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Hypertension and Complete Denture Therapy - A Retrospective Study
Chithralekha B1 , Revathi Duraisamy2 , Madhulaxmi M3
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
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DOI: 10.37506/ijfmt.v14i4.12521
A completely edentulous state is when the patient is in a state of complete tooth loss. In the current world,an increasing demand for complete denture prosthesis is also seen. The lifestyle, food habits etc are thoughtto be major factors that are influencing the oral health of the current generation. Marked evidence hasbeen cited between the relationship of various systemic diseases like diabetes and completely edentulousstate. Hypertension is the state of elevated blood pressure. An evident association between hypertensionand oral diseases has been established previously. The aim of our study was to find the association betweenhypertension and a completely edentulous state. The study was performed in a university setting, it reviewedpatient records and analysed the data of 86000 patients between June 2019 and March 2020. A total of about450 entries were selected. Of this after removing multiple entries a total of 372 patients data were obtained.The collected data were compiled and tabulated using Microsoft Excel, then reviewed and exported to SPSSfor performing statistical analysis. In the study a total of 5 parameters were considered, but only for oneparameter a statistically significant data was found, and this was the demographic profile of the completelyedentulous patients, p value was found to be 0.0052 (p =0.005) hence proving the data to be significant.For the rest of the parameters the study considered, a statistically significant data was not obtained, butthe data has remarkable clinical significance. In the study, completely edentulous male population were,56%, the female population represented 43%. 27% of the completely edentulous patients in the study werehypertensive and that is not a negligible count. Within the limitations of the study, it can be stated that thereis a relation between hypertension and a completely edentulous state.
Association of Clinical Appearance with Histopathological Features in Oral Squamous Cell Carcinoma
Varusha Sharon Christopher1 , Hannah R2, Manish Ranjan3
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
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DOI: 10.37506/ijfmt.v14i4.12522
Oral Squamous Cell Carcinoma (OSCC) is one of the most common malignant epithelial neoplasms affectingthe oral cavity. The clinical appearance of oral cancer is highly variable and includes ulceroproliferative,ulcerative, leukoplakic and exophytic. These clinical variants can be graded histopathologically to be a welldifferentiated, moderately differentiated or poorly differentiated squamous cell carcinoma. The prognosisof the patients varies based on the histopathological grading. Hence, the aim of the study is to associate theclinical appearance of OSCC with the histopathological grading. Data was collected after going through86,000 patients records from June 2019 to April 2020. Total sample size of the study was 44. The datawas exported to SPSS and the variables were verified. Correlation analysis was carried out for the datatabulated. Highest correlation was seen between ulceroproliferative lesions and well differentiated OSCChistopathologically. Hence we can conclude that the clinical appearance of OSCC can give us some clueabout its histopathological grade and the study should be extended to a larger sample size in order to give amore comprehensive outcome.
Prevalence of HIV and Hepatitis-B in the Out Patient Department of a Private Dental College Hospital Chennai, India
Ramya G1 , Pratibha Ramani2 , Jeevitha M3
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
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DOI: 10.37506/ijfmt.v14i4.12523
Acquired Immunodeficiency syndrome caused by the Human Immunodeficiency virus is greatly prevalentin the Indian subcontinent. Hepatitis-B is another condition that is affecting the population. Healthcareprofessionals are at an increased risk of being exposed to such pathogenic infections. Having adequateknowledge towards the infection and appropriate preventive equipment such as vaccinations, masks, glovesis crucial in preventing spread of infection. The current study assessed the prevalence of HIV and hepatitis-Bconditions among the out patients visiting Saveetha Dental College. The study was performed in the outpatient department of Saveetha Dental College, Chennai, India. Data required for the study was procuredby reviewing patient records and analysed data of 86000 patients between June 2019 to March 2020. Thedata was sorted in excel and statistically analysed using the IBM SPSS software analysis and the resultstabulated. A prevalence rate of 3.2% was observed with regard to hepatitis-B in this study. The study showedfemale predilection with the mean age of this study being 41yrs. Prevalence of HIV was not observed in thisstudy.Healthcare professionals are at high stake of infection due to occupational exposure. Proper clinicalexamination, history of the patient, preventive gear, vaccination and sterility protocols must be ensured tominimize the spread of infection.
