Browsing by Author "Aishwarya Pandey"

Now showing 1 - 15 of 15

A new era of Nano!!! Comparative evaluation of ganglioside polymeric nanoparticle coated satranidazole gel and 1% metronidazole gel for the treatment of periodontitis
(Wolters Kluwer Medknow Publications, 2022) Shivam Kesarwani; Sarita Parihar; Sanjay Singh; Anju Gautam; Aishwarya Pandey; Md Anjum
Background: The present study was intended to comparatively assess the efficacy of ganglioside polymeric nanoparticle-coated 0.25% satranidazole-loaded nanoparticles in gel form with that of the commercially available 1% metronidazole gel as a local drug delivery (LDD) agent for the treatment of periodontal pockets. Materials and Methods: A split-mouth randomized clinical trial was carried out in 46 chronic periodontitis patients with probing pocket depth (PPD) ≥4 mm or clinical attachment loss greater than 3 mm on both quadrants of the same arch. Full-mouth scaling and root planing (SRP) was performed for all the patients followed by application of 0.25% satranidazole-loaded nanoparticles in gel form on one site (Group 1) and commercially available 1% metronidazole gel on another site (Group 2). Clinical parameters (gingival index, plaque index, PPD, clinical attachment level gain, and bleeding on probing) and microbiological analysis of the subgingival plaque samples were performed and assessed at baseline, after SRP, 21 st day, and 90 th day post treatment. Unpaired 't'-test and ANOVA tests were used for intergroup and intragroup comparison of recorded parameters. Results: The results showed that the satranidazole-loaded nanoparticle group as an adjunct to SRP in chronic periodontitis showed a statistically significant improvement in all the clinical parameters and a fewer relapse of microbial flora in comparison with the metronidazole group as an LDD agent. Conclusion: The present study depicted that both the LDD agents showed an effective improvement of clinical as well as microbiological parameters, but the satranidazole group consistently produced better results than the metronidazole group and hence has a promising future as an LDD agent in treating periodontal pockets. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
An interdisciplinary approach for reconstruction of worn dentition
(Wolters Kluwer Medknow Publications, 2022) Farhan Durrani; Rakhshinda Nahid; Samidha Pandey; Aishwarya Pandey; Preeti Singh
Complete tooth wear dentition is multifactorial and has challenges with diagnosis and etiology. Their rehabilitation often requires orthognathic surgery, orthodontics, periodontal surgery, and prosthodontic guidelines for occlusion with harmonious facial and dental esthetics. A patient needs a multidisciplinary approach with systematic analysis to formulate evidence-based approach to improve function and esthetics. Contemporary periodontal therapy also encompasses esthetic treatment where needs are frequently associated with changes in tooth size, shape, proportion, and balance that can adversely affect smile appearance. The article provides an evidence-based guideline for reconstruction of a worn dentition. The completed work includes crown lengthening, provisionalization, socket shield technique, oral implants, and gain in lost vertical dimension with occlusion correction and minimally invasive prosthetic restorations. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
Comparative evaluation of conventional and socket-shield techniques on maxillary esthetics following immediate implant placement in fresh extraction sockets: A randomized controlled trial
(Wolters Kluwer Medknow Publications, 2024) Farhan Durrani; Aishwarya Pandey; Shweta Ahlawat; Ekta Kumari; S. U. Gokila Vani; Sakshi Agarwal; P. G. Naveen Kumar
Background: Dental implants in fresh extraction sockets of the maxillary esthetic area are technique-sensitive procedures where retaining a buccal root segment can enhance periodontium preservation and esthetics. This study aims to compare marginal bone levels and esthetic outcomes between conventional immediate implant placement and the socket-shield technique in fresh maxillary extraction sockets. Materials and Methods: Twenty-four patients with type 1 extraction sockets were included in this randomized trial and assigned to either conventional immediate implant placement or the socket-shield technique. Implant survival, crestal bone levels, and pink esthetic scores (PES) were evaluated at 8 months (temporary prosthesis), 12 months, and 36 months (final crowns). Results: All implant-supported restorations were successful within the study's observation period. The socket-shield technique showed significantly lower marginal bone loss (e.g. 1.40 ± 0.29 mm vs. 1.70 ± 0.36 mm at 36 months; P = 0.040) and superior PES (e.g., 10.50 ± 0.90 vs. 9.36 ± 0.98 at 36 months; P = 0.008) compared to the conventional technique. However, the technique's complexity underscores the need for expertise and careful execution to optimize tissue preservation in the maxillary esthetic zone. Conclusion: The socket-shield technique better preserves hard and soft tissues around implant-retained prostheses than conventional implant placement in maxillary esthetic regions. Further studies with larger sample sizes and longer follow-up are required to validate these findings. © 2025 Indian Society of Periodontology.
