Journal of Indian Society of Periodontology最新文献

{"title":"Periodontal regeneration in horizontal osseous defect.","authors":"Netra Alpesh Shah, Monali Shah, Jasuma Rai","doi":"10.4103/jisp.jisp_12_25","DOIUrl":"10.4103/jisp.jisp_12_25","url":null,"abstract":"<p><p>Horizontal bone loss represents the most frequently encountered pattern of bone destruction in periodontitis and remains a significant therapeutic challenge due to limited regenerative possibilities. It is characterized by a reduction in bone height with the absence of contained bony walls, thereby restricting the predictability of regenerative outcomes. Despite its high prevalence, effective management of horizontal bone defects remains an area requiring further exploration. Intramarrow penetration (IMP) promotes bone healing by exposing cancellous bone, inducing bleeding, and facilitating the migration of progenitor cells and vascular elements into the grafted region. Low-level laser therapy (LLLT) enhances mesenchymal stem cell proliferation and stimulates the release of growth factors, thereby supporting bone regeneration without causing thermal damage to surrounding tissues. Sticky bone, a grafting material enriched with autologous fibrin, acts as a biological scaffold that supports cellular migration, enhances angiogenesis, and accelerates tissue repair. This case series investigates the clinical benefits of combining IMP, LLLT, and sticky bone in the management of horizontal bone loss in periodontitis patients. The objective of the study was to evaluate the regenerative potential of this multimodal approach in improving bone regeneration outcomes.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"160-164"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308303","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":"Effectiveness of a game-based oral health intervention on plaque and gingival scores among schoolchildren: A nonrandomized controlled trial.","authors":"Sahil Thakar, Sahil Negi, Baljeet Singh, Abhinav Bhasker, Sumedha Kushwaha, Swati Sharma, Ramesh Rani","doi":"10.4103/jisp.jisp_344_25","DOIUrl":"10.4103/jisp.jisp_344_25","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of a game-based oral health education intervention in improving plaque and gingival scores among school children aged 12-15 years in comparison to traditional oral health education methods.</p><p><strong>Materials and methods: </strong>Conducted as a nonrandomized controlled trial over 7 months, the research included eight schools with a total of 162 participants allocated to either the intervention (<i>n</i> = 82) or control (<i>n</i> = 80) group. The intervention group engaged with the game, which integrated oral hygiene principles through visual simulation, while the control group received traditional oral health education using a Dentoform model. Baseline and follow-up clinical data were collected using the plaque index and simplified gingival index. Data compiled were statistically analyzed utilizing SPSS (Statistical Package for the Social Sciences) version 26.0 software.</p><p><strong>Results: </strong>Postintervention, the intervention group showed significant improvements in both plaque index (0.89 ± 0.27) and gingival index (1.02 ± 0.23) compared to the control group (1.62 ± 0.30 and 1.72 ± 0.25, respectively; <i>P</i> < 0.001). Within-group improvements in the intervention group were also significant for both indices (<i>P</i> < 0.001 and <i>P</i> = 0.03, respectively). Bivariate analysis revealed that males had significantly higher postintervention scores than females (<i>P</i> = 0.006 for plaque and <i>P</i> = 0.021 for gingival index), and age showed a mild positive correlation (<i>r</i> = 0.21 for plaque and <i>r</i> = 0.18 for gingival index).</p><p><strong>Conclusion: </strong>This study highlights the potential of gamified interventions to enhance oral health education and engagement among adolescents, suggesting that such innovative approaches could lead to improved oral hygiene practices.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"100-107"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308228","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":"A novel approach, exploring subgingival temperature changes over time since death: An animal study.","authors":"Akshai Senthilkumar, Vignesh Ravindran, Abirami Arthanari, Jayalakshmi Somasundaram, Shaan Raj","doi":"10.4103/jisp.jisp_89_25","DOIUrl":"10.4103/jisp.jisp_89_25","url":null,"abstract":"<p><strong>Background: </strong>Accurate estimation of the postmortem interval (PMI) is a crucial aspect of forensic investigations. Traditional methods rely on rectal temperature measurement, but alternative sites may provide more reliable measurements under certain conditions. The subgingival region, being a well-insulated anatomical site, has been considered for temperature-based assessments. However, no studies have explored its viability in PMI estimation. This study aims to assess subgingival temperature changes before and after euthanasia in rats and rabbits and compare them with rectal temperature variations. Understanding these temperature shifts could help clarify the forensic relevance of subgingival temperature as an alternative or complementary method for PMI estimation.