Utilization of Sealants and Conservative Adhesive Resin Restoration for Caries Prevention by Dental Students
Lakshmi Lakshmanan1 , Vignesh Ravindran2 , Vignesh Ravindran3, EMG Subramanian4
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
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DOI: 10.37506/ijfmt.v14i4.12524
The most prevalent dental caries is a preventable disease and established lesions can become arrested.Traditional restorative treatment has many limitations and there is a need for dentists to manage cariouslesions as far as possible by preventive means. The aim of this study was to investigate the practice of dentalstudents regarding pit and fissure sealants and conservaive adhesive resin restoration for caries prevention.Data was collected from 86000 patients’ dental records in the department of pediatric dentistry to meet theinclusion and exclusion criteria. A total of 5637 records of children who had undergone either pit and fissuresealants or CARR in primary or permanent teeth were evaluated. Descriptive analysis and chi-square testswere performed. Pit and fissure sealants were done in 9637 teeth (882- primary teeth; 8755- permanent teeth)and CARR were done in 328 teeth (178- primary teeth; 150- permanent teeth) with statistically significantdifference (P<0.05). Both sealants and CARR are more prevalent in males (5071-Sealants; 180-CARR) thanin females (4566-Sealants; 148-CARR). Based on the findings of this study, sealant application is the mostcommon treatment done than CARR for caries prevention in both primary and permanent teeth by dentalstudents.
Patients Reporting on Appointment Date After Access Opening For Further Treatment to Dental Hospital - A Cross Sectional Study
KrishnaKanth Jaju1 , Iffat Nasim2 , J.Mahalakshmi3
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
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DOI: 10.37506/ijfmt.v14i4.12525
Failure to keep dental appointments is one of the problems affecting the outcome of treatment. Keepingdental appointments enhances patient care while failure to keep appointments can result in poor prognosis,economic cost and patient care disruption.The aim of the present study was to evaluate the number ofpatients reporting on appointment date after access opening for further treatment to dental hospital. 4490 metinclusion criteria, only 981 patients reported on the given appointment date. Data was tabulated into excelsheets. Then data was analyzed using SPSS software(23.0 version). Statistical analysis of the material wasperformed using Chi square test. Number of patients reported to the hospital on the appointment date wereonly 27.3% (1225) patients, 72.7% (3265) of patients did not report back on the given appointment date. Inthe present study 1225 patients reported for further treatment, 488 patients of 18-30 age group reported backfor further treatment, more number of male patients(665) reported back for further treatment, more numberof patients (132) with complaints in relation to 36,46 reported back for further treatment.Failure to keepdental appointments was high in the present study. Being busy with other activities and long distance weresome reasons for failed appointments.
A Questionnaire based Evaluation of the Awareness among Dental Practitioners on Minimally Invasive Approach for Superficial Enamel Stains
Rukhsaar Gulzar, Subash Sharma2 , Mahalakshmi3
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
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DOI: 10.37506/ijfmt.v14i4.12526
The present survey was conducted to evaluate the awareness among dental practitioners on a minimallyinvasive approach for treatment of superficial enamel defects.The cross-sectional survey was conductedamong 150 dental practitioners in India. Data was obtained by distributing a self designed pretestedquestionnaire which comprised 20 questions to assess the knowledge of the practitioners on various minimallyinvasive procedures to treat superficial enamel stains, its incorporation into routine practice and ways toimprove their skills. Results were obtained in the form of graphs and percentage. A chi square test was doneto determine the association of the responses with the type of practice. The results of the study revealedthat a fair number of practitioners were aware of the theoretical aspects of micro and macroabrasion butthe clinical incorporation into routine practice is low, 68% did not incorporate the technique in their routinedental practice. The chi square values to check the association between the responses and type of practicewere <0.001 which was highly statistically significant. The endodontists had better knowledge about thetechniques as compared to the general practitioners and they also incorporated the technique more routinelyas compared to the general practitioners.There was a general preference to first opt for a minimally invasivetechnique but the treatment plan varies from person to person.There is a need for knowledge upgradationsand further clinical training through continuing dental education.
Toxic Biological Effects Associated with Materials Used in Prosthodontics- A Survey
G.Swetha1 , Venkatesh Kommi2 , Keerthi Sasanka.L3 , Leslie Rani. S4
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
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DOI: 10.37506/ijfmt.v14i4.12527
Prosthodontics practice involves contact with restorative materials, auxiliary dental materials which arebroadly of different composition. The leakage and transfer of the potent allergic components from thesematerials is the cause of hypersensitive reactions to patients, dental professionals and the lab technicians.The biological side-effects of the materials that are in dental practice are rare. All artificial materials releasesubstances in the oral environment which are potent allergens that might cause side effects and adversereactions. The current study gives a statically about the dental professional knowledge and also makesthe aware of toxic biological side effects of these materials, also make them aware of the reporting of thecases. A cross sectional survey was conducted among 100 dental professionals about the Toxic Biologicaleffects associated with materials used in prosthodontics. Questionnaires with 20 close ended questions werecirculated among people. Results obtained analyzed using SPSS software.In this Study, almost 80% ofthem were aware that some components of the dental materials might cause a hypersensitivity reaction.57% of the participants have not experienced any allergic resin, latex, gloves etc.The prevalence of allergicreaction among Dental staff is low and most reported are due to latex, acrylate & formaldehyde. The presentstudy shows that there is a lack of knowledge on the toxic biological effects of dental material used inprosthodontics.
