Journal of Indian Society of Periodontology最新文献

{"title":"Negligence of gingival overgrowth leading to loss of entire dentition.","authors":"Monali Shah, Vandana Shah, Megha Ellu Poojari, Nishanta Bora","doi":"10.4103/jisp.jisp_147_23","DOIUrl":"10.4103/jisp.jisp_147_23","url":null,"abstract":"<p><p>Drug-induced gingival enlargement often occurs due to patient's lack of awareness about the side effects of prescribed medications. This case report details an unusual instance of massive drug-induced gingival overgrowth in a 50-year-old female, successfully managed through a multidisciplinary approach, including surgical intervention and prosthetic rehabilitation. The surgical treatment involved multiple extractions and the excision of excessive tissue. Both arches healed completely after surgery, and the patient underwent prosthetic rehabilitation, with no signs of recurrence. Effective management of such cases relies on patient counseling and appropriate drug substitution. Increasing awareness about the side effects of certain medications and the connection between systemic and oral health is crucial to prevent such cases of gingival enlargement.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"494-498"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523603","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":"Artificial intelligence - The future of periodontics and implant dentistry?","authors":"Baljeet Singh","doi":"10.4103/jisp.jisp_507_24","DOIUrl":"10.4103/jisp.jisp_507_24","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"387-388"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523570","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":"Soft-tissue augmentation for increasing keratinized tissue around dental implants: A systematic review.","authors":"Farjad Zafar, Maryam Riaz, Rafay Ahmed, Rahul Kumar","doi":"10.4103/jisp.jisp_429_23","DOIUrl":"10.4103/jisp.jisp_429_23","url":null,"abstract":"<p><strong>Background: </strong>This systematic review aims to comprehensively assess the efficacy of soft-tissue augmentation procedures in enhancing the width of keratinized mucosa (KM) surrounding implants with compromised soft-tissue status.</p><p><strong>Materials and methods: </strong>A thorough search was conducted on MEDLINE through PubMed and EMBASE via Ovid, supplemented by manual article searches. Inclusion criteria comprised human studies published in English within the past decade (up to July 2023), focusing on soft-tissue grafting techniques for augmenting keratinized mucosal width. The Joanna Briggs Institute critical appraisal tools were employed to evaluate the risk of bias in selected studies.</p><p><strong>Results: </strong>The review includes 27 studies, comprising nine prospective clinical studies, 13 randomized controlled trials (RCTs), and 5 case series. Notably, interventions demonstrated an augmented KM ranging from 0.89 mm to 7.7 mm. Optimal outcomes were observed with apically positioned partial-thickness flaps and vestibuloplasty (VP) utilizing xenogeneic collagen matrix (XCM) or free gingival graft (FGG). However, heterogeneity in study designs precluded meta-analysis.</p><p><strong>Conclusion: </strong>Despite the limitations, this study emphasizes the potential to augment KM width through apically positioned partial-thickness flaps and VP techniques employing XCM or FGG. Further RCTs with extended follow-up are needed to refine treatment approaches, improve outcomes, and address gaps in understanding graft integration mechanisms and strategies to minimize graft shrinkage.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"417-426"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523610","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":"\"Interdental cleansing:\" A neglected side dish in oral hygiene maintenance.","authors":"Dharmarajan Gopalakrishnan","doi":"10.4103/jisp.jisp_379_24","DOIUrl":"10.4103/jisp.jisp_379_24","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"281-282"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915190","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 coronally advanced flap and semilunar coronally repositioned flap, using platelet-rich fibrin in Miller's Class I recession defects: A randomized clinical trial.","authors":"Sumbul Saifi, Shiva Shankar Gummaluri, Avantika Rani, Rayashettypura Gurushanth Shiva Manjunath","doi":"10.4103/jisp.jisp_251_23","DOIUrl":"10.4103/jisp.jisp_251_23","url":null,"abstract":"<p><strong>Background: </strong>For a periodontist, treating recession is always a proud moment and a challenging task. The current trial aimed at comparing and clinically evaluating semilunar coronally repositioned flap (SCRF) and coronally advanced flap (CAF) procedures combined with platelet-rich fibrin (PRF) in the management of Miller's Class I recession defects.</p><p><strong>Materials and methods: </strong>Thirty-six recession sites were randomly divided into the CAF or SCRF groups. Gingival thickness (GT), root coverage percentage (%RC), plaque index (PI), gingival bleeding index (GBI), and clinical attachment level (CAL) were measured at baseline and 3 and 6 months. Recession height (RH), recession width (RW), and width of keratinized tissue (WKT) were also measured. With significance set at <i>p</i>=/<0.05 and <0.001, the Chi-square test was used to analyze intragroup data and the paired <i>t</i>-test was used to analyze intergroup differences.