Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_220_23
Mandavi Waghmare, S. Pagare, Reema Manoj, Janice Pinto, Hemant Bhutani, N. Shetty
Background: Cone-beam computed tomography (CBCT) allows for volumetric analysis of the mandibular condyle which can help us to improve the understanding of the pathophysiological alterations affecting the condyles during the growth phase and later. Objectives: Evaluation of volume of mandibular condyle across gender and various age groups. Method: Retrospective volumetric analysis of CBCT scans obtained from 130 patients—260 condyles performed using a semiautomatic segmentation with the program ''ITK-Snap.” The mean condylar volume was then determined according to age group, gender, and laterality. Results: Significant differences were found across age groups in the left side condyle but not on the right. The condylar volume in males on both the right and left sides was found to be larger than that of females. It was noted that the right condylar volume was larger in all age groups and genders as compared to the left. Conclusion: The risk of development of skeletal malocclusions or temporomandibular disorders (TMD) can be determined by dimensional changes of the condyles. The data gathered may be clinically relevant in developing condylar volume diagnostic criteria for the Indian population.
{"title":"Volumetric analysis of mandibular condyle in a subset of the indian population using CBCT—A retrospective observational study","authors":"Mandavi Waghmare, S. Pagare, Reema Manoj, Janice Pinto, Hemant Bhutani, N. Shetty","doi":"10.4103/jiaomr.jiaomr_220_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_220_23","url":null,"abstract":"Background: Cone-beam computed tomography (CBCT) allows for volumetric analysis of the mandibular condyle which can help us to improve the understanding of the pathophysiological alterations affecting the condyles during the growth phase and later. Objectives: Evaluation of volume of mandibular condyle across gender and various age groups. Method: Retrospective volumetric analysis of CBCT scans obtained from 130 patients—260 condyles performed using a semiautomatic segmentation with the program ''ITK-Snap.” The mean condylar volume was then determined according to age group, gender, and laterality. Results: Significant differences were found across age groups in the left side condyle but not on the right. The condylar volume in males on both the right and left sides was found to be larger than that of females. It was noted that the right condylar volume was larger in all age groups and genders as compared to the left. Conclusion: The risk of development of skeletal malocclusions or temporomandibular disorders (TMD) can be determined by dimensional changes of the condyles. The data gathered may be clinically relevant in developing condylar volume diagnostic criteria for the Indian population.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"20 1","pages":"363 - 367"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366135","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}
Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_302_23
ML Avinash Tejasvi
{"title":"Advancements in telemedicine and teleradiology: Pioneering progress in oral medicine and radiology","authors":"ML Avinash Tejasvi","doi":"10.4103/jiaomr.jiaomr_302_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_302_23","url":null,"abstract":"","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"38 1","pages":"295 - 296"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366152","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}
Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_186_23
B. Megha, AC Raj, Nikhil Raj, Jeena Sebastian
Background: Novel coronavirus disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) shows various respiratory symptoms of varying severity. However, the virus can affect any organ in the body. Understanding about the oral manifestations would be helpful in early diagnosis and treatment of this disease. Aim: The aim of the study was to understand the oral manifestations associated with SARS-CoV-2 infection using a self-designed questionnaire. Objectives: To understand the impact of SARS-CoV-2 infection in oral cavity so that early treatment can be provided. Materials and Methods: The study was done on 100 COVID-19-positive dental students above 18 years with positive RT-PCR reports. Participants were asked to fill the questionnaire after doing a self-examination of the oral cavity throughout the course of infection. Result: Fifty-five per cent of patients experienced oral manifestations during the course of infection. Various oral manifestations including xerostomia, dysphagia, altered taste sensation, burning sensation, redness of oral mucosa, halitosis, blisters, and white patches were reported by the participants. Conclusion: Various oral manifestations are seen in COVID-19-positive patients hence SARS-CoV-2 infection has a significant effect on oral epithelium.
