Kunal Sethi

Karmaveer Bhausaheb Hiray Dental College and Hospital

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Prerna Ashok Karde

Karmaveer Bhausaheb Hiray Dental College and Hospital

Alefiya Mamajiwala

Karmaveer Bhausaheb Hiray Dental College and Hospital

ChetanPurushottam Raut

Karmaveer Bhausaheb Hiray Dental College and Hospital

Swapna Mahale

Karmaveer Bhausaheb Hiray Dental College and Hospital

Rajwinder Kaur

Swami Devi Dyal Hospital and Dental College

Aishwarya Madhukar Kale

Karmaveer Bhausaheb Hiray Dental College and Hospital

Smita Khedkar

Dr. D. Y. Patil Medical College, Hospital and Research Centre

Chaitanya Joshi

University of Aberdeen

Amit Agrawal

The Ohio State University

Ritu Jindal

Thapar Institute of Engineering & Technology

Cooperative Institutions

Karmaveer Bhausaheb Hiray Dental College and Hospital

Creative Commons

Christie's

King Khalid University

Mahatma Gandhi Dental College & Hospital

Mahatma Gandhi Mission's Dental College and Hospital

P.M.N.M. Dental College and Hospital

Indian Institute of Science Bangalore

Institute of Medical Sciences

Rajasthan Dental College and Hospital

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Comparative evaluation of different oil pulling agents and 0.2% chlorhexidine mouthwash as an adjunct to full-mouth scaling and root planing in plaque-induced gingivitis: A single-blind randomized control trial

Journal of Oral Research and Review (2024)

Pallavi Vilas Bhalerao Triveni Ashok Kale Bacchav Swanpa Arunkumar Mahale Amit Agrawal Kunal Sethi

Introduction: Oil pulling is old Indian natural daily practice which has been written in Ayurveda texts such as Charak and Sushruta Samhita. The act of swishing oil around the mouth removes microbes. Therefore, oil pulling reduces plaque-induced gingivitis. Naturally occurring products like coconut oil and sesame oil are enriched with antimicrobial activity. These oils are cheaper and easily available. Therefore, the aim of this article is to compare the efficacy of coconut, sesame oil, and chlorhexidine mouthwash as an adjunct to full-mouth scaling and root planing (SRP) in patients with plaque-induced gingivitis. Aim and Objectives: This study aimed to compare the efficacy of coconut oil sesame oil and chlorhexidine mouthwash as an adjunct to SRP in patients with plaque-induced gingivitis. Materials and Methods: Sixty patients of plaque-induced gingivitis were randomly divided into four groups: SRP, coconut oil, sesame oil, and chlorhexidine mouthwash. Clinical measurements included plaque index, gingival index (GI), and simplified oral hygiene index at baseline, 7 days, 15 days, 1 month, and 3 months. Microbial analysis was carried out. Results: There was a significant reduction in plaque and gingival scores from baseline to 3 months for the chlorhexidine group. Intragroup comparison shows a statistically significant reduction in plaque and GI. Conclusion: Oil pulling considers to affect microbes to treat plaque-induced gingivitis.

Adjunct

Single blind

10.4103/jorr.jorr_32_23

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Comparative analysis of platelet-rich fibrin membrane and 0.2% hyaluronic acid gel on healing following gingival depigmentation procedure

Journal of Indian Society of Periodontology (2023)

Aishwarya Madhukar Kale Kunal Sethi Swapna Mahale Prerna Ashok Karde Lata Kale

Abstract Introduction: Platelet-rich fibrin (PRF) accelerates wound healing by promoting faster cicatricial tissue remodeling and excellent neovascularization. Hyaluronic acid (HA) being biocompatible, anti-inflammatory, and proangiogenic leads to improvement in the rate of wound healing. Aim: The aim of this study was to compare the effect of PRF membrane and 0.2% HA gel on wounds after gingival depigmentation surgery. Materials and Methods: This study was carried out on 30 systemically healthy individuals recruited from the pool of patients who visited the department of periodontology. After depigmentation procedure in every patient, the sites were divided into three even groups. Group A received PRF membrane and periodontal dressing, Group B received 0.2% HA gel application and periodontal dressing, and Group C served as a control group in which only periodontal dressing was placed. The individuals were evaluated for the healing index (HI) and Numerical Rating Scale (NRS) on the 3 rd and 5 th day. Epithelialization test (ET) was performed on the 5 th day. Gingival biotype was reassessed and compared to preoperative value after 3 months. The clinical trial was expressed in terms of mean and standard deviation. Intra-group comparison and inter-group comparison were done through the Kruskal–Wallis ANOVA test. All statistical tests were performed through SPSS version 25.0 (IBM). Results: The inter-group statistical analysis concerning NRS, HI, and ET showed statistically significant results in Groups A and B compared to Group C ( P < 0.05), while gingival biotype showed statistically significant results in Group A compared to Groups B and C. Conclusion: The use of PRF membrane and HA gel to protect the raw wound site of depigmented gingiva proved to be an effective approach, resulting in faster healing.

