Browsing by Author "Kusumakar, Ananta"

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    Effect of Kangen and reverse osmosis water on dental plaque, salivary pH and salivary Streptococcus mutans counts: a randomized-controlled trial (A preliminary study)
    (IWA Publishing, 2023) Kusumakar, Ananta; Akram, Zainab; Khairnar, Mahesh Ravindra; Jadhav, Sachin Kumar; Sabharwal, Harloveen; Priyadarsini, Savitha S.; Kumar, Naveen P.G.
    Purpose: The present randomized-controlled trial was conducted to assess the effect of Kangen water and reverse osmosis (RO) water on dental plaque, salivary pH and salivary Streptococcus mutans count. Materials and methods: This randomized control trial was conducted for 14 days on 24 randomly selected participants from the pool of undergraduate dental students. Participants were randomly divided into two groups of 12 each: the Kangen water (pH 9) group and the RO water group. Participants in each group were asked to drink allocated water for 7 days. Dental plaque, salivary pH and microbial colony-forming units (CFUs) were assessed after 7 and 14 days. Results: Intragroup comparison showed that all three outcomes showed a significant improvement in the Kangen water group after 14 days, whereas no difference was seen in the RO water group. Intergroup comparison showed a significant difference in plaque score and CFU among the two groups after 7 and 14 days, whereas pH between the two groups did not show a significant difference. Conclusions: Regular drinking of alkaline Kangen water with pH 9 was found to be effective in reducing plaque and salivary Streptococcus mutans count when compared to RO water. � 2023 The Authors
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    Evaluation of Randomised Controlled Trials Published in Indian Specialty Dental Journals for Statistical Testing of Baseline Differences: A Meta-Epidemiological Study
    (Wolters Kluwer Medknow Publications, 2023) Khairnar, Mahesh R.; Kumar, Naveen; Kusumakar, Ananta; Akram, Zainab; Sabharwal, Harloveen; Jadhav, Sachin
    Background: In randomised controlled trials (RCTs), the application of a test of significance to compare the baseline differences between the intervention groups is a common practice, though it has been condemned by many researchers. Objective: This study aimed to assess the proportion of RCTs on human participants comparing the baseline differences between intervention groups using the test of significance in nine dental specialty journals published in India and to estimate the proportion of studies reporting baseline demographic and clinical characteristics in a table. Materials and Methods: RCTs published in nine dental journals published by dental specialty associations of India were screened. A literature search was limited to the time duration of five years from 2017 to 2021. Results: The authors analysed 326 RCTs. Of 326 RCTs published, 237 RCTs (72.7%) did not report the baseline demographic and clinical characteristics table. Tests of significance were applied to compare baseline differences between the intervention arms in 148 (45.4%) RCTs published. Conclusions: Although criticised by the Consolidated Standards of Reporting Trials (CONSORT) statement, the majority of the trials published in dental specialty journals failed to avoid comparison of baseline differences with significance test and failed to report baseline characteristic table. � 2023 Wolters Kluwer Medknow Publications. All rights reserved.
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    Lateral augmentation of the posterior edentulous mandible: A retrospective single arm comparison of ridge split, block bone grafts and guided bone regeneration
    (John Wiley and Sons Inc, 2022) Nath Bera, Rathindra; Kumar Sharma, Naresh; Bhattacharjee, Bappaditya; Bhatnagar, Atul; Gopalakrishna Naveen Kumar, Puvvadi; Kusumakar, Ananta
    Background: A deficient hard and soft tissue at the surgical site is a definitive challenge for dental implant placement. Commonly used procedures for augmentation include block bone grafts, guided bone regeneration, distraction, ridge expansion, ridge split, sandwich osteotomy, etc. The current study evaluates three techniques employed for horizontal augmentation of the mandible. Methods: A retrospective chart review was conducted for patients reconstructed with either block bone (A), guided bone regeneration (B), or ridge split (C) for lateral augmentation of posterior mandible. The primary outcome variables assessed were immediate postoperative bone width and bone width after 4�months, bone gain and resorption. Complications were evaluated as secondary outcomes. ANOVA and post hoc turkey tests were used for statistical analysis. A p-value of <0.05 was considered as statistically significant. Results: A total of 250 patient records were included in the study. Group C had a mean bone gain of 5.8649���0.6520�mm statistically significant from others. Resorption was maximum in Group B 1.1612���0.2821�mm. Iliac crest graft gave a mean 5.7285���0.1823�mm bone gain. Overall no difference in bone gain between particulate or block interposition. Discussion: Grafts from intraoral sites are comparable in terms of resorption. ARS considerably provides better augmentation compared to GBR and onlays. Conclusion: Ridge split followed by onlay block bone grafting provides the best outcomes. Ramus and symphysis grafts are comparable. Iliac grafts are still the best for significant augmentations. Guided bone regeneration suffers maximum resorption. � 2021 The British Association of Oral Surgeons and John Wiley & Sons Ltd