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   2009| October-December  | Volume 21 | Issue 4  
    Online since December 4, 2015

 
 
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ORIGINAL ARTICLES
Role of antioxidants in the treatment of oral submucous fibrosis: A clinical and histopathological study
B Vijay Kumar
October-December 2009, 21(4):179-183
Background: With the increased incidence of oral submucous fibrosis and treatment being not completely satisfactory, the need for alternative method of treatment is increasing. The present study evaluates the efficacy of oral antioxidant preparations in the treatment of clinically and histopathologically proved oral submucous fibrosis. Methods: Study was conducted in 40 patients of two groups of all ages who were clinically and histopathologically proved with oral submucous fibrosis with standard data grading and biopsies before and after the study for evaluation. Results: On comparison with the control group of placebo treatment, antioxidant therapy has shown a significant improvement (i e 70'0 P < 0.001 for interincisal distance: P < 0.001 for tongue protrusion and P < 0.05 for blowing capacity) and moderate improvement in histopathological findings of the treatment group. Conclusions: Significant number of cases have shown increased mouth opening, tongue protrusion. and blowing capacity and decreased burning sensation after treatment with antioxidants. Histopathologically, there is a certain amount of improvement, but not proportional with clinical improvement which shows that antioxidants can be useful therapeutic adjuvants to the already available treatment modalities in oral submucous fibrosis.
[ABSTRACT]   Full text not available  [PDF]
  594 128 -
"Tooth marker" to diagnose diabetes mellitus
Dipti Bhatnagar, N Gnanasundararn
October-December 2009, 21(4):164-167
During clinical examination of patients to diagnose oral diseases, it was observed that many patients had Cuspal destruction with saucer shaped cavity, ill defined pits and fissures with flattening of occlusal surface in the First permanent molars. The tooth is slightly yellowish in color. Many people who are having this tooth were diabetic. The tooth appeared as Attrition Pattern. A research has been carried out to find out whether this tooth has any relevance to diabetes mellitus. Incidence of attrition pattern among non diabetic, diabetic patients and Incidence of diabetes among attrition patients were carried out. Further gingival biopsies were taken to find out microangiopathy and PAS positive in vessels of connective tissue among diabetic, non diabetic and patients with attrition pattern. The observations of Research are correlated with one another and it was found that the attrition pattern have significant relation to diabetes. The use of attrition pattern as a marker to diagnose diabetes has been discussed.
[ABSTRACT]   Full text not available  [PDF]
  222 158 -
Third molars: A review
E Siva Prasad Reddy, Y Narendranath Reddy
October-December 2009, 21(4):175-178
Background: Third molars are teeth that have little functional value and a relatively high rate of associated pain and disease. Their value, as part of the dentition of modern people, is dubious. Types of Studies Reviewed: The authors review the evolution, development. moribidity and treatment of third molars. They access the value of third molars in the 21st century and describe the risks these teeth pose when they develop in the dentition. Conclusions: There is a mandate for the dental profession to improve health outcomes and quality of life. The prevention of third molar-related morbidity should be included in dental research efforts. The authors suggest that novel preventive methodologies be developed to alleviate the problems third molars pose. One potential methodology suggested is intentional therapeutic agenesis of this tooth. Clinical Implications: Prevention of third molar development early in life, even before tooth bud initiation, could dramatically improve healthcare outcomes for millions of peoples.
[ABSTRACT]   Full text not available  [PDF]
  216 102 -
Prevalence of oral lichen planus in a rural population of south kerala - A pilot study
V Vivek, Sunila Thomas, PL Sreekala
October-December 2009, 21(4):158-160
Oral lichen planus is a relatively common chronic inflammatory mucocutaneous disease which continues to challenge the dental professional with its wide spectrum of clinical involvement. This pilot study attempts to evaluate the status of oral lichen planus in a rural population from South Kerala in order to obtain such data as prevalence, distribution according to age, gender, clinical types and site of lesion .A drop in the age group of male population presenting with lichen planus was a significant finding in our study. However, more elaborate epidemiologic studies are required to probe further into this finding.
[ABSTRACT]   Full text not available  [PDF]
  201 81 -
Cysts of the periapical region in children: A 19-year institutional review
Ajay Telang, Pushparaja Shetty
October-December 2009, 21(4):161-163
Background: There are very few studies that have been done specifically on cysts of the periapical region in children. Aim: To do a retrospective analysis of specimens received as cysts of periapical region in children. Design: A Total of 3142 oral biopsies received over a period of 19 years (1987- 2005) at the department of oral pathology A.B. Shetty Memorial Institute of Dental Sciences, Derelakatte, Mangalore, India were retrieved and all paediatric oral biopsies were further histopathologically analyzed. Results: Our study found that 39% of the total paediatric oral biopsies received were cysts and the commonest cyst was radicular cyst (43.3%) followed by dentigerous cyst (20.6'0), odontogenic keratocyst (8.6'0) and lateral periodontal cyst (1.7%) which was different from most reported studies. Conclusion: Radicular cyst is the commonest cyst reported in this study which is different from most reported studies probably because of the type of biopsies received at our institute.
