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Chaudhari P.,Dental College and Research Center
BMJ case reports | Year: 2013

A 4-year-old boy reported food lodgement and pain in the lower left back tooth region. On examination, a deeply carious tooth with food lodgement was seen. On oral examination, numbers of teeth were found to be carious and required restorations and endodontic treatments according to radiographic evaluation. Radiograph of mandibular left first deciduous molar revealed an unusual morphology of root. It was single-rooted and presented with Vertucci's class I canal. The tooth was treated by pulpectomy followed by a stainless steel crown. All other carious teeth were treated as planned. Source

Bodhade A.S.,Dental College and Research Center
Journal of oral science | Year: 2011

Human Immunodeficiency Virus (HIV)-related oral lesions can be used as markers of the immune status. The present cross-sectional study was conducted to identify the oral manifestations in HIV-infected individuals and their association with reduced Cluster of Differentiation 4 (CD4) count. The study population included known HIV-positive patients. A detailed case history of 399 HIV-positive patients was obtained and general examination was carried out. Diagnosis of oral lesions was done based on presumptive criteria of EEC Clearinghouse, 1993. The CD4 count was determined in 369 patients and correlated with oral manifestations. The prevalence of oral lesions was found to be 76.70% (n = 306). Oral candidiasis (157 (39.3%)) was the most common oral lesion associated with HIV infection. Amongst various forms of oral candidiasis, erythematous candidiasis (122 (39.3%)) outnumbered the other forms. The mean CD4 count of patients with oral lesions (207 cells/mm(3)) was less than in patients without oral lesions (291 cells/mm(3)) (P = 0.002). Oral candidiasis was found to be significantly correlated to a reduced CD4 cell count below 200 cells/mm(3) (P = 0.000; Odds ratio = 3.1; 95% Confidence interval 1.9-4.9) with good sensitivity, best specificity and positive predictive value. Oral manifestations may be used as an alternative to CD4 count at field-based settings to diagnose the immune compromised status of HIV-infected individuals. Source

Shilpashree H.S.,Dental College and Research Center
The New York state dental journal | Year: 2013

Gene therapy is an emerging field of biomedicine that has commanded considerable scientific and popular attention. Genes are specific sequences of bases that encode instructions to make proteins. When genes are altered so that encoded proteins are unable to carry out their normal functions, genetic disorders can result. Gene therapy essentially consists of introducing specific genetic material into target cells to compensate for abnormal genes or to make a beneficial protein without producing toxic effects on surrounding tissue. Transferred genes can be used for either reparative or pharmacological purposes. Applications of gene therapy to dental and oral problems illustrate the potential impact of this technology on dentistry. This review provides an update on transfer techniques and clinical implications of gene therapy in dentistry. Source

Saxena S.,ESIC Dental College and Hospital | Kumar S.,Dental College and Research Center
Journal of Oral and Maxillofacial Pathology | Year: 2015

In recent years, saliva has attracted much interest among researchers especially in the field of forensic sciences.This complex body fluid is gaining popularity due to its ease of collection, safety in handling and its close relationship with plasma. Analysis of saliva for serological testing and cellular content has proved to be of wide use in crime detection, drug and alcohol abuse, hormone identification, cases of poisoning and animal bites.There is a need for forensic laboratories to automate the settings specific for saliva as routinely done for blood or urine in order to consider saliva as the primary investigating tool in the absence of other body fluids.This update is aimed at highlighting the many uses of saliva in the practice of forensic odontology. © 2015 Journal of Oral and Maxillofacial Pathology. Source

Ninawe N.,Dental College and Research Center
BMJ case reports | Year: 2013

Crown fracture of maxillary anterior teeth is relatively common among children and teenagers. Aesthetic rehabilitation of crown fractures of the maxillary anterior is one of the greatest challenges to the dentist. Reattachment of a fractured fragment to the remaining tooth can provide better and long-lasting aesthetics, improved function, a positive psychological response and is a faster and less-complicated procedure. This article presents a case of reattachment of anterior tooth with a coronal fracture involving enamel, dentin and pulp with a 1.5-year follow-up. Source

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