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  Citation statistics : Table of Contents
   2015| January-June  | Volume 7 | Issue 1  
    Online since May 20, 2015

 
 
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LETTERS TO THE EDITOR
Periodontal diseases and pregnancy
Shilpa Trivedi, Nand Lal, Rameshwari Singhal
January-June 2015, 7(1):67-68
DOI:10.4103/0975-8844.157408  
  2 921 163
CASE REPORTS
Versatility of diode lasers in low-level laser therapy for the management of recurrent aphthous stomatitis
Butchi Babu, Uday Kiran Uppada, Bassel Tarakji, Khaja Amjad Hussain, Saleh Nasser Azzeghaibi, Ibrahim Alzoghaibi
January-June 2015, 7(1):49-53
DOI:10.4103/0975-8844.157392  
Recurrent aphthous stomatitis (RAS) is a painful condition, often leading to impairment of the basic functions such as mastication, speech, and brushing. Several treatment modalities have been advocated in the past, but none hasve been proven efficacious. A novel treatment modality in the form of low-level laser therapy (LLLT) has evolved in recent years. LLLT also known as "cold laser" works on the principle of biostimulation. This biomodulatory effect plays a pivotal role in accelerating the healing process and provides analgesia. Hence, it constitutes an alternative to processes that present pain and inflammatory reaction. The present series of cases throw light regarding the use of diode laser for LLLT as an effective and quick tool in the painless management of recurrent aphthous ulcers.
  1 2,492 336
ORIGINAL ARTICLES
Panoramic study of mandibular basal bone height
Raviraj Jayam, Rajeshwari Annigeri, Balaji Rao, Satish Gadiputi, Divya Gadiputi
January-June 2015, 7(1):7-10
DOI:10.4103/0975-8844.157358  
Aims and Objectives: To provide information regarding the changes of mandibular basal bone height using panoramic radiography, in relation to age, sex, and the state of dentulousness, which could be utilized in clinical practice, especially in implantology and pre-prosthetic surgery. Materials and Methods: A total of 200 subjects, who were categorized according to age, sex, and state of dentulousness, were subjected to vertical measurements of mandibular basal bone in panoramic radiographs. Two measurements were made, D 1 and D 2 . The distance measured between the lower border of mental foramen to the lower border of the mandible was termed as D 1 . The distance between the lowest point of mandibular canal to the lower border of the mandible was termed as D 2 . These measurements were compared between males/females and dentulous/edentulous, which were further subjected to statistical analysis with Student's t-test. Results: Males had higher D 1 and D 2 values compared to females and edentulous groups had higher D 1 and D 2 values compared to dentulous subjects. Conclusions: Men have higher values of mandibular basal bone height compared to females and also that there exists some potential for mandibular basal bone to increase in height as the age progresses.
  1 2,097 325
CASE REPORTS
Papillon-Lefèvre syndrome: Clinical presentation and literature review
OO Soyele, AO Taiwo
January-June 2015, 7(1):54-58
DOI:10.4103/0975-8844.157393  
Background: Papillon-Lefèvre syndrome (PLS) is a rare autosomal recessive genodermatosis characterized by a diffused palmoplantar hyperkeratosis and severe early-onset periodontitis. Although the exact pathogenesis of this syndrome is still unknown, however, it has been linked to mutations in the cathepsin C gene. Case report: This paper is a clinical presentation of a 12-year-old male with severe periodontitis and characteristic palmoplantar hyperkeratosis diagnosed as PLS. Conclusion: An early diagnosis of the syndrome can help preserve the teeth by the early institution of treatment, using a multidisciplinary approach. Thereby, sparing the patients increase the risk of social, psychological, and economical stigma. Owing to the vast degree of periodontal breakdown involved at such an early age. Incidentally, the dentist is might often be the first to encounter such patients.
