Journal of Indian Society of Periodontology最新文献

{"title":"Comparative evaluation of local drug delivery using tetracycline fibers and antimicrobial photodynamic therapy in Stage II Grade B periodontitis: A clinico-microbiological study.","authors":"Priya Toshniwal, Jayashree A Mudda, Shrikar Desai, R Aniketh, Sahana Jain","doi":"10.4103/jisp.jisp_209_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_209_24","url":null,"abstract":"<p><strong>Background: </strong>Periodontal therapy aims to eliminate the periopathogens involved in disease progression to restore the lost form and function of the tooth-supporting structures. To overcome the drawbacks of conventional treatment, several adjunctive treatment modalities have been successfully used to treat moderate-to-severe periodontal diseases. The present study aims to comparatively evaluate the efficacy of locally delivered tetracycline fibers and antimicrobial photodynamic therapy (PDT) as an adjunct to nonsurgical periodontal treatment, focusing on the possibility of improving the clinical parameters and reducing the microbial load postoperatively.</p><p><strong>Materials and methods: </strong>Twenty-two patients with Stage II Grade B periodontitis were divided into two groups: Group A: scaling and root planing (SRP) + locally delivered tetracycline fibers and Group B: SRP + antimicrobial PDT using indocyanine green as photosensitizer. The following clinical parameters were assessed at baseline, 3 months, and 6 months: Gingival index, modified sulcular bleeding index, clinical attachment level, and probing pocket depth. Subgingival plaque samples were obtained for microbial analysis of <i>Porphyromonas gingivalis</i>, <i>Aggregatibacter actinomycetemcomitans</i>, and <i>Prevotella intermedia</i> at the following periods.</p><p><strong>Results: </strong>There was significant improvement in clinical and microbiological parameters in both the groups at 3 months and 6 months postoperatively. Microbial recolonization was noted in both the groups, albeit without reaching statistical significance with respect to <i>P. gingivalis</i> and <i>A. actinomycetemcomitans</i> at 6 months postoperatively.</p><p><strong>Conclusion: </strong>From the results obtained, it can be concluded that both local drug delivery and antimicrobial PDT can be used as an effective adjunctive treatment to SRP. However, supportive periodontal care is required to avoid microbial recolonization.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"664-672"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of different sterilization protocols and its impact on osteogenic potential of autogenous tooth bone graft: A comparative <i>in vitro</i> study.","authors":"Shifali Mahajan, Rose Kanwaljeet Kaur, Vishakha Grover, Manjula Mehta, Savita Prashar, Ashish Jain","doi":"10.4103/jisp.jisp_19_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_19_24","url":null,"abstract":"<p><strong>Background: </strong>The efficacy of autogenous tooth bone graft (auto-TBG) is affected by many determinants, such as sterilization protocols and the expression of bone-inducing proteins such as bone morphogenetic protein (BMP) present in the graft.</p><p><strong>Aim: </strong>This <i>in vitro</i> study was conducted to compare the efficacy of different sterilization protocols and their impact on the osteogenic potential of auto-TBG.</p><p><strong>Materials and methods: </strong>Ninety-eight auto-TBG samples were obtained from 10 extracted teeth that were prepared, ground, and sorted with the help of a dentin grinder. Seventy samples were partially demineralized with the standard recommended techniques, and 28 samples were kept nondemineralized (ND) for comparison. All the processed samples were subjected to different sterilization protocols namely Group A (gamma radiation), Group B (autoclave), Group C (chemical sterilization): Subgroup a (chlorhexidine), Subgroup b (povidone-iodine), Subgroup c (lactic acid), Subgroup d (sodium hydroxide), and Group D (normal saline). Sterilized auto-TBG samples were subjected to microbiological and biochemical analysis.</p><p><strong>Results: </strong>All sterilization protocols could effectively eliminate the microbial growth except normal saline. Mean BMP-2 concentration (pg/mL) was found as 141.91 (chlorhexidine) >134.50 (sodium hydroxide) >134.17 (lactic acid) >133.83 (povidone-iodine) >122.83 (gamma radiation) >121.81 (autoclave) >119.80 (normal saline).</p><p><strong>Conclusion: </strong>Comparatively, the chemical method of sterilization showed a higher mean concentration of BMP-2. In addition, all the samples of demineralized auto-TBG particles showed significantly higher mean BMP-2 concentration as compared to ND samples.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"673-679"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative evaluation of herbal gel as an adjunct to nonsurgical periodontal therapy in Stage III periodontitis: A randomized split-mouth clinical trial.","authors":"Surekha Ramrao Rathod, Supriya Suresh Kaule, Pranjali Vijaykumar Bawankar, Abhay Pandurang Kolte","doi":"10.4103/jisp.jisp_346_23","DOIUrl":"https://doi.org/10.4103/jisp.jisp_346_23","url":null,"abstract":"<p><strong>Background and objectives: </strong>Many Ayurvedic and herbal medications are used to overcome the drawbacks of allopathic medications. The objective of the current study was to assess and contrast the osteoanabolic effects of Picrorhiza kurroa and F. bengalensis gel on the quantity of bone fill in Stage III periodontitis using Radiovisiography (RVG).