Amit Sinha

Aim & Objective: The objective of the study is to compare the efficacy of 0.05% sodium hypochlorite and 0.2% chlorhexidine as a pre-procedural mouth rinse for routine periodontal procedures to reduce the amount of aerosols containing infectious agents. Materials and Methods: A study was designed to be conducted on patients reporting to the outpatient department of Periodontology at Buddha Institute of Dental Sciences & Hospital, Patna. Patients with generalized severe chronic periodontitis were divided into 3 groups. 15 patients were made to rinse with 0.05 % sodium hypochlorite for 1 minute, (Group A), 15 patients with 0.2% chlorhexidine (Group B), and 15 patients with normal saline (Group C) for 1 minute before routine ultrasonic scaling procedure. A blood agar plate exposed at 20 inches from the patient’s oral cavity was used for microbial sampling. It was incubated at 27°C for 24 hours and colony forming units (CFUs) were counted thereafter. Result: There was statistically significant differences in the number of CFUs of the different groups. Conclusion: Both 0.05% sodium hypochlorite and 0.2% chlorhexidine were effective in reducing aerosol contamination during ultrasonic scaling but 0.05% sodium hypochlorite had a significantly better effect than 0.2% chlorhexidine. Keywords: Sodium hypochlorite, Chlorhexidine, Periodontitis

Background : High frenum is very common in function and esthetics. It is manage by procedure such as frenectomy and frenotomy. Most common is the conventional frenectomy which is done by the use of scalpel, now a day’s laser is widely spread and can be used to perform surgeries. Aim of the study: To compare the degree of postoperative pain experienced by patients during frenectomy procedure with surgical scalpel and diode laser technique. Materials and Methods: A total of 20 patients with the age range from 16-40 years old had participated in this study, they were all Systemically healthy, nonsmoker and who required labial frenectomy. That were divided into two groups. Group l includes 10 patients in which frenulectomy was done using the diode laser. Group ll with 10 patients in which scalpel had been used to perform conventional frenectomy. Parameters such as pain is evaluated at intervals of 1week, & 1 month. Results: Intergroup comparison of the mean VAS scores for discomfort and pain for both the groups showed significant difference between the groups. Patients treated with the diode laser had less postoperative pain and required fewer analgesics as compared to patients treated with the conventional scalpel technique. Conclusion: Based on this study outcome, the diode laser is a dependable alternative as it is an efficient and satisfactory option for procedures like frenectomy. Keywords: Frenectomy, Surgical Scalpal, Diode Laser.

Various factor have been discussed in the literatures that facilitate clinical assessment for dental implant selection and placement with consequent hard and soft tissue enhancement around the implant prosthesis. The sequential process of clinical examination, laboratory tests, radiographic analysis, diagnostic protocols of casts, wax ups. Along with the treatment needs and desires of the patient have to be factored in for the overall diagnosis and prognosis of implant therapy. A step-by-step methodology has been created to help the implant practitioner with a checklist that aims to create the optimal plan for each case. Keywords: Diagnosis, Dental Implant, & Treatment Planing.

Background: Ameloblastoma is an odontogenic neoplasm, and accounts 11-13% of all odontogenic tumours. The current study was carried out to evaluate cases of ameloblastoma. Materials and Methods: The current study was carried out on 85 cases of ameloblastoma of both genders. Anatomical location and histopathological variant etc. was recorded. Results: Out of 85 cases, males were 55 and females were 30. Most common type seen was plexiform seen in 35 patients, followed by follicular and acanthomatous in 20 each, granular in 7, desmoplastic in 2 and basal in 1 patient. The difference obtained was statistically significant (p< 0> Conclusion: Authors found that maximum cases were of plexiform type and mandible was commonly involved bone. Keywords: Ameloblastoma, Basal, Plexiform.

