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   2011| July-September  | Volume 23 | Issue 3  
    Online since October 7, 2015

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Role of Radiology in Forensic Dentistry
T Chandrasekhar, P Vennila
July-September 2011, 23(3):229-231
Forensic radiology is a specialized area of medical imaging utilizing radiological techniques to assist physicians and pathologists in matter pertaining to the law. Postmortem dental radiographs are the most consistent part of the antemortem records that can be transmitted during the forensic examination procedures. Pathologists regularly use radiographic images during the course of autopsy to assist them in identification of foreign bodies or determination of death. Forensic radiology can be used in suspicious death or murder, in analysis of adverse medical events, solving legal matters, to detect child abuse, drug trafficking, body identification and disease identification. Using the possibilities of radiology, special characteristics of the internal structures of the dentomaxillofacial region can be revealed. We can also detect endodontic treatments, healing extraction sockets, implants or even tooth colored restoration. Therefore, we can give answers to problems dealing with identification procedures, mass disaster and dental age estimation.
[ABSTRACT]   Full text not available  [PDF]
  1,861 488 -
Fusion Imaging: The Double Impact
Savita Ghom, AniI Ghom, FM Debta, Abhijeet Deoghare, Rajkumar Diwan, Sarbani Deb Sikdar, Anshul Khandelwal, Manjari Gupta, Bharani Devi
July-September 2011, 23(3):225-228
The principal aim of diagnostic imaging is to evaluate the true extent of disease to best determine surgical and therapeutic options. Pretherapeutic radiological tumor staging includes evaluation of the size, location and extent of the primary tumor and infiltration into surrounding vascular, visceral and bony structures. Computed tomography, magnetic resonance imaging, positron-emission tomography, etc. are the diagnostic procedures used commonly have certain limitations. Linking functional and anatomic image data via fusion of PET and CT/MR, or use of combined PET/CT imaging provides additional clinically relevant information. It may be the modality of choice because it almost completely eliminates the false-positive and false-negative PET findings.
[ABSTRACT]   Full text not available  [PDF]
  1,340 393 -
Palatal Rugae Pattern as an Aid for Personal Identification: A Forensic Study
R Kamala, Neha Gupta, Amol Bansal, Abhishek Sinha
July-September 2011, 23(3):173-178
Introduction Rugoscopy or palatoscopy is the study of palatal rugae in order to establish a person's identity. Rugae are protected from trauma as they are insulated from heat by tongue and buccal pad of fat, unlike fingerprints or lip prints that can get destroyed. Aims and objectives: This study was aimed to compare the rugae patterns in males and females of different age groups of Lucknow city, including twins, siblings and their parents. Effects of various dental treatment modalities on rugae pattern were also assessed. The uniqueness of palatal rugae as an aid for personal identification was the sole objective of this study. Materials and methods: A total of 1000 subjects were enrolled in the study and divided into five groups according to their age. Number, size and shape of rugae were recorded and compared according to Kapali et al. Conclusion: No two palates are alike in their configuration and once formed, they do not undergo any changes except in length due to normal growth, remaining in the same position throughout a person's entire life. Thus, palatal rugae appear to possess the features of an ideal forensic identification parameter, i.e. uniqueness, postmortem resistance and stability, provided antemortem record exists.
[ABSTRACT]   Full text not available  [PDF]
  1,171 359 -
Recurrent Aphthous Stomatitis: Current Concepts in Diagnosis and Management
V Vivek, Bindu J Nair
July-September 2011, 23(3):232-236
Recurrent aphthous stomatitis (RAS) is one of the most common oral mucosal condition, but little is known of its etiology or pathogenesis. Several factors have been postulated to be the cause of this condition. Currently, the most widely accepted etiology is that RAS is a localized immunological disorder. The treatment modalities for RAS, till recently, were aimed at providing symptomatic relief. In spite of the fact that the condition is recurrent and common, till date there are no effective and definitive preventive treatment strategies. This article aims to summarize the current concepts of diagnosis and management of RAS.