[ABSTRACT]   Full text not available  [PDF]
  178 81 -
Involvement of temporomandibular joint in systemic joint disorders: A clinical and radiological study
DB Gandhi Babu, M Venkateshwarulu
October-December 2009, 21(4):168-174
There are many reports on the involvement of temporomandibular joint in certain specific joint diseases, in medical and dental literature. However, not many comprehensive studies have been undertaken to study the involvement of TMJ in systemic joint disorders to establish the cause and effect relationship between the two. This report aims to study the involvement of TMJ in patients affected with systemic joint diseases. A total of 106 patients have been examined; 55 suffering from rheumatoid arthritis (R.A) and the rest suffering from related arthropathies. The results are significant and useful in the diagnosis and management of TMJ. in patients suffering from various arthropathies.
[ABSTRACT]   Full text not available  [PDF]
  168 86 -
Roentgenological determination of the relative position of the mandibular foramen in relation to the anteroposterior width of the ramus of the mandible
Arvind Shetti, Anil Kumar Bhoweer
October-December 2009, 21(4):145-151
A study of the radiological determination of the position of the mandibular foramen in relation to the anterioposterior width was carried out Total 80 patients were selected for the study that required minor oral surgical procedures like alveoloplasties, simple extractions, and removal of third molars, and different age groups were also considered. The mean and standard deviation values were evaluated by using radiographs and measurements of the anteroposterior width at rami of the mandible, and the position of the mandibular foramen was noted from the deepest point of the coronoid notch. In our study, we found that even though there are variations in the anteroposterior width of the mandible at rami, the mandibular foramen was found in the second quadrant and distal to the center of rami of the mandible.
[ABSTRACT]   Full text not available  [PDF]
  166 83 -
Assessment of salivary gland enlargements with the aid of ultrasound-guided FNAC, CT, and MRI: A hospital based diagnostic study
S Jayachandran, Mohamed A Riyaz
October-December 2009, 21(4):152-157
Aims and Objectives: Diagnosis of salivary gland enlargements is a demanding task and it requires a thorough knowledge of the clinical presentation of salivary gland diseases and the various imaging modalities available. This study aims at assessing the reliability of ultrasound-guided fine needle aspiration cytology (FNAC) as the first line investigatory procedure for major salivary gland enlargements and to correlate the diagnosis obtained from imaging modalities (Ultrasound guided FNAC, CT or MRI). so that an imaging protocol for salivary gland enlargements can be provided to clinicians, to aid them in preoperative planning. Materials and Methods: Twenty patients with clinically suspected salivary gland enlargements were subjected to ultrasound-guided FNAC, CT and MRI, at appropriate clinical situations. The enlargements found extraglandular in the course of the study were excluded from it. A Chi-square test was applied to obtain the statistical significance and the Galan and Gambino method was applied to find the sensitivity values. Results: The sensitivity of ultrasound-guided FNAC as the first line investigatory procedure for major salivary gland enlargements was found to be 87%. The P value was found to be .0027** (Statistical significance at 1% level). The sensitivity of imaging modalities combined (USG-guided FNAC, CT and MRI) at appropriate clinical situations to detect benign and malignant neoplasms was found to be 90%. The P value was found to be .0114* (Statistical significance at 5% level) Conclusion: Ultrasound followed by USG-guided FNAC is the ideal first line investigatory procedure in case of major salivary gland enlargements. The combining of clinical diagnosis with USG-guided FNAC. CT or MRI at appropriate clinical situations gives a more reliable diagnosis.
[ABSTRACT]   Full text not available  [PDF]
  156 90 -
CASE REPORTS
Oral comvound nevus: Rarest of rare
Karthikeya Patil, L Ambika, KP Mahesh
October-December 2009, 21(4):184-186
Nevi are benign proliferations of nevus cells located either entirely within the epithelium, in both the epithelium and underlying stroma, or in the subepithelial stroma alone. Nevi of the oral cavity are usually called mucosal melanocytic nevi or intramucosal nevi. A nevus occurring in the oral cavity is less compared to other areas of the body. There are only few case reports which have depicted about the occurrence of a compound nevus in the oral cavity. These available case reports also quote palate and buccal mucosa as the common sites for the occurrence of a compound nevus. The present case is about a compound nevus on the mandibular anterior attached gingiva. The histopathological analysis confirmed the diagnosis as compound nevus.
[ABSTRACT]   Full text not available  [PDF]
  173 70 -
Oral myiasis - a case report with clinical, radiographic and entomological findings from Puducherry Union Territory, Southern India
Neetu Punhani, M Jonathan Daniel, R Srinivasan
October-December 2009, 21(4):187-189
Background: The purpose of this article is to report a case of oral myiasis associated with traumatic injury, erosive or ulcerative lesions of oral tissues in a patient. Methods and Results: The maggots isolated were identified to be Chrysomyia bezzia. Prompt diagnosis and timely treatment saved the patient from suffering. Conclusion: Poor personal hygiene and environmental sanitation were found to be responsible for infestation. Entomological examination explained the reason for the severe tissue destruction caused by the species involved. This article reports an oral myiasis case due to C. bezziana for the first time from India and also explains the importance of entomological examination for cases of oral myiasis.
[ABSTRACT]   Full text not available  [PDF]
  165 71 -