Periodontist and Implantogist, Sai Kripa Dental Care, Jammu & Kashmir, India. 2 Professor, Depart... more Periodontist and Implantogist, Sai Kripa Dental Care, Jammu & Kashmir, India. 2 Professor, Department of Periodontology & Oral Implantology Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India. 3 Head of the Dept. and Dean, Department of Periodontology & Oral Implantology Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India. 4 Co-Founder, STAT SENSE, India. Dental Surgeon, Shri Dental Clinic, Solapur, Maharashtra, India. 6 Dental Surgeon, Sai Kripa Dental Care, Jammu & Kashmir, India.
IP International Journal of Periodontology and Implantology, 2019
Objective and Design: Beta Cross-linked C-terminal telopeptide of type I collagen (fragment β- CT... more Objective and Design: Beta Cross-linked C-terminal telopeptide of type I collagen (fragment β- CTX) is newer addition to the list of bone resorption markers in serum. The purpose of our study was to estimate and compare the levels β-CTX in gingival crevicular fluid (GCF) and serum of periodontally healthy individuals and chronic periodontitis (CP) patients before and after nonsurgical periodontal therapy (NSPT). Materials and Methods: Twenty Five subjects with equal distribution of males and females were divided into two groups i.e Group I: 10 Periodontally healthy individuals, Group II: 15 CP patients aged between 30-50 years. GCF and serum samples were collected at baseline in Group I whereas in Group II GCF and serum samples were collected at baseline and 2 months after NSPT. The levels of GCF and serum β-CTX were quantified using enzyme-linked immunosorbent assay (ELISA). The clinical parameters evaluated were plaque index (PI), gingival index (GI), probing pocket depth (PPD) and clinical attachment level (CAL) and the correlations of β-CTX in GCF and serum with clinical parameters were evaluated. Results: The mean concentration of β-CTX increased from Group I to Group II. The mean concentration of β-CTX in GCF and serum was reduced after 2 months of NSPT. Furthermore, reduction in β-CTX levels was positively correlated to gain in CAL in GCF. Conclusion: Periodontal treatment resulted in the reduction of β-CTX levels suggesting that β- CTX can be considered as a potential marker of bone resorption in CP.
Background: Currently, the leading theme in mucogingival surgery is the correction of gingival re... more Background: Currently, the leading theme in mucogingival surgery is the correction of gingival recession defects. Free gingival graft (FGG) has been successfully in use in this category of reconstructive therapeutic modality. Objectives: The aim of this systematic review was to evaluate the literature with respect to efficacy of FGG in the management of Miller Class I and II localized gingival recessions. Data Sources: Search strategies were performed via electronic database which included Pubmed-Medline, Google scholar and manual search using University library resources. Two reviewers assessed the eligibility of the studies. Study Eligibility Criteria: Controlled clinical trials, randomized clinical trials and longitudinal studies evaluating recession areas treated by FGG with minimum of 6 months follow up were included. In-vitro and animal studies, studies mainly done on Miller Class III and IV gingival recession defect, studies on multiple gingival recessions and case series and case reports were excluded from the search. Results: The electronic and manual search identified a total of 557 articles. A final screen consisted of 39 articles out of which 17 articles were selected for full-text assessment. Finally, 7 articles were selected for detailed evaluation for this systematic review. FGG has shown significant results in all the studies except for one study. Conclusion: FGG produces substantial results, however, highly depends on the case selection and operator's skill and experience. FGG gives an impression of being the best alternative option in zones where gingival recession presents with inadequate width of attached gingiva and depth of vestibular fornix.
... How to cite this URL: Shetty SK, Pradeep AR, Deshmukh VL, Acharya A. Use of autologous platel... more ... How to cite this URL: Shetty SK, Pradeep AR, Deshmukh VL, Acharya A. Use of autologous platelet - Rich plasma in the treatment of intrabony ... 9. 10. Dori F, Huszar T, Nikolidakis D, Arweiler NB,Gera I, Sculean A. Effect of platelet-rich plasma on the healing of intra-bony defects ...
