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  Access statistics : Table of Contents
   2011| July-September  | Volume 23 | Issue 5  
    Online since October 8, 2015

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Oral lichen planus and its association with diabetes mellitus and hypertension
Anjana Bagewadi, Anil Kumar Bhoweer
July-September 2011, 23(5):300-303
In 1963, Grinspan found an interesting association of oral lichen planus with diabetes mellitus and hypertension, which he called as Grinspan syndrome. Various studies carried later had ambigous findings. Oral lichen planus is a common condition, recognized over hundred years from now, with an unclear etiopathogenesis. But, it is premalignant in nature and needs attention at earliest. Thus, a study was conducted to assess the association of oral lichen planus, diabetes mellitus and hypertension. The study comprised of 150 subjects divided in three groups. Group I comprising of 50 confirmed cases of oral lichen planus. Group II comprising of diabetic patient. Group III comprising of hypertensive patient. The objectives were (a) to assess blood sugar level and blood pressure in (50) oral lichen planus, (b) examine (50) diabetic patients for oral lichen planus and hypertension, (c) examine (50) hypertensive patients for oral lichen planus and (d) assess for any correlation among all three conditions (oral lichen planus with diabetes mellitus and hypertension). Thorough examination of group I for diabetes and hypertension, group II for oral lichen planus and hypertension and group III for oral lichen planus and diabetes was done. The results were analyzed using Chi-square test for correlation. The study showed that presence of only four diabetic patients and eight hypertensive patients among 50 oral lichen planus patients. Only one patient had all the three findings which were statistically insignificant. No oral lichen planus was observed in diabetic or hypertensive cases. Thus, it is conclusive that diabetes mellitus and hypertension do not play a direct role in the etiology of lichen planus. It could be lichenoid lesions due to the type of the drug and its duration.
[ABSTRACT]   Full text not available  [PDF]
  1,562 328 -
Orofacial syndromes: A review
N Shyam Sunder, D Rama Raju, Srinivas , Appaji Athota
July-September 2011, 23(5):382-385
A syndrome is a set of signs and symptoms that tend to occur together and reflect the presence of a particular disease or an increased chance of developing to a particular disease. There are numerous orofacial syndromes and a thorough knowledge of their manifestations and implications is pertinent in good oral health care delivery. The aim of this review is to describe collective esoteric knowledge, about various malformations and syndromes associated with orofacial region.
[ABSTRACT]   Full text not available  [PDF]
  1,304 392 -
Extraoral periapical radiography: A technique unveiled
Sujatha S Reddy, Atul Kaushik, SriRekha Reddy, Kunal Agarwal
July-September 2011, 23(5):336-339
Introduction: Extraoral periapical radiography (EOPAR) is a technique where the film is placed extraorally overlying the tooth of interest and the X-ray beam is directed from the opposite side of the face. This technique was first proposed by Newman and Friedman (2003) and later modified by Chia-Hui Chen et al (2007) to assist certain patient populations who are unable to tolerate intraoral films/sensors. Materials and methods: An experimental case study was designed using dry skulls. The modified beam aiming device was assembled and positioned accordingly to the tooth of interest at vertical angulations of - 20 to - 30 for maxillary teeth and + 20 to + 30 for mandibular teeth. The X-ray beam was directed from the opposite side toward the film/sensor placed extraorally on the contralateral side. Once, the exposure parameters were established on dry skulls, the technique was validated on human volunteers. Results: A series of clinically useful radiographic images of the maxillary and mandibular premolars and molars were obtained using EOPA radiographic technique. Conclusion: EOPAR technique can be used to produce diagnostically useful radiographs of the maxillary and mandibular teeth. It is an effective approach for obtaining periapical radiographs in certain patient populations who are unable to tolerate intraoral films and/or sensors. Although this technique is not intended to be a substitute for conventional intraoral radiography, it is a useful supplement to our clinical practice.
[ABSTRACT]   Full text not available  [PDF]
  1,079 216 -
Use of aloe vera in dentistry
Pravin Sundarkar, Ravindra Govindwar, Sanjai B Nyamati, Neeraj Alladwar, Vivek Thombre, Abhishek Soni, Anand Raj
July-September 2011, 23(5):389-391
The aloe vera plant has a long history of healing power. Recently, aloe very has gained some popularity as an active natural product used in the medical and dental field for treating many diseases. It has various miraculous properties like anti-inflammatory, antibacterial, antiviral and antitumor which accelerates wound healing and helps in treating various lesions in oral cavity. Though, there are various indications for its use, more clinical research is required to determine its real efficacy in dentistry. The aloe vera plant, its composition, properties, mechanism of action and clinical uses are briefly reviewed in this article.
[ABSTRACT]   Full text not available  [PDF]
  915 204 -
Recent trends in caries diagnosis
Priyatama Meshram, Vikas Meshram, Abhishek Soni, Praveen Sundarkar, Aparna Thombre, Vivek Thombre, Savita Ghom
July-September 2011, 23(5):373-376
To create opportunity for a preventive approach to the management of caries, it is important to keep abreast of developments in diagnostic systems. It is apparent that conventional methods for the detection of dental canes do not fulfill the criteria for an ideal canes detection method. These methods rely on subjective interpretation and are insensitive to early canes detection. To overcome these shortcomings, researchers are developing advanced techniques. These not only detect mineral loss but also quantify it.
[ABSTRACT]   Full text not available  [PDF]
  839 192 -
Prevalence of signs and symptoms of temporomandibular disorders in dental students
Sushmini Hegde, Raghavendra Mahadev, KS Ganapathy, D Sujatha, Bharati A Patil
July-September 2011, 23(5):316-319
Objective: The objective of this study was to investigate the prevalence of signs and symptoms of temporomandibular disorders (TMDs) in dental students. Materials and methods: A total of 200 dental students, officially registered at The Oxford Dental College and Hospital, Bengaluru, voluntarily participated in this study- After obtaining the informed consent, the participants were asked to answer the questionnaire to evaluate TMD in undiagnosed cases- Then, examination of the temporomandibular joint (TMJ) and associated structures were done. Results: The present study has shown that the prevalence of signs and symptoms were 50.5 and 48% respectively, with no apparent gender difference- Joint sound was the most prevalent sign and TMJ noise being the most common symptom. Among oral parafunctional habits, lip/cheek biting and nail biting were common. Conclusion Signs and symptoms of TMD were present even in nonpatient population, such as dental students. Thorough clinical assessments with standardized test are necessary for the early diagnostic process.