{"title":"Oral manifestations of COVID-19—A questionnaire-based study in COVID positive dental students","authors":"B. Megha, AC Raj, Nikhil Raj, Jeena Sebastian","doi":"10.4103/jiaomr.jiaomr_186_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_186_23","url":null,"abstract":"Background: Novel coronavirus disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) shows various respiratory symptoms of varying severity. However, the virus can affect any organ in the body. Understanding about the oral manifestations would be helpful in early diagnosis and treatment of this disease. Aim: The aim of the study was to understand the oral manifestations associated with SARS-CoV-2 infection using a self-designed questionnaire. Objectives: To understand the impact of SARS-CoV-2 infection in oral cavity so that early treatment can be provided. Materials and Methods: The study was done on 100 COVID-19-positive dental students above 18 years with positive RT-PCR reports. Participants were asked to fill the questionnaire after doing a self-examination of the oral cavity throughout the course of infection. Result: Fifty-five per cent of patients experienced oral manifestations during the course of infection. Various oral manifestations including xerostomia, dysphagia, altered taste sensation, burning sensation, redness of oral mucosa, halitosis, blisters, and white patches were reported by the participants. Conclusion: Various oral manifestations are seen in COVID-19-positive patients hence SARS-CoV-2 infection has a significant effect on oral epithelium.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"97 1","pages":"359 - 362"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366193","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}
Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_230_23
Harshitha Akkinepally, ML Avinash Tejasvi, NLakshmi Kavitha, A. Pokala, Praveen Reddy, VummadiReddy Keerthi
Background: Cigarette smoke releases free radicles that have deleterious effects on the oral mucosa including potentially malignant disorders and oral cancer. In response to cigarette smoking, salivary flow rate increases as a defense activity along with a rise in alpha-amylase levels. Aim: To estimate salivary alpha-amylase levels in smokers with and without leukoplakia and oral cancer cases. Methods: This comparative study was carried out on 120 subjects; 30 subjects each in four groups which include non-smokers, smokers without oral lesions, smokers with leukoplakia, and smokers with oral squamous cell carcinoma (OSCC). Five microliters of unstimulated saliva were collected from the subjects by the spitting method. Alpha-amylase salivary levels were determined by spectrophotometric assay. Data collected were analyzed using a one-way ANOVA test. Results: No significant difference between alpha-amylase values was observed among smokers without oral lesions and smokers with leukoplakia groups when compared with non-smokers, but a significant difference was seen in the OSCC group in comparison with all three groups (smokers without oral lesions group vs OSCC group – P = 0.0045; leukoplakia group vs OSCC group P = 0.0326). Conclusion: Salivary alpha-amylase levels increased in smokers without any lesion and smokers with leukoplakia when compared with nonsmokers, although it was statistically not significant. Salivary alpha-amylase levels in oral cancer were significantly higher when compared with non-smokers, and smokers with and without leukoplakia. Smoking induced a change in salivary antioxidant levels. Changes in antioxidant levels can influence the deleterious effects of smoking on oral mucosa as well as systemic health.