Background: To study the association between oral health status and army personnel in Patna (Bihar). Aims & Objective: To assess the oral health status among army personnel in Patna, Bihar. Materials and Methods: A total of 700 army personnel’s were evaluated and oral examination was done by using CPI probe. WHO oral health assessment form (2013)9 was used to assess the Dentition status, periodontal status, presence or absence of oral mucosal lesion. Result: A total of 700 army personnel’s were selected from the Patna, Bihar of which 99.7% were males and 0.3% were females. 65.6% were in the age group of 21-? 35 years and 46.4% were in the age group of >35-55 years. Keywords: Oral health, Periodontal status, Oral mucosal condition, Dental caries and dental fluorosis.

Introduction: The present study was conducted to assess risk factors associated with dental implant failure. Materials and Methods: This study was conducted in the department of Prosthodontics. It included 150 dental implants. Data regarding name, age, gender, diameter of implant and bone quality were considered and evaluated. Results: Out of 150 patients, (with 180 implant) male were 77 (60.5%) with 96 (64%) dental implants and female were 73 (39.4%) with 84 (36%) dental implants. There were 34 (10.5%) dental implant failure of which 22 (11.8%) were in male and 12 (8.3%) in female. The difference found to be significant (P< 0> Maximum dental implant failure was seen in with (15%) length. The difference found to be significant (P< 0> Maximum dental implant failure was seen in dental implant with (14.8%). Maximum dental implant failure was seen with type IV bone in (15.7%). Conclusion: Dental implant failure was high in dental implant with length Keywords: Bone quality, Dental implant, Failure.

Introduction: Gingival recession presents a significant aesthetic problem in dental patients. A variety of surgical techniques have been used to cover these defects. Materials and Methods: The present study was carried out on 30 selected sites having either Miller’s Class I or II marginal tissue recession. This is a clinical study designed as a split mouth randomized controlled trial. Each site constitutes one sample of the study. 15 sites were randomly assigned for the test group (Coronally Advanced Flap with Amnion membrane) and another 15 sites were assigned for the control group (CAF with PRF). All subjects received clinical periodontal examination by a single examiner. Result: There was a statistically non significant difference seen for the values between the inter and intra groups (p>0.05) for RD at all time intervals. Conclusion: Both the treatment modalities for gingival recession coverage demonstrated a significant improvement in the recession coverage and width of keratinized gingiva and can be used in treatment of gingival recession defects. Keywords: CAF, PRF, Amniotic membrane, Gingival recession

Background: The width of attached gingiva varies from tooth to tooth and also among individuals with mixed opinions regarding an “adequate” or “sufficient” dimension of the gingiva. Although the need for a so?called adequate amount of keratinized tissue for maintenance of periodontal health is questionable, the mucogingival junction serves as an important clinical landmark in periodontal evaluation. There are various methods of locating the mucogingival junction namely the functional method and the visual method with and without histochemical staining, which aid in the measurement of the width of attached gingiva. Aims and Objectives: The objectives of the present study were to evaluate the width of attached gingiva as well as to determine the gingival sulcular depth in adult subjects from Eastern India. Materials and Methods: Attached gingival width and sulcus depth were determined by a visual method, using a William’s periodontal probe. There were 120 subjects (60 males) and 60 (females) who represented a healthy population of undergraduate students, interns and post graduate students of Buddha Institute of Dental Sciences and Hospital and the patients reporting to OPD of the Institute. Results: Highest widths of attached gingiva in central incisors of maxillary (3.22±0.59) and mandibular arches (2.18±0.50) were found respectively. The present study found no significant differences in mean width of attached gingiva of maxillary and mandibular arches between male and female subjects. The mean gingival sulcus depth recorded in the present study was 1.04±0.13 mm. This was not significantly associated with age or gender. The mean value for the highest depth of gingival sulci for maxillary first molar was 1.07 ± 0.23 mm and lateral incisors of mandibular arches 1.05 ± 0.19 mm were found respectively. Conclusion: This study has defined baseline values for the attached gingival width and sulcus depth among Eastern Indian population. This would help to determine deviation from the normal or this population and may help to identify individuals at risk for periodontal disease. Keywords: Attached gingival width, Gingival sulcus, Periodontium