Latest About Herpese labialis, Blood Glucose And Magnifying Loupes

What Is The Role Of Gingival Blood Glucose In Prediction Of Diabetes ?

Gingival blood glucose was tested for its glucose content in patients reporting to an OPD. It was found that 40% of the patients who tested positive for the preliminary glucose test were actually having diabetes, when confirmed by other confirmatory lab diagnostic procedures.

What Gives Better Results - Microscope Or Magnifying Loupes ?

A 4 year retrospective study undertaken by Massimo revealed that the final outcomes of surgeries done under the magnification of a microscope or a magnifying loupe is same. The final result of both the type of magnification yields similar post operative results.

New Effective Treatment For Herpes Labialis

In vivo studies have confirmed the effectiveness of a new drug combination for the treatment of herpes labialis. Combining monocaprin with low doses of doxycycline has been proven to treat the herpes labialis infection, with much shorter recovery time. It is noteworthy that both the prodromal and active cases respond well to this new combination

How To Remove "Red Complex" After SRP ?

Patients who report with the chief complaint of bleeding gums are usually treated easily. A few cases may just don't respond. So What could be the best measure to stop the gingival bleeding?
Use Chlorhexidine (CHX) chips immediately after SRP. A recent study suggests that placing CHX chips is very effective in reducing the "red complex". Red Complex is the group of oral microorganisms chiefly responsible for bleeding. Clinical Attachment Levels also improve twice as much as those in controls.
Ref: http://www.joponline.org/doi/abs/10.1902/jop.2011.100287

How To Make A Dedicated Page For Reading Latest Journal Articles

Latest and current knowledge of research is of utmost importance to keep pace with the ever growing field of dentistry. One of the best methods to peacefully read journal articles without being disturbed by the distraction on the web is to make a dedicated page for the very same purpose.
It is a fairly simple process and one can make it with existing or new Gmail / Google id.
Steps:
1. Log in to iGoogle at www.igoogle.com with your existing gmail id.
Click on the page tab labeled "HOME" and you will see a dropdown list. At the bottom of this list see "add a tab" and click it. See Fig 1. below.

Fig 1: Adding a new tab in igoogle home.

 When you click this tab a box pops up. Fill the "tab name" to any sensible name you like, shorter the better. I have used OMR Journals. See Fig 2.

Fig 2: Adding the name of the journal page tab

 When you are done you will get a Message sating "Sorry............" But don't panic. Say thank you ! and click on the blue button labeled "Look for new stuff to add". See Fig 3.

Fig 3: The blue button to click despite the error message. 

 This will take you to a next page. Scroll a bit and see "Add a feed or gadget" and click. A new box pops up. Enter the RSS or Atom feed address of the journals you want to add.

Fig 4: Add a feed or gadget link when pressed give up a pop box.

 An violoa ! you have a tab with the latest headlines from the journal you wish. Clicking these headlines will take you to the actual journal article. If the journal give full length articles you can read the entire article at its earliest.

Fig 5: A new tab added from the journal Journal Of Rehabilitation. Similar more tabs can be added.

 The gadget is customizable, and you can choose how many head lines to display ranging from 1 to 9. The number of columns can also be customized in the settings tab. Keep adding more journal and stay ahead of the crowd - in fact ahead of even the intelligent crowd.

Worlds Largest Dental Calculus Weighing 2850 mg And 31mm X 32 mm

The patient, 34 years old female, reported with the chief complaint of mobile teeth and bad breath. On examination it was found that she is having chronic generalize periodontitis. The most amazing finding however was a large calculus that lied in relation to the lower anterior teeth. One of tooth was completely embedded in the huge mass of calculus.
I removed the labial aspect of calculus to find out that the tooth is really completely embedded in the calculus from occlusal to the apical area. The entire apex was inside the calculus. The root was not even attached to the gingiva and the alveolar bone was far below the calculus.
After careful removal of the remaining part I weighed it in Pharmacology lab. It weighed a whopping 2850 mg. To measure the exact dimension I used Vernier calipers. The dimensions were 31 mm by 32 mm.

Intraoral view of the patients, where this giant calculus was found.

Tissue side of the calculus, mark the embedded apex in the calculus mass

A huge mass of dental calculus removed from the lower lingual area.

Measuring the same with Vernier Calipers

Weighing the calculus in pharmacology lab.

What are your comments for this. Please write it down here.

