Pub Date : 2024-03-15DOI: 10.18231/j.jooo.2024.008
Ankur Agarwal, Abhishek Khare, B. Shreedhar
The components in the H and E staining procedure are xylene and graded alcohol which are used to carry out the intermediate steps of deparaffinization, rehydration and dehydration of tissue sections during the staining. Xylene causes health effects. To evaluate the efficacy of dishwashing soap (DWS) solution, Coconut oil, Cedarwood oil and Limonene as a substitute to xylene in routine and Eosin (H & E) Staining Procedure. The paraffin blocks of normal oral mucosa were retrieved. The biopsied tissues of the study samples were fixed in 10 percent buffered formalin, manually processed, embedded in paraffin and was sectioned from the samples. All the stained sections were evaluated by three oral pathologists independently for the following parameters like nuclear staining, cytoplasmic staining, clarity of staining, uniformity of staining and crispiness of staining. Data were summarized as Mean ± SD (standard deviation). Groups were compared one factor analysis of variance (ANOVA) and the significance of mean difference between (inter) the groups were done by Tukey’s HSD (honestly significant difference) post hoc test after ascertaining normality by Shapiro-Wilk’s test and homogeneity of variance between groups by Levene’s test. Inter observer variability was tested by Kappa test. A two-tailed (α=2) P<0.05 was considered statistically significant. Analysis was performed on SPSS software (Windows version 17.0). The results of the present study infer that coconut oil is an efficient substitute for Xylene. Coconut oil is an efficient substitute for Xylene, as it is non-hazardous, and causes less shrinkage of the tissue. It can be used as a de-alcoholization agent in the histopathological laboratory, without losing the quality of the histological details.
{"title":"To evaluate the efficacy of dishwashing soap (DWS) solution, coconut oil, cedarwood oil and limonene as a substitute to xylene in routine Hematoxylin and Eosin (H & E) staining procedure","authors":"Ankur Agarwal, Abhishek Khare, B. Shreedhar","doi":"10.18231/j.jooo.2024.008","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.008","url":null,"abstract":"The components in the H and E staining procedure are xylene and graded alcohol which are used to carry out the intermediate steps of deparaffinization, rehydration and dehydration of tissue sections during the staining. Xylene causes health effects. To evaluate the efficacy of dishwashing soap (DWS) solution, Coconut oil, Cedarwood oil and Limonene as a substitute to xylene in routine and Eosin (H & E) Staining Procedure. The paraffin blocks of normal oral mucosa were retrieved. The biopsied tissues of the study samples were fixed in 10 percent buffered formalin, manually processed, embedded in paraffin and was sectioned from the samples. All the stained sections were evaluated by three oral pathologists independently for the following parameters like nuclear staining, cytoplasmic staining, clarity of staining, uniformity of staining and crispiness of staining. Data were summarized as Mean ± SD (standard deviation). Groups were compared one factor analysis of variance (ANOVA) and the significance of mean difference between (inter) the groups were done by Tukey’s HSD (honestly significant difference) post hoc test after ascertaining normality by Shapiro-Wilk’s test and homogeneity of variance between groups by Levene’s test. Inter observer variability was tested by Kappa test. A two-tailed (α=2) P<0.05 was considered statistically significant. Analysis was performed on SPSS software (Windows version 17.0). The results of the present study infer that coconut oil is an efficient substitute for Xylene. Coconut oil is an efficient substitute for Xylene, as it is non-hazardous, and causes less shrinkage of the tissue. It can be used as a de-alcoholization agent in the histopathological laboratory, without losing the quality of the histological details.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140238638","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}
: Establishing a stable occlusion and Maxillomandibular fixation (MMF) is a cornerstone for rigid fixation. Conventional Erich’s arch bar poses a risk of wire stick injury, and extrusion of teeth, and is unsuitable for patients with periodontally compromised teeth or edentulous dentition. There is a dearth of literature comparing modified Screw retained arch bars to the Conventional Erich’s arch bar. Hence, a study was conducted to evaluate the same.: The study compared 30 patients requiring MMF. Group A patients received modified SRAB and group B patients received CEAB. The primary predictor variable was the use of conventional Erich arch bars versus modified screw-retained arch bars. The parameters considered were time taken to place the arch bar, perforation in the gloves, patient compliance, stability, oral hygiene, mouth opening, and post-op occlusion.: The mean time taken for placement of the modified SRAB was lower (27.87 mins) as compared to the CEAB (90.20 mins). The rate of glove perforation was higher in the CEAB group. All patients were compliant in the modified SRAB group as compared to the control group (30%). There was no significant difference in the mouth opening between the two groups.: Based on the study results, we can conclude that modified SRAB is a superior alternative compared to CEAB in maxillomandibular fractures. The usage of modified SRAB does not affect the functional outcome of fracture management.
