Publications by authors named "Ksv Ramesh"

Article Synopsis
  • The study aimed to compare the effectiveness of Autologous Particulate Dentin (APD) and Demineralized Freeze-Dried Bone Allograft (DFDBA) in preserving jawbone ridges after tooth extraction, analyzing both clinical and radiographic outcomes.
  • Thirty participants had their mandibular posterior teeth extracted and were divided into two groups to receive either APD or DFDBA mixed with i-PRF, with assessments conducted before and six months after the procedure.
  • Results showed that while both groups experienced a decrease in ridge dimensions, the APD group had less reduction in horizontal ridge width compared to the DFDBA group, indicating APD may be a more effective option for ridge preservation.
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Objectives: The aim of this study was to evaluate and compare the antibacterial efficacy of licorice gel and tetracycline gel against , and .

Methods: An indigenously prepared 50 μL licorice and tetracycline gel was subjected to antibacterial sensitivity test (thrice) against Aa, Pg, Pi by agar well diffusion method using Brain Heart Infusion media. Colonies of Aa, Pg, Pi was transferred into broth and incubated at 37 °C for 24 h and diameter of inhibition zone was measured.

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Background: Nonsurgical periodontal therapy results in the formation of a smear layer which inhibits tissue regeneration. Root biomodification (RB) using various agents has been tried for the enhancement of new attachment formation. However, no substantial therapeutic advantages of currently available root conditioning agents have been reported emphasizing the need for additional biologically acceptable agents.

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Purpose: The aim of the present study is to determine the amount of titanium ions released into the artificial salivary medium by modified glass ionomer cement (GIC) doped with 3% and 5% (w/w) titanium dioxide nanoparticles (TiO2-NPs), and to evaluate their antibacterial properties.

Materials And Methods: 120 cylindrical discs with a diameter of 4 mm and a height of 6 mm were made with 3% and 5% w/w modified GIC containing TiO2 NPs, divided into two groups of 60, and immersed in a chemically synthesized salivary medium. The samples were quantified over four-time periods: 24 hours, two months, four months, and six months, using inductively coupled plasma mass spectroscopy (ICP-MS), antibacterial properties were evaluated by means of colony forming count (CFU) method.

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Background: To evaluate the clinical non-inferiority of injectable platelet-rich fibrin and micro-needling (iPRF+MN) with free gingival grafting (FGG) in periodontal phenotype modification therapy.

Methodology: Twenty participants with a gingival thickness (GT)<0.8 mm in the mandibular anterior region were included.

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Objectives: This research intended to compare and evaluate the effectiveness of titanium-prepared platelet-rich fibrin (T-PRF) over demineralized freeze-dried bone allograft (DFDBA) in treating intra-bony defects based on the clinical and radiographic criteria.

Methods: This is a prospective randomized controlled, single-blinded split-mouth study where 15 patients with 30 intrabony defects were included. Subjects were randomly divided into T-PRF and DFDBA groups respectively.

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Background: A biological seal that protects the implant from any biological or external impingement is created by the supracrestal attached tissues. Sohn's poncho technique is a technique that utilizes a healing abutment at the implant site to stabilize the platelet rich fibrin (PRF) membrane. Thus, the aim of this study is to evaluate the efficacy of Sohn's poncho technique used for placement of leukocyte PRF (L-PRF) membrane in improving the peri-implant mucosal thickness and width of keratinized mucosa as well as in the acceleration of healing process compared to the peri-implant mucosa surrounding healing abutments placed without the L-PRF membrane.

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Article Synopsis
  • A cross-sectional study assessed graduating dental residents' views on online clinical examinations using a validated online questionnaire consisting of 15 multiple choice questions and one open-ended question.
  • 256 dental residents participated, revealing high levels of anxiety (70.7%) and stress (56.1%) during preparation, but only 13.6% experienced internet speed issues during the exams.
  • Overall, while the acceptance of the online format was moderate, residents found it less stressful without an in-person examiner, although they faced challenges in digitizing their academic work and noted issues with sound and image quality.
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Article Synopsis
  • - The systematic review investigates the effectiveness of medicinal herbs in managing gingival and periodontal diseases, highlighting their anti-inflammatory and antioxidant properties as traditional remedies.
  • - A thorough literature search from 2010 to 2022 identified 14 high-quality articles that provided evidence on how medicinal plants help maintain periodontal health by preventing plaque and calculus formation.
  • - The findings suggest that extracts from various parts of plants can serve as effective alternatives to modern pharmaceuticals, alleviating symptoms of chronic gingivitis and supporting oral health.
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Background: Teledentistry which is similar to telemedicine has emerged as a new tool for various dental disciplines. Teleperiodontics is a branch of telehealth which focuses on the application of digital communication technology into the field of periodontics without demanding a specialist presence. An early detection and diagnosis of periodontal conditions can not only treat the disease in its early stage but also prolong the health of the periodontium, thereby improving the overall quality of life of an individual.

