[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.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP. 09/2013; 23(9):670-2.
[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.
[show abstract][hide abstract] ABSTRACT: Radicular cyst is the most common odontogenic cyst occurring in the jaws. The cyst is commonly found in relation to the maxillary anterior teeth in the third and fifth decade of life. Although multiple radicular cysts are not uncommon in the jaws, bilaterally symmetrical representation of these cysts is rare. Radiographs prior to extraction help in diagnosis of these cysts and thereby prevent further morbidities. We report a case of 16-year-old male patient who presented bilateral radicular cysts symmetrically in the mandible.
Imaging science in dentistry. 06/2012; 42(2):105-9.
[show abstract][hide abstract] ABSTRACT: To investigate the prevalence of the talon cusps in a sample of Indian dental patients and their distribution among different types of teeth. To determine the presence of other dental anomalies associated with the talon cusps.
2740 out patients (1523 males and 1217 females) attending Oral Medicine department from November 2010 to January 2011 were screened for the presence of talon cusps and were subjected to Intra Oral Peri-apical (IOPA) radiograph to rule out any associated anomalies or peri-apical changes.
Talon cusps were detected in 16 out of 2740 patients (person prevalence 0.58%). Thirty one teeth were found to have talon cusp. Maxillary lateral incisors were the most commonly affected teeth (54.8%, 17 teeth), followed by maxillary central incisors and canines (16.12%, 5 teeth).Talon cusp was found in two mandibular central incisors (6.45%) and one each in mandibular second and third molar (3.22% each). Seventeen teeth in 7 patients (54.83%) were found to be associated with anomalies like dens invagination (6 teeth, 19.35%), impacted 13, 23 (6 teeth, 19.35%), partial anodontia (3 teeth, 9.67%), geographic and fissured tongue (2 teeth, 6.45%). Peri-apical granuloma was found in one tooth with talon cusp associated with dens invaginatus. None of the patients were found to be associated with any syndromes.
Attention should be paid to the presence of the talon cusp and the associated anomalies. Early diagnosis of the talon cusp can help the clinician in preventing the further complications. Key words:Orthopantomography, atheroma, stroke.
Journal of clinical and experimental dentistry. 02/2012; 4(1):e23-7.
[show abstract][hide abstract] ABSTRACT: Talon cusp is a dental anomaly also known as an eagle's talon. It is an extra cusp on an anterior tooth which arises as a result of evagination on the surface of a crown before calcification has occurred. The exact etiology is unknown. The inci-dence of talon cusp is less than 6%. Commonly involved teeth are maxillary incisors, usually unilateral but in some instanc-es bilateral. The classical radiographical feature of talon cusp is double teeth appearance. The anomaly has been reported to be unusual in the mandibular dentition. This article reports an unusual case of talon cusp of permanent mandibular central incisors.
Journal of Dental Research, Dental Clinics, Dental Prospects 01/2011; 5(1):37-9.
[show abstract][hide abstract] ABSTRACT: One of the important factors in the pretreatment evaluation of patients with squamous cell carcinoma is the detection of the presence and extent of bone invasion by the tumor, which is significant for planning the therapy and determining the prognosis. Therefore, a study was undertaken with an objective to compare the accuracy and predictability of an Orthopantamograph (OPG), conventional Computed Tomography (CT), and Single Positron Emission Computed Tomography (SPECT) in the detection of bone invasion in squamous cell carcinoma patients scheduled to undergo surgery.
A descriptive study was carried out on 15 patients with clinically and histopathologically diagnosed squamous cell carcinoma. OPG, conventional CT, and SPECT were carried out on all patients. Subsequently, the bone adjacent to the tumor was assessed histopathologically and served as a gold standard. The various imaging modalities were compared with the gold standard.
The study revealed that the tumor infiltration into the bone was positive in eight out of fifteen cases and seven were negative for bone invasion. OPG and conventional CT showed the presence of bone invasion in six out of eight cases with a sensitivity of 75% and a specificity of 100%. The positive predictive value for OPG was 100% and the negative predictive value was 78%. SPECT showed the presence of bone invasion in eight out of eight cases with a sensitivity of 100% and a specificity of 14.3%. The positive predictive value for SPECT was 57% and the negative predictive value was 100%.
