Background: Mucormycosis (black fungus) is an aggressive, life-threatening infectious disease-cau... more Background: Mucormycosis (black fungus) is an aggressive, life-threatening infectious disease-causing infiltration and by destroying the surrounding bone and soft tissue through vascular thrombosis and subsequent tissue infarction that may reach the brain with fatal complications. Its outbreak has been assessed around the clock during the recent pandemic as post COVID-19 sequelae. Aims: To assess the risk factors, oral signs and symptoms, investigations, treatment and rehabilitation strategies amongst COVID-19 associated mucormycosis patients in a tertiary care hospital. Methods and material: An observational, pilot study was carried out amongst 30 active or recent COVID-19 associated mucormycosis patients reporting in the Department of Dentistry of a tertiary care hospital in Bhopal over a period of 6 months. Statistical analysis was done using Kolmogorov-Smirnov test using the Statistical Package for Social Sciences, Version 16 software. Results: Study was done on 30 patients (80% males and 20% females) and their median age was 46 years. Predominant risk factor present was diabetes mellitus (90%) and steroid therapy (60%). Prime oral manifestations were toothache (90%), mobile teeth (83%), draining sinus (53%), palatal ulceration (43%) and para-sinusal pain (37%). Conclusions: Mucormycosis can cause serious oro-facial morbidity and mortality in COVID-19 patients. The current management strategy requires early diagnosis, prompt treatment and oral rehabilitation.
Main Points • Multiple studies have been conducted to assess maxillary intrusion using mini-impla... more Main Points • Multiple studies have been conducted to assess maxillary intrusion using mini-implants and conventional intrusion. However, no comparative assessment has been made of the achieved maxillary intrusion using the 2 techniques. • Mini-implants were compared with the Connecticut intrusion arch specifically as there is some amount of variation in mechanics and force application in all the conventional methods of incisor intrusion. This meta-analysis will assist in the creation of new evidence in the field. • Incisor intrusion and overbite correction were found to be higher with mini-implants as compared to Connecticut intrusion arches.
The use of aromatherapy for the reduction of anxiety levels during dental treatment procedures ha... more The use of aromatherapy for the reduction of anxiety levels during dental treatment procedures has been well established in the literature; however, there is limited evidence regarding its efficacy. The present meta-analysis is an attempt to assess the association between the use of aromatherapy and anxiety levels among dental patients. A comprehensive search was conducted across Medline, Scopus, Web of Science, EBSCO host, Cochrane databases, and Google Scholar for studies evaluating aromatherapy and anxiety level among dental patients. PRISMA guidelines were followed for the meta-analysis. Randomized and cluster-randomized trials comparing aromatherapy with controls were included. The random-effects model was used to assess the mean differences in anxiety levels of patients visiting dental OPD. The significance value was set at P < 0.05. Six studies were identified that met the requirements for inclusion. Aromatherapy was significantly associated with reduction in patient anxiety levels during dental treatment (pooled mean difference:-3.36 [95% CI,-3.77-2.95, P = 0.00001). Low heterogeneity was noted between studies (I 2 = 1%, P = 0.41) analyzed in the meta-analysis. High certainty of the evidence was obtained from the association between the use of aromatherapy and dental anxiety. This meta-analysis suggests that aromatherapy is effective in reducing dental anxiety. When used judiciously, the results of this work should encourage the use of aromatherapy to reduce patient anxiety levels during dental procedures
Aim - The aim of this study was to assess the epidemiological & clinical characteristics of patie... more Aim - The aim of this study was to assess the epidemiological & clinical characteristics of patients attending covid-19 screening centre in-between the first & second wave. The study period falls between receding first wave to beginning of second wave. Materials and method - The medical records and data from screening area of Government Medical Collage Datia, with confirmed Covid-19 cases, as reported between 1st October 2020 to 8th February 2021, were collected. Covid-19 symptoms were diagnosed on the basis of the WHO interim guidelines. A confirmed case of Covid-19 was defined as a positive result on real-time RAT assay of nasal swab. The RAT were performed by Standard Q Covid-19 Ag by SD BIOSENSOR. The procedure for collecting nasal swabs entails swabbing at least three times separately using a nylon-flocked swab. The entire procedure was in strict accordance with the standard protocol. Epidemiological data of all the patients with clinical findings and positivity rate was record...
