Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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On Sep 2018




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On Sep 2018




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Saraswati Dental College
Lucknow
On Sep 2018




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MD, DM (Clinical Pharmacology)
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Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata




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On Aug 2018




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Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
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Dr. Mamta Gupta
Consultant
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.


Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
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Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."



Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011
Anuradha

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.


Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020

Important Notice

Dentistry
Year : 2011 | Month : April | Volume : 5 | Issue : 2 | Page : 388 - 389 Full Version

The Effect Of The Supervised Use Of Fluoridated Toothpaste On The Gingival Health Of Children


Published: April 1, 2011 | DOI: https://doi.org/10.7860/JCDR/2011/.1283
ROHIT IT ANAND

Pedodontics with preventive dentistry, Sardar Patel Post Graduate Institute of Dental Sciences., Lucknow (U.P.),INDIA

Correspondence Address :
Rohit Anand, Department of Pedodontics with preventive
dentistry, Sardar Patel Post Graduate Institute of Dental
Sciences., Lucknow (U.P.), INDIA phone no - 07275118066,
Email—rohitanand555@yahoo.com

Abstract

Purpose: The present study was envisaged to study the effect of fluoridated toothpaste on the gingival health of children. Materials and Methods: Subjects in the age group of 8 to 10 years were selected for the study, irrespective of their sex and socio economic status. Toothpastes containing 0.38% sodium mono fluorophosphates, 500 PPm fluorides, 0.35% sodiummono fluorophosphates and 458 PPm fluorides were used. The criterion for gingival health scoring was a marginal gingival index. Result: The results of this study showed that the oral health of the child patients improved over a 10 week period by the use fluoridated toothpastes. Conclusion: This study shows that the use of fluoride toothpastes leads to a reduction in the gingival inflammation in children.

Keywords

fluoridated toothpaste; Dental plaque; Gingivitis.

Gingivitis is a non-specific inflammatory response to the dental plaque, involving the gingival margins and is associated with an increase in the plaque mass due to poor oral hygiene (1),(2). Various methods of maintaining oral hygiene like tooth brushing, mouth rinsing and flossing can remove the plaque in children (3). Toothpastes came into general use in the 19th century. The Greeks, and then the Romans, improved the recipes for toothpastes by adding abrasives such as crushed bones and oyster shells. It is not known whether these early toothpastes were used alone, were to be rubbed onto the teeth with rags, or were to be used with early toothbrushes such as neem tree twigs or miswak. (4)Brushing with toothpastes helps to accomplish the following: remove plaque, resist decay, promote remineralization, clean and polish teeth, remove teeth stains and freshen the breath. (5) The use of fluoride containing oral health care products in children has a significant anticaries effect, which is attributed mainly to the beneficial influences on the remineralization process (6). The aim of the present study was to evaluate the gingival health of children by the supervised brushing of teeth with fluoride toothpastes.

Material and Methods

This study was conducted in double-blinded manner. A total of 300 regular users of non fluoridated toothpastes were recruited. Consent was obtained from the parents before the beginning of the study. The subjects who were assigned to the two test groups were instructed to brush their teeth twice daily with soft toothbrushes (6), (7). Assignments were carried out at the baseline and at 5 and 10 weeks. The subjects were evaluated for gingivitis by using a marginal gingival index (8), (9). The scoring system was defined as follows: - 0 = Absence of inflammation. 1 = Mild inflammation; slight change in colour, little change in the texture of any portion of, but not in the entire marginal or papillary unit. 2 = Mild inflammation; criteria as above, involving the entire marginal or papillary unit.

3 = Moderate inflammation; redness, hypertrophy of the marginal or the papillary gingival unit. 4 = Severe inflammation, spontaneous bleeding, redness, hypertrophy of the marginal or the papillary gingival unit. Statistical Analysis An intra group evaluation of the changes from the baseline was made by using the paired t-test. An analysis of covariance was carried out to test the differences between the products. All the statistical tests assumed a 2-sided significance level of 0.005 (P< 0.05).

Results

(Table/Fig 1) shows the means for the subjects at the baseline and at 5 and 10 weeks with standard deviation and the sample sizes for the marginal gingival index. An analysis of variance of the baseline values gave no significant difference between the products MGI (P = 0.5262).

Discussion

Gingivitis is very common oral health problem, especially in the developing countries (10). The uncared child patients are often subjected to gingivitis due to the lack of knowledge of the parents and due to poverty and unaffordability of the required diets which areessential for proper growth and development (11). There is a global consensus that the regular use of fluoride (F) toothpastes constitutes a cornerstone in the dental health of children. In fact, a global survey revealed that most experts addressed F toothpastes as the main reason for the dramatic decline in caries during the last decades of the 20th century. Furthermore, a toothpaste is probably the most readily available form of F and tooth brushing is a convenient and approved habit in most cultures. A toothpaste is a paste or gel dentifrice which is used with a toothbrush as an accessory to clean and maintain the aesthetics and health of teeth. A toothpaste is used to promote oral hygiene as it serves as an abrasive that aids in removing the dental plaque and food from the teeth, that assists in suppressing halitosis, and that delivers active fluoride to help prevent tooth caries and gingivitis. Most of the cleaning is achieved by the mechanical action of the toothbrush, and not by the toothpaste. (12)