Comparison between all-on-four and all-on-six treatment concepts on stress distribution for full-mouth rehabilitation using three-dimensional finite element analysis: A biomechanical study
(Wolters Kluwer Medknow Publications, 2023) Aishwarya Pandey; Farhan Durrani; Sanjay Kumar Rai; Nishant Kumar Singh; Preeti Singh; Rati Verma; Jitendra Kumar
Purpose: The current study intended to provide a comparison of biomechanical behaviors of two different treatment concepts for full-mouth rehabilitation with dental implants placed according to the 'All-on-four' concept and 'All-on-six' concept with analysis of the stress patterns of the implant support system using three-dimensional finite element analysis (FEA). Materials and Methods: The edentulous mandible was treated with two different implant designs. 'All-on-Four' implant placement concept was used in Model 1 with two central axial implants and two distally tilted implants at 17° and in Model 2, 'All-on-Six' concept was applied with six vertically placed implants. Individual vertical and horizontal load of 100 N and oblique load of 141 N at 45° was applied to all implants. To evaluate and compare the results in terms of maximum principal stress, we used FEA. Results: All-on-six showed smaller maximum principal stress values on the cortical bone and implants. However, maximum principal stress values obtained on trabecular bone was smaller in the All-on-four design for vertical and horizontal loading conditions. Conclusions: The All-on-six approach showed more favorable biomechanical behavior. © 2023 Indian Society of Periodontology | Published by Wolters Kluwer - Medknow.
Lateral overlap technique for the treatment of isolated deep Miller Class II/III gingival recession in mandibular anterior teeth: A single-arm interventional study
(Wolters Kluwer Medknow Publications, 2025) Farhan Durrani; Aishwarya Pandey; Kajol Kumari Rajak; Mahendra Rawaji Gawade; Dhanraj Meena
Background: Treating deep isolated mandibular recession defects, especially Miller Class III cases, remains a significant challenge due to factors such as shallow vestibules, muscle pull, reduced keratinized tissue width (KTW), and tooth malposition. Although various techniques have been explored, predictable outcomes with complete root coverage (RC) in such cases are rarely documented in the literature. Materials and Methods: Thirty-two systemically healthy patients (22 males and 12 females) aged 22–36 years, with isolated mandibular recessions measuring 6–11 mm, were treated using the lateral overlap technique (LOT) combined with coronal flap displacement and subepithelial connective tissue grafts. Clinical parameters, including gingival recession depth (GRD), KTW, and probing depth, were evaluated over a 1-year follow-up. Results: Significant improvements were observed: GRD reduced from 5.55 ± 0.89 mm to 0.17 ± 0.16 mm, KTW increased by 3.26 ± 0.37 mm, and the mean percentage of RC was 96.81 ± 2.83. Conclusion: LOT with connective tissue grafting is a reliable and effective approach for managing deep isolated mandibular Miller Class II and III gingival recessions, achieving excellent clinical outcomes. © 2025 Indian Society of Periodontology.
Monkeypox infection: Relevance of oral health screening
(John Wiley and Sons Inc, 2024) Aishwarya Pandey; N. Gowtham Reddy
[No abstract available]
Natural teeth and implant-retained prosthesis in treated periodontitis subjects
(Wolters Kluwer Medknow Publications, 2022) Farhan Durrani; Samidha Pandey; Rakhshinda Nahid; Aishwarya Pandey; Preeti Singh
History of periodontal disease is a risk factor for the development of peri-implantitis. Implant treatment in susceptible patients should be followed by adequate periodontal treatment and stringent supportive programs. The assessment of the patient needs to be carefully evaluated before the procedure for implants. The risk associated with the sites to be treated requires evaluation with regular visits. The completion of treatment will still require committed follow-up visits with checks for pockets, bone loss, and plaque scores around implant-retained prosthesis as well as complete dentition. In our report, we describe in detail the reconstruction of lost dentition with implants in treated periodontitis subjects. The patients are still being followed with regular recall programs. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
One-piece implants: Careful approach for complex rehabilitation
(Wolters Kluwer Medknow Publications, 2021) Farhan Durrani; Rakhshinda Nahisamidha Pandey; Preeti Singh; Aishwarya Pandey
It is understood that one-piece implant design is a stronger concept as there is no connection between implant and abutment. The absence of a microgap can lead to minimal peri-implant bone loss. Furthermore, there is a reduction of mechanical complications such as screw loosening and abutment fractures. These implants can be immediately placed and can be put through instant function because of their high cortical stabilization. This immediate function protocol has advantages over two-stage surgical placement. Other benefits are fewer surgical appointments, reduced treatment time, and minimal trauma. It is suggested that one-piece implant can be an alternative to conventional implants for edentulous arches where there is a resorbed bone in width and height. Initially, one-piece implants were used as transitional or provisional implants. However, because of biological osseointegration, their removal often became difficult. Several manufacturers obtained approval for its use in defined situations. Proper treatment planning avoided comorbidity associated with augmentation procedures and acceptable esthetic result was achieved. © 2021 National Journal of Maxillofacial Surgery.
