Pub Date : 2016-09-01DOI: 10.4103/0975-962x.189340
S. Jindal, A. Singla
Typical trigeminal neuralgia, brief electric shock like pain along distribution of trigeminal nerve, is well documented in literature but not much is available about pre trigeminal neuralgia. Pre-trigeminal neuralgia should be considered in the differential diagnosis of pain of dental origin because of its similar features.Symonds was the first person who noted dull, continuous and aching pain before the typical paroxysmal pain appeared in few patients. [1] Mitchell was the person to term this prodromal pain as " pre-trigeminal neuralgia. Clinical features of this prodromal pain includesdull, continuous aching pain that may be triggered or aggravated by chewing food, drinking hot and cold liquids. Such patients pose a diagnostic challenge for dentist as examination may reveal absence of caries, gingival recession, sinusitis and symptoms are not relieved with analgesics like NSAIDs and opioids. Root canal treatment and extraction are also of no use in such patients because painpersists in the same region even after performing root canal treatment or extraction. So a careful history and detailed dental and neurological examination is required in such patients to avoid misdiagnosis as dental disease. Differential diagnosis of pre trigeminal neuralgia includes dental pain of pulpal origin, sinusitis, myofacial pain dysfunction syndrome (MPDS), atypical facial pain, TMJ disorders and trigeminal neuralgia. Pain of pulpal origin can be differentiated with careful dental examination and intra oral radiographs. Presence of blocked nose, purulent nasal discharge, tenderness over cheek areas and paranasal sinus (PNS view) radiograph can help in diagnosis ofsimilar pain in maxillary premolar or molar region due to maxillary sinusitis. TMJ disorders and MPDS presents with chronic orofacial pain that aggravates with movement of jaws. Tenderness of muscles of mastication, clicking sound in TMJ and limited mouth opening are characteristic features of MPDS. Atypical facial pain is associated with psychogenic causesin which patient complains of poorly localized throbbing pain or burning sensation in apparently normal teeth or jaws that responds poorly to all treatment plans except antidepressants. Clinical presentation with brief electric shock like pain along the course of nerve, presence of triggering zones and triggering factors helps in differentiating typical trigeminal neuralgia from pre-trigeminal neuralgia. Therapeutic diagnosis is the method to diagnose such cases by giving small doses of carbamazepine and baclofen for few days. A dosage of 100mg of carbamazepinethrice dailywas found sufficient forrelief of symptoms and to confirm the diagnosis.5 Although incidence of such cases is very low but dentist should be …
{"title":"Pretrigeminal neuralgia","authors":"S. Jindal, A. Singla","doi":"10.4103/0975-962x.189340","DOIUrl":"https://doi.org/10.4103/0975-962x.189340","url":null,"abstract":"Typical trigeminal neuralgia, brief electric shock like pain along distribution of trigeminal nerve, is well documented in literature but not much is available about pre trigeminal neuralgia. Pre-trigeminal neuralgia should be considered in the differential diagnosis of pain of dental origin because of its similar features.Symonds was the first person who noted dull, continuous and aching pain before the typical paroxysmal pain appeared in few patients. [1] Mitchell was the person to term this prodromal pain as \" pre-trigeminal neuralgia. Clinical features of this prodromal pain includesdull, continuous aching pain that may be triggered or aggravated by chewing food, drinking hot and cold liquids. Such patients pose a diagnostic challenge for dentist as examination may reveal absence of caries, gingival recession, sinusitis and symptoms are not relieved with analgesics like NSAIDs and opioids. Root canal treatment and extraction are also of no use in such patients because painpersists in the same region even after performing root canal treatment or extraction. So a careful history and detailed dental and neurological examination is required in such patients to avoid misdiagnosis as dental disease. Differential diagnosis of pre trigeminal neuralgia includes dental pain of pulpal origin, sinusitis, myofacial pain dysfunction syndrome (MPDS), atypical facial pain, TMJ disorders and trigeminal neuralgia. Pain of pulpal origin can be differentiated with careful dental examination and intra oral radiographs. Presence of blocked nose, purulent nasal discharge, tenderness over cheek areas and paranasal sinus (PNS view) radiograph can help in diagnosis ofsimilar pain in maxillary premolar or molar region due to maxillary sinusitis. TMJ disorders and MPDS presents with chronic orofacial pain that aggravates with