[ABSTRACT]   Full text not available  [PDF]
  1,110 325 -
Efficacy and Accuracy of ABO Blood Group Determination from Saliva
Pawan Motghare, Lata Kale, Aarti S Bedia, Sonal Charde
July-September 2011, 23(3):163-167
Objectives: The saliva was first analyzed for the presence of anti-A and anti-B hemagglutinins in 1928. However, it was not been utilized as evidence in criminal investigations because of insufficient techniques available at that time. Hence, the present study was designed to evaluate feasibility of ABO group in medicolegal cases by determining the efficacy and accuracy of ABO blood group determination from saliva and to determine the pattern of antigen secretion in saliva in family members. Methods: A total of 200 subjects (101 males and 99 females) studied. Out of these. 100 subjects were taken at random (sample I) and 100 subjects were taken from 25 families (sample I0. The blood group of each subject was determined from saliva by absorption-inhibition method. Results: The present study showed that 83% subjects are secretors of antigen in saliva. If the subject was secretor, one of his/her parents was essentially a secretor. If both parents were secretor both the children in the family were secretors. Conclusion Results can be utilized for identification of subjects, ruling out identification, determination of inheritance in medicolegal cases.
[ABSTRACT]   Full text not available  [PDF]
  1,116 304 -
A Comparative Evaluation of Efficacy of Tacrolimus and Triamcinolone Acetonide in the Management of Symptomatic Oral Lichen Planus
YM Swarna, IM Ali, Rajeshwari G Annigeri, GM Devarasa
July-September 2011, 23(3):184-189
Background and objectives: Oral lichen planus (OLP) is a relatively common, chronic inflammatory condition, which frequently present with burning sensation. Only symptomatic OLP requires treatment and efforts are made in a continued searching for novel therapies for symptomatic OLP. Therefore, this study was aimed to compare the efficacy of treatment with topical tacrolimus ointment with that of triamcinolone acetonide ointment in subjects with symptomatic OLP. Materials and methods: This prospective randomized comparative study, included 30 symptomatic OLP subjects, divided into two groups as group A and group B to receive topical tacrolimus 0.03% ointment and triamcinolone acetonide 0.1 % ointment application respectively, twice daily for four consecutive weeks. Burning sensation using visual analog scale (VAS), overall treatment response using Tel Aviv-San Francisco scale was recorded at every visit. The data obtained was analyzed statistically using Wilcoxson Rank Test, Mann Whitney and Fischer's Exact Test. Results: Subjects in both the groups showed a significant reduction in burning sensation; however, it was higher (98%) in tacrolimus group than in the triamcinolone acetonide group (72%). The overall treatment response was significantly better in tacrolimus group. Interpretation and conclusion Topical tacrolimus 0.03% ointment induced better initial therapeutic response than triamcinolone acetonide 0.1 % ointment. However, relapses occurred in two subjects in group 'A' and three subjects in group 'B' after the cessation of the respective treatments. Nevertheless, at present topical tacrolimus may be a valuable addition to the already existing therapeutic modalities for treating subjects with OLP.
[ABSTRACT]   Full text not available  [PDF]
  1,065 217 -
Advanced Diagnostic Aids in Endodontics
Ajay S Saxena, Bhaskar Patle, Praveen Lambade
July-September 2011, 23(3):221-224
Conventional radiographs used for the management of endodontic problems yield limited information because of the two-dimensional nature of images produced, geometric distortion and anatomical noise. This newer review paper seeks to clarify three-dimensional imaging techniques that have been suggested as adjuncts to conventional radiographs. These include tuned aperture computed tomography, magnetic resonance imaging, ultrasound, computed tomography and cone beam computed tomography (CBCT).
[ABSTRACT]   Full text not available  [PDF]
  1,044 216 -
Moebius Syndrome: A Rare Case Report
M Srinivasa Raju, GN Suma, Ravi Prakash, Sumit Goel
July-September 2011, 23(3):267-270
Moebius syndrome is an extremely rare disorder. Only approximately few hundred cases have been reported in literature. In a nationwide survey reported in 2003, the prevalence of this syndrome was at least 0.002% of births for the years 1996 to 1998. The definition and diagnostic criteria for Moebius syndrome vary among authors. In most studies, it is defined as congenital facial weakness combined with abnormal ocular abduction. The list of signs and symptoms mentioned in various sources for Moebius syndrome includes more than 20 peculiar features. Here, we report an interesting case of Moebius syndrome in a 12-year-old male patient with all the important peculiar signs and symptoms.
