Balaji Manohar

• Master of Dental Surgery
• Professor (Full) at KIIT University

A BSTRACT Introduction Ionizing radiation is extensively utilized in dental imaging research, with radiography serving as the primary diagnostic technique in dentistry. Materials and methods The cytotoxic effects of Xrays are wellestablished, the genotoxic consequences remain debated. Results This study aims to evaluate the impact of dental Xray...

A BSTRACT Introduction Measuring gingival thickness (GT) is crucial in periodontal and implant dentistry as it impacts clinical decisions and outcomes. Materials and methods Several methods are employed to assess GT, including conebeam computed tomography (CBCT), transgingival probing, and ultrasonography. Each technique has distinct advantages a...

A BSTRACT Introduction Evaluating the level of knowledge, attitude, and practice regarding Hepatitis B viral infection among the interns of dental colleges in Odisha. Materials and Method A questionnaire with 20 closed-ended questions was circulated to 269 interns in the dental colleges of Odisha. A total of 243 interns participated in the study...

A BSTRACT Introduction Artificial intelligence (AI) has been a revolutionary jump in the field of dentistry and medicine. Materials and methods The acceptance of the AI among healthcare professionals is growing minutely. Results This study identifies the knowledge and perception of the health professionals about the implementation of AI in regul...

Phenotype modification therapy using the novel semilunar flap with xenogeneic collagen matrix improves gingival phenotype, root coverage and increased keratinized tissue width. It also halts the progression of recession, enhances tissue resilience and improved plaque control sustainable over 3 years. Collagen matrix avoids second site surgery and h...

Introduction The efficacy of infiltration versus inferior alveolar nerve block (IANB) injection techniques during periodontal flap surgery in the mandible is crucial for optimising patient care. This comparative study aims to evaluate the pain management, ease of administration and clinical outcomes associated with both anaesthetic methods. Infiltr...

Introduction The comparison of single-flap approach (SFA) and conventional flap (CF) techniques in the treatment of intrabony defects is a significant area of periodontal research. This clinical-radiological study evaluates the effectiveness of these methods over a 6-month period. SFA involves minimal surgical intervention, promoting faster healing...

Introduction Pigmented gingival tissue is a common complaint of patients as unaesthetic. There is a dearth of literature comparing the efficacy of depigmentation by cryosurgery using a biocompatible material 1,1,1,2-tetrafluoroethylene gas and diode laser, which are relatively newer techniques. The study aims to evaluate and compare the efficacy of...

A BSTRACT Aim Pharmaceutical promotion is the principal aspect of the healthcare system. In this study, we aimed to portray the opinion of doctors and medical representatives (MRs) on conventional pharmaceutical ways (usage of promotional or educational paper materials and physician drug samples) for pharmaceutical promotion. Materials and Method...

Minimally invasive surgical procedures Patient reported outcome measures Systematic review a b s t r a c t Vestibular Incision Subperiosteal Tunnel Access (VISTA) root coverage technique has experienced a surge in popularity in recent times. The methodology employed in this study is characterized by its minimally invasive nature, utilizing a single...

A BSTRACT The most significant accomplishment of dentists is the early detection of oral dysplasia or the rapid diagnosis of potentially malignant lesions. An additional test that assists in the diagnosis of numerous oral illnesses is exfoliative cytology. This study was conducted among dental professionals in the city of Bhubaneswar to assess thei...

A BSTRACT The evaluation of conventional two-dimensional radiography is crucial in making the diagnosis of periodontitis. Radio-visiography (RVG) is one of the digital imaging modalities that have received significant recognition as a replacement for film-based radiography due to its improved image quality, quick turnaround time, and minimal radiat...

A BSTRACT The oral cavity can be explored as an area to identify the impacts of aging. Exfoliative cytology is a painless, rapid, and effective method for collecting intact cells from various epithelial layers for microscopic examination. Therefore, the current study’s objective was to determine the average cell size using morphometric analysis and...

Introduction Gingival, periodontal diseases and dental caries are the most prevalent diseases of the oral cavity. Plaque is the main cause of these dental diseases. Plaque control is of prime importance for the maintenance of oral and dental health. The toothbrush is used very commonly for plaque control. A variety of toothbrushes are available, wh...

Introduction Toothbrushes are one of the most essential tools to maintain oral health. It has gone through several developmental phases. In ancient times, the brushes were made up of bamboo, but currently, we use nylon brushes. Bamboo brushes were thought to harbour more microorganisms. Hence, we undertook this study to evaluate and compare microbi...