{"title":"Comparison between screw retained arch bars and conventional Erich’s arch bar in maxillofacial fractures","authors":"Y. Gowda, Abhinandan Patel, Girish Gowda, Preeti Bhat, Suhas Molahally Shetty","doi":"10.18231/j.jooo.2024.006","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.006","url":null,"abstract":": Establishing a stable occlusion and Maxillomandibular fixation (MMF) is a cornerstone for rigid fixation. Conventional Erich’s arch bar poses a risk of wire stick injury, and extrusion of teeth, and is unsuitable for patients with periodontally compromised teeth or edentulous dentition. There is a dearth of literature comparing modified Screw retained arch bars to the Conventional Erich’s arch bar. Hence, a study was conducted to evaluate the same.: The study compared 30 patients requiring MMF. Group A patients received modified SRAB and group B patients received CEAB. The primary predictor variable was the use of conventional Erich arch bars versus modified screw-retained arch bars. The parameters considered were time taken to place the arch bar, perforation in the gloves, patient compliance, stability, oral hygiene, mouth opening, and post-op occlusion.: The mean time taken for placement of the modified SRAB was lower (27.87 mins) as compared to the CEAB (90.20 mins). The rate of glove perforation was higher in the CEAB group. All patients were compliant in the modified SRAB group as compared to the control group (30%). There was no significant difference in the mouth opening between the two groups.: Based on the study results, we can conclude that modified SRAB is a superior alternative compared to CEAB in maxillomandibular fractures. The usage of modified SRAB does not affect the functional outcome of fracture management.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140392009","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 : 2024-03-15DOI: 10.18231/j.jooo.2024.012
Naman Siddique, Gökce Hatipoglu Majernik, Sachin Pandey
A 14-year-old male football player presented for routine dental radiographs, during which an expansile cystic lesion was identified within the left mandible. CT and MRI scans performed thereafter demonstrated frank cortical breakthrough with findings overall most consistent with a diagnosis of aneurysmal bone cyst. Given the high-risk lesion and the patient’s significant physical activity, treatment was pursued. Instead of traditional surgical excision, a minimally invasive sclerotherapy approach was undertaken. Follow-up computed tomography performed approximately four months later demonstrated complete intralesional sclerosis consistent with complete response to therapy. No complications were encountered, and the patient remained symptom-free. The literature surrounding minimally invasive sclerotherapy for aneurysmal bone cysts and more specifically the scant number of studies evaluating this technique for mandibular lesions is reviewed in this case report.
一名 14 岁的男性足球运动员在接受常规牙科 X 光检查时，发现左下颌骨内有一个扩张性囊性病变。随后进行的 CT 和 MRI 扫描显示，病变部位有明显的皮质突破，总体诊断结果与动脉瘤性骨囊肿最为吻合。考虑到病变的高风险和患者的大量体力活动，医生决定对其进行治疗。该患者没有接受传统的手术切除，而是采用了微创硬化疗法。大约四个月后进行的随访计算机断层扫描显示，病灶内部完全硬化，这与治疗的完全反应一致。没有出现并发症，患者也一直没有症状。本病例报告回顾了有关动脉瘤性骨囊肿微创硬化剂治疗的文献，尤其是对下颌骨病变采用这种技术进行评估的研究很少。
{"title":"Minimally invasive sclerotherapy for mandibular aneurysmal bone cyst: A case report and literature review","authors":"Naman Siddique, Gökce Hatipoglu Majernik, Sachin Pandey","doi":"10.18231/j.jooo.2024.012","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.012","url":null,"abstract":"A 14-year-old male football player presented for routine dental radiographs, during which an expansile cystic lesion was identified within the left mandible. CT and MRI scans performed thereafter demonstrated frank cortical breakthrough with findings overall most consistent with a diagnosis of aneurysmal bone cyst. Given the high-risk lesion and the patient’s significant physical activity, treatment was pursued. Instead of traditional surgical excision, a minimally invasive sclerotherapy approach was undertaken. Follow-up computed tomography performed approximately four months later demonstrated complete intralesional sclerosis consistent with complete response to therapy. No complications were encountered, and the patient remained symptom-free. The literature surrounding minimally invasive sclerotherapy for aneurysmal bone cysts and more specifically the scant number of studies evaluating this technique for mandibular lesions is reviewed in this case report.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140238305","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 : 2024-03-15DOI: 10.18231/j.jooo.2024.003
J. Byakodi, Sanjay Satappa Byakodi, Raghavendra Byakodi
