Farhan Durrani, Aishwarya Pandey, Shweta Ahlawat, Ekta Kumari, S U Gokila Vani, Sakshi Agarwal, P G Naveen Kumar
{"title":"Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trial.","authors":"Farhan Durrani, Aishwarya Pandey, Shweta Ahlawat, Ekta Kumari, S U Gokila Vani, Sakshi Agarwal, P G Naveen Kumar","doi":"10.4103/jisp.jisp_13_24","DOIUrl":"10.4103/jisp.jisp_13_24","url":null,"abstract":"<p><strong>Background: </strong>Dental implants in fresh extraction sockets of the maxillary esthetic area are technique-sensitive procedures where retaining a buccal root segment can enhance periodontium preservation and esthetics. This study aims to compare marginal bone levels and esthetic outcomes between conventional immediate implant placement and the socket-shield technique in fresh maxillary extraction sockets.</p><p><strong>Materials and methods: </strong>Twenty-four patients with type 1 extraction sockets were included in this randomized trial and assigned to either conventional immediate implant placement or the socket-shield technique. Implant survival, crestal bone levels, and pink esthetic scores (PES) were evaluated at 8 months (temporary prosthesis), 12 months, and 36 months (final crowns).</p><p><strong>Results: </strong>All implant-supported restorations were successful within the study's observation period. The socket-shield technique showed significantly lower marginal bone loss (e.g. 1.40 ± 0.29 mm vs. 1.70 ± 0.36 mm at 36 months; <i>P</i> = 0.040) and superior PES (e.g., 10.50 ± 0.90 vs. 9.36 ± 0.98 at 36 months; <i>P</i> = 0.008) compared to the conventional technique. However, the technique's complexity underscores the need for expertise and careful execution to optimize tissue preservation in the maxillary esthetic zone.</p><p><strong>Conclusion: </strong>The socket-shield technique better preserves hard and soft tissues around implant-retained prostheses than conventional implant placement in maxillary esthetic regions. Further studies with larger sample sizes and longer follow-up are required to validate these findings.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"468-477"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523575","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}
Sangeeta Nayak, Nishmitha D Shetty, Deepa G Kamath
{"title":"Commensalism of <i>Fusobacterium nucleatum</i> - The dilemma.","authors":"Sangeeta Nayak, Nishmitha D Shetty, Deepa G Kamath","doi":"10.4103/jisp.jisp_286_23","DOIUrl":"10.4103/jisp.jisp_286_23","url":null,"abstract":"<p><p><i>Fusobacterium nucleatum</i> is a Gram-negative, anaerobic bacterium that serves as a periodontal pathogen and plays a key role in linking Gram-positive and Gram-negative bacteria within the periodontal biofilm<i>.</i> It was shown that <i>Fusobacterium</i> produces significant amounts of butyric acid, which is a great source of energy for anti-inflammatory cells. On the other hand, it is associated with the destruction of periodontal structures. This bacterium can enter the blood circulation as a result of periodontal infection. It could cause numerous conditions such as halitosis, dental pulp infection, oral cancer, and systemic diseases. The present review discusses the virulence mechanisms involved in the diseases, with emphasis on its colonization, systemic dissemination, and induction of host inflammatory and tumorigenic responses. This would motivate future research on the role of this bacterium on periodontal pathology as well as its influence on the evolution of systemic diseases.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"427-430"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523574","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":"Treatment of periodontal infrabony defect using particulate dentin graft and recombinant human platelet-derived growth factor.","authors":"Vishal Garg, Amit Bhardwaj, Kirti Chawla","doi":"10.4103/jisp.jisp_449_23","DOIUrl":"10.4103/jisp.jisp_449_23","url":null,"abstract":"<p><p>Periodontal bone defects pose significant challenges in dentistry, necessitating effective treatment strategies. This case report explores the regenerative potential of using a combination of particulate dentin graft (PDG) derived from extracted teeth and recombinant human platelet-derived growth factor (rhPDGF) as bone graft material for the treatment of human periodontal infrabony defects. A 44-year-old male patient presented with a 9 mm pocket probing depth (PPD) and an 8 mm infrabony defect depth mesial to #13, with no gingival recession (GR). Following Phase I therapy, open flap debridement and grafting with PDG and rhPDGF were performed. Clinical and radiographic measurements were taken at baseline and 6 and 12 months. At 12 months, a 6 mm reduction in PPD and clinical attachment level gain were observed with no GR. 5 mm (83.33%) bone fill was seen radiographically. Within the limitations of this case report, the utilization of PDG with rhPDGF for the treatment of infrabony periodontal defects has emerged as a promising regenerative therapy.