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INDONESIA
Indian Journal of Forensic Medicine & Toxicology
Published by Official Organ of Indian Association of Medico-Legal Expert
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Public Health
Arjuna Subject : Kedokteran - Epidemilogi
Articles 5,497 Documents
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A Comparative Retrospective Analysis on Choice of Taper and Preparation Sizes among the Postgraduate Students in Mandibular Molars with and without Periapical Pathosis Immadi Laxmi Sujith Kumar1 , Pradeep S2 , Deepak Selvam3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12379

Abstract

Preparation of the root canal system is recognised as being one of the most important stages in root canaltreatment. Cleaning and shaping is the crucial phase that eliminates infection. It involves removal of vitaland necrotic tissues from the root canal system along with root dentin. The aim of the present study isretrospective analysis on choice of taper and proportion sizes among the postgraduate students in mandibularmolar with and without periapical pathosis. It is a single centred retrospective study, data was collected afterreviewing 86000 records of the patients between June 2019 and March 2020.Tapers used in the preparationof the root canal system for mandibular molars have been assessed. In this study we observed that significantassociation between taper of preparation and periapical pathosis (p<0.05). Within the limitations of thestudy, 6% taper has been used for the teeth with periapical pathosis. 4% and 6% taper has been used in teethwithout periapical pathosis.
Atraumatic Restorative Treatment for Managing Dental Caries - A Review Yazhlini P1, Anjaneyulu K2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12381

Abstract

The study aims to create awareness about the newly developing atraumatic treatment and its benefits.Atraumatic restorative treatment is an alternative treatment that is used for the removal of caries usinghand instruments only, so therefore no electricity or anaesthesia is required and the pain experienced isminimum. This technique is very useful for children, elderly, special needs patients and patients who feelfear and anxiety about dental treatment as in atraumatic restorative treatment that is more conservation oftooth structure, minimise in trauma and so there is reduced amount of pain due to small cavity preparations.Atraumatic restorative treatment is less painful and is more patient-friendly than that of conventional cariestreatment. The fundamental instruments for ART are mouth mirror, explorer, pair of tweezers, dental hatchet,small and medium-size excavator, spatula, amalgam carrier/applier. ART uses only hand instruments foropening/enlarging the cavity and for removing carious tissue. The amount of carious tissue that should beremoved depends mainly on the cavity depth. In cavities of shallow and medium depth, carious tissue isremoved up to firm dentine. In deep/very deep cavities, in which there is no sign of pulp exposure, pulpinflammation and/or history of spontaneous pain, some soft dentine can be left in the pulpal floor/wall toavoid pulp exposure. This method of treatment is more useful for people in underexposed areas where theyare also able to maintain good oral health.
Correlation of Dental Fluorosis with Dental Caries among Adult Population Attending A Private Dental College in Chennai Manali Deb Barma1 , L Leelavathi, Jayashri Prabakar3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12382

Abstract

Fluoride is known as a double edged sword, for both its anticariogenic activity and dental fluorosis inexcessive exposure. Results on whether dental caries and dental fluorosis are positively correlated ornegatively correlated vary among different researches, thus making it an unsolved area. Hence this studyaims to correlate dental fluorosis to dental caries among the adult population attending a private dentalcollege in Chennai.The study includes 258 participants aged 18 years and above, with dental fluorosis.Recorded data was retrieved from patient records in Saveetha Dental College. Record details related to thenumber of carious lesions present was analysed and Dean’s Fluorosis Index (1942) was used to assess theseverity of fluorosis among the study population. Descriptive statistics and Pearson correlation were used toanalyze the data. Among the participants, 36.4% had carious lesions ranging between 2-3, followed by 27%having more than 4 carious lesions. Mild form of fluorosis was seen among 34.8% of the study population,9.3% experienced a severe form of fluorosis. Weak correlation between dental caries and dental fluorosis wasfound at r = 0.03. For the study population, weak correlation between dental fluorosis and dental caries werefound, though prevalence of fluorosis was high among the participants. Given the prevalence of fluorosis,defluoridation of water should be considered as a priority.
Preference of Self Etch Vs Total Etch among Dental Practitioners in India- A Survey V. T. Thamarai Selvi1 , Jayalakshmi2 , M.P. Brundha3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12383

