Background:The overall success of dental implants depends on the crestal bone support around the implants. During the initial years of dental implant placement, the bone loss around the implants determines the success rate of treatment. Platform switching (PLS) concept preserves the crestal bone loss, and this approach should be applied clinically for the overall success of dental implants.Purpose:The purpose of this study is to discuss the literature dealing with the concept of PLS concept and preservation of marginal bone, the mechanism by which it contributes to maintenance of marginal bone, its clinical applications, advantages, and disadvantages, to assess its survival rates.Materials and Methods:PubMed and Google Scholar search was done to find out the studies involving PLS concept from 2005 to 2017. Data were analyzed using SPSS statistical software.Results:Literature search revealed studies involving concepts of PLS, comparison of platform-switched and nonplatform-switched implants, case reports on PLS, and studies with histological and finite element analyses regarding PLS.Conclusion:PLS helps preserve crestal bone around the implants, and this concept should be followed when clinical situations in implant placement permit.
Introduction:Dental caries is a universal disease. Dietary modification is important in reducing the occurrence of dental caries. Tea which is so frequently consumed with cariogenic starch rich food is proposed to have anticariogenic potential. The various mechanism has been proposed for same and one being inhibition of salivary amylase activity.Aim:To determine the effect of 1.5% black tea decoction on salivary amylase activity in children with high caries and no caries.Materials and Methods:A total of 30 children in the age group of 12–15 years were selected for the study. They were further grouped based on their decayed missing filled surface (DMFS) score into high-caries group (DMFS above 10) and no-caries group (DMFS = 0). After 2 h of fasting, subjects consumed two salted crackers for 60 s following which they rinsed with water and then with black tea decoction (1.5%) the very next day. Retained food particles were recovered salivary amylase activity was noted as maltose to sucrose ratio via chromatography.Results:The average ratio of maltose to sucrose ratio percentage reduction in high-caries group was 43.63% and 41.17% in no caries group which was highly significant (P < 0.005) while the intergroup comparison was found statistically insignificant.Conclusions:Tea decoction has inhibitory effect on salivary amylase activity thus dental caries. The effect was statistically insignificant in children with high- and no-caries index.
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