[Show abstract][Hide abstract] ABSTRACT: The objective of this study was to evaluate the prevalence of different Oral Mucosal diseases in Anxiety and Depression patients.
A hospital based observational Study was conducted in the department of Psychiatry and department of Oral Medicine and Radiology. Patients who were diagnosed with Anxiety or Depression by the psychiatrists using Hamilton Anxiety and Depression scale were subjected to complete oral examination to check for oral diseases like Oral Lichen Planus (OLP), Recurrent Aphthous Stomatitis (RAS), and Burning Mouth Syndrome (BMS). Equal number of control group subjects were also included.
In this study statistically significant increase in the oral diseases in patients with anxiety and depression than the control group was recorded. Oral diseases were significantly higher in anxiety patients (20.86%) than in depression (9.04%) and control group patients (5.17%). In anxiety patients, the prevalence of RAS was 12%, OLP was 5.7%, and BMS was 2.87%. In depression patients, the prevalence of RAS was 4.02%, OLP was 2.01% and BMS was 3.01%. In control group the prevalence was 2.2%, 1.33% and 1.62% in RAS, OLP and BMS respectively. RAS and OLP were significantly higher in the younger age group (18-49) and BMS was seen between the age group of 50-77 years in both study and control groups.
The results of the present study showed a positive association between psychological alterations and changes in the oral mucosa, particularly conditions like OLP, RAS and BMS. Thus psychogenic factors like anxiety and depression may act as a risk factor that could influence the initiation and development of oral mucosal diseases. Hence psychological management should be taken into consideration when treating patients with these oral diseases. Key words:Lichen planus, anxiety, depression, burning mouth syndrome, recurrent aphthous stomatitis.
Journal of Clinical and Experimental Dentistry 02/2015; 7(1):95-9. DOI:10.4317/jced.51764
[Show abstract][Hide abstract] ABSTRACT: The use of transcutaneous electrical nerve stimulation (TENS) in dentistry was first described in 1967, by Shane and Kessler, but it has yet to gain widespread acceptance in dentistry. A study was undertaken to evaluate the effectiveness of TENS therapy as an adjuvant modality and to compare it with the conventional medication in controlling pain in temporomandibular disorder (TMD) patients.
The study was carried out in the Department of Oral Medicine and Radiology, Yenepoya Dental College and Hospital, Mangalore. A total of 40 patients with the clinical symptom of pain associated with TMDs were randomly divided into two groups. Group A (control) patients were treated with medication (analgesics and muscle relaxants) alone, while group B patients were treated with TENS therapy in combination with medication. The intensity of the pain was assessed using the Visual Analog Scale (VAS). The results were analyzed with the student's 't' test. A P-value < 0.05 was considered as significant.
A significant improvement was observed in both the TENS and the control group in terms of pain control. On comparative analysis, adjuvant TENS therapy was found to be more effective than medication alone, in controlling pain. (P value = 0.019).
The observed data suggest that TENS therapy can be used as an adjuvant modality in the management of pain associated with TMDs. This study justifies the use of TENS therapy in the management of TMD.
[Show abstract][Hide abstract] ABSTRACT: Papillon-Lefevre Syndrome (PLS) is a rare autosomal recessive genodermatosis characterized by palmar-plantar hyperkeratosis, and destructive periodontitis. It is transmitted with an estimated frequency of one to four per million individuals. The two hallmarks of the syndrome, dermatological lesions and destructive periodontitis, are known to occur as an independent diseases. We present a unique case of Papillon-Lefevre syndrome in a 28 years old woman with its pathognomonic dermatological features without oral features.
Journal of the College of Physicians and Surgeons--Pakistan: JCPSP 11/2014; 24(11):S230-S232. · 0.35 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Intramuscular cavernous hemagiomas represent less than 1% of all hemangiomas and consist of benign proliferations of blood vessels. Typical presentation is an enlarging painful soft-tissue mass without cutaneous changes. We report a case of cavernous hemangioma of the buccinator muscle presenting as an asymptomatic unilateral swelling. The rarity of a cavernous hemangioma in such a location and its presentation as a unilateral swelling without cutaneous changes made the case unique. In addition we highlight the MRI features that guided us to arrive at a diagnosis.
[Show abstract][Hide abstract] ABSTRACT: Epidermolysis bullosa (EB) is an inherited disorder, which is characteristically presented as skin blisters developing in response to minor injury. Junctional variety of EB is also associated with enamel hypoplasia. Amelogenesis imperfecta presents with abnormal formation of the enamel both in deciduous and permanent dentition. This article describes a previously unreported case of Amelogenesis imperfecta with complete loss of enamel in a young female patient with EB.
[Show abstract][Hide abstract] ABSTRACT: Ameloblastic carcinoma is a rare aggressive odontogenic tumour that exhibits malignant histologic features in the primary site or in metastasis. This rare tumour needs immediate attention because of its aggressive and infiltrative nature. However, there are controversies regarding the definitive treatment because of the very few cases in the literature database. Here, we report a case of a 64-year-old male Asian patient who presented with a non-tender exophytic proliferative mass of 3 months duration. It was finally diagnosed as ameloblastic carcinoma and promptly treated surgically with a regular follow-up. Local long-term control and follow-up is imperative in such patient laying emphasis on potential pulmonary metastasis.
[Show abstract][Hide abstract] ABSTRACT: Background and objectives:
Oral submucous fibrosis (OSF) is a chronic condition of the oral cavity which results in permanent disability. A number of studies have proven that the management of premalignant diseases should include antioxidants. Therefore, a study was carried out to evaluate the efficacy of spirulina as an antioxidant adjuvant to corticosteroid injections in the management of 40 oral submucous fibrosis subjects of south Karnataka and north Kerala.
Materials and methods:
An intervention study was conducted on 40 oral submucous fibrosis cases, 40 patients were divided into two groups, group A (spirulina group) and group B (placebo group). Group A received spirulina 500 mg twice daily and biweekly intralesional steroid injection of Betamethasone 4 mg/ml for 3 months and group B was given placebo capsules twice daily and biweekly intralesional steroid injection of Betamethasone 4 mg/ml for 3 months. The results were analyzed with the paired "t" test and the unpaired "t" test.
Clinical improvements in mouth opening was significant in the posttreatment period in both Spirulina and placebo groups. Both the groups showed statistically significant reduction in burning sensation. However, when both groups were compared, mouth opening and burning sensation was found to be statistically very highly significant in favor of the spirulina group.
Spirulina can bring about clinical improvements in OSF patients. The observed effects suggest that spirulina can be used as an adjuvant therapy in the initial management of OSF patients. However, studies involving larger samples and longer period of treatment follow up are suggested in the future.
Indian journal of dental research: official publication of Indian Society for Dental Research 05/2013; 24(3):347-50. DOI:10.4103/0970-9290.118001
[Show abstract][Hide abstract] ABSTRACT: The present review article aims at discussing the various trends evolved in forensic dentistry, particularly referring with the usage of radiographs. Since the radiographs are the quick, easy, simple, economical and non-destructive method of obtaining information about age, sex, race of the victim, it is an indispensable aid in identification. With the advancement of newer technologies, more accurate information is obtained for identification as well as in the facial reconstruction of the unknown deceased person. This article gives an overview of different radiographic methodology and characteristics for identification in oral and craniofacial region. To obtain the most reliable outcome in identification it is necessary that one applies most of these techniques repetitively with appropriate knowledge.
Journal of Forensic Radiology and Imaging 04/2013; 1(2):56–62. DOI:10.1016/j.jofri.2012.12.001