Papers by Shivlal Vishnoi
International journal of science and research, Aug 5, 2023
International journal of science and research, Aug 5, 2023
Journal of oral biology and craniofacial research, May 1, 2024
Journal of Clinical and Experimental Dentistry, 2018
Lip repositioning technique to improve the smile harmony e408
International Journal of Advanced Research, 2016
Aggressive periodontitis is uncommon type of periodontitis affecting systemically healthy individ... more Aggressive periodontitis is uncommon type of periodontitis affecting systemically healthy individuals with generalized interproximal attachment loss affecting at least three permanent teeth other than incisors and first molar involving individuals under age 30 with destruction which appears to occur episodically. [3] There will be presence of minimal plaque which is inconsistent with destruction and presence of bacteria like Porphyromonasgingivalis, Aggregatibactoractinomycetemcomitans, and Tannerella forsythia are detected in plaque. [7] Aggressive periodontitis differentiate from the chronic periodontitis by the age of onset, rapid progression of disease, associated subgingival microorganisms, alteration in host immune response and a familial aggression. [2] The prevalence of LAgP is less than 1% and GAP is 0.13%. In Asia the prevalence rate of 1.2% for LAgP and 0.6% for GAgP. [8] The management of generalized aggressive periodontitis includes scaling and root planning, systemic antibiotics, surgical therapy as well as interdisciplinary approach.
Journal of Interdisciplinary Dentistry, 2012
Implant rehabilitation involving patients with facial deformities and temporomandibular joint (TM... more Implant rehabilitation involving patients with facial deformities and temporomandibular joint (TMJ) ankylosis requires competence and expertise. It is important to understand that such patients present with minimal or restricted mouth opening, severe joint and facial pain, mandibular deviation, and facial deformities. The case reported here involved two-stage implant rehabilitation for a 54-year-old female patient who had undergone custom-made TMJ condyle and fossa reconstructive prosthesis due to severe facial deformity and ankylosis of the right TMJ following previous unsuccessful surgeries. Following the reflection of a mucoperiostel flap three implants corresponding to the missing maxillary canine, first and second premolars were placed. To achieve better distribution of occlusal load and optimal esthetics, the prosthesis was restored with 3-unit porcelain fused to metal crown and bridge. Clinical Relevance to Interdisciplinary Dentistry This case report signifies the multidisciplinary approach to complex implant dentistry through surgical and prosthodontic functional rehabilitation. It also highlights the importance of restoring the dentition in situations of facial and mandibular reconstruction, whereby we achieve optimal and adequate function and esthetics. This unique case report also will conclude the need for future rehabilitation of patients with TMJ condylar reconstruction, and the special care needed to improve occlusal balance.
Indian Journal of Plastic Surgery, Sep 1, 2014
The tongue is an important oral structure that affects speech, position of teeth, periodontal tis... more The tongue is an important oral structure that affects speech, position of teeth, periodontal tissues, nutrition, swallowing, nursing, and certain social activities. Ankyloglossia or tongue-tie, is a congenital anomaly characterized by an abnormally short lingual frenulum, which restricts mobility of the tongue. Though the ankyloglossia is not a serious condition, it may lead to a host of problems including infant feeding difficulties, speech disorders, and various mechanical and social issues related to the inability of the tongue to protrude. Hence, management of ankyloglossia should be considered at any age considering the risk-benefit evaluation. Tongue being highly vascular and mobile structure, laser-assisted lingual frenectomy is the simplest, safest and less traumatic of all the treatment modalities available, with most promising results in minimally invasive dentistry. Here, a case of ankyloglossia is reported with its management by diode laser.