The present study showed that SPECT was highly sensitive, but with a very low specificity due to an increase in false positive values. However, OPG and conventional CT showed an acceptable degree of sensitivity and specificity.
Journal of cancer research and therapeutics 01/2011; 7(4):438-41. · 0.83 Impact Factor
[show abstract][hide abstract] ABSTRACT: Dens evaginatus (DE) and dens invaginatus (DI) are developmental anomalies that affect the shape of the teeth. Although they
have been found singly and in association with other developmental anomalies in the same patient, it is uncommon to observe
these two anomalies in the same tooth. There are only a few published cases of concurrent DI and DE in the same tooth. The
patient in the case reported here was a 27-year-old man who exhibited a novel combination of DE and DI in permanent maxillary
incisors. Early diagnosis of this anomaly is necessary. The clinician then can take particular care when performing prophylactic
odontoplasty for the DE, keeping in mind that the associated DI presents an increased risk of early pulpal involvement. This
article focuses on the management aspects of DE and DI.
[show abstract][hide abstract] ABSTRACT: Schwannoma, a benign nerve sheath tumor is relatively rare in occurrence and even rarer in sites, such as jaw bones. There are only 45 reported cases of intraosseous schwannoma of the jaws reported in the literature. We report a rare case of mandibular schwannoma in a 50-year-old Indian male. The clinical features resembled that of a residual cyst, fibro-osseous lesion or an odontogenic tumor/cyst. Radiological differential diagnoses of ameloblastoma or odontogenic keratocyst was made based on the findings of the orthopantomogram. The lesion was examined histopathologically and a final diagnosis of schwannoma arising from the inferior alveolar nerve was made. The aim of this report is to add information to the existing sparse literature on intraosseous schwannomas of the jaw.
Journal of neurosciences in rural practice. 01/2011; 2(1):65-7.
[show abstract][hide abstract] ABSTRACT: Non-steroidal anti-inflammatory drugs are commonly prescribed in dental practice after minor oral surgical procedures such as tooth extraction. Diclofenac sodium is one of the non-steroidal anti-inflammatory drugs widely used for pain relief in dentistry. Although adverse reactions to these drugs are rare, at times they can cause a life-threatening phenomenon. Stevens-Johnson syndrome is one such potentially lethal adverse drug reaction. Most reported cases of analgesic-induced Stevens-Johnson syndrome were due to oxicams or propionic acid derivatives. There are very few detailed reports of Stevens-Johnson syndrome due to use of diclofenac. We report here a case of Stevens-Johnson syndrome which occurred due to use of diclofenac sodium. The clinical features of this condition and multidisciplinary management of the patient are described in brief.
[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. Results: 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. Conclusion: 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 24(3):347-50.
[show abstract][hide abstract] ABSTRACT: Background: In human beings the loss of bone mass with increasing age is a universally observed phenomenon. Human bones decrease in density & increase in porosity beginning at about the third decade of life. Various techniques have been used to assess the bone mass. Panoramic mandibular index is one of the radiomorphometric indexes which are based on the linear measurements of cortical bone. Therefore a study was undertaken to evaluate the adult cortical bone mass using Panoramic Mandibular Index (PMI) and to identify the normal ranges and to investigate their relationship with age, and gender. Methods: A radiological study was conducted on 100 healthy individuals aged 30 - 60 years, with each of 50 males and females. Panoramic radiographs of 100 individuals was obtained and the bone mass was measured using panoramic mandibular index (PMI). Results: The mean PMI of the selected population was 0.275 (range 0.185 - 0.476). The mean PMI of males and females was 0.276& 0.274 respectively. Males of age group 30 - 40 years, 40 - 50 years and 50 - 60 years showed mean PMI of 0.285, 0.277 and 0.267 respectively. Similarly in females of age group 30 - 40 years, 40 - 50 years and 50 - 60 years, the mean PMI was 0.271, 0.286, and 0.265 respectively. Conclusion: This study revealed that with the advancing age the bone mass decreased. The bone mass of both the genders was almost equal and the bone mass after menopause decreased.