Browsing by Author "Monika Gupta"

Now showing 1 - 2 of 2

Comparative evaluation of the efficacy of stepwise caries excavation vs indirect pulp capping in preserving the vitality of deep carious lesions in permanent teeth of pediatric patients: An in vivo study
(Jaypee Brothers Medical Publishers (P) Ltd, 2020) Swati Manhas; Inder Kumar Pandit; Neeraj Gugnani; Monika Gupta
Aims and objectives: To comparatively evaluate the clinical efficacy of stepwise caries excavation with indirect pulp capping (IPC) in managing the young permanent teeth in pediatric patients who have deep carious lesions. Materials and methods: Eighty-eight teeth (first/second permanent molars) were included and randomly divided into two groups: Group I (stepwise caries excavation) and group II (IPC). For group I, i.e., stepwise caries excavation, in the initial visit, bulk caries removal was done from walls of the cavity, however, soft and infected dentin was left untouched on the pulpal floor. The final excavation was performed after 2 months. The dentin parameters like the color, the consistency, and the humidity of dentin were noted at the first and second visits. A final follow-up to assess the primary outcome, i.e., sustained pulp vitality, was done after 1 year. Results: When both the groups were compared with each other using the Chi-squared test, a highly significant difference was found (p < 0.05) between them. The success rate of stepwise caries excavation (97.3%) was found to be significantly greater than IPC (82.4%). After doing statistical analysis, a significant difference between stepwise excavation at baseline and at re-entry for parameters like the color, the consistency, and the humidity (p < 0.05), where dentin was observed to be darker in color, harder in consistency, and drier to touch at re-entry was found. Conclusion: Stepwise caries excavation was considered a safer technique than IPC for preserving the vitality of young permanent teeth. Also, the clinical changes recorded during the re-entry in the case of stepwise caries excavation technique indicated the arrest of the carious process. Clinical significance: Pulp preservation is of utmost importance especially in the case of young permanent teeth which have open apex to aid in apexogenesis. Failure to do so in maintaining the vitality of pulp before root completion may lead to the unfavorable crown to root ratio resulting in thin dentinal walls which are prone to fracture. © Jaypee Brothers Medical Publishers.
Transposition nasolabial flap: A versatile flap for sensate reconstruction of lip defects
(John Wiley and Sons Inc, 2022) Aseem Mishra; Ravi Shankar; Gautam Prakash; Sudeshna Banerjee; Dipti Daga; Krishna Gopal Birmiwal; Neelesh Tiwari; Monika Gupta; Guru Charan Sahu; Abhishek Das
Introduction: Lip reconstruction aims at maintaining the function and aesthetics of the facial subunits. Sensation in the reconstructed lip helps in bolus formation, tactile discrimination, and thermal sensation. In this study, we aim to describe random pattern nasolabial flap for lip reconstruction using various functional parameters. Methodology: This is a retrospective study of 22 patients with carcinoma lip who underwent surgical resection and reconstruction with sensate nasolabial flap. Several clinicopathological parameters were studied. Outcome parameters like oral competence, tactile sensation, thermal sensitivity of reconstructed lip and speech outcomes were evaluated. Result: A functional outcome with 2–4 mm of two-point discrimination was obtained in 19 patients. All patients had intelligible speech. A mean sulcus depth of 19.59 mm was achieved. One patient had partial flap loss owing to wound infection. Conclusion: Random pattern senate nasolabial flap offers a good functional outcome by maintaining the tactile and thermal sensitivity. © 2022 Wiley Periodicals LLC.