[ABSTRACT]   Full text not available  [PDF]
  789 167 -
Diode laser and white lesions: A clinical study on postoperative recovery, depth control and wound healing
Nilesh Raval, D Rama Raju, Appaji Athota, TY Reddy
July-September 2011, 23(5):308-311
Laser dentistry has always been a subject of interest. Among hard and soft tissue lasers, the latter finds much more acceptance in terms of clinical applications. Diode lasers have found much acceptance in all the branches of dentistry. Compact size and financially viable-diode laser has become a big practice enchancer tool. The difference in contact and noncontact mode in treating white lesions, in terms of various clinical parameters has been discussed.
[ABSTRACT]   Full text not available  [PDF]
  674 146 -
Role of dental findings in the diagnosis of idiopathic hypoparathyroidism
Sanjay B Nyamati, Sreenivasan Venkatraman, Kamarthi Nagaraju, HB Annapoorna, Sandeep Prakash
July-September 2011, 23(5):462-464
Idiopathic hypoparathyroidism (IHP) is a rare endocrinopathy, characterized by the disturbances in the calcium and phosphorous metabolism, owing to deficiency in parathyroid hormone, which leads to tetanic manifestations. Onset of the clinical features occurs early in the life and the seventy depends on the extent of chemical imbalance. This article describes a case of 22-year-old male patient undiagnosed for 12 years with this endocrinopathy (IHP). Overretained deciduous teeth, delayed eruption, impacted tooth and short roots probably resulting from untreated hypocalcemia during the developmental phase of dentition enabled us to unearth this endocrinopathy through a series of investigations. Thus, the article emphasizes the importance of dental findings of this endocrinopathy.
[ABSTRACT]   Full text not available  [PDF]
  726 80 -
Banned drugs: Still available in India
Manjari Gupta, Anil Ghom, FM Debta, Sunil Vyas, Abhijeet Deoghare, Prashant Gupta, Shantala Gupta
July-September 2011, 23(5):380-381
Drugs undergo rigorous testing before they are introduced into the market. The efficacy as well as safety profiles of the drug are tested, adverse effects of drugs appear only after the drug is used in the general population. These adverse effects are detected through pharmacovigilance. If the adverse effects are severe or the risks of using the drug outweigh the benefits, the country bans the drug. Some drugs may cause adverse effects only when combined with particular drugs. In such cases, only the fixed dose combination is banned and not the individual drugs. This article is related to banned drugs and the products which are still used in medical fraternity.
[ABSTRACT]   Full text not available  [PDF]
  680 118 -
Automated dental identification system: An aid to forensic odontology
Parvathi Devi, VB Thimmarasa, Vishal Mehrotra, Vikas Singla
July-September 2011, 23(5):360-364
Automated dental identification system is computer-aided software for the postmortem identification of deceased individuals based on dental characteristics specifically radiographs. This system is receiving increased attention because of the large number of victims encountered in the mass disasters and it is 90% more time saving and accurate than the conventional radiographic methods. This technique is based on the intensity of the overall region of tooth image and therefore it does not necessitate the presence of sharp boundary between the teeth. It provides automated search and matching capabilities for digitized radiographs and photographic dental images and compares the teeth present in multiple digitized dental records in order to access their similarity. This paper highlights the functionality of its components and techniques used in realizing these components.
[ABSTRACT]   Full text not available  [PDF]
  686 103 -
Stem cells-the future of dentistry: A review
Sunil Vyas, Krishna Vyas, Madathanapalli Satish, Vaishali Shende, Rahul Srivastav
July-September 2011, 23(5):370-372
Research and development in the last millennium and in the present decade has brought about revolutionary changes in the way we understand and treat diseases. Stem cells are one of the most favorable areas of biology. Stem cell plasticity has resulted in a new field of medicine entitled regenerative medicine and dentistry. Scientists have successfully regenerated tooth root and supporting periodontal ligament to restore tooth function in an animal model. The breakthrough in stem cell research holds significant promise for clinical application in human patients.
[ABSTRACT]   Full text not available  [PDF]
  636 135 -
Oxcarbazepine: Drug of the future in the treatment of trigeminal neuralgia
Revant H Chole, Ranjitkumar N Patil, Swati V Balsaraf, Shailesh M Gondivkar, Amol Gadbail
July-September 2011, 23(5):340-343
Background: The aim of the study was to estimate the efficacy of oxcarbazepine in trigeminal neuralgia. Oxcarbazepine is a novel antiepilepfic drug, and its effect on trigeminal neuralgia has not been studied extensively previously. Materials and methods: Fifty-three patients with trigeminal neuralgia (34 men and 19 women) took a mean dose of 600 mg of oxcarbazepine for a period of three weeks. Pain intensity was measured by using visual analog scale. Results: Of the 53 patients, 42 (79%) were completely or well controlled by OXC, and nine (17%) partially but acceptably controlled. Treatment with OXC was therefore satisfactory initially in 51 (96%) of the patients. In seven of these patients, mild transient side effects occurred but did not necessitate cessation of treatment Conclusion: OXC appears to be an effective substitute for carbamazepine in those patients intolerant of this agent, or experiencing significant side effects.
[ABSTRACT]   Full text not available  [PDF]
  661 104 -
A review of antioxidants
RS Birangane, DG Chole, K Sathya Prakash Reddy, Shivaji
July-September 2011, 23(5):351-353
Antioxidants play the essential role in reducing the free radicals. Free radicals can cause various changes in human body from DNA mutation to cell death. Free radical formation form the biological basis of several medical problems including cancer. The antioxidants are useful in preventing the transfer of premalignant lesion to malignancy- Hence are usually prescribed in oral premalignant lesions like leukoplakia, lichen planus, oral submucous fibrosis. Antioxidants include beta carotene, carotenoid, vitamin C, vitamin E, trace elements like zinc and selenium. Functions of these antioxidants are discussed here.
[ABSTRACT]   Full text not available  [PDF]
  607 131 -
Radiographic signs associated with damage to inferior alveolar nerve: A diagnostic tool to perform coronectomy
PT Gaikwad, AN Datarkar, RM Borle, RR Bonde, KC Vaidya, Ranjit Patil
July-September 2011, 23(5):320-322
Radiographic signs in the OPG, that indicate a relationship between the lower third molar and the inferior alveolar canal, are considered a risk factor for nerve damage- These signs are darkening of root, deflection of root, narrowing of root, bifid root apex, diversion of canal, narrowing of canal, interruption of white line of canal. The present study assesses the radiographic signs that indicate a relationship between the lower third molar and the inferior alveolar canal and application of these diagnostic tools for efficacy of coronectomy (intentional root retention) over the conventional technique of third molar removal in avoiding injury to the IAN. Eighty patients with radiographic features suggestive of close proximity of IAN to the roots were selected and were randomly divided into two equal groups. Group I patients underwent coronectomies and group I patients underwent removal of the lower third molars by conventional technique. Postoperative neurological assessment was carried out at regular intervals on day 1, 10th day, 1 and 3 months. In group I, none of the patients had evidence of inferior alveolar nerve injury, whereas, there was altered labial sensation in eight patients in group II.
[ABSTRACT]   Full text not available  [PDF]
  618 103 -
Incidence of elongated styloid process: A radiographic study
Tushar Phulambrikar, A Rajeshwari, B Balaji Rao, Ashish M Warhekar, Prashanthi Reddy
July-September 2011, 23(5):344-346
Many studies revealed that the styloid process and the stylohyoid chain presented considerable anatomic variability. Many times this elongated styloid process has also been attributed as a cause of pain and discomfort in the neck and throat region which was known as Eagle's syndrome or styloid syndrome or stylohyoid syndrome. Hence, a study was designed to determine the length of styloid process on the orthopantomograph and review the selected related literature. A total of 200 healthy subjects of both the sexes in the age group of 5 to 75 years were radiographed. Each styloid process form both sides was classified to its morphologic appearance and measured. The data was subjected to statistical analysis which revealed elongation of styloid process increases as the age advances, when the incidence of elongation is compared on the right and left side no statistically significant difference is found. Pain is not associated with length or incidence of elongation.
[ABSTRACT]   Full text not available  [PDF]
  600 118 -
A study of precancerous lesions for oral cancer in Jamnagar city
Reeta Jha, Dipesh V Parmar
July-September 2011, 23(5):333-335
Introduction: Oral cancer is a common malignancy, ranking first among all cancers in Western and Asian countries. It is preceded by some benign lesions or conditions, which are termed precancerous. Only one-third of people at the precancerous stage of disease succumb to cancer, it would be of practical importance to identify individuals at risk among them. Objectives: The aim of the present study was to evaluate high risk factors for oral cancer, to evaluate clinical features and correlate various factors to precancerous lesions and to determine incidence rate and magnitude of precancerous lesions in general population. Methods: In the study, 17,692 residents from different wards of Jamnagar city are clinically assessed for presence of precancerous lesions and interviewed by cross-sectional study. Results: It was found that prevalence rate of leukoplakia was found 0.93% while of OSMF was 1.75% in study population. All persons with precancerous lesions have addictions like tobacco chewing/smoking. Out of 5,652 persons with poor oral hygiene, leukoplakia was found in 2.54%, while OSMF in 1.67%. Conclusion: This study concluded that prevalence rate of precancerous lesion in general population of Jamnagar city is high. It is associated with habits of tobacco chewing and cigarette smoking.
[ABSTRACT]   Full text not available  [PDF]
  608 106 -
Probiotics: Outweighing pros and cons
Sarmistha Dey, Sonal P Vahanwala, Sandeep S Pagare
July-September 2011, 23(5):386-388
In recent few years, our markets had a boom of probiotic drinks and probiotic ice creams. The media and various endorsements can often mislead the consumers. We, as healthcare providers also shoulder a duty to decide and outweigh the pros and cons of this newly developed concept.
[ABSTRACT]   Full text not available  [PDF]
  617 89 -
Evaluation of the precision of dimensional measurements of the mandible on panoramic radiographs
MR Vaishali, KS Ganapathy, K Srinivas
July-September 2011, 23(5):323-327
Objectives: The purpose of this study was to assess the accuracy of panoramic radiography in measuring the linear dimensions. Materials and methods: Various vertical, horizontal, oblique and angular parameters were denoted by metal markers and were measured on 30 dry mandibles with the use of calipers. The same mandibles were then positioned on panoramic machine, EC Proline and radiographic images of them were made. Measurements of the same distances were made on panoramic images and then compared with the measurements on the dry mandible. All the results were statistically analyzed. Results: The measurements made on dry mandibles as well as on the panoramic images of the same revealed that they were statistically significant. The results of the measurements showed that the calculated magnification indices were lower than the manufacturer's magnification index for the vertical, horizontal, oblique and angular measurements so long as the distance measured is on only one side of the mandible, whereas the calculated magnification Indices for the vertical, horizontal, oblique distances which traversed the midline of the mandible, were greatly enlarged than the manufacturers magnification index. Conclusion: It was concluded that it is possible to use panoramic radiography for linear measurements of vertical, horizontal or oblique variables provided it is on only one side of the mandible.
[ABSTRACT]   Full text not available  [PDF]
  567 120 -
Cone-beam computed tomography: Third eye for dental surgeons
Ravindra B Govindwar, Pravin B Sundarkar, Neeraj G Alladwar, Vinod Agrawal, Anshul Khandelwal
July-September 2011, 23(5):365-369
Cone-beam computed tomography is a relatively new three-dimensional imaging technology, which has been specifically developed for imaging of the teeth and jaws. This article gives an overview of the subject and discusses some of the implications for dental practitioners. An understanding of the underlying principles will allow the users of this technology to tailor the imaging protocol to the patient's individual needs to achieve appropriate imaging at the lowest radiation dose.