背景：香烟烟雾释放的自由基对口腔黏膜有有害影响，包括潜在的恶性疾病和口腔癌。吸烟时，唾液流速会增加，作为一种防御活动，同时α-淀粉酶水平也会升高。目的：估算患有和未患有口腔白斑病的吸烟者以及口腔癌病例的唾液α-淀粉酶水平。方法：对有白斑病和口腔癌病例的吸烟者和无白斑病和口腔癌病例进行比较研究：这项比较研究以 120 名受试者为对象，每组 30 人，分为四组，包括非吸烟者、无口腔病变的吸烟者、有白斑的吸烟者和有口腔鳞状细胞癌（OSCC）的吸烟者。用吐唾液法从受试者口中采集 5 微升未经刺激的唾液。采用分光光度法测定唾液中的α-淀粉酶水平。收集的数据采用单因素方差分析进行分析。结果显示与非吸烟者相比，无口腔病变吸烟者组和有白斑吸烟者组的α-淀粉酶值无明显差异，但与所有三组相比，OSCC 组的α-淀粉酶值有明显差异（无口腔病变吸烟者组 vs OSCC 组 - P = 0.0045；白斑组 vs OSCC 组 P = 0.0326）。结论与非吸烟者相比，无任何口腔病变的吸烟者和有白斑的吸烟者唾液中的α-淀粉酶水平升高，但统计学意义不大。口腔癌患者唾液中的α-淀粉酶水平明显高于非吸烟者、有白斑和无白斑的吸烟者。吸烟会引起唾液抗氧化剂水平的变化。抗氧化剂水平的变化可影响吸烟对口腔黏膜和全身健康的有害影响。
{"title":"Estimation of alpha-amylase in smokers with and without leukoplakia and oral cancer—A comparative study","authors":"Harshitha Akkinepally, ML Avinash Tejasvi, NLakshmi Kavitha, A. Pokala, Praveen Reddy, VummadiReddy Keerthi","doi":"10.4103/jiaomr.jiaomr_230_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_230_23","url":null,"abstract":"Background: Cigarette smoke releases free radicles that have deleterious effects on the oral mucosa including potentially malignant disorders and oral cancer. In response to cigarette smoking, salivary flow rate increases as a defense activity along with a rise in alpha-amylase levels. Aim: To estimate salivary alpha-amylase levels in smokers with and without leukoplakia and oral cancer cases. Methods: This comparative study was carried out on 120 subjects; 30 subjects each in four groups which include non-smokers, smokers without oral lesions, smokers with leukoplakia, and smokers with oral squamous cell carcinoma (OSCC). Five microliters of unstimulated saliva were collected from the subjects by the spitting method. Alpha-amylase salivary levels were determined by spectrophotometric assay. Data collected were analyzed using a one-way ANOVA test. Results: No significant difference between alpha-amylase values was observed among smokers without oral lesions and smokers with leukoplakia groups when compared with non-smokers, but a significant difference was seen in the OSCC group in comparison with all three groups (smokers without oral lesions group vs OSCC group – P = 0.0045; leukoplakia group vs OSCC group P = 0.0326). Conclusion: Salivary alpha-amylase levels increased in smokers without any lesion and smokers with leukoplakia when compared with nonsmokers, although it was statistically not significant. Salivary alpha-amylase levels in oral cancer were significantly higher when compared with non-smokers, and smokers with and without leukoplakia. Smoking induced a change in salivary antioxidant levels. Changes in antioxidant levels can influence the deleterious effects of smoking on oral mucosa as well as systemic health.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"41 1","pages":"331 - 334"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365291","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}
Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_165_23
S. Jan, Balaji Pachipulusu, Poornima Govindraju
Background: Nasal septum deviation (NSD) is a facial midline deviation of the septum's bone or cartilage, nasal promoting nasal obstruction which results in mouth breathing with implications on lip and tongue position, high arched palate, and decreased nasal permeability, and nasal turbinate hypertrophy causes a reduction in the size of the nasal airways leading to concha bullosa (CB), mucociliary obstructions, and maxillary sinusitis. Objectives: To evaluate the degree and types of NSD, presence of CB and laterality, thickness of maxillary sinus mucosa (TMSM) about NSD and relationship of NSD alone and in conjunction with palatal arch depth. Materials and Methods: One hundred eighty cone beam computed tomographic (CBCT) images were procured from CBCT archives by random sampling method. Results: The prevalence of NSD and CB was found to be 43.3% and 42.2%, respectively. In these studies, males and females showed equal distribution and laterality with the most common being type II deviation. CB showed predominant unilateral CB. Conclusions: Comparison was made between all parameters NSD and CB, NSD and TMSM showed a strong relationship, and maxillopalatal parameters and NSD showed relatively higher values.
