R.S.G. Satyasai, Prasanna Patruni, Nagasai K Nagasai K, Sravani P Sravani P, Meghana V Meghana V, Divya P Divya P
Polycythemia vera (PV) is a myeloproliferative neoplastic condition characterized by an unregulated synthesis of red blood cells (RBCs). There is often simultaneous stimulation of the megakaryocytic and myeloid lineages; this causes an increase in the synthesis of white blood cells and platelets2. As a result, there is an increased risk of thrombosis and bleeding. Due to the extensive vascular network of the face and jaw7 and limited surgical access to perform hemostasis, traumatic injuries and surgical procedures are among the most common causes of increased blood loss. Zygomatic bone fracture is one of the most frequent fractures of the facial skeleton. The zygomatic bone is a strong bone that supports the maxilla and the skull base. However, its prominence makes it highly susceptible, mainly when impact occurs on both sides of the face4. Facial bone fractures are associated with 1–11% excess blood loss. These complications have the potential to increase perioperative morbidity and mortality significantly. Adequate precautions must be taken in treating these patients for successful outcomes. The management of patients with PV includes therapeutic preoperative phlebotomy, increased fluid intake, and antiplatelet therapy. This report demonstrates the management of a complex procedure such as maxillofacial trauma in a PV patient with a normal coagulation profile.
{"title":"Management of Zygomatic Arch Fracture in Polycythemia Vera Patient-A Case Report","authors":"R.S.G. Satyasai, Prasanna Patruni, Nagasai K Nagasai K, Sravani P Sravani P, Meghana V Meghana V, Divya P Divya P","doi":"10.12944/edj.04.02.03","DOIUrl":"https://doi.org/10.12944/edj.04.02.03","url":null,"abstract":"Polycythemia vera (PV) is a myeloproliferative neoplastic condition characterized by an unregulated synthesis of red blood cells (RBCs). There is often simultaneous stimulation of the megakaryocytic and myeloid lineages; this causes an increase in the synthesis of white blood cells and platelets2. As a result, there is an increased risk of thrombosis and bleeding. Due to the extensive vascular network of the face and jaw7 and limited surgical access to perform hemostasis, traumatic injuries and surgical procedures are among the most common causes of increased blood loss. Zygomatic bone fracture is one of the most frequent fractures of the facial skeleton. The zygomatic bone is a strong bone that supports the maxilla and the skull base. However, its prominence makes it highly susceptible, mainly when impact occurs on both sides of the face4. Facial bone fractures are associated with 1–11% excess blood loss. These complications have the potential to increase perioperative morbidity and mortality significantly. Adequate precautions must be taken in treating these patients for successful outcomes. The management of patients with PV includes therapeutic preoperative phlebotomy, increased fluid intake, and antiplatelet therapy. This report demonstrates the management of a complex procedure such as maxillofacial trauma in a PV patient with a normal coagulation profile.","PeriodicalId":11858,"journal":{"name":"ENVIRO Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74998839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Definitions, nomenclature, terminology and other exercises of naming or describing things have been an inseparable part of science. While a litterateur may ponder the oft quoted Shakespearean question, “What’s in a name?” for scientific enquiry, name is everything. Periodontal literature is no stranger to the rigors of changing nomenclature. The disease entity currently called “Periodontitis” itself has seen a long process of updates in nomenclature, ranging from periodontoclasia, periodontosis, adult periodontitis, chronic periodontitis to the present term of “Periodontitis”.1,2,3
{"title":"Peri-Implantitis; What is in a Name?","authors":"M. Kulkarni","doi":"10.12944/edj.04.01.02","DOIUrl":"https://doi.org/10.12944/edj.04.01.02","url":null,"abstract":"Definitions, nomenclature, terminology and other exercises of naming or describing things have been an inseparable part of science. While a litterateur may ponder the oft quoted Shakespearean question, “What’s in a name?” for scientific enquiry, name is everything. Periodontal literature is no stranger to the rigors of changing nomenclature. The disease entity currently called “Periodontitis” itself has seen a long process of updates in nomenclature, ranging from periodontoclasia, periodontosis, adult periodontitis, chronic periodontitis to the present term of “Periodontitis”.1,2,3","PeriodicalId":11858,"journal":{"name":"ENVIRO Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85679439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mandibular fracture is less common in children. Fracture management is a complex issue in children that needs immediate diagnosis and appropriate treatment to ensure favorable outcome. Intermaxillary fixation (IMF) is an integral part in the management facial bone fractures. Conventional methods have disadvantages, like the risk of transmission of blood-borne diseases, stressful procedures, and mutilation to teeth, tooth buds, and also periodontium. Use of orthodontic bracket and elastics as IMF is an effective and efficient alternative technique in management of mandibular fracture because it removes the disadvantages of standard Intermaxillary fixation and provides a stable occlusal & functional thereafter.