movement of jaws. Tenderness of muscles of mastication, clicking sound in TMJ and limited mouth opening are characteristic features of MPDS. Atypical facial pain is associated with psychogenic causesin which patient complains of poorly localized throbbing pain or burning sensation in apparently normal teeth or jaws that responds poorly to all treatment plans except antidepressants. Clinical presentation with brief electric shock like pain along the course of nerve, presence of triggering zones and triggering factors helps in differentiating typical trigeminal neuralgia from pre-trigeminal neuralgia. Therapeutic diagnosis is the method to diagnose such cases by giving small doses of carbamazepine and baclofen for few days. A dosage of 100mg of carbamazepinethrice dailywas found sufficient forrelief of symptoms and to confirm the diagnosis.5 Although incidence of such cases is very low but dentist should be …","PeriodicalId":90526,"journal":{"name":"Indian journal of dentistry","volume":"7 1","pages":"140 - 140"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70347618","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 : 2016-07-01DOI: 10.4103/0975-962X.186699
D. Desai, S. Pandit, Shiny S. R. Jasphin, Akhil S Shetty
Non-Hodgkin's lymphoma (NHL) is the third common malignant lesion of the oral region. Plasmablastic lymphomas are rare, aggressive neoplasms occurring mostly in human immunodeficiency virus (HIV) infected individual which accounts for approximately 2.6% of all NHL. It usually presents as a diffuse growth and with diffuse pattern of histological presentation. It is very difficult to differentiate this lymphoma from other NHL. Immunohistochemical evaluation of various markers is an important criteria of the diagnostic protocol. Here, we describe a case of plasmablastic lymphoma in a 50-year-old female HIV-infected patient. The diagnosis was based on histopathological examination and immunophenotyping.
{"title":"Human immunodeficiency virus associated plasmablastic lymphoma: A case report","authors":"D. Desai, S. Pandit, Shiny S. R. Jasphin, Akhil S Shetty","doi":"10.4103/0975-962X.186699","DOIUrl":"https://doi.org/10.4103/0975-962X.186699","url":null,"abstract":"Non-Hodgkin's lymphoma (NHL) is the third common malignant lesion of the oral region. Plasmablastic lymphomas are rare, aggressive neoplasms occurring mostly in human immunodeficiency virus (HIV) infected individual which accounts for approximately 2.6% of all NHL. It usually presents as a diffuse growth and with diffuse pattern of histological presentation. It is very difficult to differentiate this lymphoma from other NHL. Immunohistochemical evaluation of various markers is an important criteria of the diagnostic protocol. Here, we describe a case of plasmablastic lymphoma in a 50-year-old female HIV-infected patient. The diagnosis was based on histopathological examination and immunophenotyping.","PeriodicalId":90526,"journal":{"name":"Indian journal of dentistry","volume":"7 1","pages":"144 - 148"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70347915","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 : 2016-07-01DOI: 10.4103/0975-962X.189339
R. Fry, D. Patidar, S. Goyal, Aayush R. Malhotra
Aim: The study aimed to investigate the proximity of maxillary posterior teeth roots to maxillary sinus and measure the distance of maxillary posterior teeth roots and the sinus floor as well as the thickness of bone between the roots and alveolar cortical bone using Denta scan®. Materials and Methods: The study samples include Denta scan® images of fifty patients with normally erupted bilateral maxillary first premolar to maxillary second molar. The vertical relationship of each tooth root with maxillary sinus is classified into four types of Denta scan® images (based on the classification by Jung in 2009). The distance between the sinus floor and root, and the bone thickness between the root and alveolar cortical plate will be measured and analyzed. Conclusion: The buccal root of the maxillary molars was more commonly protruded into the maxillary sinus. Among the roots of maxillary posterior teeth, mesiobuccal root of first molar and palatal root of second premolar were found in close proximity to the floor of maxillary sinus. The bone thickness on the buccal aspect to the root was significantly thinner in the maxillary first premolar and maxillary first molar as compared to other maxillary posterior teeth roots. Clinical Significance: Knowledge of anatomical relationship between the maxillary posterior teeth and maxillary sinus guides us not only in proper preoperative treatment planning but also avoids the possible complications encounter while performing the minor oral surgical procedures involving maxillary posterior teeth, which are close to the maxillary sinus.
