scholarly journals Evaluation of Efficacy of Triphala as a Preprocedural Mouth Rinse - A Comparative Study

2021 ◽  
Vol 10 (38) ◽  
pp. 3360-3364
Author(s):  
Hanusha Bathula ◽  
Chiranjeevi Vedula ◽  
Harikrishna Reddy Sunkireddy ◽  
Venugopal Kunthsam ◽  
Manasa Dhulipala ◽  
...  

BACKGROUND The objective of the study was to determine the efficacy of Triphala as a preprocedural mouth rinse & comparing the efficacy with chlorhexidine and betadine in reducing the viable microbial load in dental aerosols. METHODS 32 patients with chronic periodontitis were randomly allocated into 4 groups (A, B, C & D) of 8 patients each who received 0.2 % chlorhexidine (CHX), 6 % Triphala (TRP), 2 % betadine and water respectively as a pre-procedural mouth rinse. Blood agar plates were placed on the operator’s chest area and the patient’s chest area for collecting the aerosols. The agar plates were then incubated at 370C for 48 hours and colony-forming units (CFUs) were counted. RESULTS CFU was significantly reduced in groups A, B & C compared to group D. Intergroup comparison showed no significant difference in the efficacy of 0.2 % CHX and 6 % TRP with P-value 0.058 in the operator’s area and with a significant difference of Pvalue 0.014 in the patient’s area. 2 % betadine was found to be least effective among the 3 test groups. The number of CFUs was greater at the patient’s chest area than that of the operator. CONCLUSIONS This study reinforces the importance of preprocedural mouth rinse. Triphala showed near equal efficacy to CHX, which is considered the gold standard in aerosol reduction and also better than 2 % betadine. Therefore, it can be considered as an alternative to CHX as a preprocedural mouth rinse. KEY WORDS Triphala, Chlorhexidine, Betadine, Aerosols, Colony Forming Units (CFUs)

Author(s):  
Upendra Prasad ◽  
Abhinav Deshpande ◽  
Praneeta Kamble ◽  
Abhishek Singh ◽  
Adiya Apon ◽  
...  

Introduction: Topical chemotherapeutic agents used in treatment of chronic periodontitis are antimicrobial agents which help in plaque control. The present study evaluates the efficacy of ornidazole gel with gold standard chlorhexidine gel when used as adjunct to scaling and root planing. Material and Methods: 90 patients diagnosed as chronic periodontitis, having pocket depth ?3 mm and in good systemic health were selected by systematic sampling method and divided in 3 groups. In all 3 groups scaling and root planing was done. In group A, Ornidazole gel application was done while in Group B Chlorhexidine gel application was done while Group C was control group. Plaque Index (PI) and Gingival Index (GI) were recorded at baseline, 1 and 3 months while Probing pocket depth (PPD) and Clinical attachment level (CAL) were recorded at baseline and 3 months. Results: PI and GI showed significant reduction in all three groups after 1 and 3 months compared to baseline. On inter group comparison, both PI and GI showed no significant difference in reduction of scores after 1 month and 3 months (p>0.05). PPD and CAL values showed statistically significant reduction after 3 months when compared to baseline values. The intergroup comparison revealed statistically significant reduction in group A and B compared to control group C (p<0.05). Conclusion: Ornidazole showed comparable efficacy as Chlorhexidine when used as adjunct to scaling and root planing for treatment of chronic periodontitis.


2019 ◽  
Vol 90 (1) ◽  
pp. 63-68 ◽  
Author(s):  
Adenilson Silva Chagas ◽  
Karina Maria Salvatore Freitas ◽  
Rodrigo Hermont Cançado ◽  
Fabricio Pinelli Valarelli ◽  
Luiz Filiphe Gonçalves Canuto ◽  
...  

