Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Sun, 06 Jun 2021 13:04:23 +0000 A Comparative Evaluation of Salivary Alkaline Phosphatase Level in Pre-Menopausal And Post-Menopausal Women With And Without Periodontitis. A Biochemical Study. <p><strong><em>Introduction- </em></strong>Alkaline phosphatase is an intracellular destruction enzyme in the periodontium, and it takes part in the normal turnover of the periodontal ligament, alveolar bone, and root cementum formation and maintenance.</p> <p><strong>Aim</strong><strong>-&nbsp; </strong>The aim of this case control study was to evaluate the enzyme Alkaline Phosphatase (ALP) level in saliva of post menopausal women with and without chronic periodontitis.</p> <p><strong>Materials and Methods- </strong>This study includes 48 samples of pre and post menopausal females. All the subjects were selected from the Department of Periodontology, Peoples College of Dental Science and Research Centre, Bhopal. The study participants were divided into 4 groups, Group A: 12 pre- menopausal women without periodontitis with systemically healthy, Group B : 12 post-menopausal women without periodontitis with systemically healthy, Group C: 12 pre- menopausal women with periodontitis and systemically healthy, Group D: 12 post- menopausal women with periodontitis and systemically healthy. Clinical parameters assessed were Plaque Index (PI), Gingival Index (GI), Clinical Attachment Level (CAL) and Probing Pocket Depth (PPD). Unstimulated salivary samples were obtained in which the ALP concentration was measured using p-Nitrophenylphosphate, and 2-amino-2-methyl-1-propanol reagents in Beckman and Coulter, AU 480 auto analyser. Mann-Whitney U test was used to find statistical difference with respect to all clinical parameters such as PI, GI, CAL, PPD and salivary ALP levels.</p> <p><strong>Result – </strong>The result of the present study showed considerably higher salivary ALP levels in post menopausal women with chronic periodontitis compared to other groups.</p> <p><strong>Conclusion -</strong>The present study suggest that the presence of ALP levels is not simply a reflection of the local inflammatory state in females but their estrogen levels may possibly influence bone destruction in periodontitis.</p> Dr Neha Awadhiya Dr GD awadhiya, Veena Kalburgi Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Mon, 14 Jun 2021 06:04:21 +0000 The Prevalence and Pattern of Early Childhood Caries In Bareilly, Uttar Pradesh- An Observational Study <p><strong>Background:</strong> Dental caries is a disease of teeth that results due to demineralization and destruction of organic and inorganic components of oral cavity. Early childhood caries (ECC) is a serious dental problem that affects infants and toddlers.</p> <p><strong>&nbsp;</strong></p> <p><strong>Aim: </strong>To evaluate the incidence of early childhood caries in children between 3-6 years in Bareilly city.</p> <p>&nbsp;</p> <p><strong>Materials &amp; Method: </strong>This cross sectional study was conducted among 1000 preschool children, 536 male and 464 females between the age of 3-6 years in Bareilly city. They were examined for dmft and dmfs.</p> <p>&nbsp;</p> <p><strong>Results:</strong> Prevalence of ECC was 56.6% (566/1000).&nbsp; 57.1% males (n=306) were affected from ECC while 260 female subjects (56.0%) were found to be having ECC. Out of the total teeth evaluated, 2170 (94.84%) were decayed, 96 (4.19%) were missing and only 22 (1.0%) were filled. Mandibular posterior region was the most commonly affected teeth.</p> <p>&nbsp;</p> <p><strong>Conclusion: </strong>The prevalence of ECC in children aged 3-6 in Bareilly district is approximately 57% which is&nbsp; independent of the sex. The occlusal surface of the posterior teeth is the most common site for ECC. Dietary habits of the child, oral hygiene methods employed by the children and educational status of the mother play an important role in the incidence of ECC.</p> <p><strong>&nbsp;</strong></p> Jyoti Thakur, SUMIT MOHAN Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Tue, 15 Jun 2021 05:27:42 +0000 ECC and Infant oral care Assessment of paediatrician’s knowledge and attitude on Early childhood caries and Infants oral care in Bhopal, Madhya Pradesh – A questionnaire study <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">INTRODUCTION-</span></p> <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">Early Childhood Caries (ECC) is considered as a significant public health problem in both developing and developed countries. ECC can start early in a child's life, progresses rapidly and might lead to adverse effects on a child's physical, psychological and social well-being. Access to child’s dental care might be compromised as most parents are unaware of the importance of the child’s first dental visit. Also Children in their first years are often seen by their Pediatric health professionals compared to dentists. Hence they can be considered as a reliable source for child’s oral health promotion and caries prevention.