Journal of Oral Health and Community Dentistry

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2023 | May-August | Volume 17 | Issue 2

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Mahesh Goel, Vijay Kumar Maliwad, Ravinder Solanki, Antariksh Deep, Neha Saini

Analysis of C-reactive Protein Level as a Monitoring Tool in Patients with Odontogenic Space Infection: A Prospective Clinical Study

[Year:2023] [Month:May-August] [Volume:17] [Number:2] [Pages:7] [Pages No:37 - 43]

Keywords: Antibiotics, Broad spectrum, C-reactive protein, Inflammatory markers, Local anesthesia, Odontogenic space infection, Periodontal abscesses, Prospective clinical study, Research, Wide microflora

   DOI: 10.5005/jp-journals-10062-0164  |  Open Access |  How to cite  | 


Aim: The aim of this study was to do analysis of C-reactive protein (CRP) level as an efficacy of treatment in odontogenic space infection in indoor patients to measure the severity of infection so that medicinal treatment response can be assessed and subsequently to avoid excessive postoperative antibiotic treatment given to the patients. Materials and methods: A total number of 40 indoor patients of 17–50 years of age were analyzed for CRP levels as monitoring tools in odontogenic fascial space infection in the Department of Oral and Maxillofacial Surgery, PGIDS, in collaboration with the Department of Microbiology, PGIMS, to measure the severity of infection and to assess medicinal treatment response. Results: The severity of infection and effectiveness of the treatment regime were determined using the correlation between clinical parameters and laboratory values of serum CRP, which explained the direct and linear relation between CRP and size of swelling, with CRP being a significant predictor of size of swelling (p < 0.05). The data for mouth opening explained an inverse relation between CRP and mouth opening. Conclusion: The findings of this prospective analysis indicate that CRP can be served as effective markers for determining the severity of fascial space infections of odontogenic origin. Serum CRP reflects the immediate effect of the treatment and acts as a significant predictor of the severity of infection and effectiveness of the treatment regime, which can be incorporated as a monitoring tool for managing patients with fascial space infections of odontogenic origin. Clinical significance: Looking at the scarcity of studies pertaining to CRP levels in odontogenic space infection patients, this prospective analysis study was conducted to monitor the levels of CRP level in odontogenic space infection patients to throw further light in this direction.



Elizabeth Berry, John Henry Unkel, John Harrison, Steve Melnic, Andrew Burris

Educating Nursing Students about Pediatric Oral Health: An Interprofessional Education Collaboration

[Year:2023] [Month:May-August] [Volume:17] [Number:2] [Pages:5] [Pages No:44 - 48]

Keywords: Nursing students, Oral health education, Pediatric dentistry

   DOI: 10.5005/jp-journals-10062-0167  |  Open Access |  How to cite  | 


Aim: Despite dental caries in children being a large public health concern in the United States, there remains a lack of training of nondental healthcare professionals in pediatric oral health. An interprofessional learning experience for nursing students with pediatric dental residents was created to increase nursing students’ knowledge of pediatric oral health. The study's purpose was to evaluate the effectiveness of an interdisciplinary education program targeting nursing students providing a didactic and clinical oral health program. Materials and methods: In 2016, 105 nursing students were recruited and presented oral health information in a didactic program, didactic and clinical program, clinical program, or no program. Nursing students were surveyed to assess their knowledge before and after the educational experiences. Results: There was a significant improvement in children's oral health knowledge for nursing students in the clinical, clinical and didactic, and didactic program in comparison to those that did not complete a program (p < 0.05). Conclusion: This interprofessional learning experience increased students’ knowledge of pediatric oral health, and additionally reflected in a positive experience for nursing students.