Oral ulcerations are more frequently seen in day-to-day dental practice nowadays. These ulcers are usually ignored in initial presentations. The oral mucosa has a good healing prospectus and hence nonmalignant lesions heal fast. The oral ulcers that don't heal form a significant number and are presented to dental clinics for evaluation. Usually, oral ulcers with a habit of tobacco consumption are frequently encountered. Tobacco has been traditionally used in India in various forms like smoking and chewing. But nowadays tobacco has been mixed with many adjuncts and used. They are commercially sold as gutkha pouches. Usually, individuals are exposed to tobacco at a very young age and eat for a longer duration of lifespan (i.e. start young and eat old). This has led to alteration in the oral mucosal defense mechanism and chances for potential malignant conversion are enormous. India has the highest incidence of oral cancer in the world and tobacco is one of the major cause of oral cancer. Hence, in this study, we evaluated patients reporting with chronic oral non-healing ulcers and having tobacco habits for their malignant conversion. Patients reporting to Sharada Dental Hospital Miraj during a period of 5 years from 2017 to 2022 were included in the study. A total of 250 patients with chronic nonhealing ulcers belonging to the semi-urban district of Sangli in Western Maharashtra (India) were studied. All these patients had a positive tobacco consumption history and presented with oral non-healing ulcers with a duration of more than 2 months. An incisional biopsy was taken from the suspected lesion and sent for histopathological evaluation. : A total of 250 patients with tobacco habits were presented with oral non-healing ulcers during the study period. A biopsy was performed for all suspected cases. Out of 250 patients, 201 patients had Squamous cell carcinoma and the other 49 were hyperkeratosis, inflammatory fibrous hyperplasia, irritational fibroma, Pyogenic granuloma, and angiomatous hyperplasia. Among 201 OSCC cases, 162 (80.59%) were males and 39(19.4%) were females. From our study, we can say that chronic oral non-healing ulcer with a positive tobacco consumption history is more likely to be a squamous cell carcinoma.
{"title":"Chronic oral non-healing ulcer with a history of tobacco consumption leads to malignancy: A prospective cross-sectional study in Western Maharashtra, India","authors":"J. Byakodi, Sanjay Satappa Byakodi, Raghavendra Byakodi","doi":"10.18231/j.jooo.2024.003","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.003","url":null,"abstract":"Oral ulcerations are more frequently seen in day-to-day dental practice nowadays. These ulcers are usually ignored in initial presentations. The oral mucosa has a good healing prospectus and hence nonmalignant lesions heal fast. The oral ulcers that don't heal form a significant number and are presented to dental clinics for evaluation. Usually, oral ulcers with a habit of tobacco consumption are frequently encountered. Tobacco has been traditionally used in India in various forms like smoking and chewing. But nowadays tobacco has been mixed with many adjuncts and used. They are commercially sold as gutkha pouches. Usually, individuals are exposed to tobacco at a very young age and eat for a longer duration of lifespan (i.e. start young and eat old). This has led to alteration in the oral mucosal defense mechanism and chances for potential malignant conversion are enormous. India has the highest incidence of oral cancer in the world and tobacco is one of the major cause of oral cancer. Hence, in this study, we evaluated patients reporting with chronic oral non-healing ulcers and having tobacco habits for their malignant conversion. Patients reporting to Sharada Dental Hospital Miraj during a period of 5 years from 2017 to 2022 were included in the study. A total of 250 patients with chronic nonhealing ulcers belonging to the semi-urban district of Sangli in Western Maharashtra (India) were studied. All these patients had a positive tobacco consumption history and presented with oral non-healing ulcers with a duration of more than 2 months. An incisional biopsy was taken from the suspected lesion and sent for histopathological evaluation. : A total of 250 patients with tobacco habits were presented with oral non-healing ulcers during the study period. A biopsy was performed for all suspected cases. Out of 250 patients, 201 patients had Squamous cell carcinoma and the other 49 were hyperkeratosis, inflammatory fibrous hyperplasia, irritational fibroma, Pyogenic granuloma, and angiomatous hyperplasia. Among 201 OSCC cases, 162 (80.59%) were males and 39(19.4%) were females. From our study, we can say that chronic oral non-healing ulcer with a positive tobacco consumption history is more likely to be a squamous cell carcinoma.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140238267","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 : 2024-03-15DOI: 10.18231/j.jooo.2024.011