ABSTRACT Objective To compare the level of satisfaction in the use of wraparound Hawley and thermoplastic maxillary retainers. Materials and Methods The study sample included 70 orthodontic patients (24 males and 46 females), who were in the retention stage (mean age = 20.80 years). All patients wore the two types of maxillary retainer for 1 month each, along with a 3×3 fixed mandibular retainer. After the use of each retainer, the patients responded to a questionnaire evaluating the level of satisfaction with their use of the maxillary retainer. Intergroup comparison was performed by independent t tests. Chi-square test was used to evaluate preference for the type of retainer by gender. Results The thermoplastic retainer was better for swallowing and the wraparound Hawley appliance was better for hygiene and durability. The other factors evaluated (adaptation, speech, comfort, esthetics, satisfaction, and fitting) did not show significant differences between the retainers. There was also no significant difference in preference for the appliances. Conclusions Regarding the overall satisfaction and the preference, there was no difference between the wraparound Hawley and thermoplastic retainers. The wraparound Hawley appliance was better in hygiene and resistance than the thermoplastic retainer; and the thermoplastic appliance was better than the wraparound Hawley for swallowing fluids and saliva.


Author(s):  
Jazuli Ahmad

This research is motivated by the significant difference between the museum visitor in Yogyakarta. The purpose of this study is to determine whether any differences in the perception of visitors of the museum as a tourist destination, the media of non-formal education as an object to increase the appreciation to historical values. The population in this study are all visitors who comes to the museum in Yogyakarta. Total of samples are 120 respondents and using purposive sampling method. Purposive sampling included in non-probability sampling techniques.Based on statistical data analysis, the statement in this research is valid and reliable because that is consistent and reliable fixed anytime and by anyone who will conduct research in a similar context. While the Chi quare test showed no visitors who have different perceptions and there is a visitor who does not have different perceptions of the factors that affect visitors to the museum in Yogyakarta. This can be seen from the results of the P value (Asymp. Sig.)> 0.05 and P value (Asymp. Sig.) <0.05. And for crosstab test results also showed no variables are interrelated and there is a variable that does not have a relationship because there is a calculated value of > table and calculate the < table.To maintain and increase the number of visitor, museum management should strive to improve and enhance the indicators that have value Asymp Sig. > 0.05 so that the perception of the museum’s visitors better than before. Meanwhile, in order to compete in the competitive business engaged in the service, the museum should improve the relationship between the variables and the other variables especially those with a low count .Keywords: perception, Museum in Yogyakarta


2021 ◽  
Vol 75 (2) ◽  
pp. 143-148
Author(s):  
Seyed Mohsen Dehghani ◽  
Sadegh Mohammadi ◽  
Iraj Shahramian ◽  
Fateme Parooie ◽  
Hadi Mirzaie ◽  
...  

Introduction: Liver function test is a part of safe and aff ordable routine blood biochemical tests and provides useful information for the diagnosis and management of liver dysfunction. In this study we evaluated the value of the R factor in distinguishing between intrahepatic and extrahepatic causes of infant cholestasis. Methods: Receiver operating characteristic (ROC) analysis was performed to evaluate the diagnostic value of the R factor in each group in comparison with liver biopsy as the gold standard of diagnosis. The data were analyzed using SPSS statistical software and P < 0.05 indicated a significant difference. Results: The study included 37 neonatal hepatitis patients (group A) and 25 biliary atresia patients (group B). The R factor was calculated using the (ALT patient/ULN)/(ALP patient/ULN) formula; ROC analysis revealed that if the R factor was ≤ 0.09 the patient diagnosis would be biliary atresia with high sensitivity (92%) (p-value = 0.001). The corresponding specificity, positive predictive value (PPV), negative predictive value (NPV), diagnostic accuracy and area under the ROC curve (AUC) were 75.7%, 72%, 93%, 82% and 0.87, respectively. Conclusion: The study revealed that the R factor is a good diagnostic marker for differentiating between the most common intrahepatic and extrahepatic causes of infant cholestasis and has good diagnostic accuracy, sensitivity, specificity, PPV and NPV, in comparison with liver biopsy as the gold standard of diagnosis.


2020 ◽  
Vol 14 (S 01) ◽  
pp. S116-S122
Author(s):  
Beenish Abbas ◽  
Mehreen Wajahat ◽  
Zakia Saleem ◽  
Eisha Imran ◽  
Mehvish Sajjad ◽  
...  

