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Vineeth K.,Ms Ramaiah Dental College And Hospital | Lalitha R.M.,Ms Ramaiah Dental College And Hospital | Prasad K.,Ms Ramaiah Dental College And Hospital | Ranganath K.,Ms Ramaiah Dental College And Hospital | Shwetha V.,Ms Ramaiah Dental College And Hospital
Journal of Cranio-Maxillofacial Surgery | Year: 2013

Purpose: The aim of this study was to compare efficacy between the single non-compression titanium miniplate and single three-dimensional titanium miniplate in mandibular angle fracture treatment. Method and materials: A prospective study of 20 patients with mandibular angle fractures. Patients were randomly categorized into two groups with 10 patients in each group. Group-I patients were treated with single 2.0 mm conventional titanium miniplate, Group-II patients were treated with single 2.0 mm three-dimensional titanium miniplate according to Champy's principles. Parameters such as stability of fracture fragments, occlusion, mouth opening, additional fixation required and complications were evaluated at different time intervals. Results: In Group-I, about 40% (n = 4) of patients showed unstable fracture fragments on immediate postoperative day whereas in Group-II only 10% (n = 1) of patients with fracture instability. In Group-I, 30% (n = 3) had mild occlusal derangement and 20% (n = 2) had deranged occlusion on immediate postoperative day, where as in Group-II only 20% (n = 2) of patients had mild occlusal derangement. