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Sahu SA, Panda S, Das AC, Mishra L, Rath S, Sokolowski K, Kumar M, Mohanty R, Nayak R, Satpathy A, Lapinska B. Efficacy of Sub-Gingivally Delivered Propolis Nanoparticle in Non-Surgical Management of Periodontal Pocket: A Randomized Clinical Trial. Biomolecules 2023; 13:1576. [PMID: 38002260 PMCID: PMC10669236 DOI: 10.3390/biom13111576] [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] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 10/18/2023] [Accepted: 10/24/2023] [Indexed: 11/26/2023] Open
Abstract
Naturally sourced products like propolis are commonly employed for the non-surgical treatment of periodontal pockets. The use of nanoparticle formulations of these natural remedies has the potential to improve treatment outcomes. The aim of the present study was to evaluate the efficacy of sub-gingivally delivered propolis nanoparticles in the non-surgical management of periodontal pockets. Forty patients diagnosed with periodontitis presenting at least one periodontal pocket with a probing pocket depth between 4 and 6 mm were selected. Patients were randomly assigned into the control group (n = 20), which received scaling and root planing (SRP) and saline (SRP + Saline), and the test group (n = 20), which received SRP and sub-gingivally delivered propolis nanoparticles (PRO) into the periodontal pocket (SRP + PRO). The clinical parameters recorded were plaque index (PI), gingival index (GI), relative attachment loss (RAL), probing pocket depth (PPD), and bleeding on probing (BOP). They were assessed at baseline, one month, and three months post therapy. The results indicated that there was a significant improvement in clinical parameters (p < 0.05) in the test sites compared with the control sites at the end of the study. The gingival index at one month and three months was found to be significantly better in the SRP + PRO group than the SRP + Saline group, with a p value of <0.001. The BOP, PPD, and RAL showed significant improvement with the SRP + PRO group at the end of the 3-month follow-up with p values of 0.0001, 0.001, and 0.05, respectively. The subgingival delivery of propolis nanoparticles showed promising results as an adjunct to SRP in patients with periodontitis presenting periodontal pockets.
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Affiliation(s)
- Sushree Ambika Sahu
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan University, Bhubaneswar 751003, Odisha, India; (S.A.S.); (A.C.D.); (M.K.); (R.M.); (R.N.); (A.S.)
| | - Saurav Panda
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan University, Bhubaneswar 751003, Odisha, India; (S.A.S.); (A.C.D.); (M.K.); (R.M.); (R.N.); (A.S.)
| | - Abhaya Chandra Das
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan University, Bhubaneswar 751003, Odisha, India; (S.A.S.); (A.C.D.); (M.K.); (R.M.); (R.N.); (A.S.)
| | - Lora Mishra
- Department of Conservative Dentistry & Endodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan University, Bhubaneswar 751003, Odisha, India;
| | - Satchidananda Rath
- Department of Physics, School of Basic Sciences, Indian Institute of Technology, Bhubaneswar 752050, Odisha, India;
| | - Krzysztof Sokolowski
- Department of Conservative Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland;
| | - Manoj Kumar
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan University, Bhubaneswar 751003, Odisha, India; (S.A.S.); (A.C.D.); (M.K.); (R.M.); (R.N.); (A.S.)
| | - Rinkee Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan University, Bhubaneswar 751003, Odisha, India; (S.A.S.); (A.C.D.); (M.K.); (R.M.); (R.N.); (A.S.)
| | - Rashmita Nayak
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan University, Bhubaneswar 751003, Odisha, India; (S.A.S.); (A.C.D.); (M.K.); (R.M.); (R.N.); (A.S.)
| | - Anurag Satpathy
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan University, Bhubaneswar 751003, Odisha, India; (S.A.S.); (A.C.D.); (M.K.); (R.M.); (R.N.); (A.S.)
| | - Barbara Lapinska
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland
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Shamim R, Nayak R, Satpathy A, Mohanty R, Pattnaik N. Self-esteem and oral health-related quality of life of women with periodontal disease - A cross-sectional study. J Indian Soc Periodontol 2022; 26:390-396. [PMID: 35959305 PMCID: PMC9362804 DOI: 10.4103/jisp.jisp_263_21] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 09/15/2021] [Accepted: 10/17/2021] [Indexed: 11/04/2022] Open
Abstract
Aim The aim of this study is to assess the effect of periodontal disease on self-esteem and oral health-related quality of life (OHRQoL) in women. Materials and Methods A cross-sectional study was conducted among 522 women (mean age - 38.92 ± 14.3 years). Oral hygiene status, plaque level, gingival inflammation, probing depth, and periodontal status were assessed. The self-esteem was assessed using a Rosenberg Self-esteem Scale, and the OHRQoL was measured using a 14-item oral health impact profile (OHIP-14) questionnaire. Results Younger, employed women with higher income had significantly better OHRQoL and self-esteem. Women with healthy periodontium had better OHRQoL. Probing depth and community periodontal index scores were found to have a significant positive correlation with most of the sub-scale items and total OHIP-14 score in women with low self-esteem. Women with good OHRQoL and normal self-esteem were seen to be maintaining significantly better oral hygiene. No such statistically significant difference was observed in women with low self-esteem. Multiple regression analysis for the prediction of OHIP-14 score indicated that the best model included probing depth as the only statistically significant predictor (P = 0.002). Conclusion Periodontal disease has a significant negative impact on self-esteem and OHRQoL in women.
