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Devang Divakar D.,King Saud University | Mavinapalla S.,KVG Dental College and Hospital | Al Kheraif A.A.,King Saud University | Ramakrishnaiah R.,King Saud University | And 2 more authors.
Medicine, Science and the Law

Susuk, or charm needles, are small, metallic needles inserted under the skin, considered to enhance beauty, health and luck. This hidden secret of inserting susuk is a traditional superstitious ritual, widely practiced among women of Southeast Asia. Here, we present an interesting case of incidental radiographic finding of the concealed art of susuk, which was exposed on a panoramic radiograph taken on a routine basis as a part of diagnostic work up at our centre. An orthopantomogram revealed bilateral metallic foreign bodies in the maxillo-facial region. Anamnestic data affirmed the practice of the body art of susuk. The charm needles were present in the orofacial region without the patient experiencing any pathological signs or symptoms. © 2015, © The Author(s) 2015. Source

Mathew P.,Annamalai University | Austin R.D.,Annamalai University | Varghese S.S.,Mar Baselious Dental College and Hospital | Kumar M.,KVG Dental College and Hospital
Journal of Clinical and Diagnostic Research

Background: Oral Squamous cell carcinoma (OSCC) is often preceded by potentially malignant disorders like oral submucous fibrosis (OSMF). The rate of transformation of OSMF to OSCC ranges from 3 to 19%. OSMF is etiologically related to chewing of areca nut (betel nut), a habit prevalent among the population groups in south-east Asia. Along with alkaloids, the high copper content in areca nut plays an important role in the pathogenesis of OSMF. The increased prevalence of OSMF in the last two decades or so corresponds with the increased processing and commercialization of areca nut products. Aim: The aim of the study was to estimate and compare the copper content of raw areca nuts in three different stages of maturity, and commercial areca nut products. Materials and Methods: Raw areca nut samples of three different maturities were obtained from four plantations in Sullia, Karnataka, India and commercial areca nut products were obtained from local shops in Chidambaram, Tamil Nadu, India. The samples were grounded and subjected to Atomic Absorption Spectrometry (AAS) for copper analysis. Results: There was statistically significant difference in copper content in raw areca nuts of all three maturities (p<0.05) and was highest in the exfoliated mature nuts. Importantly copper level was significantly higher in the commercial products compared to raw areca nuts of different degrees of maturity (p<0.05). Conclusions: The copper levels in commercial products are significantly higher than that of raw areca nuts in all three stages of maturity. The increase in copper content on processing and post commercialization can be related to the increasing prevalence of OSMF. Source

Shaila M.,JKK Nataraja Dental College and Hospital | Shetty P.,A B Shetty Memorial Institute of Dental science | Madonna Decruz A.,Ab Shetty Memorial Institute Of Dental Science | Pai P.,KVG Dental College and Hospital
Journal of Clinical and Diagnostic Research

Introduction: Oral squamous cell carcinoma is one of the leading causes of mortality in India. The screening and the early detection of the premalignant and malignant lesions are the only means for controlling the disease. General dental practitioners can play a great role in this direction. The objective of the present study was to assess the self-reported knowledge, attitude, as well as the practices concerning the early detection of oral cancer among the dentists of Dakshina Kannada, Karnataka, India. Materials and Methods: About 200 clinicians (BDS/MDS) were randomly selected for an 18 itemed questionnaire survey. The aspects which were enquired into were the usage of exfoliative cytology in their clinical practice, the recent attempts which are made by dentists at updating their knowledge on oral cancer, their practical approaches towards the screening for oral premalignant diseases, etc. Results: Over 98% of the dentists reported to have not performed exfoliative cytology in their clinics. However, 85% had attended education programs on oral cancer. About 72% felt the need to be trained and they welcomed the suggestion of conducting practical workshops in this direction. 29.5% conducted biopsies when they encountered suspicious looking lesions, but only 13% counseled such patients for the habit cessation. 86% felt the need for Oral Pathology consultants in their clinics. Conclusion: This pilot survey identified an existing gap in the knowledge and practices among physicians and dentists and this emphasises the need to increase the numbers of oral cancer detection workshops which are held among the professional groups. Source

Mulki S.,NITTE University | Mulki S.,KVG Dental College and Hospital | Shetty P.,Ab Shetty Memorial Institute Of Dental Science | Pai P.,KVG Dental College and Hospital
Journal of Clinical and Diagnostic Research

Background: Oral rinse is a novel method that can be used to detect dysplasia in potentially malignant disorders and malignant oral lesions in resource challenged areas. A study was undertaken to compare the quality of the normal smears prepared with the oral rinse and that of the wooden tongue spatula. Material and Methods: One hundred five normal subjects were selected for the study. Two smears were prepared from clinically normal mucosa using an oral rinse and further two smears were scraped from clinically normal buccal mucosa using a wooden spatula. Statistical Analysis: The smears were graded for cell yield, dispersion and cellular clarity on a three-point scale by two observers. The results were analyzed using Mann Whitney non parametric test. Results: The Oral rinse was found to be significantly more efficient than the wooden spatula, in terms of cell yield (p<0.0001), cell dispersion (p =.0052) and cellular detail (p<0.0001). Conclusion: The study showed that the Oral rinse is an effective method for use in exfoliative cytology of normal oral mucosa. Source

Rai H.C.,KVG Dental College and Hospital | Ahmed J.,Manipal University India
Asian Pacific Journal of Cancer Prevention

Background: Oral squamous cell carcinoma (OSCC), the most common malignancy of the oral cavity, shows geographical variation with respect to the age, sex, site and habits of the population. The histolopathologic grade of the tumor is closely related to its tissue of origin. This study was conducted to establish the prevalence of OSCC in relation to patient sex, age, habits and sites of lesions. Materials and Methods: A total of 130 cases of histopathologically diagnosed OSCC were selected for the study, out of which 66, 38 and 26 were well (WD), moderately (MD)and poorly differentiated (PD), respectively. Sections were stained with haematoxylin and eosin and graded according to a modified Borders's system. Then statistically analyzed different grades of OSCC for correlations with other variables. Results: In our study the majority cases of OSCC were found in the 5th to 7th decades of life, males acconting for 53%. The most common site was the buccal mucosa and most cases had habit of tobacco use either in the form of chewing or smoking or both. When the different grades of OSCC were compared with different sites a statistically significant value was observed (P=0.029). Conclusions: The incidence of high grade PD is very much less in female patients but in males such lesions were common. In our location population the buccal mucosa is the most common site due to the tobbaco habits of the patients and majority cases of the buccal mucosa are WD whereas in tongue, floor of the mouth and palate PD are common. Source

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