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Rajmohan M.,KSR Institute of Dental Science and Research | Rao U.K.,Ragas Dental College and Hospital | Joshua E.,Ragas Dental College and Hospital | Rajasekaran S.T.,Vishnu Dental College | Kannan R.,Ragas Dental College and Hospital
Journal of Oral and Maxillofacial Pathology | Year: 2012

Context: Carcinoma in an early stage of development is hard to detect clinically because the lesion may not be palpable and color of the lesional tissue is not necessarily different from the color of the surrounding mucosa. In order to improve the efficacy of the diagnosis, techniques are being developed to complement clinical examination and to facilitate the identification of initial carcinomas. Aims: To find out the efficacy of chemiluminescent illumination (ViziLite TM) for the diagnosis in precancer and cancer patients and compare this result to toluidine blue staining and oral exfoliative cytology. Materials and Methods: This study was done in 3 groups. Each group consists of 10 cases. Group I consists of normal appearing mucosa. Group II and III consist of clinically diagnosed pre-cancer and clinically suggestive of cancer respectively. Chemiluminescent illumination, toluidine blue supravital staining, oral exfoliative cytology and biopsy were performed in all cases. Statistical analysis used: SPSS version 10.05 was used to calculate positive and negative predictive values. Results: In Group I, all 10 patients showed negative result to ViziLite TM. 8 patients showed positivity and 2 patients showed negativity to ViziLite TM test in Group II. 9 patients were positive and one patient was negative for ViziLite TM. Conclusions: Chemiluminescent illumination test was sensitive for precancerous and cancerous lesions, which presented as keratotic lesions and red-white lesions. It showed negative result to erosive lesions. Toluidine blue staining test was reliable in precancerous and cancerous lesions, which present as erosive and red-white lesions. It showed negative result to keratotic lesions. Oral exfoliative cytology has diagnostic value in cancer patients than in precancer patients. These Results indicate that chemiluminescent illumination test is relatively reliable and accurate than toluidine blue staining test and useful chair side diagnostic test.

Elanchezhiyan S.,KSR Institute of Dental Science and Research | Renukadevi R.,KSR Institute of Dental Science and Research | Vennila K.,JKK Nataraja Dental College and Hospital
Lasers in Medical Science | Year: 2013

Laser-assisted surgery is common nowadays and most of the oral soft tissue surgical procedures are done with lasers. Among the commonly available lasers today, the diode laser is the one frequently used one in dentistry. Bleeding control, visibility, and better tissue manipulation are some of the advantages of the laser. This article addresses the management of hereditary ankyloglossia using the diode laser and conventional surgery in siblings. © 2012 Springer-Verlag London Ltd.

Sundaravel S.,Subbaraj Polyclinic | Anuthama K.,KSR Institute of Dental Science and Research | Prasad H.,KSR Institute of Dental Science and Research | Sherlin H.J.,Shalom Multispeciality Dental Clinic | Ilayaraja V.,Subbaraj Polyclinic
Journal of Oral and Maxillofacial Pathology | Year: 2013

Myofibroma is an uncommon benign mesenchymal neoplasm composed of myofibroblasts, but it can be confused with more aggressive spindle cell tumors. Solitary myofibroma is common in soft tissues of head and neck, but rare in the jaw bones with only 38 cases of central myofibroma of mandible reported in English medical literature. When encountered in the jaws, lesions exhibit clinical and radiographic features suggestive of odontogenic cysts/tumors or other neoplastic conditions. We hereby present the 39 th case of intraosseous myofibroma of the mandible which had been reported to our institution. A 16-year-old male reported with a chief complaint of swelling in the right side of face. Intraorally there was a firm, nontender swelling in the right buccal aspect of the mandible. Radiologically the lesion was osteolytic, destroying the buccal cortical plate. Histologically, characteristic biphasic pattern of myofibroma was noticed. Immunoreactivity was positive for vimentin and αSMA but negative for desmin, thus confirming our diagnosis. The patient was treated by local-wide surgical excision of the lesion. A 3-year follow-up revealed no signs of recurrence. Occurrence of myofibroma involving the jaw bones is common in the younger age groups and represents a unique diagnostic and therapeutic challenge. Differentiating this lesion from other benign and malignant neoplasms is crucial in deciding between a radical and a conservative treatment approach.

Kumar S.,KSR Institute of Dental Science and Research | Mahabob N.,KSR Institute of Dental Science and Research
Journal of Pharmacy and Bioallied Sciences | Year: 2013

Hypodontia is defined as the developmental absence of one or more tooth and it can present in varying degrees of severity and severe hypodontia has been defined as the absence of six teeth, excluding third molars. Radiation plays an important role in the treatment of head and neck cancer, in spite of its benefits, radiation has several side-effects in the head and neck region. This article highlights a case report, where hypodontia, hypoplasia of mandible, stunded permanent teeth roots, microdontia, inversion of tooth bud were observed in 19 years old patient who was diagnosed with Langerhans cell histiocytosis at her age of 3 years she had received a combination of radiotherapy and chemotherapy for a period of 1 year and radiation of 50 Gy was used in the head and neck region. Radiographs were taken and it revealed abnormal changes in growth and development of bone and teeth.

Shankar S.,KSR Institute of Dental Science and Research | Anuthama K.,KSR Institute of Dental Science and Research | Kruthika M.,Salem College | Kumar V.S.,Salem College | And 3 more authors.
Journal of Forensic and Legal Medicine | Year: 2013

Anthropological research relies on skeletal and dental remains for the identification of species. Sexual dimorphism is the systematic difference in form between males and females of the same species. This study is designed to compute a new formula for sex determination using discriminant function analysis in the deciduous crown dimensions of a paediatric population of South Indian origin and to check its accuracy. The sample consisted of 93 females and 90 males of South Indian origin aged between 5 and 13 years. Alginate impressions of the upper dental arch were made and casts were poured immediately. A digital vernier calliper was used to obtain measurements. Teeth considered for measurement were deciduous maxillary canines and molars. Our study is a maiden attempt in considering diagonal measurements along with mesiodistal (MD) and buccolingual (BL) dimensions as predictor variables for sex determination. Statistical analysis was performed using the Statistical Package for the Social Science version 17.0 software. By using the Student t-test, the different predictor variables of teeth selected between male and females were found to be significant (p < 0.05). Highly significant sexual dimorphism was found in the mean MD dimension of maxillary right canine and right and left first molar, BL dimension of right first molar, distobuccal-mesiolingual of right and left first molar and right second molar and mesiobuccal-distolingual of right second molar. The percentage of sexual dimorphism in MD dimensions revealed that the right upper first molar was the most dimorphic tooth and the upper first molar of the left side was the least dimorphic of the six teeth studied. The present study found the level of sexual dimorphism in the deciduous crown dimensions of a selected group of South Indian population, which is sufficiently large to determine sex with an accuracy of 87.2-88% by discriminant function analysis. Hence the formula derived from the present study could be of some value in sex determination of paediatric populations of South Indian origin. © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

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