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Article: A short term comparative evaluation of the efficacy of diode laser with desensitizing toothpastes and mouthwashes in the treatment of dentinal hypersensitivity.

Acharya, Anirudh B / Chandrashekar, Apoorva / Thakur, Srinath

Journal of clinical and experimental dentistry

2022 Volume 14, Issue 3, Page(s) e229–e234

Abstract: Background: Treatment of dentinal hypersensitivity (DH) has always been challenging with a wide variety of therapeutic options, in-office and home care. The study objective was to compare the clinical efficacy of diode laser [DL] with four commercially ... ...

Abstract	Background: Treatment of dentinal hypersensitivity (DH) has always been challenging with a wide variety of therapeutic options, in-office and home care. The study objective was to compare the clinical efficacy of diode laser [DL] with four commercially available desensitizing agents (two toothpastes and two mouthwashes) in the treatment of DH. Material and methods: This study involved 75 participants (25-45 years) who were categorized as Group 1 (n=15) treated with DL, and Groups 2, 3,4 and 5 (n=15 in each) who were prescribed 3% potassium nitrate mouth rinse, a herbal mouth rinse, potassium nitrate tooth paste and a herbal tooth paste, respectively. DH was assessed by air blast stimulation using air blast syringe, and evaluation of DH was done based on the patient's subjective response using the Visual Analog Scale (VAS) at baseline, 1 week and 1 month. Results: DL and the desensitizing agents showed significant reduction in DH at 1 month when compared with baseline, except potassium nitrate mouth wash. However, DL showed more percentage reduction in DH when compared with potassium nitrate tooth paste, herbal mouth wash and paste. Conclusions: The study implies that even though all five groups showed improvement in terms of DH reduction, DL showed the best results among all the groups.
Language	English
Publishing date	2022-03-01
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2586647-3
ISSN	1989-5488
ISSN	1989-5488
DOI	10.4317/jced.59063
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Estimation and correlation of salivary calcium, phosphorous, alkaline phosphatase, pH, white spot lesions, and oral hygiene status among orthodontic patients.

Bevinagidad, Sangamesha / Setty, Swati / Patil, Anand / Thakur, Srinath

Journal of Indian Society of Periodontology

2020 Volume 24, Issue 2, Page(s) 117–121

Abstract: Introduction: The initial carious lesions are the so-called "white spot" lesions (WSLs), which implies that there is a subsurface area with most of the mineral loss beneath a relatively intact enamel surface. It is common in patients who are taking ... ...

Abstract	Introduction: The initial carious lesions are the so-called "white spot" lesions (WSLs), which implies that there is a subsurface area with most of the mineral loss beneath a relatively intact enamel surface. It is common in patients who are taking orthodontic treatment. Salivary reservoir of calcium and phosphorous counteracts the demineralization and encourages re-mineralization providing protection against caries challenge. This study was aimed to estimate and correlate the oral hygiene status, WSLs and salivary calcium, phosphorus, alkaline phosphatase (ALP), and pH in patients undergoing fixed orthodontic therapy. Materials and methods: All clinical and biochemical parameters were recorded in 27 patients before starting orthodontic treatment and at 6 months of orthodontic treatment. The salivary calcium, phosphorous, ALP, and pH were determined by Arsenazo III method, Molybdate - UV and the International Federation of Clinical Chemistry method, respectively. International caries detection and assessment system index for WSL, orthodontic plaque index, bleeding on probing, and gingival index were recorded. Shapiro-Wilk's test and Wilcoxon test were applied to the data collected for statistical analysis. Results: There was a statistically significant increase with ALP levels, orthodontic plaque index score, gingival index score, and bleeding on probing index score. A statistically significant reduction was seen with respect to levels of calcium and pH. Conclusion: Maxillary canines and lateral incisors were the most affected teeth with WSLs (78.84%). There is a need for more stringent prevention programs and oral hygiene practices prior to initiation of orthodontic treatment and also during orthodontic treatment.
Language	English
Publishing date	2020-03-02
Publishing country	India
Document type	Journal Article
ZDB-ID	2545458-4
ISSN	0975-1580 ; 0972-124X
ISSN (online)	0975-1580
ISSN	0972-124X
DOI	10.4103/jisp.jisp_440_19
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Article ; Online: Reconstruction of Extensive Bucco-Palatal Defects Using Twin Block Grafts: A Clinical Report of the Sandwich Technique in Two Cases.