Abstract Objectives To assess knowledge, awareness, and practice of health care workers about the role of teledentistry in coronavirus disease 2019 (COVID-19). Materials and Methods A prevalidated structured questionnaire was used to evaluate awareness of general dentists, postgraduate dental students, dental educators, and consultants with postgraduation degrees toward teledentistry. The acceptability, reliability, and language clarity were also pretested. A total of 510 dental professionals contributed to this study. Statistical Analysis A statistical analysis using SPSS (version 20.0) was performed. Responses were noted as yes or no. A p-value of ≤ 0.05 was considered to be significant. Frequencies described data. Chi-square test was performed for intergroup comparison to evaluate if the knowledge and attitude diverge with the increase in the level of seniority in the profession. Results Awareness regarding teledentistry is high among general dentists with bachelor of dental surgery qualification in comparison to final-year students and postgraduate dental students. The majority of participants agreed with improvement in health care (88.20%), access to rural areas (82.90%), and general practicing dentist agreed with statistically significant difference (0.00) on saving time by teledentistry. Conclusion General practicing dentist was observed with high awareness of teledentistry as compared with postgraduate and undergraduate dental students.


2016 ◽  
Vol 5 (2) ◽  
pp. 37-42
Author(s):  
Vijay Kaul ◽  
Shaktibala Dutta ◽  
Mirza Atif Beg ◽  
Nand Kishore Singh ◽  
Shalu Bawa ◽  
...  

Background Depression is an important global public health problem due to its relatively high lifetime prevalence and significant disability caused by it. The present study was conducted to compare improvement in disability outcome by Amisulpride and Escitalopram among depression patients using WHO-Disability Assessment Schedule (WHO-DAS).Materials and Methods The study was conducted in depression patients for 1 year in the Department of Neuropsychiatry, Nepalgunj Medical College & Teaching Hospital. A total of 117 depression patients were divided into 2 groups. Group I (58 patients) received Amisulpride tablet at a dose of 50 mg/day and Group II (59 patients) were given Escitalopram at a dose of 10 mg/day. The patients were required to follow up at 4 weeks, 8 weeks and at 15 weeks. The efficacy of the drugs was calculated by Hamilton depression rating scale (HAM-D). The improvement in functional outcome was compared between the two groups by using WHO-Disability Assessment Schedule (WHO-DAS). Appropriate statistical tools using GraphPadInstat 3.0 were used for analysis. p value < 0.05 was considered significant.Results HAM-D score in group receiving Amisulpride at 0 and 15 weeks was 16.92±0.35 and 7.87±0.29 (p<0.0001). HAM-D score in group receiving Escitalopram at 0 and 15 weeks was 17.09±0.39 and 6.63±0.39 (p<0.0001). WHO-DAS score in group receiving Amisulpride at 0 and 15 weeks was 112.54±0.82 and 43.08±1.41 (p<0.0001) respectively. WHO-DAS in group receiving Escitalopram at 0 and 15 weeks was 113.73±1.92 and 40.69±1.49 (p<0.0001) respectively. Intergroup comparison at 15 weeks was insignificant (p>0.05). Gastrointestinal disturbances, sexual disturbances, amenorrhea, lactation, agitation and insomnia were the commonly encountered adverse drug reactions.Conclusion Both Amisulpride and Escitalopram showed improvement in WHO Disability Assessment Score (WHO-DAS) at the end of study period. But intergroup comparison showed no significant difference in the two groups. Journal of Nobel Medical College Vol.5(2) 2016; 37-42


Author(s):  
Sindhu Ramarao Ghorpade ◽  
Vijayalakshmi Rajaram ◽  
Jaideep Mahendra ◽  
Burnice Nalinakumari Chelladurai ◽  
Ambalavanan Namasivayam

