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1.
J Contemp Dent Pract ; 19(1): 94-97, 2018 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-29358542

RESUMEN

AIM: This study was conducted to evaluate microbiological and clinical effects of a chitosan chlorhexidine (CH) mouthrinse on plaque control. MATERIALS AND METHODS: Subjects were divided into three groups. Group I included 15 subjects who used 0.2% chlorhexidine digluconate (CHX), group II included 15 subjects who used 2% chitosan (CH) solution, and group III involves 15 subjects who used 0.2% chlorhexidine/2% CH combination. Plaque index (PI), gingival index (GI), and probing depth (PD) were recorded at the baseline, on day 0, and after 4 days. Supragingival plaque samples were subjected for microbiological evaluation. Statistical analysis was done using statistical software IBM Statistical Package for the Social Sciences (SPSS), version 21. RESULTS: Plaque index was lowest in group I at day 0, while it was highest in group III. At day 4, PI was highest in group II, while lowest in group III. Gingival index was lowest in group I and highest in group II at day 0, and lowest in group I and highest in group III at day 4. There was no statistical difference in Streptococcus mutans (S. mutans) count between groups at any time interval. CONCLUSION: Both chitosan and CH were found to be effective in controlling plaque. However, a combination of both provides even better results. CLINICAL SIGNIFICANCE: The present study showed that chitosan can be used as an antiplaque agent.


Asunto(s)
Antiinfecciosos Locales/farmacología , Quitosano/farmacología , Clorhexidina/análogos & derivados , Placa Dental/tratamiento farmacológico , Placa Dental/microbiología , Antisépticos Bucales/farmacología , Clorhexidina/farmacología , Índice de Placa Dental , Combinación de Medicamentos , Femenino , Humanos , Masculino , Índice Periodontal
2.
J Contemp Dent Pract ; 18(6): 479-483, 2017 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-28621278

RESUMEN

INTRODUCTION: One of the common findings encountered by the clinician at the end of orthodontic treatment is the apical root resorption. Root resorption occurs to various degrees. A severe form of root resorption is characterized by shortening of root for more than 4 mm or more than one-third of the total tooth length. A low incidence rate of resorption is observed based on radiographic findings for the diagnosis of root resorption, panoramic radiography, and periapical radiography. Hence, we evaluated the accuracy of panoramic radiographic films for assessing the root resorption in comparison with the periapical films. MATERIALS AND METHODS: This study included the assessment of all the cases in which pre- and post-treatment radiographs were available for analysis of the assessment of the amount of root resorption. Complete records of 80 patients were analyzed. Examination of a total of 900 teeth was done. Mean age of the patients in this study was 21 years ranging from 11 to 38 years. The majority of the patients in the present study were females. All the treatments were carried out by registered experienced orthodontists having minimum experience of more than 10 years. All the cases were divided into two study groups. Group I comprised panoramic radiographic findings, while group II consisted of periapical radiographic findings. For the measurement of crown portion, root portion, and the complete root length, magnification loops of over 100 powers with parallax correction with inbuilt grids were used. Assessment of the tooth length and the crown length was done by the same observers. All the results were analyzed by Statistical Package for the Social Sciences software version 6.0. RESULTS: Maximum amount of root resorption was observed in case of maxillary central incisors and canines among group I and II cases respectively. However, nonsignificant difference was obtained while comparing the mean root resorption in relation to maxillary incisors and canines among the two study groups. While comparing the overall value of root resorption among the two study groups, a significant difference was obtained. The maximum value of tooth length in both the groups was observed in cases of maxillary canines. Significant differences were observed while comparing the tooth length of various teeth among the two study groups. Among the deviated forms of root shape, dilacera-tion was the most common form of root shape detected in both the study groups. CONCLUSION: Periapical radiographs are more efficient in the assessment of the shape and resorption of the root. CLINICAL SIGNIFICANCE: Thorough evaluation of periapical radiographs is necessary for detection of even minute levels of root resorption.


Asunto(s)
Radiografía Dental/métodos , Radiografía Panorámica , Resorción Radicular/diagnóstico por imagen , Ápice del Diente/diagnóstico por imagen , Raíz del Diente/diagnóstico por imagen , Adolescente , Adulto , Niño , Diente Canino/diagnóstico por imagen , Humanos , Incisivo/diagnóstico por imagen , Ortodoncia Correctiva/efectos adversos , Adulto Joven
3.
J Int Soc Prev Community Dent ; 6(3): 219-23, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27382537

RESUMEN

AIM AND OBJECTIVES: In the denture wearing people, saliva is necessary to create adhesion, cohesion, and surface tension that ultimately leads to the increased retention of the denture. Medications have some influence on the flow rate of saliva and denture retention. The present study evaluates the effect of complete denture wear on the flow rate of saliva in both medicated and apparently healthy patients. MATERIALS AND METHODS: The participants were 42 edentulous individuals aged 35-70 years requiring complete denture prostheses. The participants were divided into two groups of medicated and unmedicated. Unstimulated whole saliva was collected at 24 h and 3 months after the insertion of new complete dentures in both the groups. The data obtained were analyzed using Student's paired t-test and unpaired t-test. Intergroup changes were compared with unpaired t-test. Intragroup changes were compared with paired t-test using the Statistical Package for Social Sciences, version 22.0. RESULTS: In the unmedicated group, the mean salivary flow rate was high at 24 h after denture insertion when compared to before denture insertion (P = 0.001 VHS). In the medicated group, the observation was highly significant (P = 0.007 HS) 24 h after denture insertion and after 3 months (P = 0.02 S) when compared to before denture insertion. CONCLUSION: No significant difference in the salivary flow rate was found 3 months after denture insertion when compared to before denture insertion for both the medicated and unmedicated groups.

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