</p><p><strong>Materials and methods: </strong>In the present split-mouth trial, 44 bilateral intrabony defects (IBDs) were randomly assigned to two groups. Group I received nonsurgical periodontal therapy (NSPT) alone, whereas Group II received NSPT along with Picrorhiza Kurroa and Ficus Bengalensis gel. The IBD fill using RVG was the primary outcome measurement and secondary outcomes were probing pocket depth, clinical attachment level, plaque index, and modified sulcus bleeding index reported at baseline, 3 months, and 6 months.</p><p><strong>Results: </strong>Both the study groups exhibited improvements in the measurements that were evaluated, although Group II significantly outperformed Group I in terms of IBD fill and clinical parameters.</p><p><strong>Conclusion: </strong>As a supplement to NSPT, the use of picrorhiza kurroa and ficus bengalensis gel is more advantageous in obtaining superior clinical and radiographic outcomes after 3 and 6 months.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"638-642"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyaluronic acid: Hope or hype in periodontics - A narrative review.","authors":"Priyanka P Sahu, Ashita S Uppoor, Sangeeta Umesh Nayak","doi":"10.4103/jisp.jisp_476_23","DOIUrl":"https://doi.org/10.4103/jisp.jisp_476_23","url":null,"abstract":"<p><p>The use of novel and cutting-edge materials has always existed in dentistry. For many years, dentists have considered environmental and behavioral factors that affect disease and treatment response when making patient care decisions. Considering its superior biological qualities, hyaluronic acid (HA) has attracted a lot of attention in a variety of medical domains. Its applications in dentistry have been investigated in periodontology, oral surgery, and even restorative dentistry. In the realm of dentistry, HA has attracted a lot of interest as a prospective treatment with promising results. The optimism around HA's use in dentistry is examined in this research to determine whether it is supported by reliable data or whether it is the result of overstated assertions. This review article objectively assesses the potential advantages and restrictions of HA application in dental practices through a thorough evaluation of the pertinent literature and clinical data. The purpose of this study is to provide a fair evaluation of whether HA represents a beacon of hope or if it is primarily the result of unfounded hype by looking at its efficacy in various dental procedures and therapeutic uses.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"614-620"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative evaluation of biopsied gingival and alveolar mucosal lesions: A 13-year retrospective study.","authors":"Akanksha Gupta, Mala Kamboj, Anjali Narwal, Anju Devi, Shashibala Malik","doi":"10.4103/jisp.jisp_438_23","DOIUrl":"https://doi.org/10.4103/jisp.jisp_438_23","url":null,"abstract":"<p><strong>Background: </strong>Gingiva and alveolar mucosa are exposed to similar chronic mechanical irritations in the oral cavity. They are common sites for plaque-induced and nonplaque-induced diseases.</p><p><strong>Aim: </strong>This study aims to compare the categories, frequencies, and age distribution of the biopsied gingival and alveolar mucosal lesions, as well as to report their distribution at these two sites.</p><p><strong>Materials and methods: </strong>This retrospective study was performed on biopsied gingival and alveolar mucosal lesions taken for 13 years. The necessary information was noted, tabulated, and subjected to statistical analysis.</p><p><strong>Results: </strong>Of 5068 biopsies, 302 (5.95%) gingival and 70 (1.38%) alveolar mucosal biopsies were obtained, with female (61.82%) and male dominance (38.17%), respectively. Among gingival biopsies, reactive lesions were the most common (86.75%), followed by inflammatory and immune conditions and lesions (5.29%), neoplasms (3.64%), specific infections (0.33%), and gingival pigmentation (0.33%). The alveolar mucosal biopsies were most commonly diagnosed as well-differentiated squamous cell carcinoma (58.57%), followed by moderately differentiated (28.57%), poorly differentiated squamous cell carcinoma (5.71%), adenoid cystic carcinoma (2.85%), malignant salivary gland tumor (2.85%), and pyogenic granuloma (1.42%).</p><p><strong>Conclusion: </strong>The study results show a high prevalence of gingival and alveolar mucosal biopsied lesions. Most reports suggested a prevalence of reactive lesions in gingival biopsies; on the contrary, alveolar mucosa showed predominance of neoplastic lesions. The two disciplines of dentistry (oral pathology and periodontics) must work together to formulate a functional classification for a definitive diagnosis and an effective treatment plan.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"632-637"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The next one now ….","authors":"Ashish Jain","doi":"10.4103/jisp.jisp_69_25","DOIUrl":"https://doi.org/10.4103/jisp.jisp_69_25","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"605"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of osseous defect on periodontal ligament stress under normal masticatory force: A three-dimensional finite element analysis of mandibular second molar.","authors":"Bhavya Shetty, Safiya Fatima Khan, Khadijathul Irfana, Manjusha Nambiar","doi":"10.4103/jisp.jisp_98_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_98_24","url":null,"abstract":"<p><strong>Background: </strong>Finite element model (FEM) offers an ideal method for the accurate modeling of tooth periodontium with its complicated three-dimensional (3D) geometry. The present study aimed to assess periodontal ligament (PDL) stress under normal masticatory force in the mandibular second molar with and without osseous defect at two different angulations.