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Objective: To determine the efficacy of latelet-rich fibrin (PRF) and Amniotic membrane (AM) along with the coronally advanced flap (CAF) technique in treating Miller’s class I gingival recession (GR) defects. Material and methods: A total of 32 sites with Miller’s class I GR defects were distributed into Group A (CAF + PRF, n = 16) and Group B (CAF + AM, n = 16). Clinical parameters like gingival index (GI), plaque index (PI), gingival bleeding index (GBI), gingival sulcus depth (GSD), relative attachment level (RAL), and gingival marginal level (GML) were measured at baseline and at 3, 6 and 9 months after surgical intervention. Results: PRF and AM with CAF were effective treatment modalities for treating Miller’s class I GR defects, with an average root coverage value of 2.00 ± 0.75 mm in Group A and 1.5 ± 0.3 mm in Group B. Complete coverage (100 %) was obtained in 57 % sites of group A and 49 % sites of group B. At the 9-month follow-up, there was a significant increase in relative attachment levels in both groups when compared to baseline. Conclusion: In the present study it was observed that there was a clinically and statistically significant improvement in root coverage with both groups. PRF-treated sites showed > 50 % complete coverage and hence were superior. AM showed comparable results to PRF and could be used as an alternative.

Background and Objectives: Fibroblasts form the major cell type of the periodontal ligament and most often studied for periodontal regeneration. The aim of the present study was to investigate the effects of photobiomodulation (PBM) on aged periodontal fibroblasts and compare the viability of periodontal fibroblasts of older and younger individuals. Materials and Methods: A total of 32 patients were divided into four groups: A, B, C, and D. Groups A and C and B and D comprised of extracted teeth of older (>60 year) and younger individuals (

Objectives: Gamma-glutamyl transferase (GGT) enzyme is a routinely used diagnostic marker to detect various systemic diseases, elevation of which indicates destructive activity. Elevated GGT levels in GCF of destructive periodontal diseases hence can be expected. Hence, the aim of this study was to investigate if gamma glutamyl transferase would be a good indicator of on-going disease activity and to also assess the effect of non-surgical therapy on Gamma glutamyl transferase in gingival crevicular fluid of clinically healthy and chronic periodontitis patients. Methods: GCF samples from 20 chronic periodontitis patients and 20 clinically healthy individuals of age group 35–45 years were collected. Clinical parameters were recorded and GGT levels in GCF assessed using semi-autoanalyser before and after appropriate non-surgical periodontal therapy in both the groups. Results: GGT levels were higher in chronic periodontitis group compared to healthy group at baseline. There was a significant reduction in the GGT levels and clinical parameters at 30th and 90th day post treatment. Conclusion: The significant reduction in the GGT levels after Non Surgical Periodontal Therapy at every recall interval may indicate that GGT can be used as a potential diagnostic marker of periodontitis.

Aims: It has been estimated that >30% of male infertility cases are of idiopathic etiology. Recent studies revealed a positive connection between periodontal pockets and sperm submotility, which proposes that periodontitis may have a role in male infertility and inadequate semen quality. The aim of the present investigation was to inspect the relationship between male fertility parameters and the periodontal status of male patients attending in vitro treatment (IVF) clinic. Materials and Methods: The study participants comprised 85 men going to the facility for sperm investigation before semen insemination. The nature of sperm was surveyed by the WHO 2010 criteria. On the same day, male patients were examined for periodontal parameters. Results: The patients were determined to have either gingivitis (24.7%) or periodontitis (75.3%). Normospermia was credited to 23.5% and oligozoospermia to 43.5%. Sperm submotility was seen in 76.4% of patients. A higher number of sites with clinical attachment loss showed a positive correlation with sperm submotility and sperm count. Conclusions: The findings of the present study showed a conceivable relationship between male infertility, decreased semen quality, and periodontal diseases in men visiting IVF centers. Periodontitis may subsequently play a role in male infertility.

