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Chaudhary DS, Parwani SR, Barkhade S, Gajbhiye M, Parwani R, Sikka G, Kawadkar K, Soni NJ, Armogida NG, Dadlani H, Spagnuolo G. Physiological Gingival Melanin Hyperpigmentation Treatment with Injectable Vitamin C and Scalpel Technique: A Randomised Controlled Clinical Trial. Int J Dent 2023; 2023:4586923. [PMID: 37252615 PMCID: PMC10212675 DOI: 10.1155/2023/4586923] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 01/03/2023] [Accepted: 01/04/2023] [Indexed: 10/29/2023] Open
Abstract
Harmony between facial complexion and gingival health goes hand in hand. Gingival depigmentation is an aesthetic correction of hyperactive melanocytes in gingival tissues that lead to hyperpigmentation. Current study compares depigmentation, pain scores, and itching with scalpel technique and nonsurgical intramucosal Vitamin C injection. 30 individuals in the age range of 18-40 years conscious of dark gums were randomly allocated to test and control group by lottery method. Thorough Phase I therapy was performed one week before the procedure. Area and intensity of depigmentation were evaluated preoperatively and postoperatively; pain score, itching, and repigmentation percentage were the postoperative parameters. After 24 hrs, test group showed significantly lesser VAS score for pain as compared to control group. There was no statistically significant difference in preoperative area of pigmentation between the test and control group (p=0.936). Postoperatively also, there was no statistically significant difference in area of pigmentation between the test and control group (p=0.932). For comparing area of pigmentation, an independent t-test was applied and Mann-Whitney test was used for differentiating the intensity of pigmentation, repigmentation, and VAS score between the groups. The study concluded that Vitamin C mesotherapy and scalpel technique showed comparable results in reduction of areas and intensity of gingival hyperpigmentation.
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Affiliation(s)
- Dhanashree S. Chaudhary
- Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra 444602, India
| | - Simran R. Parwani
- Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra 444602, India
| | - Shital Barkhade
- Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra 444602, India
| | - Minal Gajbhiye
- Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra 444602, India
| | - Rajkumar Parwani
- Department of Oral Pathology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra 444602, India
| | - Geetanjali Sikka
- Department of Periodontology, Eklavya Dental College & Hospital Kotpulti, Rajasthan 303108, India
| | - Kshipra Kawadkar
- Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra 444602, India
| | - Nishita Jaju Soni
- Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra 444602, India
| | - Niccolò Giuseppe Armogida
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples 80131, Italy
| | - Himanshu Dadlani
- Department of Periodontology, Kalka Dental College, Meerut 250002, India
- Kalka Dental College, Meerut 250016, India
| | - Gianrico Spagnuolo
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples 80131, Italy
- Therapeutic Dentistry Department, Institute for Dentistry, Sechenov University, Moscow 119991, Russia
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Grover V, Kumar A, Jain A, Chatterjee A, Grover HS, Pandit N, Satpathy A, Madhavan Pillai BR, Melath A, Dhruvakumar D, Thakur R, Joshi NV, Deshpande N, Dadlani H, Meenakshi AA, Ashok KP, Reddy KV, Bhasin MT, Salaria SK, Verma A, Gaikwad RP, Darekar H, Amirisetty R, Phadnaik M, Karemore V, Dhulipalla R, Mody D, Rao TS, Chakarpani S, Ranganath V. ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity. J Indian Soc Periodontol 2022; 26:307-333. [PMID: 35959314 PMCID: PMC9362809 DOI: 10.4103/jisp.jisp_233_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Revised: 05/11/2022] [Accepted: 05/11/2022] [Indexed: 11/24/2022] Open
Abstract