Rania Said Ibrahim Abdelazim Ibrahim, Laura Porcheddu, Giona Peroni, Giulia Rovelli, Luigi Tagliatesta
This case series aims to present a new method for the avulsion of impacted third molars with a high risk of nerve damage.This new technique uses piezoelectric surgery, particularly the new dedicated insert, in order to significantly reduce the risk of iatrogenic injury induced by levers and rotating instruments. The study examines 17 dental elements with different degrees of impaction, classified according to Winter's Classification and Pell & Gregory's Classification. Therefore, the prediction of the intervention difficulty was evaluated using the Modified JD Classification (MJD). When performing surgical extractions of teeth located near the inferior alveolar nerve (IAN), there is a considerable risk of neurological complications, in all the cases presented, the patients had a normal postoperative course, without any septic or functional/neurological complications. In cases where continuity with noble structures represents a strong risk factor for neurological sequelae, this technology can greatly reduce the risk of iatrogenic injuries.
{"title":"Use of new piezoelectric inserts in the avulsion of complex impacted teeth","authors":"Rania Said Ibrahim Abdelazim Ibrahim, Laura Porcheddu, Giona Peroni, Giulia Rovelli, Luigi Tagliatesta","doi":"10.18231/j.jooo.2024.011","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.011","url":null,"abstract":"This case series aims to present a new method for the avulsion of impacted third molars with a high risk of nerve damage.This new technique uses piezoelectric surgery, particularly the new dedicated insert, in order to significantly reduce the risk of iatrogenic injury induced by levers and rotating instruments. The study examines 17 dental elements with different degrees of impaction, classified according to Winter's Classification and Pell & Gregory's Classification. Therefore, the prediction of the intervention difficulty was evaluated using the Modified JD Classification (MJD). When performing surgical extractions of teeth located near the inferior alveolar nerve (IAN), there is a considerable risk of neurological complications, in all the cases presented, the patients had a normal postoperative course, without any septic or functional/neurological complications. In cases where continuity with noble structures represents a strong risk factor for neurological sequelae, this technology can greatly reduce the risk of iatrogenic injuries.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140238214","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 : 2024-03-15DOI: 10.18231/j.jooo.2024.007
Kittipong Laosuwan, Chaiyakorn Songsangwattanakij, K. Tachasuttirut, S. Pongsiriwet, J. Ittichaicharoen, S. Chansakaow
Persistent odontogenic infections caused by resistant bacterial species, such as , have consistently been associated with deep-seated infections. This in vitro study aimed to evaluate the antibacterial and antivirulence effects of kale () on . was freshly incubated in tryptic soy broth media. Three experiments per concentration of kale were conducted under aseptic conditions (i.e., disc diffusion, broth microdilution, and reverse-transcription polymerase chain reaction) to evaluate the antibacterial and antivirulence effects. The samples were then treated with 1000, 500, 250, 125, 65, 30, 15, 7, and 3 mg/mL kale; ampicillin (positive control); and tryptic soy broth (negative control). After 24-h incubation, the inhibition zone, minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), and relative gene expression of the virulence factor (intermedilysin []) were measured. All assays were conducted in triplicate. The findings were reported and analyzed as means ± standard deviations. The agar disc diffusion and relative gene expression were statistically analyzed using one-way analysis of variance and Tukey’s test, with the significance level set at P < 0.05. Kale showed antibacterial effects on by significantly inhibiting bacterial growth and reducing expression only at a concentration of 1000 mg/mL; it yielded an inhibition zone of 11.12 ± 1.59 mm, which was smaller than that with ampicillin. The MIC and MBC ranged from 15 to 65 mg/mL and from 500 mg/mL, respectively. Conversely, the highest concentration of kale yielded significantly less inhibition than did ampicillin. The antibacterial effects of kale may be dose-dependent. Kale can inhibit bacterial growth and suppress expression under in vitro conditions of , which is mainly involved in deep-seated odontogenic infections.