{"title":"Proximity of maxillary posterior teeth roots to maxillary sinus and adjacent structures using Denta scan®","authors":"R. Fry, D. Patidar, S. Goyal, Aayush R. Malhotra","doi":"10.4103/0975-962X.189339","DOIUrl":"https://doi.org/10.4103/0975-962X.189339","url":null,"abstract":"Aim: The study aimed to investigate the proximity of maxillary posterior teeth roots to maxillary sinus and measure the distance of maxillary posterior teeth roots and the sinus floor as well as the thickness of bone between the roots and alveolar cortical bone using Denta scan®. Materials and Methods: The study samples include Denta scan® images of fifty patients with normally erupted bilateral maxillary first premolar to maxillary second molar. The vertical relationship of each tooth root with maxillary sinus is classified into four types of Denta scan® images (based on the classification by Jung in 2009). The distance between the sinus floor and root, and the bone thickness between the root and alveolar cortical plate will be measured and analyzed. Conclusion: The buccal root of the maxillary molars was more commonly protruded into the maxillary sinus. Among the roots of maxillary posterior teeth, mesiobuccal root of first molar and palatal root of second premolar were found in close proximity to the floor of maxillary sinus. The bone thickness on the buccal aspect to the root was significantly thinner in the maxillary first premolar and maxillary first molar as compared to other maxillary posterior teeth roots. Clinical Significance: Knowledge of anatomical relationship between the maxillary posterior teeth and maxillary sinus guides us not only in proper preoperative treatment planning but also avoids the possible complications encounter while performing the minor oral surgical procedures involving maxillary posterior teeth, which are close to the maxillary sinus.","PeriodicalId":90526,"journal":{"name":"Indian journal of dentistry","volume":"7 1","pages":"126 - 130"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70347605","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 : 2016-07-01DOI: 10.4103/0975-962X.189341
R. Hegde
115 "When you can stop you don't want to, and when you want to stop, you can't......"-Luke Davies Drug abuse or more appropriately substance abuse has become a household term recently, all thanks to the colossal publicity given to a fresh Bollywood release " Udta Punjab. " The directors of the movie seem to have exaggerated the subject on whole unlike our society notions, whereby we underrate the prevalence, perils, and sequelae of this menace. The need of the hour states that we as dental health professionals should personally engage ourselves in taking up the responsibility against substance abuse at both clinical and social echelons. Drug abuse has skyrocketed in the past several years and so is the number of patients seeking oral health consultation. Abusers certainly face devastating personal, professional, and social consequences sooner or later. Such patients pose a burden on their family, society, and nation at large. The role of dentists covers a wide array of liabilities for such patients ranging from diagnosis to complete resolution of any oral problem. Although optimal health care requires thorough information about abusers, surveys all over the world reveal that majority health care professionals are uncomfortable discussing alcohol and drug use with their patients due to immense misunderstanding and stigma associated with the same. However, it is exceptionally difficult to change the present mindset and trend; the time has actually come to break this norm. To achieve this, the dentist must become skilled at detection of physical and behavioral signs in the patients that are indicators of drug abuse. At the outset, a high index of suspicion is imperative for all the patients walking into the dental office. Drug abusers employ a variety of tactics to procure drugs for themselves and have a smart understanding of defending such tactics about which we need to be always alarmed. Thorough knowledge for management of therapeutic complications arising during the treatment of drug abuse patients in dental clinics is mandatory now. Last but not the least, a dentist should also endorse the role of a counselor who can provide an empathic consultation not only to the abuser but also to the family concerned as Russell Brand rightly said that " The mentality and behavior of drug addicts and alcoholics is wholly irrational until you understand that they are completely powerless over their addiction and unless they have structured help, they have no hope. " …
