Journal of Advanced Clinical and Research Insights

Current Issue (Vol 6, NO. 4, July-August 2019 Issue)

ORIGINAL ARTICLE

Namratha Kaviraj Karkera, Kruthika Satyabodh Guttal, Krishna N. Burde, Kirty Nandimath

Awareness, attitude, and practices toward maintenance of oral health among pregnant women and oral health awareness and attitude among gynecologists in Hubli and Dharwad

Year:2019 | Month:July-August | Volume:6 | Number:4 | Pages No:100-105


Aims and Objectives: The aim of the study was to determine the awareness, attitude, and practices toward the maintenance of oral health among pregnant women and to appraise the awareness and attitude among gynecologists regarding the oral health of expectant mother, using self-questionnaires.

Study Design: Cross-sectional survey was conducted among 100 pregnant women, and the findings were recorded along with a closed-ended questionnaire and documented in a specially designed pro forma. The response to another set of questions answered by 65 practicing gynecologists from government and private hospitals in twin cities of Hubli-Dharwad was recorded in a separate pro forma.

Results: Analysis of data revealed that 65% of pregnant patients were unaware of pregnancy-related oral diseases. Although 83% of the gynecologist’s considered oral health as a part of prenatal care, only 49% of the gynecologists were little aware of oral manifestations caused by hormonal changes during pregnancy.

Conclusion: The complete results here suggest that awareness, knowledge, and practices of pregnant women have to be essentially upgraded. The findings of this survey with gynecologists indicate the need to update their knowledge regarding oral health in expectant mothers.

Keywords: Dental awareness, oral health and pregnancy, oral hygiene

How to cite this article: Karkera NK, Guttal KS, Burde KN, Nandimath K. Awareness, attitude, and practices toward maintenance of oral health among pregnant women and oral health awareness and attitude among gynecologists in Hubli and Dharwad. J Adv Clin Res Insights 2019;6: 100-105.

Received: 13 June 2019;

Accepted: 25 July 2019


ORIGINAL ARTICLE

Nikita N. Burde, Prabhdeep Kour

Oral submucous fibrosis — an impediment for maintenance of good oral hygiene: A questionnaire-based study

Year:2019 | Month:July-August | Volume:6 | Number:4 | Pages No:106-109


Introduction: Oral submucous fibrosis (OSMF) is characterized by stiffness of the oral mucosa with progressive limitation in opening of the mouth, thus causing difficulty in eating, phonation, and loss of hearing. These changes have a significant impact on the oral hygiene status. Several studies have been conducted to ameliorate the symptoms and improve the overall quality of life. However, not many studies have been performed taking into account the changes in the oral hygiene practices. Through this study, we intend to determine the oral hygiene practices and explore difficulties in oral hygiene maintenance among OSMF patients.

Materials and Methods: Thirty OSMF patients were included in the study. Demographic data and habit history were recorded. Oral hygiene instructions were modified, providing each participant with a toothbrush (360 superflex designed for patients who have difficulty reaching some sites in the mouth). Participants were recalled for follow-up after 15 days. Their feedbacks regarding the efficacy of the toothbrush were taken. Results were subjected to statistical analysis.

Results and Conclusion: Percentage of participants experiencing soft-tissue trauma reduced from 90% to 10%. Accessibility to posterior molar teeth improved from 16.7% to 73.3% of participants at the end of the study. Oral health is a reflection of one’s physiological, social, and psychological well-being. Hence, our aim should be to achieve better and cleaner mouths by utilizing readily available resources and providing patients with efficient and easy take home oral hygiene instructions

Keywords: Fagerstrom questionnaire, flexible toothbrush, oral hygiene, oral submucous fibrosis

How to cite this article: Burde NN, Kour P. Oral submucous fibrosis - an impediment for maintenance of good oral hygiene: A questionnaire-based study. J Adv Clin Res Insights 2019;6: 106-109.

Received: 23 June 2019;

Accepted: 26 July 2019


ORIGINAL ARTICLE

Dharmendra Kanoriya, Neetu Bajaj, A. R. Pradeep

1.2% rosuvastatin gel as a local drug delivery agent in smokers with chronic periodontitis – A randomized controlled clinical trial

Year:2019 | Month:July-August | Volume:6 | Number:4 | Pages No:110-115


Background: Etiological factors for periodontal diseases are multifactorial and one of these etiologic agents is bacteria. Mechanical therapy itself may not eliminate the anaerobic infection at the base of the pocket. To overcome this, various drug delivered locally have been used in adjunct to scaling and root planing (SRP). The present trial aims to evaluate the efficacy of 1.2% rosuvastatin (RSV) gel locally delivered as an adjunct to SRP in smokers with chronic periodontitis (CP).

Materials and Methods: A total of 60 patients were randomly divided into two treatment groups: SRP with plac.ebo gel (Group 1) and SRP with 1.2% RSV gel (Group 2). Clinical parameters were evaluated at baseline, 3, 6, and 9 months. Radioic assessment was done at baseline and 6 and 9 months using computer-aided software.

Results: As compared to placebo group, a significant greater mean probing depth reduction and greater mean gain in clinical attachment level were seen in the RSV group at different time periods. Moreover, a greater mean defect depth reduction was found in the RSV group (23.91 ± 1.03, 29.24 ± 0.834) after 6 and 9 months, respectively.