</span></p> <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">&nbsp;OBJECTIVE:</span></p> <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">&nbsp;The main objective of this study is to assess the awareness, knowledge and attitude of Paediatric health professionals towards Early Childhood Caries.</span></p> <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">STUDY DESIGN:</span></p> <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">A cross-sectional questionnaire study&nbsp;</span></p> <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">METHODOLOGY:</span></p> <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">&nbsp;Questionnaire based study will be conducted among the paediatric health professionals in Bhopal City. The questionnaire composed of two sections: Demographic characteristics and questions assessing participant’s knowledge and attitude will be distributed among paediatric health professionals. &nbsp;</span></p> <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">RESULT AND CONCLUSION:</span></p> <p style="line-height: 13.55pt; background: white; margin: 0cm 0cm 10.0pt 0cm;"><span style="color: #222222;">&nbsp;&nbsp;It was found that Paediatricians have significant knowledge and attitude towards infant oral care and ECC but they accept lacking knowledge in some aspects and hardly acquired any dental training. </span></p> Dr Umang Akhnai Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Sat, 19 Jun 2021 13:36:30 +0000 Emergence of B.1.617 Strain of Covid-19 in India and attitude, awareness, perception of dental professionals and its effect on dentistry: A Survey Report <p><strong>Objective-</strong> To know the attitude, awareness and perception of dental practitioners about double mutant virus in India and how it is affecting their practice. <strong>Material &amp; Method</strong>- The cross sectional study was done by doing a survey using google form and a questionnaire was prepared and was sent through social media to dental practitioners all over India. The survey was done for two months from 20<sup>th</sup> march 2021 to 20<sup>th</sup> may 2021 before coming for statically analysis for final result. <strong>Result</strong>- There were significant difference in between the perception of gender (p&lt;0.00), education (p&lt;0.01) and experience (p&lt;0.04). There were no significant difference in between the perception of different age and job setting about getting infected while doing practice during covid-19. There were significant difference in between the thinking of male and female (p&lt;0.03) and government and private job (p&lt;0.00) about the fact that double mutant strain has increased potential risk for dentists. Generally all the dentists provide PPE kits to dental clinic staff. There were significant differences between age (p&lt;0.00), gender (p&lt;0.00) and experience (p&lt;0.00). <strong>Conclusion</strong>- The results of this study conclude that there was significant difference between the attitude, awareness &amp; perception of dental practitioners towards double mutant strain while practicing. The difference may be due to difference in level of education or as there were both BDS and MDS involved in the survey. The other possible reason may be because of experience of practicing years. However most of the dental practitioners agreed at some points.</p> Amil Sharma Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Sun, 27 Jun 2021 00:00:00 +0000 Assessment of need of orthodontic treatment in south Bhopal population, India using Dental Health Component and Aesthetic Component of the Index of Orthodontic Treatment Needs for providing better local health services to the population with an impact <p><strong>ABSTRACT:</strong></p> <p><strong>Aims &amp; Objectives:</strong></p> <p>Aim of the present study is to identify the most common types of malocclusion present in the area and categories the malocclusion according to severity and priority using IOTN as a reliable tool to provide better local health services.