Introduction: Periodontitis is a polymicrobial and multifactorial oral disease and is the sixth complication of diabetes mellitus. Early diagnosis is important, and the use of non invasive biomarkers are highly useful for this purpose. The level of Macrophage Activating Factor (MAF) and Procalcitonin (ProCT) corresponds to the intensity of the inflammatory response and the severity of infection; thereby indicating that an increase in concentration or persistence of high values is considered as a prognostic indicator for severity of infection with an adverse outcome. Aim: To assess the periodontal parameters and quantify the levels of MAF and ProCT in saliva samples of generalised chronic periodontitis subjects with and without type 2 diabetes mellitus and to correlate these levels with the periodontal parameters. Materials and Methods: The study was a single centre cross- sectional study carried out at the Department of Periodontology, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India, from November 2018 to November 2019. A total of 80 subjects with generalised severe chronic periodontitis were selected and divided into two groups. Group I comprised of 40 subjects who were diagnosed with generalised chronic periodontitis without type 2 diabetes mellitus, whereas group II comprised of 40 subjects with generalised chronic periodontitis who had already been diagnosed with type 2 diabetes mellitus. Periodontal parameters such as Plaque Index (PI), Bleeding on Probing (BOP), Probing Pocket Depth (PPD) and Clinical Attachment Level (CAL) were recorded. The collected samples were subjected to molecular analysis for evaluating ProCT and MAF using Enzyme-Linked Immunosorbent assay (ELISA). Statistical analysis was done using Statistical Package for Social Sciences (SPSS) version 25.1 (Chicago, USA Inc). Student’s Independent t-test was used to compare the mean values for the variables in the control and test group. The Pearson’s correlation test was used to evaluate correlation between all the variables. The p-value <0.05 was set as the level of significance. Results: On comparing the periodontal parameters between group I and group II, there was no significant difference between the groups p-value >0.05. The mean salivary ProCT level in group I and group II was 268.76±152.78 ng/mL and 785.75±244.37 ng/mL, respectively. The mean salivary MAF level in group I and group II was 7.15±2.02 ng/mL and 26.56±9.12 ng/mL, respectively. On comparing MAF and ProCT value between group I and group II, there was a statistically significant increase in group II (p-value <0.001) and a weak correlation value with the periodontal parameters was seen. Conclusion: There was a significant difference in levels of MAF and ProCT in saliva samples of generalised chronic periodontitis subjects with and without type 2 diabetes mellitus, however the periodontal variables in each group did not correlate with MAF and ProCT.


2021 ◽  
Vol 10 (31) ◽  
pp. 2490-2493
Author(s):  
Mallika S. Shetty ◽  
Hasan Sarfaraz ◽  
Sanath Kumar Shetty ◽  
Tushar Milind Wankhede

BACKGROUND Diabetic retinopathy (DR) is a major microvascular complication of diabetes. It has a significant impact on the world’s health systems. Due to a rapid increase in disease burden globally, there arises the need for newer methods of early detection of DR to prevent various complications including total blindness. The association between periodontal problems and diabetes has been studied widely and a positive correlation has been found. Literature search revealed that no studies have been done so far comparing the oral hygiene status among type 2 diabetics with and without retinopathy, thus the purpose of the study was to compare oral hygiene status among type 2 diabetics with and without progressing diabetic retinopathy and thus look for any association between existing oral hygiene status and severity of diabetic retinopathy. METHODS Study was conducted on type 2 diabetic patients with and without progressing diabetic retinopathy visiting the Department of Opthalmology at the University Medical College. A thorough evaluation of oral hygiene status of patients participating in the study was done using OHI - S and Gingival Index. RESULTS There was no statistically significant difference between the OHI - S and diabetic retinopathy, P value (0.522). The gingival index showed statistically significant relation with severity of diabetic retinopathy with P - value of 0.027. The intergroup comparison of the association between the mean OHI - S and GI scores and severity of diabetic retinopathy was found to be statistically insignificant P < 0.269 and P < 0.125. CONCLUSIONS There could be a plausible relationship between diabetic retinopathy and oral hygiene condition. Because of the regional variation in the oral hygiene condition further prospective studies on a large population are required to ascertain whether the existing oral hygiene status has a direct impact on the progression and severity of diabetic retinopathy. KEY WORDS Diabetic Retinopathy, Oral Hygiene, Periodontitis, Type 2 Diabetes Mellitus, Oral Hygiene Index Simplified, Gingival Index


