Correlation of Salivary pH, Incidence of Dental Caries and Periodontal Status in Diabetes Mellitus Patients: A Cross-sectional Study

INTRODUCTION

Diabetes mellitus is a chronic disease affecting many parts of the body. A number of oral diseases have been associated with diabetes mellitus with an increased risk of dental caries and periodontal disease.

AIM

The aim of the study was to evaluate the salivary pH and incidence of dental caries and periodontal status in diabetes mellitus compared to that of the normal subjects.

MATERIALS AND METHODS

The study population consisted of 40 patients divided into 2 groups with group I comprising of 20 known diabetes mellitus patients and group II comprising of 20 non diabetic subjects as control group. The pH of the saliva was determined using a digital pH meter. Dental caries and periodontal status were assessed by DMFT and PDI indices respectively.

RESULTS

There was a decrease in the mean salivary pH of 6.51 in the study group, compared to the normal mean salivary pH of 7.88 in the control group. The mean DMFT index was higher in the study group (8.10) when compared to that of control group (1.15). The mean PDI score was also higher in the study group (4.0) as compared to that of the control group (0.45).

CONCLUSION

The results of the present study concluded that there was a significant relationship between the diabetes mellitus and increased incidence of dental caries and periodontitis and there was also a significant reduction in the salivary pH in diabetes mellitus patients, compared to that of non diabetic subjects.

Influence of tooth sectioning technique and various risk factors in reducing the IAN injury following surgical removal of an impacted mandibular third molar

A prospective study on 100 patients presented with a mesioangular impacted mandibular third molar in close proximity to the inferior alveolar nerve canal (IANC) was done to evaluate the efficacy of tooth sectioning in reducing the incidence of inferior alveolar nerve (IAN) injury during their surgical removal. The patients were divided into two groups: group A, where tooth sectioning was not performed, and group B, where tooth sectioning was performed. Patients were recalled 7 days, 15 days, 30 days, 3 months, and 6 months postoperatively for evaluation of nerve injury and its recovery. A total of 13 patients suffered from nerve damage out of which 10 patients (10/50 or 20 %) belonged to group A and 3 patients (3/50 or 6 %) belonged to group B. All patients showed complete recovery from nerve damage within 6 months except 1 patient. The result of the study showed that tooth sectioning significantly reduces the incidence of nerve damage by 14 %. Deviation of the IANC, increased depth of the impacted tooth, intraoperative hemorrhage within socket/nerve exposure, and increased duration of procedure were found to be the significant risk factors associated with nerve injury.

Clinical evaluation of nonsyndromic dental anomalies in Dravidian population: A cluster sample analysis

AIM

To record the prevalence rate of dental anomalies in Dravidian population and analyze the percentage of individual anomalies in the population.

METHODOLOGY

A cluster sample analysis was done, where 244 subjects studying in a dental institution were all included and analyzed for occurrence of dental anomalies by clinical examination, excluding third molars from analysis.

RESULTS

31.55% of the study subjects had dental anomalies and shape anomalies were more prevalent (22.1%), followed by size (8.6%), number (3.2%) and position anomalies (0.4%). Retained deciduous was seen in 1.63%. Among the individual anomalies, Talon's cusp (TC) was seen predominantly (14.34%), followed by microdontia (6.6%) and supernumerary cusps (5.73%).

CONCLUSION

Prevalence rate of dental anomalies in the Dravidian population is 31.55% in the present study, exclusive of third molars. Shape anomalies are more common, and TC is the most commonly noted anomaly. Varying prevalence rate is reported in different geographical regions of the world.

A quantitative ethnozoological study of traditionally used animals in Pachamalai hills of Tamil Nadu, India

ETHNOPHARMACOLOGICAL RELEVANCE

The purpose of this study was designed to gather primary folk knowledge on different animal based therapies used by Malayalis in Pachamalai hills. This is the first ethnozoological study in Pachamalai hills; the data regarding the medicinal animals/animal products were documented and their usages were analyzed quantitatively.

