KLEVK Institute of Dental science

Karnataka, India

KLEVK Institute of Dental science

Karnataka, India
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Angadi P.,KLEVK Institute of Dental science
Eastern Journal of Medicine | Year: 2016

Osteoblastomas are biologically benign tumors with limited growth potential and may show a wide range of clinical, radiographic and histopathological findings. Osteoblastomas of the jaw may resemble other gnathic lesions including osteoid osteoma, cementoblastoma, cement-ossifying fibroma, cemento-osseous dysplasia and osteosarcoma, offering a unique diagnostic conundrum. Aggressive osteoblastoma, a rare variant of osteoblastoma characterized by the presence of atypical histopathological features like epithelioid osteoblasts and exhibiting locally aggressive behavior is rarely reported in the jaw bones. The accurate diagnosis and delineation of this entity from malignant bone tumors sometimes may be a challenge. The case report emphasizes this entity, which has to be differentiated from low- grade osteosarcoma and highlights the gravity of clinico-pathologic correlation in such lesions. © 2016 Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.

Kiran K.,KLEVK Institute of Dental science | Kamala B.K.,The Oxford Dental College and Hospital
European Journal of Paediatric Dentistry | Year: 2011

Aim: The purpose of this study was to find the correlations between local and systemic manifestations during primary teeth eruption and the eruption of various groups of teeth. Materials and methods: The infants selected for the study purpose were between 6 months to 3 years of age who had at least one erupting tooth. The study group consisted of 894 infants and other 550 infants served as a control group. Questionnaires were distributed to all parents and the data was collected. Chi square test was performed to analyse the information obtained between the two groups. There were 378 girls (42.2%) and 516 boys (57.7%) in the study group. The control group consisted of 195 girls (35.4%) and 355 boys (64.5%). Results: The most common finding was gingival irritation 821 (95.9%) and the least common symptom observed in the study was running nose 234 (27.3%). The presence of fever -diarrhea was seen in 101 (11.7%) infants. In the control group, 92.1% of the infants did not show any clinical manifestations. Conclusion: An association was found between primary teeth eruption and local and systemic manifestations. Most manifestations were found during eruption of the primary incisors.

Angadi P.V.,Klevk Institute Of Dental Science | Nagnur S.,Klevk Institute Of Dental Science
Forensic Science International | Year: 2011

The dentition's use in sex assessment has been explored and advocated owing to its strength and resistance to peri- and postmortem insults. Among the teeth, canines have shown the greatest sexual dimorphism; they are also known for greater resistance to pathological alterations and trauma. These factors have prompted some researchers to explore its use alone in sex prediction. Specifically the mandibular canine index (MCI), which is the ratio of the mesiodistal (MD) dimension of the lower right canine and the inter-canine arch width, was developed by Rao et al. [Forensic Sci. Int. 42 (1989) 249-254] who predicted sex correctly in ∼86% of cases in a South Indian sample. These results were verified subsequently by other Indian researchers, both on southern and on northern Indians, although such success rates were not apparent in another South-Asian population as well as a European group. The present study re-examined the method in 203 Indians (103 males, 100 females) of age 19-32 years who originated from diverse states of the country, constituting all major religious and caste affiliations, and found relatively low sex estimation accuracy using the MCI (∼51%). This is in spite of the MD dimension of canines as well as inter-canine arch width - the absolute measurements used for deriving the MCI - showing statistically significant sex differences (p< 0.05); also, the application of multivariate statistics, viz. logistic regression analysis, revealed higher accuracy levels of sex estimation for the absolute measurements (∼62-66%) vis-à-vis the MCI (∼50%). The results herein reinforce recent observations that ratios obtained from teeth, such as the MCI, do not reflect sexual dimorphism that may be present in absolute measurements. Furthermore, we believe that the basis for using MCI as a sex assessment tool is questionable, since it depends on the levels of sexual dimorphism between the absolute dimensions-low sexual dimorphism in one (e.g. MD measurement of canines) and proportionately high sexual differences in the other (e.g. inter-canine arch width), or vice versa, would lead to higher sex estimation accuracy of the MCI; on the other hand, relatively equal levels of sexual dimorphism in both would negate the ability of the MCI to accurately estimate sex. These suggest that the MCI has little utility in sex estimation and that its application should be restricted, if not discontinued altogether, in forensic and anthropological sex prediction. © 2010 Elsevier Ireland Ltd.