[ABSTRACT]   Full text not available  [PDF]
  972 199 -
Determination of Sex by Discriminant Function Analysis of Lateral Radiographic Cephalometry
Raj Kumar Badam, M Manjunath, MS Rani
July-September 2011, 23(3):179-183
Objective: The present study is an attempt to develop a method to determine sex from the skull with lateral cephalometric radiograph using discriminant function analysis. Study design : The superciliary ridges, frontal sinuses, sella, cranial base and mastoid process were adopted as objects of lateral radiographic cephalometnc measurements. The present study included cephalometric radiographs of 100 Indian adults chosen randomly from the records, each cephalometric radiograph was traced and nine linear and five angular measurements and one proportion were recorded for each case. Results: Using the discriminant functional analysis, the randomly chosen 100 adult patent cephalometric radiographs were classified into two sexual groups 84% of accuracy. Conclusion: From the results of the present study, it may be concluded that sex determination can be done with greater reliability.
[ABSTRACT]   Full text not available  [PDF]
  875 222 -
Comparison of Oral Health Indicators in Type 2 Diabetes Mellitus Patients and Controls
Rohit Sharma, S Sunder Raj, K Vinod, Y Giridhar Reddy, Vela Desai, Durgesh Bailoor
July-September 2011, 23(3):168-172
Introduction India leads the world with largest number of diabetic subjects earning the dubious distinction of being termed the 'diabetes capital of the world'. Oral manifestations of diabetes mellitus are devastating, these include gingival and periodontal diseases, bone loss, dental caries, alterations in salivary flow and others. Materials and methods: In our study, sample consists of 50 patients with type 2 diabetes mellitus (study group) and 50 nondiabetic patients (control group) of age range of 35 to 70 years. The oral indicators used in the study are orthopantomogram, decayed-missing-filled teeth index, oral hygiene index-simplified, periodontal index, gingival index, body mass index, waist circumferences, fasting blood sugar, postprandial glucose and random fasting blood sugar should be replaced by random blood sugar. Results: In our study, statistically body mass index (p < 0.01), waist circumference (p < 0.001), periodontal disease index (p < 0.01), gingival index (p < 0.01) and bone loss (p < 0.001) were higher in diabetic group than nondiabetic group and were significant. And, periodontal index of smokers is significantly higher than compared with nonsmokers diabetic patients. Conclusion: The results of present study demonstrate that gingival index, periodontal index and bone loss measurements in diabetic patients are significantly higher than nondiabetic patients. Smoking is also a promoting factor of periodontal disease in diabetic patients.
[ABSTRACT]   Full text not available  [PDF]
  871 166 -
Leprosy Specific Orofacial Aspects
Vathsala Naik, Raghavendra Kini, Smit Singla, Anjali Shetty
July-September 2011, 23(3):216-220
Leprosy is a chronic infection caused by Mycobactenum leprae, GHA- Hansen first identified the organism in 1873, so called Hansen disease. Mycobacterium leprae is a bacillus that presents a peculiar tropism for the skin and peripheral nerves. The upper airway has a great importance as a route of M. Leprae infection. The clinical spectrum of leprosy ranges from the tuberculoid form (TT) to the disseminative and progressive lepromatous form (LL). Cell-mediated immunity is considered to be the crucial defence against the disease and the magnitude of this immunity defines the extent of the disease- Facial lesions in leprosy can occur in all form of the disease and also in lepra reaction, oral lesions are rare but, when present, occur in the lepromatous form
[ABSTRACT]   Full text not available  [PDF]
  832 173 -
Psoriatic Arthritis of TMJ Presenting as a First Articular Complaint in Psoriasis
B Vijay Kumar, A Vijay Kumar, Uday Shankar
July-September 2011, 23(3):245-247
Psoriatic arthritis (PSA) is a chronic inflammatory disease that can be progressive and can be associated with permanent joint damage and disability. The diagnosis is made mainly on clinical grounds based on the findings of psoriasis and inflammatory arthritis of the joints. Though we have many reports of Temperomandibular joint (TMJ) involvement in psoriasis (Ps), patent generally complain pain in other joints as a first arthritic problem. Here is a case of Ps presenting TMJ arthritis as first articular complaint with clinical signs and symptoms. Early identification of PsA will enable the patients to be treated early and agressively which requires a collaboration between oral physician, dermatologist and rheumatologists.