[ABSTRACT]   Full text not available  [PDF]
  606 67 -
Giant submandibular sialolith presenting with sialocutaneous and sialo-oral fistula: A case report and review of literature
S Jayachandran, K Bakyalakshmi, Koijam Sashikumar Singh
July-September 2011, 23(5):491-494
Sialolithiasis is a common disease of the salivary glands and a major cause of salivary gland dysfunction. It commonly affects middle-aged and has male predominance. Submandibular gland or its duct is most commonly affected. The size of salivary calculi may vary from less than 1 mm to a few cm in the largest diameter. Salivary stones that exceed 15 mm in any dimension are classified as giant. Association of sialocutaneous or Sialo-oral fistula with salivary stones is considered rare. Long-standing stones with chronic inflammatory process may lead to fistula formation.
[ABSTRACT]   Full text not available  [PDF]
  588 79 -
Eruption status of third molars in South Indian city
Sujata M Byahatti, Ramakant Nayak, Bhushan Jayade
July-September 2011, 23(5):328-332
Aim : The aim of the present study is to determine the number of third molars per person, angulation, level, amount of space for eruption of third molar between ramus of mandible and second molar status of root and also to study the difficulty index. Objective: To study the eruption status of third molar in South Indian population. Materials and methods: The study conducted at Department of Oral Medicine and Radiology. Maratha Mandals NG Halgekar College of Dental Sciences and Research Centre. Belgaum, Karnataka, India A total of 150 patients (54 females and 96 males) visiting outpatient department between the age group of 17 and 30 with a mean age of 23.5 years were selected- Before starting the study, ethical concern taken from the ethical committee and informed consent from each patent who underwent radiographic examination. Results: The results showed approximately 94.66% of the subjects had all four third molars, 8.6% had three third molars, 4.6% had two third molars and 2% had one third molars with 3.3% having agenesis of all third molars. Third molar agenesis showed predilection for upper jaw with higher proportion in females (5 5%) than males (2%). Angular position seen maximum with vertical position (66.16%) with least being horizontal impactions. Level of occlusal plane of third molar similar to that of adjacent tooth seen in 52.65%. Below the occlusal plane in 19.61 %, totally impacted teeth noted in 27.73%. More than 75% of the teeth had complete root formation. Among total number of teeth, 518 (91.51 %) teeth were easy to extract and remaining 33 (5.8%) were difficult to extract. Conclusion: Radiological and clinical findings have correlated to assess whether teeth were easy to extract or difficult. Because of the increasing incidence of unerupted third molars and the association of numerous complications with these retained teeth, assessment of germ position and prognosis of third molar eruption is necessary for better patient management.
[ABSTRACT]   Full text not available  [PDF]
  572 95 -
Evaluation of alteration in serum lipid levels in patients with chronic periodontitis postperiodontal therapy
Vivek N Thombre, Aparna Sharma Thombre, Manohar L Bhongade, RM Zade, Praveen Sundarkar, Shailesh Gondivkar
July-September 2011, 23(5):312-315
Aim: There is growing evidence that periodontitis may affect general health. This study was assigned to explore changes in cholesterol levels following nonsurgical periodontal therapy in patients with chronic periodontitis. Materials and methods: Periodontal parameters and lipid profile (total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides and very low-density lipoprotein) were evaluated in 50 subjects suffering from moderate to severe generalized chronic periodontitis. Results: At third month, there was significant reduction in total cholesterol, low density lipoprotein, very low density lipoprotein, triglyceride and increase in high density lipoprotein after nonsurgical periodontal therapy (NSPT). Also, the reduction in bleeding on probing, pocket depth and attachment level were statistically significant in the treatment group. Conclusion: The results of our study showed that periodontal destruction and serum lipid levels are positively correlated and nonsurgical periodontal treatment in chronic periodontitis patients resulted in significant changes in the concentration of total cholesterol, triglycerides, HDL. LDL levels in blood serum.
[ABSTRACT]   Full text not available  [PDF]
  557 109 -
Urinary and salivary estimation of 17-ketosteroid as an indicator in stress-induced lichen planus
SG Ranpise, Ani John
July-September 2011, 23(5):295-299
Human beings when subjected to stress react differently and this stress can abuse the human tissue in the fern and lichen planus and recurrent aphthous. The oral mucosa is highly reactive to psychological influences and, in some cases, oral disease may be a direct expression of emotions or conflicts, while in other instances, lesions of oral mucosa may be the indirect result of an emotional problem in terms of fundamental psychologic theory, the oral tissue have considerable significance. The mouth is directly or symbolically related to the major human instincts, passions and is charged with a high psychological potential. Today, stress is measurable through blood, urine, saliva and elaborates psychoanalysis and thus helps in good diagnosis.
[ABSTRACT]   Full text not available  [PDF]
  546 117 -
Prevalence of oral lesions in pan vendor
Prakash Gadodia, Vinay Hazare, Sindhu Ganvir, Sunil Sahuji
July-September 2011, 23(5):344-346
Background: Being a portal of entry to various smoking and smokeless tobacco products, oral cavity is prone to deleterious effects. Present study consist of epidemiological survey to elucidate oral lesions in pan vendors. Aims and objectives: To detect oral lesions in pan vendors and compare it with controls. To detect habit pattern and prevalence of OSMF and other lesions in pan vendors as compared to controls- To identify, recognize and evaluate the possible etiology for OSMF, encompassing various chewing and smoking habits. Materials and methods: Study population consist of 170 pan vendors with age ranging from 15 to 55 years and equal number of sex matched controls selected randomly. Results: Prevalence of oral lesions in pan vendors is statistically significantly higher as compared to controls. The habit of arecanut chewing in various forms was present in all cases. The habit of smoking and smokeless tobacco products was present in all cases. Conclusion: Pan vendors are at higher risk for oral lesions than controls. There is increase in relative risk with increase in duration and frequency of habit.
[ABSTRACT]   Full text not available  [PDF]
  581 80 -
An overview on clinical implications of nanobacteria
C Anand Kumar, MunBhawni Bagga, Vinay Mohan, Namita Raghav
July-September 2011, 23(5):354-359
Pathological calcification is becoming recognized as an important feature in the dynamics of a variety of diseases, such as renal stone, atherosclerosis, pulp stones, scleroderma and arthritis. etc. from which millions of human beings suffer in all ages. Nanobacterium sanguineum is the first calcium phosphate mineral containing nanoorganism isolated from human blood that causes pathological disease calcification in humans. Nanobacteria are the smallest cell-walled bacteria, recently discovered in human and cow blood and commercial cell culture serum. Herein the article controversy and critical role of calcifying nanoparticles as nidi and triggering factor inhuman pathologic calcifications are discussed.