Dramatic Appearance Of An Innocuous Gingival Lesion

The patient age 27 years male reported with the chief complaint of swelling and spontaneous bleeding from the lesion. Swelling started about 7 months back. Since then it is growing in size and shown increased tendency to bleed. No tenderness on palpation. Very soft in consistency. Profuse bleeding on palpation. Both the Maxillary Central Incisors have been RC treated about 3 years back.

The final diagnosis was Localized Inflammatory Gingival Hyperplasia

Post operative result at 14 days recall.

Treatment

The treatment instituted was oral prophylaxis with manual scaling instruments. The patient was advised to swish and gargle with warm saline water 3 times a day. Second prophylaxis was performed after 7 days. The results can be seen in the above picture.

Interesting Facts About Bone Grafting

Can Bovine Spongiform Encephalopathy Affect Patients With Bone Grafts Of Bovine Origin ?

Bovine bone is one of the most popular xenogenic bone substitute used for regenerative procedures. Several patients and dentists are concerned over the transmission of cattle diseases to the human recipient. Risk assessment studies by A. Sogal and A.J. Tofe concludes that "Based on the risk analysis, it is evident that the risk of BSE infection from BGS is several orders of magnitude less than that posed by the risk of death related to, lightning, tornadoes, or similar remote events. However, this low risk can only be maintained as long as an effective and active risk management program is implemented in operations that involve processing xenogenic tissue for human use." Journal of Periodontology September 1999, Vol. 70, No. 9, Pages 1053-1063 , DOI 10.1902/jop.1999.70.9.1053

What Is The Thickness Of Cortical Plate ?

The average thickness of buccal cortical plate in dentulous mandible is 2.76 mm (± 0.13 mm) while in edentulous mandible is 2.52 mm (± 0.32 mm). The study was performed on cadevors.All these cases exposed the inferior alveolar nerve. So the safer side would be to keep the thickness below the mentioned data. 

http://www.joponline.org/doi/abs/10.1902/jop.2009.090417

Can A Previous Donor Site Be Used Again For Bone Harvesting ?

5 patients underwent bone grafting from symphyseal region. 5 months later there was a need to harvest more bone for implant placement. As the are showed new bone formation in the previous site, once again the bone was harvested from the same area, months later the implants were placed. Both the areas, the donor site and implants site showed proper healing. It can be concluded that bone can be harvested once again from the previous donor site. 
Journal of Periodontology 2009, Vol. 80, No. 5, Pages 865-869 , DOI 10.1902/jop.2009.080602

Novel Technique Of Bone Harvesting For Implant Placement

A new technique has been devised by Kyung-Gyun Hwang, Kwang-Sup Shim, Seung-Min Yang,and Chang-Joo Park that utilizes only the cortical bone of the ramus. This technique overcomes the drawbacks associated with conventional techniques e.g. postoperative pain and swelling to impaired inferior alveolar nerve function. The chances of inferior alveolar nerve damage are abolished because the strategic choice of the site. It is a safe, predictable and reproducible technique for bone harvesting.
Journal of Periodontology 2008, Vol. 79, No. 5, Pages 941-944 , DOI 10.1902/jop.2008.070408

By: Dr. Hamid Raihan
Jaipur Dental College
Jaipur.

Latest Clinically Applicable Periodontal Researches

Antimicrobial photodynamic therapy has shown promising results when used an adjunctive therapy during the treatment of periodontitis. It enhances the bacterial killing esp Porhyromonas gingivalis and deactivates its enzymes. It also diminishes the host cytokines that impair healing.(1)
Diabetic patients under proper glycemic control can receive implants and show successful osteointegration, similar to normal individuals. The serum glycemic level and Hb A1c should be in the normal range for the success of implant osseointegration. (2)

Iron deficiency anemia in female patient is not a direct risk factor for periodontal diseases. (3)

Combined regenerative therapy  is very successful approach in the treatment of human mandibular classII furcation involvements. The combined regenerative therapy consists of a composite graft consisting of bioabsorbable hydroxyapatite and tetracycline (3:1), a guided tissue regeneration barrier, and a coronally advanced flap. (4)

Biphasic Calcium Composite a novel material proves to be equivalent to Autogenous Bone Graft and superior to Simple Flap Operation with debridement in the treatment of intrabony periodontal defects or Vertical Bone Loss. (5)
References:

1. Journal Of Periodontology 2009, Vol. 80, No. 11, Pages 1790-1798 , DOI 10.1902/jop.2009.090214
   
2. Journal Of Periodontology 2009, Vol. 80, No. 11, Pages 1719-1730 , DOI 10.1902/jop.2009.090283 
3. Journal Of Periodontology 2009, Vol. 80, No. 11, Pages 1750-1755 , DOI 10.1902/jop.2009.090209
4. Journal Of Periodontology 2009, Vol. 80, No. 11, Pages 1756-1764 , DOI 10.1902/jop.2009.080605
5. Journal Of Periodontology 2009, Vol. 80, No. 11, Pages 1774-1782 , DOI 10.1902/jop.2009.090229

VivaSens : A liquid desensitizer for the treatment of hyper sensitive tooth root surfaces

Composition
Varnish (Ethanol, Water and Hydroxypropylcellulose) containing potassium fluoride, polyethylenglycol dimethacrylate, and other methacrylates.



Indications
– treatment of hypersensitive cervicals.
– treatment of tooth sensitivities e.g. due to bleaching procedures.
– treatment of sensitivities occurring after professional tooth cleaning, scaling and root- planing procedures.
– dentin-protection below restorative materials

Contraindications
– If a patient is known to be allergic or hypersensitive to any of the material’s ingredients.
– If the sensitivity arises from pulpitis or other dental
disease
– Pulp-capping with VivaSens

Side Effects
In individual cases contact with the mucous membranes
may result in short-term reversible irritation. Certain
ingredients of VivaSens may cause sensitization in
predisposed patients or dental personnel which can lead to
allergic contact dermatitis. In such cases, VivaSens should
not be used.

Interactions
If VivaSens is used to protect dentin before adhesive
restorative treatment, compatibility with the chosen
adhesive must be considered. If used with the Total Etch
adhesive Excite®, VivaSens may be applied after the etching
step and always prior to the adhesive. Interactions with
other Total Etch adhesives (using the same treatment
procedure) are not to be expected but cannot be excluded.
Compatibility with other types of adhesives must be
checked by the user.

Application
VivaSens Free Stand® Single Dose is applied by professional
dental personnel, using the pre-mounted and coated brush
provided. Do not use one single dose for more than one
patient!

Step by step application procedure
1.a Free Stand® Single Dose
– Remove the foil lid.
– Remove the white applicator brush from its chamber
and dip into the chamber containing the VivaSens
liquid.
– Twirl the applicator around thoroughly in order to
mix the liquid with the ingredients contained on the
applicator brush.
1.b Bottle
– Squeeze 3 drops of VivaSens onto a mixing block.
– Mix the liquid well with one of the pre-coated
applicator brushes (Always use exactly 3 drops per
brush)
2. Clean all tooth surfaces thoroughly.
3. Dry the tooth surfaces with cotton pellets or a gentle
stream of air.
4. Apply VivaSens to the areas of the teeth affected by
hypersensitivity, using the disposable brush provided.
Gently rub the liquid into the teeth for at least
10 seconds, avoiding contact with the gingiva.
5. Evenly disperse the liquid and dry by gently blowing air
on the treated surfaces for 10 seconds.
Patient instruction
Advise patients not to rinse, eat, drink or brush their teeth
for at least 30 minutes following treatment.

Tip
Repeat the application if sensitivity recurs or persists.

Warning
– VivaSens liquid is an irritant. The coating on the
applicator brush is corrosive. Contact with the skin,
mucous membranes and eyes should be avoided.
– If contact with the eyes should occur, rinse immediately
with water and consult a doctor/ophthalmologist.
If the product comes into contact with the skin, wash
thoroughly with soap and water.
– Repeated skin contact may cause sensitivity to
methacrylates.
– Standard medical gloves do not offer protection from
sensitization to methacrylates.
– Easily flammable. VivaSens contains ethanol and must
be kept away from sources of ignition.

Storage
– Shelf-life: see expiry date on the Single Dose
– Do not use material after the indicated date of expiration
– Storage temperature: 2–28°C (36–82°F)

Keep the material out of the reach of children!
For dental use only!

Manufacturer
Ivoclar Vivadent AG
FL-9494 Schaan/Liechtenstein
The material has been developed solely for use in dentistry. Processing should
be carried out strictly according to the Instructions for Use. Liability cannot be
accepted for damages resulting from failure to observe the Instructions or the
stipulated area of application. The user is responsible for testing the material for
its suitability and use for any purpose not explicitly stated in the Instructions.
Descriptions and data constitute no warranty of attributes and are not binding.