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Affiliation(s)
- Rohina Shamim
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rashmita Nayak
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Anurag Satpathy
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rinkee Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Naina Pattnaik
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.,Department of Periodontics, Hi Tech Dental College and Hospital, Bhubaneswar, Odisha, India
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Pattnaik N, Mohanty R, Satpathy A, Nayak R, Shamim R, Praharaj AK. Aloe vera mouthwashes can be a natural alternative to chemically formulated ones – A randomized-controlled trial. J Taibah Univ Med Sci 2021; 17:424-432. [PMID: 35722228 PMCID: PMC9170790 DOI: 10.1016/j.jtumed.2021.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 09/25/2021] [Accepted: 10/01/2021] [Indexed: 11/13/2022] Open
Abstract
Objectives To evaluate the antiplaque and antibacterial efficacy of commercially available mouthwashes containing aloe vera (AV), hydrogen peroxide (HP), and cetylpyridinium chloride (CPC) in a 4-day plaque regrowth study. Methods Plaque score and salivary samples were assessed (Day-0 and Day-4) in 96 participants in a randomised, double-blind prospective parallel-arm 4-day plaque regrowth study. Participants were divided into five groups who refrained from engaging in regular oral hygiene measures during the study period and used commercially available mouthwashes containing AV, HP, and CPC as test products with distilled water (DW) and chlorhexidine (CHX) mouthwash as negative and positive controls, respectively. Salivary bacterial count was expressed as colony-forming units (CFU) (culture method). Results There was a significant difference both in plaque score (p < 0.001) and in CFU (p < 0.001) among the study mouthwashes at Day-4. The plaque score and CFU of AV were significantly higher and lower than those of CHX and DW, respectively. The plaque score of HP was significantly higher than that of AV (p = 0.016) and CPC (p < 0.001). No significant difference was observed between AV and CPC (p = 0.70). Moreover, the CFU of HP was significantly higher than that of CPC (p = 0.04). There was no statistically significant difference between the CFU of mouthwashes containing AV and HP (p = 0.912) or AV and CPC (p = 0.280). No significant difference was seen in the inhibition of plaque and salivary bacterial count between AV, HP, and CPC. Conclusion The antiplaque and antibacterial efficacy of commercially available AV mouthwash was similar to that of CPC and significantly better than that of HP mouthwash and can be a natural alternative to chemically formulated mouthwashes.
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Das M, Das AC, Panda S, Greco Lucchina A, Mohanty R, Manfredi B, Rovati M, Giacomello MS, Colletti L, Mortellaro C, Satpathy A, Del Fabbro M. Clinical efficacy of grape seed extract as an adjuvant to scaling and root planing in treatment of periodontal pockets. J BIOL REG HOMEOS AG 2021; 35:89-96. [PMID: 34281305 DOI: 10.23812/21-2supp1-8] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Grape seed extract (GSE), a naturally producing polyphenolic compound, is found to be a potent hostmodulatory agent and considered for management of periodontal disease. Its anti-bacterial, antioxidant, and anti-inflammatory property may aid in achieving periodontal health. To assess the clinical efficacy of GSE in adjunct to scaling and root planing (SRP) in healing of periodontal pockets. The present study was a longitudinal, parallel design, randomized clinical trial. Seventy-two patients (mean age 39.2±8.6 years) with periodontal pockets were randomly divided into two groups; Test group received intra-pocket delivery of GSE with SRP and Control group received SRP alone. The clinical parameters like Plaque Index (PI), Gingival Index (GI), Probing Depth (PD) and Relative Attachment Level (RAL) were recorded at baseline and 3 months. 64 patients completed the study. Test group at the end of 3 months had statistically significant reduced PD (p=0.002) and RAL (p=0.01). No significant difference was observed for PI and GI at the end of 3 months. Intra-pocket application of GSE with SRP could be beneficial in management of periodontal pockets.
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Affiliation(s)
- M Das
- Department of Periodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, K8, Kalinga Nagar, Bhubaneswar, Odisha, India
| | - A C Das
- Department of Periodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, K8, Kalinga Nagar, Bhubaneswar, Odisha, India
| | - S Panda
- Department of Periodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, K8, Kalinga Nagar, Bhubaneswar, Odisha, India.,Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy
| | - A Greco Lucchina
- Saint Camillus International University of Health and Medical Science, Rome, Italy
| | - R Mohanty
- Department of Periodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, K8, Kalinga Nagar, Bhubaneswar, Odisha, India
| | - B Manfredi
- Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy
| | - M Rovati
- Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy
| | - M S Giacomello
- Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
| | - L Colletti
- Department of Periodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, K8, Kalinga Nagar, Bhubaneswar, Odisha, India
| | - C Mortellaro
- Saint Camillus International University of Health and Medical Science, Rome, Italy
| | - A Satpathy
- Department of Periodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, K8, Kalinga Nagar, Bhubaneswar, Odisha, India
| | - M Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy.,Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
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Arbildo-Vega HI, Panda S, Bal A, Mohanty R, Rendón-Alvarado A, Das AC, Cruzado-Oliva FH, Infantes-Ruíz ED, Manfredi B, Vásquez-Rodrigo H, Mortellaro C, Giacomello MS, Parrini M, Greco Lucchina A, Del Fabbro M. Clinical effectiveness of Lactobacillus reuteri in the treatment of peri-implant diseases: a systematic review and meta-analysis. J BIOL REG HOMEOS AG 2021; 35:79-88. [PMID: 34281304 DOI: 10.23812/21-2supp1-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
In the last decades, the presence of peri-implant diseases (PD) has increased. One of the therapies currently used is probiotics with Lactobacillus reuteri (LR). The aim of this article is to determinate, through a systematic review and meta-analysis, the clinical effectiveness of LR in the treatment of PD. We searched the literature until January 2021, in the biomedical databases: Pubmed, Embase, Scielo, Science Direct, Scopus, SIGLE, LILACS, Google Scholar and Cochrane Central Registry of Clinical Trials. The selection criteria of the studies were: randomized controlled clinical trials, without language and time restriction, reporting the clinical effects (depth to probing, plaque index and bleeding index) of the LR in the PD treatment. The risk of study bias was analyzed through the Cochrane tool for randomized studies using Review Manager software. The search strategy resulted in 6 articles of which four investigated peri-implantitis and three peri-implant mucositis. All studies reported that there was a difference in the depth of the probing in the treatment of PD, in favor of the group using LR, though not always achieving significance. The use of LR can be clinically effective in terms of pocket depth reduction in the treatment of PD.