METHODS

Data was collected following the interviews from key informants (N=89) and reported diseases and health complications were classified in 18 categories. Seven quantitative indexes such as informant consensus factor (FIC), fidelity level (FL), relative frequency of citation (RFC), relative importance (RI), cultural importance index (CII), index of agreement on remedies (IAR) and cultural agreement index (CAI) were used to analyze the reported animal species.

RESULTS

A total of 46 animal species belonging to 8 taxonomic groups were documented to be used in traditional medicine by Malayalis in Pachamalai hills. Animal based medicines were prepared from whole animals or their body parts or products extracted from them such as: butter, meat, milk, bones, horn, musk, skin, fin, honey, mucus, eggs, urine, excreta, hair and legs. The most encountered taxonomic group was Mammalia having 14 species. Aphrodisiac ailments (AA) (0.99), Dental care ailments (DCA) (0.99), Endocrinal disorders ailments (EDA) (0.99), Hair care ailments (HCA) (0.99), Oncology ailments (OA) (0.99) and Ortho ailments (ORTA) (0.99) gained the highest FIC value. Sus scrofa domesticus scored the highest FL (100%) for the Skeleto-muscular ailments for external cause; Lissemys punctata had the highest RI value (2.00) due to its versatility and the highest frequency of citation (RFC=1.000). Gallus domesticus had the highest cultural importance (CII=8.538) and the highest CAI value (CAI=8.427). According to IAR, Plexippus paykulli (IAR=1.00), Equus ferrus caballus (IAR=1.00), Trachypithecus johnii (IAR=1.00), Oecophylla samaragdina (IAR=1.00) and Apis indica (0.990) had the highest agreement among the informants for being used for the same medicinal purpose. Furthermore, no side effects have been reported from the use of ABT.

CONCLUSIONS

Our study revealed that Malayalis (Pachamalai hills) possess valuable knowledge on Malayalis׳ animal based therapies. It is believed that the present documentation will serve to record this vanishing knowledge before it is eroded completely from the island and to the scientific community. It is also anticipated that the present documentation will be fundamental to protect traditional knowledge, for the conservation and sustainable use of the rich biodiversity of Pachamalai hills for future generations and to ensure Pachamalai hills׳ sovereign rights over its genetic resources and utilization by first documenting them. In addition, further experimental investigations are required to elucidate the pharmacological properties of the reported medicinal fauna of Pachmalai hills.

Evaluation of Dentifrice Containing Nano-hydroxyapatite for Dentinal Hypersensitivity: A Randomized Controlled Trial

BACKGROUND

This randomized, double-blind, parallel arm study was carried out to evaluate and compare the effectiveness between nano-hydroxyapatite (HAP) and a benchmark dentifrice in reducing dentin hypersensitivity.

MATERIALS AND METHODS

About 36 patients were selected, randomly divided into two groups and was evaluated clinically using three different stimuli, i.e., tactile, air blast, and cold water test. The patient's responses to various stimuli were recorded using a visual analog scale at baseline and after 4 weeks.

RESULTS

Statistical analysis was done using unpaired and paired t-tests. It was seen that patients treated in both groups showed significant reductions scores across all sensitivity measures at the end of 4 weeks.

CONCLUSION

The HAP containing toothpaste was effective in reducing dentin hypersensitivity with pre-existing benchmark toothpaste tested and hence can be advocated in the management of hypersensitivity.

Comparision between neocone, alvogyl and zinc oxide eugenol packing for the treatment of dry socket: a double blind randomised control trial

OBJECTIVES

To prospectively evaluate and compare the effectiveness of Neocone, Alvogyl and Zinc Oxide Eugenol (ZOE) intra alveolar dressings for the management of dry socket and to study the epidemiological factors associated with the condition.

STUDY DESIGN

All the patients who underwent extraction of teeth and who fulfilled our inclusion and exclusion criteria from 1st January 2012 to February 28th 2013 were included in our study. Patients who were diagnosed to suffer from dry socket were randomly allocated to three groups namely Group A (Alvogyl), Group B (ZOE), Group C (Neocone). Pain relief and healing of the socket were compared between these groups. The collected data were subjected to statistical analysis by Chi Square test, Z test of proportionality.