Original Article

Swapna Arunkumar Mahale, Amit Keshav Walvekar, Shashank Tiwari, Rajlaxmi D Patil, S Harish, Anirudh Mehta, Shashank S Jadhav

Efficacy of Colloidal Nanosilver Tooth Gel in the Management of Orodental Conditions: A Prospective, Randomized, Triple Arm, Parallel, Double-blind Controlled Interventional Clinical Study

[Year:2023] [Month:May-August] [Volume:17] [Number:2] [Pages:8] [Pages No:49 - 56]

Keywords: Bleeding gums, Colloidal NanoSilver Tooth Gel (SilverSol®), Dental plaque, Gingivitis, Orodental health, Periodontitis, Tooth sensitivity

   DOI: 10.5005/jp-journals-10062-0166  |  Open Access |  How to cite  | 


Objective: Poor orodental health is a root cause of various oral conditions, viz., dental caries, periodontal diseases, malocclusion, orofacial anomalies, and many more that result in pain, suffering, and even disability. Around 3.5 billion population suffers from one or the other dental condition globally. Moreover, poor orodental health also contributes to many systemic diseases. The newer therapeutic agents are needed to prevent dental caries and plaque formation and thereby protect teeth from further damage. Colloidal Nanosilver (SilverSol®) Tooth Gel is a colloidal nanosilver preparation along with xylitol and peppermint oil with a unique biodisruptive nanotechnology having multidimensional activity due to its wound healing and antimicrobial properties. Methodology: The present study was conducted on 120 patients suffering from different dental conditions to assess the efficacy of SilverSol® Tooth Gel. Results: SilverSol® showed a significant effect in almost all the conditions monitored in the patients. There was a reduction in extrinsic tooth stains and pocket depth score in the mouth by 58.6 and 52.2% respectively. Breath malodor also showed improvement as the score reduced by 66%. Altogether, it contributed to the overall oral health improvement by 69%. Conclusion: SilverSol® Tooth Gel is effective in several orodental conditions including periodontitis and gingivitis in comparison to chlorhexidine gel. Routine application of SilverSol® Tooth Gel will prevent these conditions and maintain the overall orodental health.



Krithika Chakravarthy, Subramanian Jagannathan, Venkata Madhavi Lalitha

Pain Perception during Intrapulpal Anesthesia: A Systematic Literature Review

[Year:2023] [Month:May-August] [Volume:17] [Number:2] [Pages:5] [Pages No:57 - 61]

Keywords: Intrapulpal anesthesia, Irreversible pulpitis, PRISMA 2020, Pain perception

   DOI: 10.5005/jp-journals-10062-0168  |  Open Access |  How to cite  | 


Intrapulpal injections are a blessing in disguise to endodontists. Every endodontist would have successfully achieved pain relief in cases by administering intrapulpal injections. The satisfaction of painless pulp extirpation to the dentist and comfortable endodontic treatment experienced by the patient following intrapulpal anesthesia cannot be emphasized more. At the same time, intrapulpal injections are themselves extremely painful. The objective of this systematic review is to determine the pain associated with the administration of intrapulpal injections through a systematic review.



Harshita Pandey, Pradeep Tangade, Vikas Singh, Ankita Jain, Abhishek Jain, Rangoli Srivastava

Critique of the Link between Swine-origin H1N1 Influenza A Virus and Dental Practice: “Unraveling the Facts”

[Year:2023] [Month:May-August] [Volume:17] [Number:2] [Pages:4] [Pages No:62 - 65]

Keywords: Awareness, Dentist, H1N1 influenza, Immunization, Preventive measures

   DOI: 10.5005/jp-journals-10062-0169  |  Open Access |  How to cite  | 


Although the swine influenza A (H1N1) virus mostly affects pigs, it can potentially infect people. Being in close contact with an infected person increases the risk of contracting the virus since it spreads by respirational droplets. Dental workers must be watchful in order to stop the transmission of the H1N1 virus in the dental context, where close contact with patients is frequent. Intensification in public health awareness of influenza developed health education, prevention, and immunization. In conclusion, this in-depth analysis combines the most recent information on the relationship between the H1N1 flu and oral health. It also emphasizes the need for more investigation into the precise mechanisms of H1N1 infection in the oral cavity and the long-term dental effects of H1N1 flu.