</p> <p><strong>Materials and Methods:</strong></p> <p>Clinical examination of 500 subjects in natural light was done and intra oral photos of 500 subjects were taken. Assessment of orthodontic treatment needs for improving local health services using IOTN as a reliable epidemiological tool in subjects between 13 to 25 years of age group (13- 18 age group 240 subjects and 18-25 age group 260 subjects) to prioritize and standardize orthodontic treatment and needs. Out of these 279 are males and 221 are females. The study consists of a survey using indices of orthodontic treatment and needs (IOTN) with DHC and AC. DHC and AC were recorded separately, and were calculated only by using clinical examination and intra oral photography compared to the standard chart of IOTN.&nbsp;</p> <p><strong>Result:</strong></p> <p>The DHC results in subjects were found to be distributed as follows 70 subjects in no need 228 subjects in little need, 97 subject in moderate or borderline needs, 56 subjects in severe needs, and 49 subjects in category of very severe needs for treatment</p> <p><strong>Conclusion:</strong></p> <p>Our study reported that more than 40% of individual in the need category which might have if remained undiagnosed or not facilitated by the orthodontic treatment .This study provides a data on the need of orthodontic treatment in the chosen sample of south Bhopal population, INDIA for improving local health services to the population with an impact .Also we concluded that IOTN is simple, less time consuming and highly reproducible.</p> <p><strong>Statistics used</strong>; CHI SQUARE TEST</p> <p><strong>Keywords:</strong></p> <p>Index of orthodontic treatment needs, orthodontic treatment need, aesthetic component, dental health component, epidemiological tool.</p> <p><strong>Source of Support: </strong>Financial support nil.</p> <p><strong>Conflict of interest: </strong>There are no conflicts of interest.</p> <p><strong>Ethical clearance: </strong>Yes</p> Firoz Khan Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES A study on regional distribution of Interglobular dentin in crown and root portion of the teeth. <p>Introduction :Interglobular dentin is the area of hypomineralized or unmineralized &nbsp;denitn. Interglobular dentin is located at various region in teeth.</p> <p>Aim : To identify the most common location of interglobular dentin in ground section of teeth.</p> <p>Settings and Design : the study comprised of&nbsp; 69 extracted tooth.</p> <p>Materials and Method: The study comprised of 69 extracted teeth. Ground sections of all 69 extracted teeth were prepared with the help of Arkansas stone, mounted on glass slide with the help of DPX and then observed under routine microscope by 2 observers.</p> <p>Results: The most common location of interglobular dentin is cervical third</p> <p>Conclusion: The interglobular dentin is more commonly seen in cervical third portion of crown as well as root in males and females.</p> HIMANSHU SINGH, VEDANT PATEL, RAHUL A RAZDAN, PRACHI NAYAK, SUSHRUTH NAYAK, KUNDENDU ARYA BISHEN Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 13:14:29 +0000 Knowledge, Awareness and Practice oral health survey among parents of children with Congenital Heart Diseases <p>AIM : To investigate the oral health of pediatric cardiac patients and the parental knowledge and attitude about the importance of oral health and infective endocarditis.</p> <p>MATERIAL AND METHOD:- Descriptive cross-sectional survey with total 100 CHD patients, ages 2-12 years (48 girls and 52 boys) performed with the application of a questionnaire. For each patient, demographic data, oral hygiene habits, knowledge and awareness of dental and general health, and attitudes toward professional dental care. oral hygiene and caries experience of these patients were recorded.</p> <p>STATISTICAL ANALYSIS:-Pearson’s Chi Square test was used to observe the relation between categorical study and outcome variables</p> <p>RESULT:- In the present study 43 % parents were aware of the importance of maintaining good oral hygiene in patients with CHD. Around 56% of parents were unaware of antibiotic prophylaxis for the dental procedure and 67 % of parents were unaware about the term IE. Oral hygiene of these patients is good while caries experience is higher and deft/DMFT Score, It was lower among the &lt;5 years age group than 6 years and above and it was statistically significant.