Dentin hypersensitivity (DH) is a rising concern in clinical dentistry that causes pain and discomfort and negatively affects the quality of life of patients. Indian Society of Periodontology conducted a nationwide survey, involving 3000 dentists in December 2020, which revealed significant knowledge gaps regarding DH, viz., under-diagnosis, incorrect differential diagnosis, and treatment strategies/recommendations for the management of DH patients in daily clinical practice. The current paper has been envisioned and conceptualized to update the practicing Indian dentists regarding the so-called enigma of dentistry “Dentin Hypersensitivity,” based on the best available contemporary evidence. An expert panel was constituted comprising 30 subject experts from across the country, which after extensive literature review and group discussions formulated these recommendations. The panel advocated routine screening of all dentate patients for exposed dentin areas and DH to avoid under-diagnosis of the condition and suggested an early preventive management. Consensus guidelines/recommendations for the use of desensitizing agents (DAs) at home, including the use of herbal agents, are also provided within the backdrop of the Indian context. The guidelines recommend that active management of DH shall be accomplished by a combination of at home and in-office therapies, starting with the simplest and cost-effective home use of desensitizing toothpastes. A diagnostic decision tree and a flowchart for application in daily practice are designed to manage the patients suffering from DH or presenting with exposed dentin areas in dentition. Various treatment methods to manage DH have been discussed in the paper, including the insights from previously published treatment guidelines. Further, a novel system of classification of DH patients based on specific case definitions has been developed for the first time. Explicit charts regarding the available treatment options and the chronology of institution of the agent, for the management in different case categories of DH, have been provided for quick reference. The management strategy takes into account a decision algorithm based on hierarchy of complexity of treatment options and intends to improve the quality of life of the patient by long-term maintenance with an innovatively defined triple C's or 3Cs approach.
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Affiliation(s)
- Vishakha Grover
- Department of Periodontology, Dr. H. S. J. Institute of Dental Sciences, Panjab University, Chandigarh, India
| | - Ashish Kumar
- Department of Periodontology, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - Ashish Jain
- Department of Periodontology, Dental Institute, Regional Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Anirban Chatterjee
- Department of Periodontology, Renupriya Dental Health Care, Bengaluru, Karnataka, India
| | | | - Nymphea Pandit
- Department of Periodontology, D. A. V Dental College and Hospital, Yamunanagar, Haryana, India
| | - Anurag Satpathy
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha "O" Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | | | - Anil Melath
- Department of Periodontics, Mahe Institute of Dental Sciences and Hospital, Mahe, Puducherry, India
| | - Deepa Dhruvakumar
- Department of Periodontology, Teerthanker Mahaveer Dental College and Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India
| | - Roshani Thakur
- Department of Periodontics, Saraswati Dhanvantari Dental College and Hospital, Parbhani, India
| | - Nilesh V Joshi
- Department of Periodontology, Dental College and Hospital, Bharati Vidyapeeth (Deemed to be) University, Navi Mumbai, India
| | - Neeraj Deshpande
- Department of Periodontology, K. M. Shah Dental College, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
| | - Himanshu Dadlani
- Department of Periodontology, Kalka Dental College, Meerut, Uttar Pradesh, India
| | - A Archana Meenakshi
- Department of Periodontology, Ragas Dental College and Hospitals, Chennai, Tamil Nadu, India
| | - K P Ashok
- Department of Periodontics, GSL Dental College, Rajahmundry, India
| | - K Vinathi Reddy
- Department of Periodontics, Sri Sai College of Dental Surgery, Kaloji Narayana Rao University of Health Sciences, Vikarabad, Telangana, India
| | - Meenu Taneja Bhasin
- Department of Periodontics, Sudha Rustagi Dental College, Faridabad, Haryana, India
| | | | - Abhishek Verma
- Department of Periodontics, Sri Sai College of Dental Surgery, Kaloji Narayana Rao University of Health Sciences, Vikarabad, Telangana, India
| | | | | | - Ramesh Amirisetty
- Department of Periodontology, G. Pulla Reddy Dental College and Hospital, Dr. NTR University of Health Sciences, Kurnool, Andhra Pradesh, India
| | - Mangesh Phadnaik
- Department of Periodontology, Government Dental College and Hospital, Guntur, Andhra Pradesh, India
| | - Vaibhav Karemore