Assessment of Partial Edentulism Based on Kennedy’s Class III Classification
Palak Mayur Shah1 , Revathi Duraisamy2 , Manjari Chaudhary
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
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DOI: 10.37506/ijfmt.v14i4.12528
Edentoulousness falls in a different category among the various conditions of dental origin. A partiallyedentulous arches classification helps to identify the possible combinations of teeth to edentulous ridges, thusfacilitating discussion and communication among dental professionals. Kennedy’s classification providesimmediate visualisation and assessment of design features of removable partial dentures. The aim of thestudy was to assess the prevalence of partial edentulism based on Kennedy’s class III situation in the upperarch among the patients visiting a private dental hospital. This retrospective study included 10,327 subjectswho reported during June 2019 to March 2020. The sample size was collected and retrieved from the onlinedatabase. Tabulation of data was done followed by statistical analysis. Out of the 10,327 subjects reported tothe dental hospital, 6453 subjects were diagnosed with Kennedy’s class III (62.4%). It was most commonlyseen in age groups of 50-59 years (26.7%), and in males (54%). There was a significant association betweengender and Kennedy’s class III (p=0.000) and age and Kennedy’s class III (p=0.000) Within the limits of thestudy, it was found that there was a significant relationship between gender and Kennedy’s class III and ageand Kennedy’s class III.
Evaluation of Mandibular Third Molar Extractions Performed By Intra Alveolar Method as Opposed to Transalveolar Method
Aniruddh Menon1 , Balakrishna.R.N2 , Jayanth Kumar Vadivel3
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
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DOI: 10.37506/ijfmt.v14i4.12529
The aim of the present study was to retrospectively analyse the prevalence of intra-alveolar and transalveolar extraction of mandibular third molars in patients at Saveetha Dental college. Retrospective dataof 1747 patients was obtained and segregated. The inclusion criteria included 18-90 years are group,underwent extraction and visited between June 2019 to April 2020. Once the data was obtained it wasstatistically analyzed using SPSS by IBM version 20. The most commonly used method of extraction wasthe conventional technique (90.8%) comprising the majority whereas the trans alveolar method comprised(9.2%). A high association and significance was noticed between the age of the patient and type of extractionperformed( P= 0.000)Extraction being one of the most common dental procedures that is being done, it isimportant to approach the same with the adequate and appropriate technique to prevent further complicationsas a result of the procedure
Analysis of the Association between Fast Food on Oral Health and Hygiene - A Survey
Baala vignesh. A1 , Karthik Ganesh Mohanraj2 , Ravindra Kumar Jain3
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
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DOI: 10.37506/ijfmt.v14i4.12530
Health is a state of complete physical, mental and social well being of an individual and not merely theabsence of disease or immunity status of an individual. An unhealthy diet is proven to implicate many riskfactors for the incidence of oral diseases. Thus, there are various health education programs to educatepeople on the importance of a proper healthy diet, thereby reducing the incidence of oral diseases prevailingbecause of an unhealthy diet. Thus, this survey was done to evaluate the awareness of people towardsmaintaining a proper healthy diet. This study was done to check the awareness of people towards the riskfactors and impacts of fast food on the oral health status of a person. This is a questionnaire based survey.An online questionnaire was shared among 100 dental students in Chennai. Based on the answers fromthe survey, the data was compiled and analyzed and based on the results of the survey, the responses wereanalysed through statistical analysis software SPSS version 20.0. The results of the study showed that 90%of the individuals who took part in the survey consumed fast food, out of which 78% of them were nonvegetarians. 91% of them were aware of the complications of having an unhealthy diet and what risk factorsit possessed to the oral health of an individual. 40% of the individuals consume fast food at least once aweek. 77% knew the causative reasons for the incidence of dental caries in an individual. Within the limitsof the study, the study results showed that most individuals who took part in the survey consume food fromfast food and they weren’t aware of the impacts of unhealthy nutrition and bad hygiene measures. Thissurvey had created an impact on the individuals by educating them on the benefits of having a healthy dietand proper hygiene.