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"489-493"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523611","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 Periodotology Scientific Events.","authors":"","doi":"10.4103/jisp.jisp_508_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_508_24","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"499-502"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523566","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":"Response to adjunctive antibiotic therapy along with nonsurgical periodontal therapy in the treatment of peri-implantitis and chronic periodontitis patients: An exploratory review.","authors":"Geetanshu Sethi, Vishakha Grover, Jyoti Gupta, Ashish Jain","doi":"10.4103/jisp.jisp_26_24","DOIUrl":"10.4103/jisp.jisp_26_24","url":null,"abstract":"<p><strong>Objectives: </strong>This review was conducted to assess and compare whether there is a difference in response to adjunctive systemic and locally delivered antibiotics along with nonsurgical periodontal therapy (NSPT) in the treatment of peri-implantitis (PI) and chronic periodontitis (CP).</p><p><strong>Materials and methods: </strong>A systematic search of literature on the predefined criteria was conducted using PubMed, Embase, and Scopus. Probing pocket depth, bleeding on probing, clinical attachment level, and microbial load reduction were selected as primary outcomes, whereas plaque index and gingival index were evaluated as secondary outcomes. Standard Cochrane risk-of-bias tools were used for the quality assessment of the included studies, and a qualitative data synthesis was conducted owing to the observed heterogeneity of the extracted data.</p><p><strong>Results: </strong>Adjunctive systemic and local antibiotics with NSPT resulted in additional beneficial effects in cases of both CP and PI, with greater improvement observed in cases of CP as compared to PI. Even for treatment of PI, among local antibiotics, minocycline was the only antibiotic with some significant adjunctive benefits, when used with NSPT as documented.</p><p><strong>Conclusion: </strong>Within the limitations of the review, it is concluded that the adjunctive use of antibiotics with NSPT offers a beneficial effect in the management of both CP and PI; however, there is insufficient direct evidence regarding the comparative efficacy of the adjunctive antibiotic therapy along with NSPT for the treatment of PI and CP.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"393-406"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523605","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}
Roghieh Bardal, Ahad Alizadeh, Vahid Nouri, Mohammad Salehi
{"title":"Evaluation of the cortication ratio and visibility of mandibular canal and mandibular incisive canal in patients with mandibular cortical index type 1 on cone-beam computed tomography images.","authors":"Roghieh Bardal, Ahad Alizadeh, Vahid Nouri, Mohammad Salehi","doi":"10.4103/jisp.jisp_275_23","DOIUrl":"10.4103/jisp.jisp_275_23","url":null,"abstract":"<p><strong>Background: </strong>Mandibular canal visibility (MCV) is important to determine the relative position of the mandibular canal (MC) before any invasive surgery. It depends on the cortication ratio (CR) of the canal's superior border. This study aimed to evaluate the MCV and CR in patients with mandibular cortical index 1 (MCI1).</p><p><strong>Materials and methods: </strong>In this retrospective study, 132 mandibular cone-beam computed tomography images of patients with MCI1 were evaluated. 6-point rating MCV score and CR were determined for cross-sections of the MC in the following areas: incisive canal (INC), mental foramen and canal (MF), first premolar to the third molar (1PM, 2PM, 1M, 2M, and 3M), and the corresponding edentulous areas (E1PM-E3M). 1PM was overlapped with MF in most cases. An MCV score1 (excellent visibility) and 2PM area were considered reference levels.</p><p><strong>Results: </strong>Sex and age did not significantly affect the MCV score or CR (<i>P</i> > 0.05). 98.6% of the INC and 92.31%-100% of the MC were visible. The mean ± SD of the CR in the INC and MC was 0.86 (0.23) and 0.77 (0.29), respectively. The estimated difference in the mean CR was statistically significant only between the INC area and dentulous areas (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Despite the higher presence probability of score 2 in the 1M relative to 2PM, there was no significant decrease in the visible cases and CR of this area. Invisible cases were significantly lower in the INC, MF, and 3M areas.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"449-455"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523560","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":"Fifty years gone by: Preparing for next 50.","authors":"Ashish Jain","doi":"10.4103/jisp.jisp_495_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_495_24","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"391-392"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523562","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 oral hygiene status by using oral hygiene index, simplified oral hygiene index, and modified oral hygiene index: Revalidation of modified oral hygiene index.","authors":"Subhash Garg, Sumbul Nasir","doi":"10.4103/jisp.jisp_399_23","DOIUrl":"10.4103/jisp.jisp_399_23","url":null,"abstract":"<p><strong>Background: </strong>Good oral hygiene is a critical component of overall oral health. Various methods have developed over time to assess oral hygiene status. In 1960, Greene and Vermillion introduced the Oral Hygiene Index (OHI), which assessed debris and calculus on 12 tooth surfaces. In 1964, they proposed a Simplified Oral Hygiene Index (OHI-S), which evaluated only 6 surfaces of six index teeth. The authors recommended the OHI-S due to its faster clinical assessments but concluded that it was less sensitive than the OHI despite both indices being sufficiently sensitive. In 1987, Garg S introduced the Modified Oral Hygiene Index (OHI-M), which provides a more comprehensive evaluation by assessing debris and calculus on the facial (buccal/labial), oral (palatal/lingual), and specifically occlusal surfaces of each fully erupted permanent tooth. The OHI-M is a reliable and sensitive method for accurately evaluating oral hygiene status.