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Jain N.,Eklavya Dental College and Hospital
Indian Journal of Forensic Medicine and Toxicology

Every person in this world is unique, so is his identity and similarly his dentition as well. Human identification is a mainstay of civilization and the identification of unknown individuals always has been of paramount importance to the society. Criminal investigations, insurance settlements, military proceedings and legal certification of death are some of the areas of interest in person identification. The most reliable means of identification include fingerprints, dental comparisons and biologic methods such as DNA profiling. Forensic odontology plays an important role in the retrieval of evidence and identification, having a high degree of reliability and simplicity. Tooth, the hardest organ, because of their composition and anatomic location in the human body is resistant to various mechanical, thermal and chemical insults. With above considerations, it is clear that a dentist can be an important source for providing valuable data to answer questions that arise during a death investigation. However, due to the availability of fewer ante mortem records and higher incidence of disasters in our country, we need to keep dental records of all the patients which may be of immense value in unfortunate events. This review paper primarily aims at making general practitioners aware about the importance of keeping the various types of dental records and urging the concerned authorities to enforce a law making it mandatory to maintain dental records. Source

Gupta A.,Jaipur Dental College | Gupta N.,Jaipur Dental College | Garg R.,National Institute of Medical science Dental College | Jain N.,Eklavya Dental College and Hospital | And 2 more authors.
Journal of Natural Science, Biology and Medicine

Aim: To study the accessibility of chair side blood glucose non-invasive screening method for diabetes mellitus during routine periodontal examination. Materials and Methods: Fifteen non-diabetics and 15 newly onset type 2 diabetics patients with moderate to severe periodontitis were selected after meeting inclusion and exclusion criteria. Periodontal pocket probing was performed using a Williams Graduated periodontal probe. Blood oozing from gingival sulcus of anterior teeth following periodontal pocket probing was collected with stick of a glucose self-monitoring device. As control, finger stick capillary blood was taken. Results: A statistically significant correlation was observed between the blood glucose level of gingival crevicular blood (GCB) and peripheral fasting blood (PFB) of diabetic subjects. The mean GCB glucose level of the subjects in diabetic group was 172.27 ± 5.02 mg/dl while mean PFB glucose was 167.80 ± 8.87 mg/dl. The correlation coefficient of diabetic and non-diabetic subjects were r = +0.715 and r = +0.619, respectively. Conclusion: The results suggested that blood oozing during routine periodontal examination may be used for diabetic mellitus screening in a dental office setting without the need for any extra procedure. © Journal of Natural Science, Biology and Medicine. Source

Shetty S.R.,JKK Nataraja Dental College and Hospital | Kalavath M.,Government Dental College and Hospital Bengaluru | Naveen Kumar M.,Kamineni Institute of Dental science | Yadav R.D.,Eklavya Dental College and Hospital | Soumya S.,JSS Dental College and Hospital
Journal of Contemporary Dental Practice

Geriatric dentistry or gerodontics is the delivery of dental care to older adults involving the diagnosis, prevention and treatment of problems associated with normal aging and age-related diseases as part of an interdisciplinary team with other health care professionals. Aim: To evaluate the oral mucosal status in the elderly population of different age group and find out the association of age, gender and denture with oral mucosal disorders. Materials and methods: The study sample consisted of 570 geriatric persons concentrating mainly on the oral mucosal changes or lesions occurring in the geriatric population. Individuals those are aged above 60 years were selected, and all the examined geriatric persons were categorized into 3 age groups to find out the association of oral mucosal lesions in each group. Group I-60 to 65 years, Group II-66 to 70 years, Group III-71 and above years. Results: The sample of 570 elderly patients included 279 (48.95%) men and 291 (51.05%) women in three age groups: 61 to 65 years (40.35%), 66 to 70 years (31.05%), and 71 years and older (28.60%). The sample included 254 (44.56%) dentate patients, 205 (35.96%) denture wearers (partial and complete denture wearers) and 111 (19.47%) edentulous persons who lacked dentures in both the jaws. Almost half of the patients examined (48%) had one or more oral mucosal lesions. The 48% of the patients who presented with oral mucosal lesions, twenty five different oral mucosal conditions were identified and the three most common findings were lingual varices (13.68%), denture induced inflammatory fibrous hyperplasia (4.21%), squamous cell carcinoma (4.21%). There was some differences in the distribution of oral mucosal condition among the sexes. Leukoplakia and dysplasia were significantly associated with men (p < 0.001) whereas the association of fibroma and lichen planus with women were significant (p < 0.001). Conclusion: In our study it was found that patients in groups II and III had more prevalence of oral mucosal disorders. Lingual varices, oral squamous cell carcinoma, fibroma and denture induced inflammatory fibrous hyperplasia were more commonly associated with the geriatric patients. The oral lesions (fibroma and lichen planus) were strongly associated with women while leukoplakia was strongly associated with men. Ageing is an important factor that can influence the occurrence of mucosal lesions and with age the oral mucosa becomes more permeable to noxious substances and more vulnerable to external carcinogens. Source

Bhatia V.,Crown College | Bhatia G.,Crown College | Jadon A.K.,Eklavya Dental College and Hospital
Journal of Natural Science, Biology and Medicine

Menopause is a normal developmental stage in a woman's life, marking the permanent cessation of menstruation resulting from irreversible changes in the hormonal and reproductive functions of the ovaries and is associated with a large number of symptoms ranging from physical to psychological. Some of the common oral manifestations are oral burning sensation with associated mucosal infections, pain, altered taste perception, and alveolar bone loss. These symptoms may unfavorably affect oral health and treatment needs requiring dentists to devise newer methods that would add along to the treatment modalities advised by gynecologists in relieving menopausal women from above symptoms. The present case report describes an innovative method of fabricating a metal base denture in an edentulous female that would help perimenopausal/menopausal/post-menopausal edentulous women feel hot/cold sensations of food/liquids, thereby giving them relief from pain, better taste perception, and relief from associated allergic and candidal infections that are common with conventional acrylic base dentures. Source

Bhatia V.,Crown College | Bhatia G.,Crown College | Garg R.,Eklavya Dental College and Hospital
Journal of Natural Science, Biology and Medicine

Retained primary teeth is a well-known process but multiple retained primary, permanent, and supernumerary teeth that too in an asymptomatic, non-syndromic patient is a rare possibility that has rarely been reported in literature. This case report discusses the clinical and radiographic details along with treatment options in a 21-year-old patient having a total number of 50 teeth, i.e., 16 retained primary teeth, 32 permanent teeth, and 2 supernumerary teeth without being associated with any known syndrome complex or metabolic disorder. Source

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