A Journal of Clinical Dentistry-Heal Talk

3

Authors: Dr Nitin Bhatnagar

Chorion membraneIt is a fetal membrane, composed of amniotic and chorion tissues. The chorion forms the outer limit of the sac that encloses the fetus and is composed of different type of collagen and cell adhesion bioactive factors. Thses are known to aid in the formation of granulation tissue by stimulating fibroblast growth and neovascularisation. Thses properties suggest that a chorion membrane may have considerable potential for regeneration

3

Authors: Dr. Shubhankar Kumar Singh1,Dr.Nilesh Ranjan2

The association between diabetes mellitus and periodontal disease has been studied in the last years, and several studies conclude that diabetes mellitus is a risk factor for the development of gingivitis and/or periodontitis in both diabetes type 1 and 2. In this review article we intend to demonstrate the possible association between diabetes mellitus and periodontal disease,assessing their main characteristics, the association with social status and the influence of periodontal disease control on Diabetes mellitus. Scientific research in recent years regarding this specific issue has allowed the establishment of a clear association between periodontal disease and diabetes mellitus among diabetics type 1 and 2. The main complications of diabetes mellitus are angiopathy, neuropathy, nephropathy and retinopathy.Several studies have demonstrated the oral manifestations of diabetes mellitus, assuming particular highlight the periodontal disease. There should be an interaction between general practitioners and dentists so that such patients have the appropriate preventive care and persistent periodontal therapy in specialized medical and dental clinics.

3

Authors: DR. FAHAD WASEY ,DR SHOBOROSE TANTRAY

Obstructive sleep apnea is potentially sleepdisorder with multiple of negative consequences on patients’ health and society .OSA Symptoms include loud snoring, daytime sleepiness, , and restless sleep. The ‘‘gold standard’’ of detection is by polysomnography, a detailed history and physical examination may help uncover previously undiagnosed cases. Under diagnosed obstructive sleep apnea can cause heart disease, hypertension, depression, and even death. Several othermodalities exist for treating obstructive sleep apnea, including continuous positive airway pressure (CPAP), oral appliances, and several surgical procedures. Conservative approaches like weight loss and alcohol and tobacco cessation, are also strongly encouraged in the patient with obstructive sleep apnea. With increased awareness, a multidisciplinary approach is necessary for an accurate management of the disease.

4

Authors: Dr.Aditi Garg1, Dr.M. Ganesh2, Dr.Vasudha Sodani3, Dr. D.N. Kamala4

Fluoridated toothpastes are one of the best sources of fluoride which effectively protects both deciduous and permanent teeth from caries. The different forms of fluoride available in toothpastes differ in the mechanisms by which they protect against caries. The fluoride concentrations in saliva and dental caries have been reported to be inversely related to the efficiency of caries prevention. With the help of newer fluoridated toothpastes effective caries prevention can be obtained by retention of fluoride in saliva for a longer duration of time. The aim of this study is to evaluate the fluoride retentivelevels in saliva following tooth brushing with two different types of fluoridated toothpastes namely Sodium fluoride (NaF) and fluoride containing bioactive glass and their efficacy in caries prevention.Thirty children in the age group of 3 to 6 years were randomly assigned into two groups as follows: Fifteen children using dentifrice containing 500 ppm of NaF (Colgate for kids) which is the control group and fifteen children using dentifrice fluoride containing bioactive glass (Elsenz) which is the test group. Salivary samples were collected prior to brushing, at an interval of 30 minutes and at an interval of 1 hour respectively and then the fluoride levels were determined. The results showed that there is a rise in the salivary fluoride levels at 30 minutes after brushing in both sodium fluoride and fluoride containing bioactive glass groups. However, in the fluoride containing bioactive glass toothpaste group,the salivary fluoride levels were highat the intervals of 30 minutes and at 1 hour individually from baseline, while with NaF group there is a rise of fluoride level at 30 minutes but decreases to the baseline at 1 hour. The study concluded that fluoride containing bioactive glass toothpaste (Elsenz)showed higher salivary fluoride retention at one hour in comparison to NaF containing toothpaste. Thus newer technology BioMinF, fluoride containing bioactive glass dentifrices with lower fluoride content and with long lasting performance should be adapted for pediatric age group.