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Affiliation(s)
- H I Arbildo-Vega
- Department of General Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo, Peru.,Department of General Dentistry, Dentistry School, Universidad Particular de Chiclayo, Chiclayo, Peru
| | - S Panda
- Department of Periodontics and Oral Implantology, Siksha O Anusandhan University, Bhubaneswar, India.,Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - A Bal
- Department of Periodontics and Oral Implantology, Siksha O Anusandhan University, Bhubaneswar, India
| | - R Mohanty
- Department of Periodontics and Oral Implantology, Siksha O Anusandhan University, Bhubaneswar, India
| | - A Rendón-Alvarado
- Department of General Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo, Peru.,Department of General Dentistry, Dentistry School, Universidad Particular de Chiclayo, Chiclayo, Peru
| | - A C Das
- Department of Periodontics and Oral Implantology, Siksha O Anusandhan University, Bhubaneswar, India
| | - F H Cruzado-Oliva
- Department of General Dentistry, Stomatology Faculty, Universidad Nacional de Trujillo, Trujillo, Peru
| | - E D Infantes-Ruíz
- Department of General Dentistry, Dentistry School, Universidad Particular de Chiclayo, Chiclayo, Peru.,Department of General Dentistry, Stomatology School, Universidad César Vallejo, Piura, Peru
| | - B Manfredi
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - H Vásquez-Rodrigo
- Department of General Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo, Peru.,Department of General Dentistry, Dentistry School, Universidad Particular de Chiclayo, Chiclayo, Peru
| | - C Mortellaro
- Saint Camillus International University of Health Sciences, Rome, Italy
| | - M S Giacomello
- Department of Medicine and Surgery, University of Milano Bicocca, Milan, Italy
| | - M Parrini
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - A Greco Lucchina
- Saint Camillus International University of Health Sciences, Rome, Italy
| | - M Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,IRCCS Istituto Ortopedico Galeazzi, Dental Clinic, Milan, Italy
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Satpathy A, Mohanty R, Rautray TR. Bio-mimicked guided tissue regeneration/guided bone regeneration membranes with hierarchical structured surfaces replicated from teak leaf exhibits enhanced bioactivity. J Biomed Mater Res B Appl Biomater 2021; 110:144-156. [PMID: 34227233 DOI: 10.1002/jbm.b.34898] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 05/06/2021] [Accepted: 06/07/2021] [Indexed: 11/08/2022]
Abstract
Bio-mimicked GTR/GBR membranes with hierarchical structured surfaces were developed by direct and indirect replication of teak leaf surface. The membranes were fabricated using solvent casting method with customized templates. The surfaces obtained were those with micro-trichomes (MTS) and micro-depression (MDS) that resembled a whorling pattern. Structural details of the fabricated membrane surfaces were studied under stereomicroscope and scanning electron microscopy. Surface roughness, water wetting angle, water uptake, and degradation properties of the membranes were examined. The effects of the micro-patterned hierarchical structure on in vitro bioactivities of human osteoblast-like cells (MG63) and human gingival fibroblast cells HGF1-RT1 were studied. In vivo study carried out on rat skulls to assess the response of surrounding tissues for 4 weeks showed that the bio-mimicked MTS and MDS membrane surfaces enhanced the cell proliferation. The proliferation significantly increased with increasing surface roughness and decreasing contact angle. There was also an evidence of rapid new bone maturation with membranes with MTS. It is thus suggested that the teak leaf mimicked whorling patterned hierarchical structured surface is an important design for enhancing bioactivity.
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Affiliation(s)
- Anurag Satpathy
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O'Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.,Biomaterials and Tissue Regeneration Lab, CETMS, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rinkee Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O'Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Tapash R Rautray
- Biomaterials and Tissue Regeneration Lab, CETMS, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
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Mohanty R, Dey P, Hebbar NYR, Singh HN. Effect of internet use on medical students before and after 4g internet service in india: A comparative study. Encephale 2020; 47:189-194. [PMID: 33309007 DOI: 10.1016/j.encep.2020.10.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 10/15/2020] [Accepted: 10/30/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND Internet is being used extensively throughout the world from last decade. In India internet service has entered into new generation called 4G. Medical students are particularly vulnerable group for problematic internet use on account of the time they spend online. This might have negative effects on their physical, psychological and social health. Hence they are more prone to internet addiction. AIMS To compare use and effect of internet service among medical students before and after the availability of 4G service. STUDY DESIGN Institution based cross sectional study. METHODS AND MATERIAL Predesigned validated questionnaires were provided to the medical students in the year 2014. The questionnaire included demographics, pattern of internet use and Young's internet addiction test. Again in the year 2018 the similar procedure was carried out after introduction of 4G service. The data was collected and compared. Analysis was done using SPSS 25. STATISTICAL ANALYSIS Descriptive statistics, Chi2 test and Mann-Whitney test was applied. RESULTS Among 424 medical students 207 students were assessed in the year 2014 and 217 students in 2018.There was a significant change of pattern of use. Also significant increase in number of female users and severity of internet addiction in 2018. The ill effect of internet was on rise after availability of 4G service. CONCLUSIONS The prevalence of internet addiction and its ill effect on behavior among medical students was higher after availability of 4G service in same college. So appropriate preventive and interventional strategies need to be developed in professional institutions.