{"title":"Prevalence of nasal septal deviation and its effects on concha bullosa, maxillary sinus mucosal thickness, and depth of palatal arch—An observational CBCT study","authors":"S. Jan, Balaji Pachipulusu, Poornima Govindraju","doi":"10.4103/jiaomr.jiaomr_165_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_165_23","url":null,"abstract":"Background: Nasal septum deviation (NSD) is a facial midline deviation of the septum's bone or cartilage, nasal promoting nasal obstruction which results in mouth breathing with implications on lip and tongue position, high arched palate, and decreased nasal permeability, and nasal turbinate hypertrophy causes a reduction in the size of the nasal airways leading to concha bullosa (CB), mucociliary obstructions, and maxillary sinusitis. Objectives: To evaluate the degree and types of NSD, presence of CB and laterality, thickness of maxillary sinus mucosa (TMSM) about NSD and relationship of NSD alone and in conjunction with palatal arch depth. Materials and Methods: One hundred eighty cone beam computed tomographic (CBCT) images were procured from CBCT archives by random sampling method. Results: The prevalence of NSD and CB was found to be 43.3% and 42.2%, respectively. In these studies, males and females showed equal distribution and laterality with the most common being type II deviation. CB showed predominant unilateral CB. Conclusions: Comparison was made between all parameters NSD and CB, NSD and TMSM showed a strong relationship, and maxillopalatal parameters and NSD showed relatively higher values.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"33 1","pages":"403 - 406"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365384","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}
Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_148_23
Sudharani Biradar, Tanvy Sansgiri, AnitaD Munde, B. Biradar
Non-Hodgkin lymphomas (NHLs) commonly show extranodal involvement (20–30%). Primary diffuse large B-cell lymphomas (DLBCLs) with extranodal localization represent clinically and molecularly distinct entities. Here, we present a case of DLBCL affecting the parotid gland that initially seemed to be sialadenitis. The magnetic resonance Imaging (MRI) and positron emission tomography (PET) scans showed a neoplastic mass in the parotid gland and involvement of the spleen, respectively. The immunohistochemistry (IHC) confirmed the diagnosis of DLBCL. The patient was treated successfully with chemotherapy. A high degree of skepticism is involved in an early diagnosis of NHL as it can mimic benign and malignant entities.
非霍奇金淋巴瘤（NHL）通常表现为结节外受累（20%-30%）。结节外定位的原发性弥漫大B细胞淋巴瘤（DLBCL）在临床和分子上都是不同的实体。在此，我们介绍一例腮腺受累的 DLBCL，起初似乎是腮腺炎。磁共振成像（MRI）和正电子发射断层扫描（PET）分别显示腮腺有肿瘤性肿块和脾脏受累。免疫组化（IHC）确诊为 DLBCL。患者接受了成功的化疗。由于 NHL 可模拟良性和恶性实体，因此在早期诊断 NHL 时应持高度怀疑态度。
{"title":"Non-Hodgkin's lymphoma of parotid gland camouflaging as sialadenitis: A case report","authors":"Sudharani Biradar, Tanvy Sansgiri, AnitaD Munde, B. Biradar","doi":"10.4103/jiaomr.jiaomr_148_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_148_23","url":null,"abstract":"Non-Hodgkin lymphomas (NHLs) commonly show extranodal involvement (20–30%). Primary diffuse large B-cell lymphomas (DLBCLs) with extranodal localization represent clinically and molecularly distinct entities. Here, we present a case of DLBCL affecting the parotid gland that initially seemed to be sialadenitis. The magnetic resonance Imaging (MRI) and positron emission tomography (PET) scans showed a neoplastic mass in the parotid gland and involvement of the spleen, respectively. The immunohistochemistry (IHC) confirmed the diagnosis of DLBCL. The patient was treated successfully with chemotherapy. A high degree of skepticism is involved in an early diagnosis of NHL as it can mimic benign and malignant entities.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"32 1","pages":"446 - 448"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365620","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}
Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_73_23
Sumit Deshpande, Syed Qayum, G. Katti, G. Abhishek, Aishwarya Raju, C. Katti
Background: The single most crucial aspect in deciding whether a dental implant will be effective is the existence of healthy crestal bone. Objective: To measure and evaluate the crestal bone levels around dental implants placed using single-stage implant surgery at mandibular 1st molar region with platform-switched healing abutment and restored platform-switched prosthesis by using CBCT at different time intervals in a period of 12 months. Method: Fifteen patients were selected from the outpatient department of prosthodontics. CBCT was made preoperative, and postoperative, immediately after the platform-switched prosthesis fit-in, after 3 and 6 months of prosthesis fit-in to evaluate the vertical crestal bone level changes using CBCT. Results: In the present study radiographic evaluation of crestal bone demonstrated mean changes of 0.94667 mm in 3rd month, and 0.41500 mm at 6th month follow-up. At the 12th month, post-operatively crestal bone level changes were 0.58167 mm with single-stage surgery loaded with platform-switched abutment, which shows significantly favorable: bone level changes. Conclusion: The data analysis revealed that crestal bone levels around dental implants were preserved and regenerated as a result of stress concentration shifting away from the crestal areas which ultimately contributes to the long-term success of dental implants.
