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Kumar A, Sharma A, Gupta SJ, Verma A. Complex Anal fistula treated with IFTAK (Interception of fistulous track with application of ksharsutra) technique- A case report. J Ayurveda Integr Med 2023; 14:100686. [PMID: 36758428 PMCID: PMC9939718 DOI: 10.1016/j.jaim.2023.100686] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Revised: 10/17/2022] [Accepted: 12/23/2022] [Indexed: 02/09/2023] Open
Abstract
BACKGROUND An anal fistula is a common benign anorectal disease that tends to reoccur simple or low-type fistulas can be treated without affecting the sphincter mechanism; however, repairing a complex ano fistula without compromising anal continence can be difficult for a surgeon. CASE PRESENTATION Here, we present an anal fistula of complex clinical appearance managed successfully by the IFTAK (Interception of fistulous track with application of ksharsutra) technique practiced at Banaras Hindu University, Varanasi, India. The diagnosis was made via visual and bi-manual digital rectal examination then confirmed by Endoanal ultrasonography (EAUS). The patient showed remarkable improvement and the fistula healed completely in due course of time without impairing the anal continence status of the patient. At four months of follow-up the patient was healthy and no recurrence was found. CONCLUSION IFTAK is a minimally invasive technique and very effective in managing complex fistula in ano of cryptoglandular origin. The main cause of recurrence in complex anal fistula is non-identification of an infected anal crypt, secondary extensions, associated sepsis, or abscess at the time of examination or surgery. So, precise diagnosis and appropriate surgical measures play an equal role in the successful outcome of anal fistula treatment, failure to either will result in non-healing or recurrence.
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Affiliation(s)
- Anil Kumar
- Department of Shalya Tantra, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
| | - Ashish Sharma
- S.S Hospital, Banaras Hindu University, Varanasi, India
| | - S J Gupta
- Department of Shalya Tantra, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
| | - Ashish Verma
- Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
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Jain KS, Vaish S, Gupta SJ, Sharma N, Khare M, Nair MM. Minimally invasive treatment of gingival recession by vestibular incision subperiosteal tunnel access technique with collagen membrane and advanced platelet-rich fibrin: A 6-month comparative clinical study. J Indian Soc Periodontol 2021; 25:496-503. [PMID: 34898915 PMCID: PMC8603801 DOI: 10.4103/jisp.jisp_590_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: 08/09/2020] [Revised: 05/08/2021] [Accepted: 05/09/2021] [Indexed: 11/24/2022] Open
Abstract
AIM The study aimed to assess the minimally invasive Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique for treatment of Millers Class I or Class II buccal gingival recession defects and to compare the effectiveness of a bioresorbable collagen membrane or advanced platelet rich fibrin (A-PRF). METHODS AND MATERIAL 20 sites with Millers Class I or II gingival recession were recruited and allocated into 2 groups with 10 sites each. Group 1: VISTA with A-PRF, Group 2: VISTA with with bioresorbable collagen membrane (Healiguide)®. STANDARDIZED CLINICAL PARAMETERS Plaque Index (PI), Gingival Index (GI), Clinical attachment level (CAL )Pocket Probing Depth (PPD) Recession Height (RH ) and width of keratinized gingiva (WKG) were measured at baseline 3 months and 6 months. RESULTS Both groups showed significant improvement in clinical parameters. However reduction in recession height and mean root coverage percentage was greater in A-PRF group after 6 months. CONCLUSIONS VISTA with both A-PRF and Healiguide showed good clinical outcomes but better results were obtained when A-PRF was used.
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Affiliation(s)
- Kavya Sangal Jain
- Department of Periodontology and Oral Implantology, ITS-Centre for Dental Studies and Research Center, Ghaziabad, Uttar Pradesh, India
| | - Shubhra Vaish
- Department of Periodontology and Oral Implantology, ITS-Centre for Dental Studies and Research Center, Ghaziabad, Uttar Pradesh, India
| | - Swyeta Jain Gupta
- Department of Periodontology and Oral Implantology, ITS-Centre for Dental Studies and Research Center, Ghaziabad, Uttar Pradesh, India
| | - Nikhil Sharma
- Department of Periodontology and Oral Implantology, ITS-Centre for Dental Studies and Research Center, Ghaziabad, Uttar Pradesh, India
| | - Medhavee Khare
- Department of Periodontology and Oral Implantology, ITS-Centre for Dental Studies and Research Center, Ghaziabad, Uttar Pradesh, India
| | - Meera M. Nair
- Department of Periodontology and Oral Implantology, ITS-Centre for Dental Studies and Research Center, Ghaziabad, Uttar Pradesh, India
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Tualzik T, Chopra R, Gupta SJ, Sharma N, Khare M, Gulati L. Effects of ozonated olive oil and photobiomodulation using diode laser on gingival depigmented wound: A randomized clinical study. J Indian Soc Periodontol 2021; 25:422-426. [PMID: 34667386 PMCID: PMC8452166 DOI: 10.4103/jisp.jisp_655_20] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 03/14/2021] [Accepted: 04/02/2021] [Indexed: 12/13/2022] Open
Abstract
Objective: Photobiomodulation (PBM) using diode laser is regarded an effective modality for the repair of tissues and control of pain. Ozone, owing to its biocompatibility, healing, and antimicrobial properties, is used in dentistry as well. This study was carried to clinically compare and evaluate the healing of gingival depigmented wounds using ozonated oil and PBM. Materials and Methods: A laser depigmentation procedure was conducted on seven patients exhibiting bilateral upper and lower gingival melanin hyperpigmentation, followed by the application of ozonated oil (Group 1) and laser PBM (Group 2). The clinical parameters are taken namely Visual Analog Scale and Healing Index (HI), were evaluated on the 3rd, 7th, and 15th day. Results: Statistical analysis showed better HI in Group I as compared to Group II on the 3rd day, but it was comparable in both groups on the 7th and 15th day. Conclusion: The application of ozonated oil was found to be more efficacious in promoting the initial healing of wound in comparison to PBM. Both ozonated oil and PBM also showed the same capabilities in reduction of the postoperative pain.
