Effect of nonsurgical periodontal treatment on clinical response and glycemic control in type 2 diabetic patients with periodontitis: Controlled clinical trial

Background: Type 2 diabetes mellitus (type 2 DM) and chronic periodontitis are common chronic diseases in adults in the world population. Once periodontal disease is established, the chronic nature of this infection may contribute to worsening of diabetic status leading to more severe diabetes-related complications. It has been proposed that the relation of periodontitis and diabetes is bidirectional. Objectives: The objective was to compare the clinical response and glycemic control in type 2 DM patients with periodontitis, before and after the nonsurgical periodontal treatment with controls. Materials and Methods: A total 70 type 2 DM patients with chronic generalized moderate periodontitis was divided into 2 groups. Treatment group (35) received one stage full mouth scaling and root planning plus oral hygiene instructions; the control group (35) received only oral hygiene instructions. At baseline, 1 st month and 3 rd month, the clinical periodontal parameters (plaque index [PI], gingival index [GI], pocket depth [PD], clinical attachment loss [CAL], gingival recession [GR], and bleeding on probing [BOP]) and glycemic parameters (fasting blood sugar [FBS], and postprandial blood sugar [PPBS]) were recorded, whereas the glycated hemoglobin (HbA1c) was recorded only at baseline and 3rd month. The collected data were subjected to statistical analysis. Results: When comparing the mean scores of clinical parameters for both the groups, there was a significant difference in all clinical parameters, that is, mean PI, GI, BOP, PD, CAL scores except mean GR, whereas for the glycemic parameters, there was a significant difference in mean FBS; PPBS values and no significant difference in mean percentage of HbA1c for treatment group at 3 rd month follow-up. Conclusion: Findings of the present study showed that nonsurgical periodontal treatment resulted in lower glycemic levels and the reduction of clinical parameters of periodontal infection, confirming the existing relation between type 2 DM and periodontal disease

Feeding and oral hygiene habits of children attending daycare centres in Bangalore and their caretakers oral health knowledge, attitude and practices

Aim: Caretakers in day-care centers play a significant role in imparting good oral hygiene practices and also extend a working relationship with parents with regard to their children′s oral health. As a result of this, caregiver′s dental knowledge, attitudes, beliefs and practices affect the child′s oral condition. Settings and Design: A descriptive cross-sectional study involved caretakers working in day-care centers of Bangalore. Fifty-two day-care centers were randomly selected from the different zones of Bangalore city, from which 246 caretakers provided consent for participation. Materials and Methods: A comprehensive, closed-ended, self-administered questionnaire was employed which was designed to collect the sociodemographic details and to evaluate the oral health knowledge, attitudes, practice of caretakers. The institutional review committee approved the study. Data were entered using SPSS 13.01. Results: Seventy-nine percent of the subjects had good knowledge of child′s tooth eruption time, clinical presentation of dental caries and the role of fluoride in caries prevention. Yet, half of the subjects found routine dental examination after all the milk teeth have erupted in the oral cavity insignificant and 41% strongly agreed that dentist should be consulted only when the child has a toothache. In spite of the good knowledge, 77% preferred to use pacifier dipped in honey/sugar if the children acted troublesome. Analogous to this, 45% gave milk/juice with sugar before the child′s nap time. Conclusions: The results of this study indicate that caretaker′s attitude toward oral health care needs is far from acceptable standards to mirror any positive impact on the children

Oral hygiene knowledge and practices among mothers of 3- to 6-Year-old preschool children visiting anganwadis of Bangalore City

Background: Children under the age of 6 years spend most of their time with their parents and guardians, especially mothers, even when they attend preschool or nurseries. It has been found that young children's oral health maintenance and outcomes are influenced by their parent's knowledge and beliefs. Mothers play a vital role in maintaining their children's oral hygiene. Aim: The aim of this study was done to assess the knowledge and practice of oral hygiene among mothers of 3- to 6-year-old preschool children visiting the anganwadis of Bangalore city. Materials and Methods: Mothers of children aged 3–6 years visiting various anganwadis were invited to participate in the study. The sample comprised of 200 mothers through simple random sampling. A pretested questionnaire covering sociodemographic details, importance of brushing deciduous teeth, and oral hygiene practices was distributed to mothers who were willing to participate. Results: In the present study, majority of mothers visiting the anganwadi had only primary school education (79%). About 79.4% of mothers did not have any knowledge regarding the time of eruption of their child's deciduous teeth, 63.8% of mothers did not know the importance of brushing their child's deciduous teeth, and 84.3% mothers did not know that oral diseases can affect general health. Conclusion: The result of the present study showed that the oral health knowledge among the mothers visiting the anganwadis was poor. Awareness programs targeting expectant mothers visiting anganwadis should be employed by training the anganwadi teachers, and importance of primary teeth should be emphasized in different oral health education program

Self-perceived competency among postgraduate students of public health dentistry in India: A cross-sectional survey

Introduction: The professional profile of the public health dentist is made up of a number of competencies. Evaluation of the student′s performance in relation to the specified competencies is an important task for purposes of student evaluation and for assessing the curriculum and making necessary revisions. Aim: The aim was to assess the level of self-perceived competency in dental public health among postgraduate (PG) students in India. Materials and Methods: A cross-sectional study was done among the PG students in the specialty of public health dentistry in India. Their competency was assessed by a questionnaire sent through E-mail. Students assessed their competence in these dental public health functions using a 3 point ordinal scale, 0 indicating "not at all competent," 1 as "competent," and 2 as "very competent." Chi-square has been used for categorical variables. Results: One-hundred and twenty-four PG students responded to the questionnaire. Comparison was made for gender and academic year. Males were significantly competent to comply infection control policies and procedures (P < 0.040FNx01). Third year PG students were significantly competent to comply infection control policies and procedures (P < 0.017) and to adapt their dental practice to the existing laws and regulations (P < 0.45). Conclusion: In the present study, the PG students considered themselves more competent to elaborate the socioeconomic-cultural diagnosis of the community, to participate in epidemiological surveillance system and less competent to adopt ethical principles in all aspects of community oral health activities, to take up initiatives in advocacy issues for health policy and using media effectively

Novel natural product‐based oral topical rinses and toothpastes to prevent periodontal diseases

There is increasing public interest in natural or herbal-based healthcare products. This trend is not only visible in supermarkets and dental practices, but also in the scientific world. An improving number of clinical trials are being conducted to validate the claims made about these products in regards to periodontal health. Among single component preparations, Aloe vera and green tea are the most studied natural ingredients. Concerning polyherbal mixtures, triphala has garnered great interest. The effects of these natural products on periodontal health is encouraging, with almost all studies showing an inhibitory effect on plaque accumulation and an improvement in gingival health. However, more studies are needed to be able to design clinical guidelines to guide the use of these natural products in periodontal practice. For most of these products, few studies are available and, moreover, the available studies are limited in duration, the number of participants, and the specific composition of the natural product is often not described in detail.status: publishe