Introduction Several journals are launched every month. The authors need to stay updated regarding selecting and publishing their research work in the right journal, considering the number of predatory journals present now. Materials and Methods A cross-sectional study was conducted amongst academicians, clinicians and post-graduate students from...

Background Gingival clefts, once known as “Stillman's Cleft”, now considered an obsolete phenomenon, cannot be neglected in clinical practice, especially when it is persistent and epithelialized. The attached gingiva and alveolar mucosa are composed of epithelial layers with subjacent connective tissue. Gingival clefts, notwithstanding their intrin...

Dentinal hypersensitivity (DHS) affects about 1.3%–92.1% of the population globally and has a significant impact on the quality of life of the affected individuals. Desensitizing agents that directly block the dentinal tubules or cause chemical blocking of the pulpal nerve endings are commonly recommended for the management of DHS. Potassium oxalat...

Gingival recession (also known as marginal tissue recession) was defined at the 2017 World Workshop in Periodontics as “the apical shift of the gingival margin with respect to the cemento-enamel junction”. Gingival recession (GR) is associated with attachment loss and exposure of the root surface to the oral environment.1 The global prevalence of G...

Background Oral tissue morphogenesis is innately determined and genetically controlled by underlying connective tissue. The connective tissue graft (CTG) harvested from palatal donor sites originally retains “regional specificity” and is considered to be responsible for epithelial keratinization. Methods This case study presents histological and g...

Introduction: The planning of effective orthodontic therapy greatly benefits from an understanding of the skeletal maturation and stage of growth of the patients seeking orthodontic treatment. However, the patient's various craniofacial structures have varying levels of growth potential. The patient is exposed to additional radiation when hand-wri...

A BSTRACT Examining epithelial cells in the mouth cavity is simple and non-invasive with exfoliative cytology. Liquid-based cytology is an additional diagnostic technique that can improve the specificity and sensitivity of conventional cytology. The purpose of our study was to describe the consistency of normal oral mucosa samples obtained with thr...

A BSTRACT Anthropometry, fingerprints, age estimation, gender determination, blood types, DNA, and dental features are examples of traditional techniques for identifying a person. The present study aimed toward observing the patterns of fingerprints and their reliability toward human identification. A retrospective study was conducted in a tertiary...

Objective Evaluating the level of knowledge and applicative knowledge regarding Cone Beam Computer Tomography (CBCT) among interns from various dental institutes in the country. Materials and Methods A Questionnaire with 15 close-ended questions was circulated to 2000 interns from various dental institutes across India. 1154 interns participated i...

Introduction Social media is a web-based platform which has gained popularity amongst students for learning and enhancing their skills. Students are adapting to e-learning methods to enhance their clinical skills. The aim of this study was to evaluate the use of social media as an educational/learning tool amongst post graduates in periodontology....

Introduction: There is a growing focus on researching the management of children with COVID-19 admitted to hospital, especially among developing countries with new variants alongside concerns with the overuse of antibiotics. Patient care can be improved with guidelines, but concerns with the continued imprudent prescribing of antimicrobials, inclu...

Introduction: The objective of the study is to evaluate the oral hygiene awareness and the utilization of oral health services by the patients visiting dental OPD of Kalinga Institute of Dental sciences, Bhubaneswar. Methods: A cross sectional based study was conducted among 204 patients .A structured self-administered questionnaire was employed as...

Introduction: Covid-19 began in Wuhan, China in the month of December 2019 and over a period of time, the infection outspread across the world in a rapid pace.It has put the entire world's population at risk of infection, which is a huge source of worry, particularly for vulnerable populations like dental students.This study is aimed for the assess...

Introduction: The purpose of this study was to determine the level of oral health knowledge, attitude, and practise among engineering, paramedical, and nursing staffs, as well as the factors that influence them. Materials and methods: A cross-sectional questionnaire-based study was conducted using voluntarily filled questionnaires which was circula...

The Accelerated osteogenic Orthodontics (AOO) is an emerging contemporary approach for rapid movement of teeth. The acceptable length of orthodontic treatment is contested, however the need for speeding appears to be universally agreed upon. Various surgical adjuncts have been developed to expedite orthodontic tooth movement and to retain optimal o...

Excessive gingival display (EGD), known as “gummy smile,” is a major esthetic hurdle in today's population. The condition occurs due to various etiologies such as skeletal, dentoalveolar, or soft-tissue origin. The treatment modalities range from orthognathic surgery to periodontal plastic procedures. Lip-repositioning surgery (LRS) is a better alt...