Platelet-rich fibrin

Depigmentation

10.4103/jisp.jisp_291_22

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Comparative evaluation of chlorhexidine and cinnamon extract used in dental unit waterlines to reduce bacterial load in aerosols during ultrasonic scaling

Indian Journal of Dental Research (2018)

Alefiya Mamajiwala Kunal Sethi ChetanPurushottam Raut Prerna Ashok Karde Smita Khedkar

Background: Dental unit waterlines (DUWL) are believed to be a source of infection. Ultrasonic instruments generate aerosols with significantly greater numbers of bacteria. Chlorhexidine (CHX) exhibits significant antiseptic effect. Recently, cinnamon (CIN) has been displayed to have antibacterial and anti-inflammatory properties in vivo. Aim: The aim of this study is to compare and evaluate the efficacy of CHX versus CIN extract in the reduction of bacterial count in dental aerosols when used as an irrigant through DUWL during ultrasonic scaling. Materials and Methods: Sixty patients with moderate-to-severe gingivitis were randomly divided into 3 groups of 20 patients each undergoing ultrasonic scaling. For experimental group I, CHX was added in dental unit reservoir before ultrasonic scaling. Similarly, in group II, CIN extract was used and group III served as control where distilled water (DW) was used. The aerosols from ultrasonic units were collected on two blood agar plates at three different positions. One plate from each position was incubated aerobically for 48 h and other plate anaerobically for 72 h. The total number of colony forming units (CFUs) was then calculated and statistically interpreted. Results: CHX and CIN both were equally effective (P > 0.05) in reducing the bacterial count in aerosols as compared to DW (P < 0.05) when used through DUWL. Maximum contamination was seen on the agar plate placed at the chest of the patient. Conclusion: Both CIN and CHX used as an irrigant through DUWL effectively helped in the reduction of bacterial count in dental aerosols.

10.4103/ijdr.ijdr_571_17

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Subgingivally delivered coenzyme Q10 in the treatment of chronic periodontitis among smokers: A randomized, controlled clinical study

Journal of Oral Biology and Craniofacial Research (2018)

ChetanPurushottam Raut Kunal Sethi Bhagyashree Kohale Alefiya Mamajiwala Ayushya Warang

Coenzyme Q10

10.1016/j.jobcr.2018.05.005

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Clinical and radiographic evaluation of 0.8% hyaluronic acid as an adjunct to open flap debridement in the treatment of periodontal intrabony defects: randomized controlled clinical trial

Clinical Oral Investigations (2021)

Alefiya Mamajiwala Kunal Sethi ChetanPurushottam Raut Prerna Ashok Karde Batul S. Mamajiwala

Debridement (dental)

Gingival recession

10.1007/s00784-021-03834-7

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Comparative evaluation of the pontic shield technique versus whole tooth extraction on labial crestal bone resorption using cone-beam computed tomography in the maxillary anterior region: A randomized controlled clinical trial

Journal of Indian Society of Periodontology (2024)

Mallinath Govind Jadhav Amit Agrawal Swapna Mahale Kunal Sethi Triveni Ashok Kale-Bachhav

Following tooth extraction, there is comparatively more bone loss at the buccal aspect at 3 months of healing, which may result in 56% bone loss due to resorption of the bucco-facial ridge contour. In the socket shield technique, a tooth is planned for extraction in such a way that the tooth is sectioned in two halves, a palatal section is removed and the facial part is retained.