Angadi P.V.,Klevk Institute Of Dental Science | Hemani S.,Index Institute of Dental science | Prabhu S.,Yenepoya Dental College
Journal of Forensic and Legal Medicine | Year: 2013

Correct sex assessment of skeletonized human remains allows investigators to undertake a more focused search of missing persons' files to establish identity. Univariate and multivariate odontometric sex assessment has been explored in recent years on small sample sizes and have not used a test sample. Consequently, inconsistent results have been produced in terms of accuracy of sex allocation. This paper has derived data from a large sample of males and females, and applied logistic regression formulae on a test sample. Using a digital caliper, buccolingual and mesiodistal dimensions of all permanent teeth (except third molars) were measured on 600 dental casts (306 females, 294 males) of young adults (18 -32 years), and the data subjected to univariate (independent samples' t -test) and multivariate statistics (stepwise logistic regression analysis, or LRA). The analyses revealed that canines were the most sexually dimorphic teeth followed by molars. All tooth variables were larger in males, with 51/56 (91.1%) being statistically larger (p < 0.05). When the stepwise LRA formulae were applied to a test sample of 69 subjects (40 females, 29 males) of the same age range, allocation accuracy of 68.1% for the maxillary teeth, 73.9% for the mandibular teeth, and 71% for teeth of both jaws combined, were obtained. The high univariate sexual dimorphism observed herein contrasts with some reports of low, and sometimes reverse, sexual dimorphism (the phenomenon of female tooth dimensions being larger than males'); the LRA results, too, are in contradiction to a previous report of virtually 100% sex allocation for a small heterogeneous sample. These reflect the importance of using a large sample to quantify sexual dimorphism in tooth dimensions and the application of the derived formulae on a test dataset to ascertain accuracy which, at best, is moderate in nature. © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

PubMed | Bharati Vidyapeeth Deemed University, Dr Z A Dental College, Klevk Institute Of Dental Science, Vishnu Dental College and Dr D Y Patil Dental College And Hospital
Type: Journal Article | Journal: Journal of Indian Prosthodontic Society | Year: 2016

Though different teaching learning media have been employed in the instruction of geriatric dentistry, their efficacy has not been adequately evaluated. This study was conducted with the aim to determine the efficacy of a PowerPoint presentation in teaching gerodontology.This is a prospective follow-up study using a pre- and post-intervention assessment. A pilot study was conducted on the final year students to check the feasibility of the study. A convenience sampling procedure was used. All interns (n = 80) of the Modern Dental College and Research Centre, Indore, India were invited to participate. Interns completed a 24-item questionnaire documenting their current knowledge on gerodontology. One week after a 30 min PowerPoint presentation on gerodontology, the same interns completed the same questionnaire again, providing an indication of the efficacy of the learning tool. Paired t-test and McNemar test were employed for statistical analysis.A statistically significant difference was observed in pre- and post-intervention scores (P < 0.05).The results of this study indicated that PowerPoint presentation can be used as an effective tool for improving the knowledge regarding gerodontology.

PubMed | KLEVK Institute of Dental science, IDST Dental College and Hospital and Research Institute
Type: Journal Article | Journal: Asia-Pacific journal of public health | Year: 2015

The present study aimed to determine the prevalence of and relationship between dental caries and dental fluorosis at varying levels of fluoride in drinking water. The study was conducted among 3007 school children in the age group of 12 to 16 years in 2 districts of Haryana having varying fluoride levels in drinking water. Type III examination for dental caries according to the WHO index and dental fluorosis estimation according to Deans index was done. The prevalence of dental caries decreased from 48.02% to 28.07% as fluoride levels increased from 0.5 to 1.13 ppm, but as the fluoride level increased further to 1.51 ppm, there was no further reduction in caries prevalence, but there was a substantial increase in fluorosis prevalence. The optimum level of fluoride in drinking water was found to be 1.13 ppm, at which there was maximum caries reduction with minimum amount of esthetically objectionable fluorosis.

