Background: Periodontal diseases are associated with multiple systemic conditions of medical interest, and a large number of systemic diseases have oral manifestations. This means that physicians must play a more active role in educating their patients about the role dental disease plays in their overall health. Aim: This study was conducted to assess the periodontal knowledge, attitude and practices among the medical practitioners in Chennai. Study population and methodology: Cross sectional study was conducted using a structured questionnaire on 516 medical practitioners randomly selected from those registered in Indian Medical Association, Chennai city branch. Results: Among the 516 respondents, 48.3% were male, 51.7% were female, 48% were undergraduates and 52% were postgraduates and PG diploma holders.70% of medical practitioners had poor to fair, and 30% good and none had excellent KAP grading. The undergraduates had a better knowledge than the PG and PG diploma holders. Conclusion: Medical professionals lack a satisfactory knowledge and attitude to periodontal health.
Objective: To systematically evaluate the effect of adjuncts with demineralized freeze dried bone in the treatment of intrabony defects in terms of clinical and radiological outcomes. Methods: A search was conducted for randomized controlled trials in cases of chronic periodontitis to evaluate the effect of adjuncts with demineralized freeze dried bone in the treatment of intrabony defects. The electronic databases like PUBMED and the Cochrane Central Register of Controlled Trials were used as data sources. Gain in clinical attachment level was considered as the primary outcome variable while Pocket depth reduction and Radiological bone fill were considered to be the secondary outcome variables. Results: Of all the articles screened, seven controlled human clinical trials met the eligibility criteria and provided clinical and radiological outcome data on the effectiveness of adjuncts with Demineralized Freeze Dried Bone Allograft (DFDBA) in the treatment of intrabony defects. Amongst the above mentioned seven trials, three controlled clinical trial showed significant results while four controlled clinical trials did not show significant results. From this systematic review, it can be concluded that the treatment with Autologous Platelet Concentrate (PRP) in combined with DFDBA showed significant results in probing pocket depth reduction and clinical attachment level gain. Cyclosporine A in combination with DFDBA showed significant radiological bone fill and Enamel Matrix Derivative (EMD) in combination with DFDBA with 12 months followup showed significant soft tissue and hard tissue healing. Conclusion: PRP in combination with DFDBA showed significant results in probing pocket depth reduction and clinical attachment level gain. Cyclosporine with DFDBA showed significant radiological bone fill and EMD in combination to DFDBA with 12 months follow-up showed significant soft tissue and hard tissue healing. However, long term studies are needed to clarify the effectiveness of adjuncts with DFDBA in the treatment of intrabony defect.Key words: Demineralized freeze dried bone allograft; Chronic periodontitis; Intrabony defect; Guided tissue regeneration; Antimicrobials; Immunosuppressive agents; Autologous platelet concentrate and Enamel matrix derivative Efetividade da utilização de enxertos ósseos desmineralizados liofilizados no tratamento de defeitos intraósseos -uma revisão sistemática Resumo Objetivo: Avaliar de forma sistemática o efeito da utilização de enxertos ósseos desmineralizados liofilizados, com adjuvante, no tratamento de defeitos intraósseos, com desfechos clínicos e radiográficos. Métodos: Foi realizada uma busca por ensaios controlados e randomizados em casos de periodontite crônica para avaliar os efeitos da utilização de enxertos ósseos desmineralizados liofilizados como adjuntos no tratamento de defeitos ósseos. Para tal, foram utilizadas as bases de dados PUBMED e COCHRANE. O ganho nos níveis de inserção clínica foi considerado como a variável primária no desfecho, enquanto a redução da...
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