Introduction The objective of this study was to clinically evaluate an autogenous tooth graft (ATG) as a novel bone graft material in the treatment of Class II furcation defects. ATG is prepared at chairside from a freshly extracted tooth to be used immediately for bone regeneration. It has an advantage over the autogenous and other bone graft materials as it is non‐immunogenic, inexpensive, easily available, and lacks donor‐site morbidity. Case Presentation This study was conducted on three middle‐aged (35 to 55 years) male patients, who had at least one mandibular molar with Class II furcation involvement (a total of 5 sites) and one tooth that required extraction because of poor prognosis and was not endodontically treated. At 9 and 12 months, the mean reductions in horizontal probing depth were (1.40 ± 0.57 mm) and (1.52 ± 0.59 mm), respectively, and the mean gains in linear bone‐fill were (3.90 ± 0.15 mm) and (5.33 ± 0.10 mm), respectively. Conclusions Within the limitation of this study, ATG exhibited ideal properties for alveolar bone regeneration. In addition, this study outlines the chairside method to prepare a graft and highlights the improvement in clinical and radiographic parameters at 9 and 12 months.
Background:The ultimate goal of periodontal therapy entails regeneration of the periodontal tissues lost as a consequence of periodontitis. Predictable correction of vertical osseous defects has however posed as a constant therapeutic challenge. The aim of our present study is to evaluate the relative efficacy of demineralized freeze-dried bone allograft (DFDBA) vs anorganic bovine bone xenograft (ABBX) in the treatment of human infrabony periodontal defects.Materials and Methods:15 patients with 30 bilaterally symmetrical defect sites in either of the arches, in the age group of 25-50 years were selected as part of split-mouth study design. Defect-A (right side) was grafted with DFDBA while Defect-B (left side) was grafted with ABBX. Various clinical and radiographic parameters viz. probing depth(PD), clinical attachment level(CAL) and linear bone fill were recorded preoperatively, 12- & 24-weeks postoperatively.Results:Both defect-A & defect-B sites exhibited a highly significant reduction in probing depth, and gain in clinical attachment level and linear bone fill at 12-weeks & at the end of 24-weeks. Comparative evaluation between the study groups revealed a statistically non-significant reduction in probing depth (P<0.1) and mean gain in linear bone fill (P<0.1). However, there was a statistically significant gain in clinical attachment level (P<0.05) in Defect-A (CD=0.356) as compared to Defect-B (CD=0.346).Conclusions:Within the limits of this study, both the materials viz. ABBX and DFDBA are beneficial for the treatment of periodontal infrabony defects. Both the materials were found to be equally effective in all respects except the gain in attachment level, which was found to be more with DFDBA. Long-term studies are suggested to evaluate further the relative efficacy of the two grafts.
Background:Increased oxidative stress has emerged as one of the prime factors in the pathogenesis of periodontitis. Hence, antioxidant therapy may become a promising tool in the treatment of periodontal disease. Uric acid (UA) being a major antioxidant in saliva can be used as a marker to assess the total antioxidant capacity.Aim:The aim of the study was to investigate the influence of orally administered antioxidants (lycopene and green tea extract) on periodontal health and salivary UA levels in gingivitis patients as an adjunct to scaling and root planing (SRP).Materials and Methods:Thirty systemically healthy participants having generalized gingivitis were randomly distributed into two groups. Control group participants received full mouth oral prophylaxis, while test group participants received oral lycopene and green tea extract (CLIK®) for 45 days along with complete oral prophylaxis. Plaque index (PI), sulcular bleeding index (SBI), and salivary UA levels were evaluated at baseline and 45 days after SRP. Data were analyzed with t-test, using SPSS software (PASW, Windows version 18.0).Results:Both treatment groups demonstrated statistically highly significant (P ≤ 0.001) reduction in plaque and SBI. After treatment, a highly significant increase (P ≤ 0.001) in the test group and significant (P ≤ 0.05) increase in the control group was observed for salivary UA levels. Posttreatment comparison between test and control group delineated statistically significant results in PI (P ≤ 0.001), SBI (P ≤ 0.001), and salivary UA levels (P ≤ 0.01).Conclusion:Lycopene with green tea extract may prove to be a promising adjunctive prophylactic and therapeutic modality in the treatment of gingivitis patients. However, further studies are needed to evaluate the additive effect of antioxidants with routine oral prophylaxis therapy.
Periodontitis is a chronic inflammation of periodontal tissues. It is a slow progressing infectious disease. Periodontitis is recognized as the sixth complication of diabetes. Periodontitis and diabetes are chronic diseases. It has a bilateral relationship with diabetes mellitus. Socioeconomic status encompasses income, educational status of head of the family, and family occupation. To upgrade and assess the knowledge concerning the association of periodontitis with diabetes and socioeconomic status, conclusions derived from the case - control studies, epidemiological studies and cross-sectional studies indexed in PubMed / Medline, Scopus journals during the period of 2010 – 2020 were analysed. This article elucidates 1) Whether there is a relationship between periodontitis and diabetes and vice-versa? 2) Association between periodontitis and socioeconomic status? 3) Relationship between socioeconomic status, diabetes, and periodontitis? After a thorough evaluation of the literature, it was found that there is a link between diabetes with periodontitis and vice-versa, socioeconomic status with periodontitis and diabetes, and thus there is a direct association of periodontitis with diabetes and socioeconomic status. Diabetes and socioeconomic status are the prime risk factors of periodontitis. The education and motivation regarding periodontal health in all socioeconomic groups, pre-diabetes, and diabetics with periodontitis in the population would yield a better oral health quality of life. With the changes in socioeconomic status scale in each year, the need for reviewing the association between periodontitis, diabetes, and socioeconomic status in India becomes imperative. KEY WORDS SES - Socioeconomic Status, IDDM - Insulin - Dependent Diabetes Mellitus, NIDDM - Non - Insulin - Dependent Diabetes Mellitus, IL - 6 - Interleukin - 6, IL - 1β - Interleukin 1 Beta, TNFα - Tumour Necrosis Factor Alpha
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.