- Department of Periodontology, Government Dental College and Hospital, Guntur, Andhra Pradesh, India
| | - Ravindranath Dhulipalla
- Department of Periodontology, Sibar Institute of Dental Sciences, Dr. NTR University of Health Sciences, Guntur, Andhra Pradesh, India
| | - Dhawal Mody
- VSPM Dental College and Research Centre, Nagpur, Maharashtra, India
| | - Tushar Shri Rao
- Department of Periodontics and Implantology, VSPM Dental College and Research Centre, Nagpur, Maharashtra, India
| | - Swarna Chakarpani
- Department of Periodontics, Sibar Institute of Dental Sciences, Dr. NTR University of Health Sciences, Guntur, Andhra Pradesh, India
| | - V Ranganath
- Department of Periodontics, AECS Maaruti Dental College and Research Center, Bengaluru, Karnataka, India
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Midha V, Midha V, Kochhar AS, Kochhar GK, Bhasin R, Dadlani H. Evaluating the efficacy of desensitizing dentifrices on dentinal hypersensitivity management: A scanning electron microscopic analysis. J Indian Soc Periodontol 2021; 25:283-287. [PMID: 34393397 PMCID: PMC8336776 DOI: 10.4103/jisp.jisp_247_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 09/24/2020] [Accepted: 10/04/2020] [Indexed: 11/04/2022] Open
Abstract
Introduction Dentin hypersensitivity (DH) adversely affects quality of life by impairing the ability to eat and drink certain foods, therefore, should be addressed promptly with a contingency plan that includes initial treatment with a noninvasive prophylactic home care approach, followed by in-office treatment if desired result is not achieved. Aim The purpose of this study was to evaluate the effectiveness of four different pastes containing 5% NovaMin (Sensodyne Repair and Protect®), Propolis (Phytoshield Propolis®), 5% potassium nitrate (Sensodyne®), and 8% arginine (Colgate Sensitive Pro Relief®) based toothpastes in the treatment of DH. Materials and Methods One hundred dentin slices were cut from the crown section of molars. Etching with 37% orthophosphoric acid was done to open the tubules. Scanning electron microscope (SEM) study was done to ensure that the tubules are opened. The dentin specimens were divided into four groups: Group 1 -5% NovaMin, Group 2 - Propolis, Group 3 - 5% potassium nitrate, and Group 4 - 8% arginine. Samples were brushed for 2 min twice daily with a soft toothbrush for 15 days and were stored in distilled water. The samples were rinsed under running water to remove the toothpaste. The SEM was performed to check the obliteration of tubules. Results 5% NovaMin group showed more completely occluded dentinal tubules when compared to other groups. The differences among all the groups were statistically significant (P ≤ 0.05). Conclusion In the present study, all materials, NovaMin, Propolis, potassium nitrate, and arginine, were effective in occluding dentinal tubules but NovaMin appeared most proficient in occluding tubules, followed by arginine, potassium nitrate, and Propolis. Topical NovaMin is an upcoming agent demonstrating desensitization and remineralization properties.
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Affiliation(s)
- Vasu Midha
- Department of Endodontics, National Dental College and Hospital, Dera Bassi, Punjab, India
| | - Vishu Midha
- Department of Pediatric and Preventive Dentistry, National Dental College and Hospital, Dera Bassi, Punjab, India
| | - Anuraj Singh Kochhar
- Former Orthodontist, Department of Dentistry, Max Hospital Gurgaon, Haryana, India
| | - Gulsheen Kaur Kochhar
- Department of Pediatric and Preventive Dentistry, National Dental College and Hospital, Dera Bassi, Punjab, India
| | - Ritasha Bhasin
- Faculty of Dentistry, University of Toronto, Toronto, Canada, India
| | - Himanshu Dadlani
- Department of Periodontology, Kalka Dental College and Hospital, Meerut, Uttar Pradesh, India
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Kochhar AS, Sidhu MS, Bhasin R, Kochhar GK, Dadlani H, Sandhu J, Virk B. Cone beam computed tomographic evaluation of pharyngeal airway in North Indian children with different skeletal patterns. World J Radiol 2021; 13:40-52. [PMID: 33728030 PMCID: PMC7941671 DOI: 10.4329/wjr.v13.i2.40] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 12/27/2020] [Accepted: 01/28/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND In growing patients with skeletal discrepancies, early assessment of functional factors can be vital for the restoration of normal craniofacial growth.
