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Francis DL, Reddy SSP, Logaranjani A, Chopra SS. Climate change and oral health: Assessing the impacts and developing strategies for adaptation. Oral Dis 2024. [PMID: 38438315 DOI: 10.1111/odi.14922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 02/25/2024] [Accepted: 02/26/2024] [Indexed: 03/06/2024]
Affiliation(s)
- Delfin Lovelina Francis
- Department of Public Health Dentistry, Saveetha Dental College & Hospitals, Saveetha University, SIMATS, Chennai, Tamil Nadu, India
| | | | - Anitha Logaranjani
- Department of Periodontology, Meenakshi Ammal Dental College & Hospitals, Chennai, Tamil Nadu, India
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Pape Reddy SS, Francis DL, Manohar B, Krishnan SA, Chopra SS. Need for additional research on vestibular incision subperiosteal tunnel access (VISTA) technique in India. Lancet Reg Health Southeast Asia 2024; 21:100339. [PMID: 38361595 PMCID: PMC10866928 DOI: 10.1016/j.lansea.2023.100339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 10/24/2023] [Accepted: 11/22/2023] [Indexed: 02/17/2024]
Affiliation(s)
| | | | - Balaji Manohar
- Kalinga Institute of Dental Sciences, KIIT, Campus-5, Patia, Bhubaneswar, 751024, India
| | - Shreehari Ambika Krishnan
- Department of Periodontology, Army Dental Centre (Research & Referral), Dhaula Kuan, Delhi, 110010, India
| | - Sukhbir Singh Chopra
- Department of Periodontology, Army Dental Centre (Research & Referral), Dhaula Kuan, Delhi, 110010, India
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Reddy SSP, Krishnan SA, Singh S, Ramachandra KK, Singh H, Harish R, Francis DL. Envelope coronally advanced flap with site-specific bilaminar acellular dermal matrix or connective tissue graft for management of multiple marginal tissue recessions: A retrospective analysis of cases. Clin Adv Periodontics 2023; 13:247-252. [PMID: 36825604 DOI: 10.1002/cap.10240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 02/13/2023] [Indexed: 02/25/2023]
Abstract
BACKGROUND A proper case selection and decision making is essential for management of multiple marginal tissue recessions (MTR) using a conventional or bilaminar approach. Coronally advanced flap (CAF) is one of the commonly used methods for management of MTR. CAF has been advocated in combination with soft tissue grafts as bilaminar technique, which had showed significant success in terms of root coverage. METHODS AND RESULTS Aim of this case series was to retrospectively evaluate Zucchelli's modification of envelope CAF (eCAF) and site-specific bilaminar methods using Acellular Dermal Matrix (ADM) and Connective Tissue Graft (CTG) for management of MTR. A total of 15 subjects (five subjects/25 sites per technique, total number of sites = 75) who were managed by three different techniques with 12 months postoperative records were retrospectively evaluated. All patients showed significant clinical improvement in root coverage outcomes when compared to baseline. Mean root coverage achieved at 3 months (90%), 6 months (95%) and 12 months (95%) postoperatively did not reveal significant difference between three methods. Complete root coverage was observed in 86.6% of eCAF cases and in 86.6% and 95% of ADM/CTG with eCAF, respectively. There was an increase in width of keratinised tissue, both individually and collectively across all of the groups. CONCLUSION Clinical outcomes suggested that bilaminar techniques should be used only in specific cases. Predictable results can be obtained without the use of a soft tissue graft or substitute if a careful treatment plan for technique selection is developed on an individual case-by-case basis. KEY POINTS Why is this case new information? Comparison of site-specific bilaminar modalities with modified coronally advanced flap alone What are the keys to successful management of such cases? Flap advancement and mobilisation Flap passivity What are the primary limitations to success in such cases? Case selection Flap tension Soft tissue phenotype Thickness of graft Operator skills.
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Affiliation(s)
| | | | - Sangeeta Singh
- Department of Health Policy, London School of Economics and Political Sciences, London, UK
| | | | - Harjeet Singh
- Department of Periodontology, Army Dental Centre (Research and Referral), New Delhi, India
| | - Ruchi Harish
- Department of Periodontology, Army Dental Centre (Research and Referral), New Delhi, India
| | - Delfin Lovelina Francis
- Department of Public Health Dentistry, Saveetha Dental College and Hospitals, SIMATS, Chennai, India
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Reddy SSP, Manohar B. Histological and whole-genome sequencing analysis of coronally advanced flap with connective tissue graft for the treatment of gingival recession-A case study. Clin Adv Periodontics 2023. [PMID: 37987219 DOI: 10.1002/cap.10273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 10/30/2023] [Accepted: 10/31/2023] [Indexed: 11/22/2023]
Abstract
BACKGROUND Oral tissue morphogenesis is innately determined and genetically controlled by underlying connective tissue. The connective tissue graft (CTG) harvested from palatal donor sites originally retains "regional specificity" and is considered to be responsible for epithelial keratinization. METHODS This case study presents histological and genomic outcomes of coronally advanced flap (CAF) with CTG for the management of marginal tissue recession (MTR). The tissue samples harvested at 12-month postoperative period, during the debulking procedure of the treated site were subjected to Masson's trichrome staining (MTS) and whole-genome sequencing (WGS). RESULTS Clinically, the mean root coverage as compared to baseline at 6 months (90%), 12 months (95%), and 24 months (95%) postoperatively was achieved. Overbulking of treated site was evident even after 12 months. Nevertheless, clinically discernible alterations in epithelial keratinization were not present. Although MTS revealed areas of non-keratinization and para-keratinization, WGS revealed a significant expression of keratinization genes, neural crest, and positional marker genes. CONCLUSIONS CAF with CTG is still considered the "gold standard" in treatment of MTR. The keratinization of overlying epithelium at sites hitherto where non-keratinized mucosa is advanced over CTG may not be complete even after 12 months. It is evident from the analysis of the reported case that clinically such sites may appear non-keratinized despite the expression of genes for keratinization. The complex interplay between genomic and phenotypic expressions serves as a foundation of biological concepts. Nevertheless, it is imperative to acknowledge that the phenotype of an organism is not solely determined by genetic expression and is often influenced by a complex interaction between genetic background and environmental factors. KEY SUMMARY The connective tissue serves as a medium for transmitting the genetic code and exerting an influence on the properties of the overlying epithelial tissue. Concrete evidence implies connective tissue plays a significant role in influencing the keratinization process of the overlying epithelium. Epithelial keratinization following a coronally advanced flap with connective tissue graft is also governed by environmental factors in addition to inherent potential within the graft. Differences in gene expression profiles may vary from individuals, teeth and among sites.