RESULTS AND CONCLUSION

Alvogyl is superior to the other two medications for providing initial pain relief. Neocone provides complete pain relief and the healing was fastest with Neocone. Neocone emerged as the most suitable dressing material for the management of dry socket by virtue of shorter time required for complete pain relief, fewer visits and faster clinical healing.

Ethnozoological study of animals used by traditional healers in Silent Valley of Kerala, India

AIM OF STUDY

India has great biodiversity of fauna. The use of fauna with medicinal properties is a common practice since pre-hispanic times. In the last decade, there has been an interest in ethnozoological studies in India. Ethnozoological studies are necessary in order to discover new medications for human health. There is urgency in recording such data. This is the first ethnozoological study in which statistical calculations about animals are done by the ICF method in Kerala, India. The purpose of this study is to analyze and record traditional knowledge of animals utilized by the indigenous people living on Silent Valley, located in Palakkad district of Kerala, India and to document the traditional names, preparation and uses of these animals.

MATERIALS AND METHODS

Field study was carried out for a period of September 2011 to August 2012 years in Kerala. The ethnomedicinal information was collected through interviews, informal meetings, open and group discussions and overt observations with semi-structured questionnaires among traditional healers. The collected data were analyzed through informant consensus factor (ICF) and fidelity level (FL).

RESULTS

This study recorded a total of 57 families, 66 genera, and 69 species of animals that produced 163 methods for usages. Mammalian occupied 29% of the total animals listed, followed by aves (28%), insects (17%), reptiles (10%), actinopterygii (4%), malacostraca, amphibians and clitellata (each 3%), chilopoda (2%) and gastropoda (1%) of the whole, respectively. In regards to usage, 68 species utilized as food products and medicinal uses, totaled 98.55% followed by one species for cosmetics (1.45%).

CONCLUSION

This study indicated that the animals are still being used by the local healers of Palakkad district, to treat various illnesses. The empirical knowledge reported in this study will provide outstanding possibilities for the discovery of new sources of medicine for the drug industry.

Quantitative ethnomedicinal study of plants used in the Nelliyampathy hills of Kerala, India

ETHNOPHARMACOLOGICAL RELEVANCE

Inspite of tremendous advances made in allopathic medical practices, medicinal plants have played an important role throughout the world in treating and preventing a variety of diseases and hence there is urgency in recording such data. This is the first ethnobotanical study in which statistical calculations about plants are done by the Pearson correlation coefficient (PCC) method. The present study was aimed to identify plants collected for medicinal purposes by the traditional healers of Nelliyampathy hills, located in Palakkad district of Kerala, India and to document the traditional names, preparation and uses of these plants.

METHODS

The field study was carried out over a period of 2 years (2011-2013) using semi-structured interviews with 66 informants (most of the informants belonged to an age between 50 and 70 years) in six remote locations in the hills. Ethnomedicinal data was analyzed using frequency citation (FC), relative frequency of citation (RFC) and use value (UV) along with a Pearson correlation coefficient (PCC). Demographic characteristics of participants, ethnobotanical inventory of plants and data on medicinal application and administration were recorded.

RESULTS

A total of 85 medicinal plants belonging to 49 families were reported to be used against 19 different ailments in the hills. The maximum reported medicinal plant families were Cucurbitaceae with 6 species followed by Acanthaceae, Malvaceae and Fabaceae (each 5 species), Asteraceae, Lamiaceae, Moraceae and Myrtaceae (each 3 species), the most dominant life form of the species includes herbs (42) followed by tree (20), climber (15) and shrub (8), the most frequent used part was leaves (40%) followed by root (14%), seed and flowers (each12%), fruit (9%), bark (7%), stem (2%), latex (2%), rhizome and whole plant (each 1%), the most common preparation and administration methods were paste (32%), powder (22%), decoction and juice (each 20%) and raw (4%), infusion and inhalation (each1% ). The Pearson correlation coefficient between RFC and UV was 0.638 showing highly positive significant association.