Palatal bone block: A predictable bone augmentation technique for restricted maxillary defect
(Wolters Kluwer Medknow Publications, 2023) Farhan Durrani; J.P. Vishnu; Aabida Taslim; Fouzia Imran; Ekta Kumari; Aishwarya Pandey
Bone grafting for implant dentistry depends on bone quality, quantity, and biological principles for good outcome. Autogenous bone as donor remains the gold standard among all the available materials. However, it carries unpredictable morbidity and need for different surgical sites. In our report, we describe a simplified approach in bone augmentation for restricted maxillary atrophic defect within the same surgical site as a harvesting site. The method can be an alternative for different intraoral surgical harvesting sites. The patient's left maxillary central incisor before treatment had a large bony defect which was reconstructed though single site approach of augmentation. The implant-supported restoration with healthy periodontium around even after 2 years of review looks promising. The approach can be an alternative for different intraoral surgical sites. © 2023 Wolters Kluwer Medknow Publications. All rights reserved.
Peri-Implant Esthetics in Focus: Comparing Anodized Titanium and Zirconium Dioxide Abutments in a Randomized Clinical Trial
(John Wiley and Sons Inc, 2025) Sakshi Agarwal; Farhan Durrani; Aishwarya Pandey; M. Rashika; Shraddha Shilpi; Dhanraj Meena
Objective: Achieving optimal esthetics remains challenging due to limited comparative evidence between pink-anodized titanium and zirconium dioxide abutments. The objective of this clinical study was to evaluate the optical outcomes of pink-anodized titanium and zirconium dioxide abutments in the esthetic region. Methods: Twenty-two subjects with an edentulous site in the maxillary esthetic region with a tooth present mesially and distally were selected for implant surgery along with hard and soft tissue augmentation. Group A received a pink-anodized titanium abutment with a layered lithium disilicate single crown. Group B received a zirconium dioxide abutment with the same prosthesis material. The contralateral natural tooth served as the control group. Optical outcomes were assessed using a spectrophotometer. The CIELAB color coordinates (Commission Internationale de l'Eclairage) were recorded to calculate ΔE values. Vernier calipers, along with an endodontic file, were used to measure the peri-implant soft tissue thickness. The Pink Esthetic Score (PES) was evaluated using digital images of 22 single-tooth implant crowns to assess the surrounding soft tissue esthetics. Results: Zirconia abutments (Group A) demonstrated superior optical outcomes compared to pink-anodized titanium abutments (Group B). The ΔE values for Group A at the peri-implant soft tissue, coronal, and midfacial crown levels were significantly lower compared to Group B. Soft tissue thickness (STT) increased over time in both groups, with a slight increase in Group B. The Pink Esthetic Score (PES) also improved with recall visits at each evaluation. Conclusion: Zirconia abutments provided superior esthetic outcomes compared to pink-anodized titanium abutments, with significantly lower color differences (ΔE) and higher Pink Esthetic Scores (PES). Although pink-anodized titanium abutments showed increased soft tissue thickening with time, zirconia abutments remained the more favorable option for esthetically demanding cases. Clinical Trials Registry: (CTRI No. CTRI/2024/03/064442). © 2025 Wiley Periodicals LLC.
Periodontal and prosthetic perspective of implant-supported full-arch prostheses with monolithic zirconia and porcelain fused metal restorative materials: A three-year retrospective case series
(Wolters Kluwer Medknow Publications, 2025) Farhan Durrani; Aishwarya Pandey; Rashika Muralisekar; Sakshi Agarwal; Shraddha Shilpi; Kajol Kumari Rajak
Full-mouth implant-supported prosthetic rehabilitation for failing dentition is a complex, multifactorial process influenced by prosthetic materials and peri-implant periodontal health. Traditionally, porcelain-fused-to-metal (PFM) frameworks have ensured functional stability and acceptable esthetics; however, the advent of monolithic zirconia layered with porcelain has introduced enhanced mechanical strength and esthetic appeal. This retrospective case series evaluated the 3-year clinical outcomes of full-arch implant-supported prostheses fabricated using either monolithic zirconia or PFM in edentulous patients, focusing on peri-implant soft-tissue health, marginal bone loss, and prosthetic complications. Ten edentulous patients rehabilitated with full-arch implant-supported prostheses were included and assessed clinically and radiographically for peri-implant tissue health, plaque accumulation, probing depth, bleeding on probing, marginal bone levels, and technical complications over a 3-year follow-up. Both prosthetic materials demonstrated stable peri-implant tissue health and 100% implant survival at the 3-year mark. Monolithic zirconia restorations exhibited reduced plaque accumulation, stable bone levels, and absence of prosthetic complications, whereas the PFM group showed minor technical issues such as porcelain chipping and screw loosening. Within the limitations of this study, both materials proved clinically viable for full-arch implant rehabilitation; however, monolithic zirconia showed a trend toward superior biological and mechanical outcomes. Larger, prospective studies are warranted to validate these preliminary findings. © 2025 Indian Society of Periodontology.