Abstract

Buonocore introduced Adhesion into dentistry 1955. According to the preference of the practitioners,each generation of adhesive was replaced by the next generation which overcame the disadvantages ofthe previous generation. Now, the adhesive which is in use are Self Etch, Total etch Adhesives and Resinmodified approach as it has unique properties of self adherence to the tooth. The concept of total etching oretch and rinse technique was given way back in the early 1980s by Fusayama. With this background, theaim of the present study is to survey the preference of Self etch VS Total etch among dental practitioners.A Cross-sectional survey was conducted among the dental practitioners about their preference for self-etchand total-etch adhesive. The data was collected and statistically analysed using the SPSS software version23. Descriptive statistical analysis was carried out and the chi-square test was used and the p-value wascalculated, with a p-value less than 0.05 to be statistically significant. The present survey included 209dental practitioners of different categories with a clinical experience of at least 3 months, 32.69 % of thepractitioners had clinical experience of 10 years and more than that. 71.15 % of the practitioners preferred theusage of Total Etch and remaining 28.85 % preferred the usage of self etch. According to the Practitioners,68.75 % considered the total etching technique as the best technique and 31.25 % considered self etch as thebeat technique. From this survey, it is seen that the majority of the practitioners preferred using total-etchcompared to self etch. Despite having its disadvantage it is preferred by the practitioners.
Association of Systemic Diseases with Periodontitis among Patients Attending A Private Dental College in Chennai - A Record based Study Lalitha Rani Chellappa1 , L.Leelavathi2 ,
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12384

Abstract

Oral cavity works as a continuous space of infectious agents and its condition reflects in progression ofsystemic diseases. Recent studies state that periodontal disease may be a potential marker to systemicdiseases. Aim of the study was to determine the association of periodontitis and systemic disease amongpatients attending a private dental college. Russell’s periodontal index was used to measure the periodontaldisease.This study included all periodontal index patient records from 18- 80 years old who visited thedental college in the month of January 2020 and a total of 136 records were reviewed. Descriptive statisticsand chi square tests were used for statistical analysis. In the sample population (N= 136), 64.71% males and35.29 % females were present. Age distribution of the records showed that 16.91 % of the study populationwere 18-35 years old; 36.03% were 36-50 years and 47.06% were 51-80 years. It was found that 0.74% ofthe study population had normal gingiva; 8.09% had simple gingivitis; 23.53 % had beginning destructiveperiodontitis; 53.68% had established destructive periodontitis and 13.97 % had terminal periodontaldisease. Results revealed that 35.56 % of the study population reported to have systemic disease. Significantassociation was found between age and periodontal disease; age and systemic disease (p<0.05). Results ofthe present study showed that there was no significant association between periodontal status and systemicdisease condition of the study population (X2 = 5.826a;; p>0.05)
Comparative Analysis of Different Sizes of Prefabricated Metal Posts Placed in Relation to Premolars- A Retrospective Analysis Keerthana T1 , Mahalakshmi. J2 , Deepak. S3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12385

Abstract

Endodontically treated teeth which have extensive structural defects due to caries, access cavitypreparation require post and core management for retention purpose.The clinical decision as to whetheran endodontically treated tooth requires a post and a crown poses a challenge to dental practitioners.Thisstudy aims at comparing different sizes of prefabricated metal posts in relation to endodontically treatedpremolars.This retrospective clinical study evaluated the patients who received prefabricated metal postsin endodontically treated premolars in Saveetha dental college, Chennai from June 2019 to March 2020.Over 373 patients records of prefabricated metal posts, 157 cases were selected based on the inclusion andexclusion criteria.The collected data was imported to excel sheet , analysed using SPSS software.Resultsshowed that the Group B (post size-2)(diameter of 0.85mm) reported greater preferences than other groupsin relation to prefabricated metal posts in endodontically treated premolars.The comparative analysis inrelation to endodontically treated premolars with prefabricated metal posts showed post size of 2(diameterof 0.85mm) showed greater preferences than other groups.
Role of MMPS in Periodontal Diseases Sachin Aditya B1 , K. R. Don2 , V. Vishnu Priya3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12386

Abstract

Matrix metalloproteinases (MMPs) belong to a family of structurally related zinc-dependent proteolyticenzymes that are known to play a key role in the catabolic turnover of extracellular matrix (ECM)components. Research studies to date have indicated that MMPs regulate the activity of several non-ECMbioactive substrates, including growth factor, cytokines, chemokines and cell receptors which determine thetissue microenvironment. Disruption of the balance between the concentration of active metalloproteinasesand their inhibitors (TIMPS) may lead to pathological changes associated with uncontrolled ECM turnover,tissue remodeling, inflammatory response, cell growth and migration. This brief review presents someinformation on MMPs role in inflammatory, metabolic and cancer abnormalities related to the salivaryglands, as well as MMP- related aspects that lead to the formation of human dentinal caries lesions. In oraldiseases, the most relevant biological fluid commonly used for diagnosing periodontal diseases in saliva.Conventional treatment successfully reduces the levels of MMPs inhibits the progressive breakdown ofgingival and periodontal ligament collagens.
Prevalence of Midline Fracture in Mandibular Complete Denture Sharon Keziah .V1 , Dhanraj Ganapathy2 , Pradeep Kumar. R3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12387