AIM To compare airway volumes in patients with mandibular retrognathism with the normal anteroposterior skeletal relationship, thereby assessing the association between cephalometric variables and airway morphology.
METHODS Cone-beam computed tomography volume scans, and lateral cephalograms, 3-dimensional airway volume and cross-sectional areas of 120 healthy children (54 boys and 66 girls mean age 15.19 ± 1.28) which were done for orthodontic assessment were evaluated. The subjects were divided into 2 groups based on the angle formed between point A, Nasion and point B (ANB) values and cephalometric variables (such as anterior and posterior facial height, gonial angle etc.) airway volumes, and cross-sectional measurements were compared using independent t tests. Pearson’s correlation coefficient test was used to detect any relationship of different parts of the airway and between airway volume and 2-dimensional cephalometric variables.
RESULTS Means and standard deviations for cephalometric, cross-sectional, and volumetric variables were compared. ANB, mandibular body length and facial convexity were statistically highly significant (P < 0.01) whereas condylion to point A, nasal airway and total airway volume (P < 0.05) were statistically significant. The nasal airway volume and the superior pharyngeal airway volume had a positive correlation (P < 0.01), nasal airway was correlated to middle (P < 0.05) and total airway superior had a relation with middle (P < 0.05), inferior and total airway (P < 0.05), middle was related to all other airways; inferior was also related to all the airways except nasal. Lateral cephalometric values were positively correlated with the airway volume with Frankfurt Mandibular Plane Angle and facial convexity showed significant correlations with total airway volume (P < 0.05). Additionally, ANB angle was significantly correlated with total airway volume and superior airway (P < 0.05).
CONCLUSION The mean total airway volume in patients with retrognathic mandible was significantly smaller than that of patients with a normal mandible.
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Affiliation(s)
| | - Maninder Singh Sidhu
- Department of Orthodontics, Faculty of Dental Sciences, SGT University, Gurugram 122001, India
| | - Ritasha Bhasin
- Faculty of Dentistry, University of Toronto, Toronto M5G 1G6, Canada
| | - Gulsheen Kaur Kochhar
- Department of Pediatric and Preventive Dentistry, National Dental College and Hospital, Derabassi 140507, Punjab, India
| | - Himanshu Dadlani
- Department of Periodontology, Kalka Dental College, Uttar Pradesh 210507, India
- Senior Consultant, Department of Dental Surgery, Max Hospital, Gurgaon 122001, India
| | - Jagpreet Sandhu
- Formerly at Department of Orthodontics, Genesis Institute of Dental Sciences, Punjab 152001, India
| | - Bobby Virk
- Chief Orthodontist, Smile With Braces, Puyallup, WA 98371, United States
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Kochhar AS, Nucci L, Sidhu MS, Prabhakar M, Grassia V, Perillo L, Kochhar GK, Bhasin R, Dadlani H, d’Apuzzo F. Reliability and Reproducibility of Landmark Identification in Unilateral Cleft Lip and Palate Patients: Digital Lateral Vis-A-Vis CBCT-Derived 3D Cephalograms. J Clin Med 2021; 10:jcm10030535. [PMID: 33540549 PMCID: PMC7867146 DOI: 10.3390/jcm10030535] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 01/20/2021] [Accepted: 01/26/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The aim of the retrospective observational study was to compare the precision of landmark identification and its reproducibility using cone beam computed tomography-derived 3D cephalograms and digital lateral cephalograms in unilateral cleft lip and palate patients. METHODS Cephalograms of thirty-one (31) North Indian children (18 boys and 13 girls) with a unilateral cleft lip and palate, who were recommended for orthodontic treatment, were selected. After a thorough analysis of peer-reviewed articles, 20 difficult-to-trace landmarks were selected, and their reliability and reproducibility were studied. These were subjected to landmark identification to evaluate interobserver variability; the coordinates for each point were traced separately by three different orthodontists (OBA, OBB, OBC). Statistical analysis was performed using descriptive and inferential statistics with paired t-tests to compare the differences measured by the two methods. Real-scale data are presented in mean ± SD. A p-value less than 0.05 was considered as significant at a 95% confidence level. RESULTS When comparing, the plotting of points posterior nasal spine (PNS) (p < 0.05), anterior nasal spine (ANS) (p < 0.01), upper 1 root tip (p < 0.05), lower 1 root tip (p < 0.05), malare (p < 0.05), pyriforme (p < 0.05), porion (p < 0.01), and basion (p < 0.05) was statistically significant. CONCLUSION In patients with a cleft lip and palate, the interobserver identification of cephalometric landmarks was significantly more precise and reproducible with cone beam computed tomography -derived cephalograms vis-a-vis digital lateral cephalograms.