Pink gingival restoration: An acceptable treatment for complex ridge defects
(Wolters Kluwer Medknow Publications, 2022) Farhan Durrani; Aishwarya Pandey; Preeti Singh
Complex implant prosthetic reconstruction poses several challenges. The lost anatomy of periodontium due to trauma or long-standing missing teeth, especially in esthetic area, requires several surgical visits for recovery. The augmentation procedures are technique sensitive and unpredictable and need long commitment from the patient. They are time-consuming and expensive, and patients are often unwilling. The alternative for anatomically deficient partial edentulous sites could be prosthetic gingival restoration. They help in re-establishing natural contours, interproximal papilla, and further eliminating complex procedures. The other advantage is perfect horizontal and vertical transition between the prosthesis and adjacent tissues. This article describes two cases of completed gingival prosthetic prosthesis which corrected the missing architectures around lost teeth. It was well accepted by the patients and can be an alternative for unpredictable regenerative procedures. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
Relevance of Finite Element Method in Dentistry: Finite with Infinite Possibilities
(Defence Scientific Information and Documentation Centre, 2024) Aishwarya Pandey; Lt Col Parvinder Sharma; B. Gayathrie
This narrative review gives an insight into the Finite Element Method (FEM) and its principles comprehensible from a dentist’s point of view along with its applications in different specialties of dentistry. FEM is a method for simulating the behavior of a physical system mathematically. For this, a complex structure is broken down into several smaller components (elements) while still retaining its original characteristics. Subsequently, differential equations are used to explain and solve each component. With the advent of FEM, it became easier to comprehend various elements of oral biomechanics. Biomechanical studies designed in partnership with skilled computer engineers and experienced clinicians not only provide a better insight into the mechanisms of stress distribution but also help prepare customized treatment plans that cater to the requirements of individual patients. © 2024, DESIDOC.
Root submergence in maxillary anterior region: An alternative for unpredictable augmentation
(Wolters Kluwer Medknow Publications, 2025) Farhan Durrani; Aishwarya Pandey; Kajol Kumari Rajak; Dhanraj Meena; Mahendra Rawaji Gawade
Alveolar ridge resorption following tooth extraction is a progressive and inevitable process, particularly critical in the maxillary anterior region where esthetics are paramount. Conventional approaches to restoring hard and soft tissue contours often yield unpredictable results, especially in recreating papillary form and ridge architecture. The root submergence technique (RST), which involves the intentional decoronation and submergence of nonrestorable teeth, aims to preserve the periodontal ligament and maintain surrounding tissue integrity. This case report presents two clinical scenarios in which submerged roots were retained beneath implant-supported fixed prostheses in the anterior maxilla. In both cases, careful case selection and precise execution of RST resulted in preservation of the interdental papilla, stable crestal bone levels, and harmonious soft-tissue profiles over a 1-year follow-up. These outcomes highlight the potential of RST as a biologically driven alternative to extensive ridge augmentation procedures, offering superior esthetic results in challenging anterior prosthetic rehabilitations. © 2025 Indian Society of Periodontology.
Tent screws: Predictable guided bone regeneration
(Wolters Kluwer Medknow Publications, 2023) Farhan Durrani; Preeti Singh; Aishwarya Pandey; Kaushal Pati Tripathi; J.P. Vishnu; Fouzia Imran; Aabida Taslim
Bone regeneration of large maxillary and mandibular alveolar ridge defects is clinically challenging. Various techniques have been described for the reconstruction of these deficiencies before implant placement. The tent screw-pole technique is one of the effective methods available for clinicians to perform the predictable functional and esthetic reconstruction. The aim of this prospective report was to evaluate clinical and three-dimensional radiographic analyses of two patients treated with xenograft and particulate autogenous bone using tenting screws for regeneration of compromised partial edentulous ridges. © 2023 Wolters Kluwer Medknow Publications. All rights reserved.