{"title":"Dental Braces as IMF in Pediatric Population or in Children; A Conservative Concept","authors":"Madhusudhan K S","doi":"10.12944/edj.04.01.03","DOIUrl":"https://doi.org/10.12944/edj.04.01.03","url":null,"abstract":"Mandibular fracture is less common in children. Fracture management is a complex issue in children that needs immediate diagnosis and appropriate treatment to ensure favorable outcome. Intermaxillary fixation (IMF) is an integral part in the management facial bone fractures. Conventional methods have disadvantages, like the risk of transmission of blood-borne diseases, stressful procedures, and mutilation to teeth, tooth buds, and also periodontium. Use of orthodontic bracket and elastics as IMF is an effective and efficient alternative technique in management of mandibular fracture because it removes the disadvantages of standard Intermaxillary fixation and provides a stable occlusal & functional thereafter.","PeriodicalId":11858,"journal":{"name":"ENVIRO Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87250132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lichen planus is chronic and comparatively collective inflammatory mucocutaneous disease. The histopathological features of oral lichen planus were described as comparable to those of cutaneous lichen planus(CLP). Among those saw-toothed rete ridges are introduced as less important histopathologic features of idiopathic OLP in contrast to CLP. Accordingly, existing study aimed to estimate existence of saw tooth rete ridges in OLP in comparison to CLP.; In this retrospective cross-sectional study, 56; E stained slides with clinical and histopathological diagnoses of OLP were randomly collected from the archive of the oral pathology laboratory. CLP cases were selected randomly from a private pathology laboratory and were evaluated for the presence of saw-toothed rete ridges. Collected data were evaluated using Chi-square; Fishers exact test in SPSS 24 at an error level of 0.05%. Chi-square test did not show a substantial difference between oral; cutaneous groups in terms of the shape of the rete ridges (p = 0.511). Outcomes of existing study showed that saw tooth rete ridge was seen in OLP similar to CLP. Future studies concerning clinical subtype and type of keratosis are recommended.
{"title":"A Histomorphology Comparison of Saw-Tooth Shaped Rete Ridge Between Oral and Cutaneous Lichen Planus","authors":"Arezoo Saharkhiz, A. Aminzadeh, Roya Yahyaabady","doi":"10.12944/edj.04.01.05","DOIUrl":"https://doi.org/10.12944/edj.04.01.05","url":null,"abstract":"Lichen planus is chronic and comparatively collective inflammatory mucocutaneous disease. The histopathological features of oral lichen planus were described as comparable to those of cutaneous lichen planus(CLP). Among those saw-toothed rete ridges are introduced as less important histopathologic features of idiopathic OLP in contrast to CLP. Accordingly, existing study aimed to estimate existence of saw tooth rete ridges in OLP in comparison to CLP.; In this retrospective cross-sectional study, 56; E stained slides with clinical and histopathological diagnoses of OLP were randomly collected from the archive of the oral pathology laboratory. CLP cases were selected randomly from a private pathology laboratory and were evaluated for the presence of saw-toothed rete ridges. Collected data were evaluated using Chi-square; Fishers exact test in SPSS 24 at an error level of 0.05%. Chi-square test did not show a substantial difference between oral; cutaneous groups in terms of the shape of the rete ridges (p = 0.511). Outcomes of existing study showed that saw tooth rete ridge was seen in OLP similar to CLP. Future studies concerning clinical subtype and type of keratosis are recommended.","PeriodicalId":11858,"journal":{"name":"ENVIRO Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82331639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the era of evidence based dentistry everyone seeks for the solution through the published data, for that matter even the clinical reports or the successful clinical outcomes. So what constituted a dogma once is a naked truth now or what was a naked truth then is a mere dogma now. The point which I am going to propose now may seem absurd to many, confusing to some and total scribble to the others. Nonetheless, I would like to make it a point to ponder upon.