{"title":"Sequential evaluation of crestal bone levels around implant restored with platform switching in mandibular molars using CBCT: An In vivo study","authors":"Sumit Deshpande, Syed Qayum, G. Katti, G. Abhishek, Aishwarya Raju, C. Katti","doi":"10.4103/jiaomr.jiaomr_73_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_73_23","url":null,"abstract":"Background: The single most crucial aspect in deciding whether a dental implant will be effective is the existence of healthy crestal bone. Objective: To measure and evaluate the crestal bone levels around dental implants placed using single-stage implant surgery at mandibular 1st molar region with platform-switched healing abutment and restored platform-switched prosthesis by using CBCT at different time intervals in a period of 12 months. Method: Fifteen patients were selected from the outpatient department of prosthodontics. CBCT was made preoperative, and postoperative, immediately after the platform-switched prosthesis fit-in, after 3 and 6 months of prosthesis fit-in to evaluate the vertical crestal bone level changes using CBCT. Results: In the present study radiographic evaluation of crestal bone demonstrated mean changes of 0.94667 mm in 3rd month, and 0.41500 mm at 6th month follow-up. At the 12th month, post-operatively crestal bone level changes were 0.58167 mm with single-stage surgery loaded with platform-switched abutment, which shows significantly favorable: bone level changes. Conclusion: The data analysis revealed that crestal bone levels around dental implants were preserved and regenerated as a result of stress concentration shifting away from the crestal areas which ultimately contributes to the long-term success of dental implants.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"12 1","pages":"319 - 325"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365041","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}
Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_86_23
Apeksha Dhole, Divya Dube, M. Motwani
Background: Oral submucous fibrosis (OSMF) is a rampant premalignant condition, and consumption of 'areca nut' has significant evidence in its etiology. Antioxidant supplementation provides the basis of chemoprevention, and therefore, nutraceutical products have taken an important position in the management of OSMF. Objectives: Evaluation of the efficacy of bee pollen in the management of OSMF. Method: This was a single-blinded randomized controlled drug trial. There were two groups: group A/study group was administered with bee pollen capsules, and Group B/control group was given lycopene group. Along with this, both the groups were administered multi-vitamin tablets. Both the groups were further divided into three sub-groups of OSMF. All patients were evaluated for 3 months in every 15 days for burning sensation, cheek flexibility, tongue protrusion, mouth opening, blanching, and fibrous bands. Results: A statistically significant increase in cheek flexibility, tongue protrusion, and mouth opening and improvement in burning were seen in all three grades of OSMF in both groups. Conclusion: The administration of bee pollen is safe and can be accounted as an adjuvant in patients with OSMF.
