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Introduction
Skills and Expertise
Current institution
Additional affiliations
July 2007 - present
Education
July 1987 - July 1996
Publications
Publications (136)
Background
There may be a significant link between periodontitis and psychological problems such as anxiety and sleep deprivation because of their complex character. Therefore, this study was conducted to evaluate the association between anxiety, quality of sleep in periodontally healthy, gingivitis, and periodontitis subjects.
Materials and Metho...
Objectives
The objective of this study was to evaluate the efficacy of injectable hyaluronic acid (HA) combined with microneedling (MN) in augmenting peri-implant soft tissue.
Materials and Methods
Sixty-five patients were enrolled and divided into two groups. Group 1 received MN alone, while Group 2 received HA following MN on the peri-implant mu...
Objectives
The present study evaluated hard- and soft-tissue changes in immediate implants using flapless approach with and without demineralized freeze-dried bone allograft (DFDBA) clinically and radiographically using cone-beam computed tomography (CBCT).
Materials and Methods
Thirty-two sites in patients requiring immediate implants in the maxi...
Current implant therapy is a frequently employed treatment for individuals who have lost teeth, as it offers functional and biological advantages over old prostheses. Concurrently, active exploration of intervention strategies aims to prevent the progression of peri-implant diseases and manage the existing peri-implant tissue damage. Indian Society...
Background
This study was designed to assess the influence of non‐surgical periodontal therapy (NSPT) on gingival crevicular fluid (GCF) levels of semaphorin‐4D (SEMA‐4D), peptidylarginine deiminase‐2 (PAD‐2), and matrix metalloproteinase‐8 (MMP‐8) levels in periodontally healthy, Stage III periodontitis non‐smoker and smoker patients.
Methods
Six...
Aim:
The harmonious existence of the extraoral and intraoral attributes are critical and capable of enhancing smile esthetics. Therefore, the present study was planned as a gender-based evaluation and correlation of interpupillary width (IPW) and intercommisural width (ICOW) with the combined width of the maxillary central incisors and anterior te...
Background:
The present study aims to evaluate and compare the effects of 1% melatonin gel plus platelet rich fibrin (PRF) and PRF alone in treatment of furcation defects, clinically and radiographically using cone-beam computed tomography (CBCT).
Methods:
This split-mouth clinical trial included 23 patients with 46 bilateral Grade II furcation...
Background:
To evaluate and compare efficacy of pinhole surgical technique (PST) alone and with advanced platelet rich fibrin (A-PRF) in the management of bilateral multiple adjacent gingival recession defects (MAGRD).
Methods:
One hundred and sixty five MAGRD were randomly assigned to control group (treated with PST) and test group (PST with A-...
Objective:
The present study was formulated as a gender-based evaluation of the vertical apicocoronal (VAC), horizontal mesiodistal (HMD), and horizontal faciopalatal (HFP) dimensions of the interproximal area and their influence on the presence of interdental papillae and gingival thickness (GT) in maxillary anterior teeth.
Materials and methods...
Oral health is vital for the general well-being, overall body health and the quality of life throughout our lifetime. Most of the oral diseases and conditions are largely related to the maintenance of oral hygiene, lacking that people suffer from diverse oral diseases at different times in their life. With greater life expectancy, the individuals h...
Background:
The aim of the present systematic review was to assess the effectiveness of simultaneous placement of implant in osteotome-mediated sinus floor elevation (OMSFE) procedure with and without bone augmentation.
Materials and methods:
An exploration of randomized clinical trials (RCTs) was systematically done in three databases comprisin...
Background:
The aim of the present study was to evaluate and compare the patient-reported experience and outcome measures (PREMS and PROMS) and three-dimensional augmentation efficacy of the autogenous and allogenic bone block grafts in deficient alveolar ridges through cone beam computed tomography (CBCT).
Materials and methods:
Twenty patients...
Background
The current study’s aim was to evaluate and compare demineralized freeze-dried bone allograft (DFDBA) with and without concentrated growth factor (CGF) membrane in the treatment of periodontal intrabony defects on both a clinical and radiographic level.Methods30 stage III grade B periodontitis patients with bilateral intrabony defects we...