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Affiliation(s)
- Thangmawizuali Tualzik
- Department of Periodontology and Implantology, ITS-CDSR, Ghaziabad, Uttar Pradesh, India
| | - Rahul Chopra
- Department of Periodontology and Implantology, ITS-CDSR, Ghaziabad, Uttar Pradesh, India
| | - Swyeta Jain Gupta
- Department of Periodontology and Implantology, ITS-CDSR, Ghaziabad, Uttar Pradesh, India
| | - Nikhil Sharma
- Department of Periodontology and Implantology, ITS-CDSR, Ghaziabad, Uttar Pradesh, India
| | - Medhavee Khare
- Department of Periodontology and Implantology, ITS-CDSR, Ghaziabad, Uttar Pradesh, India
| | - Lakita Gulati
- Department of Periodontology and Implantology, ITS-CDSR, Ghaziabad, Uttar Pradesh, India
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Khosla A, Gupta SJ, Jain A, Shetty DC, Sharma N. Evaluation and comparison of the antimicrobial activity of royal jelly - A holistic healer against periodontopathic bacteria: An in vitro study. J Indian Soc Periodontol 2020; 24:221-226. [PMID: 32773971 PMCID: PMC7307477 DOI: 10.4103/jisp.jisp_486_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Revised: 12/22/2019] [Accepted: 02/16/2020] [Indexed: 11/06/2022] Open
Abstract
Context: RJ is a natural bee product and is known to have remarkable health benefits. The objective was to evaluate its antimicrobial potential against periodontopathic bacteria and compare the same with chlorhexidine. Aims: The aim was to evaluate and compare the antimicrobial activity of royal jelly (RJ) with chlorhexidine against the periodontopathic bacteria (aerobic and anaerobic) in subgingival plaque. Materials and Methods: Subgingival plaque samples of 15 chronic periodontitis patients were taken, and clinical parameters were evaluated. Inhibitory effect of RJ and chlorhexidine was investigated “in vitro” on the growth of aerobic and anaerobic bacteria by colony count, minimum inhibitory concentration, and minimum bactericidal concentration (MBC) by the method of serial broth dilution. Statistical Analysis Used: ANOVA statistical analysis was used in this study. Results: Subgingival anaerobic bacteria predominate (colony-forming unit). Chlorhexidine is more sensitive in inhibiting aerobic and anaerobic bacteria (at concentration 50 μg/100 μl). A higher concentration of RJ is required to have an inhibitory effect. MBC of chlorhexidine shows no growth on blood agar plates, whereas minimum bacterial growth is seen around the RJ. Conclusions: Chlorhexidine (gold standard) has a higher inhibitory effect in the case of chronic periodontitis; however, RJ can also be used as an alternative but at higher concentration and lesser dilution. Evaluation of the quality, quantity and the biological activity of RJ is a necessity and must be done before its “in vivo” application.