Aim and objective: This study aimed to compare cephalometrically the rate of maxillary incisor in... more Aim and objective: This study aimed to compare cephalometrically the rate of maxillary incisor intrusion using mini implants, Connecticut intrusion arches, and segmental intrusion arches. Materials and methods: Thirty-two adult patients with deep bite were divided into three groups: 10 patients in mini implant and Connecticut intrusion arch group each and 12 patients in segmental intrusion arch group. Bilateral mini implants were used for intrusion in Group 1. Connecticut intrusion arch and Burstone's three-piece intrusion arch were used for intrusion in Group 2 and Group 3, respectively. Intrusion was carried out in all the patients for 4 months. Lateral cephalograms were taken just after alignment and leveling (T1) and after 4 months of intrusion (T2). Results: The mean amount of intrusion observed was 1.7 mm (0.425 mm/month) in mini implant group, 1.4 mm (0.35 mm/month) in Connecticut intrusion arch group, and 1.66 mm (0.415 mm/month) in segmental intrusion arch group. No statistically significant difference was found in the extent of incisor intrusion in the three groups (p <0.05). Conclusion: The study failed to reject the null hypothesis, and there was no statistically significant difference in the amount and rate of incisor intrusion achieved among the three groups (p >0.05). Clinical Significance: Significant amount of incisor intrusion was carried out by all the three methods. There was no statistically significant difference in the amount and rate of incisor intrusion achieved by the three methods. Clinically, mini implants can be considered superior to the conventional techniques as it provides absolute anchorage which eliminates unwanted effects of incisor intrusion.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
Impacted mandibular third molar removal is the most common procedure performed by oral and maxill... more Impacted mandibular third molar removal is the most common procedure performed by oral and maxillofacial surgeons. An array of alternative procedures have been suggested, like operculectomy in cases of pericoronitis and coronectomy in certain cases. However, these procedures pose several disadvantages, and we propose a relatively non-invasive 'straight lift technique'. This technique is specifically useful in straightening abnormally positioned mesioangular third molars as a substitute of complete removal. This can improve tooth function, eliminate the need for surgical intervention, and reduce the risk of complications associated with third molar removal.
Background: Mucormycosis (black fungus) is an aggressive, life-threatening infectious disease-cau... more Background: Mucormycosis (black fungus) is an aggressive, life-threatening infectious disease-causing infiltration and by destroying the surrounding bone and soft tissue through vascular thrombosis and subsequent tissue infarction that may reach the brain with fatal complications. Its outbreak has been assessed around the clock during the recent pandemic as post COVID-19 sequelae. Aims: To assess the risk factors, oral signs and symptoms, investigations, treatment and rehabilitation strategies amongst COVID-19 associated mucormycosis patients in a tertiary care hospital. Methods and material: An observational, pilot study was carried out amongst 30 active or recent COVID-19 associated mucormycosis patients reporting in the Department of Dentistry of a tertiary care hospital in Bhopal over a period of 6 months. Statistical analysis was done using Kolmogorov-Smirnov test using the Statistical Package for Social Sciences, Version 16 software. Results: Study was done on 30 patients (80% males and 20% females) and their median age was 46 years. Predominant risk factor present was diabetes mellitus (90%) and steroid therapy (60%). Prime oral manifestations were toothache (90%), mobile teeth (83%), draining sinus (53%), palatal ulceration (43%) and para-sinusal pain (37%). Conclusions: Mucormycosis can cause serious oro-facial morbidity and mortality in COVID-19 patients. The current management strategy requires early diagnosis, prompt treatment and oral rehabilitation.
Main Points • Multiple studies have been conducted to assess maxillary intrusion using mini-impla... more Main Points • Multiple studies have been conducted to assess maxillary intrusion using mini-implants and conventional intrusion. However, no comparative assessment has been made of the achieved maxillary intrusion using the 2 techniques. • Mini-implants were compared with the Connecticut intrusion arch specifically as there is some amount of variation in mechanics and force application in all the conventional methods of incisor intrusion. This meta-analysis will assist in the creation of new evidence in the field. • Incisor intrusion and overbite correction were found to be higher with mini-implants as compared to Connecticut intrusion arches.
