Journal of Indian Society of Periodontology最新文献

{"title":"\"Wire syndrome\"-induced mucogingival defect management using the laterally closed tunnel technique.","authors":"Folly Emmanuel Baglo, Henri Michel Benoist, Ndeye Lira Mbow, Mouhamadou Lamine Guirassy","doi":"10.4103/jisp.jisp_387_24","DOIUrl":"10.4103/jisp.jisp_387_24","url":null,"abstract":"<p><p>Wire syndrome is an iatrogenic complication, characterized by unexpected tooth movements during orthodontic retention, even without detachment of the retention wire. It can cause esthetic and functional damage through adverse mucogingival changes. This case report describes the management of gingival recession induced by wire syndrome using the laterally closed tunnel technique with a connective tissue graft. A diagnosis of biofilm-induced gingivitis on a reduced periodontium was established after clinical and radiographic evaluation. The graft was laterally stabilized, and suspended sutures ensured satisfactory root coverage with resolution of hypersensitivity. A gain in keratinized tissue height and thickness was obtained, providing a stable periodontal environment for subsequent orthodontic repositioning.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 6","pages":"678-681"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623075","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":"Comparing gradient boosting and neural networks in the prediction of intersecting genes in gingival epithelial immunity.","authors":"Carlos Martin Ardila, Raghavendra Vamsi Anegundi, Ganesh Puttu, Swarnambiga Ayyachamy, Pradeep Kumar Yadalam","doi":"10.4103/jisp.jisp_369_24","DOIUrl":"10.4103/jisp.jisp_369_24","url":null,"abstract":"<p><strong>Background: </strong>The gingival epithelium serves as the primary immune barrier against microbial invasion. Disruption contributes to chronic inflammation and the development of periodontitis. Understanding the gene interactions that regulate epithelial immunity is vital for effective diagnostics and treatment. Machine learning predicts key genes from differential and co-expression analyses, providing new insights into immune regulation. This study compares gradient boosting (GB) and neural network (NN) models in predicting genes involved in gingival epithelial immunity.</p><p><strong>Materials and methods: </strong>Differential gene expression was analyzed using the iDEP web tool on the NCBI GEO dataset (GSE243173), which included samples from healthy, periodontitis, and LAD1 periodontitis subjects. Weighted gene co-expression network analysis (WGCNA) identified gene modules that were correlated with specific phenotypes. Intersecting genes from differential expression and WGCNA were preprocessed and classified using GB and NN models in the Orange platform. Model performance was evaluated using accuracy, precision, recall, specificity, F1 score, and AUC metrics to assess the predictive efficacy of gingival epithelial immune gene clusters.</p><p><strong>Results: </strong>The NN model outperformed GB in predicting clustered genes, accurately identifying positive and negative samples. It achieved an area under the curve (AUC) of 0.987, a classification accuracy of 0.958, an F1 score of 0.958, a precision of 0.963, a recall of 0.958, and a specificity of 0.979. These results demonstrate the potential of NN in identifying intersecting genes involved in gingival epithelial immunity.</p><p><strong>Conclusions: </strong>The NN model's superior performance suggests its potential in genomic studies, particularly in identifying genes involved in immune responses. Further optimization and validation are necessary to fully explore its capabilities.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 6","pages":"618-626"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623115","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":"Functional and esthetic restoration of a periodontally involved hopeless tooth with a staged multidisciplinary treatment approach.","authors":"Jacob P Francis, Majo Ambooken, Jayan Jacob Mathew, Krishnan Hari, Minu Thomas, Vineeth Haridas","doi":"10.4103/jisp.jisp_420_24","DOIUrl":"10.4103/jisp.jisp_420_24","url":null,"abstract":"<p><p>Periodontally hopeless teeth are often deemed candidates for extraction. However, patients' desire and clinicians' perseverance might sometimes result in unexpected outcomes beyond simple retention of the tooth. A pathologically migrated Grade II mobile upper incisor with a perioendo lesion in a 31-year-old female patient was sequentially treated with endodontic treatment, local drug delivery, and regenerative surgery using xenograft, injectable platelet-rich fibrin (I-PRF), and chorion membrane. The postsurgical recession was managed using the vestibular incision subperiosteal tunnel access (VISTA) technique with a collagen membrane and I-PRF, followed by indirect composite veneers for tooth discolouration and a fixed lingual retainer to prevent future migration. The mentioned treatment approach restored the function and esthetics of a hopeless tooth by eliminating the pocket and mobility, resolving the perioendo lesion and bone defect, and facilitating root coverage.