Indian Society of Periodontology Good Clinical Practice Recommendations for dental pain management and use of analgesics Vishakha Grover, Ashish Kumar, Anurag Satpathy, Ashish Jain, Neeraj Deshpande, Harpreet Singh Grover, Manish Khatri, Tanya Nandkeoliar, Ajit Nair, Amit Benjamin, Ashish Sham Nichani, Baljeet Singh, Bela Dilip Dave, Girish Bhutada, Gurparkash Singh Chahal, Kuldip Singh Sangha, Tirthankar Debnath, Trinath Kishore Damera, Vaibhav Karemore, Vidushi Sheokand, Vivek Kumar Bains Journal of Indian Society of Periodontology, 2026 Pain is one of the most frequent reasons for seeking dental care and significantly influences patient comfort, treatment acceptance, and clinical outcomes. Effective management of dental pain requires accurate diagnosis, timely intervention, and the rational use of analgesics supported by evidence-based clinical decision-making. Recognizing the need for structured guidance for everyday dental practice, the Indian Society of Periodontology has developed Good Clinical Practice Recommendations on Pain Management and the Use of Analgesics in Dental Clinics. These recommendations were formulated by a panel of nineteen subject matter experts from across the country following a comprehensive review of the available literature and structured consensus discussions. The document is organized into three key sections: Dental Pain – Diagnosis and Assessment, focusing on the clinical evaluation and characterization of dental pain; Multimodal Strategies for Pain Management in Dentistry, outlining pharmacological and non-pharmacological approaches for optimal pain control; and Clinical Decision Making in Dental Pain Management, which provides practical guidance on the rational and safe use of analgesics in routine clinical scenarios. The recommendations aim to support clinicians in selecting appropriate pain management strategies, encourage responsible prescribing practices, and promote patient-centred care. This document is intended to serve as a concise reference for dental practitioners and contribute to improving the quality and consistency of pain management in dental practice.
Development of an Index for a Tooth to Receive a Full-Coverage Crown Amit Porwal, Anurag Satpathy International Journal of Prosthodontics, 2025 PURPOSE To develop a system for assessment of the status of a tooth to receive a full coverage crown and depict it on a measurable scale, and to validate its use by assessing examiner reproducibility. METHODS The index was developed based on the inputs from experts in the field with a consensus on factors (4 periodontal, 2 endodontic, and 4 prosthodontic), stages of severity (stage 1 to stage 4), assigned scores, and relative weights pertaining to varied clinical scenarios. Based on the selection of factor-stage combination, an overall tooth crownability index (TCI) score along with three-factor scores were computed. The validation study included clinical and radiological assessment of cases based on the index criteria by four independent examiners (periodontist, prosthodontist, endodontist, and general practitioner). RESULTS Forty teeth were assessed. The distribution of repeated selection by the examiners was quite identical to the initial (kappa = 0.93). There was no statistically significant difference in the mean scores of examiners in TCI and factorial scores. An excellent agreement between the measurements was observed among the examiners (ICC =0.993; Crohnbach α = 0.993). CONCLUSIONS A tooth crownability index has been developed for a tooth to receive a full coverage crown which has an excellent agreement and good reproducibility among the examiners. TCI will serve as a baseline tool in treatment plan decision-making based on the status of the teeth and in research for evaluating the efficacy of various treatment options available (standard criteria for outcome assessment).
Impact of Tooth Crownability Index on Decision-Making Skills of Undergraduate Students Amit Porwal, Anurag Satpathy, Ankur Jethlia, Mohammed Najmuddin, Santosh Nelogi, et al. European Journal of General Dentistry, 2025 This article evaluates the impact of the tooth crownability index (TCI) on decision-making accuracy among undergraduate dental students. Seventy-seven undergraduate dental students participated. In session one, students assessed 10 randomly presented case scenarios in four separate rooms. They assessed the crownability and rated periodontal, endodontic, and prosthodontic support as good, fair, or poor. In session two, the same cases were reassessed with access to a TCI. Student decisions from both sessions were compared with those of an expert panel. In the end, students identified which TCI factors influenced their decision-making. Descriptive statistics, paired t-tests, and McNemar's test were used to compare student decisions with and without TCI, with significance set at p < 0.05. Student decisions aligned significantly more with expert analysis when using TCI (78.7% vs. 60.0%, p = 0.014). Improved agreement was also observed for periodontal support (p = 0.017), endodontic status (p = 0.040), and prosthodontic support (p = 0.023) in the TCI session. Students identified prosthodontic factors as the most influential in improving their assessments. The TCI significantly improved students' accuracy in assessing tooth crownability across diverse clinical scenarios.