{"title":"Are We Ready to Embrace the Changes in the Field of Orthodontics?","authors":"Tarulatha R. Shyagali","doi":"10.12944/edj.04.01.01","DOIUrl":"https://doi.org/10.12944/edj.04.01.01","url":null,"abstract":"In the era of evidence based dentistry everyone seeks for the solution through the published data, for that matter even the clinical reports or the successful clinical outcomes. So what constituted a dogma once is a naked truth now or what was a naked truth then is a mere dogma now. The point which I am going to propose now may seem absurd to many, confusing to some and total scribble to the others. Nonetheless, I would like to make it a point to ponder upon.","PeriodicalId":11858,"journal":{"name":"ENVIRO Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74863350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aalia Zaib, Syed Imran Gilani, Ubaid Zaib, Muhammad Asif
The aim of this study was to find out the impact of COVID-19 pandemic on mental health of House Officers (HO) and Postgraduates (PG) dental trainees. A cross-sectional study was conducted on 380 participants. A total number of 194 HOs and 186 PG trainees from all the teaching dental hospitals of Peshawar, Khyber Pakhtunkhwa participated. The time duration of this study was December 2020 till March 2021. A self-administered questionnaire was used that comprised of closed-ended questions on perceptions of trainees regarding their mental health. The data was recorded and analyzed using SPSS statistical package 26.0. A total number of 380 Trainee dentists participated in the study and half of them (48%) reported to be tested positive for COVID-19 previously. During the peak of the pandemic, the overall mental health (90.8%) of the participants was compromised. The most common reasons reported were financial issues (58.9%) and psychomotor skills (52.1%). Fear of putting the family in danger (94.2%) was also a significant factor adding to mental health deterioration. It was also reported in our study that the females were more psychologically affected as compared to their male counterparts with a P-Value less than 0.05. This study shows the impact of COVID-19 pandemic on the mental health of house officers and postgraduate dental trainees. Our research concluded that majority of internees mental health was negatively affected by the COVID-19 pandemic, with a significant incidence of fear, anxiety, and concern, among other psychological symptoms.
{"title":"Covid-19 Pandemic and Dentistry: Perception of Dental Trainees from Peshawar Regarding their Mental Health","authors":"Aalia Zaib, Syed Imran Gilani, Ubaid Zaib, Muhammad Asif","doi":"10.12944/edj.04.01.06","DOIUrl":"https://doi.org/10.12944/edj.04.01.06","url":null,"abstract":"The aim of this study was to find out the impact of COVID-19 pandemic on mental health of House Officers (HO) and Postgraduates (PG) dental trainees. A cross-sectional study was conducted on 380 participants. A total number of 194 HOs and 186 PG trainees from all the teaching dental hospitals of Peshawar, Khyber Pakhtunkhwa participated. The time duration of this study was December 2020 till March 2021. A self-administered questionnaire was used that comprised of closed-ended questions on perceptions of trainees regarding their mental health. The data was recorded and analyzed using SPSS statistical package 26.0. A total number of 380 Trainee dentists participated in the study and half of them (48%) reported to be tested positive for COVID-19 previously. During the peak of the pandemic, the overall mental health (90.8%) of the participants was compromised. The most common reasons reported were financial issues (58.9%) and psychomotor skills (52.1%). Fear of putting the family in danger (94.2%) was also a significant factor adding to mental health deterioration. It was also reported in our study that the females were more psychologically affected as compared to their male counterparts with a P-Value less than 0.05. This study shows the impact of COVID-19 pandemic on the mental health of house officers and postgraduate dental trainees. Our research concluded that majority of internees mental health was negatively affected by the COVID-19 pandemic, with a significant incidence of fear, anxiety, and concern, among other psychological symptoms.","PeriodicalId":11858,"journal":{"name":"ENVIRO Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90881289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sujatha G.P Sujatha G.P, Kalavathi G.P Kalavathi G.P, Ashok l Ashok l
Intraoral pigmentation occurs in various physiologic and pathologic conditions. Many of these are the manifestations of systemic diseases that too dermatologic conditions in specific. Here with reporting a case of intraoral brownish pigmentation in a young adult female who was treated for mild dermal lesions of psoriasis which was reported to be either post inflammatory pigmentation or psoriasiform oral manifestations. The pattern of mucosal pigmentation is nonspecific and there is lack of recent research regarding etiopathogenesis.
{"title":"A Case Report of Oral Pigmentation - Post-Inflammatory or Psoriasiform Lesions","authors":"Sujatha G.P Sujatha G.P, Kalavathi G.P Kalavathi G.P, Ashok l Ashok l","doi":"10.12944/edj.04.01.07","DOIUrl":"https://doi.org/10.12944/edj.04.01.07","url":null,"abstract":"Intraoral pigmentation occurs in various physiologic and pathologic conditions. Many of these are the manifestations of systemic diseases that too dermatologic conditions in specific. Here with reporting a case of intraoral brownish pigmentation in a young adult female who was treated for mild dermal lesions of psoriasis which was reported to be either post inflammatory pigmentation or psoriasiform oral manifestations. The pattern of mucosal pigmentation is nonspecific and there is lack of recent research regarding etiopathogenesis.","PeriodicalId":11858,"journal":{"name":"ENVIRO Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81892587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arif Siddiqui, Deepa D Deepa D, Shalabh Mehrotra, Anjali Sharma
Periodontitis is the most common oral disease. It is a chronic disease that is characterised by the destruction of the tissues. It is caused by multifactorial aetiology. Variation in host metabolism and microbes results in the development of periodontitis. Saliva provides us with a protective role of lubrication, neutralizing the pH, mineralising the bones and fighting microbes in a diseased oral cavity. We need to identify metabolites in saliva to know the aetiology and stage of periodontitis. Some metabolites may help in the diagnosis and treatment of periodontitis. Various classes of the biochemicals like amino acids, lipids, carbohydrates, nuclear peptides, dipeptides are changed in periodontitis. Most importantly, there is an increase in the levels of protease, glycosidase and lipase activity in chronic periodontal disease that forms the most favourable time for the growth of bacteria. There is a deficiency in contempered screening methods. Therefore, we should understand the arising need for metabolites for better diagnosis and treatment of periodontitis.