Periodontitis is a major concern for the dentist because the destruction of periodontal fibers ca... more Periodontitis is a major concern for the dentist because the destruction of periodontal fibers causes mobility of teeth and eventually leads to tooth loss. Conventional techniques like removable temporary acrylic prosthesis, or resin-bonded bridges hold their own disadvantages and a fixed prosthesis may worsen the existing condition. Natural tooth pontic (NTP) in such cases may be advantageous in terms of esthetics and patient satisfaction along with cost effectiveness. Hence, the aim of this review was to evaluate the efficacy of NTP in periodontally compromised patients. Electronic search on data sources such as PubMed and Google scholar along with hand searching of the articles was done in institutional library. All case reports and case series were included in English language published till October 31, 2019, were included. After applying inclusion and exclusion criteria, ten articles were selected for the present review. The whole process was conducted by following the Preferre...
A combined technique using a platelet-rich plasma (PRP)/bovine porous bone mineral/guided tissue ... more A combined technique using a platelet-rich plasma (PRP)/bovine porous bone mineral/guided tissue regeneration membrane was found to be an effective modality for the treatment of mandibular grade II furcation defects. To elucidate the role played by each component, the present randomized, double-blind study is designed to evaluate the effectiveness of autologous PRP alone in the treatment of mandibular degree II furcation defects compared with open flap debridement (OFD). Using a split-mouth design, 40 mandibular degree II furcation defects were treated either with autologous PRP or OFD. Plaque index, sulcus bleeding index, vertical probing depth, relative vertical and horizontal clinical attachment level and gingival marginal level were recorded at baseline and 6 months post-operatively. Vertical and horizontal defect depths were also recorded using spiral computed tomography. A statistically significant difference was observed in all the clinical and radiographic parameters at the sites treated with PRP as compared with those with OFD. However, all the furcation defects retained their degree II status. Despite a significant improvement, lack of complete closure of furcation defects implies a limited role of autologous PRP as a regenerative material in the treatment of furcation defects, necessitating further long-term studies.
Acute abdomen is one of the most common clinical conditions requiring a radiological investigatio... more Acute abdomen is one of the most common clinical conditions requiring a radiological investigation. Ultrasound is the primary modality of choice which can diagnose some of the common causes of acute abdomen. However, sometimes the underlying cause for the pain is far more complicated than expected mandating a high degree of suspicion to suggest further investigation with contrast enhanced computed tomography or magnetic resonance imaging. Here, we have compiled a comprehensive series of selected cases to highlight the conditions which can be easily overlooked unless carefully sought for. This article also emphasizes the importance of multimodality approach to arrive at the final diagnosis with an increased overall diagnostic accuracy which in turn improves patient management and prognosis.
Journal of Natural Science, Biology and Medicine, 2013
Anterior cranial base can be taken as a reference line (SN) to determine the steepness of mandibu... more Anterior cranial base can be taken as a reference line (SN) to determine the steepness of mandibular plane. Subjects with high mandibular plane angle tend to have a long face and one with low MP-SN angle has a shorter face. This study was done to investigate if dental arch widths correlated with vertical facial types and if there are any differences in arch widths between untreated male and female adults in South Indian population. Lateral cephalogram and dental casts were obtained from 180 untreated South Indian adults (90 males and 90 females) above 18 year old with no cross bite, minimal crowding and spacing. The angle between the anterior cranial base and the mandibular plane was measured on lateral cephalogram of each patient. Dental casts were used to obtain comprehensive dental measurements including maxillary and mandibular inter canine, inter premolar and inter molar widths, as well as amount of crowding or spacing. The results showed that male arch widths were significantly larger than those of females (P < 0.05) and there was a significant decrease in inter arch width as the MP-SN angle increased in untreated adult South Indian population. The results obtained in our study when compared with studies done in other population groups showed that there is difference in inter arch widths according to ethnicity and race. It was concluded that the dental arch width is associated with gender, race and vertical facial morphology. Thus using individualized arch wires according to each patient's pre treatment arch form and width is suggested during orthodontic treatment.
