9 research outputs found
Collagen matrix versus free gingival graft for augmentation of keratinized tissue in mandibular anterior teeth: A comparative clinical study
No full textBackground:
Insufficient width of keratinized gingiva (WKG) leads to clinical attachment loss (CAL) and eventually periodontal destruction. Free gingival graft (FGG) is the gold standard to increase WKG but requires a second surgical site and poor esthetics outcomes. Hence, alternatives like collagen matrix (CM) have been developed.
Aim:
The present study aims to evaluate the efficacy of CM versus FGG in augmenting WKG in the lower anterior.
Materials and Methods:
Twenty patients with inadequate WKG were enrolled and allocated into two groups. Group I participants received augmentation of WKG using CM and Group II participants with FGG. Clinical parameters such as probing pocket depth, CAL, WKG, and gingival thickness were recorded at baseline, 3rd month, and 6th month. Plaque score was recorded at baseline and 6th month and wound healing index was recorded at 14th and 21st days. The parameters within the group and between the groups were compared using repeated measures of analysis of variance and independent t-test.
Results:
The mean WKG of Group I and Group II in 6th month after augmentation was 3.88 ± 0.3 mm and 5.21 ± 1.0 mm, respectively, and the difference was statistically significant (P = 0.001). The mean wound healing index for Group I and Group II measured on 21st day was 5.00 ± 0.1 and 2.50 ± 0.5, respectively, and the difference in the wound healing index was statistically significant (P = 0.001).
Conclusion:
Both CM and FGG are suitable for increasing the WKG. FGG aided in a marginally greater increase in WKG than CM and healing was better with CM as compared to FGG
Efficacy of combination therapy using anorganic bovine bone graft with resorbable GTR membrane vs. open flap debridement alone in the management of grade II furcation defects in mandibular molars - A comparative study
No full textClinical evaluation of increase in the width of attached gingiva using modified apically repositioned flap: A 9-month follow-up study
No full textFibrotic encapsulation of orthodontic appliance in palate
No full textIatrogenic trauma though not serious is very common in dental practice. Orthodontic treatment can inflict such injuries as they are prolonged over a long period of time. Ill-fabricated orthodontic appliances, such as wires and brackets, or the patients' habits such as application of constant pressure over the appliance can traumatize the adjacent oral soft tissues. In rare cases, these appliances can get embedded into the mucosa and gingival tissues. This case report describes one such case of iatrogenic trauma to the palatal mucosa due to entrapment of a tongue spike appliance and its surgical management
Self-reported prenatal oral health-care practices of preterm low birth weight-delivered women belonging to different socioeconomic status: A postnatal survey
No full textBackground: The differences in the oral health status between the individuals with a high socioeconomic status (SES) and those with a low SES had markedly increased. There is, however, minimal information available on women understanding the need of dental hygiene for overall health and whether pregnant women comply with the current oral health strategies. In Lieu with the above, the present study aims to assess the awareness, dental hygiene practices, and the frequency of dental visits during pregnancy in postnatal women who delivered preterm low birth weight babies of different SES in and around Puducherry. Materials and Methods: A total of 200 individuals who visited Rajiv Gandhi Maternity Centre, Puducherry for delivery were selected. Information regarding onset of prenatal care, referral to dentist, and oral hygiene habits such as frequency of brushing, type of brush used, method of brushing, and frequency of brush change were obtained. Periodontal health status was recorded using PSR system. Results: Awareness of oral hygiene practices was more among upper middle class and lower middle class compared to upper lower strata. Visit to dentist during perinatal period was high among upper middle class compared to other socioeconomic strata. Conclusions: The awareness of oral health-care practices and importance of oral care during perinatal period were less among low socioeconomic strata
Clinical evaluation of increase in the width of attached gingiva using modified apically repositioned flap: A 9-month follow-up study
No full textAim: The purpose of this study is to evaluate the increase in the width of attached gingiva (AG) in single/multiple adjacent teeth using variation of modified apically repositioned flap (MARF). Materials and Methods: A total of 20 systemically healthy controls with inadequate width of AG were recruited for the study based on inclusion and exclusion criteria. In all the individuals, variation of MARF technique was performed to increase the width of AG. Outcomes of the surgical techniques were measured in terms of probing pocket depth, clinical attachment level, width of AG, and width of keratinized gingiva (KG). The results were followed up at 3 months and continued till 9 months to confirm the stability of results. Results: Treatment with this procedure resulted in a significant increase in the width of the KG and AG. The increase in KG ranged from baseline (2.0 mm) to 3.85 mm at 3rd month and the results were stable till 9th month (P < 0.001), and the increase in AG ranged from baseline (1.0 mm) to 2.85 mm at 3rd month and the results were stable till 9th month (P < 0.001). Conclusion: MARF is an effective technique in increasing the width of the keratinized tissue and AG around teeth and also offers considerable advantages over other mucogingival surgery techniques
