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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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Dentists’ Preference of Pulp Capping Agent for Indirect Pulp Capping in Primary and Permanent Molars - An Observational Study Maria Anthonet Sruthi1 , EMG Subramanian2 , Vignesh Ravindran
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.v14i4.12491

Abstract

One of the major challenges associated with indirect pulp capping is to prevent the exposure of the pulp andmaintain its vitality. It is based on the rationale that pulpal mesenchymal cells induce dentin bridge formation.The common pulp capping agents used are calcium hydroxide and mineral trioxide aggregate both of whichact based on their high pH. The aim of the study is to infer the most preferred pulp capping agent by dentistsin a private dental college so as to achieve a good prognosis after indirect pulp capping of primary andpermanent molars.A total of 297 restorative procedures were obtained after reviewing patient case sheetsand were analysed using descriptive statistics on SPSS Software. Among 139 treatment procedures, themost common pulp capping agent used was calcium hydroxide (69.1%) in primary molars and mandibularpermanent molars and MTA (30.9%) mostly in maxillary permanent molars. Within the limits of the study,calcium hydroxide was the preferred pulp capping agent for indirect pulp capping by dentists in a privatedental college in both primary and permanent molars. However, with its clinical advantages, mineral trioxideaggregate shows a promising candidate as an indirect pulp capping agent in primary and permanent teeth.
Awareness about Common Disinfection Procedures among Undergraduate Students in Clinics S.Santhosh Bala1 , N.P Muralidharan2 , Vivek Narayan3
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.v14i4.12492

Abstract

Dentists, dental patients and dental technicians are tasked with various dental procedures which are extremelyprone to cross contamination of various infections from various pathogens usually found in blood and dentaloffices. A lot of attention has been directed towards proper medical care, sterilization and instrument care.Online survey containing the questionnaire was sent to 100 undergraduate dental students. Results weretabulated and analysed. The questionnaire was based on the knowledge they gained during their studentdays. Among them 53% are aware of general principles of disinfection , 85% level of disinfection determinesquality of clinical practice. Within the limits of the study , the awareness about common disinfectionprocedures among undergraduate dental students in clinics was evaluated . Upon evaluation it was found thatthe student dentist had a moderate level of knowledge about disinfection in clinics, which can be improvedby extensive teaching about disinfection practices and improving knowledge.
Evaluation of Pain in Relation to Root Canal Treated Teeth Having Instrument Separation-A Retrospective Analysis Nur Qistina Binti Ahmad Fauzi1 , Raghu Sandhya2 , Gurunathan Deepa3
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.v14i4.12493

Abstract

One of the most common mishaps during root canal treatments is the separation of an endodontic instrumentduring cleaning and shaping. The main problem to this is the improper debridement of the apical portionof canal and directly compromises the success of the treatment. The aim of this study was to evaluate theassociation of pain in root canal treated teeth having instrument separation. A total of 29 patients whohave undergone root canal treatment and reported with a separated instrument were evaluated. Each of thepatient’s age, gender, tooth number, the association of pain, nature and the duration of pain was obtainedfrom the patient records of the institution from June 2019 to March 2020. In this study, out of the totalsample size, 15 (51.7%) of patients were females while the remaining 14 (48.3%) patients were males. It wasshown that 72.4% of the patients did not experience pain with the presence of instrument separation in theirroot canal treated teeth, while 29.6% experienced pain. Position of the tooth in the arch did not influencethe experience of pain among the patients (Chi - Square test, P- 0.35, >0.05). Within the limits of the study,an association between pain and root canal treated teeth with instrument separation was not established.Though gender and tooth did not influence the experience of pain, many female patients in the present studyexperienced pain. The pain was more often associated with lower posteriors.
Prevalence of Cardiovascular Diseases among Complete Denture Patients Chaitanya Shree.P1 , V. Rakshagan2 , Subhashree.R2
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.v14i4.12494