Journal of Natural Science, Biology and Medicine, 2013
Evaluation of skeletal maturity in human individuals is an important aspect in orthodontics and d... more Evaluation of skeletal maturity in human individuals is an important aspect in orthodontics and dentofacial orthopedics because, growth guidance and fundamental structural changes are essential for treatment of skeletal discrepancies in all the three planes. Among various growth assessment methods, cervical vertebra maturation stages and hand wrist have been correlated with the individual growth changes during puberty. The purpose of this study is to determine correlation of the CVM index with the modified median phalanx index (MP3) as described by Rajagopal and Kansal. 200 subjects (100 males and 100 females) of Nellore, Indian origin boys aged between 10 to 19 years and girls of 8 to 16 years were selected for the study. The subjects are selected randomly from patients visiting the Departments of Orthodontics and Dentofacial Orthopedics, Pediatric dentistry and Oral medicine and Radiology at Narayana Dental College and Hospital. Nellore. Radiographs of left hand MP3 and lateral cephalogram were taken. Cohen's kappa statistic was used to assess the agreement between the two measurements based on categorical variables. There was a good concordance between 6 stages of CVMI (Hassel and Farman) and the 6 stages of MP3 (Rajagopal and Kansal). Physiological maturity was earlier in females than in males when compared to the individuals of opposite sex of same chronological age. Chronological age was not a valid predictor of assessing the skeletal maturity because of significant variations in the distribution of CVMI and MP3 stages with respect to individual chronological age distribution.
Platelet-rich concentrates are the most widely used regenerative biomaterials. Stimulation and ac... more Platelet-rich concentrates are the most widely used regenerative biomaterials. Stimulation and acceleration of soft and hard tissue healing are due to local and continuous delivery of growth factors and proteins, mimicking the needs of the physiological wound healing and reparative tissue processes. This article aims to evaluate the clinical efficacy of open flap debridement (OFD) with or without platelet-rich fibrin (PRF) in the treatment of intrabony defects. Twenty subjects with forty intrabony defects were treated with either autologous PRF with open-flap debridement (test, n = 20) or open-flap debridement alone (control, n = 20). Soft tissue parameters included: Plaque index, sulcus bleeding index, probing depth, relative attachment level and gingival marginal level (GML). The hard tissue parameters included-distances from: Cement enamel junction to the base of the defect (CEJ-BOD): Alveolar crest to the base of the defect (AC-BOD): And CEJ to AC. The parameters were recorded a...
Journal of the International Academy of Periodontology, Jan 14, 2016
The need-of-the-hour is a material that can support coronally advanced flap (CAF) procedures in t... more The need-of-the-hour is a material that can support coronally advanced flap (CAF) procedures in treatment of gingival recession. Recent literature shows that various bone substitutes are being used for this procedure. This study clinically evaluates the outcomes of CAF with and without bioactive glass putty (NovaBone®) in terms of root coverage, gains in keratinized tissue height, and root coverage esthetic score in multiple gingival recession defects. Ten healthy patients (age range 18-45 years) with multiple bilateral (n = 40 test 20; control 20) and comparable Miller's Class I or Class II gingival recession defects were selected. The defects were randomly assigned by a computer-generated list to either test (CAF + bioactive glass putty) or control (CAF alone) groups. Clinical parameters included gingival recession (GR), probing pocket depth (PPD), clinical attachment level (CAL), keratinized tissue height (KTH), root coverage esthetic score (RES) evaluated at baseline and at ...
The aim of this study was to analyze the displacement pattern and stress distribution during surg... more The aim of this study was to analyze the displacement pattern and stress distribution during surgically assisted rapid maxillary expansion (RME) with three different types of RME devices by constructing a finite element model. A finite element model is constructed from the computerized tomography scans. According to the type of RME device, 3 groups were simulated on this mesh model. The experimental groups were as follows; Group I (tooth borne appliance), Group II (bone borne appliance), and Group III (hybrid appliance). A Le fort I osteotomy with bilateral pterygomaxillary disjunction and midpalatal split osteotomy cuts were incorporated in all the groups. The displacement pattern and stress distribution for each 1 mm of activation of appliance up to 10 mm is noted and analyzed. The data were analyzed using Student's t-test, Analysis of Variance and Duncan new multiple range test. Tooth borne appliance has more rotational tendencies. The bone borne and the hybrid appliance exhi...