</p><p><strong>Results: </strong>Intragroup comparison showed a statistical significance for all the clinical parameters i.e. RW (<i>P</i> = 0.00*), RD (<i>P</i> = 0.00*), CAL (<i>P</i> = 0.00*), and GT (<i>P</i> = 0.042*) of the CAF group except for PD (<i>P</i> = 1.00) and WKT (<i>P</i> = 0.331) whereas, the SCRF group showed statistical significance for WKT (<i>P</i> = 0.001*) and GT (<i>P</i> = 0.00*). Remaining parameters of SCRF group were non-significant when compared from baseline to 6 months (<i>P</i> > 0.05). Further, intergroup comparison showed no significant difference in both the groups for all the parameters except for %RC where significance was reported at 1 month (<i>P</i> = 0.015*) and 3 months (<i>P</i> = 0.013*) when compared from baseline to 6 months.</p><p><strong>Conclusion: </strong>Root coverage is better in CAF with PRF than SCRF with PRF, in the treatment of gingival recession. PRF helped in soft-tissue healing and increased in GT.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"360-367"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915194","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":"Substance P-A neuropeptide regulator of periodontal disease pathogenesis and potential novel therapeutic entity: A narrative review.","authors":"A Jayanthi, D Tiwari, L Puzhankara","doi":"10.4103/jisp.jisp_56_24","DOIUrl":"10.4103/jisp.jisp_56_24","url":null,"abstract":"<p><p>Substance P (SP), a neuropeptide primarily released by neurons, has emerged as a key player in the intricate network of factors governing periodontal inflammation, immune responses, bone metabolism, and tissue regeneration. Due to its multifaceted role, it may be explored for its potential participation in periodontal therapeutic strategies. The databases, PubMed/MEDLINE, and SCOPUS were searched for all published articles on SP, its role in inflammation, and periodontal disease. The following search terms, adapted to the specific database, were used; \"substance p AND periodontal *\" AND \"therapeutics\" and records were retrieved. All articles not pertaining to SP in periodontal health and disease were excluded from the study. The full texts of eligible articles were retrieved. Data on SP and its role in inflammation and in periodontal health, disease, and therapy were extracted and have been presented as a narrative review. SP manifests during inflammatory phase of periodontal disease and is one of the causes of bone loss. According to studies, the gingival crevicular fluid from areas with active periodontal disease and bone loss had the greatest levels of SP. These chemicals may linger long enough to trigger neurogenic inflammation and elicit pain in tissues that are vulnerable to it. SP expression during progression of periodontal disease might be a risk factor for individuals with systemic inflammatory diseases, such as chronic arthritis. However, SP may be manipulated to provide avenues for management of periodontal disease and thereby serve as therapeutic target.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"284-289"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915208","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":"<i>Fusobacterium nucleatum</i> mechanism of action in alveolar bone destruction: Scoping review.","authors":"Erik Idrus, Tashya Shania Harsono, Widya Lestari, Dewi Fatma Suniarti","doi":"10.4103/jisp.jisp_269_23","DOIUrl":"10.4103/jisp.jisp_269_23","url":null,"abstract":"<p><p><i>Fusobacterium nucleatum</i> is implicated in periodontitis, a chronic inflammatory disease that destroys the periodontal tissue and alveolar bone due to host-microbe dysbiosis. This study focuses on understanding how <i>F. nucleatum</i> contributes to bone destruction in periodontitis. The literature search was conducted using PubMed and Scopus databases based on Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines by entering preselected keyword combinations of inclusion and exclusion criteria. Qualifying literature was evaluated based on four inclusion criteria: research articles, published in English, within the last ten years, and available in full text. The literature search yielded five articles exploring the mechanism of bone resorption by <i>F. nucleatum</i>. It was found that the bacteria increases the production of inflammatory mediators, such as interleukin (IL)-1β, IL-6, IL-8, tumor necrosis factor-alpha, C-C motif chemokine ligand (CCL) 2, CCL20, and C-X-C motif chemokine ligand 1, which leads to the destruction of alveolar bone. During infection, biomechanical stress also raises levels of prostaglandin E2 and cyclooxygenase-2. The elevated levels of inflammatory mediators and enzymes generate an imbalance in the receptor activator of nuclear factor kappa-B ligand to osteoprotegerin ratio, hindering osteogenic differentiation and heightening bone destruction. In conclusion, <i>F. nucleatum</i> infection promotes alveolar bone destruction by inducing inflammatory responses and inhibiting osteogenic differentiation stimulated by biomechanical loading. More research is essential to explore the connection between <i>F. nucleatum</i> virulence and its alveolar bone degradation mechanisms.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"290-296"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915191","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":"<i>In vitro</i> evaluation of anti-microbial efficacy of <i>Trigonella foenum-graecum</i> and its constituents on oral biofilms.","authors":"Geetanshu Sethi, Shaveta Sood, Sonia Bhonchal Bhardwaj, Ashish Jain","doi":"10.4103/jisp.jisp_540_23","DOIUrl":"10.4103/jisp.jisp_540_23","url":null,"abstract":"<p><strong>Background and objective: </strong>The extracts obtained from the leaves and seeds of <i>Trigonella foenum-graecum</i> (Fenugreek) are effective against various microbial infections. The phytoconstituents of <i>Trigonella foenum-graecum</i> have shown promising effects as anti-diabetics, anti-helmentic, anti-microbial, antifungal, and antipyretic, but its impact on oral pathogens is yet to be established. Therefore, the present study aimed to explore the antimicrobial efficacy of phytoconstituents of <i>Trigonella foenum-graecum</i> as compared to 0.2% chlorhexidine (CHX).