Browsing by Author "Pandey, Aishwarya"

Now showing 1 - 8 of 8
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    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) Kesarwani, Shivam; Parihar, Sarita; Singh, Sanjay; Gautam, Anju; Pandey, Aishwarya; Anjum, Md
    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.
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    An interdisciplinary approach for reconstruction of worn dentition
    (Wolters Kluwer Medknow Publications, 2022) Durrani, Farhan; Nahid, Rakhshinda; Pandey, Samidha; Pandey, Aishwarya; Singh, Preeti
    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.
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    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) Pandey, Aishwarya; Durrani, Farhan; Rai, Sanjay Kumar; Singh, Nishant Kumar; Singh, Preeti; Verma, Rati; Kumar, Jitendra
    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.
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    Natural teeth and implant-retained prosthesis in treated periodontitis subjects
    (Wolters Kluwer Medknow Publications, 2022) Durrani, Farhan; Pandey, Samidha; Nahid, Rakhshinda; Pandey, Aishwarya; Singh, Preeti
    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.
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    One-piece implants: Careful approach for complex rehabilitation
    (Wolters Kluwer Medknow Publications, 2021) Durrani, Farhan; Pandey, Rakhshinda Nahisamidha; Singh, Preeti; Pandey, Aishwarya
    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.
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    Palatal bone block: A predictable bone augmentation technique for restricted maxillary defect
    (Wolters Kluwer Medknow Publications, 2023) Durrani, Farhan; Vishnu, J.P.; Taslim, Aabida; Imran, Fouzia; Kumari, Ekta; Pandey, Aishwarya
    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.
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    Pink gingival restoration: An acceptable treatment for complex ridge defects
    (Wolters Kluwer Medknow Publications, 2022) Durrani, Farhan; Pandey, Aishwarya; Singh, Preeti
    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.
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    Tent screws: Predictable guided bone regeneration
    (Wolters Kluwer Medknow Publications, 2023) Durrani, Farhan; Singh, Preeti; Pandey, Aishwarya; Tripathi, Kaushal Pati; Vishnu, J.P.; Imran, Fouzia; Taslim, Aabida
    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.