{"title":"An insight into the role of dentists against the new epidemic of “Drug Abuse”","authors":"R. Hegde","doi":"10.4103/0975-962X.189341","DOIUrl":"https://doi.org/10.4103/0975-962X.189341","url":null,"abstract":"115 \"When you can stop you don't want to, and when you want to stop, you can't......\"-Luke Davies Drug abuse or more appropriately substance abuse has become a household term recently, all thanks to the colossal publicity given to a fresh Bollywood release \" Udta Punjab. \" The directors of the movie seem to have exaggerated the subject on whole unlike our society notions, whereby we underrate the prevalence, perils, and sequelae of this menace. The need of the hour states that we as dental health professionals should personally engage ourselves in taking up the responsibility against substance abuse at both clinical and social echelons. Drug abuse has skyrocketed in the past several years and so is the number of patients seeking oral health consultation. Abusers certainly face devastating personal, professional, and social consequences sooner or later. Such patients pose a burden on their family, society, and nation at large. The role of dentists covers a wide array of liabilities for such patients ranging from diagnosis to complete resolution of any oral problem. Although optimal health care requires thorough information about abusers, surveys all over the world reveal that majority health care professionals are uncomfortable discussing alcohol and drug use with their patients due to immense misunderstanding and stigma associated with the same. However, it is exceptionally difficult to change the present mindset and trend; the time has actually come to break this norm. To achieve this, the dentist must become skilled at detection of physical and behavioral signs in the patients that are indicators of drug abuse. At the outset, a high index of suspicion is imperative for all the patients walking into the dental office. Drug abusers employ a variety of tactics to procure drugs for themselves and have a smart understanding of defending such tactics about which we need to be always alarmed. Thorough knowledge for management of therapeutic complications arising during the treatment of drug abuse patients in dental clinics is mandatory now. Last but not the least, a dentist should also endorse the role of a counselor who can provide an empathic consultation not only to the abuser but also to the family concerned as Russell Brand rightly said that \" The mentality and behavior of drug addicts and alcoholics is wholly irrational until you understand that they are completely powerless over their addiction and unless they have structured help, they have no hope. \" …","PeriodicalId":90526,"journal":{"name":"Indian journal of dentistry","volume":"7 1","pages":"115 - 115"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70347987","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 : 2016-07-01DOI: 10.4103/0975-962X.180316
Ajmal Mohamed, Beena R. Varma, Nidhin J Valappila, SAravind Meena
Exact localization of foreign body is important for planning the treatment required for its retrieval without much tissue damage. Plain film radiography is the initial screening modality used for the detection of suspected foreign body. However, about one-third of all the foreign bodies are missed in the initial radiographic examination. In case of a wooden foreign body, only 15% are well-visualized on plain radiographs and are, therefore, often missed or misdiagnosed. Hence, the different radiographic technique should be used to localize the object instead of relying on a single radiographic image. Here, we present a unique case of foreign body entrapped in the soft tissue appeared initially as osteomyelitis and fracture of the mandible in the digital panoramic radiograph, and finally detected as a foreign body in mandibular occlusal radiography.
