Regardless of the level of education, the general medical practitioners of Nagpur lack most of the knowledge required for the emergency management of an avulsed teeth. Keeping the in mind the present scenario, it was recommended that education regarding avulsed tooth should be incorporated in school and medical curriculum to increase awareness among parents, teachers and medical practitioners. Also, it is the responsibility of the dentist to make the society aware of this situation.
In the overall scheme of disease prevention, oral health is often overlooked. Oral health plays an important role in an individual's overall health. More than 90 percent of all systemic diseases have oral manifestations. Many diseases can be diagnosed in their early stages through an oral examination. Oral diseases and conditions may have a significant impact on general health; some poor general health conditions also may affect oral health status. The oral cavity is a portal of entry as well as the site of disease for microbial infections that affect general health status. Oral diseases affecting children include dental caries, early childhood caries (baby bottle tooth decay), periodontal diseases, other soft tissue diseases, congenital malformations and oral and facial injuries incurred through sports activities and child abuse. Although these may not be life threatening, yet they cause lot of morbidity, psychological stress and their treatment is expensive. Most oral diseases and injuries can be prevented by the proper and timely use of scientifically based and widely accepted preventive and educational regimens and interventions. Overall, dental and oral health care in India is not in optimal condition. There is, therefore, an urgent need to prevent the rising dental diseases in India.
Background:Guided tissue regeneration-based root coverage has emerged as a promising treatment modality in the treatment of gingival recession. A variety of nonresorbable and bioresorbable membranes have been successfully used. Among resorbable membranes, collagen has been extensively studied. Recently, a third generation barrier membrane derived from placenta has been introduced for periodontal regeneration.Aim:The objective of the present study is to clinically compare the efficacy of placental membrane (Amnion) and collagen membrane (Healiguide) for the treatment of gingival recession.Materials and Methods:Twelve patients having isolated bilateral gingival recession defects were included in the study and were divided into two groups randomly. Group I were treated by coronally positioned flap and amnion membrane and Group II were treated by coronally positioned flap and collagen membrane (Healiguide)™. Clinical parameters, including dental plaque index (PI), gingival index (GI), gingival recession depth, probing pocket depth, clinical attachment level, and gingival biotype, were recorded before surgery at baseline and then reevaluated at 3 and 6 months postoperatively.Statistical Analysis:Nonparametric test, i.e., Wilcoxon Signed-Ranks Test was used in the present study. Significance was reported at 95% confidence level.Results:The results of the present study revealed statistically no significant difference (P > 0.05) in dental PI improved, GI and probing pocket depth in both groups. Significant reduction in gingival recession defects and gain in clinical attachment level was observed in both the groups. Intergroup comparison of gingival recession defects and clinical attachment level yielded nonsignificant differences. However, a statistically significant increase (P < 0.05) in gingival tissue thickness was observed in Group II as compared to Group I.Conclusion:Both membranes are equally efficacious in the treatment of gingival recession. More gingival tissue thickness (gingival biotype) enhancement was observed in sites treated with collagen membrane.
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