Objective:
The present study aimed to evaluate the gender-based association of gingival exhibit with lip dimensions, intercommissural width (ICW), interdental smile line (ISL), and gingival smile line (GSL) in periodontally healthy patients.
Materials and methods:
120 patients aged between 20 and 40 years were divided equally into two groups bas...
Background
The use of autologous platelet concentrates (PC) in addition to bone graft (BG) in open flap debridement (OFD) has been investigated to improve the efficacy and outcomes of regenerative therapy for furcation defects. This systematic review evaluated efficacy of added benefits of PC to bone grafts in treatment of grade II furcation defect...
Background:
Interleukins are the markers of inflammation and the lipid profile reveals the likelihood of arising cardiovascular disease (CVD). The present study aimed to assess and correlate the influence of non-surgical periodontal therapy (NSPT) on serum lipid profile and Interleukin-6 (IL-6) and Interleukin-8 (IL-8) in patient with Stage III pe...
Background
The aim of the study was to evaluate Semaphorin-4D (SEMA-4D), Peptidylarginine deiminase-2 (PAD-2) and Matrix metalloproteinase-8 (MMP-8) levels of Gingival crevicular fluid (GCF) in periodontally healthy, stage III periodontitis smoker and non-smoker patients before and after Non-surgical periodontal therapy (NSPT).
Methods
60 patients...
Systematic Review and Recommendations on Management of Periodontal Disease in Diabetic Patients in India
Objective:
The systematic review and meta-analysis aimed to evaluate the efficacy of Metformin (MF) with Platelet Rich Fibrin (PRF) over PRF alone in the treatment of periodontal osseous defects.
Materials and methods:
An extensive electronic search for articles published up to September 2021 was conducted on 'Embase', 'PubMed' and other library...
Objectives This parallel, randomized controlled clinical trial evaluated the levels of IL-35 in periodontally healthy, gingivitis and periodontitis patients before and after the Non-Surgical Periodontal Therapy (NSPT).
Methods: This trial was registered in Clinical trial registry-India (ref no.-REF/2020/03/032301). 60 patients included in the study...
Background:
The present study was aimed to evaluate and compare the efficacy of locally delivered 1% Melatonin gel as an adjunct to Nonsurgical Periodontal Therapy (NSPT) in treatment of intrabony defect in Stage III periodontitis, clinically and radiographically using Cone Beam computed tomography (CBCT).
Material and methods:
This split-mouth...
The present randomized controlled study was undertaken to evaluate and compare peri-implant hard and soft tissue changes between implants restored with multiple disconnections and reconnections of the abutment (control group) vs implants restored with a definitive abutment (test group). Twenty edentulous sites from 13 systemically healthy participa...
Background:
Repeated abutment replacements may insults the soft tissue (mucosal) barrier mechanically, that might initiate other toxic irritants and bacteria into the mucosal-implant barrier that may affect the strength of the tissues around implants. The development of the "definitive abutment," might minimize the chances of peri-implant soft and...
Objectives:
The present retrospective study assessed the width of keratinized mucosa (WKM) and vestibular depth (VD) adjacent to dental implants subsequent to vestibular extension procedure in patients exhibiting inadequate WKM. A correlation between these two parameters with peri-implant soft tissue stability and the incidence of peri-implant sof...
Background:
The present study aimed to investigate the serum and salivary ghrelin and cortisol levels in smokers and non-smokers with Stage III Periodontitis.
Methods:
The present study comprised of a total of 90 systemically healthy patients categorized in three groups: Group I- Periodontally healthy patients; Group II- Non-smokers with Stage I...
Background:
The present study was aimed to evaluate and compare the effects of 1%MF plus PRF over PRF alone in treatment of Grade II furcation defects, clinically and radiographically by using CBCT.
Material and methods:
This split-mouth clinical trial randomly allotted 21 patients with 42 bilateral Grade II furcation defects into two groups. Gr...
Objectives: The retrospective study was undertaken to assess the peri-implant tissue stability in premolar and molar sites clinically and radiographically for implants 7 years after loading. Method and materials: 408 implants placed in 275 patients from 2012 to 2020 and following a regular recall protocol were assessed for Modified Plaque Index (MP...
