{"title":"Gingival tissue evaluation using soft tissue-cone-beam computed tomography and root coverage esthetic score in the treatment of isolated gingival recession: A clinical study.","authors":"Navina Ravindran, Uma Sudhakar, Nimisha Mithradas, Snophia Suresh, Kotaru Jhansi Lakshmi, J Steffy","doi":"10.4103/jisp.jisp_491_23","DOIUrl":"10.4103/jisp.jisp_491_23","url":null,"abstract":"<p><strong>Objectives: </strong>Comparative assessment of the effectiveness of coronally advanced flap (CAF) with subepithelial connective tissue graft (SCTG) and the envelope technique with SCTG in Miller's Class I recession utilizing soft tissue-cone-beam computed tomography (ST-CBCT) and root coverage esthetic score (RES).</p><p><strong>Materials and methods: </strong>Twenty patients were randomly assigned to Group I (CAF + SCTG) and Group II (envelope technique + SCTG) using the coin toss method, with 10 patients in each group. Recession height (RH) and width (RW), probing pocket depth (PD), clinical attachment level (CAL), and keratinized tissue height (HKT) were assessed at baseline and 6 months. The thickness of keratinized tissue (TKT) using transgingival probing (TGP) and ST-CBCT and the RES were recorded at the 6<sup>th</sup> month.</p><p><strong>Results: </strong>On intragroup comparison, statistically significant difference was seen in the clinical parameters RH, RW, PD, CAL, and HKT, whereas on intergroup comparison, no significant difference was seen at baseline and 6 months. TKT was statistically significant at 6 months between the groups using TGP (<i>P</i> = 0.01) and ST-CBCT (<i>P</i> = 0.01). No statistical difference was seen between the methods in Group 1 (<i>P</i> = 0.61) and Group 2 (<i>P</i> = 0.62). No statistical significance was seen in the RES score (<i>P</i> = 0.10).</p><p><strong>Conclusion: </strong>The study indicates the effectiveness of both the techniques, with the envelope technique demonstrating superior esthetics. Moreover, the research highlights the significance of ST-CBCT as an emerging alternative tool for assessing gingival dimensions.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"312-318"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915201","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":"Preferences and choice in clinical decision-making with the help of time trade-off and standard gamble techniques among periodontally compromised patients - A cross-sectional study.","authors":"Budhaditya Paul, Ankita Srivastava","doi":"10.4103/jisp.jisp_471_23","DOIUrl":"10.4103/jisp.jisp_471_23","url":null,"abstract":"<p><strong>Background: </strong>To assess the validity of time trade-off (TTO) and standard gamble (SG) techniques of utility valuation among patients with periodontal problems by assessing their relation to two logical constructs; Gingival Index (GI) and Oral Health Impact Profile (OHIP) Questionnaire.</p><p><strong>Materials and methods: </strong>Two hundred and one patients aged 18 years old and above, who visited a tertiary care hospital for treatment/consultation were included. A questionnaire was administered to record the TTO, SG, and OHIP. GI, measuring the severity of the disease, was recorded. Bivariate and backward multiple regression analyses were done to find an association between the oral health utility values, OHIP, and the variables of interest (demographic and clinical characteristics including GI).</p><p><strong>Results: </strong>There was a statistically significant decrease in the TTO and SG utilities (<i>P</i> < 0.05) as the severity of the disease progressed from mild to severe. GI, as well as OHIP scores, were significant predictors in the case of both the TTO as well as SG (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>TTO and SG utilities were found to be valid and correlated well with clinical findings. Health utilities serve as useful and reliable markers of health-related quality of life among individuals as well as communities.