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Affiliation(s)
- Anuraj Singh Kochhar
- Former Consultant Orthodontist Max Hospital Gurgaon, Haryana 122001, India
- Correspondence:
| | - Ludovica Nucci
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80138 Naples, Italy; (L.N.); (V.G.); (L.P.); (F.d.)
| | - Maninder Singh Sidhu
- Department of Orthodontics & Dean, Research & Development Faculty of Dental Sciences, SGT University Gurugram, Haryana 122505, India; (M.S.S.); (M.P.)
| | - Mona Prabhakar
- Department of Orthodontics & Dean, Research & Development Faculty of Dental Sciences, SGT University Gurugram, Haryana 122505, India; (M.S.S.); (M.P.)
| | - Vincenzo Grassia
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80138 Naples, Italy; (L.N.); (V.G.); (L.P.); (F.d.)
| | - Letizia Perillo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80138 Naples, Italy; (L.N.); (V.G.); (L.P.); (F.d.)
| | - Gulsheen Kaur Kochhar
- Department of Pediatric & Preventive Dentistry, National Dental College & Hospital, Punjab 140507, India;
| | - Ritasha Bhasin
- Faculty of Dentistry, University of Toronto, Toronto, ON M5G1G6, Canada;
| | - Himanshu Dadlani
- Senior Consultant Department of Dentistry (Periodontology), Max Hospital, Gurgaon, Haryana 122001, India;
| | - Fabrizia d’Apuzzo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80138 Naples, Italy; (L.N.); (V.G.); (L.P.); (F.d.)
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Kochhar AS, Sidhu MS, Prabhakar M, Bhasin R, Kochhar GK, Dadlani H, Spagnuolo G. Frontal and Axial Evaluation of Craniofacial Morphology in Repaired Unilateral Cleft Lip and Palate Patients Utilizing Cone Beam Computed Tomography; An Observational Study. Int J Environ Res Public Health 2020; 17:ijerph17217786. [PMID: 33114340 PMCID: PMC7663310 DOI: 10.3390/ijerph17217786] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Revised: 10/20/2020] [Accepted: 10/21/2020] [Indexed: 11/16/2022]
Abstract
The current study was conducted to assess the extent of maxillary arch collapse on the cleft vis-a-vis non-cleft sides in the same individual presenting withunilateral cleft lip and palate (UCLP), using cone-beam computed tomography (CBCT). Thirty-one children (eighteen boys andthirteen girls) with surgically repaired UCLP, who met the inclusion criteria, were selected. Following the acquisition of CBCT scans, fourteen bilateral landmarks were selected. The distance of the bilateral landmark was calculated from the midsagittal plane on the cleft and non-cleft sides for both frontal and axial views. Tracings were done;the data obtained was subjected to statistical analysis;and intra-observer variability was checked with intraclass correlation coefficient (ICC) and two-way ANOVA. Subsequently, the measurements were subjected to paired t-tests at the 95% level of significance with Bonferroni correction. A significant reduction of pyriforme and an alveolar crest above the maxillary 1st molar were discerned in frontal analysis on the cleft side. In the axial view, the zygomatic arch, malar, porion and alveolar crest at the molar region were non-significant, but the alveolar crest at the premolar region (p < 0.004)) was significantly decreased. In the frontal analysis, pyriforme and the alveolar crest above the maxillary 1st molar, and, in the axial view, premolar widths, showed significant reduction when comparing the cleft vis-a-vis non-cleft sides.
