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2008| January-March | Volume 20 | Issue 1
December 4, 2008
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Eagle syndrome: A review of current diagnostic criteria and evaluation strategies
Vishlesh Arora, Arvind Shetti, Vaishali Keluskar
January-March 2008, 20(1):1-5
The mineralized and elongated styloid process and Eagle's syndrome are similar processes of elongation in which mineralization of the stylohyoid ligament leads to styloid process of the temporal bone. The mineralized and elongated styloid process and Eagle's syndrome differ significantly in terms of the symptoms displayed and the treatment modalities that are sought. The mineralized and elongated styloid process refers to unilateral or bilateral elongation of the styloid process that does not result in any significant pain, discomfort, or limitation of neck movement. It often remains asymptomatic until it is discovered on extraoral radiographs. Eagle's syndrome refers to pain and discomfort in the cervicofacial region resulting specifically from the elongated styloid process. Surgical shortening may be the only treatment that will alleviate the patient's symptoms.This article reviews the entire process of elongation pertaining to the styloid process and discusses the associated syndromes, including current knowledge of the theories of elongation, diagnostic criteria and treatment strategies.
Comparison of serum glucose and salivary glucose in diabetic patients
Sreedevi , MC Shashikanth, P Shambulingappa
January-March 2008, 20(1):9-13
Background and Objectives:
The importance of saliva for oral health is well known. Diabetes mellitus affects the salivary gland functioning and thus alters the salivary constituents. For many years the question of the presence of glucose in saliva has been a subject of debate and only few people found correlation between serum glucose and salivary glucose in diabetics. Hence, the purpose of this study was to estimate and correlate salivary glucose concentration and serum glucose concentration in diabetics and healthy controls.
Materials and Methods:
60 newly diagnosed diabetic patients and 60 age and sex matched control subjects were included in the study. Blood and saliva samples from both the groups were collected at least two hours after the breakfast. The samples were centrifuged and subjected to glucose analysis using Semiautoanalyzer (BioSystems BTS-310 Photometer). For experimental group, the samples were collected again after the control of diabetes mellitus. The statistical comparisons were performed using paired and unpaired
A highly significant correlation was found between salivary glucose and serum glucose before the treatment and also after the control of diabetes. The correlation between salivary glucose and serum glucose was also highly significant in controls. The levels of salivary glucose did not vary with age and sex.
Conclusion and Interpretation:
As there was significant correlation between salivary glucose and serum glucose, salivary glucose holds the potential of being a marker in diabetes. Further, it has an added advantage of being non-invasive procedure with no need of special equipments and with fewer compliance problems as compared with collection of blood.
Osteosarcoma of jaw bone
Avani Gandhi Dixit, Nipa J Parikh
January-March 2008, 20(1):41-44
Osteosarcoma is the most common primary malignant bone tumor in children. Its radiolographic appearances vary considerably. It may show a number of presentations from onion skin or sunburst appearance. Osteosarcoma of maxilla and mandible are distinct from long bone osteosarcoma and shows a distinct clinical, histologic and prognostic characteristic that when diagnosed and treated properly have a better prognosis from the later. The present article reports a case of osteogenic sarcoma of maxillary alveolar ridge and compares it with long bones osteosarcomas.
Osteoid osteoma of jaws: An overview
Akhilanand Chaurasia, Anita Balan
January-March 2008, 20(1):6-8
Osteoid osteoma is a rare benign osteoblastic tumor with distinctive histologic characteristics consisting of a central core of vascular osteoid tissue i.e., nidus surrounded by a peripheral zone of sclerotic bone. Most of cases of Osteoid osteoma are reported in long bones of body, however, their occurrence in jaw bones is extremely rare. The purpose of this article is to present an overview regarding its clinical presentation, diagnosis and management.
Co-relation of variables as determined from panoramic radiograph and evaluating their significance in eruption of permanent mandibular third molar
Kushal Amin, K Vasavi, Sonal Vahanwala, CD Nayak, SS Pagare, SS Ramdev
January-March 2008, 20(1):14-18
Purpose of the Study:
Purpose of the study is to investigate whether the variables associated with the permanent mandibular third molar (PMM3) and arch dimensions could be co-related and significantly differentiated between a fully erupted and mesially impacted PMM3 among a set of Indian population.
