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Attitudes have changed dramatically over the last few years. Both
patients and practitioners want to know more about the treatments
given and the agents that put them at risk of disease. Will a
treatment work? Is this the best available treatment? Can anything
be done to prevent a particular disease? The ability to answer
these questions is inherently dependent upon the ability to read
and interpret the dental literature. This is why it has become
increasingly important for students and practitioners to be
proficient in the area of evidence based dentistry and critical
appraisal. The purpose of this book is to allow periodontists to
gain confidence in their own ability to assess research reports and
overcome the misconception.
The overuse, misuse and widespread prophylactic application of
antibiotics led to the emergence of drug resistant micro-organisms
and also disturb the beneficial microflora (Lactobacilli) of the
body. Probiotics are live microorganisms, which, when administered
in an adequate amount, confer a health benefit on the host. The
most common probiotic strains belong to the genera Lactobacilli and
Bifidobacterium. The purpose of the present study was to evaluate
the effect of probiotic (Inersan lozenges - Lactobacillus brevis)
alone, combination of probiotic with doxycycline and doxycycline
alone on aggressive periodontitis, it being both a clinical and
microbiological study. Probiotic has a future in the treatment of
aggressive periodontitis, as most of the time, antibiotics are
prescribed. These antibiotics can lead to the emergence of drug
resistant micro-organisms and also disturb the beneficial
microflora of the body. Thus, as an alternative to antibiotics,
probiotics can be used as they repopulate beneficial microflora and
reduce the pathogenic bacteria.
The presence of interproximal papilla between the maxillary
anterior teeth is a key esthetic component. One of the major
esthetic challenges in periodontal plastic surgery is the ability
of reconstruction of the lost papilla in the maxillary anterior
segment, the presence of which can result in esthetic and phonetic
problems. The purpose of the study was to investigate the
effectiveness of Robert Azzi technique and Han and Takei technique
in reconstruction of interdental papilla. It also compared the
effectiveness of the above two techniques in reconstruction of
interdental papilla.14 patients who were periodontally healthy and
had a loss of interdental papilla in the upper maxillary incisors
were selected. The clinical parameters were recorded day 0,
baseline, 6 and 12 months from baseline.A statistically significant
improvement was seen in the papilla presence index and papillary
height in both the groups. But on comparing both the techniques
there was no statistical difference between the two.The results of
this study showed that both the techniques were equally effective
in successful reconstruction of interdental papilla and no
technique was superior over the other.
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