</p><p><strong>Objective: </strong>To evaluate pre-euthanasia and posteuthanasia changes in subgingival and rectal temperatures in rats and rabbits.</p><p><strong>Materials and methods: </strong>Based on a pilot study, the sample size was calculated (<i>n</i> = 8), comprising four rabbits and four rats. Following ethical clearance, a specialized subgingival thermometer was designed for measuring subgingival temperature, whereas rectal temperature was recorded using a commercially available digital thermometer (Omron MC-246 Digital Thermometer). Pre-euthanasia subgingival and rectal temperatures were recorded, followed by a second measurement taken 10 min posteuthanasia. The obtained temperature values (°C) were subjected to statistical analysis using the Wilcoxon signed-rank test and Spearman's rank correlation.</p><p><strong>Results: </strong>Subgingival temperature before euthanasia was the only statistically significant finding (<i>P</i> = 0.010). In rats, a strong pre-euthanasia correlation between subgingival and rectal temperatures (<i>r</i> = 1.000, <i>P</i> = 0.010) weakened markedly after death (<i>r</i> = 0.200, <i>P</i> = 0.800). Conversely, rabbits exhibited a moderate correlation before euthanasia (<i>r</i> = 0.600, <i>P</i> = 0.400), which strengthened postmortem (<i>r</i> = 0.800, <i>P</i> = 0.200), indicating species-specific variations in heat retention and dissipation after death.</p><p><strong>Conclusion: </strong>Both subgingival and rectal temperatures decreased after euthanasia, confirming a postmortem temperature decline. However, the results were not statistically significant due to the small sample size. With further research overcoming these limitations, subgingival temperature could serve as a potential alternative for PMI estimation.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308485","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":"Clinical and radiographic evaluation of soft and hard tissue changes following flap and flapless implant surgery: A randomized controlled trial.","authors":"Vyshnavi Ravinuthala, K P Ashok, S S Manikanta Kumar, Anupama Masapu, Naga Sai Sowparnika Naidu, Sindhuri Yerra","doi":"10.4103/jisp.jisp_465_24","DOIUrl":"10.4103/jisp.jisp_465_24","url":null,"abstract":"<p><strong>Background: </strong>Recent advancements in implant therapy have improved the management of edentulism by reducing surgical invasiveness and enhancing clinical outcomes. Conventional flap techniques, although providing adequate access, are associated with complications such as crestal bone loss and soft-tissue recession. Flapless surgery has emerged as a minimally invasive alternative that preserves periosteal integrity, reduces trauma, and promotes faster healing and patient comfort.</p><p><strong>Aim: </strong>The aim of the study was to compare soft- and hard-tissue changes following endosseous implant placement using flap and flapless technique.</p><p><strong>Materials and methods: </strong>This randomized controlled single-blinded study included 30 participants, with 15 implants each allocated to flap (control) and flapless (test) groups. Patients with adequate ridge dimensions and good oral health were included. Clinical parameters, including keratinized mucosa width (KMW) and peri-implant probing depth, were recorded at baseline and at 4 months. Radiographic evaluation using intraoral periapical radiographs was performed to assess crestal bone levels immediately after implant placement and at 4 months.</p><p><strong>Results: </strong>Both groups showed a significant reduction in KMW, with a greater reduction in the flapless group. Crestal bone levels were better preserved in the flapless group compared to the flap group at 4 months. No statistically significant difference in peri-implant probing depth was observed between the groups.</p><p><strong>Conclusion: </strong>Flapless implant surgery may offer advantages in preserving peri-implant hard tissues and reducing postoperative complications. However, long-term studies with larger sample sizes are required to confirm these findings.