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Affiliation(s)
- R Mohanty
- Department of Psychiatry, Ims & Sum Hospital, Bhubaneswar, India
| | - P Dey
- Department of Psychiatry, Central Institute of Psychiatry, Ranchi, India.
| | - N Y R Hebbar
- Department Of Psychiatry, Subbaiah Institute Of Medical sciences, Shivmog, India
| | - H N Singh
- Department of Psychiatry, RIMS, Imphal, India
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Mahapatra A, Nayak R, Satpathy A, Pati BK, Mohanty R, Mohanty G, Beura R. Maternal periodontal status, oral inflammatory load, and systemic inflammation are associated with low infant birth weight. J Periodontol 2020; 92:1107-1116. [PMID: 33155287 DOI: 10.1002/jper.20-0266] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 08/24/2020] [Accepted: 10/20/2020] [Indexed: 01/12/2023]
Abstract
BACKGROUND Periodontal disease and pregnancy outcomes have been claimed to be associated with conflicting reports. The purpose of this study was to prospectively examine the association between maternal periodontal status, oral inflammatory load and serum C- reactive protein (CRP) level, and infant birth weight. METHODS A total of 156 pregnant women (age 26.62 ± 3.93 years) within the gestational age group of 13 to 32 weeks participated in this cross-sectional study. Oral inflammatory load (OIL) was assessed in a salivary rinse sample using fluorescence microscopy. Clinical periodontal parameters were recorded and serum C-reactive protein level (CRP) was assessed. Participants were followed till delivery, details of parturition and infant birth weight (IBW) was recorded. RESULTS OIL was significantly more in participants with mild and moderate periodontitis as compared to those with gingivitis in mid and late stages of pregnancy. Periodontal and systemic inflammatory parameters were positively correlated. A significant negative correlation was found between IBW and OIL (P = 0.006) and serum CRP (P < 0.001). The GI score (P = 0.039), BOP% (P = 0.023), serum CRP level (P < 0.001) and oral polymorphonuclear neutrophil (oPMN) count (P < 0.001) was significantly more in mothers delivering babies with low IBW. A multiple linear regression analysis showed that only oPMN (β = - 0.244, P = 0.021) and serum CRP (β = - 0.226, P = 0.019) were included in the best model (R2 = 0.12, F(3,152) = 7.15, P < 0.001) for significantly predicting the infant birth weight. CONCLUSIONS Poor maternal periodontal status, increased oral inflammatory load and increased systemic inflammation have an adverse effect on infant birth weight.
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Affiliation(s)
- Annuroopa Mahapatra
- Department of Periodontics, SCB Dental College and Hospital, Cuttack, Odisha, India.,Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rashmita Nayak
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Anurag Satpathy
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Basanta Kumar Pati
- Department of Obstetrics and Gynaecology, Institute of Medical Sciences & SUM Hospital, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rinkee Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Gatha Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rajdeep Beura
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.,Department of Periodontics, Hi-Tech Dental College & Hospital, Bhubaneswar, Odisha, India
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Panda S, Purkayastha A, Mohanty R, Nayak R, Satpathy A, DAS AC, Kumar M, Mohanty G, Panda S, Fabbro MD. Plasma rich in growth factors (PRGF) in non-surgical periodontal therapy: a randomized clinical trial. Braz Oral Res 2020; 34:e034. [PMID: 32321052 DOI: 10.1590/1807-3107bor-2020.vol34.0034] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2019] [Accepted: 02/12/2020] [Indexed: 12/27/2022] Open
Abstract
The aim of this split mouth, double blinded, randomized clinical trial was to evaluate the clinical efficacy of use of Plasma rich in growth factors (PRGF) as an adjunct to scaling and root planing (SRP) in the treatment of periodontal pockets. Twenty six patients (15 males, 11 females) diagnosed with generalized periodontitis with Pocket Depth > 5mm and plaque index score < 1.5, were randomly allocated by using computer generated random sequence, into two groups, one treated with intra-pocket application of PRGF adjunct to SRP and other with SRP alone. The clinical outcomes like pocket depth (PD), relative attachment level (RAL) and sulcus bleeding index (SBI) were assessed at baseline, 3 months and 6 months. Twenty two patients (44 sites) were analyzed at the end of 6 month follow-up, using SPSS 20.0v software. There was a significant statistical difference observed between both the groups favouring SRP +PRGF group in terms of PD (p = 0.007) and RAL (p = 0.021) at the end of 6 month follow-up. Also there was a statistical significant difference (< 0.001) at all time points compared to baseline, for all parameters in intra-group comparison. Moreover, the sites with PD>4mm necessitating further treatment after 6-month follow-up were significantly lesser for SRP+PRGF group. The use of PRGF technology in non-surgical periodontal therapy, by single intra-pocket application in to periodontal pockets as an adjunct to SRP, in chronic periodontitis patients, was found to be effective in reduction of pocket depth and gain in clinical attachment level.
