Insights into the seasonal distribution of microplastics and their associated biofilms in the water column of two tropical estuaries.

The present study describes the seasonal distribution of microplastics (MPs) and their associated biofilms in the water column of the Netravathi-Gurupura estuary, southwest India. An average abundance of 8.15 (±3.81) particles/l and 1.14 (±0.78) particles/l was observed during the wet and dry seasons, respectively. Fibres, films, and fragments accounted for majority of the microplastics. Polyethylene terephthalate, polyethylene, polyurethane, polyester, polystyrene, and high-density polyethylene were the major polymers. The risk assessment revealed a low Pollution Load Index, but the Polymer Hazard Index showed higher toxicity. Diatoms from nine genera were observed attached to the microplastic samples with Amphora and Navicula spp. reported in both estuaries during both seasons. The considerable diversity of diatoms, along with other microbial groups, in microplastic-associated biofilms in this study, highlights the urgent need to understand the structure and development of microplastic-associated biofilms and their role in the vertical and horizontal transport of microplastics in tropical estuaries.

Implant practitioners' knowledge, awareness and attitudes regarding soft and hard tissue considerations at a single implant site: A questionnaire study.

BACKGROUND: The success of implant therapy depends on the proper evaluation of soft and hard tissues around implants, and the careful selection of biomaterials to manage the associated defects. To attain healthy peri-implant tissues, knowledge about evaluating and managing soft and hard tissues around dental implants is essential. OBJECTIVES: The aim of the present study was to assess the knowledge, awareness and attitudes regarding soft and hard tissue considerations for single implant sites among the registered dental implant practitioners. MATERIAL AND METHODS: The current survey was carried out among dental implant practitioners registered with the Indian Dental Association (IDA). A total of 49 specialists practicing implant dentistry for at least 1 year were included in the study. The survey was conducted using a census approach. A validated questionnaire was circulated digitally among the participants, with 3 rounds of follow-up. To fill in the questionnaire, the participants' consent was required. RESULTS: The study involved 14 general practitioners (GPs), 7 periodontists, 10 oral and maxillofacial surgeons (OMFSs), 13 prosthodontists, and 5 certified implantologists. The majority of the participants (93.9%) felt that the soft tissue biotype would influence the treatment outcome (p < 0.05). Most of them (91.8%) evaluated the width of hard tissue at the implant site before surgery (p > 0.05), but only 77.6% of the population evaluated the bone width while considering the future prosthesis (p > 0.05). Although all participants placed implants, only 46.9% performed soft tissue augmentation by themselves (p < 0.001), whereas in the case of hard tissue augmentation, the percentage was 65.3% (p < 0.001). CONCLUSIONS: The study identified various knowledge gaps among different practitioners with different educational background. The educational background seemed to have played a significant role in their attitude toward the evaluation and management of soft and hard tissues around dental implants.

Clinical efficacy of subepithelial connective tissue graft and A-PRF in the treatment of gingival recession.

OBJECTIVE: The current study was designed to clinically compare and evaluate subepithelial connective tissue graft (SCTG) and advanced platelet-rich fibrin (A-PRF) membrane-based root coverage in the treatment of gingival recession type 1 (RT1). METHOD AND MATERIALS: The current study involved 17 patients with bilateral gingival recession (RT1). Thirty-four sites were randomly allocated to test (A-PRF) and control (SCTG) sites and all the procedures were performed by a single operator. A single blinded observer evaluated the test and control sites at baseline, 3 months, and 6 months. The clinical parameters such as recession depth, recession width, width of keratinized gingiva, clinical attachment level, and percentage of root coverage were recorded. P < .05 was considered statistically significant. RESULTS: The mean recession depth at baseline for control and test groups was 3.06 ± 0.56 mm and 2.35 ± 0.49 mm, respectively (P < .001). At the end of the study period, the mean recession depth was 0.53 ± 0.62 mm in the control group and 1.12 ± 0.49 mm in the test group (P < .05). No complications were associated with both the groups. The mean percentage of root coverage was 84.31 ± 17.89% in the control group and 51.96 ± 15.45% in the test group (P < .001). CONCLUSION: In conclusion, the study results suggest that both SCTG and A-PRF can be used in treating gingival recessions. However, SCTG is a better material in achieving root coverage and increasing keratinized tissue width. (Quintessence Int 2023;54:134-141; doi: 10.3290/j.qi.b3512389).

Assessment of pollution and risks associated with microplastics in the riverine sediments of the Western Ghats: a heritage site in southern India.