Exploring the photosensitizing potential of Nanoliposome Loaded Improved Toluidine Blue O (NLITBO) Against Streptococcus mutans: An in-vitro feasibility study Swagatika Panda, Lipsa Rout, Neeta Mohanty, Anurag Satpathy, Bhabani Sankar Satapathy, Shakti Rath, Divya Gopinath Plos One, 2024 Background Streptococcus mutans is a major contributor to dental caries due to its ability to produce acid and survive in biofilms. Microbial resistance towards common antimicrobial agents like chlorhexidine and triclosan has shifted the research towards antimicrobial Photodynamic therapy (PDT). In this context, Toluidine Blue O (TBO) is being explored for its photosensitizing properties against Streptococcus mutans. There is a huge variation in the effective concentration of TBO among the current studies owing to the differences in source of and delivery system TBO as well as the time, power and energy densities of light. Objective The primary objectives of this study are to encapsulate improved Toluidine Blue O (ITBO) in nanoliposomes (NLITBO), characterize it, and evaluate its antibacterial photosensitizing potential against Streptococcus mutans suspensions in vitro. Method ITBO was synthesised as per Indian patent (number -543908). NLITBO was prepared using the thin-film hydration method. Dynamic light scattering experiment determined the vesicle size, polydispersity index (PDI), and zeta potential. Surface features were characterized by Scanning and Transmission Electron microscopy. ITBO release from NLITBO was assessed using the extrapolation method. The antibacterial activity of the NLITBO was determined by evaluating the zone of inhibition (ZOI) in the Streptococcus mutans culture and comparing with 2% chlorhexidine gluconate. The minimum inhibitory concentration (MIC) of NLITBO as a photosensitizer with red light (wavelength 650nm, power density 0.1 W/cm2, energy density 9–9.1 J/ cm2, 90seconds time) was evaluated against Streptococcus mutans cells by colorimetric method in 96 well plate. Results Percentage drug loading, loading efficiency, yield percentage, vesicle size, PDI, Zeta potential of NLTBO was reported as 9.3±0.4%, 84.4±7.6%, 73.5%, 123.52 nm, 0.57, -39.54mV respectively. Clusters of uni-lamellar nanovesicles with smooth non-perforated surfaces were observed in SEM and TEM. The size of the vesicle was within 100 nm. At 24 hours, a cumulative 79.81% of ITBO was released from NLITBO. Mean ZOI and MIC of NLITBO (1 μg /ml) were found to be 0.7±0.2 mm, 0.6μg/ml respectively. Conclusion We have synthesized and encapsulated improved Toluidine Blue O (ITBO) in nanoliposomes (NLITBO) and thoroughly characterized the formulation. The antibacterial efficacy of NLITBO without light was demonstrated by ZOI which is similar to 2% chlorhexidine gluconate. MIC of NLITBO as a photosensitiser along with the optimal light parameter was also proposed in this study. These findings suggested that NLITBO could serve as an effective alternative to conventional antibacterial treatments in managing Streptococcus mutans rich biofilms. It can have potential pharmaceutical application in oral health care.
Bibliographic analysis and evaluation of the mesh keywords in the journal of prosthodontics: Implant, esthetic, and reconstructive dentistry Amit Porwal, Mohammed M. Al Moaleem, Hafiz Ahmed Adawi, Kulashekar Reddy Nandalur, Anurag Satpathy, Vini Mehta, Marco Cicciù, Giuseppe Minervini Technology and Health Care, 2024 BACKGROUND: Various studies have been conducted to analyze data via bibliometric analysis in different dentistry, including prosthetic dentistry. However, these studies evaluated the most cited published articles in dentistry. OBJECTIVE: To analyze and evaluate the characteristic development of several mesh keywords in the Journal of Prosthodontics – Implant, Esthetic, and Reconstructive Dentistry between 1992 and 2022. METHODS: The Scopus databases was searched to retrieve the data related to 8 categories, including published articles, most cited documents, authors and organizations, and maximum articles cited during the evaluation period. The data retrieved were exported to a Microsoft Excel sheet and were analyzed using the bibliometrix package. The data were first analyzed for ten years and then for 30 years. The highest of 10 were reported for each category, and co-authorship, reoccurrence, and linked data were also reported. RESULTS: 2603 published documents were recorded from the Scopus databases. Articles comprised 87.9% of the total published work, followed by review articles at 5.46%. The most productive decade was between 2013 and 2022. 3793 terms were used during the evaluation period, with the maximum number in 2003–2012 (2481). A total of 5392 keywords were used during 1992–2022, with the highest number (3232) from 2013 to 2022. A total of 6108 authors were acknowledged, with the maximum number (3964) from 2013 to 2022 and the fewest (767) from 1992 to 2002. Authors from different countries increased from 17 countries in 1992–2002 to 52 countries in 2013–2022 (total = 63 countries). Similarly, the number of organizations increased from 312 organizations in 1992–2002 to 1315 organizations in 2013–2022 (total = 1976 organizations). CONCLUSION: The current bibliometric analysis delivered a comprehensive overview about more spread research topics and its impactful role in contemporary dentistry, especially prosthetic dentistry.