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Affiliation(s)
- Saurav Panda
- Siksha O Anusandhan University, Institute of Dental Sciences, Department of Periodontics & Oral implantology, Bhubaneswar, Odisha, India
| | - Adrita Purkayastha
- Siksha O Anusandhan University, Institute of Dental Sciences, Department of Periodontics & Oral implantology, Bhubaneswar, Odisha, India
| | - Rinkee Mohanty
- Siksha O Anusandhan University, Institute of Dental Sciences, Department of Periodontics & Oral implantology, Bhubaneswar, Odisha, India
| | - Rashmita Nayak
- Siksha O Anusandhan University, Institute of Dental Sciences, Department of Periodontics & Oral implantology, Bhubaneswar, Odisha, India
| | - Anurag Satpathy
- Siksha O Anusandhan University, Institute of Dental Sciences, Department of Periodontics & Oral implantology, Bhubaneswar, Odisha, India
| | - Abhaya Chandra DAS
- Siksha O Anusandhan University, Institute of Dental Sciences, Department of Periodontics & Oral implantology, Bhubaneswar, Odisha, India
| | - Manoj Kumar
- Siksha O Anusandhan University, Institute of Dental Sciences, Department of Periodontics & Oral implantology, Bhubaneswar, Odisha, India
| | - Gatha Mohanty
- Siksha O Anusandhan University, Institute of Dental Sciences, Department of Periodontics & Oral implantology, Bhubaneswar, Odisha, India
| | | | - Massimo Del Fabbro
- University of Milan, Department of Biomedical, Surgical & Dental Sciences, Milano, Italy
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Mohanty R, Asopa SJ, Joseph MD, Singh B, Rajguru JP, Saidath K, Sharma U. Red complex: Polymicrobial conglomerate in oral flora: A review. J Family Med Prim Care 2019; 8:3480-3486. [PMID: 31803640 PMCID: PMC6881954 DOI: 10.4103/jfmpc.jfmpc_759_19] [Citation(s) in RCA: 65] [Impact Index Per Article: 13.0] [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: 09/11/2019] [Revised: 09/12/2019] [Accepted: 10/10/2019] [Indexed: 11/10/2022] Open
Abstract
Oral diseases are the complex host responses composed of a broad array of inflammatory cells, and cytokines, chemokines, and mediators derived from the cells resident in the gingival tissues, as well as from the emigrating inflammatory cells. A chronic polymicrobial challenge to the local host tissues triggers this response, which under certain circumstances, and in a subset of the population, leads to the progressing soft and hard tissue destruction that characterizes periodontitis. The red complex has been proposed as a pathogenic consortium, consisting of P. gingivalis, T. denticola, and T. forsythia. This review has attempted to examine the virulence potential and determinants of these commensal opportunists.
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Affiliation(s)
- Rinkee Mohanty
- Department of Periodontics, Institute of Dental Sciences, SOA Deemed to University, Bhubaneswar, Odisha, India
| | - Swati Joshi Asopa
- Department of Prosthodontics, Rajasthan Dental College and Hospital, Jaipur, Rajasthan, India
| | - M Derick Joseph
- Department of Conservative Dentistry and Endodontics, P.S.M Dental College and Research Centre, Akkikavu, Thrissur, Kerala, India
| | - Bhupender Singh
- Department of Oral Medicine and Radiology, Government Dental College Kottyam, Kerala, India
| | - Jagadish Prasad Rajguru
- Department of Oral and Maxillofacial Pathology, Hi-Tech Dental College and Hospital, Bhubaneswar, Odisha, India
| | - K Saidath
- Department of Orthodontics, A.B. Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore, Karnataka, India
| | - Uma Sharma
- Department of Periodontics, BRS Dental College and Hospital, Haryana, India
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Baishya B, Satpathy A, Nayak R, Mohanty R. Oral hygiene status, oral hygiene practices and periodontal health of brick kiln workers of Odisha. J Indian Soc Periodontol 2019; 23:163-167. [PMID: 30983789 PMCID: PMC6434730 DOI: 10.4103/jisp.jisp_383_18] [Citation(s) in RCA: 5] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Aim and Objective: The aim of this study was to assess the oral hygiene status, oral hygiene practices, and periodontal health among brick kiln workers of Odisha. Materials and Methods: Four hundred and eight subjects (300 males and 108 females) between the ages of 22 and 65 years with mean age of 33.44 ± 2.34 years working in various brick kilns in the district of Khordha, Odisha, participated in the survey. Data were collected through personal interview and clinical examinations. Results: Overall prevalence of periodontal diseases among brick kiln workers was 86.27%. There was a statistically significant difference in the distribution of Community periodontal index (CPI) (P < 0.001) and loss of attachment score scores (P < 0.001). Periodontal disease was significantly associated with age, oral hygiene status, practices, and tissues abuse habits. Most of the workers were males (59%), in the age group of 30–40 years (40.69%), having only a primary level of education (75.98%) and were married (80.88%). Majority of the workers brushed their teeth once daily (78.9%) with toothbrush (51.5%) and used toothpaste (41.2%). Most of them were found to be consuming paan or gutkha as compared to cigarette or beedi smoking. Among the subjects with a CPI >2, higher prevalence of periodontal disease was seen in subjects older than 50 years of age (86.7%), those brushing once daily only (75.2%), brushing with finger (82.8%), with higher frequency and duration of consumption of tobacco and alcohol, and having a poor oral hygiene (85.5%). Conclusion: The survey among brick kiln workers revealed that the oral hygiene status was poor, they had ill-informed oral hygiene practices and most of them were suffering from periodontal disease.
