ABSTRACT
Purpose: Diabetes?related retinopathy is the leading cause of blindness in India. The study was carried out with the purpose of studying the association of sight?threatening diabetic retinopathy (STDR) with socioeconomic factors and demonstrating the impact of STDR on the affected individual. Methods: A mixed methods (quantitative and qualitative) research design was used. The study participants were divided into two groups for quantitative analysis. The control group consisted of non–sight?threatening diabetic retinopathy, whereas the study group consisted of sight?threatening diabetic retinopathy. Apart from demographics, data on comorbidities, type and duration of diabetes mellitus (DM), health insurance status, and socioeconomic data were collected from each individual. A statistical test (Chi?square) was performed to study the association between socioeconomic (SE) classes and STDR. For the qualitative part, a few people were chosen. Face?to?face interviews were conducted in depth. Results: A total of 207 individuals, were recruited, of which 69 had STDR and the remaining 138 had non?STDR. The incidence of STDR was high among patients with lower socioeconomic class (SEC) (upper lower and lower), and univariate analysis revealed a strong association between STDR and SEC, the presence of comorbidities, presence of health insurance, type and duration of DM, and P value <0.05. SEC, in contrast, emerged as an independent risk factor for STDR in multivariate analysis. STDR had a devastating effect on all patients interviewed. The financial impact was most likely the most severe. Conclusion: People with lower SEC are more likely to suffer from STDR?related vision loss. The impact of such vision loss on individuals is multifaceted, including a negative impact on social and work life, psychological well?being, and, most importantly, a significant financial impact.
ABSTRACT
Diode laser has been a boon to treat various periodontal diseases in the last decade. Literature cautions that contact of diode laser would be detrimental to bone and leads to bone resorption. However, till date no studies have documented bone damage at different power settings of laser. So, the objective of this study was to evaluate the effects of 980 nm diode laser irradiation on sheep bone under different power settings in continuous wave mode for fixed amount of time. MethodsA fresh femur of sheep devoid of any muscle and soft tissue was obtained. Three markings, each 10 mm long were made for the specimens. The specimens were categorized as sample A, B and C. 980 nm Diode Laser was used to irradiate the specimens with 0.8 W, 1.2 W and 1.4 W at continuous mode as the power settings for sample A, B and C respectively for 10 seconds in direct contact with bone in a brushing like pattern. ResultsThe depth of bone damage was measured using Haematoxylin and Eosin stain. Bone damage was minimum for group 1 followed by group 2 and 3. ConclusionsWhen the specimens were irradiated by a 980 nm diode laser in direct contact with the bone tissue, damage was seen both clinically and microscopically in all groups.
ABSTRACT
This study was carried out to compare the treatment outcome after application of surgical scalpel and sieve methods of diode laser for depigmentation techniques with one year follow up period. METHODSThis was a comparative split mouth intervention study with follow up period of one year. A total of 5 systemically healthy patients, were enrolled in this study. Right and left quadrant were divided into Group A and Group B. In Group A, depigmentation with Sieve method of diode laser and in Group B depigmentation with surgical scalpel technique were used. Dummett Oral Pigmentation Index (DOPI) and Verbal Analogue Scale (VAS) Questionnaires were used to assess the intensity of gingival pigmentation and the pain intensity of the patients respectively. Data was analyzed using SPSS version 2.5 and P value of <0.05 was considered as statistically significant. RESULTSThe pain intensity in Group B (mean rank 1.60, 4.0) was high as compared to Group A (mean rank 0.0, 2.0) at 2 weeks and one month follow up and the results were statistically significant. Group A (mean rank 0.20, 0.80) showed better depigmentation outcome compared group B (mean rank 1.0, 1.80) at six months and one year and the results were statistically significant. CONCLUSIONSSeive method of diode laser therapy showed a significant improvement in gingival pigmentation as well as reduction in pain intensity as compared to surgical scalpel technique.
ABSTRACT
Background: The purposes of this study were to quantify some clinical parameters that are useful as esthetic guidelines when the gingival contour is modified and to compare the left and right sides of the six maxillary anterior teeth. Materials and Methods: Two hundred and forty interdental papilla sites in 20 healthy patients were evaluated. Interdental papilla heights of maxillary anterior teeth were measured from the gingival zenith, along with clinical crown lengths. Percentages of papilla height to crown length were computed and defined as papilla proportion, mesial papilla proportion (MPP) and distal papilla proportion (DPP). Results: Mean interdental papilla heights of maxillary teeth was 3.83 mm mesially and 3.8 mm distally. Mean MPP was 43.69% ( n = 120) and DPP was 44.57% ( n = 120). No significant differences were found between MPP and DPP for maxillary incisors ( P ≥ 0.5). Conclusion: Papilla proportions were approximately 44% for all tooth groups. Canines demonstrated a trend toward increased distal papilla heights. In the present study the average MPP and DPP of the central incisor (CI), lateral incisor (LI) and canine (CA) measured were 43%, 41%, 46%, 40%, and 42% 51% respectively.
ABSTRACT
Background: Pyogenic granuloma is a benign hyper reactive inflammatory lesion that shows a fast growing focal reactive growth of fibrovascular or granulation tissue with extensive endothelial proliferation. Clinically, the lesion is a raised, red, peripheral growth with the base of the lesion either sessile or pedunculated and shows marked predilection for gingiva. This case reports describes two cases of Pyogenic granuloma ( P.G.) which were successfully treated by using surgical excision method.Methods: Two patients presented with a chief complaint of a gingival mass which were surgically excised under local anesthesia followed by a 4 months of reevaluation.Results: The initial diagnosis at presentation was Peripheral giant cell granuloma and Peripheral ossifying granuloma. Radiography showed marginal bone loss accompanying the lesions. Histopathology confirmed the diagnosis of PG.Conclusions: Although Pyogenic granuloma is a non - neoplastic growth in the oral cavity, proper diagnosis, prevention, management and treatment of the lesion are very important. Treatment planning for this condition should take into account the presence of recurrences to evaluate the necessity of an aggressive surgical approach that may involve advanced bone loss and explantation. Further research on the origin of this condition with a larger series of cases is necessary to provide a basis for adequate management.