{"title":"Entrapped foreign body: A diagnostic muddle for the radiologist","authors":"Ajmal Mohamed, Beena R. Varma, Nidhin J Valappila, SAravind Meena","doi":"10.4103/0975-962X.180316","DOIUrl":"https://doi.org/10.4103/0975-962X.180316","url":null,"abstract":"Exact localization of foreign body is important for planning the treatment required for its retrieval without much tissue damage. Plain film radiography is the initial screening modality used for the detection of suspected foreign body. However, about one-third of all the foreign bodies are missed in the initial radiographic examination. In case of a wooden foreign body, only 15% are well-visualized on plain radiographs and are, therefore, often missed or misdiagnosed. Hence, the different radiographic technique should be used to localize the object instead of relying on a single radiographic image. Here, we present a unique case of foreign body entrapped in the soft tissue appeared initially as osteomyelitis and fracture of the mandible in the digital panoramic radiograph, and finally detected as a foreign body in mandibular occlusal radiography.","PeriodicalId":90526,"journal":{"name":"Indian journal of dentistry","volume":"7 1","pages":"158 - 161"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70347857","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 : 2016-07-01DOI: 10.4103/0975-962X.186702
A. Panchbhai, S. Pawar, A. Barad, Z. Kazi
Scleroderma (skleros; hard, and derma; skin), is currently known as systemic sclerosis due to its progressive nature and widespread tissue involvement. It is a rare connective tissue disorder with a wide range of oral manifestations. Thickening of the skin is the hallmark of the disease. The patient education for self-care and multidisciplinary approach would be needed to manage the condition. The article presents the review of orofacial considerations in scleroderma with a report of analysis of orofacial manifestations 3 cases.
{"title":"Review of orofacial considerations of systemic sclerosis or scleroderma with report of analysis of 3 cases","authors":"A. Panchbhai, S. Pawar, A. Barad, Z. Kazi","doi":"10.4103/0975-962X.186702","DOIUrl":"https://doi.org/10.4103/0975-962X.186702","url":null,"abstract":"Scleroderma (skleros; hard, and derma; skin), is currently known as systemic sclerosis due to its progressive nature and widespread tissue involvement. It is a rare connective tissue disorder with a wide range of oral manifestations. Thickening of the skin is the hallmark of the disease. The patient education for self-care and multidisciplinary approach would be needed to manage the condition. The article presents the review of orofacial considerations in scleroderma with a report of analysis of orofacial manifestations 3 cases.","PeriodicalId":90526,"journal":{"name":"Indian journal of dentistry","volume":"7 1","pages":"134 - 139"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70347528","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 : 2016-07-01DOI: 10.4103/0975-962X.180318
S. Patil, Bindu S. Patil, Udupikrishna Joshi, Soumya Allurkar, S. Japatti, Ashwini Munnangi
Background: With the development of urban setting worldwide, the major issue of concern is the increase in the mortality rate in the population due to road traffic accidents. The face, being the most exposed region is susceptible to injuries and maybe associated with injuries to the adjacent neuro-cranium. The literature has conflicting views on the relationship between facial fractures and head injuries with some authors opining that the facial skeleton cushions the brain while some other authors claim that the facial fractures act as indicators for head injuries. Objectives: To analyze the correlation between the facial fractures and head injuries and to assess if the facial skeleton acts to protect the brain from injury. Patients and Methods: A prospective study that included patients who reported to the emergency department of Basaveswar Teaching and General Hospital, Gulbarga, during 2 years, between August 2013 and July 2015 was conducted. A total of 100 patients with facial fractures were enrolled in the study. Results: Head injuries were sustained by 51 patients in the study. Maximum number of patients was in the age group of 20–29 with a male to female ratio of 10.1:1. The mandible was the most frequently fractured bone in the facial skeleton followed by the zygomatico-maxillary complex. A majority (96%) of patients with head injuries had fractures of either the upper third or the middle third of the face. Contusions and pneumocephalus were the most common head injury encountered. The Glasgow Coma Scale score was significantly lower in patients with associated head injuries as compared to those patients with facial trauma alone. The mortality rate in the study was 2% with both the victims having sustained middle third and upper third fractures respectively with associated head injuries. Conclusion: The facial skeleton does not act to cushion the brain from injury but, in fact, the facial trauma victims should be considered potential head injury patients.