Indian Society of Periodontology Good Clinical Practice Recommendations for Peri-implant Care Anurag Satpathy, Vishakha Grover, Ashish Kumar, Ashish Jain, Dharmarajan Gopalakrishnan, Harpreet Singh Grover, Abhay Kolte, Anil Melath, Manish Khatri, Nitin Dani, Roshani Thakur, Vaibhav Tiwari, Vikender Singh Yadav, Biju Thomas, Gurparkash Singh Chahal, Meenu Taneja Bhasin, Nymphea Pandit, Sandeep Anant Lawande, R. G. Shiva Manjunath, Surinder Sachdeva, Amit Bhardwaj, Avni Raju Pradeep, Ashish Sham Nichani, Baljeet Singh, P. R. Ganesh, Neeraj Chandrahas Deshpande, Saravanan Sampoornam Pape Reddy, Subash Chandra Raj Journal of Indian Society of Periodontology, 2024 Current implant therapy is a frequently employed treatment for individuals who have lost teeth, as it offers functional and biological advantages over old prostheses. Concurrently, active exploration of intervention strategies aims to prevent the progression of peri-implant diseases and manage the existing peri-implant tissue damage. Indian Society of Periodontology has recognized the need for systematic documents to update the everyday clinical practice of general dental practitioners and has provided evidence-based consensus documents, namely good clinical practice recommendations from time to time to raise the oral health-related awareness and standards of oral health-care delivery across the country. The current clinical practice recommendations focused on peri-implant care to bridge the gap between academic theory and clinical practice by compiling evidence-based suggestions for preventing and treating peri-implant diseases. Twenty-eight subject experts across the country prepared these recommendations after a thorough literature review and group discussions. The document has been prepared in three sections covering peri-implant health and maintenance, peri-implant mucositis, and peri-implantitis. It will be a quick and concise reference for oral implant practitioners in patient management. The guidelines provide distinct definitions, signs, and symptoms, treatment required; recall visit specifications for plausible clinical case situations, and home-care recommendations regarding maintaining peri-implant health. The document advocates combined efforts of oral implant practitioners and the population at large with evidence-based, integrated, and comprehensive peri-implant care. By providing accessible, applicable guidance, these guidelines would empower dental professionals to uphold the well-being of implant patients and ensure the long-term success of implant therapy.
Efficacy of Sub-Gingivally Delivered Propolis Nanoparticle in Non-Surgical Management of Periodontal Pocket: A Randomized Clinical Trial Sushree Ambika Sahu, Saurav Panda, Abhaya Chandra Das, Lora Mishra, Satchidananda Rath, Krzysztof Sokolowski, Manoj Kumar, Rinkee Mohanty, Rashmita Nayak, Anurag Satpathy, Barbara Lapinska Biomolecules, 2023 Naturally sourced products like propolis are commonly employed for the non-surgical treatment of periodontal pockets. The use of nanoparticle formulations of these natural remedies has the potential to improve treatment outcomes. The aim of the present study was to evaluate the efficacy of sub-gingivally delivered propolis nanoparticles in the non-surgical management of periodontal pockets. Forty patients diagnosed with periodontitis presenting at least one periodontal pocket with a probing pocket depth between 4 and 6 mm were selected. Patients were randomly assigned into the control group (n = 20), which received scaling and root planing (SRP) and saline (SRP + Saline), and the test group (n = 20), which received SRP and sub-gingivally delivered propolis nanoparticles (PRO) into the periodontal pocket (SRP + PRO). The clinical parameters recorded were plaque index (PI), gingival index (GI), relative attachment loss (RAL), probing pocket depth (PPD), and bleeding on probing (BOP). They were assessed at baseline, one month, and three months post therapy. The results indicated that there was a significant improvement in clinical parameters (p < 0.05) in the test sites compared with the control sites at the end of the study. The gingival index at one month and three months was found to be significantly better in the SRP + PRO group than the SRP + Saline group, with a p value of <0.001. The BOP, PPD, and RAL showed significant improvement with the SRP + PRO group at the end of the 3-month follow-up with p values of 0.0001, 0.001, and 0.05, respectively. The subgingival delivery of propolis nanoparticles showed promising results as an adjunct to SRP in patients with periodontitis presenting periodontal pockets.
A new pioneering advancement: Waterlase R. Mohanty, B. Lenka, Rashmita Nayak, Anurag Satpathy, A. Das, Gatha Mohanty Indian Journal of Forensic Medicine and Toxicology, 2020
The night hormone “Melatonin” in implant dentistry Rashmita Nayak, Rinkee Mohanty, Abhaya Chandra Das, Anurag Satpathy, Saurav Panda, Gatha Mohanty Indian Journal of Public Health Research and Development, 2019
The role of “melatonin” in dentistry Rashmita Nayak, Abhaya Chandra Das, Rinkee Mohanty, Anurag Satpathy, Manoj Kumar, Saurav Panda Indian Journal of Public Health Research and Development, 2019
Study of drug used in treatment of toothache in various hospitals and private clinics of bilaspur region of Chhattisgarh (India) Asian Journal of Pharmaceutical and Clinical Research, 2012