  - 2,111 240
The impact of patient centered communication in managing Gardner's syndrome
Gayathri Subramanian, Vanesza Robles-Salas, Samuel Y. P. Quek, Steven R Singer
January-June 2015, 7(1):59-62
DOI:10.4103/0975-8844.157401  
Effective patient communication and comprehension are fundamental toward empowering the patient to make optimal health decisions. Barriers in patient health literacy extend beyond cultural and language differences and can significantly impede this process. This case report illustrates a major communication gap that resulted in contradictory perceptions between a treating oncologist and a patient. The patient's dentist was able to resolve this miscommunication and facilitate the patient's acceptance of the recommended intravenous chemotherapy for management of malignant desmoid tumors occurring secondary to Gardner's syndrome (GS). This report also documents classic craniofacial manifestations of GS including multiple unerupted supernumerary teeth, compound odontomas associated with a dentigerous cyst, as well as multiple osteomas in both arches and in the ethmoid and irregularly shaped radioopacities in both arches. In summary, effective patient-centered communication is a prerequisite for the optimal delivery of healthcare. Both interdisciplinary care and one-on-one patient-provider relationship center on coherent bidirectional communication.
  - 804 132
Dental trauma associated with high impact sport
Marcelo Coelho Goiato, Liliane da Rocha Bonatto, Emily Vivianne Freitas da Silva, Aljomar José Vechiato-Filho, Rodrigo Antônio de Medeiros, Daniela Micheline dos Santos
January-June 2015, 7(1):63-65
DOI:10.4103/0975-8844.157404  
The objective of this study was to report a case of tooth fracture during the sport practice and the treatment performed for the patient. A 17-year-old male patient was subjected to an endontic treatment followed by the reattachment of the fractured teeth. Teeth were endodontically treated by conventional method. After, the acid etching with 37% phosphoric acid gel was performed and a bonding agent was applied on the dental surface. The fragments were reattachment and bonded with minimum amount of composite resin since the teeth/fragment interface was small. The occlusal contacts were adjusted in the finish line of restorations with a diamond bur and the polishing was performed with aluminum oxide discs. Positive esthetical and periodontal outcomes with no complications in the endodontic treatment were observed on radiographic examinations after twelve months of follow up. The endodontic treatment associated with the reattachment of the fractured teeth by a bonding procedure was a conservative treatment for the patient. The use of mouthguards is important to prevent such dramatic events.
  - 1,724 158
Solitary cellular neurofibroma of alveolar mucosa unassociated with neurofibromatosis-1
Laxmidevi B Lankesh, KR Ashok Kumar
January-June 2015, 7(1):33-36
DOI:10.4103/0975-8844.157374  
Neurofibromas (NFs) are rare neurogenic tumors of the oral cavity. They can present as solitary, or multiple when associated with neurofibromatosis-1 (NF-1)/von Recklinghausen's disease. Solitary intraoral NFs unassociated with NF-1 are sporadic and mimic any other soft tissue tumors of the oral cavity. Hence, final diagnosis can only be rendered after histopathological examination although they exhibit numerous microscopic variants. They show numerous mast cells and immunopositive for S-100 protein. Here, we are presenting one such case of NF in a 55-year-old male patient.
  - 1,078 144
Restoration of an endodontically treated molar taurodont: A 3-year follow-up case
Antoniadou Maria, Malivitsi Christina, Margeti Zoi, Eleutherios-Terry Farmakis
January-June 2015, 7(1):37-40
DOI:10.4103/0975-8844.157378  
Taurodontism is an anomaly or variation of the anatomy of the tooth basic shape, characterized by an enlarged pulp chamber, apical displacement of the pulpal floor, and no constriction at the level of the cement-enamel junction. Due to these characteristics, endodontic treatment and restoration of these teeth is extremely challenging. In this paper, a review of the phenomenon and prevalence of taurodontism is carried out, and interesting clinical case is described in terms of endodontic notification and final crown restoration. In order to achieve longevity, by preventing microleakage, the final restoration is considered provocative, concerning the selection and combination of restorative materials to be used in such cases. Special care should always be given in occlusion and cuspal protection.
  - 1,781 247
Nonsyndromic hemimandibular hypoplasia: A case report with a short review of the literature
Sourav Bhattacharya, Dibyendu Mazumder, Debarati Ray, Sumit Ray
January-June 2015, 7(1):41-45
DOI:10.4103/0975-8844.157382  
Mandibular hypoplasia (MH) is a condition, which characterizes deviation in the mandibular growth patterns causing functional and esthetic alterations. MHs encountered in the craniofacial region may be of three types: Congenital, developmental and acquired. Majority of the MHs are associated with syndromes with very little emphasis on the "nonsyndromic" category. Furthermore, the hypoplasias generally have a bilateral manifestation on the mandible. We focus on the nonsyndromic category and report a case of isolated unilateral MH in a 17-year-old boy with obvious facial disfigurement but with no association to any syndrome. The objective of this presentation is to highlight the rarity, possible manifestations and diagnostic approach of the nonsyndromic group.