{"title":"The facial skeleton: Armor to the brain?","authors":"S. Patil, Bindu S. Patil, Udupikrishna Joshi, Soumya Allurkar, S. Japatti, Ashwini Munnangi","doi":"10.4103/0975-962X.180318","DOIUrl":"https://doi.org/10.4103/0975-962X.180318","url":null,"abstract":"Background: With the development of urban setting worldwide, the major issue of concern is the increase in the mortality rate in the population due to road traffic accidents. The face, being the most exposed region is susceptible to injuries and maybe associated with injuries to the adjacent neuro-cranium. The literature has conflicting views on the relationship between facial fractures and head injuries with some authors opining that the facial skeleton cushions the brain while some other authors claim that the facial fractures act as indicators for head injuries. Objectives: To analyze the correlation between the facial fractures and head injuries and to assess if the facial skeleton acts to protect the brain from injury. Patients and Methods: A prospective study that included patients who reported to the emergency department of Basaveswar Teaching and General Hospital, Gulbarga, during 2 years, between August 2013 and July 2015 was conducted. A total of 100 patients with facial fractures were enrolled in the study. Results: Head injuries were sustained by 51 patients in the study. Maximum number of patients was in the age group of 20–29 with a male to female ratio of 10.1:1. The mandible was the most frequently fractured bone in the facial skeleton followed by the zygomatico-maxillary complex. A majority (96%) of patients with head injuries had fractures of either the upper third or the middle third of the face. Contusions and pneumocephalus were the most common head injury encountered. The Glasgow Coma Scale score was significantly lower in patients with associated head injuries as compared to those patients with facial trauma alone. The mortality rate in the study was 2% with both the victims having sustained middle third and upper third fractures respectively with associated head injuries. Conclusion: The facial skeleton does not act to cushion the brain from injury but, in fact, the facial trauma victims should be considered potential head injury patients.","PeriodicalId":90526,"journal":{"name":"Indian journal of dentistry","volume":"7 1","pages":"116 - 120"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70347876","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 : 2016-07-01DOI: 10.4103/0975-962X.186701
Sahana Ashok, A. Gupta, K. P. Ashok, S. Mhaske
Focal gingival enlargements are a diverse group of lesions with almost similar clinical presentation but varied etiology and histopathology. The actual cause of peripheral ossifying fibroma (POF) has been debated over many years. POFs are usually seen in childhood and younger ages. There is a slight female predilection. It is usually localized, rarely generalized. Usually, the treatment option is only surgical excision with minimal chances of recurrence. Here, we report a case of POF of the right maxillary posterior region with a review of literature.
{"title":"Peripheral ossifying fibroma: A rare case affecting maxillary region","authors":"Sahana Ashok, A. Gupta, K. P. Ashok, S. Mhaske","doi":"10.4103/0975-962X.186701","DOIUrl":"https://doi.org/10.4103/0975-962X.186701","url":null,"abstract":"Focal gingival enlargements are a diverse group of lesions with almost similar clinical presentation but varied etiology and histopathology. The actual cause of peripheral ossifying fibroma (POF) has been debated over many years. POFs are usually seen in childhood and younger ages. There is a slight female predilection. It is usually localized, rarely generalized. Usually, the treatment option is only surgical excision with minimal chances of recurrence. Here, we report a case of POF of the right maxillary posterior region with a review of literature.","PeriodicalId":90526,"journal":{"name":"Indian journal of dentistry","volume":"7 1","pages":"141 - 143"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70347957","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 : 2016-07-01DOI: 10.4103/0975-962X.189338
P. Kulkarni, A. Anand, A. Bansal, Ankur Jain, Utkarsh Tiwari, Suchi Agrawal