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308443","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":"Year 2026 - \"New beginnings, renewed commitments\".","authors":"Baljeet Singh","doi":"10.4103/jisp.jisp_171_26","DOIUrl":"https://doi.org/10.4103/jisp.jisp_171_26","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308378","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 efficacy of different anesthetic techniques on pain perception during nonsurgical periodontal treatment: A parallel, blinded, randomized controlled trial.","authors":"Gabriel Andreani Cabral, Daniela Huller, Leomar Emanuel Almeida Mecca, Shelon Cristina Souza Bandeca, Gustavo Simão Moraes, Fábio André Dos Santos","doi":"10.4103/jisp.jisp_321_25","DOIUrl":"10.4103/jisp.jisp_321_25","url":null,"abstract":"<p><strong>Background: </strong>Nonsurgical periodontal treatment improves clinical parameters; however, the procedure is often associated with patient discomfort. Pain control should be considered during periodontal instrumentation. This study evaluated pain perception during periodontal instrumentation using computerized anesthesia versus a noninvasive lidocaine/prilocaine gel.</p><p><strong>Materials and methods: </strong>A parallel, blinded, randomized, clinical trial included 76 volunteers receiving either invasive anesthesia with a computerized device, or noninvasive anesthesia with lidocaine/prilocaine gel during nonsurgical periodontal instrumentation. Pain perception was assessed using an 11-point Numerical Rating Scale and anxiety with the Modified Dental Anxiety Scale. Anesthetic supplementation needs were recorded, and hemodynamic parameters were measured before and after anesthesia. Statistical analyses used the <i>t</i>-test or Mann-Whitney test for quantitative variables. Qualitative variables were analyzed using the Chi-square test (α = 0.05).</p><p><strong>Results: </strong>Participants included 45 women and 31 men (mean age of 44.2 ± 12.9 years), with no significant differences in age or sex between groups. Pain intensity was similar between groups. Anxiety was similar among participants, most having low anxiety (<i>P</i> > 0.05). The need for supplementary anesthesia differed significantly between groups. All patients (38; 100%) in the noninvasive group required additional anesthesia. In the invasive group, only nine patients (24%) required additional anesthesia (<i>P</i> < 0.001). Systolic and diastolic blood pressure, along with oxygen saturation, remained stable, with no relevant variations among the study groups.</p><p><strong>Conclusion: </strong>Both techniques provided similar pain control during periodontal instrumentation; however, the noninvasive gel required significantly more supplementary anesthesia in comparison with the computerized-controlled system. Pretreatment anxiety levels were low and comparable between groups.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"94-99"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308203","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_176_26","DOIUrl":"https://doi.org/10.4103/jisp.jisp_176_26","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"170-171"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308264","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":"Atypical manifestation of necrotizing ulcerative gingivitis in a healthy patient.","authors":"Prasannasrinivas Deshpande, Karthikeya Patil, Sathish Radhakrishna, Mannar Naidu Monica Mirnalini","doi":"10.4103/jisp.jisp_104_24","DOIUrl":"10.4103/jisp.jisp_104_24","url":null,"abstract":"<p><p>Necrotizing periodontal disease encompasses a range of conditions marked by necrosis and ulceration. Necrotizing ulcerative gingivitis is a unique type of periodontal disease that starts quickly and severely. It is caused by a number of risk factors, including stress, poor nutrition, conditions that weaken the immune system, and bad oral hygiene. The 2017 classification has redefined this condition as \"necrotizing gingivitis (NG),\" which clinically presents as a generalized lesion primarily in the anterior mandible, characterized by inflamed interdental papillae, gingival bleeding, necrosis, and often accompanied by pain. Recently, NG is deemed infrequent owing to the availability of diverse oral hygiene agents, potentially resulting in misdiagnosis as alternative infectious lesions. A comprehensive understanding of the disease is essential for precise diagnosis and effective treatment planning. This case illustrates a distinctive manifestation of NG in a healthy young girl who experienced this uncommon occurrence. A precise diagnostic method accompanied by a range of conservative treatment options has been provided.