The purpose of this study was to establish norms for the sagittal occlusal (SO) and vertical occl... more The purpose of this study was to establish norms for the sagittal occlusal (SO) and vertical occlusal (VO) cephalometric analyses of Pancherz for Dakshina Kannada children and to analyze and compare the difference between boys and girls of same age group (10-14 years). Two hundred and sixty-three (132 boys and 131 girls) children of Dakshina Kannada were included in this study. Lateral cephalometric radiographs of children belonging to the age group of 10-14 years were taken. Dental lateral cephalometric radiographs were obtained and these cephalometric radiographs were then manually traced. All the parameters considered in the Pancherz analysis were considered while establishing the norms for Dakshina Kannada children. Statistically significant sex differences were found for 9 of 11 parameters in the sagittal occlusal analysis, and 10 of 10 in the Vertical occlusal analysis. For the sagittal and Vertical occlusal analyses of Pancherz a separate sex-specific standards are needed for...
Anemia of chronic disease, a cytokine-mediated anemia, is a frequent complication of many chronic... more Anemia of chronic disease, a cytokine-mediated anemia, is a frequent complication of many chronic inflammatory conditions. The present case- control study was aimed to evaluate levels of systemic hematological markers indicative of anemia in patients with generalized, severe, chronic periodontitis. Methods: A convenience quota sample of 30 systemically-healthy, urban, male patients comprised two groups, based on full mouth periodontal examination: group A patients (n = 15) were diagnosed with generalized, severe, chronic periodontitis, and group B patients comprised the control group (n = 15), which included patients with a clinically-healthy periodontium. Laboratory blood investigations included hemoglobin (g%), total number of erythrocytes (red blood cells), hematocrit/packed cell volume, erythrocyte sedimentation rate, mean corpuscular volume of erythrocytes, and mean corpuscular hemoglobin concentration. An analysis of covariance using age as a covariate was done to compare the ...
Journal of the International Academy of Periodontology, 2014
Gingival recession is both unpleasant and unesthetic. Meeting the esthetic and functional demands... more Gingival recession is both unpleasant and unesthetic. Meeting the esthetic and functional demands of patients with multiple gingival recessions remains a major therapeutic challenge. We compared the clinical effectiveness of Zucchelli's technique and tunnel technique with subepithelial connective tissue graft (SECTG) for multiple gingival recessions. Twenty systemically and periodontally healthy subjects having 75 recession defects (Miller's class I or II, 39 test and 36 control sites) were included. After initial nonsurgical therapy, test sites were treated with Zucchelli's technique and control sites with tunnel technique with SECTG. Plaque index, bleeding index, pocket depth, recession depth, clinical attachment level, and keratinized gingiva height were evaluated at baseline, 3 and 6 months post-surgery. The mean root coverage was 89.33% +/- 14.47% and 80.00% +/- 15.39% in the test and control groups respectively, with no significant difference between groups. Statis...
The objective was to evaluate and compare the effect of Coca-Cola®, tea, Listerine® mouthwash on ... more The objective was to evaluate and compare the effect of Coca-Cola®, tea, Listerine® mouthwash on the force delivered by elastomeric chain in vitro. Four specimen groups (distilled water, Coca-Cola®, tea, Listerine® mouthwash) with a total sample size of 480 specimens. A specimen is described as a four link grey close elastomeric chain. Jigs, each with a series of pins set 25 mm apart, was used to hold stretched elastomeric chains at a constant length. These jigs allowed for complete submersion of the elastomeric chain in a water bath throughout the test period, as well as the dipping of elastomeric chains in respective control and test solutions. For 60 s, twice a day, groups were exposed to the respective solutions, the two daily exposure was separated by 9 h and force measurements were taken at six time points during the experiment, that is, 1 h, 24 h, 7 days, 14 days, 21 days, and 28 days. Force measurements were made by Instron machine by a single blinded examiner with the help ...