International Journal of Case Reports and Images, 2011
Introduction: Gingival enlargement is defined as an overgrowth or increase in size of gingivae. G... more Introduction: Gingival enlargement is defined as an overgrowth or increase in size of gingivae. Gingival enlargement is associated with multiple factors including inflammation, medications, neoplasia, hormonal disturbances and rarely heredity. Hereditary gingival fibromatosis (HGF) is a rare gingival lesion (1 in 7,50,000) that presents as localized or generalized fibrotic enlargement of the attached gingivae as well as the gingival margin and interdental papillae. The gingiva is characterized as pink, firm and fibrous, with little tendency to bleed. It causes aesthetic disfigurement, speech disturbances, abnormal tooth movement and dental occlusion problems. HGF can present as an isolated feature or as a part of the syndrome. HGF inheritance is transmitted through both autosomal dominant and recessive modes. Case Series: This report presents hereditary gingival fibromatosis in a family, described with multiple affected subjects in four generations, consistent with an autosomal dominant mode of inheritance. Conclusion: It is a unique report of pedigree presenting gingival enlargement in four generation. Very few papers are published previously on this topic. Like other reported family, in current family variable expression of HGF was seen because most of the affected persons had generalized gingival enlargement while some had localized involvement.
Journal of Indian Society of Periodontology, 2013
Localized gingival growths are one of the most frequently encountered lesions in the oral cavity,... more Localized gingival growths are one of the most frequently encountered lesions in the oral cavity, which are considered to be reactive rather than neoplastic. Different lesions with similar clinical presentation make it difficult to arrive at a correct diagnosis. These lesions include pyogenic granuloma, irritation fibroma, peripheral giant cell granuloma, peripheral ossifying fibroma (POF). Among these lesions, an infrequently occurring gingival lesion is the POF. Considerable confusion has prevailed in the nomenclature of POF due to its variable histopathologic features. This is a case presentation of a 30-year-old female with gingival overgrowth in the mandibular left canine-premolar region. Clinically, the lesion was asymptomatic, firm, pale pinkish and sessile. Surgical excision of the lesion was done followed by histopathologic confirmation with emphasis on the clinical aspect. Given the rate of recurrence for POF being 8-20%, close post-operative follow-up is required.
International journal of advanced research, May 31, 2016
Aggressive periodontitis is uncommon type of periodontitis affecting systemically healthy individ... more Aggressive periodontitis is uncommon type of periodontitis affecting systemically healthy individuals with generalized interproximal attachment loss affecting at least three permanent teeth other than incisors and first molar involving individuals under age 30 with destruction which appears to occur episodically. [3] There will be presence of minimal plaque which is inconsistent with destruction and presence of bacteria like Porphyromonasgingivalis, Aggregatibactoractinomycetemcomitans, and Tannerella forsythia are detected in plaque. [7] Aggressive periodontitis differentiate from the chronic periodontitis by the age of onset, rapid progression of disease, associated subgingival microorganisms, alteration in host immune response and a familial aggression. [2] The prevalence of LAgP is less than 1% and GAP is 0.13%. In Asia the prevalence rate of 1.2% for LAgP and 0.6% for GAgP. [8] The management of generalized aggressive periodontitis includes scaling and root planning, systemic antibiotics, surgical therapy as well as interdisciplinary approach.
The Journal of dentists, Jun 15, 2016
The term 'aggressive' literally means 'ready or likely to attack'. As the name suggests, aggressi... more The term 'aggressive' literally means 'ready or likely to attack'. As the name suggests, aggressive peridontitis is a severe form of periodontal disease with a rapid course of progression in younger individuals. It is more prevalent in younger age groups, especially in females. It requires a complex treatment approach and its stabilization often requires surgical management. Here,we are presenting report of two cases of generalized aggressive periodontitis, successfully managed by only nonsurgical periodontal treatment and long term follow up at frequent interval.
