Notes

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Multiple subgingival irrigations of 10% PVP-I or 0/9% NaCl combined to one-stage full mouth SRP in patients with chronic periodontitis showed a reduction of all clinical parameters until 6 months. There was a trend in favor of the povidone group for PPD. ( 2021;52496-504; doi 10.3290/j.qi.b1044059).
Multiple subgingival irrigations of 10% PVP-I or 0/9% NaCl combined to one-stage full mouth SRP in patients with chronic periodontitis showed a reduction of all clinical parameters until 6 months. There was a trend in favor of the povidone group for PPD. ( 2021;52496-504; doi 10.3290/j.qi.b1044059).
To verify the effect of adjunctive enamel matrix derivative (EMD) in subgingival reinstrumentation during supportive periodontal therapy.

Using a split-mouth design, residual periodontal pockets with probing depth (PD) of 5 to 8 mm in 13 patients were treated by subgingival reinstrumentation with (test teeth) and without (control teeth) EMD. At baseline and after 6 and 12 months the clinical variables PD, clinical attachment level (CAL), and bleeding on probing (BOP) were recorded. At the same appointments gingival crevicular fluid (GCF) was collected to analyze for interleukin (IL)-1β, matrix metalloproteinase (MMP)-8, IL-10, and transforming growth factor (TGF)-β.

Statistically significant improvements in PD, CAL, and BOP occurred in both groups. The reduction of PD was significantly higher in the test group than in the control group after 12 months (P = .005). The change of IL-1β within 12 months was significantly different between both groups (P = .019). No other significant differences were detected between both groups.

The study suggests that subgingival reinstrumentation with adjunctive EMD could additionally reduce probing pocket depth and the need for periodontal surgery. (Quintessence Int 2021;52506-513; doi 10.3290/j.qi.b1044079).
The study suggests that subgingival reinstrumentation with adjunctive EMD could additionally reduce probing pocket depth and the need for periodontal surgery. (Quintessence Int 2021;52506-513; doi 10.3290/j.qi.b1044079).
To investigate the association of psychiatric disorders with (1) caries experience, (2) periodontal status, and (3) metabolic syndrome (MetS) components.

This 7-year cross-sectional study retrospectively analyzed the medical records of 504 individuals aged 18 to 90 years who attended the student dental clinic. 4EGI-1 purchase Collected data included demographics, smoking habits, systolic and diastolic blood pressures, pulse, waist circumference, full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), maximal pocket probing depth (PPD), average and maximal radiographic bone loss (RBL), the sum of the number of decayed (D), missing (M), and filled (F) teeth (DMFT score), and presence of MetS components, consequences and related conditions including diabetes, hypertension, hyperlipidemia, ischemic heart disease, heart failure, s/p stroke, and cancer.

68 (13.5%) had psychiatric disorders with an average age of 53.42 ± 15.71 years. Psychiatric disorders were positively associated with smoking (P = .008), smoking pnd caries experience but not with periodontal status and metabolic morbidity. Communication between dental and medical professionals is needed to address the higher smoking consumption and caries morbidity in psychiatric patients. (Quintessence Int 2021;52516-526; doi 10.3290/j.qi.b1044091).
To determine the reliability of a newly developed software application (Shadent) in natural tooth shade selection.

A smartphone device with the self-developed Shadent software (patent no. 201841046815, Intellectual Property of India) recorded tooth shades of the maxillary right central incisor and canine for 250 volunteers. A prospective, clinical, double-blind trial was conducted. The shade match obtained under the standardized condition from Shadent software was compared with the visual method and spectrophotometer. The digital recordings were captured by two master's candidates, while the visual shade match was evaluated by four master's candidates and one faculty member from the Department of Prosthodontics. Crosstab analysis assessed the relationship between the visual method of shade selection, a spectrophotometer, and the Shadent software. Cohen kappa was used to measure the agreement between the methods.

A kappa coefficient of 0.59 was observed between the visual assessment and the Shadent software, with an agreement percentage of 64.6%. A kappa coefficient of 0.65 was observed between the spectrophotometer and the Shadent software with an agreement of 69.3%. The software also had a better Cohen kappa agreement with the maxillary central incisor than the maxillary canine.

Shadent's reliability was comparable with the visual and spectrophotometric methods and offered repeatability with standardized light intensity.
Shadent's reliability was comparable with the visual and spectrophotometric methods and offered repeatability with standardized light intensity.
Prolonged cardiopulmonary bypass time (prolonged CPBT; PCPBT) during operations for adult congenital heart disease (ACHD) may lead to worse postoperative outcomes, which could add a significant burden to hospitals in developing countries. This study aimed to identify risk factors and outcomes of PCPBT in patients undergoing operations for ACHD.

This retrospective study included all adult patients (≥18 years) who underwent cardiac surgery with cardiopulmonary bypass for their congenital heart defect from 2011-2016 at a tertiary-care private hospital in Pakistan. Prolonged CPBT was defined as CPBT>120 minutes (65
percentile).

This study included 166 patients (53.6% males) with a mean age of 32.05±12.11 years. Comorbid disease was present in 59.0% of patients. Most patients underwent atrial septal defect repair (42.2%). A total of 58 (34.9%) of patients had a PCPBT. Postoperative complications occurred in 38.6% of patients. Multivariable analysis adjusted for age, gender and RACHS-1 Categories showed nd impact of these postoperative adverse outcomes especially in resource-constrained developing countries.
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