ORCID Profile
0000-0001-8168-4077
Current Organisations
Western Sydney University
,
Ingham Institute for Applied Medical Research
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Publisher: Medknow
Date: 2022
Publisher: JCDR Research and Publications
Date: 2017
Publisher: Sciencedomain International
Date: 10-01-2016
Publisher: Bentham Science Publishers Ltd.
Date: 11-05-2016
DOI: 10.2174/1874210601610010207
Abstract: Mouthrinses have been in use for centuries as breath fresheners, medicaments, and antiseptics. Dill is said to be a good source of calcium, manganese and iron. It contains flavonoids known for their antioxidant, anti-inflammatory, and antiviral properties. Dill can help with microbial infections in the mouth and its anti-oxidants minimize damage caused by free radicals to the gums and teeth. Being a good source of calcium, dill also helps with bone and dental health. To compare the effectiveness of commercially available 0.2% chlorhexidine gluconate mouthrinse and dill seed oil mouthrinse on plaque levels and gingivitis. A randomized controlled, double blind parallel arm study was conducted over 90 days on 90 subjects. The subjects were randomly ided into 2 groups and baseline data was collected using Loe and Silness gingival index and Quigley Hein plaque index and oral prophylaxis was performed on all the subjects. The mouthrinses included in the present study were dill seed oil and Hexodent (0.2% chlorhexidine gluconate). Intervention regarding the mouthrinsing was given to the subjects and were followed up for 45 days and 90 days, after this post intervention changes were assessed using the respective indices. It was observed that there is no significant difference in gingival & plaque scores among two mouthrinses from baseline to 45 days and 90 days. It was observed that there is statistical difference in gingival and plaque scores when compared with baseline to 45 days ( p .001), baseline to 90 days ( p .001) and 45 days to 90 days ( p .001) when intergroup comparisons were done. It was concluded that dill seed oil and Hexodent (0.2% chlorhexidine gluconate) mouthrinse have similar antiplaque and antigingival effectiveness.
Publisher: Jaypee Brothers Medical Publishing
Date: 2017
DOI: 10.5005/JP-JOURNALS-10024-2075
Abstract: Comparison of platform switched (PS), sloping shoulder, and regular implants on stress reduction in various bone densities with finite element analysis. A total of 12 three-dimensional finite element models were built to analyze the stress distribution model. Nobel Biocare 4.3 × 8 mm regular platform replace select implant with matching diameter easy abutment, Nobel Biocare 4.3 × 8 mm replace select implant PS with 3.5 mm diameter easy abutment, Bicon 4 × 8 mm implant with 4 mm diameter sloping shoulder abutments were created virtually in compact bone density using software. The 130 N axial force and a 90 N oblique loading force were applied to the abutment to analyze the stress. Under horizontal and vertical loading, the sloping shoulder implant had lesser stresses in cancellous bone when compared with PS and regular implants. Sloping shoulder implant showed more stress distribution at implant–abutment interface and at crestal area, whereas with regular implants, the stresses were distributed at cortical area. Sloping shoulder implant in subcrestal position is much favorable for bone growth, stress distribution, and preservation of remaining bone. Use of sloping shoulder implant design distributes the stress apically and creates lesser stresses when compared with PS implants. Markose J, Suresh S, Eshwar S, Rekha K, Jain V, Manvi S. Comparison of Platform Switched and Sloping Shoulder Implants on Stress Reduction in various Bone Densities: Finite Element Analysis. J Contemp Dent Pract 2017 (6):510-515.
Publisher: Medknow
Date: 2019
Publisher: Medip Academy
Date: 22-02-2019
DOI: 10.18203/2394-6040.IJCMPH20190629
Abstract: Oral health is indeed a challenge for the urban poor. Majority of the patients spend from their pocket, which aggravates their financial condition. It is paramount for the government and the healthcare industry to adopt a value-based approach to redress the oral health lapses for the underserved population. Micro health insurance (MHI) can have a game changing effect on the oral healthcare space too, if concerned stakeholders build the right partner network. Aim of the study was to discuss the principal features, basic structure, and functioning of a few MHI schemes, and presents a hypothetical model of MHI which can be implemented in dentistry. Literature search was conducted in two main databases, pubmed and cochrane, using key phrases such as “community based health insurance,” “micro health insurance,” micro or community based health insurance,” and “health insurance and financial protection”. Articles published in last ten years with full texts were considered. 23 schemes were eligible for the systematic review. Our analysis shows that MHI, in the majority of cases, contributes to the financial protection of its beneficiaries, by reducing out of pocket health expenditure, catastrophic health expenditure, household borrowings and poverty. However, the studies did not affirm oral health benefits. The importance of oral healthcare in India is superficial. Focus on oral healthcare can be achieved only if the impending cost due to out of pocket payments can be supplanted with a more affordable and dynamic payment model. With MHI extended to oral healthcare, India can certainly achieve its SDG goal. It’s time to look beyond.