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 6","pages":"682-686"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623066","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":"An inverted partially epithelialized connective tissue graft around dental implants: A report of three cases.","authors":"Ioannis Tsourounakis, Carlo Sgarbanti","doi":"10.4103/jisp.jisp_364_24","DOIUrl":"10.4103/jisp.jisp_364_24","url":null,"abstract":"<p><p>In clinical practice, it is common to encounter dental implants with insufficient keratinized mucosa width (KMW) and decreased peri-implant mucosa thickness (MT). Research indicates that such soft-tissue deficiencies can lead to unsatisfactory esthetic results and decreased bone stability over time. This case report presents a variation of standard free gingival graft and connective tissue graft (CTG) techniques, termed the inverted partially epithelialized CTG (IPE-CTG). Three patients (2 males and 1 female) experiencing insufficient attached gingiva and reduced peri-implant tissue volume were effectively treated with the IPE-CTG. This approach involves placing a partially epithelialized graft as an onlay graft on the recipient site, with the epithelialized surface oriented apically and the de-epithelialized surface directed coronally. This technique aims to address KMW and MT deficiencies in a single procedure. All cases treated with the IPE-CTG exhibited stable results over a 12-month period, with notable improvements in both KMW and MT.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 5","pages":"566-571"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12736698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834176","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 noncarious cervical lesions in areas of gingival recession specific to the minimally invasive restoration-guided creeping attachment technique: A cross-sectional study.","authors":"Rupasree Gundala, Sreenivas Nagarakanti","doi":"10.4103/jisp.jisp_512_24","DOIUrl":"10.4103/jisp.jisp_512_24","url":null,"abstract":"<p><strong>Background: </strong>A noncarious cervical lesion (NCCL) is defined as the loss of tooth structure in the cervical one-third of the tooth due to causes other than dental caries. Descriptive epidemiological studies on NCCLs are justified because of their high frequency and their potential consequences for the periodontium. The present study aimed to analyze the trend of NCCLs in teeth with gingival recession, determine the prevalence and associated risk factors for these combined lesions, and evaluate patient acceptance of various treatment modalities, with emphasis on the minimally invasive restoration-guided creeping attachment (RGCA) technique.</p><p><strong>Materials and methods: </strong>A total of 150 patients were enrolled in the present study. A total of 1200 teeth were examined clinically using ×3.5 magnification loupes and a UNC-15 probe to evaluate the cementoenamel junction and step-like defects according to the Pini-Prato classification of gingival recession. All patients were interviewed regarding potential etiological factors using a specially designed questionnaire. The questionnaire also included attitudinal factors related to willingness for treatment in general and specifically for the RGCA technique.</p><p><strong>Results: </strong>Among the 1200 teeth with exposed root surfaces, 543 exhibited Class A - defects, 442 Class A+, 149 Class B+, and 66 Class B- defects. The distribution of combined defects across tooth types was incisors 39%, premolars 32%, canines 22%, and molars 6%, with 92% located in the anterior esthetic zone.</p><p><strong>Conclusions: </strong>Combined lesions were predominantly found in incisors, premolars, and canines located within the smile arc.