A standardized panoramic radiograph was taken of subjects of age 21 years and above. Patients with missing tooth from mandibular arch, subjects undergoing or having history of orthodontic treatment, subjects having disto-angular, horizontal or vertical impacted PMM3 were excluded from the study. Subjects were divided into 2 groups: (1) mesially impacted PMM3 and (2) vertically erupted PMM3. Following measurements were taken from acetate paper tracing of standardized panoramic radiograph: (1) Angulation of long axis of PMM3 to permanent mandibular second molar (theta) (2) Angulation of PMM 3 to base of mandible (theta 2) (3) Gonial angle (theta 3) (4) Mesio-distal width of PMM 3 (5) Retro molar space. From these measurements Ganss ratio (retro molar space /PMM3 crown width.) was calculated.
Results and Conclusion:
Results revealed that angle theta 1, angle theta 2, retro molar space and Ganss ratio were positively co-related and highly significant variables associated with the mesially and vertically erupted teeth as measured on panoramic radiograph. Using these variables a long-term study can be carried out to predict the ultimate position of lower third molar in the arch so that if there is a probability of the tooth being impacted at a later age, a prophylactic germectomy can be performed at an early age.
Cleidocranial dysplasia: Report of 4 cases and review
Virender Gombra, S Jayachandran
January-March 2008, 20(1):23-27
Patients with cleidocranial dysplasia commonly present with significant dental problems such as retention of multiple deciduous teeth, impaction or delay in eruption of permanent teeth and often, the presence of supernumerary teeth. We report 4 cases of 2 families presenting with cleidocranial dysplasia disorder with their clinical and radiological diagnosis and illustrating its pathogenesis and various treatment modalities, review of literatures.
Treacher Collins syndrome
Y Samata, KS Ganapathy, S Latha, BN Padmavathi
January-March 2008, 20(1):32-35
Treacher Collin's syndrome is a rare syndrome that is characterized primarily by defects of the structures derived from first and second branchial arches. It is a group of closely related defects of head and face; often hereditary/familial in pattern. We report a case of a 20 year old female patient who presented with features of this syndrome.
Papillon Lefèvre syndrome: A report of 3 cases with review of literature
Anita Munde, Manjiri Joshi, Sonia Sagoo, Safia Shoeb
January-March 2008, 20(1):36-40
Papillon Lefèvre syndrome (PLS) is a rare autosomal recessive disorder of keratinisation characterized by palmoplantar hyperkeratosis, periodontopathy and precocious (premature) loss of dentition. Exact mechanism of these clinical events mainly remains speculative. The periodontitis in PLS is usually difficult to control. Effective treatment includes extraction of primary teeth combined with oral antibiotics and professional teeth cleaning. Dentists play a significant role in the diagnosis and management of PLS patients. This paper describes 3 cases of PLS reporting to the out patient department within a span of 2 years with classic clinical features and briefly reviews the literature.
Angiosarcoma of the mandible
MC Shashikanth, Neelkamal Sharda, IM Ali, U Deepak, Sheeba Mohindra
January-March 2008, 20(1):19-22
Angiosarcoma is a rare malignancy of vascular endothelium which may arise from either blood or lymphatic vessels. These tumors are aggressive with a tendency to recur locally and also have a high rate of lymph node and systemic metastases. Angiosarcomas occur more frequently in skin and soft tissue. Occurrence of a primary or metastatic angiosarcoma in the oral cavity is extremely rare. The purpose of this article is to document a case of primary angiosarcoma in the right mandible of a 20 year old woman. The tumor presented as a rapidly enlarging lobulated soft tissue mass which was associated with an irregular radiolytic defect in the right mandible. Histological features of the lesion were suggestive of a high grade angiosarcoma. The patient was successfully treated with a combination therapy involving surgery and chemotherapy. There were no signs of tumor recurrence or metastasis after one and a half year of follow up.
Clear cell calcifying epithelial odontogenic tumor: A rare case report
Jincy Thomas, Valsa Thomas, Nileena R Kumar, Sharafuddeen
January-March 2008, 20(1):28-31
The calcifying epithelial odontogenic tumor (CEOT) is a benign epithelial odontogenic lesion that accounts for less than 1% of all odontogenic tumors. Clear cell variant of CEOT is extremely rare with only fifteen cases documented till date. The occurrences of clear cells may prove to be a sign of increased tumor aggressiveness, indicating the need for a more radical surgical approach.
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