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Affiliation(s)
- Banashree Baishya
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Anurag Satpathy
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rashmita Nayak
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rinkee Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
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Panda S, Purkayastha A, Mohanty R, Das U. Miniscrew implants for intrusion of supraerupted molar: A noninvasive approach for space regaining. Contemp Clin Dent 2019; 10:158-160. [PMID: 32015660 PMCID: PMC6974985 DOI: 10.4103/ccd.ccd_444_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Inadequate interocclusal space often leads to difficulty in prosthetic rehabilitation. Dental implant-indicated sites are governed by various factors which include bone availability, adequate mesiodistal width, and most importantly, adequate interocclusal space for proper prosthetic design on the dental implant. The use of miniscrew implant with coil spring for regaining interocclusal space would be an advantageous procedure for biomechanical intrusion of supraerupted teeth, rather than treating the same with invasive clinical crown reduction/intentional endodontic treatment. This case report describes the use of miniscrew implant with coiled spring on a supraerupted maxillary molar for interocclusal space regaining, to facilitate proper prosthetic rehabilitation in the dental implant site.
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Mohanty G, Mohanty R, Satpathy A. Simultaneous occurrence of pyogenic granuloma at multiple sites associated with bone loss: Report of a rare case. J Indian Soc Periodontol 2018; 22:174-177. [PMID: 29769774 PMCID: PMC5939027 DOI: 10.4103/jisp.jisp_367_17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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] [Indexed: 12/05/2022] Open
Abstract
Pyogenic granuloma (PG) is a reactive hyperplasia of connective tissue that occurs in response to low-grade local irritation, traumatic injury, foreign materials, or hormonal causes and rarely associated with bone loss. Although solitary PG is a common lesion in the orofacial region, presence of multiple such lesions at the same time with associated bone loss is rare. In addition, repeated recurrences of such lesions sometimes frustrate the clinician. This article presents a rare case of simultaneous occurrence of PG at multiple sites associated with bone loss in a young female and its management.
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Affiliation(s)
- Gatha Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rinkee Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Anurag Satpathy
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
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Mohanty R, Sudan PS, Dharamsi AM, Mokashi R, Misurya AL, Kaushal P. Risk Assessment in Long-term Survival Rates of Dental Implants: A Prospective Clinical Study. J Contemp Dent Pract 2018; 19:587-590. [PMID: 29807971] [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] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
AIM The present study was done to analyze the risk factors associated with dental implants in its survival rate. MATERIALS AND METHODS The present study was conducted on 208 patients with 425 dental implants placed. Patients were divided into four groups: group I (diabetes), group II (periodontitis), group III (smoking), and group IV (bruxism). All patients were followed for 8 to 10 years for the survival rates. RESULTS Out of 425 dental implants, 145 were inserted in 72 males and 280 in 136 females. The difference was significant (p = 0.01). Group I had 16 males and 36 females, group II had 20 males and 32 females, group III had 28 males and 24 females, and group IV had 8 males and 44 females. The difference was statistically significant (p < 0.05). Out of 425 implants, 90 (21.17%) had failures: 24 dental implants (29%) in group I, 22 dental implants (15.2%) group II, 34 dental implants (27%) in group III, and 10 dental implants (13%) in group IV showed failure. The difference was significant (p < 0.05). Success rate was 70.7% in group I, 83.3% in group II, 80.9% in group III, and 86.3% in group IV. The difference was nonsignificant (p > 0.05). CONCLUSION Diabetes, periodontitis, bruxism, and smoking are among various causative factors which affect the survival rate of dental implants. These are risk factors leading to implant failures. CLINICAL SIGNIFICANCE Diabetes, periodontitis, bruxism, and smoking are among various causative factors which affect the survival rate of dental implants.
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Affiliation(s)
- Rinkee Mohanty
- Department of Periodontics & Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar Odisha, India, e-mail:
| | - Punkit S Sudan
- Department of Prosthodontics, Cradley Health, Birmingham West Midlands, USA
| | - Anand M Dharamsi
- Department of Periodontics, R.R. Dental College & Hospital Udaipur, Rajasthan, India
| | - Rizwan Mokashi
- Department of Conservative Dentistry and Endodontics S.M.B.T. Dental College & Hospital, Nashik, Maharashtra, India
| | - Archana L Misurya
- Department of Oral Pathology, Maharana Pratap College of Dentistry & Research Centre, Gwalior, Madhya Pradesh, India
| | - Pradeepta Kaushal
- Department of Prosthodontics, College of Dental Science & Hospital, Indore, Madhya Pradesh, India
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Affiliation(s)
- M R Baisakh
- Department of Pathology, Tata Main Hospital, Jamshedpur, Jharkhand, India
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Baig M, Ahmed A, Ahmed I, Mohanty R, Avinash S, Anwar A, Al-najjar Y. PM177 Audit of Use of Cardiac Rhythm Monitor Against American College of Cardiology Guidelines. Glob Heart 2016. [DOI: 10.1016/j.gheart.2016.03.347] [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: 11/24/2022] Open
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Satpathy A, Mohanty R, Dinda A, Rautray TR. Comparative Evaluation of Porous Chitosan Tissue Barrier Membranes Fabricated by Two Techniques—A Stereomicroscopic Study. ACTA ACUST UNITED AC 2016. [DOI: 10.1166/asl.2016.6827] [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: 11/23/2022]
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18
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Satpathy A, Shamim R, Nayak R, Mohanty R, Panda S. Efficacy of fresh Aloe vera extract in postoperative healing following periodontal surgery in patients with chronic periodontitis: A randomized clinical trial. J Dent Allied Sci 2016. [DOI: 10.4103/2277-4696.192972] [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] Open
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Abstract
BACKGROUND Diabetes and periodontitis have long been linked in the dental literature but have never been substantiated. Periodontitis is an oral infection affecting the tooth-supporting tissues. Although the etiology for this condition is bacterial plaque, the host immune response may also mediate destruction of the periodontal tissues. Diabetes mellitus is intricately related to the development, progression and severity of periodontitis. The literature is abundant with studies depicting this association. DISCUSSION Diabetes mellitus (DM) is a complex disease with varying degrees of systemic and oral complications. The periodontium is also a target for diabetic damage. In recent years, a link between periodontitis and diabetes mellitus has been postulated. The present review highlights the relationship between diabetes mellitus and periodontitis. The potential mechanisms involved in the development of periodontitis in diabetic patients, influence of periodontitis on diabetes and the role of TNF-α, a prime inflammatory mediator linking both of them have been discussed. CONCLUSION Diabetes clearly increases the risk of periodontal diseases, and biologically plausible mechanisms have been demonstrated in abundance. Less clear is the impact of periodontal diseases on glycemic control of diabetes and the mechanisms through which this occurs. It is possible that periodontal diseases may serve as initiators or propagators of insulin resistance in a way similar to obesity, thereby aggravating glycemic control.