Plaque has been demonstrated to be the major aetiological factor in the causation of gingivitis, but in children, other factors may also show their influence to varying extents. Fluoride in various forms is the most popular active ingredient in toothpastes which can prevent cavities and maintain the gingival health. Although it occurs in small amounts in plants, animals, and some natural water sources, additional fluoride has beneficial effects on the formation of the dental enamel and the bones. Sodium fluoride is the most common source of fluoride, but stannous fluoride and sodium monofluorophosphate are also used. The predominant factors are lack knowledge regarding oral hygiene maintenance and a poor socio-economic status. (13)The results of this study showed that the oral health of the child patients improved over a 10 week period by the use fluoridated tooth pastes. It was also noted that the oral health of the child patients in the control group also improved. (14) The effect of fluoridated toothpastes may be compared to that of non-fluoridated pastes as a placebo with a prospect for further research. Due to the virtue of participating in this study and undergoing frequent check ups, the children became self motivated to improve their oral health. (15) (16)

Conclusion

The present study shows that the use of fluoride toothpastes leads to a reduction in the gingival inflammation. Furthermore, sustained oral hygiene instructions and motivation are important in improving the oral health of the child patients.

Acknowledgement

The authors wish to thank the patients whose unfailing help and support made this study possible.

References

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10. Alfanco Mc. controversies, Perspectives and clinical implication of nutrition in Periodontal disease. Dental clinics of North America 20 : 579, 1976.
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11. Bradshaw DJ, Marsh PD, Hodgson RJ etal. Effect of glucose and flouride on competition and metabolism with in in-vitro dental bacterial communities and biofilms. Caries Res 2002 36 : 81 – 86.
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8. Labene R, weatherford T, Ross N et al. A modified gingival Index for use in clinical trials. Clinic Prev Dent 1986 8: 3 – 6.
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3. Loe H, Theilade E, Jensen SB. Experimental gingivitis in man. J periodontal 1965 36: 177 – 187.
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Lynch R, Navada R, Walia R. Low levels of fluoride in plaque and saliva and their effects on the demineralization and demineralization of enamel; role of fluoride toothpastes. Int. Dent J 2004 54: 304 – 309.
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1.Wennhall I, Matsson L, Schröder U, Twetman S Caries prevalence in 3-year-old children living in a low socio-economic multicultural urban area in southern Sweden. Swed Dent J. 2002;26(4):167-72. javascript:PopUpMenu2_Set(Menu12611146);
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16 Wennhall I, Mårtensson EM, Sjunnesson I, Matsson L, Schröder U, Twetman S Caries-preventive effect of an oral health program for preschool children in a low socio-economic, multicultural area in Sweden: results after one year. Acta Odontol Scand. 2005 Jun;63(3):163-7.
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9. Joiner A, Philpotts CJ, Ashcroft AT, Laucello M, Salvaderi A. In vitro cleaning, abrasion and fluoride efficacy of a new silica based whitening toothpaste containing blue covarine. J Dent. 2008;36 Suppl 1:S32-7. javascript:PopUpMenu2_Set(Menu18646368);
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12.Yeung CA. A systematic review of the efficacy and safety of fluoridation. Evid Based Dent. 2008;9(2):39-43
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6. Marinho VC, Higgins JP, Sheiham A, Logan S. Combinations of topical fluoride (toothpastes, mouthrinses, gels, varnishes) versus single topical fluoride for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2004;(1):CD002781
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2. Marinho VC, Higgins JP, Sheiham A, Logan S. Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2003;(1):CD002278.
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4. Marinho VC, Higgins JP, Logan S, Sheiham A. Fluoride gels for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2002;(2):CD002280.
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6. De Sousa Mda L, Wagner M, Sheiham A. Caries reductions related to the use of fluorides: a retrospective cohort study. Int Dent J. 2002 Oct;52(5):315-20. javascript:PopUpMenu2_Set(Menu12418598);
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7. Marks LA, Martens LC. Use of fluorides in children: recommendations of the European Academy for Pediatric DentistryRev Belge Med Dent. 1998;53(1):318-24.
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14 Ammari AB, Bloch-Zupan A, Ashley PF. Systematic review of studies comparing the anti-caries efficacy of children’s toothpaste containing 600 ppm of fluoride or less with high fluoride toothpastes of 1,000 ppm or above. Caries Res. 2003 Mar-Apr;37(2):85-92.
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15. Mann J, Vered Y, Babayof I, Sintes J, Petrone ME, Volpe AR, Stewart B, De Vizio W, McCool JJ, Proskin HM. The comparative anticaries efficacy of a dentifrice containing 0.3% triclosan and 2.0% copolymer in a 0.243% sodium fluoride/silica base and a dentifrice containing 0.243% sodium fluoride/silica base: a two-year coronal caries clinical trial on adults in Israel. J Clin Dent. 2001;12(3):71-6.

Tables and Figures
[Table / Fig - 1]
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JCDR/2011/1283

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