[ABSTRACT]   Full text not available  [PDF]
  831 171 -
Pattern of Oral Lesions in Tuberculosis Patients: A Cross-sectional Study
SC Selvamuthukumar, Nalini Aswath, V Anand
July-September 2011, 23(3):199-203
Introduction: The oral manifestations of tuberculosis forma unique clinical picture. Tuberculosis can occur in the mouth particularly involving the tongue with bizarre and unusual forms. The various manifestations of the oral tubercular lesions produce a distinct pattern of clinical picture and they show a predilection for certain areas of the mouth. Material and methods: This was a cross-sectional study primarily relying on the comparative assessment of the clinical appearance of the lesions found with that of the previously documented and well-described lesions in authoritative books and journals. A thorough case history specific to tuberculosis was gathered by the aid of a specifically structured proforma and a complete oral examination was done with systematic photography. Results: A total of 78 patients were examined, ranging from 13 to 80 years comprising of 69 male and nine female patients. Out of the 78 patients examined, only 57 had oral lesions. Twenty-one patients did not show any mucosal abnormality- Forty-six (60%) patients had pulmonary tuberculosis and 32 (40%) patients had extrapulmonary tuberculosis. Comorbidities present were predominantly diabetes mellitus in 12 patients, HIV infection in four patients, coronary artery disease in two patients, erosive gastric and liver disease in one patient and hypertension in one patient. Conclusion: Apart from the oral lesions that occur in a normal nontuberculosis patient group (the regular lesions) lesions peculiar to the tuberculosis group of patients were recorded. They comprised primarily of lip crusting lesions, ulcerations of buccal mucosa and palate. A soft tissue enlargement was found involving the tongue and the floor of the mouth and was diagnosed as 'primary oral tuberculosis.' Drug eruptions on the lips due to rifampicin were noted.
[ABSTRACT]   Full text not available  [PDF]
  772 203 -
Dimorphism of Mandibular Canine Index Establishing in Sex Identity
Shaliputra P Magar, PV Wanjari, Tushar Phulambrikar, SP Mosby, Shilpa S Magar
July-September 2011, 23(3):195-198
An investigation study to establish the effectiveness of using mesiodistal width of mandible and intercanine arch width in mandible in sex identity in Madhya Pradesh. The study was conducted in the Department of Oral Medicine and Radiology, Modem Dental College and Research Center, Indore. The subjects selected for the investigation included 350 individuals from rural and urban localities visiting to Modem Dental College and Research Center, and camp was conducted in school and junior college in Madhya Pradesh (MP) region. Results were statistically analyzed by using mandibular canine index (MCI), calculated by formula and observed that the mean mesiodistal width of the right as well as left mandibular canine was larger in males as compared with females. Due to accuracy and easy method, it is considered for use in sex identity.
[ABSTRACT]   Full text not available  [PDF]
  813 161 -
Intranasal Tooth - An Ectopic Eruption of Mesiodens in Nasal Cavity: A Case Report and Review
R Guru Prasad, Preeti P Nair, Harshkant Gharote, Karthik Hegade, Kavita Agarwal, Arpit Jain
July-September 2011, 23(3):252-255
An intranasal tooth (INT) is an ectopic tooth erupting into the nasal cavity. It is a rare clinical entity. Ectopic and supernumerary teeth may be present in many regions of maxillofacial skeleton. Ectopic teeth maybe supernumerary, deciduous or permanent. The clinical manifestations of intranasal tooth are quite variable and they may cause a variety of symptoms and complications. Their clinical and radiographic presentations are classical, posing little challenge to the diagnostician. The identification of such teeth can be important since they have potential to cause considerable morbidity. Here, we describe a case of intranasal tooth along with possible etiopathogenesis, clinical and radiographic features, differential diagnosis, potential complications and treatment modalities.