Publisher: MDPI AG
Date: 02-08-2021
Abstract: The purpose of this study was to learn about mothers’ experiences with food choices for their pre-school children in underprivileged communities in Greater Western Sydney (GWS). A total of 20 mother-child dyads living in GWS were recruited to a qualitative study from an ongoing birth cohort study. Participants’ houses were visited for semi-structured interviews, which were recorded, transcribed verbatim, and analysed thematically. The interviews yielded five main themes: (i) food choices, nutrition, and health (ii) accessibility and availability of foods (iii) buying time for parents (iv) child’s age and their preference on food choices (v) conditioning certain behaviours by family and cultural factors. Nutrition literacy, child’s preferences, unhealthy food intake by family members, child’s demand, advertising and availability of harmful foods, and time constraints were all mentioned as hurdles to mothers making appropriate meal choices for their children. However, some identified facilitators were promoting parents’ knowledge, increasing access to health educational materials, upskilling mothers to providing healthier alternatives, regulating the marketing of unhealth foods. Although, the present study identified critical factors that influence mothers’ food choices for their young children, making healthy food choices is a complex practice as it is shaped by in idual, social and environmental influences.
Publisher: Wiley
Date: 19-04-2018
DOI: 10.1111/CID.12608
Abstract: Short implants are preferred in cases of limited bone height. Length and design of implant credits to stability and implant success, shorter implants tend to survive for longer time duration. Retrospective cohort study was conducted with an aim to assess the clinical outcome and cumulative survival rate of sloping shoulder implants over a period of 8 years. Data was collected from all patients attending private clinics in Dubai, UAE. Subjects received ultrashort sloping shoulder (Bicon) implant. Implants of 6 mm and less than 6 mm length were included in the study. Subject's information like age, gender, systemic condition, habits, and radiographs were collected. Implant variables that is number of implants placed, location of placement, loading type, bone type, bone condition, and graft type were collected. Data was analyzed using multivariate cox regression model to evaluate the correlation between implant variables and to identify the implant variables associated with failure. Kaplan-Meier method was adopted to assess the survival pattern of implants. Cumulative survival rate was 97% with average follow up of 28 months. Statistically significant differences were seen with implant length, arch type, bone type, and bone condition with P value <.001. Short implants with sloping shoulder design and plateau-type roots have superior survival rates when compared with regular implants. The bone condition was also witnessed to be statistically significantly superior.
Publisher: FapUNIFESP (SciELO)
Date: 2021
DOI: 10.1590/1984-0462/2021/39/2020085
Abstract: ABSTRACT Objective: To investigate the impact of “Brush Up” - a mobile application, on oral hygiene behaviours of 4-6-year-old children in Bangalore city. Methods: In this experimental study, 247 children aged 4-6, were randomly ided into three groups. Considering “Brush Up” is a mobile application, parents of the children in Group 1 (n=82) downloaded the application on their smartphones. Children in Group 2 (n=83) and Group 3 (n=82) received tooth brushing instructions by an educative video and manual demonstration, respectively. Effectiveness of tooth brushing was assessed with plaque scores, which were recorded for all the groups at baseline and one month using Visible Biofilm Index. Results: Wilcoxon signed rank test showed a significant improvement in the tooth brushing behaviour for the Brush Up group, which was indicated by a lower plaque score after a follow-up of one month. Kruskal-Wallis test followed by post-hoc test showed that the mean ranks of plaque scores of Brush Up group are consistently lower than those of video demonstration group and manual demonstration group. Conclusions: The lower plaque score in subsequent follow-up in Brush Up group suggests that using a smart system can enhance learning a correct tooth brushing method in young children and can also help in implementing the required reinforcement and motivation to brush and aid in better plaque control.