Context: The use of liquid medicinal syrups in childhood is high owing to the reasons that children suffer from illness quite often. The acidic component in the formulations may cause erosion to the dental tissues. Aims: The aim of this study is to evaluate the erosive potential of pediatric liquid medicinal syrups on the deciduous teeth. Subjects and Methods: A total of sixty extracted/exfoliated noncarious deciduous molars were used. Four medical syrups were used (viz., 1 - artificial saliva [control], 2 - Ferium XT, 3 - Crocin syrup, 4 - Ambrolite-D) and the teeth were equally divided into the four groups (n = 15) for the immersion cycle, following which the teeth were examined for surface microhardness at 7, 14, 21, and 28 days. Statistical Analysis Used: ANOVA and post hoc analysis were applied. Results: The time and immersion media interaction demonstrated that antitussives produced a significant and gradual loss of surface microhardness on all days (viz., 7, 14, 21, and 28 days), but a statistically significant difference was seen only between 7th and 28th day (P < 0.05). Conclusions: The knowledge of the erosive potential of commonly used syrups is mandatory as erosion in children teeth may be associated with dental hypersensitivity, loss of the occlusal vertical dimension, eating difficulties, poor esthetics, pulp exposure, and abscesses. Mouth rinsing with water after taking the medication; addition of calcium, fluoride, or phosphate to formulations; and consumption of the medication at meal times have been recommended to avoid tooth damage that is caused by the regular use of medication.
{"title":"Erosive effects of pediatric liquid medicinal syrups on primary enamel: An in vitro comparative study","authors":"P. Kulkarni, A. Anand, A. Bansal, Ankur Jain, Utkarsh Tiwari, Suchi Agrawal","doi":"10.4103/0975-962X.189338","DOIUrl":"https://doi.org/10.4103/0975-962X.189338","url":null,"abstract":"Context: The use of liquid medicinal syrups in childhood is high owing to the reasons that children suffer from illness quite often. The acidic component in the formulations may cause erosion to the dental tissues. Aims: The aim of this study is to evaluate the erosive potential of pediatric liquid medicinal syrups on the deciduous teeth. Subjects and Methods: A total of sixty extracted/exfoliated noncarious deciduous molars were used. Four medical syrups were used (viz., 1 - artificial saliva [control], 2 - Ferium XT, 3 - Crocin syrup, 4 - Ambrolite-D) and the teeth were equally divided into the four groups (n = 15) for the immersion cycle, following which the teeth were examined for surface microhardness at 7, 14, 21, and 28 days. Statistical Analysis Used: ANOVA and post hoc analysis were applied. Results: The time and immersion media interaction demonstrated that antitussives produced a significant and gradual loss of surface microhardness on all days (viz., 7, 14, 21, and 28 days), but a statistically significant difference was seen only between 7th and 28th day (P < 0.05). Conclusions: The knowledge of the erosive potential of commonly used syrups is mandatory as erosion in children teeth may be associated with dental hypersensitivity, loss of the occlusal vertical dimension, eating difficulties, poor esthetics, pulp exposure, and abscesses. Mouth rinsing with water after taking the medication; addition of calcium, fluoride, or phosphate to formulations; and consumption of the medication at meal times have been recommended to avoid tooth damage that is caused by the regular use of medication.","PeriodicalId":90526,"journal":{"name":"Indian journal of dentistry","volume":"7 1","pages":"131 - 133"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70347544","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 : 2016-07-01DOI: 10.4103/0975-962X.180315
GArun Kumar, JignaV Raja, ML Asha, Anupama A Sattigeri, Diksha Malhotra
For all intents and purposes, craniofacial development is initiated as soon as the anteroposterior axis of an embryo is established. Although the neural crest receives a significant amount of attention, craniofacial tissue has more patterning information than other tissues of the body. New studies have further clarifi ed the contribution of ciliary epithelia as a source of patterning information for the face. In this paper, we review the craniofacial anomalies in patients with ciliopathies, in which orofacial region is a pivotal recognition of the disorder. Also, a case report of a patient with suspected ciliopathy has been presented along with a logical approach for diagnosis of such disorders.
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