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Affiliation(s)
- Manoj Kumar
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Orissa, India.
| | - Lora Mishra
- Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Orissa, India
| | - Rinkee Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Orissa, India
| | - Rashmita Nayak
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Orissa, India
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Nazareth B, Arya H, Mohanty R. Peripheral Ossifying fibroma: a clinical report. J Calif Dent Assoc 2012; 40:749-751. [PMID: 23097830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Most localized growths on the gingiva are considered to be reactive rather than neoplastic in nature. The authors describe a 20-year-old male patient with a peripheral ossifying fibroma in the maxilla exhibiting significant size with the disease duration of one year. The signs of recurrence in spite of thorough excision a debridement exposed the need for further study of the causes of recurrence. Clinical, radiographical, and histological characteristics are discussed.
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Affiliation(s)
- Bianca Nazareth
- Department of Periodontics and Implantology, Swargiy Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra State, India.
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Valecha N, Krudsood S, Tangpukdee N, Mohanty S, Sharma SK, Tyagi PK, Anvikar A, Mohanty R, Rao BS, Jha AC, Shahi B, Singh JPN, Roy A, Kaur P, Kothari M, Mehta S, Gautam A, Paliwal JK, Arora S, Saha N. Arterolane Maleate Plus Piperaquine Phosphate for Treatment of Uncomplicated Plasmodium falciparum Malaria: A Comparative, Multicenter, Randomized Clinical Trial. Clin Infect Dis 2012; 55:663-71. [DOI: 10.1093/cid/cis475] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mahapatra SK, Mohanty R, Sen K, Beher S, Singh SC, Chaudhuri M. Paget's disease of bone in a 85-year-old woman. J Assoc Physicians India 2009; 57:657-659. [PMID: 20214007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Paget's disease of bone is a rare disorder in India. Patients are usually asymptomatic and incidental radiological investigation invariably clinches the diagnosis. Increased alkaline phosphatase, X-ray, CT scan and scintiscan of bone can be done to confirm the diagnosis. Here we report a case of an 85-yr-old lady who had bilateral hearing loss for last 10 yrs, was admitted incidentally for some other complaints and on investigation diagnosed to have advanced Paget's disease of bone.
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Affiliation(s)
- S K Mahapatra
- Dept. of Medicine, SCB Medical College, Cuttack, Orissa
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Das SN, Mohapatra B, Mohanty R, Dash PC, Kar K, Dash PK. Malarial hepatitis as a component of multiorgan failure--a bad prognostic sign. J Indian Med Assoc 2007; 105:247-250. [PMID: 17915792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
A prospective study among the patients (n = 301) belonging to the coastal districts of Orissa having complicated falciparum malaria with multiorgan failure fulfilling modified APACHE II criteria, for a period of two years in this hospital setting was carried out with particular emphasis on hepatic involvement. There were 206 males and the rest females. Hepatic involvement in the form of raised serum bilirubin levels > or = 6 mg% and prothombin time > 4 compared to controls was found in 192 cases (63.8%). On analysis out of 192 cases predominantly conjugated hyperbilirubinaemia, mixed patterns and unconjugated hyperbilirubinaemia were seen in 115 (59.9%), 64 (33.3%) and 13 (6.8%) cases respectively. Serum bilirubin ranged from 6 to 38 mg%. Aminotransferase aspartate (AST, SGOT) and aminotransferase alkaline (ALT, SGPT) were raised almost two-fold in 98% cases of multiorgan failure with hepatic failure with mean values of 78 +/- 30.4 IU/l and 81 +/- 29.06 IU/l respectively. Nearly three-fold elevation of alkaline phosphatase was observed in 80% cases with mean (315 +/- 39.4 IU/l). Prothombin time was prolonged with mean 7 +/- 3 seconds. Serum proteins and albumin/globulin ratio were normal. There was no difference in glycaemic status over controls. In selected cases, liver histopathological study showed abnormalities in the form of Kupffer cell hyperplasia, mononuclear cell infiltration, hepatocyte necrosis, fatty changes and cholestasis. Majority of patients in multiorgan failure who died, had hepatic failure.