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"165-169"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308453","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 injectable platelet-rich fibrin and cross-linked hyaluronic acid for augmentation of interdental papilla in terms of true and surrogate end points.","authors":"Bhavisha Patel, Pratebha Balu, Saravana Kumar Ravindran, Jananni Muthu, Narayane Ramkumar, Sakthi Devi Sathiyaseelan","doi":"10.4103/jisp.jisp_195_24","DOIUrl":"10.4103/jisp.jisp_195_24","url":null,"abstract":"<p><strong>Background: </strong>Tissue volumizers such as injectable platelet-rich fibrin (i-PRF) and hyaluronic acid (HA) have been used for nonsurgical augmentation of interdental papilla. There is sparse literature comparing the efficacy of the two tissue volumizers in terms of attainment of true endpoints. The present study compared the efficacy of i-PRF and cross-linked HA in interdental papilla augmentation.</p><p><strong>Materials and methods: </strong>Thirty participants were allocated into Group I (i-PRF) and Group II (HA). Assessment of surrogate end points was done using Papilla Presence Index (PPI), black triangle area (BTA) (Image J Analysis), probing pocket depth, and clinical attachment level, at baseline, 3^rd month, and 6^th month. PPI and BTA were assessed at 21^st day also. True endpoints were checked using the visual analog scale (VAS) and patient satisfaction questionnaire at the 6^th month. Data were analyzed using repeated measures of ANOVA and an independent <i>t</i>-test.</p><p><strong>Results: </strong>There was a significant reduction in mean BTA measured at 21 days and at the 3^rd month (<i>P</i> = 0.001) within the groups. However, between the groups, there was no statistically significant difference in mean BTA. Improvement in PPI scores from score 3 to score 1 in both groups was observed. The VAS score was marginally high in Group II, and patient satisfaction was relatively high in Group I.</p><p><strong>Conclusion: </strong>i-PRF and HA are equally effective as tissue volumizers in the augmentation of interdental papilla in terms of reduction in BTA and papillary fill. Patient satisfaction favored i-PRF use.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"123-128"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308276","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":"Alveolar and maxillary sinus volumetric quantification after sinus lift, bone graft, and implant placement using cone-beam computed tomography: A retrospective study.","authors":"Eduardo de Oliveira, Gleica Dal' Ongaro Savegnago, Flávio Monteiro Silva, Gabriela Salatino Liedke","doi":"10.4103/jisp.jisp_50_25","DOIUrl":"10.4103/jisp.jisp_50_25","url":null,"abstract":"<p><strong>Background: </strong>Tooth loss in the posterior maxilla frequently leads to alveolar ridge resorption and maxillary sinus pneumatization, compromising implant placement and often requiring sinus lift (SL) procedures. This study evaluated volumetric changes in the alveolar ridge and maxillary sinus using cone-beam computed tomography (CBCT) after SL, inorganic bovine bone grafting, and implant placement.</p><p><strong>Materials and methods: </strong>A retrospective analysis was performed on 16 maxillary sinuses from 12 patients (6 female and 6 male; mean age: 55.8 years). CBCT scans were obtained at baseline (T0), postgraft evaluation before implant planning (T1), and postimplant healing (T2; mean follow-up 29 months). Alveolar ridge and sinus volumes were measured using ITK-SNAP software. The outcomes evaluated were alveolar ridge volume (mm³), maxillary sinus volume (mm³), percentage of bone gain (T1-T0), and graft resorption (T1-T2). Volumetric measurements at different time points were compared using analysis of variance; bone gain and resorption were compared using <i>t</i>-test, and clinical/demographic variables were assessed for associations. The significance level was <i>P</i> < 0.05.</p><p><strong>Results: </strong>A significant increase in alveolar ridge volume was observed at T1, followed by 11% resorption at T2 over 4 years, primarily in the cervical implant region. Maxillary sinus volume significantly decreased at T1 without subsequent re-pneumatization at T2. Sites with a volumetric gain exceeding 200% at T1 exhibited lower resorption rates at T2 (<i>P</i> = 0.036). Clinical and demographic variables had no association with bone gain nor resorption (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>Bone gain and graft volume maintenance were primarily influenced by the extent of grafting, while patient-related variables showed no significant association.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"30 1","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308471","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}