Browsing by Author "Pushpendra K. Verma"

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A ray of hope for the hopeless: Hemisection of mandibular molar with socket preservation
(2012) Pushpendra K. Verma; Ruchi Srivastava; Harak C. Baranwal; Anju Gautam
Introduction: The management, treatment and long-term retention of mandibular molar teeth with furcation involvement have always been a challenge in periodontal therapy. Hemisection has been used successfully to retain teeth with furcation involvement. The term hemisection refers to the sectioning of a molar tooth, with the removal of an unrestorable root which may be affected by periodontal, endodontic, structural (cracked roots), or caries. Case Report: This case report describes a simple procedure of hemisection in a mandibular molar with socket preservation with help of an alloplastic bone graft and subsequent restoration of the tooth with fixed prothesis. Discussion: Hemisection represents a form of conservative procedure, which aims at retaining as much of the original tooth structure as possible. It may be a suitable alternative to extraction. Hemisection of the affected tooth allows the preservation of tooth structure, alveolar bone and cost savings (time and money) over other treatment options. The preservation of posterior abutment teeth permits oral rehabilitation with fixed bridges instead of removable prosthesis. Conclusion: The keys to long term success appear to be thorough diagnosis followed by interdisciplinary approach with endodontic, surgical and prosthetic procedures. Preservation of a hopeless tooth is possible by selecting patients with good oral hygiene, and careful surgical and restorative management.
Calcium hydroxide: A boon in complete healing of horizontal apical one-third root fracture
(2012) Pushpendra K. Verma; Ruchi Srivastava
Introduction: A variety of traumatic conditions can cause root fractures. The root fractures are more likely to occur in fully erupted permanent maxillary central incisors with a completely formed root followed by the maxillary lateral and the mandibular incisors. They involve the dental pulp, supporting tissues, and the mineralized structures of a tooth. Diagnosis of the horizontal root fractures is mainly reached by the information obtained in clinical and radiographic examinations. Case Report: This case report describes the management of the horizontal apical one-third root-fractured tooth without surgical removal of the apical fragment, by long-term calcium hydroxide dressing with good signs of healing of fracture at 3 months followed by conventional root canal treatment with the follow-up examination for 1 year after the completion of treatment. Discussion: Calcium hydroxide has showed a miracle in successful healing of apical one-third root fracture.
Correlation of ABO blood group phenotype and rhesus factor with periodontal disease: An observational study
(Medknow Publications, 2017) Anju Gautam; Neelam Mittal; T.B. Singh; Ruchi Srivastava; Pushpendra K. Verma
Background: The knowledge of the ABO blood group phenotype of the patients and their correlation with the periodontal disease maybe important in the development of early treatment strategies, and it would be helpful to target non-responding areas to periodontal therapy of the susceptible individuals. Aims: The present study was conducted to determine whether there was any correlation between periodontal diseases and ABO blood groups and Rh factor. Material and Method: This study was carried out on 537 subjects attending Faculty of Dental Sciences OPD in BHU. Subjects were divided into three groups: group I (healthy subjects), group II (subjects with gingivitis), and group III (subjects with periodontitis) based on periodontal examination (Gingival index, Bleeding Index, Probing pocket depth and clinical attachment level). ABO Blood grouping were done and correlated with the periodontal status of study subjects. Statistical Analysis: Data was analyzed using the statistical software namely Statistical Package for the Social Sciences (SPSS, Version 16, IBM Analytics) and Systat 8.0. Results: In this study, there was a greater prevalence of gingivitis in blood group O and periodontitis in blood group B. The blood group AB showed the least prevalence of periodontal diseases. Similarly gingivitis and peridontitis were significantly higher among Rhesus positive groups when compared with Rhesus negative groups. Conclusion: Considering the results of this study, it can be concluded that ABO blood groups and Rh factor could be a risk factor for the development of periodontal disease. © 2017 Contemporary Clinical Dentistry.