Kulkarni, Sudhindra S / Thakur, Srinath L / Kamath, Sujatha S

Clinical advances in periodontics

2019 Volume 6, Issue 4, Page(s) 182–189

Abstract: Introduction: Three-dimensional alveolar ridge defects in the anterior maxilla necessitate bone augmentation before implant placement. Bone volume, contour, and the overlying soft tissue form have to be optimized for an ideal outcome. A large three- ... ...

Abstract	Introduction: Three-dimensional alveolar ridge defects in the anterior maxilla necessitate bone augmentation before implant placement. Bone volume, contour, and the overlying soft tissue form have to be optimized for an ideal outcome. A large three-dimensional defect needs osteogenic bone to predictably reconstruct the defect. Autogenous bone in the form of block and particulate is the graft of choice in such situations. Case series: Two cases are presented here with severe three-dimensional alveolar ridge deficiency in the maxillary right lateral incisor and maxillary canine areas, respectively. Both cases had a three-dimensional bone and contour deficiency. Restorative-driven positioning of the implant necessitated augmentation of the buccal and palatal aspects of the defects. The defects were grafted with autogenous corticocancellous bone blocks harvested from the mandibular symphysis. In both sites, one block was placed on the buccal side and the other on the palatal side, "sandwiching" the host bone and the remainder of the gap filled with particulate autogenous bone. Implants were placed in both cases 5 months after the grafting, and the final restorations were placed 5 months subsequently. The implants and the grafts successfully integrated at the sites with stable bone and soft tissue levels. At the 3-year follow-up, both implants showed stable bone and soft tissue levels. Conclusion: Autogenous corticocancellous block grafts used in a sandwich technique reconstructed the lost bone volume, but also facilitated implant placement and optimal restorative outcomes.
Language	English
Publishing date	2019-09-18
Publishing country	United States
Document type	Case Reports
ZDB-ID	2670204-6
ISSN	2163-0097 ; 2573-8046
ISSN (online)	2163-0097
ISSN	2573-8046
DOI	10.1902/cap.2016.150085
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Article: Evaluation of Long-term Stability of Secondary Alveolar Bone Grafts in Cleft Palate Patients Using Multislice Computed Tomography and Three-Dimensional Printed Models: A Prospective Study.

Palankar, Venkatesh / Sattur, Atul / Palankar, Aditi / Rajeswari, S Raja / Thakur, Srinath / Desai, Anil Kumar

Journal of pharmacy & bioallied sciences

2021 Volume 13, Issue Suppl 2, Page(s) S1496–S1500

Abstract: Aim: Three-dimensional (3D) printed models are contemporary volumetric bone graft assessment technique for secondary alveolar bone grafting (SABG) in cleft lip and palate (CLP) patients. The study aimed at evaluation of long-term stability of iliac ... ...

Abstract	Aim: Three-dimensional (3D) printed models are contemporary volumetric bone graft assessment technique for secondary alveolar bone grafting (SABG) in cleft lip and palate (CLP) patients. The study aimed at evaluation of long-term stability of iliac autograft in SABG using multislice computed tomography (CT) and 3D-printed model-based volumetric analysis. Materials and methods: Twenty-eight patients were included in this prospective clinical study. CT image (T1) was taken after orthodontic maxillary expansion, correlating with the presurgical image. Furthermore, 3D-printed model was prepared, and volumetric assessment of graft needed was ascertained with water displacement technique. SABG was carried on with the anterior iliac crest autografting procedure. After 1-year follow-up, postoperative CT analysis (T2) was followed upon. Results: The stability of bone graft at the 1-year postoperative was found to be 43.74% with mean bone loss of 56.26% (95% confidence interval; Conclusion: Within the limitations of the study, it seems appropriate to conclude that 3D-printed models serves as better reference than CT imaging in the context of planning and execution of precise bone grafting in SABG.
Language	English
Publishing date	2021-11-10
Publishing country	India
Document type	Journal Article
ZDB-ID	2573569-X
ISSN	0975-7406 ; 0976-4879
ISSN (online)	0975-7406
ISSN	0976-4879
DOI	10.4103/jpbs.jpbs_265_21
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Article: Palatal approach of anterior superior alveolar injection technique may not be potentially useful in periodontal procedures.