Periodontist and Implantogist, Sai Kripa Dental Care, Jammu & Kashmir, India. 2 Professor, Depart... more Periodontist and Implantogist, Sai Kripa Dental Care, Jammu & Kashmir, India. 2 Professor, Department of Periodontology & Oral Implantology Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India. 3 Head of the Dept. and Dean, Department of Periodontology & Oral Implantology Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India. 4 Co-Founder, STAT SENSE, India. Dental Surgeon, Shri Dental Clinic, Solapur, Maharashtra, India. 6 Dental Surgeon, Sai Kripa Dental Care, Jammu & Kashmir, India.
IP International Journal of Periodontology and Implantology, 2019
Objective and Design: Beta Cross-linked C-terminal telopeptide of type I collagen (fragment β- CT... more Objective and Design: Beta Cross-linked C-terminal telopeptide of type I collagen (fragment β- CTX) is newer addition to the list of bone resorption markers in serum. The purpose of our study was to estimate and compare the levels β-CTX in gingival crevicular fluid (GCF) and serum of periodontally healthy individuals and chronic periodontitis (CP) patients before and after nonsurgical periodontal therapy (NSPT). Materials and Methods: Twenty Five subjects with equal distribution of males and females were divided into two groups i.e Group I: 10 Periodontally healthy individuals, Group II: 15 CP patients aged between 30-50 years. GCF and serum samples were collected at baseline in Group I whereas in Group II GCF and serum samples were collected at baseline and 2 months after NSPT. The levels of GCF and serum β-CTX were quantified using enzyme-linked immunosorbent assay (ELISA). The clinical parameters evaluated were plaque index (PI), gingival index (GI), probing pocket depth (PPD) and clinical attachment level (CAL) and the correlations of β-CTX in GCF and serum with clinical parameters were evaluated. Results: The mean concentration of β-CTX increased from Group I to Group II. The mean concentration of β-CTX in GCF and serum was reduced after 2 months of NSPT. Furthermore, reduction in β-CTX levels was positively correlated to gain in CAL in GCF. Conclusion: Periodontal treatment resulted in the reduction of β-CTX levels suggesting that β- CTX can be considered as a potential marker of bone resorption in CP.
Background: Currently, the leading theme in mucogingival surgery is the correction of gingival re... more Background: Currently, the leading theme in mucogingival surgery is the correction of gingival recession defects. Free gingival graft (FGG) has been successfully in use in this category of reconstructive therapeutic modality. Objectives: The aim of this systematic review was to evaluate the literature with respect to efficacy of FGG in the management of Miller Class I and II localized gingival recessions. Data Sources: Search strategies were performed via electronic database which included Pubmed-Medline, Google scholar and manual search using University library resources. Two reviewers assessed the eligibility of the studies. Study Eligibility Criteria: Controlled clinical trials, randomized clinical trials and longitudinal studies evaluating recession areas treated by FGG with minimum of 6 months follow up were included. In-vitro and animal studies, studies mainly done on Miller Class III and IV gingival recession defect, studies on multiple gingival recessions and case series and case reports were excluded from the search. Results: The electronic and manual search identified a total of 557 articles. A final screen consisted of 39 articles out of which 17 articles were selected for full-text assessment. Finally, 7 articles were selected for detailed evaluation for this systematic review. FGG has shown significant results in all the studies except for one study. Conclusion: FGG produces substantial results, however, highly depends on the case selection and operator's skill and experience. FGG gives an impression of being the best alternative option in zones where gingival recession presents with inadequate width of attached gingiva and depth of vestibular fornix.
... How to cite this URL: Shetty SK, Pradeep AR, Deshmukh VL, Acharya A. Use of autologous platel... more ... How to cite this URL: Shetty SK, Pradeep AR, Deshmukh VL, Acharya A. Use of autologous platelet - Rich plasma in the treatment of intrabony ... 9. 10. Dori F, Huszar T, Nikolidakis D, Arweiler NB,Gera I, Sculean A. Effect of platelet-rich plasma on the healing of intra-bony defects ...