</p> <p>CONCLUSION :- Parental knowledge was limited and fragmented and their attitude towards a specialized dental treatment or maintaining good oral health status was very minimal. the primary focus should be on oral hygiene instructions, dietary counseling, instructions on fluoride use and the awareness of infective endocarditis. Closer cooperation between Pediatric Dentists, Pediatric Cardiologists and Pediatrician could help improve dental care for these children.</p> Rutu Patel Patel, Shobha Fernandes , Krunal Chokshi, Dharati Patel Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Sat, 05 Jun 2021 04:10:51 +0000 Case management of Ectodermal Dysplasia: A journey from agony to gratification <p class="Default" style="text-align: justify; line-height: 150%;"><span style="font-family: 'Times New Roman','serif';">Ectodermal dysplasia are congenital disorders affecting two or more ectodermal structures. The management can be challenging for pedodontist as each patient represent different amalgamation of deformities. The purpose of this paper is to describe the prosthetic management of 7- year old female with anhidrotic ectodermal dysplasia with the presence of primary molars in both maxillary and mandibular arches and compromised alveolar ridges. The impressions were made with elastomeric impression materials to enhance stability and retention of prosthesis.</span></p> sarish mahajan, naveen manuja, seema chaudhary Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 13:21:07 +0000 Desmoplastic Ameloblastoma- a Case Report <p><strong>Abstract:</strong> Desmoplastic ameloblastoma is defined as locally invasive, intraosseous and a rare variant of ameloblastoma which show slight male predilection with prevalence within the fourth and fifth decades. Desmoplastic ameloblastoma (DA) is characterized by specific clinical, imaging, and histological features. We report a case of Desmoplastic ameloblastoma in a 28-year-old male with a painless swelling in the right anterior maxillary region. DA has greater predilection for maxilla with marked tendency for anterior region as compare to other variant of ameloblastoma which creates particular issues like expansion of lesion into maxillary sinus, high recurrence rate and proximity to important anatomical structures demands extra caution in the approach during treatment planning</p> renu singh renu Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Sun, 30 May 2021 04:03:27 +0000 Inclination of Occlusal Plane and its Impact on Smile Esthetic : A Case Report <p>Improving facial esthetics is one of the primary goal of orthodontics and several factors have been proposed to achieve this goal. Instead of focussing only on achieving perfect occlusion or ideal cephalometric values emphasis should be laid onto achieve frontal smile esthetics and study various factors that affect it. This case report determines the influence of the inclination of occlusal plane(IOP) on smile attractiveness and shows how by modifying the IOP&nbsp; we could achieving better facial esthetics or smile to be precise. Hence, this concept of IOP should be kept in mind while doing treatment planning and should be modified according to treatment needs.</p> <p>&nbsp;</p> prateek bhushan prateek Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Wed, 02 Jun 2021 15:11:44 +0000 Oral - Systematic manifestation of Bardet- Biedl Syndrome: A rare case report from Jaipur, Rajasthan <p>Bardet Biedl Syndrome (BBS) is a rare, heterogenous, ciliopathic autosomal recessive condition, affecting multiple organs. Primary features include polydactyly, obesity, mental retardation, hypogonadism, retinopathy and renal failure. Dental anomalies is regarded as secondary features, include hypodontia, microdontia, short roots and deep palate. Less than 15 cases have been reported from India. This article reports a case of Bardet- Biedl Syndrome in a male with typical systemic and oral features. This case exemplifies the need of multidisciplinary approach.</p> Dr Debopriya Chatterjee, Dr. Anjali Kapoor, Dr Sanjeev Choudhary, Dr Meenakshi Sharma Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Thu, 10 Jun 2021 14:10:31 +0000 Management of Class II Div 2 Malocclusion with Congenitally Missing Premolar and Impacted Mandibular Canine- A Case Report <p>Treatment of Class II div 2 malocclusion has always been a challenge for an orthodontist which requires a careful diagnosis and a treatment planning including occlusal, functional, and esthetic considerations. Additionally, the presence of impacted mandibular canine increases the complexity of the treatment as more clinical efforts and time is required to dis-impact mandibular canine, as mandible has a dense cortical bone. This case report represents the management of a class II div 2 malocclusion with impacted mandibular canine treated with camouflage in a 14 years old patient. The impacted canine was orthodontically guided into occlusion and a good esthetic and functional results were achieved.