Bhat, Pragathi Raghavendra / Acharya, Anirudh Balakrishna / Thakur, Srinath Lakshman

Journal of Indian Society of Periodontology

2017 Volume 20, Issue 5, Page(s) 557–560

Abstract: Background: The palatal approach of anterior superior alveolar (P-ASA) using WAND injection was reported to effectively provide a profound bilateral maxillary anesthesia of the soft tissue of anterior one-third of the palate and facial gingivae ... ...

Abstract	Background: The palatal approach of anterior superior alveolar (P-ASA) using WAND injection was reported to effectively provide a profound bilateral maxillary anesthesia of the soft tissue of anterior one-third of the palate and facial gingivae extending from canine to canine which lasted for more than an hour thus making it ideal for scaling root planing and minor periodontal procedures in the anterior maxilla. Our study suggests that the conventional P-ASA injection is of very short duration and the extent of anesthesia was not profound and consistent. This has not been reported earlier in the literature. Materials and methods: Thirty-five cases (20 males and 15 females), who underwent scaling, root planing and minor periodontal surgical procedures such as abscess drainage, gingivectomy, and frenectomy in the maxillary anterior region in the age range of 19-45 years was assessed for the efficacy of the P-ASA injection. After the administration of the P-ASA injection, the subjective and the objective symptoms were used to evaluate the extent and duration of the anesthesia at 10, 15, and 20 min. Results: This study suggests that the conventional P-ASA injection technique does not provide anesthesia for more than 20 min. Wilcoxon matched pairs test was used to compare the effect of anesthesia at the different time intervals and the results were found to be statistically significant ( Conclusions: The conventional P-ASA injection technique is of very short duration and does not demonstrate effectiveness in periodontal surgery of the anterior maxilla.
Language	English
Publishing date	2017-04-06
Publishing country	India
Document type	Journal Article
ZDB-ID	2545458-4
ISSN	0975-1580 ; 0972-124X
ISSN (online)	0975-1580
ISSN	0972-124X
DOI	10.4103/0972-124X.201692
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Article ; Online: Perception by Osseointegrated Dental Implants Supporting a Fixed Prosthesis: A Prospective Study.

Bakshi, Purva V / Thakur, Srinath / Kulkarni, Sudhindra

The International journal of oral & maxillofacial implants

2017 Volume 32, Issue 6, Page(s) 1346–1350

Abstract: Purpose: Osseointegrated implants have been shown to transmit a certain sensibility termed as osseoperception. The purpose of this study was to determine the perception by implants over a period of 6 months after loading in comparison to the natural ... ...

Abstract	Purpose: Osseointegrated implants have been shown to transmit a certain sensibility termed as osseoperception. The purpose of this study was to determine the perception by implants over a period of 6 months after loading in comparison to the natural dentition. Materials and methods: Twenty subjects (ages 40 to 50 years) were included in this split-mouth clinical trial. The subjects were divided into two groups (n = 10) as follows: group 1-subjects with recently cemented implant-supported fixed prosthesis opposing natural teeth; group 2-subjects with recently cemented implant-supported fixed prosthesis in both arches. The implant-supported prostheses were considered as the test sites, whereas natural teeth on the contralateral side were considered as the control. Articulating papers of varied thickness were placed interocclusally in the posterior region in a predetermined random order of true and false insertions. The subjects' ability to perceive the presence/absence of the test papers was recorded for every insertion. The evaluation was performed immediately after cementation and at 1 week, 3 months, and 6 months after cementation. The minimum interocclusal thickness detected by the subjects at the test and control sites at different time intervals was used for further analysis. Results: All subjects with implant-supported prostheses perceived a certain thickness of articulating paper. The minimum interocclusal thickness detected by the implant-supported prosthesis decreased postloading; however, the difference was not statistically significant (P > .008). At the end of the follow-up period, the minimum interocclusal thickness detected by the implants in group 1 was similar to the controls, whereas it was significantly higher than the controls in group 2 (P < .05). Conclusion: There was progressive improvement in the perception by implant-supported prostheses during the follow-up period, and it was nearing the perception by natural teeth in subjects with implants opposing natural teeth.
Language	English
Publishing date	2017-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	632880-5
ISSN	1942-4434 ; 0882-2786
ISSN (online)	1942-4434
ISSN	0882-2786
DOI	10.11607/jomi.4515
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Article: A novel clinical protocol for the greater palatine compression suture: A case report.

