Aim:The aim of this study was to evaluate the clinical effectiveness of locally delivered xanthan-based Chlosite® gel as an adjunctive therapy to scaling and root planing in treatment of chronic periodontitis.Materials and Methods:In a randomized controlled clinical study, 30 patients were selected. Pocket depth between 5 and 7 mm was selected and each patient had two sites on the same side of the mouth. A total of 30 control sites were scaled and root planed and 30 test sites were scaled and root planed and Chlosite® gel was added. The clinical parameters, probing depth (PD), clinical attachment level (CAL), plaque index (PI) and bleeding on probing (BOP), gingival index were recorded at baseline, 6 weeks, 3 months and 6 months.Statistical Analysis:Paired/unpaired t-test was used, significance was placed at 5% level of significance, i.e., P < 0.05 was considered as a significant.Results:From baseline to a period of 6 months, significant difference was found between test and control group for PD, CAL, PI and BOP, P value being PD (P = 0.002), CAL index (P = 0.014), respectively.Conclusion:Subgingival injection of xanthan-based Chlosite® gel adjunct with scaling and root planing appeared to cause significant improvement compared with scaling and root planing alone in persons with chronic periodontitis.

Background: The purpose of this study was to assess the awareness and practice of infection control procedures among dental surgeons in the private dental hospital.Methods: This is an observational study conducted among thirty dental surgeons working in a private dental hospital in Gwalior, (M.P.) to evaluate the management policies and procedures associated with infection control and instrument decontamination. The doctors were indirectly interviewed by self-administered questionnaire consisted of twenty-one questions regarding the availability of infection control materials, use of personal protective devices, techniques of hand washing, sterilization methods, control of aerosols, status of immunization, asking about medical history, routine documentation of needle-prick injuries, methods of waste segregation etc. The study group was selected regardless of sex, age and field of expertise. This study was done in two weeks and in this time frame self-administered, pre-structured questionnaire was offered to professionals.Results: In this study it was found that although 95% of doctor’s wear gloves but only 6.6% doctors use protective eyewear and 3.3% use gowns for protection. The most of the doctor’s use soap bars for hand washing which is also not a good infection control practice method. There are only 10% doctors who use high-volume-evacuator but most of the time available evacuator is not in working state. Not a single doctor used rubber dam. Out of thirty 74% use gluteraldehyde, 67% use sodium hypochlorite, 54% use phenolic compounds as a surface disinfectant. Most of the doctors use non-sterilized hand pieces, burs, impression trays etc.Conclusions: The infection control actions implemented by dental surgeons were far from ideal. Efforts are needed to improve attitudes, encourage implementation, raise awareness, promote regular updating courses and motivate dental professionals in the correct and routine use of infection control measures. Apart from this, it is also important to improve the hospital management system.

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A BSTRACT Background: There is emerging interest and increasing amount of evidence that support the interrelationship between periodontitis and systemic conditions. Epidemiological and microbiological–immunological studies have lent credence to the concept that periodontal disease may be a separate risk factor for cardiovascular disease, cerebrovascular disease, and respiratory disease, as well as preterm delivery of low-birth-weight infants. Aim: The aim of this study was to evaluate the influence of periodontal infection as a possible risk factor for preterm low birth weight (LBW) based on age, literacy, and hemoglobin level of mother. Materials and Methods: The observational study was conducted on 200 subjects, which were selected from the free labor ward, District Hospital, Saifai, Etawah, UP, India. Periodontal examinations were performed using the World Health Organization criteria. The periodontal status of the mother was recorded using Community Periodontal Index. Results: For this study, chi-square test was performed to know the effect of variables and to find out the statistical significance of the study. Age of mother shows statistical insignificant association with periodontal disease, whereas literacy of mothers showed statistical significant association with periodontal disease, and periodontal status and hemoglobin levels of the mothers also showed a significant association. Conclusion: The prevalence of LBW infants was considerably less in mothers with a healthy periodontium and increased with progressive periodontal disease.

Erosive tooth wear (ETW) refers to the chemical dissolution of mineralized tissues by acids of non-bacterial origin. It occurs in the primary as well as the permanent dentition. In this study, our objectives were to investigate and compare the impact of chlorhexidine gluconate (CHX), essential oils (EO), and cetylpyridinium chloride (CPC) on ETW protection produced by conventional fluoride kinds of toothpaste. A clinically relevant in-vitro erosion/abrasion pH cycling model was employed to test the effect of the aforementioned mouthwashes on modulating the ability of NaF and SnF2 types of toothpaste. The mean dentin surface loss associated with NaF toothpaste was significantly lower than for the SnF2 toothpaste. On the other hand, enamel surface loss with SnF2 toothpaste was significantly lower than for the NaF toothpaste. Also, the surface loss of erosion was significantly higher when associated with abrasion than without brushing and for both enamel and dentin. There was no significant difference in the surface loss among all types of mouthwash. Commonly used types of mouthwash containing antimicrobial agents or additional fluoride do not impact fluoride toothpaste action on erosion/abrasion. Also, considering erosion only, the tested SnF2 dentifrice provided better protection against surface loss of enamel than the other.