10.4103/jisp.jisp_370_23

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Comparative Evaluation of Boric Acid Gel versus Chlorhexidine Gel in the Treatment of Chronic Periodontitis

Contemporary Clinical Dentistry (2019)

Alefiya Mamajiwala Kunal Sethi Swapna Mahale ChetanPurushottam Raut Prerna Ashok Karde

Over the years, various antimicrobials have been tried and tested in the treatment of periodontitis. Chlorhexidine (CHX) has emerged as the gold standard. In recent years, trend has shifted toward the use of agents with antibacterial, anti-inflammatory, and osteoblastic activity. Boric acid (BA) is one such agent which possess all such properties and thus been evaluated in the treatment of periodontitis.The aim of the study is to compare and evaluate the efficacy of 0.75% BA gel versus 1% CHX gel as an adjunct to scaling and root planing in patients with chronic periodontitis both clinically and microbiologically.The present study was a randomized, placebo-controlled clinical trial where 45 systemically healthy patients with chronic periodontitis were included in the study. About 15 patients each were divided into three groups, that is, Group I received BA gel, Group II received CHX gel, and Group III received placebo gel as a local drug delivery agent. Clinical parameters such as gingival index, plaque index, modified sulcus bleeding index, probing pocket depth, and clinical attachment level were evaluated at baseline and 6-month follow-up. Microbiological analysis to check for mixed anaerobic flora was done using subgingival plaque samples at baseline and 3 months after treatment.Significant reduction was seen in all clinical parameters in both BA and CHX gel groups as compared to control group (P < 0.05). However, on comparing BA gel group with CHX gel, the results were statistically insignificant (P > 0.05).BA gel and CHX gel both were equally effective in improving the clinical and microbiologic parameters in patients with chronic periodontitis when used as a local drug delivery agent.

Bleeding on probing

10.4103/ccd.ccd_752_18

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Management of a Large Internal Resorption Lesion with Metal Reinforced Glass Ionomer Cement

Case Reports in Dentistry (2014)

Gurdeep Singh Gill Atool Chandra Bhuyan Suraj Arora Kunal Sethi Rajwinder Kaur

Mineral trioxide aggregate is the mainstay of treatment of large internal resorption defects. But its cost may be a deterrent to its use in some patients. The present case report describes the successful endodontic management of an extensive internal resorptive lesion in a mandibular molar with metal reinforced glass ionomer cement.

Glass ionomer cement

10.1155/2014/205028

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Stem Cells: An update In Dentistry

LAP LAMBERT Academic Publishing eBooks (2012)

Rajwinder Kaur Ritu Jindal Kunal Sethi

In the face of extraordinary advances in the prevention, diagnosis, and treatment of human diseases, the inability of most tissues and organs, to repair and regenerate after damage is a problem that needs to be solved. Stem cell research is being pursued in the hope of achieving major medical breakthroughs.In maxillofacial region the Regeneration & Repair of damaged periodontal tissue, bone, pulp, and dentin are problems that the dentist faces today. Stem cells have potential to regenerate dentin, periodontal ligament, cementum and can be used for bone defect therapy. The proper utilization of stem cells can full fill the quest to live a long and healthy life which is as old as the appearance of the first cell on earth. So this book basically aims at reviewing the stem cells types, sources, clinical implications both in medical and dental field and along with their roll in tissue engineering.

Periodontal fiber

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Irrigating Solutions in Pediatric Dentistry: Litera ture Review and Update

Rajwinder Kaur Reetu Singh Kunal Sethi Sunny Garg Saurav Miglani

Successful root canal treatment is dependent on the removal of microorganisms from the pulp and other anatomical irregularities of the root canal system through chemo-mechanical instrumentation with the use of instruments and irrigating solutions. Irrigants can augment mechanical debridement by flushing out debris, diss olving tissue, and disinfecting the root canal system. Che mical debridement is especially needed for primary teeth with complex internal anatomy and zones inaccessible to debridement, such as accessory canals, ramification s, and dentinal tubules that might be missed by instrument ation. The choice of a cleanser in the pulpal therapy of p rimary teeth should take into account the differences amon g the dentin substrata, and not be irritating to the peri apical tissues. The aim of this review article here is to discuss the efficacy and other correlates of various root canal irrigants used in pediatric dentistry and provide an update w ith regard to recent advancements for the sterilization of infected root canals.

Debridement (dental)

Pulpectomy

Dentinal Tubule

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