Nymphea Pandit, Vishakha Grover, Shalini Gugnani, Deepika Bali, Ankita Ranjan

A Systematic Approach to the Diagnosis of Gingival Enlargements

[Year:2023] [Month:May-August] [Volume:17] [Number:2] [Pages:9] [Pages No:66 - 74]

Keywords: Classification, Differential diagnosis, Gingival enlargement, Hereditary

   DOI: 10.5005/jp-journals-10062-0170  |  Open Access |  How to cite  | 


Aim: Gingival enlargement (GE) is a very frequent condition to be witnessed in routine clinical practice. With a wide array of factors responsible for this clinical situation, it is imperative to identify the precise nature of the causative factor and underlying disease process. Background: Continuous lifestyle alterations and clinical dental practice over a period of time have seen many new behaviors, disease conditions, and dental treatment options associated with GEs. The existing classification system for the assessment and treatment planning of GEs essentially has been proposed almost half a century ago and thus does not accommodate the newer variants reported by the authors in the form of case reports. Largely all such conditions, which do not fall under the major categories, are grouped under the broad heading of “idiopathic GEs.” This grossly affects the clinicians’ acumen to comprehend the subtle differences in etiology and pathogenesis of GEs and to provide precise personalized patient care to these patients. Review results: This article showcases the newer variants of GEs as published in the literature over the last 60 years. Conclusion: This review provides a contemporary comprehensive update to include the variants as novel categories or subcategories for better identification, diagnosis, and management of these cases. Clinical significance: With the continuous surge of advances in knowledge of periodontal disease pathogenesis and novel diagnostic/therapeutic methods, a multitude of variants of GE conditions have been witnessed in recent clinical practice. There is a significant need for periodic expansion and update of the variants for GE conditions for precise identification and management of these conditions.



Rubén Darío Miranda-Carreño, Jacqueline Adelina Rodríguez-Chávez, Abigailt Flores-Ledesma

Infiltrating Resins, Noninvasive Treatment of White Spot Lesions: A Case Report

[Year:2023] [Month:May-August] [Volume:17] [Number:2] [Pages:5] [Pages No:75 - 79]

Keywords: Case report, Infiltrating resins, Minimal invasive dentistry, White-spot lesions

   DOI: 10.5005/jp-journals-10062-0165  |  Open Access |  How to cite  | 


Demineralization of tooth enamel causes milky, opaque white-spot lesions (WSL). Aim: The aim was to use infiltrating resin as a noninvasive technique on the removal of WSL. Case description: An 18-year-old female patient presented to a dental consultation complaining about “the spots in her front teeth”; the patient had recently finished her orthodontic treatment. The clinical examination identified WSL on the vestibular surfaces of teeth 11, 21, and 22. A minimally invasive treatment was selected with infiltrating resin (ICON Smooth surface, DGM, Germany). After absolute isolation of the upper anterior sector, the teeth with the WSL were conditioned with 15% hydrochloric acid for 2 minutes and rinsed with abundant profuse water for 30 seconds. Ethanol was applied for 30 seconds and volatilized with oil-free air for 20 seconds. The infiltrating resin was placed and left to act for 3 minutes to allow infiltration in the previously etched area. The excess resin was removed, and light cured for 40 seconds with a LED light-curing lamp (Bluephase N® MC, Ivoclar Vivadent, 800 mW/cm2, 430–490 nm). Conclusion: The WSL were successfully removed, stopping the demineralization process. The use of infiltrating resins is an excellent noninvasive treatment to eliminate WPL timely with excellent clinical results. Clinical significance: One of the challenges in dental esthetics are visible WSL in the anterior region. Considering the minimally invasive treatments, the use of infiltrating resins is indicated to treat these WSL, as an indication of an initial caries or certain degrees of fluorosis.


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