A solution like formalin used as a fixative has to be handled with lot of care and needs to be stored with utmost care. Negligence on part of the dental professional by accidentally injecting formalin instead of the local anesthetic can lead to permanent tissue damage and also may induce a life threatening situation. The operating dentist injected...

To compare the antiplaque and antigingivitis efficacy of 1.25% holy basil mouthwash to 0.2% chlorhexidine. 30 systemically healthy subjects where divided in three groups by randomization and were asked to refrain from maintaining mechanical measures for oral oral hygiene for 5 days and used one of the randomly assigned mouthwash (Group I - 0.2% chl...

Adenomatoid odontogenic tumor (AOT) is benign tumor of the oral cavity characterized by its slow growth accounting to 3%–7% of the odontogenic tumors. AOTs mostly occur in the maxillary anterior region and most often than not associated with impacted anterior teeth. It affects the younger age group, especially below 20 years and is commonly seen in...

Anatomical abnormalities are commonly associated with many problems. Among all anomalies, one is crestal attachment of the frenum or muscle on the alveolar process. Crestal attachment of the buccinator muscle is a rare phenomenon. It may cause various problems in routine oral exercises or restore the edentulous area. The present case report is a ca...

Use of tooth as a promising replacement substitute has been validated by various animal as well as human studies. Though widely used in GBR and Sinus grafting techniques, its use in periodontal intrabony defect is not documented. In the present case report, the tooth graft has been placed in periodontal intrabony defect. Post-operative CBCT after 2...

Introduction: Menopause is associated with important systemic and oral changes. Many researchers have tried to evaluate the influence of hormonal changes associated with menopause in the periodontium, however results are still contradictory. Objective: The aim of the present study was to evaluate the effect of menopause on the severity of periodont...

Introduction: Dental plaque is the primary aetiological factor for periodontal disease. Scaling and root planing may fail to eliminate periodontal pathogenic species because of limited access to the root surface and tissue-invading properties of some periodontal pathogens. Considerable attention has been devoted to the possibility of using antimicr...

Introduction: Good oral hygiene provides a basis for good oral health and is important for prevention and treatment of oral conditions in children. Hence, it is essential to provide knowledge and treatment at regular intervals to the visually impaired individuals. Objective: To evaluate the oral hygiene practices of visually impaired students atten...

A developmental anomaly like cervical enamel projection is a rare finding in the maxillary anterior region. Its ectopic presence attracts attention in literature. This type of anomaly is typically found in the furcation region of molars. The case report presented here deals with the ectopic presence of combined anomalous lesion and its management....

Background: Citrus sinesis belongs to Rutaceae family is an enriched source of vitamin C, flavonoid compounds and antioxidants are helpful in reducing inflammation. Few in-vitro studies the ethanolic extract of orange peels has successfully reduced periodontal pathogens which has influenced us to prepare a mouth wash with ethanolic extract of orang...

Background: Plaque is the soft deposit that forms the biofilm consisting of microorganisms adhering to the tooth surface and is proved beyond doubt to be the initiator of gingival and periodontal disease. Plaque control is the mainstay in periodontal disease. Aim: To compare the effect of 0.2% chlorhexidine gluconate, raw propolis and 3% hydrogen p...

Irritational fibroma is a benign slow-growing tumor, which is the most common oral soft tissue lesions caused due to local irritation or trauma by plaque, calculus, overhanging margins, and restorations. It can occur at any age and from almost any soft tissue sites; the tongue, gingiva, and buccal mucosa are the most common sites. The second most c...

Background: An antiplaque agent with minimal side effects that can be used as an effective adjunct to mechanical plaque control is needed. Mouthwash has been used for centuries for medicinal and cosmetic purposes, but in recent years, the rationale behind the use of chemical ingredients has been subjected to scientific research and clinical trials....

Background: Periodontal disease is initiated by bacterial accumulation but some risk factors like genetics also can be responsible for disease progression. Genetic determinants that exist could be suggestive of specific dermatoglyphic patterns for periodontitis. Hence, the present study was an attempt to find if there is any correlation between fin...

Objective: The Calcifying Odontogenic Cyst was first described as a distinct clinicopathologic entity by Gorlin and his colleagues in 1962. Gold (1963) chose a similar, but not identical term for the lesion, namely 'keratinizing and calcifying odontogenic cyst'. The calcifying cystic odontogenic tumor (CCOT) is a new designation of calcifying odon...

