Exostosis: A donor site for autograft

This article reports the utilization of exostosis as a source of autogenous bone for the treatment of osseous defects. A patient presented with an exostosis on the mandibular lingual region on the right side of the jaw. Exostosis was surgically removed using a chisel and mallet. The autograft thus obtained was used to treat a shallow osseous crater between 46 and 47. New bone formation was noticed at the grafted site 6 months after grafting. Bone formed in the grafted areas showed comparable clinical features to those of native bone

An evaluation of a resorbable (semirigid) GTR membrane in human periodontal intraosseous defects: A clinicoradiological re-entry study

Aim: To evaluate the effectiveness of a resorbable, semi rigid guided tissue regeneration (GTR) membrane in the treatment of periodontal intraosseous defects. Settings and Design: Randomized controlled clinicoradiological re-entry study. Materials and Methods: Eight patients with bilateral, identical intraosseous defects were selected. The sides for test and control group were randomly allocated to treat either with bioresorbable semi rigid membrane (test group) or open flap debridement (control group). Radiographic analysis was done by comparing intraoral peri apical radiographs taken at baseline and at six months. Extended cone paralleling device with grid was used to standardize radiographs. Auto CAD software was used for the analysis. Statistical Analysis Used: Paired-t test. Results: On surgical reentry at six months, the mean reduction in depth of the defect at the test site was 2.63 mm. The mean gain in Relative attachment level was 1.75 mm. The control sites showed a statistically insignificant gain. The mean percentage defect fill assessed on radiographs using auto CAD software was 15.54%. Conclusion: The resorbable, semi-rigid GTR membrane can be effectively used for the treatment of human one-walled angular defects

The role of vitamin C supplementation in periodontal flap surgery: A randomized controlled trial

Background: A vast literature investigated the role of vitamins in wound healing and pain control. In our study, we explored the role of vitamin C supplementation for various parameters, post periodontal flap surgery in patients with chronic generalized periodontitis. Objectives: (1) to assess and record the Laundry wound healing index and visual analog scale (VAS) score at 3-, 7-, 14-, and 30-day postoperative. (2) To determine the gingival healing and oral hygiene status using PI Loe and Silness 1964 (PI), Lobene Gingival Index 1986 (GI). (3) To determine and compare the pocket depth (PD) and clinical attachment level (CAL) with and without supplementation at 3- and 6-week postoperative. Methods: A randomized triple-blind study was conducted on 60 patients half receiving vitamin C supplementation. The VAS score, wound healing index, PI, GI, PD, and CAL were determined and compared at different time intervals. Results: Statistical analysis was done for the recorded data. Chi-square test for the healing index and Friedmann’s test followed by Wilcoxon signed-rank test for VAS showed statistically significant results (P < 0.05). Friedmann’s test found a statistically significant (P < 0.05) result for the PI score only in the test group. Friedmann’s test found the PI to be statistically significant in the test group (P < 0.05). Friedmann’s test followed by Wilcoxon signed-rank test found the PD and CAL to be statistically significant (P < 0.05) at all different time intervals. Conclusion: In the study, vitamin C supplementation enhanced wound healing and lessened postoperative pain. An instant benefit of vitamin C supplementation was found in this study. A prolonged supplementation and further studies with a considerable sample size would justify the use of vitamin supplementation

Custom anatomic healing abutments

Dental implants with their increasing success rates and predictability of final outcome are fast becoming the treatment of choice for replacing missing teeth. Considering the success of immediate implant placement in reducing tissue loss and achieving good esthetic results, is making it a more popular treatment modality in implant dentistry. Understanding the management of gingival tissues in relation to implants to obtain maximum esthetics is of utmost importance. The use of provisional abutments and immediate temporization has a proven track record of their ability to produce optimal esthetics and to guide the tissue response during the healing phase. With careful patient selection and execution, customized healing abutments can provide an effective method to enhance the esthetic and emergence profile for anterior implant restorations

A review on laboratory liver function tests

Laboratory liver tests are broadly defined as tests useful in the evaluation and treatment of patients with hepatic dysfunction. The liver carries out metabolism of carbohydrate, protein and fats. Some of the enzymes and the end products of the metabolic pathway which are very sensitive for the abnormality occurred may be considered as biochemical marker of liver dysfunction. Some of the biochemical markers such as serum bilirubin, alanine amino transferase, aspartate amino transferase, ratio of aminotransferases, alkaline phosphatase, gamma glutamyl transferase, 5 ’ nucleotidase, ceruloplasmin, α-fetoprotein are considered in this article. An isolated or conjugated alteration of biochemical markers of liver damage in patients can challenge the clinicians during the diagnosis of disease related to liver directly or with some other organs. The term “liver chemistry tests ” is a frequently used but poorly defined phrase that encompasses the numerous serum chemistries that can be assayed to assess hepatic function and/or injury. Key words: Laboratory liver test, bilirubin, alanine amino transferase, aspartate amino transferase, ratio of aminotransferases, alkaline phosphatase, gamma glutamyl transferase, 5 ’ nucleotidase, ceruloplasmin, α-fetoprotein 1 Page numbers not for citation purposesLaboratory Liver Test