{"title":"Antibacterial and Antivirulence Effects of Kale (Brassica oleracea var. sabellica) on Streptococcus intermedius","authors":"Kittipong Laosuwan, Chaiyakorn Songsangwattanakij, K. Tachasuttirut, S. Pongsiriwet, J. Ittichaicharoen, S. Chansakaow","doi":"10.18231/j.jooo.2024.007","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.007","url":null,"abstract":"Persistent odontogenic infections caused by resistant bacterial species, such as , have consistently been associated with deep-seated infections. This in vitro study aimed to evaluate the antibacterial and antivirulence effects of kale () on . was freshly incubated in tryptic soy broth media. Three experiments per concentration of kale were conducted under aseptic conditions (i.e., disc diffusion, broth microdilution, and reverse-transcription polymerase chain reaction) to evaluate the antibacterial and antivirulence effects. The samples were then treated with 1000, 500, 250, 125, 65, 30, 15, 7, and 3 mg/mL kale; ampicillin (positive control); and tryptic soy broth (negative control). After 24-h incubation, the inhibition zone, minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), and relative gene expression of the virulence factor (intermedilysin []) were measured. All assays were conducted in triplicate. The findings were reported and analyzed as means ± standard deviations. The agar disc diffusion and relative gene expression were statistically analyzed using one-way analysis of variance and Tukey’s test, with the significance level set at P < 0.05. Kale showed antibacterial effects on by significantly inhibiting bacterial growth and reducing expression only at a concentration of 1000 mg/mL; it yielded an inhibition zone of 11.12 ± 1.59 mm, which was smaller than that with ampicillin. The MIC and MBC ranged from 15 to 65 mg/mL and from 500 mg/mL, respectively. Conversely, the highest concentration of kale yielded significantly less inhibition than did ampicillin. The antibacterial effects of kale may be dose-dependent. Kale can inhibit bacterial growth and suppress expression under in vitro conditions of , which is mainly involved in deep-seated odontogenic infections.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140238694","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 : 2024-03-15DOI: 10.18231/j.jooo.2024.005
A. Fruitwala, Kanchan Shah, J. Landge, Nilesh Ubale, Mahesh Pund, Shelly Sharma
The objective of this research was to find out how much medical and dental professionals and interns in Maharashtra knew about the current situation regarding usages of antibiotics and its over usage which leads to antibiotic resistance over time. A self-administered survey created with Google Forms that asks about the extent of usage of antibiotics.A survey was conducted among the medical and dental professionals practicing in the state of Maharashtra from 01 September 2023 to 15 October 2023 analyse the extent of usage of antibiotics among patients and to draw their attention towards the excessive usage of antibiotics and problems related to it with proper evidence. A total of 570 responses were obtained during the survey among which there were 17.2% medical practitioner, 28% Dental practitioner, 14.4% Medical interns and 40.4% Dental interns. During the survey it was found that 61.5%% of respondents prescribe antibiotics on a regular basis. Our study offers regional data to guide future initiatives in a nation with high antibiotic consumption rates. Through Google forms, the Modified Questionnaire was disseminated among the Maharashtra participants. Participants were made aware that the replies were kept confidential. The sole data programme choice available was MS EXCEL, which was used to code, enter, and analyze the data. For qualitative and quantitative variables as well as percentages, statistical analysis in the form of frequencies and percentages was utilized in their study.Over 60% of survey respondents prescribed antibiotics. It was discovered that over 70% of participants get patients who purchase antibiotics without a prescription. Over 70% of patients do not take their antibiotics as prescribed. It was found that about half of these individuals had at some point complained about antibiotics not working.