  - 3,964 328
Parapharyngeal space schwannoma of hypoglossal nerve
Surya Kanta Pradhan, Sanjeev Gupta, Manas R Baisakh
January-June 2015, 7(1):46-48
DOI:10.4103/0975-8844.157386  
Parapharyngeal schwannomas are rare benign neoplasms located in a difficult anatomical region. Most of them are asymptomatic and some presents late. Neurological deficit is a late finding, and it occurs only when the lesion is very large and compresses contiguous structures. Computed tomography (CT) guided fine needle aspiration cytology along with preoperative CT and magnetic resonance imaging can detect and diagnose it correctly and helps in proper planning and management. Total surgical excision is the treatment of choice. The approach is different as per the site, but trans-cervical approach is preferred. Recurrence is rare after complete excision. We are presenting a very rare parapharyngeal schwannoma arising from the hypoglossal nerve that was excised by trans-cervical approach without any complications and less morbidity as compared to other described approaches.
  - 1,541 159
GUEST EDITORIAL
Oral Diseases Group of Asia: Time to Blossom
Wipawee Nittayananta
January-June 2015, 7(1):1-2
DOI:10.4103/0975-8844.157354  
  - 1,055 217
LETTERS TO THE EDITOR
Pentoxifylline in patients with oral submucous fibrosis
Ashwini Deshpande, Darpan Bhargava
January-June 2015, 7(1):66-66
DOI:10.4103/0975-8844.157405  
  - 1,471 127
ORIGINAL ARTICLES
Sprague-Dawley rats are a sustainable and reproducible animal model for induction and study of oral submucous fibrosis
Shilpa Maria, VV Kamath, PS Krishnanand, R Komali
January-June 2015, 7(1):11-18
DOI:10.4103/0975-8844.157364  
Background: Oral submucous fibrosis (OSF) is a chronic debilitating disease predominantly affecting the oral cavity and oropharynx. Characteristic histological traits of OSF include epithelial atrophy, inflammation, and a generalized submucosal fibrosis. Several studies and epidemiological surveys provide substantial evidence that areca nut is the main etiological factor for OSF. Hesitance of patients to undergo biopsy procedure together with clinicians becoming increasingly reluctant to take biopsies in cases of OSF has prompted researchers to develop animal models to study the disease process. Materials and Methods: The present study evaluates the efficacy, sustainability, and reproducibility of using Sprague-Dawley (SD) rats as a possible model in the induction and progression of OSF. Buccal mucosa of SD rats was injected with areca nut and pan masala solutions on alternate days over a period of 48 weeks. The control group was treated with saline. The influence of areca nut and pan masala on the oral epithelium and connective tissue was evaluated by light microscopy. Results: Oral submucous fibrosis-like lesions were seen in both the areca nut and pan masala treated groups. The histological changes observed included: Atrophic epithelium, partial or complete loss of rete ridges, juxta-epithelial hyalinization, inflammation and accumulation of dense bundles of collagen fibers subepithelially. Conclusions: Histopathological changes in SD rats following treatment with areca nut and pan masala solutions bears a close semblance to that seen in humans with OSF. The SD rats seem to be a cheap and efficient, sustainable and reproducible model for the induction and development of OSF.