Abstract

Patients wearing complete dentures whether both arches or a single mandibular denture pose a great problemof midline fracture. They are more evident in patients who have retained their natural maxillary teeth. Fewreports are available on the incidence of mandibular complete denture and its management. This study aimsto evaluate the prevalence of midline fractures in mandibular complete denture .This study was designed as aretrospective clinical study. All the patients with Complete dentures who have been treated at the departmentof Prosthodontics from June 2019-March 2020 were included in the study. A total of 915 patients wearingcomplete dentures in the age group 40-80 years were included in the study .Various parameters namelymidline fracture , denture age and the arch were evaluated.The data was analysed and results were recorded.In the present study , out of 915 only 11 patients reported with complete denture fractures predominantlywithin 5 years of denture use. Midline fracture was found to be more prevalent in mandibular completedenture than maxillary complete denture.Patients wearing dentures for less than or equal to 5 years hada higher frequency of denture fracture in both maxilla(0.22%) and mandible(0.66%).The prevalence ofmidline fracture in mandibular complete denture was found to be 17.2%.
A Retrospective Analysis of the Most Frequently Infected Maxillary Primary Tooth in Pediatric Patients Visiting A University Hospital in Chennai Santhanam Panneer Selvam1 ,Geo Mani2 , Raghu Sandhya3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12388

Abstract

An abscess is defined as a collection of pus that has built up within the tissue of the body. Space infection canbe defined as a rapidly spreading, bilateral, indurated cellulitis which usually occur in the suprahyoid softtissues, the floor of the mouth, and both sublingual and submaxillary spaces without abscess formation.Thisresearch comprehensively studies and assesses the most commonly associated primary tooth in the maxillaryarch of a patient which gets commonly infected by an abscess or space infection.Since abscess and spaceinfection can affect the daily routine of an individual especially in the Paediatric population which showsmore effects. Understanding, identification and early diagnosis helps in preventive care for patients beforecomplications.This is a retrospective descriptive study in Chennai population. Our study is an institutionbased retrospective descriptive study carried out in between the month of June2019-March2020. Data ofpatients aged below 13 years who came with chief complaints of pain,infection and who had undergonePulpectomy and extraction procedures were included in the study sample. SPSS software is used for statisticalanalysis. Based on statistical analysis results were tabulated. Most prevalent Primary tooth in Upper Arch tobe infected with Abscess or Space infection is found to be 54. Around 347 out of 1100. Primary maxillaryright first molar is the most prevalent tooth to be affected with abscess/space infection. Within the limitationsof the study , the most frequently associated primary tooth in maxillary arch with space infection or abscessis maxillary right first primary molar [54] which shows direct correlation with the age group of 7-10 years.
Most Commonly Associated Primary Tooth in Mandibular Arch with Space Infection or Abscess - A Retrospective Study Abigail Ranasinghe1, Geo Mani2 , Raghu Sandhya3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12389

Abstract

Oral cavity is considered to be an ideal niche for the growth of microorganisms. Despite the advances inpaediatric dentistry infections in the oral cavity remains to be a major problem in children. Infections inthe jaws of a child have the ability to spread rapidly due wide marrow space. In children, unlike adults, thelocation of anatomic infection is a helpful guide for diagnosis and management which is essential to preventprogression.The objective of this study is to determine the most frequently associated primary mandibulartooth with space infection or abscess.The present study was a retrospective observational study conductedin a university hospital located in South India. The sample included Patients below 13 years who underwentextraction or pulpectomy of mandibular primary teeth. Patient records between June 2019-March 2020 werereviewed.This was followed by Excel tabulation of data . Data analysis was done using SPSS software.Descriptive statistics such as frequencies and percentages were elicited and chi square test was done to checkassociation between different variables. The most common infection was found to be abscess 6.7%. The mostfrequently associated primary tooth in the mandibular arch with space infection or abscess was found to bethe primary right mandibular second molar 22% Within the limits of the study, the most frequently associatedtooth with infection in the mandibular arch is the right second primary molar and shows correlation with theage group 7-10 years.Based on study results, posterior teeth were more susceptible to infection than anteriorteeth.Space Infection and abscess had a male predilection.

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