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 5","pages":"497-500"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12736665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834179","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":"Root submergence in maxillary anterior region: An alternative for unpredictable augmentation.","authors":"Farhan Durrani, Aishwarya Pandey, Kajol Kumari Rajak, Dhanraj Meena, Mahendra Rawji Gawade","doi":"10.4103/jisp.jisp_367_23","DOIUrl":"10.4103/jisp.jisp_367_23","url":null,"abstract":"<p><p>Alveolar ridge resorption following tooth extraction is a progressive and inevitable process, particularly critical in the maxillary anterior region where esthetics are paramount. Conventional approaches to restoring hard and soft tissue contours often yield unpredictable results, especially in recreating papillary form and ridge architecture. The root submergence technique (RST), which involves the intentional decoronation and submergence of nonrestorable teeth, aims to preserve the periodontal ligament and maintain surrounding tissue integrity. This case report presents two clinical scenarios in which submerged roots were retained beneath implant-supported fixed prostheses in the anterior maxilla. In both cases, careful case selection and precise execution of RST resulted in preservation of the interdental papilla, stable crestal bone levels, and harmonious soft-tissue profiles over a 1-year follow-up. These outcomes highlight the potential of RST as a biologically driven alternative to extensive ridge augmentation procedures, offering superior esthetic results in challenging anterior prosthetic rehabilitations.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 5","pages":"553-559"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12736700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834233","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":"Periodontology in the classroom: A scoping review of educational strategies and outcomes in dental education.","authors":"Fara Azwin Adam","doi":"10.4103/jisp.jisp_505_24","DOIUrl":"10.4103/jisp.jisp_505_24","url":null,"abstract":"<p><strong>Background and objectives: </strong>Periodontology is a crucial component of dental education, focusing on the supporting structures of teeth and the prevention, diagnosis, and treatment of periodontal diseases. This scoping review aims to explore various educational approaches and outcomes related to periodontology, highlighting their effectiveness and identifying areas for improvement.</p><p><strong>Materials and methods: </strong>A comprehensive search of the PubMed, Education Resource Information Center, and Scopus databases was conducted using the search terms related to dental education, periodontology, and educational methods. Inclusion criteria included original dental education articles that described periodontology as the subject of interest. Twenty-two studies met the inclusion criteria and were included in this scoping review.</p><p><strong>Results: </strong>The studies used a variety of educational methods to teach periodontology, including lecture-based teaching, problem-based learning, simulation-based education, hands-on training, flipped classrooms, and team-based learning. The results suggest that different educational methods have varying levels of effectiveness in achieving knowledge gain, clinical skills, and student satisfaction. Simulation-based education and hands-on training were found to be more effective in improving clinical skills than lecture-based teaching.</p><p><strong>Conclusion: </strong>This scoping review highlights the importance of innovative educational strategies in periodontology, including active learning and blended learning. The findings suggest that a variety of educational methods can be effective in teaching periodontology and that the choice of method depends on the specific learning objectives and outcomes desired. The results of this review can inform the development of effective educational programs in periodontology and highlight the need for further research in this area.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 5","pages":"466-476"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12736696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834241","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":"World AMR Awareness Week (WAAR) 2025: \"Let us contribute our bit of share\".","authors":"Baljeet Singh","doi":"10.4103/jisp.jisp_536_25","DOIUrl":"10.4103/jisp.jisp_536_25","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 5","pages":"457-458"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12736684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834254","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":"Estimation of plasma afamin levels in patients with periodontitis and Type II diabetes mellitus: A clinico-biochemical study.","authors":"Rumaisa Rehman, K Asif, H Sindhura, Swapna Ediga","doi":"10.4103/jisp.jisp_259_24","DOIUrl":"10.4103/jisp.jisp_259_24","url":null,"abstract":"<p><strong>Introduction: </strong>Periodontitis is a chronic inflammatory disease, modified by host immune response, where the host-microbial interaction damages proteoglycan, hyaluronan, and collagen, leading to connective tissue breakdown and impaired wound healing due to increased oxidative stress (OS). Afamin (AFM) is a Vitamin E-binding protein that plays a role in antiapoptotic cellular processes related to OS and has been previously associated with the development of insulin resistance (IR). Type II diabetes mellitus (TIIDM) is a major risk factor for periodontitis. The aim of this study was to assess plasma AFM levels in subjects diagnosed with periodontitis, with and without TIIDM.