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<![CDATA[Relationship of Tooth Mobility with Systemic Diseases among Patients Reporting Private Dental College in Chennai ]]>
<![CDATA[S.Sushanthi1, L.Leelavathi2 , Arthi balasubramaniam3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12451
<![CDATA[Periodontitis begins with bacterial infection of the oral structures and if not properly treated eventually leadsto tooth loss. Over the past decade, a growing body of scientific evidence suggests an exquisite associationbetween oral infection and systemic diseases. The purpose of our study was to compare the tooth mobilitywhich is the main indicator of periodontal diseases with systemic diseases. An institutional study wasconducted using case records of patients attending private dental college from July 2019- March 2020 .A total of 71 case sheets of patients who had recorded tooth mobility index were retrieved and data wascollected. Data analysis was done using SPSS software version 23.0. Chi-square association was done toexplore the relationship between tooth mobility and systemic diseases. From the study results, 50.70%of participants belong to the age group of 36-55 yrs, 40.85% were females and 59.15% were males, thusshowing male predominance in the current study population. 66.197% of study participants have absenceof systemic diseases and 33.803% have systemic diseases. 4.2% of participants with systemic diseasesand 2.12% of participants without systemic diseases have mobile teeth between 17-24 (GROUP IV). Nostatistically significant association was found between tooth mobility and systemic diseases.(P = 0.858).The results of the present study indicate that prevalence of increased number of mobile teeth was foundamong participants with systemic diseases. But the association was not statistically significant. Knowledgeof disease interrelationships and their associations may prove to reduce patient risks and prevent systemicdisease outcomes and hence further studies to be carried out to assess the interrelationships.]]>
<![CDATA[Evaluation of Clinical Marginal Adaptations of the Copings Fabricated in Cad Cam - Retrospective Study ]]>
<![CDATA[Rithanya.P1 , Subhashree.R2 ,]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12452
<![CDATA[CAD CAM Technology is a computer aided design and manufacturing system for the production of crowns.A variety of metal and all ceramic materials is available for the crown fabrication. The accuracy and the fit ofthe prosthesis depends on the CAD CAM system and each component individually like the milling and thescanner units. The aim of the present study was to determine the marginal adaptations of copings fabricatedwith CAD CAM and to analyse which technique has been used commonly to check the marginal fit of thecopings. The study was carried out on a hospital setting with ethical approval. The records of the patientswere collected and Chi square test was done to evaluate the results. From the overall study, it was found thatthere were different methods for the evaluation of fit of the copings. Most of the FPD patients were in theage group of 26 to 40 years. Most common method for checking marginal fit adaptation was RVG/IOPA. (pvalue =0.37) which is not statistically significant, followed by the catching on probing and the fit checker.]]>
<![CDATA[Prevalence of Ridge Defects According To Sieberts Classification in Patients Undergoing Fixed Partial Denture - A Retrospective Analysis ]]>
<![CDATA[Inchara. R1 , Subhashree. R2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12453
<![CDATA[In prosthetic dentistry, dentists may face challenges in treating patients with alveolar ridge defects inedentulous areas. Alveolar ridge defect may occur due to injury, trauma, denture wear and periodontitis.Based on Sieberts classification, it can be classified into three classes. class I- buccolingual loss of tissue ,class II - apicoronal loss of tissue and class III - both loss of tissue. It is important to close the ridge defectby replacing the tooth loss and achieve good esthetic, phonetic and mastication . According to classification,a proper treatment plan and alternative can be determined for successful outcomes.The aim of this study isto assess the association of sieberts classification for edentulous ridges in selecting the pontic design in FPD.This study was conducted in saveetha dental college. A total number 778 patients with alveolar ridge defectswas selected. The data was collected using patient treatment details used in SIMATS and data was analysedusing SPSS software. Based on results, class I ridge defect was more common among all age groups and alsoin all 6 sextrants . Class III ridge defect was more common in males compared to females. The p<0.005 whichis statistically significant . As age increases the ridge defects vary. It was concluded that the prevalence ofSieberts classification helps in suggesting various management techniques or treatment planning to ensurethat the prognosis and treatment outcomes can be better and successful.]]>
<![CDATA[A Smile Analysis in Completely Edentulous Patients Treated by Graduate Students ]]>
<![CDATA[Ditty J Mary1 , Suresh Venugopalan2 , Nashra Kareem3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12454