</p> mukesh kumar, Manish Goyal, Atam Dev Jain; Amandeep Kaur, Anurag Rai Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Sun, 13 Jun 2021 11:40:00 +0000 A Rare Case of Mucormycosis in Oral Cavity – A Case Study <p>Maxilla is one of the facial bones with rich vascular supply. Necrosis of maxillary bone is rare and may occur due to infection, trauma and rare metabolic disorders. Maxilla is essential bone which forms the roof of oral cavity. Mucormycosis is highly lethal opportunistic fungal infection, which affects especially in diabetic and immunocompromised patients.It is caused by filamentous fungi of the class zygomycetes. In this article we report a case of 64-year-old male patient with unknown diabetes and had undergone extraction of maxillary tooth 6 months back and had reported with unknown fungal infection.</p> Dr Akshat Lahoti Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Wed, 16 Jun 2021 11:56:39 +0000 Application of a Customized Transparent Graphed Jig (CTGJ) to evaluate skeleto-dental asymmetry of maxillary and mandibular arch- A case report <p>Correcting Class II subdivision malocclusions characterized by dentoalveolar asymmetry has long been a challenge for clinicians. In Class II subdivision the molar occlusion is Class II on one side, and Class I on the other. Before planning orthodontic treatment to correct subdivision problems, the location of the asymmetry must be identified. Is it in the maxillary arch, the mandibular arch, or a combination? Janson observed slightly better treatment results in asymmetric extraction of three premolars compared with extraction of four. The asymmetric-extraction choice tends to be more successful in obtaining midline correction with reduced incisor retraction. This article shows a use of a Customized Transparent Graphed Jig (CTGJ) to measure skeleton-dental asymmetry of maxillary and mandibular arch. In this case report Class II subdivision malocclusion treated by three premolar extraction diagnosed using customized transparent graphed jig is discussed.</p> Shalini Mishra Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Tue, 15 Jun 2021 06:59:19 +0000 Proximal relationship between hypothyroidism and periodontitis: “A clinical representation” <p>Hypothyroidism is a systemic condition in which thyroid gland is underactive and production of thyroid hormones is diminished, resulting in metabolic slowdown.&nbsp; &nbsp; Thyroid disease can lead to imbalance in hemostasis of the body and affect the healing capacity of tissues.&nbsp; This case report presents the influence of thyroid hormone dysfunction and its impact on periodontal disease progression in 55 year old female patient giving the chief complaint of bleeding gums and increased gum size. The report emphasizes the need for interventions by health care providers in patients with hypothyroidism to preserve their oral and overall health</p> CS BAIJU, Gunjan Gupta, Karuna Joshi, Pawandeep Kaur, N.D. Gupta, Ria Virmani Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 00:00:00 +0000 A Pressure Cup Denture Pre-eminent to Oronasal Communication: A Case Report <p><strong><u>: </u></strong>In this case report, we present a surgical closure of 62 years old women diagnosed with oronasal communication using posteriorly based palatal rotational flap. For obtaining the satisfactory outcomes for construction of complete denture with adequate retention in maxilla use of the suction cups is one of the technique. Palatal suction cups induce negative pressure on mucosal surface and provides the high retention excruciating to palatal perforation. An oronasal fistula is a pathologic epithelium-lined communication between the nasal and oral cavities. An obturator is placed to prevent from further infection. There are various methods of surgical closure depending on the size and destruction of tissues around the fistula. Palatal obturators are frequently used in the initial treatment of postoperative palatal fistulae to address the associated problems experienced with speech and swallowing.