Objectives:
The retrospective study was undertaken to assess the peri-implant tissue stability in premolar and molar sites clinically and radiographically for implants 7 years after loading.
Method and materials:
408 implants placed in 275 patients from 2012 to 2020 and following a regular recall protocol were assessed for Modified Plaque Index...
Aim
The present systematic review appended with meta-analysis aimed to evaluate the efficacy of bone replacement graft (BRG) with guided tissue regeneration (GTR) over BRG or open flap debridement (OFD) alone in the treatment of grade II furcation defects.
Materials and methods
An electronic literature search of PubMed, Cochrane Library and Google...
Background:
A strong bilateral relationship between cardiovascular disease (CVD) and chronic periodontitis has been established for decades. However, a knowledge gap regarding this association still persists among patients. The main objective of the present study was to assess the knowledge, awareness, and attitude among patients with CVD about it...
There is a huge body of literature suggesting an association and a bidirectional relationship between periodontal disease and diabetes. Diabetes and periodontal diseases are both chronic diseases with a high prevalence. Dentists/periodontists, in their daily clinical practice, very often attend to diabetes patients with diverse oral health conditio...
Objective:
Proportionate existence of the lip framework and gingival scaffold have a critical role in smile esthetics. So, the present study was conducted to assess and correlate the nasolabial angle (NLA) and lip length (LL) with gingival smile line (GSL) and interdental smile line (ISL).
Materials and methods:
One hundred and twenty periodonta...
Objective
A prime component in an esthetic and pleasing appearance of face is the proportionate presence of different compositions of the face. The present study aimed to evaluate the association between facial index, facial form, lip size, and angulation of anterior teeth with periodontal phenotype in males and females.
Materials and Methods
This...
The symposium proceedings as summarised in this report can be utilized by us to expand an evidence based patientcare, which addresses both the periodontal and diabetic management for our patients in an interconnected and holistic manner
Background:
Alveolar bone dimensions form an important prognostic factor in determining the success of implant treatment outcome. The present study evaluated the buccal and lingual bone width in posterior dentate and edentulous sites using cone-beam computed tomography (CBCT).
Materials and methods:
The study included 100 patients, divided equal...
Background:
Gingival tissue circumforaneous to the maxillary anterior teeth has been known to play a crucial role in smile esthetics. Reports in the literature suggest that both tooth and gingival display in the premolar areas are relevant for a beautiful smile. The present study examines the amount of tooth and gingiva exhibited in relation to th...
Background: Oncostatin M (OSM) is the cytokine from the family of interleukin-6. Inflammation, tissue turnover, healing, and repair alter the levels of OSM. The present study was aimed to evaluate the gingival crevicular fluid (GCF) and serum OSM levels in clinically healthy, chronic gingivitis and chronic periodontitis (CP) patients and subsequent...
Introduction: The most common type of impaction is observed in the mandibular third molars. Numerous symptoms and pathologies such as bone loss, pericoronitis can cause due to impacted third molar. So, the aim of the study was to assess the bone resorption adjacent to third molar and distal to second molar and also to evaluate age estimation by per...
This paper is a compilation of th proceedings of the symposium on periodontitis and diabetes as a consensus report. This symposium was co- hosted by Indian Society of Periodontology and Reseach Society for the Study of Diabetes in India
Objectives:
Emerging evidence suggests that inflammation due to periodontal diseases may not be limited to adjacent oral tissues but may have influence on systemic diseases such as chronic kidney diseases (CKD) and cardiovascular diseases. Hence, this study was aimed to evaluate and compare left ventricular mass (LVM) in patients with CKD undergoi...
This is a first consensus report of the national symposium on periodontitis and diabetes from India
Aim: The aim was to evaluate the knowledge, attitude and behaviour of dental students concerning infection control measures and to check the correlation, if any, among knowledge, attitude and behaviour of dental students concerning infection control measures in dental setups. Materials and Methods: A total of 1200 students from first to final year...
Background:
The objective of our study was to evaluate and compare the effectiveness of coronally advanced flap (CAF) with or without the use of platelet-rich fibrin (PRF) membrane in the treatment of multiple adjacent recession defects (MARD) clinically and by cone-beam computed tomography (CBCT).
Materials and methods:
Twenty healthy patients...