The use of aromatherapy for the reduction of anxiety levels during dental treatment procedures ha... more The use of aromatherapy for the reduction of anxiety levels during dental treatment procedures has been well established in the literature; however, there is limited evidence regarding its efficacy. The present meta-analysis is an attempt to assess the association between the use of aromatherapy and anxiety levels among dental patients. A comprehensive search was conducted across Medline, Scopus, Web of Science, EBSCO host, Cochrane databases, and Google Scholar for studies evaluating aromatherapy and anxiety level among dental patients. PRISMA guidelines were followed for the meta-analysis. Randomized and cluster-randomized trials comparing aromatherapy with controls were included. The random-effects model was used to assess the mean differences in anxiety levels of patients visiting dental OPD. The significance value was set at P < 0.05. Six studies were identified that met the requirements for inclusion. Aromatherapy was significantly associated with reduction in patient anxiety levels during dental treatment (pooled mean difference:-3.36 [95% CI,-3.77-2.95, P = 0.00001). Low heterogeneity was noted between studies (I 2 = 1%, P = 0.41) analyzed in the meta-analysis. High certainty of the evidence was obtained from the association between the use of aromatherapy and dental anxiety. This meta-analysis suggests that aromatherapy is effective in reducing dental anxiety. When used judiciously, the results of this work should encourage the use of aromatherapy to reduce patient anxiety levels during dental procedures
Aim - The aim of this study was to assess the epidemiological & clinical characteristics of patie... more Aim - The aim of this study was to assess the epidemiological & clinical characteristics of patients attending covid-19 screening centre in-between the first & second wave. The study period falls between receding first wave to beginning of second wave. Materials and method - The medical records and data from screening area of Government Medical Collage Datia, with confirmed Covid-19 cases, as reported between 1st October 2020 to 8th February 2021, were collected. Covid-19 symptoms were diagnosed on the basis of the WHO interim guidelines. A confirmed case of Covid-19 was defined as a positive result on real-time RAT assay of nasal swab. The RAT were performed by Standard Q Covid-19 Ag by SD BIOSENSOR. The procedure for collecting nasal swabs entails swabbing at least three times separately using a nylon-flocked swab. The entire procedure was in strict accordance with the standard protocol. Epidemiological data of all the patients with clinical findings and positivity rate was record...
Aim and objective: This study aimed to compare cephalometrically the rate of maxillary incisor in... more Aim and objective: This study aimed to compare cephalometrically the rate of maxillary incisor intrusion using mini implants, Connecticut intrusion arches, and segmental intrusion arches. Materials and methods: Thirty-two adult patients with deep bite were divided into three groups: 10 patients in mini implant and Connecticut intrusion arch group each and 12 patients in segmental intrusion arch group. Bilateral mini implants were used for intrusion in Group 1. Connecticut intrusion arch and Burstone's three-piece intrusion arch were used for intrusion in Group 2 and Group 3, respectively. Intrusion was carried out in all the patients for 4 months. Lateral cephalograms were taken just after alignment and leveling (T1) and after 4 months of intrusion (T2). Results: The mean amount of intrusion observed was 1.7 mm (0.425 mm/month) in mini implant group, 1.4 mm (0.35 mm/month) in Connecticut intrusion arch group, and 1.66 mm (0.415 mm/month) in segmental intrusion arch group. No statistically significant difference was found in the extent of incisor intrusion in the three groups (p <0.05). Conclusion: The study failed to reject the null hypothesis, and there was no statistically significant difference in the amount and rate of incisor intrusion achieved among the three groups (p >0.05). Clinical Significance: Significant amount of incisor intrusion was carried out by all the three methods. There was no statistically significant difference in the amount and rate of incisor intrusion achieved by the three methods. Clinically, mini implants can be considered superior to the conventional techniques as it provides absolute anchorage which eliminates unwanted effects of incisor intrusion.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
Impacted mandibular third molar removal is the most common procedure performed by oral and maxill... more Impacted mandibular third molar removal is the most common procedure performed by oral and maxillofacial surgeons. An array of alternative procedures have been suggested, like operculectomy in cases of pericoronitis and coronectomy in certain cases. However, these procedures pose several disadvantages, and we propose a relatively non-invasive 'straight lift technique'. This technique is specifically useful in straightening abnormally positioned mesioangular third molars as a substitute of complete removal. This can improve tooth function, eliminate the need for surgical intervention, and reduce the risk of complications associated with third molar removal.
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Papers by Prateek Shakti