Papers by Jagan Baskaradoss
Health, 2014
The level of aesthetic requirement in clinical practice has increased over the past decade, and t... more The level of aesthetic requirement in clinical practice has increased over the past decade, and this has made it necessary for dentist to explore this field in order to satisfy the existing demand in this field. Technology can provide a solution to many of the routine hassles in dental practice. While optimal systems are far from fully realized, technology undeniably has made enormous progress. This review aims to provide an update on some of the recent advances in the field of aesthetic dentistry. MEDLINE (1990 to Jan 2014), PubMed (using medical subject headings), and Google Scholar searched using the following terms "Dental Composites", "Ceramic Crowns", "Aesthetic Posts", "Ceramic Veneers", and "Computer-Aided Design/Computer Aided Manufacturing (CAD/CAM)". This was supplemented by hand-searching in peer-reviewed journals and cross-referenced with the articles accessed. Dentist and dental technician alike must be aware of the current technologies in their fields and be able to use it to their and their patient's advantage. The learning objective of this article is to review the advantages and disadvantages of recent esthetic materials and technology to aid in the proper utilization of the available treatment options with discretion.
The microflora within the oral biofilm is quiet complex. Determination of the microbial populatio... more The microflora within the oral biofilm is quiet complex. Determination of the microbial populations responsible for oral infections is even more difficult. Dental plaque is said to be a complex microbial biofilm consisting of different bacterial species in the human oral cavity. But unfortunately no single species has been identified as a primary pathogen. Microbiological diagnosis is important in the rationale for treatment planning in patients with oral diseases. The methods commonly used for the identification of periodontopathogens of dental plaque include direct microscopy, immunological techniques, Deoxyribonucleic acid (DNA) probe technology, DNA probes have also been offered as a commercial service and Polymerase Chain Reaction (PCR)-based methods. Culturing technique or DNA approaches when used for studying bacterial etiology of periodontitis, will target only the known species. PCR techniques records only the presence of the bacteria in the sample but not qualitative. PCR amplification of the bacterial 16S ribosomal ribonucleic acid (rRNA) gene using universal bacterial primers would help to identify the presence of bacterial DNA in the oral cavity of the patients. Advances in molecular biology have permitted us to perform the study of microbial communities and obtain improved information of bacterial diversity from the oral cavity. This technology has evolved beyond the research and developed into clinical applications. Further research and studies should be performed using 16S rRNA gene analyses to examine the bacterial profile of oral micro flora responsible for oral diseases.
OBJECTIVE: To assess the prevalence of malocclusion and its relationship with dental caries among... more OBJECTIVE: To assess the prevalence of malocclusion and its relationship with dental caries among school children in southern India.METHODS: This cross-sectional study included 1,800 students aged 11 - 15 years whose Dental Aesthetic Index (DAI) and dentition status were recorded and analyzed. The chi-square test, ANOVA, and Spearman's correlation tests were carried out.RESULTS: The mean DAI score ± the standard deviation was 18.61 ± 6.1. Approximately 85% of the students (83.0% males, 86.8% females) had DAI scores of < 26 and were classified as not requiring orthodontic treatment. One tenth of the sample had mean DAI scores between 26 - 30 (indicating definite malocclusion and elective treatment), while about 3% had mean scores between 31 - 35 (indicating severe malocclusion and treatment desirability). Only 29 children (1.6%; 16 boys, 13 girls) had a DAI score of > 35, which suggested very severe or handicapping malocclusion requiring mandatory treatment. The mean decayed, missing, filled teeth (DMFT) was 2.28 ± 1.47. A DMFT of > 0 was observed in 91.8% of the study subjects. Children with a DAI score of > 35 were found to have significantly (p < 0.001) higher caries experience as compared to other children. Moreover, the DAI scores showed a significant correlation with the mean DMFT scores (r = 0.368, p < 0.05).CONCLUSIONS: A positive correlation was found between the severity of malocclusion and dental caries.
AIM: This study aims to describe the oral hygiene practices and the oral health status of 12-year... more AIM: This study aims to describe the oral hygiene practices and the oral health status of 12-year-old school children of Aden, Yemen. Study Design: Multistage stratified cross-sectional survey.MATERIALS AND METHODS: A cross- sectional survey of randomly selected schools in the city was performed. Four hundred 12-year-old students were recruited in the study from both private (N. 200) and government schools (N. 200). In total 219 boys (54.8%) and 181 girls (45.2%) participated in this study. Scoring of decayed, missing, filled teeth (DMFT) and the Community Periodontal Index (CPI) scores were computed according to the WHO recommendations.RESULTS: Mean DMFT was 2.22±1.56 and DMFT >0 was seen in 90.2% of the study subjects. The D component of the caries index was dominant and it was clinically evident in 84.7% of the students. Children having high cariogenic food consumption had significantly (P<0.001) higher mean DMFT, DT, MT and FT. Children who used only toothbrush were found to have significantly (P<0.001) lower caries experience as compared to those who used only miswak or those who used both. About 63% of the students has CPI=2 and less than 20% had CPI=0. Children who brushed regularly were found to have better CPI scores. Multivariate analysis showed that diet (ORa = 1.56; 95% CI= 1.82-2.44) was significantly associated with dental caries. Statistics: data were analysed with Statistical Package for Social Sciences for Windows 17.0 (SPSS Inc., Chicago, IL, USA).CONCLUSION: The overall oral health of the 12-year-old school children is poor. More emphasis has to be given school based and community based oral health promotion and preventive programmes.
