Introduction: Periodontitis is a progressive disease of microbial origin involving the loss of supporting tissues of the teeth resulting from host inflammatory and immunologic reactions. The standard approach to the prevention and treatment of periodontal diseases for a number of years has been mechanical therapy and if required surgical intervention Researcher thought of creating a treatment modality where by altering the host response, the destructive host mechanisms could be interfered affecting the final outcome of the disease process. Aim: The present study aims to explore the efficacy of local delivery of a 1% Alendronate (ALN) gel as an adjunct to scaling and root planing (SRP) for the treatment of infrabony periodontal pockets in smokers and non-smoker with Chronic Periodontitis. Materials and method: 60 infrabony periodontal pockets in patients with chronic periodontitis between the age group of 30-50 years were selected. The study consisted of 2 groups smoker and nonsmoker. A gel based drug delivery system of Alendronate was formulated. 0.1 ml alendronate gel and 0.1 ml placebo gel was placed at the experimental and control sites respectively following root planing. Clinical and radiographic parameters were recorded at baseline, three months and six months. Results: Alendronate was effective in improving clinical and radiographic parameters compared to placebo. Alendronate showed better result in non smoker group when compared with smoker group. Conclusion: This Study showed improvements in clinical parameters both at the control and experimental sites. However, the experimental sites (Alendronate) showed greater improvement as compared to the control sites (Placebo). A significant gain in alveolar crest height and defect fill was measured radiographically at non smoker Alendronate group.
Oral health is an important international public health issue; impacting individuals, communities, health systems, economies and society at large. More importantly, it is one of the most neglected areas on global health map to the current understanding on the mechanism of initiation and progression of oral disease; there are still certain lacunae present in our knowledge of prevention of periodontal disease. In spite of vast understanding of the disease, the inability to identify high-risk forms exists. Prevention of oral diseases and the ability to detect disease activity at an early stage are yet unexplored in Dentistry. These disparities need to be reckoned for seeking better solutions and future policies for improvement in global oral health. To understand and resolve these oral health disparities are a need of hour otherwise it will widen the gap between developed and developing countries. A data-based search was conducted using Google scholar Medline search using terms oral health, health inequalities, global disease, oral health disparities.
Background: This study aims to detect and compare the parathyroid hormone levels with the periodontal status of pregnant women longitudinally throughout their pregnancies. Methods: A longitudinal study evaluated 20 pregnant respondents that reported to the
Aim:To evaluate and compare the efficacy of pre-procedural mouth rinses in reducing microbial content of aerosol product during ultrasonic-scaling procedures by viable bacterial count.Materials And Methods:5 patients were assigned in each group: A- Neem, B -CHX, C-Triphala, D - Control Group.In Group A, B, C -Patient were asked to rinse their mouth with 10 ml mouthwash for 30 seconds before SRP, of which A and C are self- prepared herbal mouthwashes i.e Triphala and Neem. Aerosol will be collected, cultured and incubated on blood agar plates at specified sites from operator. CFU will be counted and result will be assessed statistically. Conclusion: The study suggests that 10 ml of Neem Mouth rinse when used 10 minutes prior to ultrasonic scaling is more potent in reducing the aerosol contamination as compared to the Triphala mouth rinse and commercially available 0.2 % Chlorhexidine mouthrinse. Also the reduction in aerosol content was seen in Tray location when rinsed with CHX and aerosol reduction in Spitoon and Chest location while rinsing with Neem mouthrinse.
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