PubMed | Klevk Institute Of Dental Science and Saraswati Medical and Dental College
Type: Journal Article | Journal: Journal of maxillofacial and oral surgery | Year: 2015

As far as research regarding any disease is concerned, each and every aspect poses a challenge. One such entity that poses a challenge in our arena is oral submucous fibrosis (OSF) as no effective treatment is available for this progressively disabling condition with high malignant potential. Hence the present study was undertaken with the aim to determine the use of pentoxifylline (PTX) on the clinical and histopathologic course of OSF.Thirty clinically confirmed OSF patients were categorized randomly into group I and group II. In group I, drug PTX was administered as an adjunct along with other conventional therapies. Group II patients were advised conventional therapies only. Pre- and post-treatment biopsies were obtained for the following parameters:Micro-vascular density (MVD),Area percentage of blood vessels,Severity of fibrosis, andInflammatory components.On comparing MVD in groups I and II there was no significant difference in pre- and post-treatment.On comparing the average area percentage occupied by blood vessels, significant difference was seen in pre- and post-treatment biopsies in group I.On assessment of mouth opening and tongue protrusion, there was no significant improvement in either of the groups individually or in comparison. But when burning sensation of mucosa was assessed, pre- and post-treatment, both groups showed quite significant improvement individually.Use of pentoxifylline seemed to be questionable, and taking into consideration the long administration time, its use is not recommended for the treatment of OSF patients.

Shigli K.,Modern Dental College and Research Center | Hebbal M.,Klevk Institute Of Dental Science
Gerodontology | Year: 2012

Objective: Nutrition is compromised in completely edentulous individuals. As there is limited literature available on the nutritional health of the elderly in the Indian population, the present study was undertaken to assess these changes before and 1 month after placement of complete dentures in a dental hospital in Indore, Madhya Pradesh, India. Materials and methods: The 10-item closed-ended questionnaire was completed by the investigator who interviewed the subjects (n = 35) before placement of complete dentures and 1 month later. Results: A statistically significant difference was found for having an illness or condition that led to a change in the type and/or amount of food eaten (p = 0.013); eating few fruits, vegetables, or milk products (p = 0.005) and having oral problems that made it difficult to eat (p = 0.003). Conclusions: Prosthodontic rehabilitation improved the eating pattern with increased intake of fruits, vegetables and milk products. © 2010 The Gerodontology Society and John Wiley & Sons A/S.

Shigli K.,Modern Dental College and Research Center | Hebbal M.,Klevk Institute Of Dental Science
Gerodontology | Year: 2010

Assessment of changes in oral health-related quality of life among patients with complete denture before and 1 month post-insertion using Geriatric Oral Health Assessment Index Objective: Geriatric Oral Health Assessment Index (GOHAI) is a 12-item measure of "patient-reported oral functional problems" intended for use in the assessment of the effectiveness of dental treatment. Design and Setting: As there is scanty literature available on GOHAI in the Indian population, the present study was undertaken to assess the changes in GOHAI before and 1 month after placement of dentures in completely edentulous patients reporting to a dental hospital at Indore, India. Measurements: The GOHAI questionnaire was completed by the examiner who interviewed the patients (n = 35) before placement of complete dentures and 1 month later. Mean, median values were calculated and the data were analysed using Wilcoxon signed-rank test. Results: When overall mean was considered, the GOHAI scores increased from 27.48 to 30.19 (p = 0.002; highly significant). Conclusion: Patients reported improvement in functional changes after placement of complete dentures. © 2010 The Gerodontology Society and John Wiley & Sons A/S.

Issrani R.,Klevk Institute Of Dental Science | Ammanagi R.,Klevk Institute Of Dental Science | Keluskar V.,Klevk Institute Of Dental Science
Gerodontology | Year: 2012

Geriatric dentistry or gerodontics is the delivery of dental care to older adults involving the diagnosis, prevention, and treatment of problems associated with normal ageing and age-related diseases as part of an inter-disciplinary team with other health care professionals. Geriatric health is an ignored and under-explored area worldwide. Oral health reflects overall well being for the elderly population. Conversely, elderly patients are more predisposed to oral conditions due to age-related systemic diseases and functional changes. The major barriers to practising geriatric dentistry are the lack of trained faculty members, a crowded curriculum and monetary concerns. For successful treatment, the practitioner must adopt a humanitarian approach and develop a better understanding of the feelings and attitudes of the elderly. Prevention and early intervention strategies must be formulated to reduce the risk of oral diseases in this population. In future, dental professionals must have a proper understanding of the magnitude of the services to be provided to the elderly. This could only be realised through an education programme in geriatric dentistry, which should be started without further delay. This article hence sets out the objectives, needs, present scenario, strategies and types of dental treatment required by the elderly population. © 2010 The Gerodontology Society and John Wiley & Sons A/S.

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