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Affiliation(s)
| | - Maninder Singh Sidhu
- Department of Orthodontics, Faculty of Dental Sciences, SGT University Gurugram, Haryana 122006, India; (M.S.S.); (M.P.)
| | - Mona Prabhakar
- Department of Orthodontics, Faculty of Dental Sciences, SGT University Gurugram, Haryana 122006, India; (M.S.S.); (M.P.)
| | - Ritasha Bhasin
- Faculty of Dentistry, University of Toronto, Toronto, ON M5G1G6, Canada;
| | - Gulsheen Kaur Kochhar
- Department of Pediatric & Preventive Dentistry, National Dental College & Hospital, Punjab 140507, India;
| | - Himanshu Dadlani
- Department of Periodontology, Kalka Dental College & Hospital, Meerut 250006, India;
| | - Gianrico Spagnuolo
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy
- Correspondence:
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Kochhar AS, Bhasin R, Kochhar GK, Dadlani H. COVID-19 Pandemic and Dental Practice. Int J Dent 2020; 2020:8894794. [PMID: 32695170 PMCID: PMC7368207 DOI: 10.1155/2020/8894794] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 06/08/2020] [Accepted: 06/13/2020] [Indexed: 12/17/2022] Open
Abstract
SARS-CoV-2, a virus causing severe acute respiratory syndrome, has inundated the whole world, generating global health concerns. There is a wildfire-like effect, despite the extensive range of efforts exercised by the affected countries to restrain the expanse of this pandemic, owing to its community spread pattern. Dental specialists in the upcoming days will likely come across patients with presumed or confirmed COVID-19 and will have to ensure stringent infection prevention and control to prevent its nosocomial spread. This paper strives to provide a brief overview of the etiology, incubation, symptoms, and transmission paradigms of this novel infection and how to minimize the spread in a dental healthcare setting. This review presents evidence-based patient management practice and protocols from the available literature to help formulate a contingency plan with recommendations, for the dental practices prior to patients' visit, during in-office dental treatment, and post-treatment, during the pandemic and after.
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Affiliation(s)
| | - Ritasha Bhasin
- International Dentist Advanced Placement Program, Faculty of Dentistry, University of Toronto, Toronto, Canada
| | - Gulsheen Kaur Kochhar
- Pediatric & Preventive Dentistry, National Dental College & Hospital, Dera Bassi, Punjab, India
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Kochhar AS, Bhasin R, Kochhar GK, Dadlani H. Diagnostic Tests for SARS-CoV-2: Implications in Head and Neck Oncology. Oral Oncol 2020; 107:104813. [PMID: 32471801 PMCID: PMC7241334 DOI: 10.1016/j.oraloncology.2020.104813] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Accepted: 05/19/2020] [Indexed: 12/24/2022]
Abstract
Screening is imperative to safeguard patients, practitioners and staff. Various tests available for screening and diagnosing patients for SARS-CoV-2. Rapid test can be used to screen patients before any surgical intervention. Along with testing, clinical features should be corroborated. Oral findings might aid in early diagnosis of COVID-19.
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Affiliation(s)
| | - Ritasha Bhasin
- International Dentist Advanced Placement Program, Faculty of Dentistry, University of Toronto, Canada.
| | - Gulsheen Kaur Kochhar
- Professor Pediatric & Preventive Dentistry, National Dental College & Hospital, Punjab, India.
| | - Himanshu Dadlani
- Professor Periodontology, Kalka Dental College & Hospital, Meerut, India.