{"title":"Evaluation of Efficacy of Bee Pollen in the Treatment of Oral Submucous Fibrosis Patients: A Randomized Clinical Drug Trial","authors":"Apeksha Dhole, Divya Dube, M. Motwani","doi":"10.4103/jiaomr.jiaomr_86_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_86_23","url":null,"abstract":"Background: Oral submucous fibrosis (OSMF) is a rampant premalignant condition, and consumption of 'areca nut' has significant evidence in its etiology. Antioxidant supplementation provides the basis of chemoprevention, and therefore, nutraceutical products have taken an important position in the management of OSMF. Objectives: Evaluation of the efficacy of bee pollen in the management of OSMF. Method: This was a single-blinded randomized controlled drug trial. There were two groups: group A/study group was administered with bee pollen capsules, and Group B/control group was given lycopene group. Along with this, both the groups were administered multi-vitamin tablets. Both the groups were further divided into three sub-groups of OSMF. All patients were evaluated for 3 months in every 15 days for burning sensation, cheek flexibility, tongue protrusion, mouth opening, blanching, and fibrous bands. Results: A statistically significant increase in cheek flexibility, tongue protrusion, and mouth opening and improvement in burning were seen in all three grades of OSMF in both groups. Conclusion: The administration of bee pollen is safe and can be accounted as an adjuvant in patients with OSMF.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"55 1","pages":"310 - 314"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365494","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}
Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_171_23
Subharina Mahapatra, Manjula Hebbale, AmitA Mhapuskar, R. Halli, J. Visshishta, Simran Singh
Background: Imaging is crucial for diagnosing head and neck pathologies, particularly those involving lymph nodes (LNs). Ultrasound can detect nodes even smaller than 2 mm in diameter. Objectives: The objectives were to assess the accuracy of the ultrasonography (USG) findings in differentiating malignant and non-malignant LNs. Materials and Methods: Forty patients with clinically palpable LNs in the head and neck region were assigned to either of the two groups based on the inclusion criteria. All the patients were subjected to greyscale sonography, then USG Doppler and USG elastography, and finally, USG-guided FNAB. All the data were tabulated for statistical analysis. A Chi-square test was used. Sensitivity, specificity, positive predictive value, and negative predictive value were calculated. Results: In this study, sensitivity for greyscale USG was 82.8%, whereas sensitivity for USG doppler and USG elastography was 72.2% and specificity for greyscale USG, doppler, and elastography was 88.8%. Conclusion: USG Doppler and USG elastography can be used in conjunction with greyscale USG with high sensitivity and specificity to diagnose soft tissue pathology, particularly in the LNs of the head and neck regions.
{"title":"Comparative accuracy of various modes of ultrasonography in the diagnosis of lymph nodes in head and neck region—A prospective study","authors":"Subharina Mahapatra, Manjula Hebbale, AmitA Mhapuskar, R. Halli, J. Visshishta, Simran Singh","doi":"10.4103/jiaomr.jiaomr_171_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_171_23","url":null,"abstract":"Background: Imaging is crucial for diagnosing head and neck pathologies, particularly those involving lymph nodes (LNs). Ultrasound can detect nodes even smaller than 2 mm in diameter. Objectives: The objectives were to assess the accuracy of the ultrasonography (USG) findings in differentiating malignant and non-malignant LNs. Materials and Methods: Forty patients with clinically palpable LNs in the head and neck region were assigned to either of the two groups based on the inclusion criteria. All the patients were subjected to greyscale sonography, then USG Doppler and USG elastography, and finally, USG-guided FNAB. All the data were tabulated for statistical analysis. A Chi-square test was used. Sensitivity, specificity, positive predictive value, and negative predictive value were calculated. Results: In this study, sensitivity for greyscale USG was 82.8%, whereas sensitivity for USG doppler and USG elastography was 72.2% and specificity for greyscale USG, doppler, and elastography was 88.8%. Conclusion: USG Doppler and USG elastography can be used in conjunction with greyscale USG with high sensitivity and specificity to diagnose soft tissue pathology, particularly in the LNs of the head and neck regions.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"26 1","pages":"378 - 382"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365701","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}