Journal of International Society of Preventive and Community Dentistry, 2020
ABSTRACT Aim: To compare the regenerative potential of platelet-rich fibrin alone and in combinat... more ABSTRACT Aim: To compare the regenerative potential of platelet-rich fibrin alone and in combination with bovine bone graft in intraosseous defect by the single flap approach. Materials and Methods: A total of 32 sites of intrabony defects were selected and were treated with platelet-rich fibrin (PRF) alone or in combination with bovine bone graft. Clinical parameters [Gingival index (GI), probing depth (PD), clinical attachment level (CAL), Gingival recession, and radiographic parameters (defect fill, alveolar crest level, and defect depth)] were recorded at baseline, 3 months, and 6 months. Results: Statistical analysis was done by independent and paired t-test. There were statistically significant changes in GI, PD reduction, CAL gain, defect fill, alveolar crest level changes, and defect depth resolution from baseline, 3 months, and 6 months in both the groups (P < 0.001). On intergroup comparison, Group II showed statistically significant changes in a reduction in pocket depth and defect depth resolution at P < 0.001. Conclusion: PRF in combination with bovine bone graft was more effective in the treatment of intrabony defects.
Journal of Pierre Fauchard Academy, Jun 1, 2016
Please cite this article in press as: Vishnoi SL, et al. Strategic management of periodontic and ... more Please cite this article in press as: Vishnoi SL, et al. Strategic management of periodontic and periodontic-endodontic lesion associated with palato-radicular groove-Report of three cases,
The journal of contemporary dental practice, 2010
Aim: This article describes the surgical management of a young, female patient with severe gingiv... more Aim: This article describes the surgical management of a young, female patient with severe gingival enlargement of unknown etiology. Background: Gingival enlargement frequently occurs as gingival hyperplasia, representing a reaction to a known stimulus or agent and, histopathologically, implies an increase in both extracellular matrix and cell numbers. The enlargement may range from mild, in which gingival architecture is minimally affected, to severe, in which the gingiva becomes bulbous and covers the clinical crowns of teeth. A number of local and systemic factors, such as plaque, hormonal changes, drug ingestion, and heredity, can cause or influence gingival enlargement. Mild to moderate increase in gingival bulk is relatively common, but massive gingival enlargement with associated bone resorption is rare. Case Description: This case involved a 19-yearold female patient who presented with generalized severe gingival enlargement with aggressive periodontitis, a condition of some five to six months in duration. Results: Based on a thorough clinical and radiographic examination, laboratory tests, and oral hygiene instructions, an internal bevel gingivectomy was performed to remove excess gingival tissue and areas of bone loss were debrided properly. There was no recurrence eight months following the last surgery. Summary: Although we were not able to identify the exact cause of the gingival enlargement, amelioration of the unusual very soft, friable, enlarged gingivae and the severe periodontal attachment loss was observed. Clinical Significance: Before initiating any periodontal management of a case of severe gingival enlargement with aggressive periodontitis, it is recommended to perform a complete extraoral and intraoral examination with radiographs, take a family and medical history, and determine if any medications may be responsible for the gingival enlargement. Additional testing and analysis, as described in this case, may be necessary.
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
Adequate bone volume is one of the prerequisites for the successful implantation and osseointegra... more Adequate bone volume is one of the prerequisites for the successful implantation and osseointegration of an endosseous implant. Where there are localized osseous abnormalities, xture stability and appropriate location for load distribution and aesthetics may be jeopardized. This case report presents a case of a 23 years old male patient who had undergone immediate implant placement following a two-stage protocol in relation to mandibular rst molar on the right side. During second stage implant surgery, it was revealed that there was presence of a buccal bony deformity extending from the mid buccal aspect to the distobuccal aspect of the implant. This bone defect was subsequently managed with placement of alloplastic bone material and a resorbable barrier membrane. The healing was uneventful and at 3 months postoperatively, bone regeneration was achieved and successful osseointegration had been obtained around the implant. Thus, it can be concluded that placement of a bone graft ma...