<![CDATA[To evaluate smile analysis in completely edentulous patients. Smile is a main component in presentations ofa human being favoring social acceptance. A non harmonic smile decreases the beauty of the face causingdiscomfort in the social activity Edentulous in a condition of being toothless. Details were collected frompatients visiting dental college and reviewed patient records who underwent denture treatment betweenjune 2019 and march 2020. In the present study we analyzed visibility, fullness, teeth size, buccal corridorspace and smile line.. The study reviewed the patients who had undergone treatment between June 2019– April 2020.Data was entered in a methodological manner and was verified manually. The available datawas subjected to statistical tests using - Chi square test statistical software- SPSS software by IBM.Thepresent study indicates the dentures constructed by training students are good at fullness, visibility and teethselection criteria but there is lack of adequate buccal corridor space and smile curves being incorporatedinto dentures.]]>
<![CDATA[Hemoglobin Levels and the Associated Factors in the Patients Visiting A University Hospital in Chennai, India ]]>
<![CDATA[Sadhvi.B1 , Suresh V2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12455
<![CDATA[Hemoglobin is a protein molecule present in the red blood cells that carries oxygen from the lungs to thebody’s tissues and returns carbon dioxide from the body tissues to the lungs. The normal Hemoglobin levelfor males is 13.5 - 17.5 -grams per deciliter and for females is 12.0 - 15.5 - grams per deciliter. However,Adult men and women have different haemoglobin levels, which are independent of iron status. Estimationof Hemoglobin levels is essential due to several reasons and this research is unique in the aspect of itsimportance in dentistry. This study aims at the assessment of Hemoglobin levels of patients, based ontheir gender visiting Saveetha dental college outpatient department. This is a comparative and descriptivestudy for which the data was obtained from reviewing the patient records. The data collection was fromthe Undergraduate,postgraduate clinics, Saveetha dental college, SIMATS. The data was collected andcompiled followed by its statistical analysis by using the SPSS software by IBM. Out of the total samplesize (1825 cases), various hemoglobin result values obtained were, 5-8 g/dl - 5.2%; 8-12 g/dl - 38.0%;12-16 g/dl -52.3%; and 16-20 g/dl - 4.5%. Where 12-16 g/dl was considered as normal level Hemoglobinlevels among males showed 65.0% under normal range; 27.12% anaemic ; 7.88% above normal level andHemoglobin levels among females showed 35.54 % under normal range ; 64.33 % anaemic ; 0.13% abovenormal level. Chi square test between gender and Hemoglobin result values resulted in a P value < 0.05statistically significant. Hemoglobin levels among the age group 1-31 years were 38.4%; 32-55 years were45.2%; and above 55 years were 16.4%; Chi square tests between various age groups and Hemoglobinresult values resulted in a P value < 0.05 statistically significant. Our study assessed the association ofHemoglobin levels of patients with various parameters such as age, gender and result values. The overallresults show a Male predilection in hemoglobin levels and females having lesser hemoglobin levels thantheir normal range. The study also reveals that Anemia is strongly associated with females when comparedto males and both males and females attain the peak in hemoglobin levels during their young and MiddleAge and gradually come down during old age.]]>
<![CDATA[Prevalence of Complications after Gingival Recession Coverage Procedure - A Retrospective Cohort Study ]]>
<![CDATA[Revathi.B1 , Kiran Kumar Pandurangan2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12456
<![CDATA[Gingival Recession is one of the common esthetic problems reported by patients for which recession coverageprocedures like either flap or gingival grafting techniques are routinely practiced with high predictability andoutcome. However these procedures also endup in morbidities like bleeding, necrosis etc. Hence the aimof the present study is to assess the complications after the recession coverage procedure. A retrospectiveevaluation was conducted to find out subjects who had undergone the gingival recession coverage procedurebetween June 2019- March 2020 at the University Dental Hospital. For the included subject, data regardingcomplications if present, demographic factors, other clinical factors associated with the complication wereextracted. Out of 23 subjects, the prevalence of complications after gingival recession coverage procedureis 60.8%. Out of this post operative bleeding was the highly prevalent complication (43.5%), followedby tissue necrosis (17.3%) associated with subepithelial connective tissue graft. There were no reports ofpostoperative infection. A significant association was found with class 3 Miller’s recession defect and tissuenecrosis.(P=0.05, chi square analysis). However considering the retrospective nature of the study, futureliteratures must be emphasised to analyse better patient outcomes and minimise the complications.]]>
<![CDATA[Liquid Biopsies in Cancer Diagnosis ]]>
<![CDATA[R.Sharmila1 , Anitha Roy2 , K. Anjaneyulu3 , Lakshmi.T4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12457