Kulkarni, Mihir Raghavendra / Shettar, Leena Gangadhar / Bakshi, Purva Vijay / Thakur, Srinath Lakshman

Journal of Indian Society of Periodontology

2018 Volume 22, Issue 5, Page(s) 456–458

Abstract: Bleeding from the palatal donor site is a worrisome complication of palatal soft tissue harvesting procedures and leads to considerable stress to both the patient and the surgeon. Several methods to control palatal hemorrhage have been suggested in ... ...

Abstract	Bleeding from the palatal donor site is a worrisome complication of palatal soft tissue harvesting procedures and leads to considerable stress to both the patient and the surgeon. Several methods to control palatal hemorrhage have been suggested in literature, including a palatal suture, but a precise protocol has not been suggested. The present case report aims to suggest a protocol for the greater palatine compression suture (GPCS). Five patients who experienced profuse bleeding from the palatal free gingival graft donor site were treated with the GPCS. The palatal midline was used as a landmark and the location of the greater palatine foramen was estimated. The suture was placed anterior to the estimated location of the foramen and was passed deep into the palatal tissue with the aim of looping and compressing the vascular bundle. In all the patients, an immediate reduction and arrest of bleeding from the palatal wound was observed with blanching of the soft tissues around the suture. The proposed technique is a predictable method to control palatal hemorrhage and can be used if other less invasive techniques fail to stem the blood flow from an injured palatal vessel.
Language	English
Publishing date	2018-09-06
Publishing country	India
Document type	Case Reports
ZDB-ID	2545458-4
ISSN	0975-1580 ; 0972-124X
ISSN (online)	0975-1580
ISSN	0972-124X
DOI	10.4103/jisp.jisp_140_18
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Article: Serotypes of

Suprith, Sudhakar Shuntikudege / Setty, Swati / Bhat, Kishore / Thakur, Srinath

Journal of Indian Society of Periodontology

2018 Volume 22, Issue 3, Page(s) 201–208

Abstract: Context: Aggregatibacter actinomycetemcomitans: Aims: The aim of the present study was to detect serotypes a, b, c, d, and e of A.a its leukotoxin and find its correlation with periodontal status.: Settings and design: Microbiological analysis and ...

Abstract	Context: Aggregatibacter actinomycetemcomitans Aims: The aim of the present study was to detect serotypes a, b, c, d, and e of A.a its leukotoxin and find its correlation with periodontal status. Settings and design: Microbiological analysis and cross-sectional study. Materials and methods: A total of 80 subjects (40 chronic periodontitis and 40 aggressive periodontitis) in the age range of 14-55 years were selected. Subgingival plaque samples were collected and checked for the presence of A.a. Following isolation of the organism, detection of the serotypes and leukotoxin assessment was done. Statistical analysis used: The proportions of A.a were calculated using descriptive statistics in terms of percentage. Chi-square test was used to find association between serotype, leukotoxin, and periodontal disease in individual group. Results: Out of 80 plaque samples, 45% tested positive for A.a. serotype b was detected in 33.33%, whereas serotype e in 8.33% samples and serotype c in 2.77% samples. Serotypes a and d were not detected in any of the samples. A combination of serotypes was seen in 47.22% of the sites. Of these 76.47% showed a combination of 2 serotypes, while 23.52%showed a combination of 3 serotypes. 8.33% showed untypable serotype. All samples had low-toxic variants of A.a. Conclusions: Serotype b and serotype e were predominant in chronic periodontitis, and serotype b was predominant in aggressive periodontitis. An association could be present between serotype and periodontal disease.
Language	English
Publishing date	2018-06-04
Publishing country	India
Document type	Journal Article
ZDB-ID	2545458-4
ISSN	0975-1580 ; 0972-124X
ISSN (online)	0975-1580
ISSN	0972-124X
DOI	10.4103/jisp.jisp_36_18
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Article: The influence of soft tissue biotype on the marginal bone changes around dental implants: A 1-year prospective clinico-radiological study.