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Kochhar AS, Bhasin R, Kochhar GK, Dadlani H. Provision of continuous dental care for oral oncology patients during & after COVID-19 pandemic. Oral Oncol 2020; 106:104785. [PMID: 32416969 PMCID: PMC7211608 DOI: 10.1016/j.oraloncology.2020.104785] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 05/06/2020] [Indexed: 01/13/2023]
Abstract
Role of Dental team in assessing the risk prior to oncotherapy. Dentist’s role involving prevention and alleviation of pain in the oral cavity. Disruption of dental care to all patients, including those receiving oncotherapy. Dentists to operate tele-triage and plan video consultations. Counseling and support via tele-dentistry to improve quality of life.
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Affiliation(s)
| | - Ritasha Bhasin
- International Dentist Advanced Placement Program, Faculty of Dentistry, University of Toronto, Canada.
| | | | - Himanshu Dadlani
- Professor Periodontology, Kalka Dental College & Hospital, Meerut, India.
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Abstract
This article is a rumination on the outbreak of the dreaded coronavirus disease-2019 (COVID-19) pandemic which has engulfed both the developed and the developing countries, thereby causing widespread global public health concerns and threats to human lives. Although countries have made varied efforts, the pestilence is escalating due to the high infectivity. It is highly likely that dental professionals in upcoming days will come across COVID-19 patients and SARS-CoV-2 carriers, and hence must ensure a tactful handling of such patients to prevent its nosocomial spread. Despite the avalanche of information that has exploded in relation to this rapidly spreading disease, there is a lack of consolidated information to guide dentists regarding clinical management including precautions to take materials to use and postprocedure care, during and after the COVID-19 pandemic. Available sources of information have been analyzed, while relying on peer-reviewed reports followed by information available from the most respected authoritative sources, such as WHO, Centers for Disease Control and Prevention (CDC), and ADA. This review aims to provide a comprehensive summary from the available literature on COVID-19, its insinuation in dentistry, recommendations that have been published, and the actual in-practice implications, so a plan can be formulated and adapted to the circumstances of each dental practice during the pandemic and the times to follow.
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Affiliation(s)
| | - Ritasha Bhasin
- International Dentist Advanced Placement Program, Faculty of Dentistry, University of Toronto, Toronto, Canada
| | - Gulsheen Kaur Kochhar
- Department of Pediatric and Preventive Dentistry, National Dental College and Hospital, Dera Bassi, Punjab, India
| | - Himanshu Dadlani
- Department of Periodontology, Kalka Dental College and Hospital, Meerut, Uttar Pradesh, India
| | - Balvinder Thakkar
- Jaipur Dental Hospital and Orthodontic Centre, Jaipur, Rajasthan, India
| | - Gurkeerat Singh
- Department of Orthodontics, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
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Grover HS, Dadlani H, Bhardwaj A, Yadav A, Lal S. Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study. J Indian Soc Periodontol 2014; 18:586-92. [PMID: 25425820 PMCID: PMC4239748 DOI: 10.4103/0972-124x.142450] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2013] [Accepted: 02/11/2014] [Indexed: 11/30/2022] Open
Abstract
Aim: The present study was undertaken to evaluate patient response and recurrence of pigmentation following gingival depigmentation carried out with a surgical blade and diode laser. Materials and Methods: Twenty patients who were esthetically conscious of their dark gums and requested treatment for the same were selected for this study. Complete phase I therapy was performed for all the patients before performing the gingival depigmentation procedures with laser and scalpel on a split-mouth basis. Patients were evaluated for pain (1 day, 1 week), wound healing and melanin repigmentation (Melanin Pigmentation Index) immediately and at 1 week, 1 month and 3 months, respectively. Results: The final results were statistically analyzed and significance was evaluated. The results of this study indicated that both scalpel and laser were efficient for gingival depigmentation. Comparative pain assessment (P = 0.148) and repigmentation scores (P = 0.288) at various time intervals between the two groups did not show any statistical significance. Conclusion: Both the procedures did not result in any post-operative complications and the gingiva healed uneventfully. When compared, both the techniques were found to be equally efficacious. Care must be taken to assess the gingival biotype and the degree of pigmentation in deciding which technique is to be used. Clinical Significance: Various methods of depigmentation are available with comparable efficacies. Depigmentation is not a clinical indication but a treatment of choice where esthetics is a concern and is desired by the patient.