</p><p><strong>Materials and methods: </strong>Cone-beam computed tomography was used to collect 3D information on the mandibular second molar. Four 3D models were designed using FEM. The first was a mandibular second molar with normal bone support. The second, third, and fourth models had three-wall defects where the mesial wall had bone loss up to 1/3^rd, 2/3^rd, and complete root length, respectively. Vertical and Oblique forces were applied to each model and statistical analysis was carried out using Von Mises stress analysis.</p><p><strong>Results: </strong>Von Mises stress on PDL was seen in the cervical area when the bone was lost up to one-third of root length. As bone loss increases, the stress is concentrated in the apical region and it increases with an increase in bone defect. Maximum PDL stress was 1.84 × 10^-05 megapascal (MPa) under vertical force and 1.0 × 10^-04 under oblique force. Maximum stress on cortical bone was 14.019 MPa under vertical force and 45.939 MPa under oblique force and the values were statistically significant.</p><p><strong>Conclusion: </strong>Stress on PDL and cortical bone was four times higher under oblique force compared to vertical force. As periodontal support reduces, stress increases and gets concentrated on the apex, leading to apical extension of resorption. Teeth with compromised periodontium are more predisposed to occlusal trauma.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"691-696"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authors, reviewers and editorial team - \"Let's work together to make it a timely affair\".","authors":"Baljeet Singh","doi":"10.4103/jisp.jisp_66_25","DOIUrl":"https://doi.org/10.4103/jisp.jisp_66_25","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"601-602"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the efficacy of microneedling alone and in combination with injectable hyaluronic acid in augmentation of peri-implant soft tissues: A randomized controlled trial.","authors":"Pranjali Vijaykumar Bawankar, Prabhnoor Tuli, Abhay P Kolte, Rajashri Abhay Kolte","doi":"10.4103/jisp.jisp_158_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_158_24","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to evaluate the efficacy of injectable hyaluronic acid (HA) combined with microneedling (MN) in augmenting peri-implant soft tissue.</p><p><strong>Materials and methods: </strong>Sixty-five patients were enrolled and divided into two groups. Group 1 received MN alone, while Group 2 received HA following MN on the peri-implant mucosa. Various parameters - including the plaque index (PI), gingival index (GI), peri-implant probing depth, clinical attachment levels, Sulcus Bleeding Index, mucosal thickness (MT), keratinized tissue width (KTW), interproximal width (IPW), and papillary recession height (PRH) - were evaluated at baseline, 3 months, and 6 months postoperatively. Patient-reported outcome measures were assessed to gauge treatment effectiveness and patient satisfaction.</p><p><strong>Results: </strong>Group 2 patients exhibited reduced PI, GI, SBI, PIPD, and CAL compared to Group 1. Both groups showed a significant increase in MT and KTW after 6 months; MT increased to 1.03 ± 0.11 mm in Group 1 and 2.48 ± 0.45 mm in Group 2, while KTW increased to 2.44 ± 0.84 mm in Group 1 and 4.34 ± 1.02 mm in Group 2. In addition, the mean PRH was 1.67 ± 0.32 mm in Group 1 and 0.88 ± 0.25 mm in Group 2, with a mean IPW of 2.19 ± 0.52 mm in Group 1 and 0.90 ± 0.16 mm in Group 2.</p><p><strong>Conclusion: </strong>HA combined with MN leads to increased MT and KTW, reduced inflammation, and improved papillary fill. Thus, HA with MN may serve as an effective short-term implant maintenance modality, assisting clinicians in achieving peri-implant soft tissue regeneration.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"643-650"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Graftless immediate implant placement in the extremely atrophic posterior maxillary site utilizing lateral window and tenting approach followed by surgicel aided closure: A case report with 1-year follow-up.","authors":"Rahul Deshwal, Sanjeev Kumar Salaria, Neha Deshwal","doi":"10.4103/jisp.jisp_34_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_34_24","url":null,"abstract":"<p><p>The maxillary sinus is the largest among paranasal sinuses, lined with Schneiderian membrane having an innate osteogenic potential. The alveolar ridge resorption and pneumatization of the maxillary sinus are inescapable findings postextraction, which may diminish the vertical bone dimensions needed for endosteal implant placement. To overcome these problems, maxillary sinus augmentation using bone grafting materials has been advocated but the cost of graft materials, chances of graft contamination, graft allergy, etc., are the disadvantages/risks associated with it. In order to accomplish passable density of stable peri-implant bone, which aids in increasing implant primary stability; Densah bur-assisted osseodensification approach is highly recommended. To improve Schneiderian membrane, osteogenic potential and bone volume platelet-rich fibrin (PRF) are advocated. The present case described the successful outcome of single-stage graftless immediate implant placement in the edentulous maxillary first and second molar region with ≤3-4 mm of vertical alveolar bone height utilizing lateral window and implant with PRF plug as well as PRF membrane-assisted tenting approach at 1-year follow up.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"701-705"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}