</p><p><strong>Materials and methods: </strong>The methanolic extracts of <i>Trigonella foenum-graecum</i> i.e., fenugreek absolute (FA), diosgenin (DIO), and furanone (FU) were used in this study. The antimicrobial efficacy of these extracts was evaluated by testing the minimal inhibitory concentration, minimal bactericidal concentration (MBC), agar well-diffusion assay, colony-forming unit (CFU) count, and also by using confocal laser scanning microscopy (CLSM) against <i>Staphylococcus aureus</i> ATCC 25923, <i>Enterococcus faecalis</i> ATCC 29212, <i>Escherichia coli</i> ATCC 35218, and <i>Pseudomonas aeruginosa</i> ATCC 27853.</p><p><strong>Results: </strong>The results of the study demonstrated that <i>Trigonella foenum-graecum</i> has anti-microbial activity comparable to 0.2% CHX. Well-diffusion assay and CFU count assay of the extracts showed statistically significant (<i>P</i> < 0.001) results. MIC and MBC values were observed for FA, DIO, and FU compared to CHX against these selected test organisms. These results were confirmed by visual validation with CLSM.</p><p><strong>Conclusion: </strong>The use of herbal alternatives in periodontics might prove to be advantageous. <i>Trigonella foenum-graecum</i> can be used as a promising alternative to CHX against <i>S. aureus, E. faecalis, E. coli</i>, and <i>P. aeruginosa</i> for the management of oral and periodontal infections.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"304-311"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915192","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":"Comparison of glued platelet-rich fibrin membrane and noneugenol pack as periodontal dressings after gingival depigmentation.","authors":"Megha Poojari, Monali Shah, Prasad Nadig","doi":"10.4103/jisp.jisp_270_23","DOIUrl":"10.4103/jisp.jisp_270_23","url":null,"abstract":"<p><p>Periodontal surgery often necessitates the use of a periodontal dressing to protect the surgical site and facilitate healing. Commonly used dressings, such as noneugenol packs, offer some benefits but have significant drawbacks, including plaque accumulation, a sensation of foreignness, and no significant impact on healing enhancement. On the other hand, platelet-rich fibrin (PRF) membranes are rich in growth factors, which can accelerate wound healing and tissue regeneration. However, their use is limited due to the need for suturing to stabilize the membrane. N-butyl cyanoacrylate is a tissue adhesive known for its hemostatic and bacteriostatic properties and effectiveness in moist environments, presenting a potential solution for PRF membrane stabilization without the need for suturing. This case report evaluates the use of PRF membrane in combination with N-butyl cyanoacrylate adhesive as an alternative to traditional noneugenol periodontal dressing.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"376-379"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915196","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":"Knowledge, attitude, and practice of dental implants among dentists in Hyderabad city, Telangana: A cross-sectional study.","authors":"Gunda Chihnitha, Suhas Kulkarni, Madupu Padma Reddy, Adepu Srilatha, Loka Suraj Reddy","doi":"10.4103/jisp.jisp_39_24","DOIUrl":"10.4103/jisp.jisp_39_24","url":null,"abstract":"<p><strong>Background: </strong>Implants have emerged as a successful treatment option for the replacement of lost teeth. As dentists are the important source of information regarding implants, their knowledge and understanding of treatment options have a beneficial impact on patients' choice of treatments. The aim of the study is to evaluate the knowledge, attitude, and practice of dental implants among dental postgraduates and practitioners in Hyderabad city, Telangana.</p><p><strong>Materials and methods: </strong>Out of total 599 samples, 286 were dental postgraduates and 313 were practitioners. A self-administered validated 27-item questionnaire containing demographic details and knowledge, attitude, and practice-based questions was used to collect the data through Google Forms or personal interview. Statistical analysis was performed using the SPSS software version 20.</p><p><strong>Results: </strong>The mean knowledge scores were notably higher among elderly dentists (7.69 ± 1.6), with over a decade of experience (7.8 ± 1.52) and had undergone implant training (8.07 ± 1.36). The majority of elderly dentists (89.7%) and with over 10 years of experience (89.4%) exhibited a positive attitude toward dental implants. Moreover, a significant proportion of elderly dentists (51.6%) and with more than 10 years of experience (62.6%), as well as institutional-based practitioners (60%) and who received implant training (76.4%), felt that they are competent enough to place implants significantly.</p><p><strong>Conclusion: </strong>Majority of subjects had knowledge on the various aspects of dental implants and preferred dental implants over removable partial denture or fixed partial denture (RPD/FPD). Mean knowledge level significantly increased with age, experience, and exposure to training. Dentist practice levels were significantly influenced by age, gender, experience, qualification, and implant training.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 3","pages":"332-337"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915204","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}