[ABSTRACT]   Full text not available  [PDF]
  798 146 -
Osteoporosis: Dental Implications
Veena S Narayanan, L Ashok
July-September 2011, 23(3):211-215
A dramatic rise in osteoporotic fractures is expected due to increase in the aging population worldwide. Prevention and early detection is the solution to this growing 'silent disease'. Osteoporosis affects the maxillofacial structures and may be detected by various techniques, including DXA, CT, etc Interestingly, changes due to osteoporosis may also be detected on routine dental and panoramic radiographs. The relationship between osteoporosis and oral health and the effects of therapeutics used in the management of osteoporosis on the oral structures are some intriguing problems to the dentist. The future might witness an increasing role of dental professional in identification, prevention and management of patents with osteoporosis.
[ABSTRACT]   Full text not available  [PDF]
  743 200 -
Various Treatment Modalities and Visceral Organ Involvement (Cardiac) in Oral Submucous Fibrosis: A Clinical Study
S Manoj Kumar, S Shanmugam, M Ramalakshmi, Suman Jaishankar
July-September 2011, 23(3):190-194
Oral submucous fibrosis (OSMF) is one of the most poorly understood and unsatisfactorily treated disease. In this study, combined treatment modalities were tried based on the grading and staging of OSMF, and outcomes of treatment were noticed. In addition to this, visceral organ involvement evidenced by systemic fibrosis has been assessed to see, if OSMF is a part of systemic spectrum of disease.
[ABSTRACT]   Full text not available  [PDF]
  776 149 -
Hallermann-Streiff Syndrome: A Rare Case Report
Vibha Jain, Upasana Sethi, Shilpa Dua, Anshuman Ahuja, Wali B Greeshma
July-September 2011, 23(3):237-240
The Hallermann-Streiff syndrome (HSS) is a rare congenital disorder characterized by distinctive craniofacial malformations and significant orodental abnormalities. A relative lack of dental literature regarding this syndrome has been noted. Most cases of Hallermann-Streiff syndrome occur randomly for unknown reasons and may be the result of mutations, or changes to the genetic material. A 15-year-old girl presented with almost all the classical signs of HSS except congenital cataract- A thorough medical and dental examination was performed. Opinion by the gynecologist, ophthalmologist and ENT specialist were considered. These patients require an interdisciplinary preventive treatment.
[ABSTRACT]   Full text not available  [PDF]
  770 136 -
Dental Health of Patients Undergoing Hemodialysis (A Study)
Vinay Mohan, Sonal Gupta
July-September 2011, 23(3):208-210
The primary purpose of this study was to determine the oral manifestations of patients undergoing dialysis. Two subgroups of the population were studied: (1) Those who have been on dialysis for less than one year, (2) those who have been on dialysis for more than one year. Two dental indices–periodontal index and decayed, missing, filled index were used to identify periodontal status, dental canes activity. Data were compiled and analyzed by using the unpaired t-test. Results suggested that 100% (n = 26) of the patients undergoing dialysis presented with some form of periodontal disease (mean value = 2.24, standard deviation = 1.33). Majority of the patients displayed either established periodontal disease (57.6%) or the beginning of periodontal disease (38 4%). Approximately, 70% of the patients had high decayed, missing, filled index (mean value = 6.19, standard deviation = 6.40). Findings led to the conclusion that patients on dialysis need comprehensive professional oral care and self-care instructions. The source of infection in oral cavity can cause variety of systemic diseases, causing morbidity and mortality in these immune-suppressed patients.