Background: Enterococcus faecalis is a Gram-positive, facultative anaerobic coccus that can survive under harsh conditions. Studies have shown a positive relationship between biofilm formation and gelE gene expression in E. faecalis. The production of gelatinase (MMP 2) has been detected in 50% of E. faecalis isolates from endodontic and periodontal infections, which suggests its role in the pathogenesis of apical and marginal periodontitis. Although E. faecalis is not considered a periodontopathogen, this species has been more frequently detected in subgingival samples with periodontitis than from periodontally healthy subjects, suggesting that the local conditions in periodontitis may favor its colonization. Hence, the aim of the current study was to detect and compare the presence of E. faecalis in subgingival biofilms of healthy, gingivitis, and periodontitis subjects. Materials and Methods: A total of 100 subjects aged between 25 and 55 years, from the Outpatient Department of Periodontics were recruited for the study. All the subjects were screened for gingival and periodontal status using plaque index, gingival index, and clinical attachment loss. They were divided into three groups based on the clinical findings. Group A: 18 healthy individuals (gingival index with score zero) Group B: 34 gingivitis patients (gingival index with score >1) Group C: 48 chronic periodontitis patients (clinical attachment loss >5 mm in >30% of sites). Subgingival plaque samples of all the enrolled subjects were collected using a sterile curette, later poured into a transport medium (Viability Medium Goteborg Agar III) and sent for microbial culturing within 2 h for detection of E. faecalis. Results: E. faecalis was detected in 26.8% of all samples evaluated. There was a significantly higher frequency of E. faecalis in subgingival biofilms of periodontitis group (41.7%), compared to gingivitis (5.9%) and healthy group (0%). Conclusion: Enterococci may contribute to increased collagen and periodontal destruction and may further lead to disease progression in patients with chronic periodontitis.

Introduction: Pro-inflammatory mediators are mainly responsible for periodontal tissue breakdown in periodontitis. Ceruloplasmin is one such biomarker, the levels of which seems to be elevated in presence of inflammation. Hence, assessing biomarkers of inflammation is a valuable tool for determining periodontal disease activity. Aim: To evaluate and compare the levels of serum ceruloplasmin in chronic generalised gingivitis, chronic generalised periodontitis and generalized aggressive periodontitis patients. Materials and Methods: Patients visiting the dental Outpatient Department (OPD) during the period of January 2017 to March 2017 were screened for gingival index, probing pocket depth, bleeding on probing and categorised into the following four groups based on the clinical signs and symptoms; healthy controls, chronic generalised gingivitis, chronic generalised periodontitis and generalised aggressive periodontitis groups. Ten patients were enrolled in each group. Blood samples were collected from the antecubital vein of the subjects. The collected samples were taken for serum ceruloplasmin assessment with essential precautions. The test results were subjected to statistical analysis using Tukey’s multiple post-hoc procedure, Karl pearson’s correlation coefficient and One-way ANOVA. results: The results showed that serum ceruloplasmin level in chronic periodontitis was increased when compared to gingivitis group. Further, rise in levels of serum ceruloplasmin was comparatively higher in aggressive periodontitis subjects than chronic periodontitis subjects. conclusion: Inflammatory markers are being used extensively for the diagnosis of periodontal diseases. It can be inferred from the results of the present study that ceruloplasmin is one such biomarker which seems to be elevated with progress in attachment loss.

Introduction: Calendula officinalis is a member of the family Asteraceae containing flavonoids, and essential oils etc. It is known to be effective against certain gram negative and gram positive clinical pathogens. Incorporating natural plant extracts into periodontal antiinfective therapy is a wise alternative in light of rampant antibiotic resistance amongst periodontal pathogens. Aim: To assess the antimicrobial efficacy of C.officinalis against five oral microbes, as compared to gold standard chlorhexidine digluconate. Materials and Methods: The inhibitory action of the two test agents, chlorhexidine digluconate 0.2% and C.officinalis raw extract was assessed using tests to determine minimum inhibitory concentration, minimum bactericidal concentration, and inhibition zones using agar diffusion method. Time kill curve method was used to assess the time in which drug was inhibitive against five oral microbes namely, A.actinomycetemcomitans, P.gingivalis, P.intermedia, F.nucelatum and S.mutans. Results: P.gingivalis and P.intermedia were sensitive to C.officinalis, while F.nucleatum and A.actinomycetemcomitans exhibited reduced sensitivity. C.officinalis was highly effective against S.mutans (3.12 µg/mL), its inhibitory concentration close to that of chlorhexidine digluconate 0.2% (6.25 µg/mL). C.officinalis took longer than chlorhexidine digluconate 0.2% to exhibit lethality against all the organisms that it inhibited. Chlorhexidine exhibited immediate lethality (zero minute) against S.mutans while it inhibited the other microbes at 5 minutes. A.actinomycetemcomitans and P.intermedia were inhibited by C.officinalis at 30 minutes, S.mutans at 10 minutes. F.nucleatum was inhibited by C.officinalis at 2 hours and no inhibition of P.gingivalis by C.officinalis was observed. Conclusion: C.officinalis showed antimicrobial efficacy against most organisms tested, yet its efficacy was not on par with chlorhexidine digluconate 0.2%. However, its performance could still be used as evidence to spur on further human clinical trials, in patients undergoing phase I or IV therapies.