Preterm (PT) and Low birth weight (LBW) are considered to be the most relevant biological determi... more Preterm (PT) and Low birth weight (LBW) are considered to be the most relevant biological determinants of newborn infants survival, both in developed and in developing countries. Numerous risk factors for PT and LBW have been defined in the literature. Infections of the genitourinary tract infections along with various biological and genetic factors are considered to be the most common etiological factors for PT/LBW deliveries. However, evidence suggests that sub-clinical infection sites that are also distant from the genitor-urinary tract may be an important cause for PT/LBW deliveries. Maternal periodontal status has also been reported by many authors as a possible risk factor for PT and LBW, though not all of the actual data support such hypothesis. The aim of this paper is to review the evidence from various published literature on the association between the maternal periodontal status and adverse pregnancy outcomes. Although this review found a consistent association between periodontitis and PT/LBW, this finding should be treated with great caution until the sources of heterogeneity can be explained.
Abstract Background: Patients with prosthetic heart valves are maintained on lifelong oral antico... more Abstract Background: Patients with prosthetic heart valves are maintained on lifelong oral anticoagulant therapy. The optimal anticoagulant management of such patients during surgical dental procedures has been debated for a long time. Compared to conventional dental implant placement, a minimally invasive flapless approach has the potential to reduce bleeding and minimize surgical time, post-operative pain, soft tissue inflammation, and crestal bone.Purpose: The purpose of these case reports is to show the clinical predictability of dental implant placement using a minimally invasive flapless approach without reducing the dosage of anticoagulants for patients on lifelong anticoagulant therapy.Materials and Methods: A 45 year old woman and 58 year old male patient who had undergone cardiac surgery and currently under full therapeutic level of anticoagulation therapy (warfarin) were treated with flapless dental implant surgery without reducing their anticoagulant dosage. Results: Post-operative clinical and radiographic assessment showed no abnormality, minimal signs of inflammation and excellent healing. Conclusion: The combination of minimally invasive flapless dental implant surgery without interrupting the normal dose of the anticoagulant medications could be an improved method to place dental implants in patients on long term anticoagulant therapy.
Baskaradoss JK, Geevarghese A, Kutty VR. Maternal periodontal status and preterm delivery: a hosp... more Baskaradoss JK, Geevarghese A, Kutty VR. Maternal periodontal status and preterm delivery: a hospital based case–control study. J Periodont Res 2011; 46: 542–549. © 2011 John Wiley & Sons A/SBackground and Objective: Recent studies have presented evidence that periodontal disease in pregnant women may be a determining factor for preterm delivery. However, this finding has not been consistently observed. The present investigation was carried out to explore the association between maternal periodontal disease and preterm delivery in the state of Kerala, India.Material and Methods: The case–control study had a sample of 300 (100 cases and 200 controls) postpartum women over 18 years of age. Cases were women who had undergone spontaneous preterm delivery (< 37 wk of gestation) and controls were women who delivered at term (≥ 37 wk of gestation). Standard, clinical and periodontal examinations were performed at the maternity wards, and the existence of an association between periodontal disease and preterm delivery was evaluated by means of a multivariate logistic regression model that also considered other risk factors for preterm delivery.Results: Periodontitis was diagnosed in 25% of the mothers in the case group and in 14.5% of the mothers in the control group. Logistic regression analysis indicated a risk of nearly threefold for preterm delivery in mothers with periodontitis [adjusted odds ratio (ORa) = 2.72; 95% confidence interval (CI): 1.68–6.84]. The other factors significantly associated with preterm birth were physical exertion (ORa = 2.80; 95% CI: 1.18–6.65), a previous history of preterm birth (ORa = 2.65; 95% CI: 1.20–5.83) and previous abortion/death of infant (ORa = 4.08; 95% CI: 1.56–10.65).Conclusion: Periodontal disease is a possible risk factor for preterm delivery in this population.
Journal of Oral and …, Jan 1, 2007
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Papers by Jagan Baskaradoss