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"319-324"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915206","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":"Towards the next big one: Implant research grants.","authors":"Ashish Jain","doi":"10.4103/jisp.jisp_386_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_386_24","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"283"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915209","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 accuracy of implants placed with thermoplastic and three-dimensional-printed surgical guides: A randomized controlled trial.","authors":"Firasat Husain, Vishakha Grover, Nandini Bhaskar, Ashish Jain","doi":"10.4103/jisp.jisp_256_23","DOIUrl":"https://doi.org/10.4103/jisp.jisp_256_23","url":null,"abstract":"<p><strong>Background: </strong>The current study was planned to evaluate the accuracy of dental implant placement with two different types of surgical guides: Thermoplastic and three-dimensional (3D) printed.</p><p><strong>Materials and methods: </strong>A total of 32 implants were placed in 20 healthy, partially dentate individuals with an isolated single missing tooth. The implant sites were randomly allocated into two treatment groups: Group A (thermoplastic implant surgical guide, <i>n</i> = 16 implants) and Group B (3D printed implant surgical guide, <i>n</i> = 16 implants). All the cases in both groups were digitally planned according to a defined protocol, and a comparison of the planned and actual implant positions was performed using the medical image analysis software. The differences in the outcome variables, i.e., angular deviation (AD), 3D error at the entry, 3D error at the apex (3D EA), vertical deviation (VD), and composite deviation, were statistically analyzed.</p><p><strong>Results: </strong>All the outcome variables showed improvements, but statistically significant improvement was shown by AD (<i>P</i> = 0.005), 3D EA (<i>P</i> = 0.01), and VD (<i>P</i> = 0.007). The mean and standard deviation (SD) for AD, (3D EA), and VD were 5.58° ±1.93°, 0.96 ± 0.32 mm, and 0.58 ± 0.36 mm, respectively, for group A. The mean and SD for AD, (3D EA), and VD were 3.94° ± 0.64°, 0.64 ± 0.35 mm, and 0.29 ± 0.13 mm, respectively, for group B (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Within the limits of the study, dental implants placed using 3D-printed surgical guides were positioned clinically with greater accuracy, and fewer deviations were observed from their presurgical planned positions as compared to the thermoplastic surgical guides.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 2","pages":"244-251"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467393","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 adjunctive photodynamic therapy on gingival crevicular fluid interleukin-1β in Stage III and IV periodontitis: A systematic review and meta-analysis.","authors":"Malihe Karrabi, Zahra Baghani, Fazele Atarbashi-Moghadam","doi":"10.4103/jisp.jisp_494_23","DOIUrl":"https://doi.org/10.4103/jisp.jisp_494_23","url":null,"abstract":"<p><p>Interleukin-1β (IL-1β) is a main pro-inflammatory cytokine that is used for the assessment of treatment efficacy in periodontitis. This meta-analysis aimed to assess the effect of antimicrobial photodynamic therapy (aPDT) on Stage III-IV (severe) periodontitis-induced local IL-1β. This review study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement and registered in PROSPERO (CRD42024522546). Electronic and manual search of the literature was conducted in four databases for English articles from the first record up until June 30, 2022 comparing the effects of aPDT versus conventional scaling and root planing on IL-1β levels at different follow-up times. The mean gingival crevicular fluid level of IL-1β with 95% confidence interval (CI) was pooled using the random effect model. The <i>I</i> <sup>2</sup> statistics were applied to analyze the heterogeneity of the findings. The risk of bias (RoB) was analyzed using the revised Cochrane RoB. Analysis of 11 retrieved studies revealed that after the application of aPDT, a significant reduction in IL-1β level occurred at 1-2 (standardized mean difference [SMD]: 0.29, 95% CI: -0.57-1.15; <i>P</i> = 0.0002), 4-6 (SMD: 0.53; 95% CI: -0.36-1.42; <i>P</i> < 00001), and 12-13 (SMD: 1.04; 95% CI: -0.22-2.3; <i>P</i> < 0.00001) follow-up weeks. The application of aPDT can serve as an effective adjunctive therapy for the treatment of Stage III-IV periodontitis. Although the results of this meta-analysis showed that increasing the session frequency of aPDT had a higher effect size, further studies without the limitations of the existing studies are required to confirm the present results.