“Flouride” mineral is essential for the normal development of bone and teeth. However, its presence in excess of the required limit results in fluorosis of bone (skeletal) and teeth (dental). It is a dominating public health issue in India due to the geographical fluoride belt across numerous states. Dental fluorosis is characterised by the staining and pitting of tooth/teeth. Despite fluoride’s anticariogenic potential, when present in excess amounts, deteriorates aesthetics and cripples the physical, mental and social health of individuals. Numerous government-led initiatives are in place to optimize fluoride levels, unfortunately, with limited coverage and constrained time frame. The overview is an endeavour to assemble the breathing information on dental fluorosis and the obliviousness towards this condition devastating many lives in India. In this manner, stressing on the squeezing need of educational and dental treatment mediations alongside rebuilding of defluoridation programs across the nation.
Oral health is a poorly assessed and treated aspect of the health among Indians. The government continues to poorly fund oral health programs even though evidence of mounting incidence of poor oral health among Indians lingers on. Regardless of the profoundly anticipated national oral health program, oral health burden stays gazing at the nation. It could be a direct result of a fragmented policy with varying priorities regarding the possible solutions to oral health problems. Its implementation faces numerous hindrances which should be defeated for successful utilization. Thus, it is fundamental for the government of India, the policymakers, the stakeholders, and dental bodies to conquer every single barrier and define a compelling national oral health policy backed by current scientific evidence. It would guarantee oral health care to all particularly the populace from the oppressed section of the society. This paper is an endeavour to unite all the components identified with the national oral health program. Additionally, give suggestions for its viable usage.
BACKGROUND: The mucous membrane of the maxillary sinus is sensitivis susceptible to infection or inflammation adjacent to it, which may contribute to mucous membrane thickening (MMT). Residual alveolar bone quality (RABQ) is considered a quality of the remaining bone apical to periodontal defect adjoining to the floor of the maxillary sinus. OBJECTIVE: The current study aimed to analyze the minimum RABQ to prevent the extension of periodontal pathology from reaching maxillary sinus using cone-beam computed tomography (CBCT). METHODS: In this retrospective observational study, 240 sinus exposure CBCT records of 146 patients were evaluated. Patients with at least one sinus exposure were included. RABQ and MMT were calculated using CBCT inbuilt tools. RABQ was divided into four groups based on gray scale values (GSV). Statistical analysis was performed using one way ANOVA and independent sample t-tests. Correlation was completed applying Pearson’s correlation coefficient. RESULTS: A significant difference (p< 0.05) was observed between the MMT values of the four RABQ groups. Inverse correlation was observed between mean MMT and GSV values. Mean MMT was higher than pathological MMT range (> 2 mm), with significant differences in groups A and B, where mean GSV values are less than 500. Mean GSV greater than 500 in groups C and D show non-pathological MMT. Prevalence of MMT is 91.4% if GSV is < 500 and 7.5% if GSV is > 500. CONCLUSIONS: Our study suggests that MMT is present if RABQ has GSV values < 500. Maxillary sinusitis and its etiology from periodontal pathology can be excluded based on RABQ adjoining periodontal lesion. Early detection and prompt treatment along with appropriate regenerative protocols can be performed to increase the RABQ. Further microbiological investigation is required to support the present results.
Objectives: The Mucous membrane of the maxillary sinus is sensitivis susceptible to infection or inflammation adjacent to it, which may contribute to mucous membrane thickening (MMT). Residual alveolar bone quality (RABQ) is the nature of the remaining bone apical to periodontal defect adjoining to the floor of the maxillary sinus. The current study aimed to analyze the minimum RABQ to prevent the extension of periodontal pathology from reaching maxillary sinus using Cone-beam computed
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