Publisher: Medknow
Date: 2021
Publisher: MDPI AG
Date: 06-2023
DOI: 10.20944/PREPRINTS202306.0040.V1
Abstract: Periodontal diseases significantly impact about half of the global population, and their treatment often encompasses relieving symptoms as well as regenerating the destroyed tissues. Revolu-tionary research in the management of periodontal disease includes biomaterials, a boon to re-generative dentistry owing to their excellent biological properties, non-toxic, an-ti-inflammatory, biocompatible, biodegradable, and adhesion. This study aimed to fabricate an injectable fucoidan containing chitosan hydrogel and prove its effectiveness in periodontal bone regeneration. The injectable hydrogel was prepared using the sol-gel method and loaded into 2ml syringes. 40 periodontitis patients with bony defects were recruited and randomized into two groups, to re-ceive fucoidan-chitosan hydrogel and concentrated growth factor, respectively. Customized acrylic stents were used to guide the hydrogel placement into the defect site. Post-surgical changes in clinical parameters were assessed at 3, 6 and 9 months to appreciate the soft & hard tissue changes using repeated measures analysis of variance and Bonferroni’s posthoc test. Significance was kept at 5%. The fucoidan-chitosan hydrogel exhibited significantly lower probing depth values and a higher mean reduction in clinical attachment level as compared to the CGF group at the end of 3 and 6 months (p& .05). The mean defect fills in the fucoidan-chitosan group was 1.20 at the end of 9 months (p& .001). The presence of fucoidan in the hydrogel significantly contributed to bone re-generation in humans, thus strengthening its potential in tissue engi-neering. Fucoidan- Chitosan will be a promising biomaterial for bone tissue regeneration.
Publisher: Jaypee Brothers Medical Publishing
Date: 04-2022
Publisher: MDPI AG
Date: 13-07-2023
DOI: 10.3390/GELS9070573
Abstract: Periodontal diseases significantly impact about half of the global population, and their treatment often encompasses relieving symptoms as well as regenerating the destroyed tissues. Revolutionary research in the management of periodontal disease includes biomaterials, a boon to re-generative dentistry owing to their excellent biological properties: non-toxicity, anti-inflammatory, biocompatibility, biodegradability, and adhesion. This study aimed to fabricate an injectable fucoidan containing chitosan hydrogel and prove its effectiveness in periodontal bone regeneration. The injectable hydrogel was prepared using the sol-gel method and was subjected to various physical, chemical, and biological characterizations to understand its efficacy in formation of new bone. The effectiveness of the developed hydrogel was assessed in periodontal bony defects to study the soft and hard tissue changes. A total of 40 periodontitis patients with bony defects were recruited and randomized into two groups to receive fucoidan-chitosan hydrogel and concentrated growth factor, respectively. Customized acrylic stents were used to guide the hydrogel placement into the defect site. Post-surgical changes in clinical parameters were assessed at 3, 6, and 9 months to appreciate the soft and hard tissue changes using repeated measures analysis of variance and Bonferroni’s post hoc test. Significance was kept at 5%. The porosity, water uptake of the prepared hydrogel showed good efficacy, with particle size of the fucoidan containing chitosan hydrogel of 6.000 nm. The MG-63 osteoblasts cell line revealed biocompatibility, biodegradability and showed slow and sustained drug release, increased cell proliferation, and enhanced alkaline phosphatase secretion. Mineralization assay was greatest in the fucoidan containing chitosan hydrogel. Clinically, it exhibited significantly lower probing depth values and a higher mean improvement in clinical attachment level as compared to the concentrated growth factor (CGF) group at the end of 3 and 6 months (p 0.05). The mean of the defect fills in the fucoidan containing chitosan group was 1.20 at the end of 9 months (p 0.001) as compared with defect fills observed in the CGF group. The presence of fucoidan in the hydrogel significantly contributed to bone regeneration in humans, thus strengthening its potential in tissue engineering. Fucoidan-chitosan will be a promising biomaterial for bone tissue regeneration.
Publisher: Indian Pharmaceutical Association - IPA
Date: 2021
Publisher: Springer Singapore
Date: 2019
Publisher: Incessant Nature Science Publishers Pvt Ltd.
Date: 2018
Location: No location found
Start Date: 2014
End Date: 2014
Funder: Indian Council of Medical Research
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