Background: Chronic periodontitis is a bacterially induced chronic disease that is immune-inflammatory in nature. The incidence and progression of this disease is related to a substantial increase in gram negative anaerobic rods. The use of antimicrobial mouthwashes as an adjunct to mechanical plaque control is well established in dental practice....

Background: Biofilm removal is the central part of the etiotropic and maintenance phase of periodontal therapy. Commercially available injection water jets such as Prophy-Jet allows an efficient and convenient biofilm removal as an adjunct to mechanical periodontal therapy. But, due to the abrasive nature of traditionally used air polishing powders...

Background: Operator safety during dental & periodontal treatment is a non-negotiable necessity. The production of airborne material, during dental procedures is obvious to the dentist, dental team and the patient. Aim: The aim of the present study was to evaluate, the colony forming units (CFU) generated from aerosol during ultrasonic procedure in...

Introduction There are various treatment modalities to remove the black patches of melanin pigmentation. The aim of the study is to clinically compare the diode laser ablation and surgical stripping technique for gingival depigmentation and to evaluate their effect on the histological changes in melanocyte activity. Materials and Methods A total o...

Context Local administration of antimicrobial agents offer a “site-specific” approach to the periodontal therapy and it has several benefits. Aim The present study was aimed to assess the clinical and microbial changes by subgingival irrigation using different subgingival irrigants in periodontitis patients and also to assess the mechanical effect...

Context: Local administration of antimicrobial agents offer a 'site-specific' approach to the periodontal therapy and it has several benefits. Aim: The present study was aimed to assess the clinical and microbial changes by subgingival irrigation using different subgingival irrigants in periodontitis patients and also to assess the mechanical effec...

The Keratocystic Odontogenic Tumor is a developmental cyst derived from the enamel organ or from the dental lamina. It is a benign, multicystic, intraosseous tumor of odontogenic origin, with a characteristic lining of parakeratinized stratified squamous epithelium and has a potential for aggressive, infiltrative behavior and recurrence. Keratocyst...

Aim: Alendronate (ALN) and atorvastatin (ATV) are known to inhibit osteoclastic bone resorption and were proposed to have osteostimulative properties. The aim of the study was to evaluate and compare the efficacy of 1% ALN and 1.2% ATV gel as a local drug-delivery system in adjunct to scaling and root planning (SRP) for the treatment of intrabony...

Tuberculous lesions affecting periodontium are rare and seen as secondary infections localized to the soft tissues. With the advent of effective drug therapy, tuberculous lesions of the oral cavity have become rare. Involvement of the periodontium has seldomly been reported in the recent literature. We report a case of tuberculous osteomyelitis of...

Tuberculous lesions affecting periodontium are rare and seen as secondary infections localized to the soft tissues. With the advent of effective drug therapy, tuberculous lesions of the oral cavity have become rare. Involvement of the periodontium has seldomly been reported in the recent literature. We report a case of tuberculous osteomyelitis of...

A high number of patients with periodontitis may have undiagnosed diabetes. Self-monitoring devices provide a simple method for rapid monitoring of the glucose level in the blood by utilizing a blood sample from the finger, but this method requires a needle puncture to obtain blood. It is possible that gingival crevicular blood (GCB) from routine p...

The aim of this study was to evaluate the clinical effectiveness of locally delivered xanthan-based Chlosite(®) gel as an adjunctive therapy to scaling and root planing in treatment of chronic periodontitis. In a randomized controlled clinical study, 30 patients were selected. Pocket depth between 5 and 7 mm was selected and each patient had two si...

Treatment of periodontal diseases by nonsurgical debridement has been considered as a gold standard procedure. Various other treatment modalities have been tried and tested to treat periodontal diseases. The aim of this study was to investigate the effect of antioxidant therapy on the progression of periodontal disease as monotherapy and/or as an a...

Bleeding is a common sequela of oral and periodontal surgery. Generally, bleeding is self-limiting. Following traumatic injury or surgical procedures, hemorrhage can range from a minor leakage or oozing at the site, to extensive bleeding leading to complete exsanguinations. Significant postsurgical hemorrhage following periodontal surgery is uncomm...

Background: Antioxidant therapy is emerging as a promising new paradigm as prophylactic and therapeutic agents. Aims & Objectives: The aim of this study was to investigate effect of antioxidant therapy on the progression of periodontal disease and to investigate if any correlation exists between antioxidant levels in saliva and periodontal attachme...