[ABSTRACT]   Full text not available  [PDF]
  741 150 -
Pemphigus Vulgaris: Application of Occlusal Soft Splint with Topical Steroid in the Treatment
G Vivekanandh Reddy, G Ramlal, K Jitendar Reddy, K Swetha, A Madhavi
July-September 2011, 23(3):263-266
Pemphigus vulgaris (PV) is a rare autoimmune bullous dermatosis with a high mortality rate if untreated. It is characterized by the binding of IgG autoantibodies to desmogleins 3 (DSG 3), a transmembrane glycoprotein adhesion molecule present on desmosomes. This glycoprotein strengthens the intercellular connection, and loss of this connection due to the antigen-antibody reaction weakens and finally breaks the connection between epithelial cells resulting in blisters and desquamation Patients with PV mainly involving the mucosa have antibodies directed against DSG 3, but patients with PV involving both the skin and mucosa will have antibodies against both DSG 3 and DSG 1. Most patients are initially misdiagnosed and improperly treated for many months or even years. Dental professionals must be sufficiently familiar with the clinical manifestations of PV to ensure early diagnosis and treatment, since this in turn determines the prognosis and course of the disease.
[ABSTRACT]   Full text not available  [PDF]
  771 119 -
Rapid Detection of HIV-1 and 2 Antibodies by using Oral Fluid: A Multicentric Pilot Study in India
Nallan CSK Chaitanya, R Pinakapani, Pavan Kumar, Rajeshwari Annigeri, G Raghu Rao, A Amareswar, Veena Ramanna
July-September 2011, 23(3):204-207
Introduction- Detection of HIV antibodies is done by the standard blood tests. Rapid tests provide results in few minutes. The OraQuick rapid HIV12 antibody test using oral fluid has not been tried in resource-limited settings in India. The aim was to evaluate the efficacy of the OraQuick test kit using oral fluid for HIV antibody detection in patients attending the dental hospitals. Materials and methods: This multicentric pilot study was administered on 134 consenting subjects- Seventy subjects were randomly screened at Visakhapatnam and 64 at Davangere, by OraQuick test using oral fluid and other standard HIV screening tests. The subjects and the test administrators were enquired regarding the convenience of the oral fluid test and blood tests. The results were compared and conclusions were drawn. Results: Seventy subjects were positive with both oral fluid and blood tests. Sixty-four subjects were negative with both the tests demonstrating 100% sensitivity and specificity. The oral fluid test was well accepted by all patients and test administrators. Conclusion: Our study revealed that the OraQuick test using oral fluid was found to be highly accurate, noninvasive screening test which ran be easily used in dental hospitals
[ABSTRACT]   Full text not available  [PDF]
  741 142 -
Lymphangioma of the Tongue
Siddharth Gopal, Vijay Raghavan, HS Shilpashree, Pallavi Srivastava
July-September 2011, 23(3):291-292
Lymphangiomas are benign, hemartomatous tumors of lymphatic vessels. They most likely represent developmental malformations that apse from sequestrations of lymphatic tissues that do not communicate normally with rest of lymphatic system. Our present knowledge of lymphangioma indicates that it has a predilection for the head and neck, which accounts for 50 to 75% of all cases. About half of all lesions are noticed at birth and around 90% develop by 2 years of age. Lymphangioma is a rare medical condition and not many cases are reported in scientific literature. A case of lymphangioma of tongue in a 17-year-old male is reported.
[ABSTRACT]   Full text not available  [PDF]
  720 148 -
Non-Hodgkin's Lymphoma of Parotid Gland
Sanat Kumar Bhuyan, Ruchi Bhuyan, Chowberg Naik
July-September 2011, 23(3):256-258
A 4-year-old female presented with painless mass on left side of neck, biopsy of which was done from referring place. As the report was not available, FNAC of the mass was done, which was pleomorphic adenoma of left parotid gland. CT shows large heterogeneous mass in relation to the left parotid gland and mass was contiguous with the carotid artery. Parotidectomy was positive for malignancy. Histopathology report of the resected specimen turned out to be non-Hodgkin's lymphoma.