Periodontitis is a major concern for the dentist because the destruction of periodontal fibers ca... more Periodontitis is a major concern for the dentist because the destruction of periodontal fibers causes mobility of teeth and eventually leads to tooth loss. Conventional techniques like removable temporary acrylic prosthesis, or resin-bonded bridges hold their own disadvantages and a fixed prosthesis may worsen the existing condition. Natural tooth pontic (NTP) in such cases may be advantageous in terms of esthetics and patient satisfaction along with cost effectiveness. Hence, the aim of this review was to evaluate the efficacy of NTP in periodontally compromised patients. Electronic search on data sources such as PubMed and Google scholar along with hand searching of the articles was done in institutional library. All case reports and case series were included in English language published till October 31, 2019, were included. After applying inclusion and exclusion criteria, ten articles were selected for the present review. The whole process was conducted by following the Preferre...
A combined technique using a platelet-rich plasma (PRP)/bovine porous bone mineral/guided tissue ... more A combined technique using a platelet-rich plasma (PRP)/bovine porous bone mineral/guided tissue regeneration membrane was found to be an effective modality for the treatment of mandibular grade II furcation defects. To elucidate the role played by each component, the present randomized, double-blind study is designed to evaluate the effectiveness of autologous PRP alone in the treatment of mandibular degree II furcation defects compared with open flap debridement (OFD). Using a split-mouth design, 40 mandibular degree II furcation defects were treated either with autologous PRP or OFD. Plaque index, sulcus bleeding index, vertical probing depth, relative vertical and horizontal clinical attachment level and gingival marginal level were recorded at baseline and 6 months post-operatively. Vertical and horizontal defect depths were also recorded using spiral computed tomography. A statistically significant difference was observed in all the clinical and radiographic parameters at the sites treated with PRP as compared with those with OFD. However, all the furcation defects retained their degree II status. Despite a significant improvement, lack of complete closure of furcation defects implies a limited role of autologous PRP as a regenerative material in the treatment of furcation defects, necessitating further long-term studies.
Acute abdomen is one of the most common clinical conditions requiring a radiological investigatio... more Acute abdomen is one of the most common clinical conditions requiring a radiological investigation. Ultrasound is the primary modality of choice which can diagnose some of the common causes of acute abdomen. However, sometimes the underlying cause for the pain is far more complicated than expected mandating a high degree of suspicion to suggest further investigation with contrast enhanced computed tomography or magnetic resonance imaging. Here, we have compiled a comprehensive series of selected cases to highlight the conditions which can be easily overlooked unless carefully sought for. This article also emphasizes the importance of multimodality approach to arrive at the final diagnosis with an increased overall diagnostic accuracy which in turn improves patient management and prognosis.
Journal of Natural Science, Biology and Medicine, 2013
Anterior cranial base can be taken as a reference line (SN) to determine the steepness of mandibu... more Anterior cranial base can be taken as a reference line (SN) to determine the steepness of mandibular plane. Subjects with high mandibular plane angle tend to have a long face and one with low MP-SN angle has a shorter face. This study was done to investigate if dental arch widths correlated with vertical facial types and if there are any differences in arch widths between untreated male and female adults in South Indian population. Lateral cephalogram and dental casts were obtained from 180 untreated South Indian adults (90 males and 90 females) above 18 year old with no cross bite, minimal crowding and spacing. The angle between the anterior cranial base and the mandibular plane was measured on lateral cephalogram of each patient. Dental casts were used to obtain comprehensive dental measurements including maxillary and mandibular inter canine, inter premolar and inter molar widths, as well as amount of crowding or spacing. The results showed that male arch widths were significantly larger than those of females (P < 0.05) and there was a significant decrease in inter arch width as the MP-SN angle increased in untreated adult South Indian population. The results obtained in our study when compared with studies done in other population groups showed that there is difference in inter arch widths according to ethnicity and race. It was concluded that the dental arch width is associated with gender, race and vertical facial morphology. Thus using individualized arch wires according to each patient's pre treatment arch form and width is suggested during orthodontic treatment.
