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All Journal Indian Journal of Forensic Medicine & Toxicology
Prabhu Manickam Natarajan
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Evaluation of Halitosis and Sialometry in Emirati Diabetic Patients before and after Periodontal Treatment Hossam Abdelatty Eid Abdelmagyd; Prabhu Manickam Natarajan; Walid Shaaban Moustafa Elsayed
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14363

Abstract

Halitosis is an important social complaint which affects both healthy and periodontally diseased individuals.Oral malodor is mainly caused by a microbial degradation of both sulfur-containing and nonsulfur-containingamino acids into volatile, bad-smelling gases. Anaerobic gram-negative bacteria, the same species that havebeen linked to periodontal diseases, are especially involved in this process, explaining the link between oralmalodor with periodontitis. The following study was done to investigate the parameters of halitosis andsialometry of Emirati diabetic patients in correlation with oral concentration of volatile sulfur compounds(VSC), salivary flow rate before and after non-surgical periodontal treatment (scaling & root planning) forpatients having moderate Generalized and/localized chronic periodontitis.Subjects and Methods: Eighty-one (81) Emirati subjects volunteers were recruited from the dental hospital,with average age 38-49 years. They have been divided into in three groups: Group I (negative control),Group II, and Group III and Group IIIa. Halitosis measurements for all volunteers had been recorded usingGas Chromatography. For group III samples were collected before periodontal treatment, and subsequentlyat two- & four-weeks following start of non-surgical periodontal treatment (Scaling & root planning).Results: There were 54 patients participated in this study. Of the 54, 27 were control and the remainingwere controlled DM. The mean and SD of all variables before and after the intervention showed that thevalues of all variables reducing after the intervention. All the difference observed was statistically significant(P<0.001). This study observed that the mean value of unstimulated salivary flow rate and stimulated salivaryflow rate was less in the controlled DM group compared to control group, but for probing picker depth, CALand average bone loss was more in controlled DM group compared to control group.Conclusion: Based on the findings, it can be stated that diabetes is a major risk factor for periodontitis, andthe risk of periodontal disease increases if glycemic control is poor; it was also proved beyond doubt thatpeople with poorly controlled diabetes are at an increased risk of periodontal disease and loss of alveolarbone. Controlling diabetes by successfully improving glycemic control will reduce the risk and severity ofperiodontal diseases.
The Association between Teeth Loss and Oral Health Problems Aesa Alzaroug Jaber; Alshame M.J.Alshame; Khaled Owidat Abdalla; Prabhu Manickam Natarajan
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14608

Abstract

Background: The teeth play various functional roles, from the most basic functions to more subtle functions.One of the most tragic events that can happen to the teeth are loss it, as a result trauma or dental diseases.Tooth loss has esthetic, functional, positional and psychological impacts on the life of individuals.Objectives: To investigate the association between tooth loss and oral health problems among partiallyand completely edentulous patients. Method: (Questionnaire and Clinical Examination). Self-administeredquestionnaire was distributed to the patients to collect information relating to demography and cause oftooth loss, in addition to mastication and speech state after tooth loss. Four clinical conditions includingsupra-eruption, drifting teeth, temporomandibular disorders and bone resorption were used to recognize theeffects of missing teeth. Patients seeking dental treatment at General Hospital, Morzuk, Libya were recruitedfor the study. Criteria included age of 16 years and above with one or more missing teeth except for thirdmolars. Results: altogether 58 participants, 31 (53.4 %) were males while 27 (46.6%) were females. Theparticipants were aged 16–>45 years, among them, 44 patients (75.9%) are partially edentulous, and 14patients (24.1%) were completely edentulous. The patients with complete teeth loss and the patients withmissing both the anterior and posterior teeth are most groups suffer problems among patients who involvedin the study. patients who loss posterior teeth are the lowest group had, suffer of health problems due to lossof teeth among all of them.The general relationship between tooth loss and the oral health problems was positive and strong. Conclusions:there are statistically significant relationship between tooth loss and oral health problems, where the strongvalue of this relationship (0.614) and significance within less than (0.05).
A Case of Multiple Mandibular Molar Extractions for a Hemophilia a Patient Aesa Alzaroug Jaber; Alshame M. J. Alshame; Prabhu Manickam Natarajan; Asok Mathew
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15436

Abstract

Hemophilia A is a genetic coagulation disorder associated with a deficiency of clotting factor VIII. It can be inherited or acquired and have different levels of severity. The present case report describes a Libyan male patient with Factor VIII deficiency who underwent multiple remaining roots extraction.The patient was a 26-year-old Libyan male with history of hemophilia A of mild type. The patient underwent blood tests and imaging to assess the severity of hemophilia and the condition of the surgical area. The blood examination revealed normal Bilirubin level (0.6), low levels of, RBC (4.55), HGB (10.9), PT (17.7) and slight changes in platelet count and Factor VIII level. The treatment plan for the day of surgery was accordingly, the patient was administered Factor VIII 24 hours before the day of surgery. The patient underwent the multiple roots extraction of lower left first and second molar under local anesthesia using 2% Lidocaine with 1:80, 000 Adrenaline. The Injection technique was regional nerve block (inferior alveolar, Lingual, and long buccal nerve block).After extraction, direct pressure on the area using a damp gauze swab, maintained for at least 30 min, a hemostat and multiple thread suture were applied. One hour after surgical removal of the roots again the patient administered Factor VIII.There was no subsequent bleeding or complications at follow-up in the first three days. In the fourth day there was moderate bleeding at the extraction sockets continued for a day. At fifth day the patient was admitted at the Sebha Medical Centre. The bleeding stopped after 24 hours. Treatment plan in the Medical Centre was administration of factor FVIII, tranexamic acid 500 mg three times a day and vitamin K once a day. All injections were given intravenously. Then the patient discharged from the Centre in the sixth day after bleeding controlled. The wound had healed completely without abnormalities.
Co-Authors Aesa Alzaroug Jaber Alshame M. J. Alshame Alshame M.J.Alshame Asok Mathew Hossam Abdelatty Eid Abdelmagyd Khaled Owidat Abdalla Walid Shaaban Moustafa Elsayed