There is very little knowledge on microplastic pollution in the Western Ghats (WG), a heritage site in southwest India. To address this, we have studied the spatiotemporal variations of sedimentary microplastics (MPs) from the River Sharavathi, a pristine river in the Western Ghats (WG), southern India. The rich biodiversity in the region makes it relevant to analyse the distribution of this emerging pollutant that is causing harm to the biota and the ecosystem. We analysed the sedimentological and carbon content (organic and inorganic) of these sediments and explored their relationship with MPs. Finally, risk assessment indices such as the Pollution Load Index (PLI), the Polymer Hazard Index (PHI), and the Potential Ecological Risk Index (PERI) were calculated to detect the levels of plastic pollution. The concentration of MPs ranged from 2.5 to 57.5 pieces/kg and 0 to 15 pieces/kg during the pre-monsoon and post-monsoon seasons, respectively. The dip in the MPs' abundance during the post-monsoon season was due to the extremely high rainfall in the river basin during July-August 2019, which would have entrained the sedimentary MPs and transported them to the coast/Arabian Sea. Smaller MPs (0.3-1 mm) were more abundant than the larger MPs (1-5 mm), mainly due to the breakdown of sedimentary plastics by physical processes. Fragments, films, foams, and fibres were the main categories of MPs, and the main polymers were polyethylene, polyethylene terephthalate, and polypropylene. No significant relationship was observed between the sedimentological properties and microplastics, which may be due to the different physical properties of sediments and microplastics. The PLI, PHI, and PERI indices suggest different contamination levels in the river basin. Based on the PLI scores, all the samples belong to the hazardous level I suggesting minor risk category, and the risk of microplastic pollution falls under the high to hazardous risk category based on the PHI values. The PERI value ranged from 160 to 440 and 40 to 2240 during the pre-monsoon and post-monsoon seasons, respectively. The risk assessment in a region known for its rich biodiversity is crucial, as the data can be used by the district administration to mitigate plastic pollution.

A baseline study of microplastic pollution in a Southern Indian Estuary.

Knowledge on the processes controlling the vertical distribution of microplastics (MPs) in estuaries is less. This research was carried out to determine the MP distribution in the surface, middle, and bottom layers of the Udyavara River Estuary in southwest India. The mean (± standard deviation) concentrations were 320.83 (± 98.30), 514.55 (± 352.16), and 755.03 (± 400.96) particles/m3, respectively. Fibres, films, and fragments dominated, and 57 % of the MPs had a size range of 0.3-1 mm, while 43 % had a size of 1-5 mm. The main polymers were high-density polyethylene and polyethylene terephthalate. A positive correlation (r = 0.421, p = 0.0205, n = 30) exists between the MPs and salinity, suggesting that the MPs are held by dense saline waters. The mean pollution load index value was 2.25 indicating severe pollution. Microplastic pollution is due to harbour, fishing, industrial activities, the effects of southwest monsoon rain, and tidal currents.

Perception of Oral Health and Practices among Children Residing in Orphanages in Bengaluru.

Background: Children residing in orphanages often have accumulated oral health needs as they are unaware of the importance of maintaining good oral hygiene. Due to financial constraints, the provision of oral health care is often neglected. Aims and Objectives: This study attempts to assess the perception of oral health and practices among children residing in orphanages in Bengaluru. Materials and Methods: A cross-sectional survey was conducted among 269 inmates, which assessed their perception and practices concerning oral health. Results: The self-assessment and practices of the study participants varied significantly. The proportion of substance abuse was very low, and the oral hygiene practices of the majority of participants were good. Conclusion: Interventions need to be undertaken to improve and reinforce oral health awareness among the study participants.

Effect of Dental Anxiety on Oral Health among the First-Time Dental Visitors: A Hospital-based Study.

Objective: The objective was to assess dental anxiety and to find its association with oral health status and oral health-related quality of life (OHRQoL) among 20-40-year-old patients visiting Vokkaligara Sangha Dental College and Hospital. Materials and Methods: A single-center, hospital-based cross-sectional study was done among first-time dental visitors in the Department of Oral Medicine and Radiology, Vokkaligara Sangha Dental College and Hospital over a period of 8 months (July 14-February 18). The sample size was determined to be 700. Participants in the age group of 20-40 years were selected based on inclusion and exclusion criteria. Data were collected using Corah's Modified Dental Anxiety Scale, Oral Health Impact Profile-14 (OHIP-14), and clinical examination was done using the WHO oral health assessment form and OHI-S. Data were analyzed using Chi-square test and t-test. The associations found through bivariate analysis were entered as predictor variables into linear and binomial logistic regression models with high dental anxiety as the outcome variable. Results: The results of the study suggested that 56% of the study participants were having dental anxiety. Local anesthetic injection (80%) and fear of tooth drilling (60%) were the most anxiety-provoking stimulus. Analysis of OHIP-14 suggested that respondents perceiving oral health as affecting their life quality (very often/fairly often) in the past year were observed for items such as tension, difficulty to relax, irritability, difficulty in doing usual jobs, and totally unable to function because of oral problems. Dental anxiety was significantly associated with gender (odds ratio [OR] = 1.32), education (OR = 1.43), occupation (OR = 2.07), poor oral hygiene status (OR = 3.15), presence of dental caries (OR = 2.67), bleeding on probing (OR = 1.57), presence of periodontal pockets (OR = 2.64), clinical attachment loss (OR = 1.63), and OHRQoL (OR = 1.76). Stepwise linear regression model of independent variables (<0.05 variables included) explained dental caries as highest predictor (39%), followed by debris (22%), calculus (38%), mean OHIS (27%), mean OHIP-14 (29%), deep pocket (14%), and the least predictor was shallow pocket (9%). Conclusion: Dental anxiety was associated with poor oral health status seeking further attention to modify patients' behavior regarding improvement in oral health status.

