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Background: The process of curing and regaining the integrity of damaged tissues is known as healing. An autologous concentration of platelets embedded in plasma is known as platelet‑rich plasma (PRP). Aim: This study was conducted to evaluate the role of PRP in the fast healing of wounds and complications in oral surgical procedures. Materials and Methods: A total of 60 patients who underwent different oral surgical procedures were included in this study. PRP was placed in the surgical area after surgical procedures and recalled at the 2nd, 4th, and 6th month postoperatively. There was the assessment of soft tissue healing by measuring the probing depth in teeth adjacent to the surgical area and hard tissue healing in the form of alveolar bone density and alveolar bone height. The assessment of postoperative complications was also conducted. Results: The decrease in the probing depth at different follow‑ups was greater in PRP patients showing better and fast soft tissue healing. The increase in alveolar height and alveolar bone density at different follow‑ups was greater in the PRP group showing better and fast hard tissue healing. The frequency of complications, such as trismus and pain, was lesser in patients with PRP. Conclusion: The wound healing was at increased rate with reduced complications on using PRP in oral surgical procedures. [ABSTRACT FROM AUTHOR]

Tongue is an important structure of oral cavity that is responsible for speech, swallowing, taste and positioning of teeth. A frenum is fold of mucous membrane, with enclosed muscle fibers that attaches lips and cheeks to alveolar and /or alveolar mucosa and underlying periosteum. Ankyloglossia or tongue-tie is a clinical condition characterized by decreased mobility of tongue tip due to usually short, thick lingual frenum resulting in limitation of tongue movements. Lingual frenectomy is the procedure that involves removal of tissue band, the lingual frenum, that connects tongue to the floor of the mouth. Laser frenectomy results in lower risk of relapse, such as adhesion and hence the prognosis is superior to those treated by traditional methods. In this article we report a case of a male patient, 34 year with tongue-tie, complaining of difficulty in speech which was treated with laser with an uneventful healing and good patient satisfaction. [ABSTRACT FROM AUTHOR]

Aim: The purpose of this research is to compare the amounts of bacteria that are extruded from their apical surfaces during the instrumentation of root canals utilising the K3XF, Protaper Gold, Edge taper Platinum, and Hyflex CM Rotary systems. Materials and methods: Sixty caries free single rooted human maxillary incisor teeth were divided in six groups of ten teeth each. Teeth in each group were instrumented until the working length with the respective rotary file system. The access cavity was made, and the pulp and debris were removed from the canals. On the device for gathering microorganisms, the teeth were mounted. The Fusobacterium Nucleatum (ATCC 25586) was used to infect the root canals, which were then dried at 37 °C for 24 hours. Group I (Control group), no instrumentation was done. Group II used hand K-files, Group III used Protaper gold, Group IV used K3XF, Group V used Edge taper platinum, and Group VI used Hyflex CM rotary file systems. In. The sample was then collected, cultured in Mueller-Hinton agar for 24 hours, and the number of colony-forming units was counted. Statistical analysis: The Kruskal-Wallis nonparametric test and Mann-Whitney U test were applied to determine if significant differences existed among the groups (P< 0.05) Results: Comparing hand K-files to the other four rotary systems, the K3XF file system extruded the fewer number of bacteria. Conclusion: Within the limitations of this study, it can be concluded that all instruments tested produced bacteria from intracanal spaces apically. However, compared to the manual method, engine-driven nickel-titanium devices extruded fewer microorganisms. Comparatively, the K3XF rotary file system extruded less microorganisms than other rotary file systems. [ABSTRACT FROM AUTHOR]

Background: Chronic periodontitis is a prevalent inflammatory condition affecting the supporting structures of teeth. Adjunctive therapies to scaling and root planing (SRP) play a crucial role in enhancing treatment outcomes. This study aimed to compare the clinical effectiveness of subgingivally delivered 0.5% azithromycin gel and 1% chlorhexidine gel as adjuncts to SRP in the management of chronic periodontitis., Materials and Methods: A comparative clinical evaluation was conducted involving 60 participants diagnosed with chronic periodontitis. They were randomly assigned to two groups: Group A received subgingival application of 0.5% azithromycin gel after SRP, whereas Group B received 1% chlorhexidine gel in a similar manner. Clinical parameters including probing pocket depth (PPD), clinical attachment level (CAL), and gingival index (GI) were recorded at baseline and 3-month follow-up., Results: Both groups demonstrated significant improvements in clinical parameters after treatment. However, Group A exhibited a greater reduction in PPD (mean decrease of 2.5 mm) compared with Group B (mean decrease of 1.8 mm). Similarly, Group A showed a higher gain in CAL (mean gain of 2.3 mm) compared with Group B (mean gain of 1.5 mm). In addition, a significant reduction in GI was observed in both groups, with Group A showing slightly better outcomes., Conclusion: Subgingivally delivered 0.5% azithromycin gel demonstrated superior clinical efficacy as an adjunct to SRP in the treatment of chronic periodontitis compared with 1% chlorhexidine gel. The findings suggest that azithromycin gel may serve as a promising therapeutic option in managing periodontal disease., Competing Interests: There are no conflicts of interest., (Copyright: © 2024 Journal of Pharmacy and Bioallied Sciences.)