</p> sardar singh yadav sardar Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Thu, 03 Jun 2021 13:29:19 +0000 Bioactive Material in Pediatric Dentistry <p>A new generation of bioactive materials which has been developed during the last ten years has been used in every field of dentistry and medicine. These bioactive materials are able to release calcium, phosphate and other specific ions to help rebuild demineralized dentin and enamel. These materials are broadly used in the field of conservative dentistry for regeneration, repair and reconstruction. These materials are available in different form and composition that acts directly on vital tissue inducing its healing and repair. These materials directly function because of induction of various growth factors and different cells. New innovations are necessary to continue to help reinforce existing technologies and to introduce new paradigms for treating dental disease and restoring teeth seriously compromised by caries lesions via biomimetic and more biological operative approaches. Bioactive materials with nanoscale structure, including nanomedicine, nanodevices, nanomaterials, such as nanofibres and nanocomposites, can be designed and produced from natural biopolymers, synthetic polymers and inorganic substances. The nanocomposite-based scaffold allows for cell growth, yielding a unique composite system.</p> DR AKHAND PRATAP SINGH Singh Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 13:02:43 +0000 Accelerated Orthodontic Tooth Movement: A Review <p>Accelerated orthodontic tooth movement is considered as one of the main concept in orthodontics for research. The duration of orthodontic treatment remains the primary concern for most of the patients. Increased treatment time leads to avoidance of orthodontic treatment. In the era of technology, many advances are made and newer techniques for accelerating orthodontic treatment have been introduced in order to reduce the length of treatment with minimal risk of side effects. The purpose of this article is to describe various methods used to accelerate the tooth movement orthodontically. The clinician should understand the biological rationale and potential effects of accelerating orthodontic tooth movement.</p> Mridula Trehan, Nidhi Agrawal, Sunil Sharma, Priyalakshmi Laishram Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 13:09:58 +0000 Role of Complementary Medicine in Periodontics <p>Health care practices that are not a part of a country’s tradition and are not integrated into the dominant health care system are called Complementary and Alternative Medicine. The most common Complementary and Alternative Medicine therapies include Acupuncture, Ayurveda medicine, Homeopathy, Naturopathy, chiropractic therapy, Herbal medicines, massage therapy, biofeedback, Hypnosis, Meditation, Deep breathing exercises, Yoga and Tai Chi. The term ‘‘periodontal disease,’’ refers to both gingivitis and periodontitis. Periodontitis follows gingivitis and is influenced by the individual’s immune inflammatory response which involves the destruction of the supporting structures of the teeth, including periodontal ligaments, bones, and soft tissues. Periodontitis demands serious concern because it is a direct cause of tooth mortality. <strong>A</strong>lternative medications, which are having many beneficial properties, are a good choice for the prevention or treatment of oral diseases without any side effects. In a developing country such as India, several people cannot even afford their daily basic expenses, and for them, these alternative medicines will be a boon.</p> Anjali Kapoor, A. Rizwan Ali, Neha Saini, Kompal Gautam Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 13:15:40 +0000 Artifical intelligence: need to reboot dental education <p>We are heading towards a digital era and have to brace ourselves to adapt to technological innovations. The interest in competencies, knowledge processing and measuring specific learning is accelerating throughout the world. Artificial intelligence (AI) is rapidly impacting the delivery of healthcare, medical education and dentistry is no exception. In dentistry, the tremendous amount of patient data requires intelligent softwares for computation and AI can be utilized for patient diagnosis, treatment planning, education and research.