Background and Objectives:Conventional diagnostic indicators cannot distinguish between disease activity and inactivity but can detect the past tissue destruction. A proper and true periodontal diagnosis is essential in order to have a rational treatment and preventive strategy and to identify sites at risk. The present longitudinal study was designed with an aim to examine the relationship between gingival crevicular fluid (GCF) levels of aspartate aminotransferase (AST) and periodontal disease progression and to analyze the level of AST in GCF before and after the initial therapy in chronic periodontitis patients and determine the relationship between AST and conventional measures of periodontal status.Materials and Methods:A total of 20 patients with chronic periodontitis were randomly selected. Two diseased sites and one healthy site were selected in each patient. The periodontal status and GCF-AST levels were recorded at baseline and 3 months post-initial therapy and statistically analyzed.Results:There was a statistically significant difference in AST levels between diseased periodontal sites and healthy sites (P<0.05), and between baseline and post-initial therapy (P<0.05). Improvements in clinical status were noted following periodontal therapy and there was a corresponding decrease in AST levels.Interpretation and Conclusion:In conclusion, it is suggested that AST levels may be a useful adjunct in the clinical assessment of periodontal disease sites since AST level decreases when periodontal status improves.
“Gummy smile” is a major concern for a large number of patients visiting the dentist. Esthetics has now become an integral part of periodontal treatment plan. This article presents a case of a gummy smile in which esthetic correction was achieved through periodontal plastic surgical procedure wherein a 10-12 mm of partial-thickness flap was dissected apical to mucogingival junction followed by approximation of the flaps. This novel technique gave excellent post-operative results with enormous patient satisfaction. This surgical chair-side procedure being one of its kinds with outstanding results is very rarely performed by Periodontists. Thus, a lot of clinical work and literature review with this surgical technique is required. To make it a routine surgical procedure this technique can be incorporated as a part of periodontal plastic surgery in the text. Hence, we have put forward experience of a case with critical analysis of the surgical technique including the limitations of the technique.
Dentistry is truly a great profession and recently it is coming to the terms of use of technology and tech-savvy dentists, who nowadays use smart devices to make their life easier. Researchers are constantly innovating to integrate technology into dentistry. Of all the latest technological innovations in dentistry, the most talked about innovations are threedimensional (3D) printing and cone beam computed tomography (CBCT), which have made the treatment planning and execution a whole lot easier. Three-dimensional printing like CBCT has been gaining much popularity in the masses. Three-dimensional printing technologies are evolving rapidly in the recent years and can be used with a wide array of different materials. In addition to rapid prototyping, the dominant use in the past, they are now being used in all manner of manufacturing applications in a diversity of industries such as sports goods, fashion items such as jewelry and necklaces to aerospace components, tools for automobile industry, and medical implants also in dentistry for producing models, making scaffolds, etc. In future, 3D printing has ability to change the way many products are manufactured and produced and bring an era of 'personal manufacturing'. This article introduces 3D printing and gives little information about the technology behind the working of 3D printers. It also gives information about the applications of 3D printers and materials most often used for 3D printed scaffolds for periodontal regeneration.
Gingival enlargement is one of the adverse drug reactions associated with the administration of several drugs. Progression of gingival enlargement affects the normal oral hygiene practice and may interfere with mastication, speech, etc. It gradually becomes a source of pain and disfigurement. There is a wide variation in the presentation of clinical and histological features of such gingival enlargements. Nifedipine is one such drug of the family of calcium channel blockers that has the potential to cause gingival overgrowth in patients taking the same, although in a limited number of cases. The management of such cases requires a multi-pronged approach including thorough scaling and root planning, drug substitution, and surgical approach. This case report highlights the management of one such case of a patient taking nifedipine for the management of hypertension.
Newer scientific technological advancement in dentistry provides an array of projects such as molecular biology, cell culturing, tissue grafting, and tissue engineering. Conventional root canal treatment, apexification with biomaterials, and extractions are the procedures of choice to treat a nonvital tooth. These treatment options do not give predictable outcomes in the regeneration of the pulp tissue. This can be easily achieved by regenerative endodontics wherein the diseased or a nonvital tooth is replaced by a healthy and functional pulp-dentin complex. The rationale for regenerative endodontics follows tissue engineering techniques. This article reviews the shift in regenerative endodontic techniques.
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