[ABSTRACT]   Full text not available  [PDF]
  716 125 -
Pleomorphic Adenoma of the Palate: Clinicoradiological Case Report
Mann Dhillon, PG Agnihotri, Srinivasa M Raju, Manisha Lakhanpal
July-September 2011, 23(3):286-288
Salivary gland tumors are a relatively rare and morphologically diverse group of lesions. Pleomorphic adenoma is a benign tumor of the salivary gland that consists of a combination of epithelial and mesenchymal elements. The tumor most commonly arises from the parotid (60-70%) or submandibular glands. It develops less frequently in a minor salivary gland, presenting as an intraoral mass dependent on the palate- Pleomorphic adenoma rarely causes bony erosion or destruction. Here, we present a case of benign pleomorphic adenoma of the minor salivary gland originating on the palate causing bony erosion of the alveolar ridge- The clinical, radiological, computed tomographical and histopathological aspects are discussed.
[ABSTRACT]   Full text not available  [PDF]
  693 132 -
Osteomyelitis of the Mandible Secondary to Impacted Third Molar
Appaji Athota, Rama Raju, Prabath , Ratnakar , Nagendra S Chunduri
July-September 2011, 23(3):289-290
Odontogenic infections resulting in osteomyelitis of the mandible are common. However, osteomyelitis of the coronoid process as a direct consequence of third molar infection is rare. The following report describes such a case in an 18-year-old female as a severe complication following third molar removal. Despite aggressive antimicrobial therapy and indicated treatment approach following microbiologic study, a severe osteomyelitis was present, clinically and radiographically. Finally, hemimandibulectomy, including exarticulation, was indicated to manage this severe complication.
[ABSTRACT]   Full text not available  [PDF]
  675 140 -
Marfan Syndrome: A Report of Two Cases and Review
K Vinay Kumar Reddy, T Venkata Satya Ramesh, D Koteeswaran, M Jayakiran, Y Sivaranjani
July-September 2011, 23(3):248-251
Marfan syndrome is an autosomal dominant disorder of the connective tissues, resulting in abnormalities of the musculoskeletal system, cardiovascular system and eyes. It has a prevalence of 1 in 100,000 population and occurs in all ethnic groups. It may be familial or due to new mutation (30%), in the fibrillin gene on arm of chromosome 15. It is estimated that one person in every 3000 to 5000 has Marfan's syndrome may have cardiovascular abnormalities and may be complicated by infective endocarditis. About 90% of Marfan patients will develop cardiac complications.
[ABSTRACT]   Full text not available  [PDF]
  694 120 -
Ewing's Sarcoma of the Mandible: A Rare Case Report and Review of Literature
Sanki Reddy Shailaja, Marthala Manjula, Manika , Chappidi Vani, Ainampudi Bhargavi Krishna, Gannepalli Asha Lata
July-September 2011, 23(3):271-274
Ewing's sarcoma is a small, round and blue cell malignancy that most commonly arises in the skeleton of adolescents and young adults. Although it may appear in any bone, it is more common in the axial skeleton, rarely involving the jaws (1-2% incidence mostly in the mandible). In this article, we are reporting a rare case of Ewing's sarcoma of mandible in an 18-year-old female patient with the typical radiographic appearance of spiculated bone formation
[ABSTRACT]   Full text not available  [PDF]
  683 127 -
Regional OdontodyspIasia: Report of Two Cases
K Sridevi, K Sri Krishna
July-September 2011, 23(3):275-278
Regional odontodysplasia is a rare localized disorder of tissues of dental origin resulting in characteristically bizarre clinical and radiographic appearances. It most commonly affects the maxillary teeth of both the primary and permanent dentitions. This developmental anomaly is characterized by defective dentin and enamel formation leading to the radiographic appearance of 'ghost teeth' and sometimes by calcifications within the pulp and dental follicle. We report two cases of regional odontodysplasia affecting the maxilla on the right side. In one case, the regional odontodyplasia affected the maxillary left central incisor which is considered to be rare. The pathogenesis, clinical and radiographic features are discussed hereunder.
