No abstract

No abstract

Background and aim: The linkage between periodontal and systemic diseases although well researched in the scientific area is not universally cognizant among the clinicians. It is critical to bring about the awareness of this interrelationship as oral health is suggestive of systemic health. The aim of this study was a thorough hemodynamic assessment in patients having periodontal disease. Settings and design: This is an observational cross sectional study. The patients were selected from Outpatient Department of Cardiology and Periodontology in a tertiary care hospital in urban setting in Nagpur, India. Methods: The study was conducted on 45 patients aged between 35 and 65 years. Echo-Doppler examination for internal diameter (ID), intima-media thickness (IMT) and blood flow velocity (PSV) measurements was executed in the right and left common carotid artery (CCA) and brachial artery (BA). Periodontal disease status was determined using parameters like Gingival Index, Plaque Index, probing pocket depth (PPD) and clinical attachment level (CAL). Statistical analysis: Due to multiple comparison groups one-way Analysis of variance (ANOVA) with Bonferroni multiple comparison tests have been performed to conduct all possible pair-wise comparisons of means. Results: The present study showed that Carotid IMT and ID were high in the patients having cardiovascular disease (CVD) and periodontitis as compared to CVD alone, showing the additional effect caused by the presence of periodontal disease. Conclusion: The study findings support the proposition that periodontal disease may be associated with endothelial dysfunction which leads to atherosclerosis or hardening of arteries indicating increased cardiovascular risk.

No abstract

Background: Among the postoperative complications following periodontal surgery, the risk of infection stands out the most since infection of the surgical site can lead to poor surgical outcomes in terms of wound healing. Aim: This study aims to evaluate antibiotic-prescribing practices for various periodontal surgeries in vicinity of Nagpur city. Materials and Methods: An anonymous survey was distributed to periodontists through Google forms. The survey questioned prescribing practices for various periodontal surgeries, the demographic data and place of practice of the clinician, rationale for prescribing or not prescribing antibiotics, and acceptability of guidelines. The survey consisted of 12 questions, 7 of which were questioned to the practitioners “In an otherwise healthy patient, would you prescribe antibiotics for a X procedure” where X included various periodontal surgeries. Response choices were limited to “In most cases yes, in most cases no and I do not perform this procedure.” Results were analyzed using statistical software. Results: A total of 50 periodontists responded out of 98 who were contacted to participate in the survey with a response rate of 51%. Nearly 58% of practitioners had a predominant work setting of a dental college and 42% have a predominant work setting of private practice. Practitioners were significantly more likely to prescribe antibiotics all the periodontal surgical procedures. The most common rationale for prescribing antibiotics was to decrease the chances of developing an infection, whereas the most common rationale for not prescribing antibiotics was a healthy patient and based on current and previous literature. Nearly 66% of practitioners reported that they would follow the guidelines for antibiotic prescription if they were developed by American Academy of Periodontology (AAP). Bivariate analysis revealed that there is no significant role of other characteristics on the response of an individual. Even multivariate analysis does not reveal significance of baseline characteristics although it revealed that respondents working in a dental college are 2.15 times more likely to follow AAP guidelines as compared to private practitioners. Females are 1.64 times more likely to follow AAP guidelines as compared to males and respondents practicing inside Nagpur are 1.35 times more likely to follow AAP guidelines as compared to those practicing outside city. Conclusion: Practitioners are more likely to prescribe antibiotics in the majority of the periodontal surgical procedures despite the standard indications for prescription. This misuse can lead to numerous complications in treatment and development of antibiotic resistance. Based on these results, specific guidelines for the use of antibiotics suggesting a particular antibiotic to be used in a particular periodontal surgery and its duration is the need of the hour to prevent the overuse of antibiotics.