Objective:
Gingival line angle (GLA) has been considered an important attribute of an esthetic smile. The purpose of this study was to evaluate GLA on either sides of maxillary arch and correlate it with the gingival smile line (GSL) and interdental smile line (ISL).
Materials and methods:
One hundred twenty periodontally healthy patients with a...
Background.
Atorvastatin (ATV), which belongs to the statin class of drugs, is the formidable inhibitor of 3-hydroxy-2- methyl-glutaryl coenzyme A reductase. This clinical trial evaluated and compared the clinical and radiographic changes in chronic periodontitis (CP) patients, obtained through 1.2% ATV as an adjunct to scaling and root planing (SR...
Objective: Limited data are available with respect to the relation of vitamin D and calcium with periodontal infections and type-2 diabetes mellitus (T2DM). The aim of this cross-sectional study was to evaluate the levels of vitamin D and calcium in serum of periodontally healthy, chronic gingivitis and chronic periodontitis patients with and witho...
Aim:
The aim of the present study was to evaluate the effect of non-surgical periodontal therapy (NSPT) on gingival crevicular fluid (GCF) and serum leptin levels and glycemic status in periodontally healthy patients with chronic periodontitis (CP) with and without type 2 diabetes mellitus (T2DM).
Methods:
Ninety patients were divided into three...
Aim
The present study is aimed to investigate whether single-nucleotide polymorphism (SNP) of resistin gene (RETN) at −420 and +299 sites, is associated with resistin levels in serum and gingival crevicular fluid (GCF) in periodontally healthy, chronic periodontitis (CP) with and without type 2 diabetes mellitus (T2DM) patients.
Materials and Meth...
Background:
In the maxillary esthetic zone, gingival tissue characteristics play an important role in designing and achieving a beautiful smile. The gingival line, gingival angle (GA), and gingival zenith angle (GZA) can provide an insight into the dimensional soft tissue requisites in procedures involving reconstruction of the papillae and gingiv...
Purpose
The aim of this study was to measure the thickness of the mucous membrane lining the maxillary sinus and to correlate this thickening of the Schneiderian membrane with the presence or absence of periodontal bone loss of adjacent teeth, by using cone beam computed tomography (CBCT).
Methods
255 CBCT images were analyzed of which 140 images...
Background
The present study aims to evaluate and compare the clinical and radiographic changes obtained through Bioactive Glass (BG) with and without autologous platelet‐rich fibrin (PRF) in the treatment of intrabony defects in chronic periodontitis patients.
Materials and methods
The present study was a split‐mouth randomized controlled clinica...
Purpose
Procedures such as Periodontally Accelerated Osteogenic Orthodontics (PAOO) support the use of osteotomy to aid tooth movement and rapid distraction of the periodontal ligament by utilizing tissue engineering principles with periodontal regenerative surgery. The aim of this study was to evaluate and compare the amount of tooth movement and...
Background. This study evaluated the effect of periodontal therapy on mucous membrane thickening in maxillary sinus in chronic periodontitis patients using radiovisiography (RVG) and cone-beam computed tomography (CBCT).
Methods. The study population included 30 patients diagnosed with chronic periodontitis, exhibiting bilateral mucosal thickening...
The presence of furcation involvement is one of the clinical indicators of periodontal disease which is considered an extremely demanding situation by clinicians in terms of successful management. With a continuous improvement in the understanding of periodontal conditions and advent of better therapeutic modalities, it becomes imperative to maximi...
Background
The treatment of molar furcation involvement is unpredictable due to the complex anatomy and poor access for instrumentation. Previous studies have reported successful regeneration with endogenous regenerative material such as platelet rich fibrin (PRF) and bisphosphonates as alendronate (ALN). Hence, the present study was aimed to evalu...
Background
Existing literature indicates a positive relationship between stress and chronic periodontitis (CP) but there is limited information on the combined influence of stress and smoking on the progression of periodontal disease. So, the objective of this study was to evaluate the effects of stress, salivary and serum, cortisol and Interleukin...
The presence of interdental papilla between the maxillary central incisors has a considerable influence on harmonizing esthetics and biologic functions. Preliminary investigations indicate an association between tooth shapes and periodontal characteristics. This study aimed to evaluate the prevalence of morphologic variation in maxillary central in...