{"title":"Survey on antibiotics prescription and resistance on medical and dental practitioners","authors":"A. Fruitwala, Kanchan Shah, J. Landge, Nilesh Ubale, Mahesh Pund, Shelly Sharma","doi":"10.18231/j.jooo.2024.005","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.005","url":null,"abstract":"The objective of this research was to find out how much medical and dental professionals and interns in Maharashtra knew about the current situation regarding usages of antibiotics and its over usage which leads to antibiotic resistance over time. A self-administered survey created with Google Forms that asks about the extent of usage of antibiotics.A survey was conducted among the medical and dental professionals practicing in the state of Maharashtra from 01 September 2023 to 15 October 2023 analyse the extent of usage of antibiotics among patients and to draw their attention towards the excessive usage of antibiotics and problems related to it with proper evidence. A total of 570 responses were obtained during the survey among which there were 17.2% medical practitioner, 28% Dental practitioner, 14.4% Medical interns and 40.4% Dental interns. During the survey it was found that 61.5%% of respondents prescribe antibiotics on a regular basis. Our study offers regional data to guide future initiatives in a nation with high antibiotic consumption rates. Through Google forms, the Modified Questionnaire was disseminated among the Maharashtra participants. Participants were made aware that the replies were kept confidential. The sole data programme choice available was MS EXCEL, which was used to code, enter, and analyze the data. For qualitative and quantitative variables as well as percentages, statistical analysis in the form of frequencies and percentages was utilized in their study.Over 60% of survey respondents prescribed antibiotics. It was discovered that over 70% of participants get patients who purchase antibiotics without a prescription. Over 70% of patients do not take their antibiotics as prescribed. It was found that about half of these individuals had at some point complained about antibiotics not working.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140237609","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 : 2024-03-15DOI: 10.18231/j.jooo.2024.009
Pankajkumar Gavali, J. Landge, Kanchan Shah, A. Fruitwala, Nilesh Ubale, Mohit Patil, Shruti Puranik
The objective of the research was to investigate the utilization of oropharyngeal throat pack during maxillofacial surgeries at various institutions in Maharashtra.A randomized prospective survey was conducted using a total of 139 anonymous questionnaires to investigate the utilization, attitudes, experiences, and mindsets of anesthesiologists (n = 53) and surgeons (n = 86). The study solely relied on questionnaire-based observations and did not involve any clinical research.46.33% of individuals provided their responses. The utilization of Throat Pack (TP) is infrequent or non-existent among less than 33% of surgeons and slightly more than 33% of anaesthesiologists. Around 50% of the participating surgeons acknowledged being aware of 1 to 4 nonfatal adverse events. Notably, there exists a notable disparity in viewpoints concerning the removal of Throat Pack and the ultimate responsibility for its removal.Throat packs are commonly employed in maxillofacial surgeries. Moreover, it seems that despite recent advancements, there might still exist a divergence of viewpoints among the surgical and anaesthesiology teams concerning specific responsibilities.
{"title":"The application of an oropharyngeal throat pack in maxillofacial surgeries in Marathwada region","authors":"Pankajkumar Gavali, J. Landge, Kanchan Shah, A. Fruitwala, Nilesh Ubale, Mohit Patil, Shruti Puranik","doi":"10.18231/j.jooo.2024.009","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.009","url":null,"abstract":"The objective of the research was to investigate the utilization of oropharyngeal throat pack during maxillofacial surgeries at various institutions in Maharashtra.A randomized prospective survey was conducted using a total of 139 anonymous questionnaires to investigate the utilization, attitudes, experiences, and mindsets of anesthesiologists (n = 53) and surgeons (n = 86). The study solely relied on questionnaire-based observations and did not involve any clinical research.46.33% of individuals provided their responses. The utilization of Throat Pack (TP) is infrequent or non-existent among less than 33% of surgeons and slightly more than 33% of anaesthesiologists. Around 50% of the participating surgeons acknowledged being aware of 1 to 4 nonfatal adverse events. Notably, there exists a notable disparity in viewpoints concerning the removal of Throat Pack and the ultimate responsibility for its removal.Throat packs are commonly employed in maxillofacial surgeries. Moreover, it seems that despite recent advancements, there might still exist a divergence of viewpoints among the surgical and anaesthesiology teams concerning specific responsibilities.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140241688","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 : 2024-03-15DOI: 10.18231/j.jooo.2024.002
Savita S Shiragur, Sahana Srinath, Satish T Yadav, Akalya Purushothaman, Ninad V Chavan
The white lesions occurring in the oral cavity consist of 5% of the oral pathoses but some of these like leukoplakia, lichen planus, proliferative verrucous leukoplakia, etc have a high potential of malignant transformation up to 0.5-100%. As they are visualized as shades of white, they are of diagnostic challenge. Some of the lesions are also associated with other skin lesions viz. lichen planus, pemphigus, etc. The etiology, pathogenesis, and mode of treatment varies with the different type of lesions. This spectrum consists of lesions from harmless reactive lesions to dysplastic and malignant entities. The white appearance of these lesions is may be because of hyperkeratosis, acanthosis, intracellular/intercellular edema, necrosis of the epithelial cell or increased fibrosis. They are seen as patches, papules, or plaques unilaterally or bilaterally in the oral cavity involving buccal mucosa, tongue, palate, labial mucosa, gingiva etc. While there are a few clinical and histological elements that assist in the identification of this wide range of white lesions to arrive at an accurate diagnosis, further lending a hand in providing appropriate treatment for the same.