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Article Synopsis
  • - The study investigates the effectiveness of periosteal pedicle graft (PPG) as an alternative to subepithelial connective tissue graft (SCTG) for root coverage in dental procedures, highlighting the drawbacks of SCTG, such as the need for a second surgery and potential complications.
  • - A total of 52 gingival recessions were randomly assigned to either the SCTG or PPG groups, with measurements taken at baseline, 3 months, and 6 months post-surgery to assess improvements in recession depth and clinical attachment level.
  • - Results showed both techniques offered significant root coverage with similar outcomes, but PPG provided better patient comfort and eliminated the need for a second surgical site, making it a viable
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Background: After tooth extraction, it is critical to maintain alveolar bone proportions as well as soft tissue integrity for rehabilitation. The common procedure for closing the socket is a coronally advanced flap, however, it compromises the keratinized tissue dimensions. As a result, the current study's goal is to assess and compare the soft tissue dimensional alterations caused by the new palatal rotational pedicle flap versus the conventional coronally advanced flap as an adjunct to alveolar ridge preservation.

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Background: To overcome the drawbacks of sinus floor augmentation procedures newer surgical techniques to reduce sinus perforation such as crestal approach sinus kit (CAS) and piezosurgery, which are minimally invasive procedures enabling uncomplicated sinus elevation have evolved. The aim of the present study was to investigate the performance of CAS kit compared to piezosurgery during maxillary sinus membrane elevation.

Materials And Methods: A total of 40 subjects requiring maxillary sinus membrane augmentation for rehabilitation with implant prosthesis in posterior maxilla were included in the study.

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Background: Peri-implantitis can be attributed to many underlying causes, one of the chief ones being due to infection caused by oral micro flora and particularly . Antibiotics are administered along with mechanical debridement to control the infection. The side effect of conventional antibiotic therapy and drug resistance has led to the necessity for alternate approaches to handle infections.

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Objectives: Root coverage (RC) is an integral part in management of gingival recessions. Unlike isolated recessions, treating multiple recessions is the most challenging scenario especially in smokers who have reported reduced RC in terms of quantity and stability. Modified coronally advanced tunnel (MCAT) technique due to its improved vascularity along with use of porcine-derived collagen matrix (PDCM) (Mucograft™) with its bilayered dense collagen matrix may be a predictable alternative to conventional gold standard subepithelial connective tissue graft (SCTG).

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Article Synopsis
  • - The study investigates how periodontal disease and its treatments affect patients' oral health-related quality of life (OHRQoL), moving beyond just clinical measurements.
  • - Ninety participants were split into two groups: one receiving non-surgical therapy and surgery (SurgPT), and the other receiving only non-surgical therapy (NSPT), with various clinical metrics and OHRQoL surveyed over time.
  • - Results showed significant improvements in clinical parameters for both groups, but those who underwent SurgPT reported a much greater enhancement in OHRQoL compared to the NSPT group.
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Background: The progress in the usage of technology in hardware, software, and cost-effective Internet connectivity enable the availability of science-related information and its usage in all the developing countries. Hence, in this practical world, there should be a need to implement effective and affordable dental education strategies to attain oral health for all in the coming years.

Objective: The aim of this study is to reduce the need to teach theory-based, on-site classes, e-learning came into existence.

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Background: Smoking, which is an important risk factor for periodontitis, induces oxidative stress in the body and causes an imbalance between reactive oxygen species (ROS) and antioxidants, such as superoxide dismutase (SOD). The present study was done to quantify and compare the level of SOD enzyme levels in gingival crevicular fluid (GCF) and saliva among smokers and nonsmokers.

Methodology: One hundred and thirty-five individuals in the age range of 20-55 years, including 45 light smokers, 45 heavy smokers, and 45 nonsmokers (controls), were selected and the clinical parameters recorded were plaque index, probing depth, and attachment loss.

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Background: The present study is aimed at analyzing the expression of inducible nitric oxide synthase (iNOS) in the epithelial lining of odontogenic keratocyst (OKC), dentigerous cyst (DC), radicular cyst (RC) in order to understand the possible role of iNOS with special reference to its neoplastic nature and local aggressive of cysts.

Aim: The primary aim of the following study is to analyze the immunohistochemical expression of iNOS and secondary aim is to compare the iNOS expression, pattern and intensity of staining among the epithelial linings of OKC, DC and RC.

Materials And Methods: iNOS in the epithelial lining cells were analyzing in 10 OKC's, 10 DC's and 10 RC's using immunohistochemistry.

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Background: Periodontitis is a multifactorial inflammatory disease which leads to alveolar bone loss, followed by exposure of root surfaces, which results in an unaesthetic appearance. Palatal masticatory mucosa is widely used as a donor tissue for root coverage procedures, to achieve an aesthetic appearance and to meet patient's needs. Obtaining sufficient volume of tissue without injuring the vessels is necessary.

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