Journal of Natural Science, Biology and Medicine, 2013
Evaluation of skeletal maturity in human individuals is an important aspect in orthodontics and d... more Evaluation of skeletal maturity in human individuals is an important aspect in orthodontics and dentofacial orthopedics because, growth guidance and fundamental structural changes are essential for treatment of skeletal discrepancies in all the three planes. Among various growth assessment methods, cervical vertebra maturation stages and hand wrist have been correlated with the individual growth changes during puberty. The purpose of this study is to determine correlation of the CVM index with the modified median phalanx index (MP3) as described by Rajagopal and Kansal. 200 subjects (100 males and 100 females) of Nellore, Indian origin boys aged between 10 to 19 years and girls of 8 to 16 years were selected for the study. The subjects are selected randomly from patients visiting the Departments of Orthodontics and Dentofacial Orthopedics, Pediatric dentistry and Oral medicine and Radiology at Narayana Dental College and Hospital. Nellore. Radiographs of left hand MP3 and lateral cephalogram were taken. Cohen's kappa statistic was used to assess the agreement between the two measurements based on categorical variables. There was a good concordance between 6 stages of CVMI (Hassel and Farman) and the 6 stages of MP3 (Rajagopal and Kansal). Physiological maturity was earlier in females than in males when compared to the individuals of opposite sex of same chronological age. Chronological age was not a valid predictor of assessing the skeletal maturity because of significant variations in the distribution of CVMI and MP3 stages with respect to individual chronological age distribution.
Platelet-rich concentrates are the most widely used regenerative biomaterials. Stimulation and ac... more Platelet-rich concentrates are the most widely used regenerative biomaterials. Stimulation and acceleration of soft and hard tissue healing are due to local and continuous delivery of growth factors and proteins, mimicking the needs of the physiological wound healing and reparative tissue processes. This article aims to evaluate the clinical efficacy of open flap debridement (OFD) with or without platelet-rich fibrin (PRF) in the treatment of intrabony defects. Twenty subjects with forty intrabony defects were treated with either autologous PRF with open-flap debridement (test, n = 20) or open-flap debridement alone (control, n = 20). Soft tissue parameters included: Plaque index, sulcus bleeding index, probing depth, relative attachment level and gingival marginal level (GML). The hard tissue parameters included-distances from: Cement enamel junction to the base of the defect (CEJ-BOD): Alveolar crest to the base of the defect (AC-BOD): And CEJ to AC. The parameters were recorded a...
Journal of the International Academy of Periodontology, Jan 14, 2016
The need-of-the-hour is a material that can support coronally advanced flap (CAF) procedures in t... more The need-of-the-hour is a material that can support coronally advanced flap (CAF) procedures in treatment of gingival recession. Recent literature shows that various bone substitutes are being used for this procedure. This study clinically evaluates the outcomes of CAF with and without bioactive glass putty (NovaBone®) in terms of root coverage, gains in keratinized tissue height, and root coverage esthetic score in multiple gingival recession defects. Ten healthy patients (age range 18-45 years) with multiple bilateral (n = 40 test 20; control 20) and comparable Miller's Class I or Class II gingival recession defects were selected. The defects were randomly assigned by a computer-generated list to either test (CAF + bioactive glass putty) or control (CAF alone) groups. Clinical parameters included gingival recession (GR), probing pocket depth (PPD), clinical attachment level (CAL), keratinized tissue height (KTH), root coverage esthetic score (RES) evaluated at baseline and at ...
The aim of this study was to analyze the displacement pattern and stress distribution during surg... more The aim of this study was to analyze the displacement pattern and stress distribution during surgically assisted rapid maxillary expansion (RME) with three different types of RME devices by constructing a finite element model. A finite element model is constructed from the computerized tomography scans. According to the type of RME device, 3 groups were simulated on this mesh model. The experimental groups were as follows; Group I (tooth borne appliance), Group II (bone borne appliance), and Group III (hybrid appliance). A Le fort I osteotomy with bilateral pterygomaxillary disjunction and midpalatal split osteotomy cuts were incorporated in all the groups. The displacement pattern and stress distribution for each 1 mm of activation of appliance up to 10 mm is noted and analyzed. The data were analyzed using Student's t-test, Analysis of Variance and Duncan new multiple range test. Tooth borne appliance has more rotational tendencies. The bone borne and the hybrid appliance exhi...