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 2","pages":"156-175"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467394","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":"Assessment of periodontal status in patients undergoing renal dialysis - A hospital-based study.","authors":"Akula Nikhila Rani, Madupu Padma Reddy, Suhas Kulkarni, Adepu Srilatha, Loka Suraj Reddy","doi":"10.4103/jisp.jisp_335_23","DOIUrl":"https://doi.org/10.4103/jisp.jisp_335_23","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization (WHO) recognized chronic kidney disease as the 12<sup>th</sup> and 17<sup>th</sup> leading cause of death and disability in the world, respectively. End-stage renal disease (ESRD) patients undergoing dialysis are also often prone to gingival and periodontal tissue inflammation.</p><p><strong>Aim: </strong>The aim of this study was to assess and compare periodontal status among dialysis patients with age- and gender-matched controls in Hyderabad City, India.</p><p><strong>Materials and methods: </strong>Cases (<i>n</i> = 165) included people who had been diagnosed with ESRD, while controls (<i>n</i> = 165) were subjects accompanying cases who were matched for age and gender. The oral hygiene behavior (OHB) was assessed using the OHB Index developed by Buunk <i>et al</i>. Periodontal status was assessed using the Community Periodontal Index modified and loss of attachment (LOA) based on the modified WHO criteria 2013.</p><p><strong>Results: </strong>Significantly higher means of OHB were seen among cases. Higher means of bleeding, pocket depth (PD), and LOA were seen with increasing age among males, low level of education, and presence of systemic condition among both cases and controls. The mean number of teeth with pocket depth (PD) >4 mm and the mean number of sextants with LOA >3 mm were significantly higher among cases than controls. At the same time, the gingival bleeding was significantly higher among controls. Regression analysis revealed that subjects who underwent dialysis (cases) and the presence of the systemic condition were only the significant predictors for the presence of periodontal disease.</p><p><strong>Conclusion: </strong>The study concludes that patients undergoing hemodialysis are more prone to periodontal diseases, which are again influenced by systemic conditions.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 2","pages":"224-230"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467390","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":"Indian Society of Periodontology Scientific Events.","authors":"","doi":"10.4103/jisp.jisp_310_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_310_24","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 2","pages":"272-274"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467371","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":"Assessment of peri-implant tissues in posterior implants placed using flapless approach: A clinicoradiographic study.","authors":"Pranjali Vijaykumar Bawankar, Abhay Pandurang Kolte, Rajashri Abhay Kolte","doi":"10.4103/jisp.jisp_457_23","DOIUrl":"https://doi.org/10.4103/jisp.jisp_457_23","url":null,"abstract":"<p><strong>Background: </strong>It is important to prognosticate the hard- and soft-tissue alterations in immediate and delayed implants, as inadequacy can lead to complications affecting the long-term survival of the implant. Therefore, the purpose of this study was to evaluate and compare the hard- and soft-tissue changes in immediate and delayed posterior implants with a flapless approach.</p><p><strong>Materials and methods: </strong>With an equal allocation ratio, the study included 46 patients requiring implant treatment in the posterior segment, including the premolars and molars. Group 1 consisted of patients with immediate implants, whereas Group 2 consisted of patients who received delayed implants. The clinical parameters, including plaque index (PI), gingival index, modified sulcus bleeding index, probing depth, and soft-tissue assessment using the Testori esthetic score (TS), were evaluated at baseline, 3, 6, 9, and 12 months. Hard-tissue parameters, such as buccal bone thickness (BBT), crestal bone height (CBH), and ridge width, were evaluated radiographically with cone-beam computed tomography at baseline and 12 months posttherapy.