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Tewari, Shikha
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Dentistry

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Distribution of Gingival Inflammation in Mouth Breathing Patients: An Observational Pilot Study Sharma, Rajinder Kumar; Bhatia, Anu; Tewari, Shikha; Narula, Satish Chandar
Journal of Dentistry Indonesia Vol. 23, No. 2
Publisher : UI Scholars Hub

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Background: Mouth breathing has been reported to affect gingival health in children. However, studies on the effect of mouth breathing in adult patients are scarce. The objective of present cross sectional study was to examine the relationship between mouth breathing and gingival condition and to evaluate the distribution of gingival inflammation in young adult mouth breathing patients. Methods: Study groups comprised of participants with mouth breathing (test group) and nose breathing (control group) patients with gingivitis. Both the groups underwent periodontal examination. PI, GI and BOP % sites were recorded and analyzed statistically for the differences in mean values. Results: Mouth breathing patients showed higher full mouth GI and BOP scores. Upper anterior segment in mouth breathing patients showed highest GI and BOP followed by lower anterior segment, lower posterior and upper posterior region. Conclusion: Within the limits of present study, our findings suggest that relative to control group participants, test group i.e. patients with mouth breathing had higher gingival inflammation and bleeding sites in upper anterior region.
Association among hsCRP Levels, Bone Mineral Density, and Periodontal Parameters in Postmenopausal Women Baldodia, Aastha; Sharma, Rajinder kumar; Tewari, Shikha; Arora, Aman
Journal of Dentistry Indonesia Vol. 28, No. 3
Publisher : UI Scholars Hub

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Association of Osteoporosis and periodontitis is well documented. Osteopenia being the initial state of bone loss prior to osteoporosis; finding its correlation with clinical attachment loss holds significance in the process of establishing early reduction in BMD as a risk factor for periodontitis. Objectives: The present cross sectional study aimed to explore the association of osteopenia with serum high sensitivity C-reactive protein (hsCRP) levels, and periodontal parameters in narrow age range postmenopausal (PM) women. Methods: 112 participants in this single centred cross sectional study were bifurcated into test group: osteopenic PM women [n=62], and control group: normal bone mineral density [BMD] PM women [n=50]. BMD, serum levels of hsCRP, and periodontal parameters were recorded. Results: Clinical attachment loss [CAL] and hsCRP were found to be significantly higher in the osteopenic PM group. Conclusion: An association of osteopenia with increased CAL in PM women was found, implicating postmenopausal osteopenia associated with increased risk of periodontitis. The present study hints towards the comprehensive management of Periodontitis and osteopenia in postmenopausal women by maintaining a good coordination between the physicians and dentists.
Treatment of Gingival Fenestration using Mucoperiosteal Flap with Connective Tissue Graft: A Report of Two Cases Jaglan, Swati; Tewari, Shikha
Journal of Dentistry Indonesia Vol. 30, No. 1
Publisher : UI Scholars Hub

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Fenestration term is derived from the Latin word ‘fenestra’ means ‘window’. Gingival fenestration is not found in routine while its actual occurrence is assumed to be higher. Additionally, if these mucogingival defects persist for a longer duration it may lead to adverse outcomes like compromised esthetics, hypersensitivity, plaque and calculus deposition, and susceptibility to dental caries. Present cases of gingival fenestration were successfully treated by using full-thickness flap elevation with connective tissue graft placement. Two cases were presented with the accumulation of plaque and calculus and having gingival fenestration to the respective sites. After phase 1 therapy, full thickness flap was raised and a connective tissue graft was placed beneath the fenestrated area. The successful results were obtained in both cases in terms of complete closure of gingival fenestration defects and well-adapted margins with adjacent tissues at one year of follow-up. Full thickness flap with connective tissue graft procedure resulted in complete closure of gingival fenestration in both cases with no recurrence at one-year follow-up and can be used as a successful and predictable treatment modality for the management of such cases.
Co-Authors Arora, Aman Baldodia, Aastha Bhatia, Anu Jaglan, Swati Narula, Satish Chandar Sharma, Rajinder Kumar