Abstract

Cardiovascular diseases are conditions causing blocked or narrowed blood vessels leading to chest pain,myocardial infarction or stroke. Sometimes it can be associated with dental diseases like caries, periodontaldisease leading to tooth loss. In the present study, we assessed the prevalence of cardiovascular diseasesamong Complete denture (CD) Patients. Patient records were collected by complete analysis of data of86000 patients between March 2019 to March 2020. The data on the patient’s medical history and treatmentwere extracted from the patient’s records and reviewed. Totally 421 case sheets were collected and usedfor our study. The collected data were entered in excel and transferred to SPSS for analysis by Chi squaretest. We found that 1.19% of complete denture patients were affected with cardiac problems and all theaffected patients were males. Among them, 0.71% of patients between the age group 51 to 70 years weremore commonly affected with cardiac problems. In the present study, we found that cardiac problems arestatistically not significant (p>0.05). Though the association of cardiac problem between age and gender wasfound to be statistically not significant, we found that patients (especially males) between 51-70 years weremore commonly affected by cardiac problems.
Prevalence of Attrition, Abrasion, Erosion and Abfraction Among Patients Visiting A Private College Hospital in Chennai - A Retrospective Study Bharathi R1 , Senthil Murugan P2 , Senthil Murugan P3
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.v14i4.12495

Abstract

Regressive changes of the teeth include a variety of alterations in the dental tissues, mechanical tear andwear of tooth is a consequence of both pathological and physiological means. Tooth surface loss can beclassified primarily as attrition, abrasion, abfraction and erosion. To assess the prevalence of attrition,abrasion, erosion and abfraction among patients visiting private college hospital in Chennai. Data of thepatients retrieved was from the dental records of the hospital. Patients with attrition, abrasion, erosionand abfraction were shortlisted. Total study sample, n=7300 patients. Data was tabulated in excel andstatistically analysed. From the statistical analysis, it was significant that the most prevalent type of toothwear was attrition(49.7%), followed by abrasion(48.3%), erosion(1%) and abfraction(0.97%) (chi squaretest- p-value= 0.000- significant). Within the limitations of this study, it showed that there was a significantprevalence of attrition followed by abrasion, erosion and abfraction with a male predilection, predominantlybetween the age group of 41-60 years, reported to private college hospital in Chennai.
Prevalence and Age Related Risk of Three Clinical Variants of Aphthous Stomatitis: a Retrospective Study Kethiswar Raj1 , Jayanth Kumar Vadivel2 , Vinay Sivaswamy3
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.v14i4.12496

Abstract

Aphthous stomatitis is one of the most common conditions characterized by the repeated formation of benignand mouth ulcers (aphthae) in otherwise healthy individuals. The informal term canker sores is also used,mainly in North America, although this may also refer to any mouth ulcers. The case records of patients withaphthous stomatitis were assessed. The age, gender and the variant of aphthous stomatitis were recorded.The association between the gender and the variant of apthous stomatitis was assessed by chi-square test.Following the data tabulation in excel, the statistical analysis was done with SPSS.A total of 84 patients inthe age range between 6 years to 73 years were recorded. From the collected data it was observed that 69%of the samples were males and 31% were females. The most common variant noted was the minor aphthousstomatitis. There was no association between the age and the occurrence of aphthous stomatitis(P>0.05) butthere was a positive correlation between the gender and clinical variant.(P<0.05) Hence from the study itwas concluded that age is not a risk factor for the development of aphthous stomatitis but males were morecommonly affected.
Age and Gender Wise Prevalence of Oral Habits - A Retrospective Study Fahmida Binti Abd Rahman1 , Mahesh2 , T.N.Uma Maheshwari3
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.v14i4.12497

Abstract

Oral habits are learned patterns of muscle contraction and have very complex nature. Persistent oral habitsbeyonds normal age of children have been considered as a significant factor that can lead to malocclusions.A total of 86000 case records between June 2019 to march 2020 were screened and evaluated in which18656 children less than 18 years were taken into our study. Chi square test was done to estimate therelationship between oral habits with age and gender. The results showed that the overall prevalence of oralhabits among children were 3.9%. The highest prevalence rate of oral habits was tongue thrusting (43.5%)followed by thumb sucking (39.1%) and lip biting (17.4%) respectively. Chi square test was done in betweenage and type of oral habits and the p value was 0.025< 0.05 was termed to be statistically significant. Withinthe limit of our study, oral habits were detected in less than quarter of the examined population. There was asignificant difference for age wise prevalence of oral habits, with younger people indulging more oral habitsthan elders. Among the types of oral habits, tongue thrusting was the commonest oral habits indulged amongthe children.
Prevalence of Different Types of Keratosis in Patients in a University Setting P. Keshaav Krishnaa1 , Manjari Chaudhary2
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.v14i4.12498