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Affiliation(s)
- Saravanan Sampoornam Pape Reddy
- Department of Periodontology, Kalinga Institute of Dental Sciences, Kalinga Institute of Industrial Technology (Deemed to be University), Bhubaneswar, Odisha, India
- Department of Periodontology, Army Dental Centre (Research & Referral), Army Hospital (Research & Referral), New Delhi, India
| | - Balaji Manohar
- Department of Periodontology, Kalinga Institute of Dental Sciences, Kalinga Institute of Industrial Technology (Deemed to be University), Bhubaneswar, Odisha, India
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Sampoornam Pape Reddy S, Francis DL, Harish R, Manohar B, Chopra SS. Letter to editor in response to 'Tian K, Ye J, Zhong Y, Jia Z, Xu W, Gao S, Cao S, Li K, Wu L. Autologous i-PRF promotes healing of radiation-induced skin injury. Wound Repair Regen. 2023;31:454-463'. Wound Repair Regen 2023; 31:729-730. [PMID: 37984411 DOI: 10.1111/wrr.13125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 10/12/2023] [Indexed: 11/22/2023]
Affiliation(s)
| | - Delfin Lovelina Francis
- Department of Public Health Dentistry, Saveetha Dental College & Hospitals, Saveetha University, SIMATS, Chennai, Tamil Nadu, India
| | - Ruchi Harish
- Department of Periodontology, Army Dental Centre (Research & Referral), New Delhi, India
| | - Balaji Manohar
- Department of Periodontology, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India
| | - Sukhbir Singh Chopra
- Department of Orthodontics & Dentofacial Orthopaedics, Army Dental Centre (Research & Referral), New Delhi, India
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Francis DL, Reddy SSP, Kaul N, Jain P, Krishnan SA, Chopra SS. Inconspicuous risk factors for periodontitis: Third-hand smoking. Oral Dis 2023. [PMID: 37593978 DOI: 10.1111/odi.14715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 08/07/2023] [Accepted: 08/08/2023] [Indexed: 08/19/2023]
Affiliation(s)
- Delfin Lovelina Francis
- Department of Public Health Dentistry, Saveetha Dental College and Hospital, SIMATS, Chennai, India
| | | | | | | | | | - Sukhbir Singh Chopra
- Department of Orthodontics & Dentofacial Orthopaedics, Army Dental Centre (Research & Referral), Delhi, India
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Lovelina Francis D, Sampoornam Pape Reddy S. The silent assassin: Third hand smoking. J Glob Health 2022; 12:03079. [PMID: 36462200 PMCID: PMC9719406 DOI: 10.7189/jogh.12.03079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Affiliation(s)
- Delfin Lovelina Francis
- Department of Public Health Dentistry, Saveetha Dental College & Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamilnadu, India
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Reddy SSP, Ramachandra KK, Francis DL, Kumar R. Periodontal and Peri‐implant Plastic Microsurgery. By Glecio VazdeCampos & Claudio JulioLopes. English translation. Batavia, IL, USA: Quintessence Publishing Co, 2021. ISBN: 978‐0867158199. Microsurgery 2022. [DOI: 10.1002/micr.30985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
| | | | - Delfin Lovelina Francis
- Department of Public Health Dentistry Saveetha Dental College & Hospitals Chennai Tamilnadu India
| | - Radhika Kumar
- Department of Periodontology Yashwantrao Chavan Dental College & Hospital Ahmed Nagar Maharastra India
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Abstract
The field of periodontal plastic surgery is always a subject of fascination for periodontists, and the importance of pink esthetics is gaining its pace. Preservation of what is existing is more important than its replacement. The same principle also applies to soft-tissue esthetic procedures thereby the concept of minimal surgical invasion came into existence. This article presents a series of five cases with 18 recession sites which were treated with a minimally invasive Pinhole Surgical Technique which resulted in overall root coverage of 96.7% after 6-month follow-up with minimal complications.
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Abstract
Eyes don't see what mind does not know. It is important for a clinician to refresh his knowledge frequently to recognize some of the conditions that one may come across rarely no matter how insignificant the condition may seem. Especially in a dental outpatient department setting, individuals may complain of varied symptoms which the clinician, often tends to correlate to one of the oral diseases. We present a case of Eagle's syndrome with vague clinical presentation which could have easily gone undiagnosed if not for the application of simple diagnostic procedures and aids like Orthopantamogram (OPG).
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Affiliation(s)
| | - Shreehari Ambika Krishnan
- Department of Dental Surgery, Division of Periodontology, Armed Forces Medical College, Wanowrie, Pune, Maharashtra, India
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