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The speed at which new AI technologies are developing and introduced into clinical practice, warrants equipping our graduates with necessary knowledge and skills to exploit AI technologies to maximum benefit. Dentists are always at the front foot of embracing a new technology. Hence, understanding the various concepts and the techniques involved will have a clear advantage in the future. This review is an attempt to provide a perspective on the benefits of AI in dentistry and also emphasizes on the need to bring dental education reforms to foster&nbsp; competency based education model and Artifical intelligence.</p> <p>&nbsp;</p> Deepti Sharma, Gauri Malik, George Koshy, George Koshy, Vishal Sharma Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 13:26:14 +0000 Plausible Correlation Between Sars-Cov2 and Periodontal Disease and Vice-versa: A Review <p>Periodontitis is an inflammatory disease which affects the surrounding periodontal tissues and the primary etiological factor is the pathogenic microorganism. Apart from periodontal microbiome, various studies have shown that virome may play a role in etiopathogenesis of periodontal disease.&nbsp; Recently COVID-19 caused by the virus SARS COV-2, has raised a global emergency. This virus belongs to the family of Coronaviridae which is an RNA virus that created havoc worldwide. This virus has affected millions of people globally. Angiotensin converting enzyme-2 (ACE-2) has been considered the main receptor for the virus entry into target cells. Oral cavity and periodontal structures are also found to have these receptors. This fact possesses a risk as SARS CoV2 can aggravate periodontal disease as well as may increase the risk of CoV2 spread or its severity. This review will give an insight about the possible correlation between COVID and periodontal disease.</p> <p><strong>KEY WORDS</strong><em>:</em> COVID-19, Periodontal disease, ACE-2.</p> <p>&nbsp;</p> Nishita Bhosale Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Fri, 28 May 2021 13:34:39 +0000 Digitalization of Conventional Removable Prosthesis: Cad-cam Dentures <p>During the last few decades significant advancements in the field of technology have been integrated in our day to day life. In the medical field and more specifically dentistry, one of the novel applications of robotic technology is the use of Artificial Intelligence in prosthodontics. Newer technologies have been consistently developed based on the principles that try to simulate the human brain functioning to develop solutions that do not just follow preprogrammed instructions, but also have some traits of the human’s such as the reasoning ability and experienced learning from practice without being programmed manually. Integrating CAD/CAM technology into removable denture designing and fabrication has helped in improvement of&nbsp; the quality of the dentures and simplification of the laboratory work. Manual laboratory procedures are either reduced or eliminated, thus enabling the dental technician and the dentist to ensure reproducibility and accuracy of&nbsp;&nbsp; prostheses. This reduces overall time requires in &nbsp;patient rehabilitation. This article presents a critical review on the application of&nbsp;&nbsp; CAD- CAM technology in removable prosthodontics and possible research directions in this field in the future.</p> NEETA PASRICHA, KARAN AGGARWAL Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Thu, 03 Jun 2021 13:14:49 +0000 Tooth Tattoo: A New Paradigm to Detect Bacteria on Teeth Enamel <p>Oral health is an integral part of good overall health. Dental caries and periodontitis are the most common chronic infectious oral diseases. With a greater understanding of dental caries and periodontal diseases comes an opportunity to promote ‘preventive &amp; interceptive therapy’ much before the onset and progression of the disease. Central to this is early diagnosis. But many yester year diagnostic tools lack selectivity and sensitivity and others being expensive, limit the opportunity for early diagnosis. Researchers at Princeton University, New Jersey led by Micheal McAlpine and Tufts bioengineers Fiorenzo Omenetto, David Kaplan and Hu Tao have developed a tiny graphene nanosensor device for early and highly sensitive detection of bacteria on human enamel and assess patient’s oral health, which they have called Tooth tattoo. The team first published their research in the journal, <em>Nature Communications</em>. Presently the prototype being studied, represents versatile approach just not for caries and periodontal disease detection but could provide window to patient’s overall health.</p> Krutika Borkar Copyright (c) 2021 UNIVERSITY JOURNAL OF DENTAL SCIENCES Thu, 03 Jun 2021 13:26:38 +0000