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Affiliation(s)
- Anjali Khosla
- Department of Periodontology, I T S Dental College, Ghaziabad, Uttar Pradesh, India
| | - Swyeta Jain Gupta
- Department of Periodontology, I T S Dental College, Ghaziabad, Uttar Pradesh, India
| | - Anshi Jain
- Department of Oral Pathology and Microbiology, I T S Dental College, Ghaziabad, Uttar Pradesh, India
| | - Devi Charan Shetty
- Department of Oral Pathology and Microbiology, I T S Dental College, Ghaziabad, Uttar Pradesh, India
| | - Nikhil Sharma
- Department of Periodontology, I T S Dental College, Ghaziabad, Uttar Pradesh, India
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Langer T, Zapf T, Wirth S, Meyer B, Wiegand A, Timmen H, Gupta SJ, Schuster S, Geraedts M. [How are Pediatric Hospitals in North-Rhine Westfalia Prepared to Overcome Language Barriers? A Pilot Study Exploring The Structural Quality of Inpatient Care]. Gesundheitswesen 2016; 79:535-541. [PMID: 27144710 DOI: 10.1055/s-0042-102349] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Background In Germany, 35% of all children are considered to have a "migration background", and in the state of North-Rhine-Westfalia 43%. Frequently, one or both parents of a patient with a migration background have limited German language proficiency. Communication barriers due to a language difference can have a negative impact on quality of care, patient safety and costs of care. In this study, we investigate how children's hospitals are prepared to meet the challenges associated with language barriers. Methods We surveyed all children's hospitals in the state of North-Rhine-Westfalia, Germany. The questionnaire was based on the "Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (CLAS)" and was adapted to circumstances in Germany. Results Thirty-eight hospitals participated (51%) in this survey. Language barriers occurred frequently (75% of respondents mentioned language difficulties in more than 10% of the patient population). 82% of respondents rated their hospital to be "less than well prepared" to overcome language barriers. In the majority of hospitals (62%), the need for an interpreter was determined on a case-to-case basis and not according to any set protocol. In most cases bilingual staff was used for interpreting. However, only 38% of respondents found a list of available bilingual staff to be a sufficient resource. 42% of respondents did not know the monthly costs for professional interpreting services. In the remaining cases, costs were less than € 500/month. Conclusion To overcome language barriers, hospitals rely on local resources. The majority of respondents did not find them to be appropriate and sufficient. The development of quality standards and the provision of financial resources are necessary to mobilize this potential for improvement. Therefore, other disciplines and sectors of healthcare need to be analyzed in order to provide the evidence for a constructive discussion with decision makers in policy and health insurance.
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Affiliation(s)
- T Langer
- Klinik für Neuropädiatrie und Muskelerkrankungen, Zentrum für Kinder- und Jugendmedizin, Universitätsklinikum Freiburg, Freiburg
| | - T Zapf
- Zentrum für Kinder- und Jugendmedizin, Universität Witten/Herdecke, Helios Klinikum Wuppertal, Wuppertal
| | - S Wirth
- Zentrum für Kinder- und Jugendmedizin, Universität Witten/Herdecke, Helios Klinikum Wuppertal, Wuppertal
| | - B Meyer
- FB 06, Arbeitsbereich Interkulturelle Kommunikation, Johannes-Gutenberg-Universität Mainz, Germersheim
| | - A Wiegand
- Philip Klee-Institut für Klinische Pharmakologie, Helios Klinikum Wuppertal, Wuppertal
| | - H Timmen
- Diakonie Wuppertal, Sprint Wuppertal, Migrationsdienste, Wuppertal
| | - S J Gupta
- Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Datteln
| | - S Schuster
- Frauenklinik, Universitätsspital Basel, Basel, Schweiz
| | - M Geraedts
- Fakultät für Gesundheit, Institut für Gesundheitssystemforschung, Witten
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Gupta SJ, Jhingran R, Gupta V, Bains VK, Madan R, Rizvi I. Efficacy of platelet-rich fibrin vs. enamel matrix derivative in the treatment of periodontal intrabony defects: a clinical and cone beam computed tomography study. J Int Acad Periodontol 2014; 16:86-96. [PMID: 25654961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To evaluate and compare the efficacy of platelet-rich fibrin (PRF) with enamel matrix derivative (EMD; Emdogain) in the treatment of periodontal intrabony defects in patients with chronic periodontitis, six months after surgery. METHODS Forty-four (44) intrabony defects in 30 patients (15 males) were randomly allocated into two treatment groups: EMD (n = 22) and PRF (n = 22). Measurement of the defects was done using clinical and cone beam computed tomography at baseline and 6 months. Clinical and radiographic parameters such as probing depth, clinical attachment level, intrabony defect depth and defect angle, were recorded at baseline and 6 months post-operatively. Within group change was evaluated using the Wilcoxon signed rank test. Intergroup comparisons were made using the Mann-Whitney U test. RESULTS Postsurgical measurements revealed that there was an equal reduction in probing depth and a greater but statistically non-significant attachment gain for the Emdogain group when compared to the platelet-rich fibrin group. The Emdogain group presented with significantly greater percentage defect resolution (43.07% ± 12.21) than did the platelet-rich fibrin group (32.41% ± 14.61). Post-operatively the changes in defect width and defect angle were significant in both groups, but upon intergroup comparison they were found to be statistically non-significantly different. CONCLUSION Both Emdogain and platelet-rich fibrin were effective in the regeneration of intrabony defects. Emdogain was significantly superior in terms of percentage defect resolution.
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