</p><p><strong>Results: </strong>Intragroup comparisons in both the groups showed significant differences in PI, probing pocket depth, and TS over time (<i>P</i> = 0.00). The mean BBT at the crest in delayed implants (1.76 ± 0.24) significantly reduced after 12 months compared to immediate implants. A significantly higher TS score was observed after 12 months in both the groups.</p><p><strong>Conclusion: </strong>A significant difference in TS scores after 12 months was found between the two groups, with better esthetics in Group 1 compared to Group 2. However, no significant changes in BBT or CBH were observed after 12 months in Group 1.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 2","pages":"197-203"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467389","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":"Together for better oral health: Communication, collaboration, commitment.","authors":"Ashish Jain","doi":"10.4103/jisp.jisp_303_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_303_24","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 2","pages":"155"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467379","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}
M P Gazala, Supriya Mishra, Vineeta Gupta, Waheda Rahman, Nupoor Khiraiya, Sheetal Dahiya
{"title":"Serum 25 hydroxycholecalciferol in periodontitis patients with type 2 diabetes mellitus - A socioeconomic and clinicobiochemical study in Chhattisgarh.","authors":"M P Gazala, Supriya Mishra, Vineeta Gupta, Waheda Rahman, Nupoor Khiraiya, Sheetal Dahiya","doi":"10.4103/jisp.jisp_349_23","DOIUrl":"https://doi.org/10.4103/jisp.jisp_349_23","url":null,"abstract":"<p><strong>Background: </strong>Very few studies have examined the impact of the concurrent presence of periodontitis (PD) and type 2 diabetes mellitus (T2DM) on serum Vitamin D levels, particularly in developing nations like India, and needs further investigation.</p><p><strong>Aim: </strong>This study aims to assess the relationship between serum Vitamin D values and PD in T2DM patients and to study the correlation between socioeconomic and demographic variables that influence the serum Vitamin D levels and the extent of PD in patients with T2DM.</p><p><strong>Materials and methods: </strong>This was a cross-sectional, hospital-based research. Medical, dental, and diet histories were obtained from the participants, and their socioeconomic status (SES) was determined. Clinical parameters - plaque index (PI), gingival index (GI), sites with gingival bleeding, probing pocket depth (PPD), and clinical attachment level (CAL) were compared among three groups -patients with generalized Stage III Grade B PD with T2DM (n=35), patients with generalized stage III Grade B PD (n=35) and healthy controls (n=35) and the clinical parameters - plaque index(PI), gingival index(GI), sites with gingival bleeding, probing pocket depth(PPD), and clinical attachment level(CAL) were measured. Biochemical tests included the evaluation of serum 25-hydroxyvitamin D (25[OH] D) and hemoglobin A1C (HbA1c) levels.</p><p><strong>Statistical analysis: </strong>Periodontal and biochemical parameters were compared using a one-way analysis of variance across the three groups. The association between clinical parameters, SES, and 25(OH)D was examined using Pearson's correlation coefficient test and linear regression analysis.</p><p><strong>Results: </strong>The serum 25(OH)D levels were lowest in the subjects with generalized Stage III Grade B PD with T2DM (13.54 ± 3.31 ng/mL). Furthermore, there was a significant (<i>P</i> < 0.01) negative correlation between serum 25(OH)D and periodontal parameters, PI (-0.442), PPD (-0.474), CAL (-0.459), sites with gingival bleeding (-0.354), and GI (-0.346) among the groups. The regression analyses showed that an increase in periodontal parameters (PI, GI, PPD, and CAL) and a higher HbA1c was linked to a lower 25(OH)D. However, the periodontal parameters and 25(OH)D levels showed no correlation with socioeconomic and demographic parameters in the study.</p><p><strong>Conclusion: </strong>Serum Vitamin D values are negatively influenced by the synergistic effect of PD and T2DM or by the presence of PD alone. However, the association of SES on serum Vitamin D values in individuals with PD and T2DM or PD alone could not be demonstrated.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 2","pages":"216-223"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467377","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}