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To explore and develop a model to maintain and build upon a dental clinic open for all in developing regions, with a primary focus on India

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World Journal of Clinical Cases 2014年第9期2卷 439-447页

作者： Ayushi Sugandhi brijesh mangal Amit Kumar Mishra Bhavna Sethia Index Dental College and Research Centre Indore Madhya Pradesh 452001 India Modern Dental College and Research Centre Indore Madhya Pradesh 452001 India ESIC Hospital Nanda Nagar Indore (M.P)Madhya Pradesh 452001 India

AIM: To study a service model that enables a clinic to be open to all members of the community, irrespective of their ability to ***: Sampling methodology was used to gather information in two phases, with the city of Indore as the target region. In the first phase, dental professionals were surveyed to gather the cost of the facility, land and equipment and the cost of sustaining the practice. In the second phase, the residents of Indore were surveyed to collect information regarding their oral health problems and their expenditure for the same. Assessing the current situation, the questions to answer are related to the issues of dental health care access problems and the resources required, human and ***:(1) People younger than 20 years of age form a large proportion(43%) of the population of the city and also a large proportion(54%) of people who visit dental clinics;(2) Dental caries are commonlyfound in the population younger than 20 years of age and mobile teeth in those older than 50 years of age;(3) Dental caries and mobile teeth are almost equally found in people of the age group 20-50 years old;(4) A significantly large proportion of those older than 50 years old have had all their teeth extracted; and(5) A significantly large proportion of the 20-30 years of age group has had no teeth ***: The model which we propose works well for low income patients; however, it places a lot of extra burden on the higher income group. A lot of effort can be put into generating revenue from other sources, including events and donations.

关键词： Dental clinic Dentist Dental health Population Dental treatment

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Comparison of semilunar coronally repositioned flap with gingival massaging using an Ayurvedic product(irimedadi taila) in the treatment of class-Ⅰ gingival recession: A clinical study

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World Journal of Clinical Cases 2014年第10期2卷 534-540页

作者： Amit Kumar Mishra Kanteshwari Kumathalli Raja Sridhar Rahul Maru brijesh mangal Sameer Kedia Ravi Shrihatti ESIC Hospital Nanda Nagar Indore (M.P) 125-A Sai Bagh Colony Indore Madhya Pradesh 452001 India Sri Aurobindo College of Dentistry Village Bhawrasala Indore Madhya Pradesh 453112 India Modern Dental College and Research Centre Gandhinagar Indore Madhya Pradesh 453112 India Index Dental College Indore (M.P) 452001 India Dr. D Y Patil Dental College and Hospital Pune Maharashtra 411018 India

AIM: To study the comparison in terms of root coverage the effect of gingival massaging using an ayurvedic product and semilunar coronally repositioned flap(SCRF) to assess the treatment outcomes in the management of Miller's class Ⅰ gingival recessions over a-6mo period. METHODS: The present study comprised of total of 90 sites of Miller's class-Ⅰ gingival recessions in the maxillary anteriors, the sites were divided into three groups each comprising 30 sites, Group Ⅰ-were treated by massaging using a Placebo(Ghee) Group Ⅱ-were treated by massaging using an ayurvedic product(irimedadi taila). Group Ⅲ-were treated by SCRF. Clinical parameters assessed included recession height, recession width, probing pocket depth, width of attached gingiva, clinical attachment level and thickness of keratinized tissue. Clinical recordings were performed at baseline and 6 mo later. The results were analyzed to determine improvements in the clinical parameters. The comparison was done using Wilcoxon signed rank test. The overall differences in the clinical improvements between the three groups was done using Kruskal-Wallis test. The probability value(P-value) of less than 0.01 was considered as statistically ***: Non-surgical periodontal therapy and gingival massaging improves facial gingival recessions and prevents further progression of mucogingival defects. Root coverage was achieved in both the experimental groups. The SCRF group proved to be superior in terms of all the clinical ***: Root coverage is significantly better with semilunar coronally repositioned flap compared with the gingival massaging technique in the treatment of shallow maxillary Miller class Ⅰ gingival recession defects.

关键词： Gingival recession Semilunar flaps Gingival massaging Non-surgical

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