[ABSTRACT]   Full text not available  [PDF]
  567 83 -
Imageology and clinical examination: Two sides of the same coin
Deepa Das, A Prachi Naik
July-September 2011, 23(5):377-379
The continuous and rapid transition of techniques from research lab into clinical practice has been the pattern of development in radiology and imaging, and this has put the concept of clinical imaging into a different perspective. From a passive role of pattern recognition, distinguishing a radiograph from normal to abnormal, the task of a radiologist today has been elevated to reporting a comprehensive clinical imaging assay, giving information at a level profound enough to be useful for scientists working in allied fields. A peep into the literature shows how radiological and clinical examination can be two sides of the same coin.
[ABSTRACT]   Full text not available  [PDF]
  561 84 -
Radiographic assessment of proximal caries: A comparison between film-based and dexis digital imaging systems
Anupama N Kalappanavar, MC Shashikanth, Shailesh Lele
July-September 2011, 23(5):304-307
This study compared Kodak Ektaspeed film and Dexis digital imaging systems for their diagnostic accuracy in detection of proximal canes in 210 proximal surfaces from 105 extracted human teeth (20 premolars and 85 molars), 129 of which were carious. Ground teeth were evaluated histologically. The images were assessed by an observer. ANOVA revealed that groups differ in scoring patterns with f-value of 26.72 and p < 0.01. The mean caries score by histologic assessment was significantly (p < 0.01) more when compared with the scores obtained by conventional and Dexis digital radiographic methods. The mean score for conventional radiographic method was slightly more than Dexis digital radiographic method, but the difference was statistically insignificant (p < 0.05). Both the radiographic methods were less accurate in detecting proximal canes confined to enamel, but as the lesion depth was increased to dentin, the rate of caries detection increased dramatically. It was concluded that both conventional and Dexis digital radiographic methods under estimated canes depth when compared with histologic method. Lastly, conventional film radiographs and Dexis digital radiographs did not perform significantly different from each other in the detection of canes.
[ABSTRACT]   Full text not available  [PDF]
  540 100 -
Clouston syndrome with palmoplantar keratoderma
MP Singh, Manishi Singh, Manika Singh, Prashant Tripathi
July-September 2011, 23(5):425-428
Clouston syndrome (hidrotic ectodermal dysplasia) is characterized by the clinical triad of nail dystrophy, alopecia and palmoplantar hyperkeratosis. Clouston syndrome is transmitted as an autosomal dominant trait and caused by mutations in the GJB6 gene (13g12), encoding the gap junction protein connexin 30 (C x 30). At present, there is no treatment for the disease and management is purely supportive. The life of span, patients is normal. In this report, a case of 9-year-old boy is presented who had few set of primary dentition, but surprisingly complete absence of permanent dentition which observed radiographically. In this case, anodonfa of permanent dentition was present and no alopecia which is a rare finding.
[ABSTRACT]   Full text not available  [PDF]
  543 83 -
Siddharth P Mosby, MN Naidu, SG Ranpise, Shaliputra Magar
July-September 2011, 23(5):448-450
Trichoepithelioma—a small benign tumor derived from basal cells in the hair follicle. It may occur sporadically or as the cardinal feature of a relatively common genetic disorder called multiple familial trichoepithelioma characterized by the presence of many small tumors predominantly on the face, inherited in an autosomal dominant pattern. A trichoepithelioma can undergo malignant transformation into a basal cell carcinoma. 1 This is a case report of 66-year-old male patient with a rounded and mobile firm swelling of 1 cm on mandibular labial vestibule of the oral cavity causing alarm and discomfort to the patient.
[ABSTRACT]   Full text not available  [PDF]
  550 75 -
Gorlin-goltz syndrome
BV Shobha, S Mosby, N Barkha, Biswajeet , M Ajit, T Deepak
July-September 2011, 23(5):487-490
Gorlin-Goltz syndrome also known as nevoid basal cell carcinoma syndrome (NBCCS) is an infrequent multisystemic disease inherited in a dominant autosomal way, which shows a high level of penetrance and variable expressiveness. It is characterized by keratocystic odontogenic tumors (KCOT) in the jaw, multiple basal cell carcinomas and skeletal abnormalities. This syndrome may be diagnosed early by a dentist by routine radiographic examination in the first decade of life, as KCOTs are usually one of the first manifestations of the NBCCS syndrome. This article reports the case of a 12-year-old girl with Gorlin-Goltz syndrome, emphasizing its clinical and radiographic manifestation. This study highlights the importance of health professionals in the early diagnosis of this syndrome and a multidisciplinary approach to provide a better diagnosis and prognosis.
[ABSTRACT]   Full text not available  [PDF]
  552 67 -
Ellis-van creveld syndrome: Report of two cases
Altaf Hussain Chalkoo, Mohsin Muzaffar Tak
July-September 2011, 23(5):434-437
Chondroectodermal dysplasia (Ellis-van Creveld syndrome) appears to involve all the embryonic layers. Nails, teeth and gums indicate the involvement of ectodermal layer; sometimes it may accompanied by eye and neural involvement. Abnormalities of the bones, heart, kidneys indicate the involvement of mesodermal involvement. Endodermal involvement though not very common but some patents may have lung and liver abnormalities. Oral signs are very peculiar and provide vital clue for the diagnosis and further counseling of such patients.