The purpose of this study was to establish norms for the sagittal occlusal (SO) and vertical occl... more The purpose of this study was to establish norms for the sagittal occlusal (SO) and vertical occlusal (VO) cephalometric analyses of Pancherz for Dakshina Kannada children and to analyze and compare the difference between boys and girls of same age group (10-14 years). Two hundred and sixty-three (132 boys and 131 girls) children of Dakshina Kannada were included in this study. Lateral cephalometric radiographs of children belonging to the age group of 10-14 years were taken. Dental lateral cephalometric radiographs were obtained and these cephalometric radiographs were then manually traced. All the parameters considered in the Pancherz analysis were considered while establishing the norms for Dakshina Kannada children. Statistically significant sex differences were found for 9 of 11 parameters in the sagittal occlusal analysis, and 10 of 10 in the Vertical occlusal analysis. For the sagittal and Vertical occlusal analyses of Pancherz a separate sex-specific standards are needed for...
Anemia of chronic disease, a cytokine-mediated anemia, is a frequent complication of many chronic... more Anemia of chronic disease, a cytokine-mediated anemia, is a frequent complication of many chronic inflammatory conditions. The present case- control study was aimed to evaluate levels of systemic hematological markers indicative of anemia in patients with generalized, severe, chronic periodontitis. Methods: A convenience quota sample of 30 systemically-healthy, urban, male patients comprised two groups, based on full mouth periodontal examination: group A patients (n = 15) were diagnosed with generalized, severe, chronic periodontitis, and group B patients comprised the control group (n = 15), which included patients with a clinically-healthy periodontium. Laboratory blood investigations included hemoglobin (g%), total number of erythrocytes (red blood cells), hematocrit/packed cell volume, erythrocyte sedimentation rate, mean corpuscular volume of erythrocytes, and mean corpuscular hemoglobin concentration. An analysis of covariance using age as a covariate was done to compare the ...
Journal of the International Academy of Periodontology, 2014
Gingival recession is both unpleasant and unesthetic. Meeting the esthetic and functional demands... more Gingival recession is both unpleasant and unesthetic. Meeting the esthetic and functional demands of patients with multiple gingival recessions remains a major therapeutic challenge. We compared the clinical effectiveness of Zucchelli's technique and tunnel technique with subepithelial connective tissue graft (SECTG) for multiple gingival recessions. Twenty systemically and periodontally healthy subjects having 75 recession defects (Miller's class I or II, 39 test and 36 control sites) were included. After initial nonsurgical therapy, test sites were treated with Zucchelli's technique and control sites with tunnel technique with SECTG. Plaque index, bleeding index, pocket depth, recession depth, clinical attachment level, and keratinized gingiva height were evaluated at baseline, 3 and 6 months post-surgery. The mean root coverage was 89.33% +/- 14.47% and 80.00% +/- 15.39% in the test and control groups respectively, with no significant difference between groups. Statis...
The objective was to evaluate and compare the effect of Coca-Cola®, tea, Listerine® mouthwash on ... more The objective was to evaluate and compare the effect of Coca-Cola®, tea, Listerine® mouthwash on the force delivered by elastomeric chain in vitro. Four specimen groups (distilled water, Coca-Cola®, tea, Listerine® mouthwash) with a total sample size of 480 specimens. A specimen is described as a four link grey close elastomeric chain. Jigs, each with a series of pins set 25 mm apart, was used to hold stretched elastomeric chains at a constant length. These jigs allowed for complete submersion of the elastomeric chain in a water bath throughout the test period, as well as the dipping of elastomeric chains in respective control and test solutions. For 60 s, twice a day, groups were exposed to the respective solutions, the two daily exposure was separated by 9 h and force measurements were taken at six time points during the experiment, that is, 1 h, 24 h, 7 days, 14 days, 21 days, and 28 days. Force measurements were made by Instron machine by a single blinded examiner with the help ...
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Papers by Sharath Shetty