CONCLUSIONS

In this study, we have documented considerable indigenous knowledge about the native medicinal plants in Nelliyampathy hills for treating common ailments. The plants such as further investigated phytochemically and pharmacologically which leads to natural drug discovery development may be based on the present study. The study has various socioeconomic dimensions which are associated with the local communities.

Documentation and quantitative analysis of the local knowledge on medicinal plants in Kalrayan hills of Villupuram district, Tamil Nadu, India

ETHNOPHARMACOLOGICAL RELEVANCE

The aim of the present study was to document the medicinal plants by the traditional medical practitioners from Kalrayan hills of Villupuram district in Tamil Nadu, India. Quantitatively analyses of the data were made to acquire some useful leads for further studies.

MATERIALS AND METHODS

Successive free listing was the method adopted for the interview. In this study, 54 traditional healer medical practitioners were included and their knowledge on medicinal plants was gathered. The data were assessed with the help of two indices viz., informant consensus factor (Fic) and Informant Agreement on Remedies (IAR).

RESULTS

The present survey is in accordance with some of the aspects of our previous surveys. Regarding the demography of the informants, it exhibited unevenness in male-female ratio and majority of the informants were poorly educated. Practicing this system of medicine as part time job by majority of the informants might indicate the reduced social status of this medicinal system. The present study had recorded the usage of 81 species, which in turn yielded 1073 use reports. The major illness category 'aphrodisiac, hair care and endocrinal disorders' hold a high Fic values. Among the other illness categories, gastro-intestinal ailments, genito-urinary ailments and dermatological infection ailments have a high percentage of use reports. Eye ailments, general health, kapha ailments, psychological ailments and skeleton muscular system ailments were the other illness categories with high Fic values. Some of the claims viz., Argyrolobium roseum (aphrodisiac ailments), Rosa brunonii (eye ailments) Hibiscus surattensis (dermatological infections ailments), Bauhinia variegata (neurology Ailments), Cotinus coggygria (circulatory system/cardiovascular ailments) and Uvaria narum (gastro-intestinal ailments) which have relatively high consensus can be taken up for further biomedical studies, since no substantial studies have been conducted on them.

CONCLUSION

Based on the results of our present study, we have highlighted some claims which are at high use in the study area but having little scientific support. Studies on such claims will provide scientific base to some extent which in turn will be useful to improve the health of indigenous people.

Effect of subthalamic nucleus stimulation on penicillin induced focal motor seizures in primate

BACKGROUND

Drug-resistant motor epilepsies are particularly incapacitating for the patients. In a primate model of focal motor seizures induced by intracortical injection of penicillin, we recently showed that seizures propagated from the motor cortex towards the basal ganglia.

OBJECTIVE

Using the same animal model here, we hypothesized that disruption of subthalamic nucleus (STN) activity by chronic high frequency stimulation (HFS) could modify pathological excessive cortical synchronisation occurring during focal motor seizures, and therefore could reduce seizure activity.

METHODS

Two monkeys were chronically implanted with one electrode positioned into the STN. In each experiment, seizures were induced during 6 hours by injecting penicillin into the motor cortex. During stimulation sessions, HFS-STN was applied at the beginning of penicillin injection.

RESULTS

Our results indicate that HFS-STN improved focal motor seizures by delaying the occurrence of the first seizure, by decreasing the number of seizures by 47% and therefore the total time spent seizing by 53% compared to control. These results argue for a therapeutic use of HFS-STN in motor seizures because they were obtained in a very severe primate model of motor status similar to that seen in human. Furthermore, HFS-STN was much more efficient than direct cortical HFS of the epileptic focus, which we already tested in the same primate model.

CONCLUSIONS

The present study suggests that HFS-STN could be used as an experimental therapy when other therapeutic strategies are not possible or have failed in humans suffering from motor epilepsy but the present study still warrants controlled studies in humans.