{"title":"Spectrum of white lesions in the oral cavity- A review","authors":"Savita S Shiragur, Sahana Srinath, Satish T Yadav, Akalya Purushothaman, Ninad V Chavan","doi":"10.18231/j.jooo.2024.002","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.002","url":null,"abstract":"The white lesions occurring in the oral cavity consist of 5% of the oral pathoses but some of these like leukoplakia, lichen planus, proliferative verrucous leukoplakia, etc have a high potential of malignant transformation up to 0.5-100%. As they are visualized as shades of white, they are of diagnostic challenge. Some of the lesions are also associated with other skin lesions viz. lichen planus, pemphigus, etc. The etiology, pathogenesis, and mode of treatment varies with the different type of lesions. This spectrum consists of lesions from harmless reactive lesions to dysplastic and malignant entities. The white appearance of these lesions is may be because of hyperkeratosis, acanthosis, intracellular/intercellular edema, necrosis of the epithelial cell or increased fibrosis. They are seen as patches, papules, or plaques unilaterally or bilaterally in the oral cavity involving buccal mucosa, tongue, palate, labial mucosa, gingiva etc. While there are a few clinical and histological elements that assist in the identification of this wide range of white lesions to arrive at an accurate diagnosis, further lending a hand in providing appropriate treatment for the same.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140240433","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}
: The orofacial sphere is an area frequently affected by trauma. Their severity is much greater in children and adolescents, due to the immaturity of the dental and bone structures and the instability of the dental arches. A 9-year-old child, victim of a road traffic accident, was referred to the emergency department of the Albert Royer Children's Hospital, for dental trauma. In the consultation around 15 hours after the trauma, the clinical and radiographic assessment revealed extrusion of the right upper central incisor with gingival tearing, lateral luxation of the upper lateral incisors and the left upper central incisor, and laceration of the inner surface of the right upper lip associated with edema. Reimplantation of the extruded tooth was performed. Flexible canine-to-canine splint was applied for 3 weeks. A non-steroidal anti-inflammatory prescription was made to complement the one already made in the emergency consultation. Clinical and radiographic follow-ups at 1 week, 15 days, 1 month, 3 months, 6 months, and 1 year were carried out.: Despite their high frequency, especially in children, dental trauma should be the subject of an emergency consultation. Even if the prognosis is reserved, appropriate therapy should be undertaken if the conditions are right, while respecting the guidelines of learned societies for the child's well-being and quality of life.
{"title":"Dental extrusion in children: Case report","authors":"Soukèye Ndoye, Malick Faye, Mamadou Tidiane Diallo, Ndeye Guiniane Diouf, Abdoulaye Diouf","doi":"10.18231/j.jooo.2024.013","DOIUrl":"https://doi.org/10.18231/j.jooo.2024.013","url":null,"abstract":": The orofacial sphere is an area frequently affected by trauma. Their severity is much greater in children and adolescents, due to the immaturity of the dental and bone structures and the instability of the dental arches. A 9-year-old child, victim of a road traffic accident, was referred to the emergency department of the Albert Royer Children's Hospital, for dental trauma. In the consultation around 15 hours after the trauma, the clinical and radiographic assessment revealed extrusion of the right upper central incisor with gingival tearing, lateral luxation of the upper lateral incisors and the left upper central incisor, and laceration of the inner surface of the right upper lip associated with edema. Reimplantation of the extruded tooth was performed. Flexible canine-to-canine splint was applied for 3 weeks. A non-steroidal anti-inflammatory prescription was made to complement the one already made in the emergency consultation. Clinical and radiographic follow-ups at 1 week, 15 days, 1 month, 3 months, 6 months, and 1 year were carried out.: Despite their high frequency, especially in children, dental trauma should be the subject of an emergency consultation. Even if the prognosis is reserved, appropriate therapy should be undertaken if the conditions are right, while respecting the guidelines of learned societies for the child's well-being and quality of life.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140240876","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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