[ABSTRACT]   Full text not available  [PDF]
  543 74 -
Fusion/double teeth
Sandhya Shrivastava, Manisha Tijare, Shweta Singh
July-September 2011, 23(5):468-470
Odontogenic anomalies of teeth can be encountered frequently in dental practice. Fusion and gemination are developmental anomalies leading to eruption of joined elements as double teeth. These anomalies pose a challenge even to the most experienced clinician in treating these teeth. This article highlights the importance of clinical and radiographic correlation in arriving a definitive diagnosis. 1
[ABSTRACT]   Full text not available  [PDF]
  538 75 -
Idiopathic gingival fibromatosis
Sujata Rath, Raghavendra M Shetty, Choubarga Naik, Laxmikant K Mishra, Suraksha Bhat, Vishal Solanke
July-September 2011, 23(5):471-473
Gingival fibromatosis (GF) is a heterogenous group of disorders characterized by progressive enlargement of the gingiva caused by an increase in submucosal connective tissue elements. This article presents a case report of a 14-year-old female patient with idiopathic gingival fibromatosis in the maxillary region with radiographic feature of congenitally missing maxillary permanent left lateral incisor, maxillary left and right permanent canine, mandibular right second premolar, all third molars along with overretained primary maxillary left lateral incisor and primary mandibular second molar. The treatment rendered in this patient comprised of surgical excision of the hyperplasia under general anesthesia.
[ABSTRACT]   Full text not available  [PDF]
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Ameloblastic fibro-odontoma of the maxilla: Review of literature and report of a case
Barakha Nayak, Sangeeta Patankar, Komal Khot, BV Shobha, GopaI Sharma
July-September 2011, 23(5):442-444
Ameloblastic fibro-odontoma (AFO) is a rare benign mixed odontogenic tumor. It is a slow-growing generally asymptomatic lesion and more prevalent in children and adolescents. This article presents interesting case of ameloblastic fibro-odontoma involving anterior maxilla of 15-year-old male patient. Occlusal radiograph showed a large, well-demarcated radiolucency with radiopaque areas and miniature teeth like structures, radiographical presentation of this case was suggestive of compound odontoma. Histopathologically, the lesion was diagnosed as ameloblastic fibroodontoma.This article discusses about clinical, radiographical, histopathological aspect of ameloblastic fibroodontoma with review of literature
[ABSTRACT]   Full text not available  [PDF]
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Facial hemiatrophy: Review of literature and a case report
Manisha S Tijare, Sandhya Srivastav, Rajat V Misurya, Archana H Lanje, Anil Ghom
July-September 2011, 23(5):478-480
A case report of hemifacial atrophy is presented in this paper. It is also known as Parry-Romberg syndrome, is an uncommon degenerative and poorly understood condition. It is characterized by progressive atrophy of the skin, subcutaneous tissue, muscle, cartilage or bone; the condition can leave a marked deformity on one side of the face. The incidence and the cause of this alteration is debatable. The most common complications that appear in association to this health disorder are: trigeminal neuritis, facial paresthesia, severe headache and epilepsy. Now, plastic surgery with graft of autogenous fat can be performed, after stabilization of the disease, to correct the deformity. Orthodontic treatment can help in the correction of any associated malformation. This presentation gives a review of concern literature about the etiology, physiopathology, differential diagnosis and treatment of hemifacial atrophy.
[ABSTRACT]   Full text not available  [PDF]
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Pedunculated hemangioma of hard palate treated by feeder vessel ligation
S Niranjan Reddy, Basa Shrinivas, Ramesh Tatapudi, Srinivas Rao Ponnam
July-September 2011, 23(5):468-470
Intraoral hemangiomas are benign proliferations of blood vessels in the mucosal region, which can cause extensive bleeding during excision by conventional surgical methods. Intraoral hemangiomas are uncommon, usually seen on the lips, buccal mucosa and lateral borders of the tongue. Treatment modalities that are advocated for treating hemangiomas include sclerotherapy, embolization, laser and cryosurgery. In this case report we present a case of pedunculated hemangioma of the hard palate in a 28-year-old female patient treated by ligation of the feeder vessel.
[ABSTRACT]   Full text not available  [PDF]
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Tuberculous parotid lymphadenitis: A rare case report
Rajendra Patil, N Kannan, M Rakesh Kumar, B Swapna Sreedevi, PV Sarath, Prasanthi
July-September 2011, 23(5):392-395
Tuberculosis of parotid lymph nodes is a rare condition. Although uncommon, it must be included in differential diagnosis of a discrete parotid gland swelling or mass. Early recognition of the disease entity and awareness of its potential existence can spare the patient unnecessary surgical intervention. A 13-year-old female patient presented with a painless swelling in left preauricular region. Ultrasonographic examination showed presence of calcified lymph nodes with central necrosis. Fine needle aspiration cytology showed epitheloid cells, foci of calcification and areas of caseation necrosis suggestive of tuberculosis- Standard antituberculous regimen was planned for 6 months with rifampicin, ethambutol, isoniazid and pyrazinamide. Patient discontinued the antituberculous regimen after free of clinical symptoms at the end of the 5th month. Recurrence of the tuberculosis was seen 2 weeks after the discontinuation of the treatment. Completed retreatment for 8 months and follow-up shown patient free of tuberculosis.
[ABSTRACT]   Full text not available  [PDF]
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Parapharyngeal hemangioma with phleboliths
S Bhargava, MB Motwani, VM Patni
July-September 2011, 23(5):481-484
Hemangiomas are the most frequently encountered angiomatous benign tumors of head and neck region, noticed especially during infancy and early childhood. Changes in blood flow dynamics within hemangiomas result in thrombus formation and phleboliths. The tendency of hemangiomas to undergo spontaneous involution has lead to the adoption of 'watchful neglect' as a common practice while managing this disorder. We describe a relatively rare case of hemangioma with numerous phleboliths involving multiple intraoral structures and orofacial spaces in a 30-year-old male patient along with a comprehensive review of literature on the condition and its most popular treatment modalities.
[ABSTRACT]   Full text not available  [PDF]
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Diagnosis of jaw cyst basal cell nevus syndrome from multiple odontogenic keratocysts in a 3D CT scan
KV Ramana Reddy, DB Gandhi Babu, G Srinivas, Sadam Srinivas Rao
July-September 2011, 23(5):401-404
The purpose of this report is to discuss the diagnosis of Jaw cyst basal cell nevus syndrome. Two components of the syndrome are multiple odontogenic keratocysts and basal cell carcinomas. The discovery of multiple keratocysts is usually the first manifestation of the syndrome. In the case discussed, 3D CT scan taken to evaluate a diagnosed odontogenic keratocyst revealed more than one keratocysts. This led to the closer evaluation and diagnosis of Jaw cyst basal cell nevus syndrome.