</p><p><strong>Materials and methods: </strong>Seventy-five participants were divided into 3 groups: Group I - 25 healthy controls, Group II - 25 systemically healthy individuals with periodontitis, and Group III - 25 individuals with periodontitis and TIIDM. All periodontal parameters, i.e. plaque index, gingival index, and probing pocket depth, were recorded. Glycemic control in Group III individuals was assessed by glycated hemoglobin (HbA1c) levels. Plasma AFM levels were analyzed using the enzyme-linked immunosorbent assay technique. <i>P</i> < 0.05 was considered to be statistically significant.</p><p><strong>Results: </strong>Mean plasma AFM concentrations in Group I were 30.64 ± 5.88 ng/ml. A significant increase in mean AFM was seen in Group II and III, i.e. 50.76 ± 9.65 ng/ml and 86.44 ± 12.10 ng/ml, respectively. A correlation was seen between deep pockets and increased AFM concentration in both the test groups. It was also found that mean AFM concentrations increased with worsening of glycemic control, i.e. 80.25 ng/ml, 84.25 ng/ml, and 90.92 ng/ml in good, fair, and poor HbA1c control patients, respectively.</p><p><strong>Conclusions: </strong>Plasma AFM is increased in patients with periodontitis. A higher concentration is seen in patients with periodontitis and TIIDM. OS being the reason for its increase, plasma AFM levels can be used as a marker to identify the incidence of TIIDM in individuals with periodontitis or other inflammatory conditions associated with increased OS.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 5","pages":"501-505"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12736694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834103","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 assessment of regenerative potential of 0.8% hyaluronic acid gel combined with deproteinized bovine bone mineral in the management of furcation defects: A randomized controlled clinical study.","authors":"S Elanchezhiyan, A Nirmal Priya, P K Sasi Kumar, S Santhosh, Nivethitha Maruthamuthu, Sundarrajan Murali","doi":"10.4103/jisp.jisp_333_24","DOIUrl":"10.4103/jisp.jisp_333_24","url":null,"abstract":"<p><strong>Background: </strong>Periodontal regeneration is particularly challenging in complex anatomical areas such as furcation defects. This study clinically and radiographically evaluated the outcomes of treating mandibular molar furcation defects in Stage II and III, Grade A and B periodontitis patients using either 0.8% hyaluronic acid (HA) gel combined with deproteinized bovine bone mineral (DBBM) or DBBM alone.</p><p><strong>Materials and methods: </strong>A total of 20 furcation defects were treated. Group 1 received open flap debridement with DBBM alone, whereas Group 2 received DBBM mixed with 0.8% HA gel. An amniotic membrane (AM) was placed as the guided tissue regeneration (GTR) membrane for both the groups. Clinical parameters including plaque index (PlI), gingival index (GI), horizontal probing pocket depth (H-PPD), vertical probing pocket depth (V-PPD), and relative attachment level (RAL), along with radiographic parameters such as defect depth, bone fill (BF), and percentage bone fill (BF%), were recorded at baseline, 3 months, and 6 months.</p><p><strong>Results: </strong>At 6 months, significant improvements were observed in both the groups, with Group 2 demonstrating superior outcomes. The PlI and GI showed mean reductions of 0.47 ± 0.06 and 0.56 ± 0.08, respectively. Group 2 exhibited greater reductions in H-PPD (3 ± 0.59 mm), V-PPD (4.7 ± 1.72 mm), and RAL (4.6 ± 1.02 mm). Radiographically, Group 2 showed a mean BF of 1.26 ± 0.35 mm at 3 months and 3.01 ± 0.41 mm at 6 months, with corresponding BF% values of 38.40 ± 6.04% and 83.80 ± 6.12%.</p><p><strong>Conclusion: </strong>The combination of 0.8% HA gel with DBBM and AM demonstrated superior clinical and radiographic improvements in furcation defect management compared to DBBM alone.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"29 5","pages":"506-513"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12736670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834136","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}