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Affiliation(s)
- Harpreet Singh Grover
- Department of Periodontics, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana, India
| | - Himanshu Dadlani
- Department of Periodontics, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana, India
| | - Amit Bhardwaj
- Department of Periodontics, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana, India
| | - Anil Yadav
- Department of Periodontics, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana, India
| | - Sanjay Lal
- Department of Periodontics, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana, India
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12
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Bhardwaj A, Dadlani H, Yadav A, Singh Y, Grover H. Clinical evaluation of the efficacy of two commercially available controlled-release drugs-chlorhexidine gel (CHLO-SITE)TMand tetracycline fibers (periodontal plus AB)TMas an adjunct to scaling root planning in the treatment of chronic periodontitis. ACTA ACUST UNITED AC 2014. [DOI: 10.4103/2278-9626.126209] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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13
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Dadlani H, Ramachandra SS, Mehta DS. Spontaneous correction of pathologically migrated teeth with periodontal therapy alone. J Indian Soc Periodontol 2013; 17:531-4. [PMID: 24174739 PMCID: PMC3800422 DOI: 10.4103/0972-124x.118331] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2012] [Accepted: 07/17/2013] [Indexed: 11/12/2022] Open
Abstract
Pathological tooth migration is a characteristic sign of an advanced form of chronic periodontitis. The etiology of pathological tooth migration is complex and multifactorial. Usually treatment of pathological migration includes a multidisciplinary approach. However, in some cases, spontaneous repositioning of the pathologically migrated teeth has been reported following periodontal therapy alone. In the present report, following periodontal surgery, there was a spontaneous repositioning of the migrated teeth and restoration of dento-facial esthetics. The treatment options in cases of pathological tooth migration, based on the severity, are also discussed.
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Affiliation(s)
- Himanshu Dadlani
- Department of Periodontics, Faculty of Dental Sciences, SGT University, Gurgaon, Haryana, India
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Dadlani H, Grover HS. Biophysical studies of the gingival epithelium. J Int Clin Dent Res Organ 2011. [DOI: 10.4103/2231-0754.115765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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15
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Dadlani H, Mehta DS, Triveni MG. Efficacy of an electrically active sonic toothbrush and an oscillating/rotating powered toothbrush in the reduction of plaque and gingivitis: A comparative clinical trial. J Int Clin Dent Res Organ 2010. [DOI: 10.4103/2231-0754.95287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Grande-Allen KJ, Osman N, Ballinger ML, Dadlani H, Marasco S, Little PJ. Glycosaminoglycan synthesis and structure as targets for the prevention of calcific aortic valve disease. Cardiovasc Res 2007; 76:19-28. [PMID: 17560967 DOI: 10.1016/j.cardiores.2007.05.014] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2007] [Revised: 05/07/2007] [Accepted: 05/10/2007] [Indexed: 11/27/2022] Open
Abstract
Calcific aortic valve disease is frequently driven by ageing and the obesity-associated metabolic syndrome, and the increasing impact of these factors indicates that valve disease will become a cardiovascular disease of considerable significance. This disease is now thought to be an active cell-based disease process, which may therefore be amenable to therapeutic intervention. Some similarities are apparent with atherosclerosis. The accumulation of lipid, possibly by retention by proteoglycans and the attraction of inflammatory cells by hyaluronan, may be common to the early stages of both pathologies. The synthesis and structure of glycosaminoglycans, proteoglycans, and hyaluronan are exquisitely regulated, and the signalling pathways controlling these processes may provide tissue-specific opportunities for concomitant prevention of atherosclerosis and calcific aortic valve disease.
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Affiliation(s)
- K J Grande-Allen
- Department of Bioengineering, Rice University, Houston, TX 77005, USA
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