[ABSTRACT]   Full text not available  [PDF]
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Keratocystic odontogenic tumor of the maxilla-a serious entity often misdiagnosed: A report of two cases resembling dentigerous cysts
TK Rama Murthy, BH Satheesha Reddy, Harish Kumar, Charis Chandy Joseph
July-September 2011, 23(5):412-415
The most common maxillary location for a keratocystic odontogenic tumor (KCOT) is the canine region where they commonly are mistaken for an inflammatory radicular cyst or dentigerous cyst or a lateral periodontal cyst or even a nasopalatine cyst. This misdiagnosis occurs mainly because of the appearance of KCOT as a unilocular radiolucency in the maxilla, particularly if the KCOT is found coincidentally with a nonvital tooth. Additionally, the cyst is frequently infected producing pus that obscures the typical white cheesy material. A misdiagnosis based solely on clinical information can lead to the possibility of the patient being treated with a conservative endodontic therapy or even conservative surgical techniques thereby greatly increasing the chances of progression or recurrence of this aggressive lesion. Here, we report two such cases diagnosed and treated aggressively.
[ABSTRACT]   Full text not available  [PDF]
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Leiomyoma of the gingiva: A rarity
Mayuri Agarwal, VB Thimmarasa, Parvathi Devi, S Jayadev, Vishal Mehrotra
July-September 2011, 23(5):416-418
Leiomyoma is a benign tumor originating from the smooth muscle. The most frequent site of appearance is uterine myometrium, gastrointestinal tract and skin. They are rare in oral cavity (0.065%) due to the scarcity of smooth muscles. The most common sites of occurrence in oral cavity are tongue, lips, hard and soft palate and cheeks. Other less frequent locations are the floor of mouth and gingiva. We present a rare case of leiomyoma in a 20-year-old female patent, present since 6 years involving the gingiva between lower left canine and first premolar. Clinical and histopathological examination confirmed the diagnosis of leiomyoma.
[ABSTRACT]   Full text not available  [PDF]
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Pleomorphic adenoma of the palate: Clinicoradiological case report
Manu Dhillon, PG Agnihotri, Srinivasa M Raju, Manisha Lakhanpal
July-September 2011, 23(5):405-407
Salivary gland tumors are a relatively rare and morphologically diverse group of lesions. Pleomorphic adenoma is a benign tumor of the salivary glands 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]
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Extragingival pyogenic granuloma
Anita Munde, Pranali Wankhede, Jitendra Kalburge, Safia Shoeb, Sunil Sahuji
July-September 2011, 23(5):451-453
The pyogenic granuloma is thought to represent an exuberant tissue response to local irritation or trauma. Clinically, these lesions usually present as single nodule or sessile papule with smooth or lobulated surface. Although it is known to show a striking predilection for the gingiva (75% of all cases), it can be found extragingivally with varying clinical features that sometimes may mimic more serious lesions, such as malignancies. The clinical diagnosis of such an uncommon extragingival pyogenic granuloma can be quite challenging. The purpose of this article is to report an unusual case of extragingival pyogenic granuloma occurring on the dorsal surface of tongue.
[ABSTRACT]   Full text not available  [PDF]
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Ackerman's tumor and field cancerization with emphasis on chemoprevention
Mandeep Kaur, Shalu Rai, Puneet Bhatnagar
July-September 2011, 23(5):474-477
Slaughter et al (1953) coined the term 'field cancerization' for the mucosa of head and neck region undergoing genetic transformation directly proportional to the intensity and duration of carcinogen exposure, making it more susceptible to develop many foci of premalignant lesions and malignant transformation. This increases the overall incidence and variety of oral cancers we encounter in our day-to-day practice. We describe a patient with an exophytic oral lesion diagnosed as verrucous carcinoma, who was already undergoing treatment, regular follow-up and recovering well from speckled leukoplakia. The lesion was completely excised. The patient subsequently developed leukoplakias in the affected field which histopathologically showed mild to moderate dysplasia. This case shows that mucosa was breaking at different points into different premalignant lesions and neoplasm, in spite of patient's abstinence from the habit and regular treatment with meticulous follow-up, chemoprevention is also briefly reviewed. This report highlights two important aspects: (1) Site-specific treatment is not adequate and (2) Regular, close and meticulous follow-up is important for high-risk patients
[ABSTRACT]   Full text not available  [PDF]
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Glanzmann's thrombasthenia: A case report and review
Ajit D Dinkar, Sujata K Satoskar, Amit Gothwal
July-September 2011, 23(5):396-398
Glanzmann's thrombasthenia (GT) is a rare autosomal recessive disorder and characterized by a lack of platelet aggregation due to the absence of platelet glycoprotein (GP) Ilb and Illa. Usually, the disease leads to mild hemorrhage but sometimes bleeding is severe enough to be life-threatening. The site of bleeding in GT is clearly defined: purpura, epistaxis, gingival hemorrhage and menorrhagia are nearly constant features: gastrointestinal bleeding and hematuria are less common. In most cases, bleeding symptoms manifest rapidly after birth, even if GT is occasionally only diagnosed in later life. Diagnosis associates mucocutaneous bleeding with absent platelet aggregation in response to all physiologic stimuli, with normal platelet count and morphology. GT is more common in populations where marriage between blood relatives is common. Here, we present a case report of 24-year-old Indian male suffering from GT. A brief review of the relevant literature is also presented.
[ABSTRACT]   Full text not available  [PDF]
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Idiopathic thrombocytopenic purpura: Overview with report of a case
M Sunitha, R Rajesh
July-September 2011, 23(5):454-457
Idiopathic thrombocytopenic purpura (ITP) is a disorder associated with a decrease in the number of circulating platelets due to abnormal increased platelet destruction attributed to an autoimmune phenomenon. It is a common cause of thrombocytopenia resulting in bleeding complications in children and adults. ITP is a disorder where the patient may present with oral manifestations, like bleeding, petechia, ecchymosis, hematomas and may report initially to the dentist. It is important for the practitioner to evaluate patients with bleeding disorders and subject them to appropriate laboratory investigatory procedures. A knowledge of dental treatment modifications and use of various local hemostatic measures is a must for the general dental practitioner. This article reports a case of thrombocytopenia in an adult male who reported with a complaint of hemorrhagic bullae and spontaneous bleeding in the oral cavity along with an overview of diagnosis, treatment modalities and dental considerations for such patents.