Background: Various techniques have been employed to enhance the root canal disinfection rate using sodium hypochlorite (NaOCl) as an irrigant. Photon initiated photo-acoustic streaming using lasers is a newer method of endodontic disinfection., Aim: The aim of this study is to evaluate and compare the efficacy of photo-initiated photoacoustic streaming and conventional irrigation technique using 2.5% NaOCl for root canal disinfection in primary teeth., Setting and Design: Laboratory setting and ex-vivo design., Materials and Methods: Twenty extracted primary teeth were selected in which Enterococcus faecalis incubation was done in the root canals and bacterial counts were obtained before the intervention. The teeth were randomly allocated into two groups. Group I samples were irrigated with conventional syringe method using 2.5% NaOCl and Group II samples were irrigated using photon-initiated photo-acoustic streaming method with erbium-doped yttrium aluminum garnet laser (wavelength - 2940 nm). Postintervention samples were obtained, and bacterial colony count was done. Wilcoxon Signed- Ranks Test and Mann-Whitney test were applied to test the intragroup and intergroup differences in the bacterial counts., Results: Postintervention results showed no bacterial growth in the canals irrigated using Laser ( P = 0.004) whereas, fewer bacterial colonies were observed in NaOCl group ( P = 0.005). There was statistically significantly higher reduction in E. faecalis counts in Laser Activated irrigation (LAI) group compared to NaOCl group ( P < 0.05)., Conclusion: Total elimination of E. faecalis counts was obtained by the use of laser activated NaOCl irrigation in the infected root canals, hence, it can be considered as an effective method for pediatric endodontic disinfection., Competing Interests: There are no conflicts of interest., (Copyright: © 2021 Contemporary Clinical Dentistry.)

Aim: The present study was undertaken to assess the inhibitory effect of guava extracts on Porphyromonas gingivalis and Aggregatibacteractinomycetemcomitans, to assess the time-kill curve of P. gingivalis and A. actinomycetemcomitans, and to determine the antiproteolytic activity of guava on P. gingivalis., Materials and Methods: Kanamycin blood agar was used to isolate P. gingivalis and A. actinomycetemcomitans. Ethanolic guava extract (EGE) and aqueous guava extract (AGE) were prepared and the inhibitory effects of these extracts for two periodontal pathogens were tested by minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) procedures. Antibacterial activity of guava extracts was determined by well diffusion method. Antiproteolytic activity of guava on protease of P. gingivalis was determined by gelatin liquefaction test., Results: The MIC determined for AGE and EGE was at 75 μL/mL concentration for P. gingivalis, whereas EGE exhibited the activity at 75 μL/mL on P. gingivalis. The MIC determined for AGE was at 50 μL/mL for A. actinomycetemcomitans, whereas MIC determined for EGE was at 3.12 μL/mL for A. actinomycetemcomitans. Porphyromonas gingivalis was susceptible to EGE compared with AGE. Aggregatibacter actinomycetemcomitans was more susceptible to guava extracts compared with P. gingivalis., Conclusion: Guava extract may be a potential therapeutic agent for periodontitis as it shows significant activity against both P. gingivalis and A. actinomycetemcomitans., Clinical Significance: Guava leaves extract can be used as economical and suitable adjuvant to synthetic drugs and can be a potential therapeutic agent for periodontitis.

Introduction: One of the common findings encountered by the clinician at the end of orthodontic treatment is the apical root resorption. Root resorption occurs to various degrees. A severe form of root resorption is characterized by shortening of root for more than 4 mm or more than one-third of the total tooth length. A low incidence rate of resorption is observed based on radiographic findings for the diagnosis of root resorption, panoramic radiography, and periapical radiography. Hence, we evaluated the accuracy of panoramic radiographic films for assessing the root resorption in comparison with the periapical films., Materials and Methods: This study included the assessment of all the cases in which pre- and post-treatment radiographs were available for analysis of the assessment of the amount of root resorption. Complete records of 80 patients were analyzed. Examination of a total of 900 teeth was done. Mean age of the patients in this study was 21 years ranging from 11 to 38 years. The majority of the patients in the present study were females. All the treatments were carried out by registered experienced orthodontists having minimum experience of more than 10 years. All the cases were divided into two study groups. Group I comprised panoramic radiographic findings, while group II consisted of periapical radiographic findings. For the measurement of crown portion, root portion, and the complete root length, magnification loops of over 100 powers with parallax correction with inbuilt grids were used. Assessment of the tooth length and the crown length was done by the same observers. All the results were analyzed by Statistical Package for the Social Sciences software version 6.0., Results: Maximum amount of root resorption was observed in case of maxillary central incisors and canines among group I and II cases respectively. However, nonsignificant difference was obtained while comparing the mean root resorption in relation to maxillary incisors and canines among the two study groups. While comparing the overall value of root resorption among the two study groups, a significant difference was obtained. The maximum value of tooth length in both the groups was observed in cases of maxillary canines. Significant differences were observed while comparing the tooth length of various teeth among the two study groups. Among the deviated forms of root shape, dilacera-tion was the most common form of root shape detected in both the study groups., Conclusion: Periapical radiographs are more efficient in the assessment of the shape and resorption of the root., Clinical Significance: Thorough evaluation of periapical radiographs is necessary for detection of even minute levels of root resorption.