[ABSTRACT]   Full text not available  [PDF]
  678 124 -
Unilateral Aplasia of Mandibular Condyle: A Rare Case Entity
Anil G Ghom, FM Debta, Abhijeet Deoghare, Sarbani Das Sikdar, Anshul Khandewal, Savita Ghom, Raj Diwan, Manjari Gupta, Bharani Devi, Prashant Gupta, Shantala Naik
July-September 2011, 23(3):279-281
Aplasia of the mandibular condyle is extremely rare when not seen in association with or as a part of any syndrome. The incidence is estimated to be 1 in 5.600 births. Growth disturbances in the development of the mandibular condyle may occur in utero late in the first trimester and may result in disorders, such as aplasia or hypoplasia of the mandibular condyle. We report a case of aplasia of left mandibular condyle along with hypoplasia of right condylar head in a 20-year-old female patent. The patient reported to the clinic with the complaint of proclined upper front teeth, wanting to improve her esthetics. Clinical, conventional radiography and computer tomographic studies revealed the complete absence of condyle on the left and hypoplasia of the head of mandibular condyle on the right side. The etiology was unknown and on the basis of history, clinical study and radiological examination it was suggested to be of developmental origin.
[ABSTRACT]   Full text not available  [PDF]
  685 113 -
Primary Sonographic Diagnosis of Subcutaneous Cysticercosis
ME Shivu, K Jayanthi
July-September 2011, 23(3):241-244
We present the case of a 40-year-old woman with a small diffuse swelling on the left side of her face. She was diagnosed with intramuscular cysticercosis in the masseter muscle (case of disseminated cysticercosis involving the muscular system and subcutaneous tissues) with surrounding phlegmon on high-resolution ultrasound and managed conservatively. To our knowledge, the imaging findings of disseminated muscular cysUcercosis have been reported before only a few numbers of times. In this case, the correct diagnosis was made on the basis of high-resolution sonography of the subcutaneous tissue and muscles. It showed multiple oval to circular, predominantly anechoic lesions, which were around 1 cm in diameter. Most of these cystic lesions showed a hyperechoic focus within suggestive of a scolex. There was no increased vascularity surrounding the lesions. Thus, sonography can primarily make the correct diagnosis of disseminated muscular cysticercosis if such lesions are seen. In endemic areas, cysticercosis should be considered one of the differential diagnosis of the subcutaneous swellings.
[ABSTRACT]   Full text not available  [PDF]
  670 126 -
Central Odontogenic Fibroma (WHO Type): A Case Report and Review of Literature
Subrata Talukder, Rahul Agarwal, Prashant Gupta, BS Santosh, Deepankar Misra
July-September 2011, 23(3):259-262
We report a case of 15-year-old boy presented with painless swelling of right side of lower jaw since 2 years. A provisional diagnosis of dentigerous cyst involving an impacted lower second premolar was concluded after clinical examination. Radiographs revealed an expanding, well demarcated radiolucency with thin, fine, straight septae, causing root resorption and displacement of adjacent teeth and the impacted tooth was pushed to the interior border of mandible. Histologically pronounced fibroblastic hypercellularity with epithelial rests and focal areas with dentinoid or cementoid material was seen, suggestive of Central Odontogenic Fibroma (WHO Type). Only eight such cases have been reported in English literature and present one is 9th case.
[ABSTRACT]   Full text not available  [PDF]
  665 124 -
Unveiling What Lies Beneath! Intraglandular Sialolith: A Clinical Dilemma
Vishal Mehrotra, Parvathidevi , VB Thimmarasa, Avanti Aggarwal
July-September 2011, 23(3):282-285
Sialolithiasis is the most common disease affecting the salivary glands and accounts for 30% of all salivary gland disorders, affecting 0.01 to 1% of the population Submandibular gland being the most common site, with the incidence of intraglandular sialolith much rarer as compared to the intraductal ones and they may go undetected for years. Their findings are usually incidental, unless an acute phase is encountered. Here, we present a case report of 26-year-old male patient in whom the intraglandular (submandibular) sialolith was encountered incidentally on the radiographs.
[ABSTRACT]   Full text not available  [PDF]
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latrogenic Pulpal Injury Masquerading as Atypical Odontalgia
Praveena Tantradi
July-September 2011, 23(3):293-293
Several pain conditions may mimic atypical odontalgia (AO). Diagnosis of AO is made by ruling out other pain conditions. It is said that the most difficult diagnoses to rule out are pulpal pain condition. This report presents a case of iatrogenic pulpal injury mimicking AO.
[ABSTRACT]   Full text not available  [PDF]
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