Bhat, Pragathi Raghavendra / Thakur, Srinath Lakshman / Kulkarni, Sudhindra Sushilendra

Journal of Indian Society of Periodontology

2016 Volume 19, Issue 6, Page(s) 640–644

Abstract: Background: The peri-implant mucosa undergoes surgical and bacterial assaults in various stages of implant therapy, however, the literature on changes occurring in the peri-implant mucosa is minimal. This study was thus conducted to evaluate the change ... ...

Abstract	Background: The peri-implant mucosa undergoes surgical and bacterial assaults in various stages of implant therapy, however, the literature on changes occurring in the peri-implant mucosa is minimal. This study was thus conducted to evaluate the change in the peri-implant mucosal thickness and its effect on the marginal bone levels around dental implants treated in a conventional two-stage implant therapy. Materials and methods: A total of 36 implants were placed in 22 subjects. Two subjects dropped out. Thirty-three implants in 20 subjects were then evaluated. Initial mucosal thickness, marginal bone levels on radiographs, pain, and exudation were evaluated. All these parameters were recorded at the time of implant placement, at the time of cementation of final restoration, 6 months and 12 months post cementation/restoration. Results: The peri-implant mucosal thickness reduced from implant placement to second stage and till restorations and was statistically significant, in both the thick and thin biotypes, however, at 12 months there was a rebound of the tissue thickness, which was more in the thick biotype (P < 0.05). At 1-year follow-up, there was a reduction in the marginal bone levels, which was more in the thick biotype as compared to the thin biotype (P < 0.05). Conclusion: The mucosa at implant sites undergoes a reduction in thickness from the time of implant placement till the placement of final restorations. The placement of the final restorations and then end of active therapy leads to a rebound of the tissue thickness. Sites with thicker tissues preoperatively have a lesser bone loss and better rebound as compared to thinner tissues.
Language	English
Publishing date	2016-02-01
Publishing country	India
Document type	Journal Article
ZDB-ID	2545458-4
ISSN	0975-1580 ; 0972-124X
ISSN (online)	0975-1580
ISSN	0972-124X
DOI	10.4103/0972-124X.168489
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Article: Public awareness, knowledge, attitude and acceptance of dental implants as a treatment modality among patients visiting SDM College of Dental Sciences and Hospital, Dharwad.

Siddique, Emaan Ahmed / Bhat, Pragathi Raghavendra / Kulkarni, Sudhindra Sushilendra / Trasad, Vijay Ashok / Thakur, Srinath Lakshman

Journal of Indian Society of Periodontology

2019 Volume 23, Issue 1, Page(s) 58–63

Abstract: Background: The use of dental implants as a prosthetic treatment modality for partially edentulous or completely edentulous patients is increased more commonly ever since the concept of osseointegration has been accepted.: Objective: The objective of ...

Abstract	Background: The use of dental implants as a prosthetic treatment modality for partially edentulous or completely edentulous patients is increased more commonly ever since the concept of osseointegration has been accepted. Objective: The objective of this study is to assess the awareness, knowledge, attitude, and acceptance of dental implants as a treatment modality among patients visiting SDM Dental College, Dharwad. Materials and methods: A cross-sectional survey was conducted among 500 patients visiting SDM College of Dental Sciences and Hospital (SDMCDSH), Dharwad, using a self-explanatory questionnaire. Results: A total of 500 individuals participated in the survey. The results of this survey indicate that 93.4% of the patients knew about dental implants, and for majority of them, the major source of information was through their dentist followed by relatives and friends and electronic media. About 60.4% patients disapproved the removable prosthesis as an option for the replacement of missing teeth. 77.2% patients expressed that they could not afford for the dental implant treatment. The major deterioration for this treatment was related to the cost in 80.4% patients, surgical procedure in 11.6% patients, and a long treatment time in 5.6% patients. While 60.4% patients felt that dental implants being expensive, is the treatment option only for the rich. Conclusion: The results of this survey showed that majority of the patients visiting SDMCDSH, Dharwad, were aware about dental implants as a treatment modality for the replacement of missing teeth. Although the attitude was positive and they did accept dental implants as a treatment option, the treatment cost mainly was the major reason to take a back step.
Language	English
Publishing date	2019-01-28
Publishing country	India
Document type	Journal Article
ZDB-ID	2545458-4
ISSN	0975-1580 ; 0972-124X
ISSN (online)	0975-1580
ISSN	0972-124X
DOI	10.4103/jisp.jisp_281_18
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