  - 2,004 348
Attitude toward oral biopsy among general dental practitioners: Awareness and practice
Anwar B Bataineh, Huda M Hammad, Iyas A Darweesh
January-June 2015, 7(1):19-26
DOI:10.4103/0975-8844.157368  
Aims: The aim of this study was to investigate the theoretical and practical skill levels of the general dental practitioners (GDPs) toward oral biopsy and to compare these results with other developed countries. Materials and Methods: A total of 500 Jordanian GDP from the 12 major governances of the Hashemite Kingdom of Jordan were conveniently sampled and included in this cross-sectional study. Participants were asked to complete a self-reported questionnaire that was specially designed to achieve the aims and objectives of this study. Results: Results demonstrated that a significant difference exists between the perceived theoretical knowledge related to oral biopsy and the clinical practical application of this knowledge among the participant dentists. Although 93.8% of the participants claim to have the ability to diagnose oral mucosal lesions, 91.4% recognize the diagnostic importance of oral biopsy and 67% know the indications of performing an oral biopsy, only 30.7% consider the oral biopsy as a diagnostic method to be used to reach a diagnosis of an oral mucosal lesion. Conclusions: A significant difference present between the theoretical information related to oral biopsy and the practical application of this information among the GDP.
  - 1,892 362
Aquolab ® ozone-therapy is an efficient adjuvant in the treatment of chronic periodontitis: A case-control study
Francesco Carinci, Annalisa Palmieri, Ambra Girardi, Francesca Cura, Dorina Lauritano
January-June 2015, 7(1):27-32
DOI:10.4103/0975-8844.157370  
Aim: The objective of this study was to compare the efficacy of supportive periodontal therapy (i.e., scaling and root planning [SRP]) alone versus Aquolab ® ozone therapy used in association with SRP in the treatment of chronic periodontitis in adult patients. Materials and Methods: A total of 20 patients with a diagnosis of chronic periodontitis (40 localized chronic periodontitis sites) were enrolled. None of these patients have previously received any surgical or nonsurgical periodontal therapy and demonstrated radiographic evidence of moderate bone loss. Two nonadjacent sites in separate quadrants were selected in each patient to verify treatment efficacy (split-mouth design). Microbial analysis was analyzed at baseline and the 7 th day after treatment. SPSS program and paired simple statistic t-test were used to detect statistically significant differences. Results: There was a statistically significant reduction of Tannerella forsythia loading in sites treated with ozone therapy respect to those treated with SPR alone. A similar trend was obtained also for additional 5 species and for total bacterial loading (CBT). These results were obtained with a single local application of ozone therapy just after SPR and with a molecular control 7 th day after treatment. Conclusion : Aquolab ® ozone therapy in is effective in reducing the CBT in pockets of patients affected by periodontitis. It is an efficacy medical device to be used as adjuvant therapy to be added to SRP in the management of moderate to severe chronic periodontitis.
  - 1,520 241
Quantitative analysis of C-reactive protein in potentially malignant disorders: A pilot study
Srilalitha Kaja, Sashi Kiran Sanapala Venkata Naga, Kattappagari Kiran Kumar, Neelima Dasari, Lalith Prakash Chandra Kantheti, Baddam Venkat Ramana Reddy
January-June 2015, 7(1):3-6
DOI:10.4103/0975-8844.157355  
Background: Recent advances in understanding complex tumor interactions have led to the discovery of an association between inflammation and cancer. An abundance of pro - inflammatory cytokines in a tumor micro-environment can lead to angiogenesis, thus favoring neoplastic growth. Serum C reactive protein is a sensitive marker of inflammation and may have significant prognostic value as early biomarker for cancer diagnostics. Aims and Objectives: This was a pilot study done to assess the serum C reactive protein levels in potentially malignant disorders (PMDS) and to evaluate their role as prognostic marker. Materials and Methods: The study sample consisted of 20 cases of oral potentially malignant disorders (10 each of Leukoplakia, Oral Sub mucous fibrosis) confirmed by histopathological examination and 10 controls. All the samples were subjected to C - reactive protein analysis by immunoturbidometery. Results were subjected to Statistical analysis. Statistical analysis: Data was entered in data base management of the software SPSS version 20.0. Comparison of three groups with respect to C reactive protein levels was done by one way ANOVA. Pair wise comparison of three groups was done by Turkeys multiple post hoc procedure. Results: Mean C reactive protein levels in leukoplakia was 0.33±0.17, in oral submucous fibrosis was 0.58±0.83 where as in controls it was 0.26±0.05. In potentially malignant disorders, C reactive protein was slightly elevated when compared with the controls. Conclusion: Our findings demonstrate that serum C reactive protein concentration is associated with subsequent development of oral cancer and could serve as a potential prognostic biomarker.
  - 2,064 409
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