{"title":"Metabolomics in Periodontal Disease - A Mini Review","authors":"Arif Siddiqui, Deepa D Deepa D, Shalabh Mehrotra, Anjali Sharma","doi":"10.12944/edj.04.01.04","DOIUrl":"https://doi.org/10.12944/edj.04.01.04","url":null,"abstract":"Periodontitis is the most common oral disease. It is a chronic disease that is characterised by the destruction of the tissues. It is caused by multifactorial aetiology. Variation in host metabolism and microbes results in the development of periodontitis. Saliva provides us with a protective role of lubrication, neutralizing the pH, mineralising the bones and fighting microbes in a diseased oral cavity. We need to identify metabolites in saliva to know the aetiology and stage of periodontitis. Some metabolites may help in the diagnosis and treatment of periodontitis. Various classes of the biochemicals like amino acids, lipids, carbohydrates, nuclear peptides, dipeptides are changed in periodontitis. Most importantly, there is an increase in the levels of protease, glycosidase and lipase activity in chronic periodontal disease that forms the most favourable time for the growth of bacteria. There is a deficiency in contempered screening methods. Therefore, we should understand the arising need for metabolites for better diagnosis and treatment of periodontitis.","PeriodicalId":11858,"journal":{"name":"ENVIRO Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79052597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With emergence of COVID-19 pandemic, research on viruses has come into focus. Understanding the nature and lifecycle of a virus is extremely important in decoding its behaviour with evolution. Mutation in SARS-CoV-2 has helped virus-related adaptation and survival. Certain key mutations have paved way for dominance of virus over the host. These mutations contribute to change in the properties of the virus like enhanced viral entry inside the host cell, virulence, rate of replication, disease transmission, and reduced response to therapeutics and vaccines. Research shows the dominance of substitution mutations in spike protein of SARS-CoV-2. This has led to emergence of viral variants. Depending on their features they are further categorized into alternative of interest & alternative of concern. Classifying viral variants helps communicate globally and decide upon common measures to prevent and control the disease. Critically evaluating the key mutations and its effect on properties exhibited by virus will aid in understanding the viral pathogenicity and ultimately the rate of patient morbidity and mortality. There has been change in the signs and symptoms with the evolution of SARS-CoV-2 & its upcoming strains. Both systemic and oral manifestations faced a shift in clinical presentation to some extent. With emerging variant of SARS-CoV-2 R0/ rate of transmission of virus and its virulence are exponentially increasing. As dental surgeon are at high risk, precautionary measures should be taken and sterilization protocol has to be strictly followed.
{"title":"Emerging Coronavirus Mutant - The Delta Plus: A Review","authors":"Rujuta N. Patil, Purva M. Choughule","doi":"10.12944/edj.03.02.04","DOIUrl":"https://doi.org/10.12944/edj.03.02.04","url":null,"abstract":"With emergence of COVID-19 pandemic, research on viruses has come into focus. Understanding the nature and lifecycle of a virus is extremely important in decoding its behaviour with evolution. Mutation in SARS-CoV-2 has helped virus-related adaptation and survival. Certain key mutations have paved way for dominance of virus over the host. These mutations contribute to change in the properties of the virus like enhanced viral entry inside the host cell, virulence, rate of replication, disease transmission, and reduced response to therapeutics and vaccines. Research shows the dominance of substitution mutations in spike protein of SARS-CoV-2. This has led to emergence of viral variants. Depending on their features they are further categorized into alternative of interest & alternative of concern. Classifying viral variants helps communicate globally and decide upon common measures to prevent and control the disease. Critically evaluating the key mutations and its effect on properties exhibited by virus will aid in understanding the viral pathogenicity and ultimately the rate of patient morbidity and mortality. There has been change in the signs and symptoms with the evolution of SARS-CoV-2 & its upcoming strains. Both systemic and oral manifestations faced a shift in clinical presentation to some extent. With emerging variant of SARS-CoV-2 R0/ rate of transmission of virus and its virulence are exponentially increasing. As dental surgeon are at high risk, precautionary measures should be taken and sterilization protocol has to be strictly followed.","PeriodicalId":11858,"journal":{"name":"ENVIRO Dental Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88906976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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