International Journal of Case Reports and Images, 2011
Introduction: Gingival enlargement is defined as an overgrowth or increase in size of gingivae. G... more Introduction: Gingival enlargement is defined as an overgrowth or increase in size of gingivae. Gingival enlargement is associated with multiple factors including inflammation, medications, neoplasia, hormonal disturbances and rarely heredity. Hereditary gingival fibromatosis (HGF) is a rare gingival lesion (1 in 7,50,000) that presents as localized or generalized fibrotic enlargement of the attached gingivae as well as the gingival margin and interdental papillae. The gingiva is characterized as pink, firm and fibrous, with little tendency to bleed. It causes aesthetic disfigurement, speech disturbances, abnormal tooth movement and dental occlusion problems. HGF can present as an isolated feature or as a part of the syndrome. HGF inheritance is transmitted through both autosomal dominant and recessive modes. Case Series: This report presents hereditary gingival fibromatosis in a family, described with multiple affected subjects in four generations, consistent with an autosomal dominant mode of inheritance. Conclusion: It is a unique report of pedigree presenting gingival enlargement in four generation. Very few papers are published previously on this topic. Like other reported family, in current family variable expression of HGF was seen because most of the affected persons had generalized gingival enlargement while some had localized involvement.
Journal of International Society of Preventive and Community Dentistry
ABSTRACT Aim: To compare the regenerative potential of platelet-rich fibrin alone and in combinat... more ABSTRACT Aim: To compare the regenerative potential of platelet-rich fibrin alone and in combination with bovine bone graft in intraosseous defect by the single flap approach. Materials and Methods: A total of 32 sites of intrabony defects were selected and were treated with platelet-rich fibrin (PRF) alone or in combination with bovine bone graft. Clinical parameters [Gingival index (GI), probing depth (PD), clinical attachment level (CAL), Gingival recession, and radiographic parameters (defect fill, alveolar crest level, and defect depth)] were recorded at baseline, 3 months, and 6 months. Results: Statistical analysis was done by independent and paired t-test. There were statistically significant changes in GI, PD reduction, CAL gain, defect fill, alveolar crest level changes, and defect depth resolution from baseline, 3 months, and 6 months in both the groups (P < 0.001). On intergroup comparison, Group II showed statistically significant changes in a reduction in pocket depth and defect depth resolution at P < 0.001. Conclusion: PRF in combination with bovine bone graft was more effective in the treatment of intrabony defects.
National journal of integrated research in medicine, 2018
Gingival overgrowth is a well documented adverse effect associated with three major classes of dr... more Gingival overgrowth is a well documented adverse effect associated with three major classes of drugs that are, anticonvulsants, calcium channel blockers, and immunosuppressants. Eventhough the anding of pathogenesis of drug induced gingival overgrowth (DIGO) is well understood, its treatment still remains a challenge for the periodontists and treatment is still largely limited to maintenance of improved level of oral hygiene and surgical removal of overgrown tissue. Thus, it is important to discuss this issue with their medical colleagues and to practice care while prescribing the drugs associated with gingival overgrowth. This case series highlights the various treatment modalities for different patients.
The Journal of Contemporary Dental Practice, 2010
Aim This article describes the surgical management of a young, female patient with severe gingiva... more Aim This article describes the surgical management of a young, female patient with severe gingival enlargement of unknown etiology. Background Gingival enlargement frequently occurs as gingival hyperplasia, representing a reaction to a known stimulus or agent and, histopathologically, implies an increase in both extracellular matrix and cell numbers. The enlargement may range from mild, in which gingival architecture is minimally affected, to severe, in which the gingiva becomes bulbous and covers the clinical crowns of teeth. A number of local and systemic factors, such as plaque, hormonal changes, drug ingestion, and heredity, can cause or influence gingival enlargement. Mild to moderate increase in gingival bulk is relatively common, but massive gingival enlargement with associated bone resorption is rare. Case Description This case involved a 19-yearold female patient who presented with generalized severe gingival enlargement with aggressive periodontitis, a condition of some fi...
Journal of Pierre Fauchard Academy (India Section), 2017
Please cite this article in press as: Bakutra G, et al. Management of ankyloglossia (tongue-tie)-... more Please cite this article in press as: Bakutra G, et al. Management of ankyloglossia (tongue-tie)-Review and report of two cases, J Pierre Fauchard Acad (India Sect).
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Papers by Shivlal Vishnoi