Objectives:
Open gingival embrasures leading to appearance of black triangles which apart from being unesthetic contribute towards food retention, adversely affecting the health of the periodontium. Correction of such papillary deformities is extremely challenging, which requires an in depth knowledge about the interproximal geometry for the appro...
Objective:
The gingival tissues surrounding the maxillary anterior teeth play a pivotal role in fostering a beautiful smile. The gingival zenith position (GZP) and its spatial orientation in the mesiodistal and apicocoronal direction can provide a valuable reference point. The present study was undertaken to evaluate the GZP and gingival zenith li...
Background
The synthetic anorganic bone matrix/cell-binding peptide (ABM/P-15) has displayed an increased fibroblast migration and attachment with bone graft material, thus enhancing periodontal regeneration. The objective of the present study was to evaluate and to correlate the efficacy of open flap debridement (OFD) with and without ABM/P-15 in...
Aim: The aim of this study is to correlate the features of palmer dermatoglyphic with aggressive, chronic periodontitis, and periodontally healthy controls. Materials and Methods: A total of 45 patients with mean age of 18–45 years were equally divided into three groups comprising 15 patients in each group as follows: Group I-periodontally healthy,...
Objective:
Interdental soft tissues play a critical role in pink esthetics. The presence and preservation of the interdental papillae in the esthetic zone is as crucial as the shape and contour of the anterior teeth in achieving an esthetically pleasing smile. The present study determines the association of central papilla recession with gingival...
Background: Osteoporosis is particularly high in females, the early identification of which remains a challenge. Panoramic radiographs are routinely advised to detect periodontal diseases and can be used to predict low bone mineral density (BMD). Hence, this investigation was aimed to identify the risk of osteoporosis in pre- and postmenopausal per...
Background
Osteoporosis is particularly high in females, the early identification of which remains a challenge. Panoramic radiographs are routinely advised to detect periodontal diseases and can be used to predict low bone mineral density (BMD). Hence, this investigation was aimed to identify the risk of osteoporosis in pre- and postmenopausal peri...
Introduction
Mini-clinical examination (mini-CEX) is a new assessment tool that observes the student using a standard rating form. The aim of this study was to evaluate the feasibility and usefulness of the mini-CEX as an assessment and feedback tool in the postgraduate setting in periodontology.
Materials and Methods
Eight postgraduate students a...
Aim
The aim of this study was to evaluate root surface alterations in terms of location, length, and depth of root resorption in the gingival, middle, and apical third of the mesial and distal surfaces of the root in healthy and periodontally affected teeth with chronic periodontitis.
Materials and Methods
Teeth diagnosed with differing severity o...
Volumetric changes were evaluated to assess the regenerative efficacy of demineralized freeze-dried bone allograft (DFDBA) with and without amnion membrane (AM) in Grade II furcation defects both clinically and radiographically using cone beam computed tomography (CBCT). Sites were randomly assigned to Group I (DFDBA) and Group II (DFDBA + AM). Cli...
Various treatment modalities have been proposed and practiced over the years for comforting the functions of individuals with enhanced life expectancy leading to an aging population. These therapeutic modalities are directed toward providing masticatory apparatus to patients with atrophic edentulous ridges. After evolving over several years, clinic...
Background and Objective
Nitric oxide (NO) is a widespread signaling molecule which is known to influence varied biological processes. However, an uncontrolled high level of NO accelerates tissue destruction. The pathogenesis of periodontal disease is also affected by smoking which alters the inflammatory response. The present study was thus perfor...
Purpose: Areca nut, a suspected human carcinogen, is responsible for oral submucous fibrosis (OSMF). Micro colposcopy, a noninvasive technique, can be used for early detection of dysplastic changes in the oral tissues. The aim of this study was to evaluate and compare the effect of areca nut on oral mucosa in healthy controls and those with OSMF us...
Background and Objective: Nitric oxide (NO) is a widespread signaling molecule which is known to influence varied biological processes. However, an uncontrolled high level of NO accelerates tissue destruction. The pathogenesis of periodontal disease is also affected by smoking which alters the inflammatory response. The present study was thus perfo...