Abstract

The most commonly occurring type of keratosis would be tobacco pouch keratosis or smokeless tobaccoassociated keratosis, frictional keratosis, a chronic frictional keratosis on the buccal mucosa can lead tosomething called morscicatio buccarum. Although clinical features are very important and should be oneof the important factors in diagnosis, epidemiology should also be considered while arriving at a concretediagnosis. The aim of the present study was to retrospectively analyze the prevalence of different clinicalvariants of Keratosis in patients visiting Saveetha Dental College. Retrospective data of 195 patients wasobtained and segregated. Inclusion criteria included that they should have visited the University betweenJune 2019 and April 2020. Once the data was obtained and verified, it was statistically analyzed using SPSSby IBM version 20. Most common clinical variant was Tobacco pouch Keratosis (64.6%) followed byFrictional Keratosis (28.7%). Mean age of the patients was 37.40 + or -10.98 years. Tobacco pouch keratosisoccurring most commonly in lower arch (67.46%) whereas the Frictional keratosis most commonly inrelation to both arches (42.85%). All common in 21-30 years age group. Statistically significant correlationbetween the site of lesion and variant (p = 0.000) and between gender and variant (p=0.00 ) Increased HabitPrevalence as the number of Tobacco pouch Keratosis cases are greater. Further multicentered studies andawareness programs to help the society and prevent these lesions.
Prevalence of Vesiculobullous Lesions: A Hospital Based Retrospective Study Pranati T1 , Manjari Chaudhary2 , Adimulapu Hima Sandeep3
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.v14i4.12499

Abstract

Vesiculobullous lesions, characterized as mucocutaneous, have a significant impact on quality of life whencompared to other conditions, as they can lead to pain and difficulty in eating and speech, depending on theextent of the ulceration. The overlapping pattern of clinical presentation of vesiculobullous lesions in theoral mucous membranes makes it difficult for the clinicians to arrive at a proper diagnosis. Hence carefulevaluation of clinical, histological and immunofluorescence data aids the clinician to arrive at a properdiagnosis. The aim of this study is determine the prevalence, age and gender variations of vesiculobullouslesions pertaining to oral mucosa among patients who have visited Saveetha Dental College, Chennai, India.A retrospective study was conducted and data collection was done from dental archives pertaining from June2019 to April 2020. Data consisted of details of patients who presented with vesiculobullous lesions of theoral mucosa. Data was imported to IBM SPSS Version 20 for statistical analysis. Results were tabulated.Prevalence of vesiculobullous lesions pertaining to the oral cavity was more in females (51.8%) comparedto males. (42.8%). Prevalence was more in patients belonging to the fourth decade of life (30.1%). Herpeslabialis was found to be more prevalent among the vesiculobullous lesions seen in the oral cavity. Lesionswere present in both the arch (44.6%) followed by lesions pertaining to only upper arch. Associations in thisstudy were not statistically significant (p>0.05). The association between age and gender shows prevalenceof herpes labialis to be the highest among all the age groups. There are very minimal studies done on theprevalence of vesiculobullous lesions pertaining to the oral cavity. In this study it has been found thatvesiculobullous lesions of infectious origin (Herpes labialis) were found to be more prevalent compared tovesiculobullous lesions of autoimmune origin. This study was conducted in a single centre. Extensive multicentre study is to be done.
Prevalence of Different Patterns of Temporomandibular Joint Ankylosis in South Indian Population Ramvihari Thota1 , Senthilnathan Periasamy2 , Mahathi N3
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.v14i4.12500

Abstract

The aim of this study was to identify the incidence of different patterns of temporomandibular jointankylosis in the south Indian population. Case records of a total of 86000 patients between June 2019 andMarch 2020 were collected and analyzed from patient records, out of which a total of 7 cases of mandibulartemporomandibular joint ankylosis cases who had undergone treatment for the same were identified andincluded in the present study. All these were checked retrospectively for pattern/type of ankylosis by usingthe radiographs with Sawhney’s classification. Results show that there’s a significant male predilection ofabout 85.7% and shows more unilateral ankylosis cases of about 57.1%. Based on Sawhney’s classificationit shows 14.3% of type - 1 cases, 42.9% of type - 2 cases, 28.6% of type - 3 cases and 14.3% of type - 4cases. Within the limitations of this study, it showed that there was a male predilection, unilateral ankylosiscases were common, and among all ankylosis cases Sawhney’s type 2 temporomandibular ankylosis caseswere high in number.

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