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Affiliation(s)
- S N Das
- Department of Medicine, SCB Medical College, Cuttack 753007
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Abstract
OBJECTIVE To study the comparative efficacy of the quinine and artesunate in complicated malaria in children. METHODS All cases admitted to the Pediatrics ward of our hospital with clinical features of complicated malaria (WHO criteria) having asexual forms of P. falciparum in the peripheral smear, were included in the study. Relevant investigations were carried out for confirmation of diagnosis and to assess the prognosis. The patients were sub-grouped into 6 categories as per clinical presentations and each subgroup received alternatively either quinine or artesunate by systematic random sample method. Every odd number received quinine (Group-1) and every even number received artesunate (Group-2). 40 cases in each group were considered for the study and the data obtained were compiled and analyzed by suitable statistical tests. RESULTS 80 children with complicated malaria enrolled in the present study, of which 48 were boys and 32 were girls. The mean age was 7.93+3.56 years. The most common presentations were fever, splenomegaly and altered sensorium. The CRT, FCT and PCT were significantly less in the artesunate group (50.4 +/- 31.49 hrs; 43.55 +/- 20.12 hrs, and 41.67 +/- 16.78 hrs respectively) as compared to the quinine group (70.15 +/- 17.56 hrs, 62.23 +/- 16.99 hrs, and 52.24 +/- 12.69 hrs respectively) ( p<0.05) No side effects were observed in the artesunate treated group. CONCLUSION Artesunate is a much better drug than quinine in complicated malaria in terms of rapid coma resolution, fever clearance, parasite clearance and better tolerability.
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Affiliation(s)
- Anil Kumar Mohanty
- Departments of Pediatrics, SCB Medical College and SVP PG Institute of Pediatrics, Cuttack, Orissa, India.
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Bharat V, Das NK, Mohanty B, Jha AC, Chawla SC, Dash B, Mohanty R. Reduction of mechanical heart valve thrombosis through a clinical audit. J Heart Valve Dis 2003; 12:362-9. [PMID: 12803337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
BACKGROUND AND AIM OF THE STUDY Patients with mechanical heart valves implanted at four cardiothoracic centers were followed up in a hospital in Eastern India. Despite successful surgery and regular hospital visits, long-term survival was compromised by anticoagulation-related complications. METHODS Systematic analysis revealed under-anticoagulation in most patients. Thrombosis risk in 80 patients on regular follow up from 1989 to 1997 was 8.68 per 100 patient years (pt-yr). The incidence of both thrombotic and bleeding complications was reported as less than two per 100 pt-yr, when prothrombin time was consistently in the range of INR 2.5 to 3.9. In targeting this low event rate, impediments to optimum anticoagulation in the local set-up were identified. International Normalized Ratio (INR) was introduced to report prothrombin time (PT). Patients and doctors were educated about drug and diet interactions with oral anticoagulants (OAC) and the early features of valve thrombosis. Treatment protocols were evolved. The impact of the remedial measures was studied in 81 patients (64 old, 17 new) over a total of 254 pt-yr of follow up, from 1998 to 2001. RESULTS Thrombosis risk was reduced from 8.68 to 5.12 per 100 pt-yr, while non-fatal bleeding events increased from 0.28 to 1.96 per 100 pt-yr. Due to early recognition of occlusive prosthetic valve thrombosis and institution of fibrinolytic therapy, fatal events were reduced from 3.8 per 100 pt-yr to none for four consecutive years (statistically significant at 99% CI). CONCLUSION The clinical audit proved to be a valuable tool for understanding the problems in health care delivery, and bringing about improvement.
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Affiliation(s)
- V Bharat
- Department of Cardiology, Tata Main Hospital, Jamshedpur, India.
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Mohanty R, Dash B, Chawla SC, Paul HS. Acute erythroleukemia--M6B. INDIAN J PATHOL MICR 2001; 44:461-2. [PMID: 12035366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
Acute Erythroleukemia is a rare disorder of hematopoietic system, accounts for 1-3% of all acute leukemia and 15% of myeloid leukemia. Recently, the World Health Organisation & Society of Haematopathology proposed a change in the categorization, with M6a and M6b subgroups of the original FAB classification. Hereby we report a case of acute erythroleukemia--M6b subtype, presented with pain abdomen and vomiting. The patient died within two days. The case is being reported for its rarity and uncommon presentation.
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Affiliation(s)
- R Mohanty
- Department of Pathology, Tata Main Hospital, Jamshedpur
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Mohanty R, Bhat MN, Chawla SC. Retroperitonial atypical lipomatous tumour--a case report. INDIAN J PATHOL MICR 2000; 43:157-60. [PMID: 11217274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
We report a case of atypical lipomatous tumor-sclerosing type, a rare retroperitoneal soft tissue liposarcoma, presented with vague musculoskeletal symptoms. Patient was managed with complete resection of the tumor mass with adjuvant chemotherapy. The patient is doing well, with no evidence of recurrence 22 months after the treatment.
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Affiliation(s)
- R Mohanty
- Department of Pathology, Tata Main Hospital, Jamshedpur
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Mohanty R, Chawal SC. Diffuse cavernous haemangioma of the rectosigmoid with bladder involvement--a case report. INDIAN J PATHOL MICR 1999; 42:487-9. [PMID: 11127383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
Abstract
Haemangiomas of large bowel are very rare. We report extensive colonic haemangiomatosis in one young boy affecting bladder, sigmoid colon & descending colon. The patient was managed with sphincter saving operation.
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Affiliation(s)
- R Mohanty
- Dept. of Pathology, Tata Main Hospital, Jamshedpur 831001
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Mohanty R, Panda AK, Nanda BK. Renal changes in juvenile-onset diabetes mellitus. A study in 36 patients. INDIAN J PATHOL MICR 1984; 27:199-205. [PMID: 6530285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
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