2017 ◽  
Vol 7 (1) ◽  
pp. 57-61
Author(s):  
Vineet Kini ◽  
Mansee Thakur ◽  
Revati Sharma ◽  
Arjumand Farooqui

ABSTRACT Aim To clinically and microbiologically evaluate and compare the plaque inhibitory effect of commercially available herbal extract containing fluoridated dentifrice to that of commercially available fluoridated dentifrice in a healthy dental cohort. Materials and methods A single-center, double-blinded, prospective, cohort, crossover study was conducted involving 25 healthy dental student volunteers meeting inclusion criteria. Two commercially available dentifrices: (Dentifrice A: Commercially available fluoridated dentifrice; and Dentifrice B: Commercially available fluoridated dentifrice containing Bromelain, Papain, Neem, and Meswak were selected as the test products. The study was conducted in two phases of 3 weeks duration each and a washout period of 1 week. Participants were assessed at baseline and 3 weeks using Plaque index (PI) and Gingival index (GI). At 3 weeks, a supragingival plaque was collected from the lingual surface of right mandibular first molar and microbial analysis was done. Microbiological counts were expressed as colony-forming units (CFU) per sample. Results On intergroup comparison, it was observed that mean reduction in PI for Dentifrice B is significantly more than that of Dentifrice A (p-value: 0.000021). There was no significant difference between the mean reduction in the GI of both Dentifrice A and Dentifrice B (p-value: 0.3040). On intergroup comparison of CFUs obtained after 3 weeks, Dentifrice B showed significantly less viable CFUs than that of Dentifrice A (p-value: 9.42E-08). Conclusion In the current study settings, it was observed that herbal extracts in dentifrices have an additive effect with fluoride in plaque inhibition. How to cite this article Kini V, Farooqui A, Pereira R, Sharma R, Thakur M. Comparative Evaluation of the Plaque Inhibitory Effect of a Herbal Extract containing Fluoridated Dentifrice to a Fluoridated Dentifrice: A Clinical and Microbiological Study. J Contemp Dent 2017;7(1):57-61.


2017 ◽  
Vol 4 (3) ◽  
pp. 836
Author(s):  
Ravindernath M. L. ◽  
Mahender Reddy ◽  
Nihar Reddy

Background: Assessment of accurate gestational age of fetus is very imperative for proper obstetric management of normal as well as IUGR pregnancies. The objective of this study was to evaluate the accuracy of transverse cerebellar diameter as against the conventional parameters of Biparietal diameter, head circumference, abdominal circumference and femur length in normal pregnant mothers between 15 to 40 weeks and in antenatal diagnosis of intrauterine growth retardation.Methods: Study done on 100 women attending antenatal department, 80 were normal pregnancy cases and 20 were clinically suspected IUGR cases. In each patient BPD, HC, AC, FL and TCD was measured. Correlation of TCD was done with other measured parameters as well as with estimated gestational age of fetus.Results: There was no statistically significant difference between the age and parity distributions of two groups It was seen that 18 cases were below the fifth percentile for AC and HC, 19 cases were below the fifth percentile for BPD and 16 cases were below the fifth percentile for FL. In 16 out of 20 cases the TCD values were within the normal range. Only in 4 cases the TCD values were below the 5th percentile. This difference in number of cases below the 5th percentile for BPD, HC, AC, FL and TCD was statistically significant (p-value=0.001). In 20 IUGR cases the gestational age predicted by transverse cerebellar diameter measurements closely correlated with gestational age predicted by last menstrual period.Conclusions: It was found that there is good correlation between TCD and other parameters. Also, TCD shows good correlation with gestational age. It is better than BPD in circumstances like excessive moulding and dolichocephaly. Also, TCD measurement is not fraught with problems as encountered in FL measurement.


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