[ABSTRACT]   Full text not available  [PDF]
  477 58 -
Self-inflicted injury: An attempt of autoglossectomy !!!
SV Ravindra, GP Mamatha, BN Padmavathi, JD Sunitha, S Suresh
July-September 2011, 23(5):419-421
Teeth are considered as strongest, functional and unique organs of the body. In some situations, they act as injurious agents especially among the individuals with psychotic state. Oral self-mutilation is generally a diagnostic challenge for practitioners, since the incidence of oral self-mutilation in routine dental setups is uncommon. So, here we report a case of autoglossectomy in a 19-year-old male with behavioral problem.
[ABSTRACT]   Full text not available  [PDF]
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Juvenile aggressive ossifying fibroma: A rare case report
S Manoj Kumar, S Elangovan, S Shanmugam, S Srividhya
July-September 2011, 23(5):445-447
Juvenile ossifying fibroma considered as a variant of ossifying fibroma by some authors is rare. Its aggressive behavior necessitates early detection and proper surgical management. It may mimic different pathologic entities of jaw at different stages. A case report of juvenile aggressive ossifying fibroma in a 12-year-old girl which was diagnosed, investigated and treated successfully is presented here.
[ABSTRACT]   Full text not available  [PDF]
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An unusual case of a cheek abscess in a patient with oral submucous fibrosis
Sushma Pandey Dhakal, Keerthilatha M Pai, Ajay G Nayak, Ravidranath Vineetha
July-September 2011, 23(5):399-400
Abscess formation in the soft tissues of the face is not an uncommonly encountered phenomenon in dental practice. However, the presence of oral mucosal pathologies can alter the manifestation of abscess formation. We report the illustration of a 51-year-old man, a known case of oral submucous fibrosis, who presented to us with a buccal abscess. After drainage of the abscess 2 days later, a piece of meat-bone was retrieved and found to be the causative factor. The paper discusses briefly the effects of such foreign body impaction and the clinician's role in the management.
[ABSTRACT]   Full text not available  [PDF]
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Accidental identification of thrombocytopenia
Ashok Vikey, P Wanjari, P Lambade, S Wanjari, Jitu Sachdeo
July-September 2011, 23(5):422-424
Among all bleeding disorders, the idiopathic thrombocytopenia is uncommon disorder. The main aspect is drop in platelet count. The associated symptoms are bruising with minor trauma, ecchymosis, hemorrhagic areas and hematomas, which correlate with count of platelets. There are so many factors which contribute to its development and they are preceded to the signs and symptoms. In this case, there is no such a contributing part which will help to reach the diagnosis, where a 65-year-old woman with average height and built reported in our dental office with intraoral bleeding since past 5 hours- There is no significant history except drug- After managing the oozing of blood, we referred the patient for blood investigations that revealed the idiopathic thrombocytopenia. This can be fatal, if attention is not paid within time. Hence, during clinical examination, each case is special and one should have the basic knowledge of systemic diseases.
[ABSTRACT]   Full text not available  [PDF]
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Juvenile nasopharyngeal angiofibroma
M Manjunath, TA Deepak, KC Mayank
July-September 2011, 23(5):408-411
Juvenile nasopharyngeal angiofibroma (JNA) is a relatively uncommon neoplasm occurring almost exclusively in the nasopharynx of adolescent males) Occasional cases have extended to involve the oral cavity.' JNA is a histologically benign yet locally aggressive vascular head and neck tumor which affects almost exclusively adolescent boys. JNA is an uncommon tumor, with reported incidence between one in 5000 and one in 60.000 otolaryngology patients. It is estimated to account for only 0.05% of all head and neck neoplasms, but is nevertheless considered the most common benign neoplasm of the nasopharynx. The diagnosis of JNA is based on history, physical examination and radiographic studies. JNA has several characteristic radiographic features. A case of juvenile nasopharyngeal angiofibroma with intracranial involvement in a 15-year-old boy, its clinical and radiological presentations are reported in this article.
[ABSTRACT]   Full text not available  [PDF]
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Oligodontia: Case report and review of literature
Roshan Chandwani, Prashant Suvarna
July-September 2011, 23(5):485-486
Congenital absence of primary teeth is relatively rare. The prevalence, possible etiological factors and management of multiple missing primary teeth was briefly reviewed. This paper reports a rare case of multiple missing teeth in a 9-year-old female child.
[ABSTRACT]   Full text not available  [PDF]
  434 73 -
Oral malignant melanoma: A rare case report and review
Mangala Rakaraddi, Anupama A Sattigeri
July-September 2011, 23(5):458-461
Primary malignant melanoma is only rarely found in oral cavity (estimated between 0.2 and 8-0% of all melanomas) and occurs approximately four times more frequently in oral mucosa of the upper jaw, usually on the palate, alveolar gingiva and melanoma of mandibular gingiva is extremely rare. The peak age of diagnosis of melanoma is between 55 and 65 years. A biopsy is required to confirm the diagnosis. Here, we present a rare case of malignant melanoma of mandibular gingiva in a 64-year-old female patient which is confirmed by histopathology.
[ABSTRACT]   Full text not available  [PDF]
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Diagnosis and management of drug-induced stevens-johnson syndrome: Report of two cases
M Venkateshwarlu, B Radhika
July-September 2011, 23(5):429-433
Erythema multiforme (EM) is a typically mild, self-limiting and recurring mucocutaneous reaction characterized by target or iris lesions of the skin and mucous membranes. It is most often a recurring phenomenon with great variability in the interval between episodes. It is much more common in persons under 40 years of age. In contrast, Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are less common and more severe conditions that typically occur in adults. SJS and TEN are severe variants of EM usually caused by a drug exposure. We report two cases of Stevens-Johnsons syndrome following drug intake. There is an increased incidence of SJS and TEN in the HIV-infected population. 1 Herewith, we report two cases of Stevens-Johnson syndrome in one patient following drug intake and other in a HIV-infected patient.
[ABSTRACT]   Full text not available  [PDF]
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