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All Journal Indian Journal of Forensic Medicine & Toxicology
Sanjay CJ
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Lipoid Proteinosis - A Rarity in An Adult Karthikeya Patil; Sanjay CJ; Mahima V Guledgud; Prasannasrinivas Deshpande; Aishwarya R; Nagabhushana Doggalli
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.v15i2.14952

Abstract

Background: Lipoid proteinosis is a rare genodermatosis with autosomal recessive inheritance. It isa multisystem disorder characterized by progressive deposition of hyaline material in the skin, mucousmembrane and different organs of the body. The disease is presented by dermatological, laryngeal,ophthalmological, and neurological manifestations. Involvement of oral mucosa may lead to xerostomia anddysphagia; involvement of larynx and eyes results in hoarseness of voice at early infancy and moniliformblepharosis. Extracutaneous involvement includes neurological manifestations like psychosis, partialcomplex seizures, anger, panic attacks, and progressive amnesia. Till date around 300 cases have beenreported in literature.Case Report: A 63 years old male patient reported with chief complaints of pain in the right and left cheekregion, difficulty in swallowing food and dryness of mouth.Conclusion: Lipoid Proteinosis requires multidisciplinary opinion and evaluation by dermatologists,ophthalmologists, otolaryngologists, neurologists and psychiatrist. Clinical features and histopathologicalevaluation aids in the confirmation of the disease. Lipoid proteinosis should be considered one among thedifferential diagnosis when patient reports with difficulty in mouth opening, enlarged tongue, difficult inchewing and swallowing.
Age Estimation Using the Radiographic Visibility of the Periodontal Ligament in Mandibular Third Molars in Mysore Population- A Retrospective Study Karthikeya Patil; Mahima VG; Poornima Chandran; Bharathi Penumatsa; Nagabhushana Doggalli; Sanjay CJ
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.v15i3.15316

Abstract

Objectives: This study was conducted to assess the reliability of age estimation using the radiographic visibility of periodontal ligament surrounding the roots of completely erupted mandibular 3rd molar.Materials and methods:Visibility ofperiodontal ligament was assessed in completely erupted mandibular third molars, in a sample of 135 panoramic radiographs, of which 55 belonging to females and 80 to males, from a Mysore population aged 18to 32 years. A classification of four stages based on the visual phenomenon of disappearance of the periodontal ligament of fully mineralized third molars was used. For each stage, mean, standard deviation, minimal & maximal age were assessed.Results:The relationship between age and stage of periodontal ligament had a statistical significance for both sexes.In this population, stage 1 can be used for predictability of age above 19 years and stage 3 for predictability of age above 23 years. No significant correlation exists between periodontal ligament visibility and gender of the individual.Conclusion:Thistechnique is advocated for determining age above 19 years as it is a relatively simple and reliable method. Differences exist in different ethnicities demanding specific population standards.
Age Estimation of Adults Using Permanent Mandibular First Molars on Digital Panoramic Radiographs Meghana Maruthi; Karthikeya Patil; Mahima VG; Nagabhushana Doggalli; Sanjay CJ; Mahesh KP
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.v15i3.15868

Abstract

Background: Morphometric analysis of teeth on radiographs for age estimation are considered to be simple, reliable and non-invasive. The aim of this study was to analyse the efficacy of tooth coronal index (TCI) to estimate age in Indian population and to assess the influence of diet and masticatory habit on TCI. The study comprised of 160 subjects in the age range of 21-71 years, categorized into groups based on chronological age, gender, diet and masticatory habit. Coronal Height (CH) and Coronal Pulp Cavity Height (CPCH) of permanent mandibular first molars was measured on digital panoramic radiographs using Planmeca Romexis software measurement tools. TCI was calculated using the formula: TCI= (CPCH ×100)/CH. Statistical analysis was performed, ANOVA and Pearson correlation was applied along with regression analysis to obtain an estimated age using TCI. Results: A negative correlation was obtained between the chronological age and TCI. Three-way ANOVA exhibited a significant difference in TCI within the age groups and dietary groups (p value = <0.05). There was no significant difference within the sexes, sides and masticatory groups. The most precise estimated age using the regression formula was in individuals between 31 – 40 years with an error of +/- 5 years in 55% of females, 65% of males. Conclusions: This study suggests that although TCI is a good predictor of age, it is most suitable to determine age of individuals between 31-40 years with the least error in estimation. This study also throws a light on the influence of diet on TCI.
Co-Authors Aishwarya R Bharathi Penumatsa Karthikeya Patil Mahesh KP Mahima V Guledgud Mahima VG Meghana Maruthi Nagabhushana Doggalli Poornima Chandran Prasannasrinivas Deshpande