Autologous platelet-rich fibrin as an adjunct to non-surgical periodontal therapy-A follow up clinical pilot study.

The aim was to evaluate the effectiveness of autologous platelet-rich fibrin (PRF) as an adjunct to scaling and root planing (SRP) in moderate periodontal pockets. The split-mouth study involved 32 sites from 16 patients. Baseline parameters were recorded followed by complete full-mouth SRP. The test and control sites were randomly selected and autologous PRF was placed in the test site and other site served as control. The blinded examiner recorded clinical parameters at baseline, 60 days, and 90 days. No statistical significance was found at baseline in probing depth (PD) and clinical attachment level (CAL). Statistically, significant improvement was observed within test and control groups at 90 days compared to baseline values. A statistically significant difference in test sites was found in terms of reduction in PD and clinical attachment gain (CAG) compared to the control sites at the end of the study period (p value <0.05). This split-mouth pilot study emphasized a statistically significant improvement in pocket depth reduction and CAL gain when PRF was used as an adjunct to SRP in moderate periodontal pockets.

Association of Dental Neglect Scale and Severity of Dental Caries among Nursing Students: A Cross-Sectional Study.

AIMS: The aim of this study is to assess the utilization of available dental services and home dental care practices in a sample of nursing students and to seek out the correlation if any, between the Dental Neglect Scale (DNS) scores and severity of dental caries. SUBJECTS AND METHODS: The study was conducted among 630 nursing students aged 18-21 years from the area of South Bangalore. The study was cross-sectional in design and a convenience sampling method was adopted to get the desired sample size. A prestructured questionnaire was administered to the students in their classrooms. Following this, a brief oral examination was conducted using mouth mirror and light for the detection of any visible carious lesions. RESULTS: The dental attendance variable was found to be significantly associated with the DNS scores (P < 0.001). The DNS scores were significantly higher (P < 0.001) among those who had visible caries than those who do not. A very good correlation was obtained between scores of DNS and the caries severity (P < 0.001, r = 0.773). CONCLUSIONS: The DNS can be a very good predictor of the dental attendance pattern as well as clinically assessed severity of carious lesions.

Assessment of the Effectiveness of Different Fluoride-releasing Bonding Agents on Prevention of Enamel Demineralization around Orthodontic Bracket: An In Vitro Study.

AIM: The aim of the current research was to evaluate the efficacy of different fluoride-releasing bonding products in preventing enamel demineralization around orthodontic brackets by using a scanning electron microscope (SEM). MATERIALS AND METHODS: This research was performed using 80 healthy human premolar teeth that were extracted in course of orthodontic therapy. Until use, the sample premolars were subjected to storage in 0.1% thymol. Each premolar was thereafter cleansed with pumice for 10 seconds. Stainless steel brackets for premolars were employed. The 80 samples were allocated at random to one of the four groups (20 in each) as follows: Group I, control; group II, Transbond Plus color change adhesive; group III, GC Fuji Ortho LC; and group IV, Vitremer. An hour following bonding, all samples were subjected to pH cycling at a temperature of 37°C for a 14-day period. The premolar teeth were assessed below SEM. Analysis was performed with the one-way analysis of variance. Statistical significance was set at a p-value less than 0.05. RESULTS: The extreme area of demineralization was abridged by the use of Transbond™ Plus color change adhesive (108.19 ± 0.68), trailed by GC Fuji Ortho LC (119.24 ± 0.37) use, Vitremer (121.56 ± 0.92) as well as the control group (141.88 ± 1.09) in that order. And there was a statistically significant difference found between the groups (p <0.001). Tukey's honestly significant difference (HSD) was employed in an overall comparison of mean areas of enamel demineralization, which depicted that differences were significant statistically with the exception of group III and group IV. CONCLUSION: The current research came to a conclusion that the Transbond Plus color change adhesive group was more potent in significant inhibition of demineralization areas in comparison to GC Fuji Ortho LC group and Vitremer group. CLINICAL SIGNIFICANCE: In course of fixed orthodontic therapy, demineralization of enamel is an inherent occurrence. Multiple approaches are being continually developed to avoid the formation of white spot lesions (WSLs) that compromise esthetics and cause deprived remineralization that enhances the menace of dental caries. Bonding agents that can release fluorides are thus considered highly efficacious.