Background: Remnants of dental calculus, contaminated cementum, and subgingival plaque act as a physical barrier between periodontal tissues and root surfaces, which inhibits the formation of new attachment. Treatment of denuded root surface using various chemicals and antimicrobial agents with scaling and root planing helps in active periodontal regeneration. Aim: The aim of this study was to evaluate and compare the demineralizing effects of Triphala and 1% Tetracycline HCl gel on root conditioning using a Scanning Electron Microscope. Settings and design: A total of 50 hemi-sectioned root samples were obtained from 25 extracted, and root planed samples. These were divided into two groups, Group 1: 1% Tetracycline HCl gel and Group 2: Triphala. Materials and method: The two root conditioning agents were applied with cotton pellets on the sectioned roots. The samples were then examined under the scanning electron microscope. Statistical analysis used: Data obtained was compiled on a MS Office Excel Sheet. Inter group comparison was done using Mann Whitney U test. Comparison of frequencies of categories of variables with groups was done using Chi Square Test. Results: The root conditioning agents used in this study were found to be equally effective in removing the smear layer.
Purpose: Dentinal hypersensitivity is a common clinical condition associated with exposed dentinal surfaces. Dentinal tubules can be entirely blocked after irradiation by 980-nm diode laser, with no significant morphological alterations after radiation. The use of toothpastes containing Potassium Nitrate and Calcium Hydroxyapatite reduces dentinal hypersensitivity. The main purpose of this study was to evaluate and compare the efficacy of Diode Laser and two Desensitizing Toothpastes for Dentinal Tubular Occlusion by Scanning Electron Microscopy (SEM). Methods: Twelve extracted premolars were divided into two halves each obtaining twenty-four dentin discs. Specimens were etched with 17% phosphoric acid to expose the tubules and were divided into four groups: i.e., Group A: Application of Diode Laser, Group B: Application of SHY-XT toothpaste, Group C: Application of Biomed toothpaste and Group D: Application of Distilled water. After treatment, quantitative analysis of occluded dentinal tubules was done by SEM analysis. Results: The mean values of total dentinal tubular occlusion in Groups A, B, C and D were 0.42, 0.86, 2.14, 4.07 respectively which was statistically significant (p<0.001*). Diode laser (Group A) yielded a significant occlusion of the dentinal tubules when compared to the two desensitizing toothpastes (Groups B and C).
The aim of the study was to compare and evaluate the effect of diode laser as an adjunct to scaling and root planing and scaling and root planing alone on clinical parameters and Gingival Crevicular Fluid (GCF) interlukin-10 level in chronic periodontitis. Ten chronic periodontitis patients were selected. As it was a split mouth study, two sites with deepest pocket one in each quadrant were randomly assigned for scaling and root planing (SRP) and SRP+ diode laser treatment. Plaque index, gingival index, probing depth, and clinical attachment level were measured at baseline and at 3months after treatment. The GCF levels of interleukin-10 (IL-10) were analyzed by enzyme-linked immunosorbent assay. Test group showed significantly better outcome compared to the control group in all clinical parameters (PI, GI, PD and CAL). The total amount of IL-10 increased after treatment in both test and control groups. From baseline to three months, the SRP with Diode laser group demonstrated a substantial rise in IL-10 levels, demonstrating how lasers can improve nonsurgical periodontal treatment results. Thus, diode laser when used in adjunct to SRP, the levels of IL-10 which is an anti-inflammatory cytokine, significantly increased which indicated reduced inflammation of the tissues.
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