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   2008| July-September  | Volume 20 | Issue 3  
    Online since June 16, 2009

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Palmar dermatoglyphics in oral leukoplakia and oral squamous cell carcinoma patients
Elluru Venkatesh, Anjana Bagewadi, Vaishali Keluskar, Arvind Shetti
July-September 2008, 20(3):94-99
Background and Objective: Dermatoglyphics are the dermal ridge configuration on the digits, palms and soles. They are genetically determined and influenced by environmental forces that are operating before birth. Several studies have shown association between dermatoglyphics and different types of cancer. Hence this study was undertaken to determine whether specific dermatoglyphic patterns exists which help in predicting the occurrence of oral squamous cell carcinoma (OSCC) and oral leukoplakia. Materials and Methods: Finger and palm prints were collected using Ink method from 30 subjects with OSCC, 30 subjects with oral leukoplakia and 30 healthy controls and were evaluated qualitatively and quantitatively. Results: Arches and loops were more frequent in cases than in controls whereas whorls were more frequent in control group ( P < 0.01). Conclusion: Our study concluded that dermatoglyphic patterns may have a role in identifying individuals either with or at risk for developing oral leukoplakia and OSCC. Hence can be used to identify high risk group, so that early primary and secondary preventive measures can be instituted in order to prevent the occurrence of these lesions.
  3,982 769 10
Sjogren's syndrome
Ankur Jethlia, Vaishali Keluskar, Arvind Shetti
July-September 2008, 20(3):85-89
Sjogren's syndrome (SS) is a chronic autoimmune disorder. It is characterized by dysfunction and destruction of exocrine glands associated with lymphocytic infiltrates and immunological hyperactivity. Salivary and lacrimal glands are the most affected, thus leading to mouth and eye dryness. The disorder can occur alone (it is then known as primary SS) or in association with another autoimmune disease (it is then known as secondary SS). The aim of this article is provide a complete overview of SS.
  3,381 476 -
Paramedian bilateral lip pits with sinuses (Van der Woude syndrome)
Thirupambaram Natarajasundaram Uma Maheswari, Gopal Maragathavalli, Nachimuthu Gnanasundaram
July-September 2008, 20(3):110-112
Genes the basic units of heredity, contain blue prints for human growth and development. A change or alteration in a single gene on chromosome number causes one Van der Woude syndrome (VWS). Features of VWS include lip pits on the lower lip, cleft palate alone or with cleft lip in some cases, missing teeth, syngnathia and ankyloglossia. The features of VWS are discussed along with two clinical case presentations. Bilateral lip pits with sinuses, surgically corrected cleft lip, cleft palate and few missing teeth were appreciated in both the cases.
  2,153 268 -
A rare case of bilateral oral carcinoma
Sonia Behal, Shailesh M Lele
July-September 2008, 20(3):104-106
Tobacco in different forms is an acknowledged etiologic factor in development of oral cancer. Due to the habit pattern, mostly a single malignant lesion develops. While multiple oral malignancies and second primaries are well reported in the literature, a truly bilateral oral malignancy seems to be a rare occurrence. We report such an occurrence in an individual with an unusual pattern of tobacco habit.
  1,535 225 -
Florid cemento-osseous dysplasia: Report of four cases
PS Haris, Anita Balan, Sunu Ramachandran
July-September 2008, 20(3):100-103
Florid cemento-osseous dysplasia (FCOD) is one among the uncommon bone dysplasias affecting the maxillofacial region. Reports from India are extremely rare with only five cases in literature. We report four Indian patients with FCOD, reported to our department during a period of seven years. The radiological features of the four lesions represent different stages, supporting the theory of progression of the lesion from a completely radiolucent stage to a mixed and finally to a completely radiopaque stage. Features are discussed and compared with that from other populations.
  1,294 244 -
Prevalence of oral mucosal disorders in geriatric dental patients visiting dental school in Southern India: A preliminary assessment
Amar A Sholapurkar, Keerthilatha M Pai
July-September 2008, 20(3):90-93
There has been a growing recognition of the need to obtain information about the oral health in India. The aim of this report was to provide descriptive information about the oral health among the elderly population. Data from interviews and clinical examination with 225 persons aged 60+ were obtained. Patients were divided into three age groups. The three groups consisted of 75 patients each with age groups of 60-65 years, 66-70 years and 71 and above, respectively and the association of age, medical status, recent use of dental services, habits, dentures with that of oral mucosal disorders were assessed.
  1,275 228 -
Pemphigus vulgaris
Vijeev Vasudevan, Vadi V Bharathan, Radhika
July-September 2008, 20(3):121-123
Pemphigus vulgaris is the most common form of Pemphigus, is an autoimmune disease of the skin and mucous membrane characterized by impaired cell adhesion within the epidermis leading to the formation of intraepidermal bullae. The exact cause of the development of antibodies against the body's own tissues is unknown. Most patients are initially misdiagnosed and improperly treated.Diagnosis is mostly based on appearance and distribution of the skin lesions. Definitive diagnosis requires examination of a skin biopsy for histopathology and immunofluroscent study. Dental professionals must be sufficiently familiar with the clinical manifestations of pemphigus vulgaris to ensure early diagnosis and treatment, since this in turn determines the prognosis and course of the disease. Hence, we report a case of pemphigus vulgaris that was misdiagnosed in its early stage.
  1,197 292 -
Syngnathia-congenital unilateral bony fusion of the maxilla and mandible
GV Ramachandra Reddy, KS Ganapathy, V Sanjay, N Srinath, Sunil Dutt Christopher
July-September 2008, 20(3):113-115
Congenital disorders involving orofacial region represents approximately 20% of all birth defects. Out of these disorders, congenital bony fusion of the maxilla and mandible (syngnathia) is rare. Usually syngnathia is associated with other anomalies and syndromes. This case report presents a unilateral fusion of maxilla and mandible with no other anomalies.
  1,222 222 1
A giant tonsillolith
Anil Kumar Bhoweer
July-September 2008, 20(3):107-109
An extremely rare case of giant tonsillolith is presented here. Large tonsillolith are rare to be seen now and the cases reported in the literature are very few in number. When they appear on routine radiograph, they are usually labeled as non-specific calcifications or confused with other calcifying conditions. A possibility of tonsillar calcifications should be kept in mind since these tonsilloliths often cast shadows over the mandible in routine radiographs, especially lateral oblique view of the mandible and orthopantomograms. Etiology, clinical features, radiographic diagnosis and its confirmation are discussed in this presentation.
  1,199 204 -
Angiosarcoma in the mandible: Report of a rare case
Shirin Vashishth, M Srinivasa Raju, Satheesha Reddy, GN Suma, SM Raviprakash, NN Singh
July-September 2008, 20(3):116-120
Angiosarcoma in the oral cavity, pharynx, or paranasal sinuses comprises less than 5% of the total cases of neoplasms. Age of presentation varies from 1 day to 67 years. Intraorally, the most preferred site is the mandible and the least common is the maxilla. Histologically, all angiosarcomas show a wide spectrum of differentiation of endothelial cells. Treatment is surgery in combination with radiation therapy. However, the prognosis for patients is generally poor, with one half of the patients dying within 15 months of diagnosis. Here is a rare case of angiosarcoma of the body of the mandible reported in an 80-year-old male patient.
  881 174 -