<![CDATA[Over many years, the concept of precision medicine has dramatically renewed the sphere of clinicaloncology; the advent of patient-tailor-made therapies has appreciably stepped forward all measurableoutcomes. Liquid biopsy is a modern method that commences unexpected perspectives. It includes thedetection and isolation of circulating tumor cells, circulating tumor DNA and exosomes, as a supply ofgenomic and proteomic records in patients with most cancers. Many technical hurdles had been resolved tonewly advanced techniques and subsequent-generation sequencing analyses, permitting a wide software ofliquid biopsy in a huge variety of settings. Initially correlated to analysis, liquid biopsy facts at the momentare being studied for cancer analysis, with a bit of luck consisting of screenings, and most significantlyfor the prediction of reaction or resistance to given remedies. In specific, the identification of particularmutations in genes can be useful resources in therapeutic choices, both in the appropriateness of remedy andwithin the superior identity of secondary resistance, aiming to early diagnose disease progression. Still, theutility is far from fact however ongoing research is leading the manner to a new era in oncology. The mainaim of this study is to assess the importance of liquid biopsy in cancer diagnosis.]]>
<![CDATA[Therapeutic Approach on Oral Mucositis ]]>
<![CDATA[Kowshihan P1 , Anitha Roy2 , Jayalakshmi Somasundaram3 , Lakshmi.T4]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12458
<![CDATA[Oral mucositis is a erythematous ulcerated lesion that causes soreness and tissue damage. The lesion leadsto severe pain. It occurs on the comparative of nutrition diet, poor oral hygiene and local and systemicinfections. The pathophysiology of the oral mucositis consists of five phases where initiation phase leads toinjury to the cell. Which leads to activation of transcripts factors which leads to upregulation of inflammatorycytokines and tissue damage as results in subsequent bacterial colonization and cytokines mediated damages. The final phase involves healing through signalling and epithelium proliferation. Maintaining good oralhygiene reduces the severity of the effect and decreases bacteremia . It can be diagnosed by LLLT lowlevel laser therapy. Also can be treated by growth factors, locally applicable gels immune modulators andhematopoietic agents Based on the development of clinical and scientific knowledge standard treatmentplan and further research and analysis is needed for management of mucositis. The severity of oral mucositisalso may be controlled by advanced plant based or nano based phytochemicals.]]>
<![CDATA[Association between Tooth and Type of Instrument Fractured During Root Canal Treatment ]]>
<![CDATA[Krisha Doshi1 , S.Delphine Priscilla Antony2]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12459
<![CDATA[Instrument fracture is a common unfortunate event that takes place during the root canal treatment. A goodknowledge about the different instruments that can fracture, causes of fracture, predilection of teeth towardsfracture of instruments, etc will help the clinician to be more alert. It will also help clinicians gain confidencetowards methods of retrieval of these instruments. The aim of this study was to analyse the associationbetween the tooth and the type of instrument separated during root canal treatment. The study was basedon an online setting. Data was collected retrospectively. Patient reports of 86000 patients that reported tothe institution between June 2019 and March 2020 were reviewed. Data of instrument retrievals done fromDecember 2019 to March 2020 was collected. Excel sheet tabulations were made involving tooth number,type of instrument fractured and method of retrieval. Descriptive statistics was done on SPSS software.Association between the tooth and type of instrument was analyzed with Chi Square test. No statisticalsignificant difference was seen between the tooth and type of instrument fractured. (p>0.05). The tooth typedoes not influence the type of instrument fractured significantly]]>
<![CDATA[Prevalence and Incidence of Desquamative Gingivitis among Patients Visiting a Private Teaching Hospital in Chennai, India ]]>
<![CDATA[A.Shamaa Anjum1 , Pratiba Ramani2 , Delphine Priscilla Antony S3]]>
<![CDATA[ Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology ]]>
Publisher : <![CDATA[Institute of Medico-legal Publications Pvt Ltd ]]>
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DOI: 10.37506/ijfmt.v14i4.12460
<![CDATA[Desquamative gingivitis (DG) is a term indicating epithelial desquamation, erythema, erosion and/orvesiculobullous lesion of the attached and marginal gingiva. The lesions of DG mainly involve the buccalaspect of the gingiva. The term desquamative gingivitis is not a specific diagnosis , but describe severalmucocutaneous disorders major of which are oral lichen planus (OLP), mucous membrane pemphigoid(MMP), pemphigus vulgaris (PV). The aim of the study was to assess the prevalence and incidence ofdesquamative gingivitis among the patients visiting the outpatient department of periodontics at a privateteaching hospital , Chennai, India. This is a descriptive study which was performed under a universitysetting in which the data of patients who were diagnosed with desquamative gingivitis in the departmentof Periodontics at a private teaching hospital, Chennai from June 2019 to March 2020 was collected byreviewing patients records and the analysis of data of 86000 patients was done. The collected data wascompiled , reviewed, tabulated and imported to SPSS software (version 22.0) for statistical analysis. Theprevalence of desquamative gingivitis was found to be less 0.1% and had a female predilection (67%) andpatients between 50 to 60 years of age were more commonly affected by DG. Most cases of DG presentedwith burning sensation in the mandibular gingiva (50%) . The most common treatment of DG was foundto be pharmacotherapy mainly corticosteroids (50%) . Thus the knowledge of prevalence of desquamativegingivitis and correlation with various parameters is essential in dental practice for clinical implementation.]]>