Pub Date : 2023-07-01DOI: 10.4103/jiaomr.jiaomr_105_23
D. Patil, Dhavneet Dheer
Background: Temporomandibular disorder (TMD) is a comprehensive term used to describe a diverse range of disorders with multiple causes. Psychological factors exhibit variability across different cases based on the diagnostic subgroup of temporomandibular disorders (TMD). Objectives: To compare the effectiveness of cognitive behavioral therapy (CBT) in TMD patients to the standard therapy (STD). Methods: Patients underwent psychological assessment by Beck's Inventory of Depression (BDI) and stress symptom rating scale (SSRS). They were randomly divided into STD therapy and CBT. Pre- and post-treatment pain was evaluated by VAS. BDI and SSRS scale scores were done pre- and post-CBT and STD treatment. Descriptive statistics and non-parametric tests were performed to compare the variables pre- and post-CBT and STD treatment. Results: Varying degrees of depression and stress 53.3% and 60%, respectively, were observed in patients with TMDs. A statistically significant difference was seen in the BDI and VAS scores post-CBT (P < 0.001) as compared to SSRS scores. Conclusion: Patients with TMDs are under considerable stress and anxiety. The addition of CBT to standard treatment regimens will enhance the treatment efficacy and help patients to cope with daily activities, ease muscle tension, and improve their quality of life.
背景：颞下颌关节紊乱症（TMD）是一个综合性术语，用于描述具有多种病因的各种疾病。根据颞下颌关节紊乱症（TMD）的诊断分组，心理因素在不同病例中表现出差异性。研究目的比较认知行为疗法（CBT）与标准疗法（STD）对 TMD 患者的疗效。方法：对患者进行心理评估：患者通过贝克抑郁量表（BDI）和压力症状评定量表（SSRS）进行心理评估。他们被随机分为 STD 治疗和 CBT 治疗。治疗前后的疼痛通过 VAS 进行评估。BDI和SSRS量表评分在CBT和STD治疗前后进行。通过描述性统计和非参数检验来比较治疗前后的变量。结果如下在 TMD 患者中观察到不同程度的抑郁和压力，分别为 53.3% 和 60%。与 SSRS 评分相比，CBT 治疗后的 BDI 和 VAS 评分差异有统计学意义（P < 0.001）。结论：TMD 患者承受着巨大的压力和焦虑。在标准治疗方案中加入 CBT 将提高治疗效果，帮助患者应对日常活动，缓解肌肉紧张，提高生活质量。
{"title":"Psychological assessment and cognitive behavioral therapy in temporomandibular joint disorders: A randomized controlled study","authors":"D. Patil, Dhavneet Dheer","doi":"10.4103/jiaomr.jiaomr_105_23","DOIUrl":"https://doi.org/10.4103/jiaomr.jiaomr_105_23","url":null,"abstract":"Background: Temporomandibular disorder (TMD) is a comprehensive term used to describe a diverse range of disorders with multiple causes. Psychological factors exhibit variability across different cases based on the diagnostic subgroup of temporomandibular disorders (TMD). Objectives: To compare the effectiveness of cognitive behavioral therapy (CBT) in TMD patients to the standard therapy (STD). Methods: Patients underwent psychological assessment by Beck's Inventory of Depression (BDI) and stress symptom rating scale (SSRS). They were randomly divided into STD therapy and CBT. Pre- and post-treatment pain was evaluated by VAS. BDI and SSRS scale scores were done pre- and post-CBT and STD treatment. Descriptive statistics and non-parametric tests were performed to compare the variables pre- and post-CBT and STD treatment. Results: Varying degrees of depression and stress 53.3% and 60%, respectively, were observed in patients with TMDs. A statistically significant difference was seen in the BDI and VAS scores post-CBT (P < 0.001) as compared to SSRS scores. Conclusion: Patients with TMDs are under considerable stress and anxiety. The addition of CBT to standard treatment regimens will enhance the treatment efficacy and help patients to cope with daily activities, ease muscle tension, and improve their quality of life.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"28 1","pages":"326 - 330"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366119","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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