Conclusion: Smokers with CP patients showed significant improvement in evaluated clinical parameters in RSV group with greater percentage of defect depth reduction as compared to placebo group.

Keywords: Clinical trial(s), periodontitis, smoking

How to cite this article: Kanoriya D, Bajaj N, Pradeep AR. 1.2% rosuvastatin gel as a local drug delivery agent in smokers with chronic periodontitis - A randomized controlled clinical trial. J Adv Clin Res Insights 2019;6: 110-115.

Received: 25 June 2019;

Accepted: 26 July 2019


REVIEW ARTICLE

Priyanka Govind Belgal, Bahnishikha Pathak, Lakshmi Shastry

Updates in the surgical management of odontogenic keratocyst

Year:2019 | Month:July-August | Volume:6 | Number:4 | Pages No:116-118


Odontogenic keratocyst (O) is the second most common odontogenic cyst in the oral cavity accounting for 10% of all cysts. Controversies regarding its tumor-like behavior, recurrences, and management have been the reason for this cyst to be exclusive unlike any other odontogenic cyst. In recent literature, the once named keratocystic odontogenic tumor has again been renamed as OKC, thus establishing it as a cyst with an aggressive behavior. In this article, we describe the conservative and radical treatment options for this tumor-like cyst.

Keywords: Aggressive, decompression, enucleation, marsupialization, odontogenic keratocyst, resection

How to cite this article: Belgal PG, Pathak B, Shastry L. Updates in the surgical management of odontogenic keratocyst. J Adv Clin Res Insights 2019;6:116-118.

Received: 19 May 2019;

Accepted: 18 June 2019


REVIEW ARTICLE

Sushant A Pai, Krishna Gopan, Keerthi Ramachandra, Smitha B. Gujjar, K. Karthik

Interocclusal recording materials: A review

Year:2019 | Month:July-August | Volume:6 | Number:4 | Pages No:119-122


To achieve a successful prosthesis, it is important to achieve harmony between the maxillomandibular relationships. This does not pertain only to the opening or closing but is a complex relationship which exists in three dimensions. Hence, it is very important to record this relationship with the least possible error to obtain a successful prosthesis. To record this maxillomandibular relationship, numerous materials are in use and what matters are the precision of the recording materials and their stability. This article seeks to present a review of major bite registration materials and their modification as well as their advantages and disadvantages.

Keywords: Accuracy, bite registration materials, dimensional stability, interocclusal recording materials

How to cite this article: Pai SA, Gopan K, Ramachandra K, Gujjar SB, Karthik K. Interocclusal recording materials: A review. J Adv Clin Res Insights 2019;6:119-122.

Received: 03 June 2019;

Accepted: 20 July 2019


REVIEW ARTICLE

G. J. Renukaradhya, V. S. Shilpa, Shwetha Nambiar, Roopa S. Rao

Stem cell research: A new ray of hope

Year:2019 | Month:July-August | Volume:6 | Number:4 | Pages No:123-125


Stem cell research has been gaining popularity across the globe in recent years with regenerative medicine that is involved in cloning and gene line engineering. The study of stem cell biology requires more human pluripotent and multipotent stem cells. As the stem cell biology varies in humans and mice, human stem cells are required. Citizens should participate in discussing ethical concerns and policy issues regarding stem cell research. There should be specific protocols to enhance production, survival, and integration of transplanted stem cells. This review discusses about the advantages, challenges of stem cell research with strategies to overcome the hurdles.

Keywords: Advantages, challenges, stem cells

How to cite this article: Renukaradhya GJ, Shilpa VS, Nambiar S, Rao RS. Stem cell research: A new ray of hope. J Adv Clin Res Insights 2019;6:123-125.

Received: 25 February 2019;

Accepted: 01 April 2019


CASE REPORT

Nikita N. Burde, Sneha B. Gade, Prabhdeep Kour

Peripheral ossifying fibroma: A series of four cases

Year:2019 | Month:July-August | Volume:6 | Number:4 | Pages No:126-130


Peripheral ossifying fibroma (POF) is composed of fibroblastic connective tissue stroma which is associated with the formation of randomly dispersed foci of mineralized products which consists of bone, cementoid-like substance, or dystrophic calcification. The color of the lesion ranges from red to pink and is frequently ulcerated. Either sessile or pedunculated the size is <2 cms. POF shows a striking female predilection occurring mostly between 2nd and 3rd decades of life. It occurs exclusively on gingiva, frequently on maxilla than mandible, around incisors and canines. Adjacent teeth are usually not affected. Microscopically, POF appears as combination of mineralized product and fibrous proliferation. Highly developed bone or cementum is more likely to be present in long-standing lesions. The objectives of this current case series are to discuss the clinical manifestations, and histopathological presentations of four cases of POF, which were on regular follow-up along with a minireview on the same.

Keywords: Oral tumors, periodontal membrane, peripheral ossifying fibroma, pyogenic granuloma

How to cite this article: Burde NN, Gade SB, Kour P. Peripheral ossifying fibroma: A series of four cases. J Adv Clin Res Insights 2019;6: 126-130.

Received: 11 June 2019;

Accepted: 27 July 2019