</p><p><strong>Aim: </strong>This study aims to comparatively evaluate oral hygiene status using OHI, OHI-S, and OHI-M and revalidate the OHI-M.</p><p><strong>Materials and methods: </strong>221 patients (119 males and 102 females) were randomly selected through simple random sampling. A single investigator performed the scoring. The sample size was determined based on a 95% confidence level. The collected data were analyzed using IBM SPSS Statistics, and Pearson's correlation test was employed to assess the correlations.</p><p><strong>Results: </strong>The mean and standard deviation of the OHI-M were found to be the lowest (2.55 ± 0.82) compared to the OHI (7.13 ± 1.79) and OHI-S (3.23 ± 0.99). It indicates that the variation in OHI-M values is smaller than that in OHI and OHI-S. Positive correlations were observed among the three indices, with a statistically significant result (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>The OHI-M is found to be the most sensitive scoring method for evaluating oral hygiene status compared to the OHI and OHI-S. These results further confirm the validity of OHI-M.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"461-467"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523579","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":"Maxillary mucormycosis masquerading as an endodontic-periodontal lesion.","authors":"Abubacker Afreen Jannath, Krishnan Viswanathan, Sambanthan Thiruneelakandan, Rajasekar Sundaram, Srinivasan Sivapragasam","doi":"10.4103/jisp.jisp_89_24","DOIUrl":"10.4103/jisp.jisp_89_24","url":null,"abstract":"<p><p>Endodontic-periodontal (endo-perio) lesions are commonly encountered in dental clinics, with patients typically presenting with acute pulpal pain, often accompanied by abscess formation and tooth mobility. Management generally involves root canal treatment (RCT) and, if required, surgical intervention. This article discusses a notable case of a 43-year-old male patient who presented with a chief complaint of pain and loose teeth in the upper left back region for the past 3 weeks. Phase I periodontal therapy was initiated, followed by RCT of teeth #21 to #25. However, 2 weeks later, the patient presented with swelling, prompting surgical excision and biopsy. Histopathological analysis revealed nonseptate hyphae with right-angle branching, indicative of mucormycosis.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"484-488"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523600","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}
Paula de Oliveira Cunha, Isadora Messias Batista Rosa, Adriana Campos Passanezi Sant'ana, Mariana Schutzer Ragghianti Zangrando, Carlos Antonio Negrato, Carla Andreotti Damante
{"title":"Glycemic control in patients with type 1 diabetes mellitus affects periodontal health but not salivary status: An observational study.","authors":"Paula de Oliveira Cunha, Isadora Messias Batista Rosa, Adriana Campos Passanezi Sant'ana, Mariana Schutzer Ragghianti Zangrando, Carlos Antonio Negrato, Carla Andreotti Damante","doi":"10.4103/jisp.jisp_365_23","DOIUrl":"10.4103/jisp.jisp_365_23","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this observational study was to assess the periodontal and salivary status of patients with type 1 diabetes mellitus (T1DM).</p><p><strong>Materials and methods: </strong>Thirty patients were divided into a test group (DM1G - T1DM, <i>n</i> = 15) and a control group (CG - normoglycemic, <i>n</i> = 15). Periodontal clinical parameters were evaluated using probing depth (PD), bleeding on probing (BOP), clinical attachment level (CAL), and plaque index (PI). Salivary tests assessed pH, buffering capacity, salivary glucose, and peroxidase activity. Capillary blood glucose was recorded for all patients, and glycated hemoglobin (HbA1c) was measured only for patients with T1DM. Statistical analysis was performed using Student's <i>t</i>-test and Pearson's correlation coefficient (<i>P</i> < 0.05).</p><p><strong>Results: </strong>The results showed significantly higher PI and BOP values in DM1G (<i>P</i> < 0.01). Positive correlations were found between HbA1c, PI, and BOP (<i>P</i> < 0.01). Capillary blood glucose levels differed between groups (<i>P</i> < 0.01). Positive correlations between capillary blood glucose, PD, and CAL were found only in the CG (<i>P</i> < 0.01). No significant differences were observed between the groups for salivary parameters (<i>P</i> > 0.05).</p><p><strong>Conclusions: </strong>Patients with T1DM exhibit poorer periodontal conditions compared to normoglycemic individuals, although no significant differences were found in salivary parameters between the two groups.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 4","pages":"456-460"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523564","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}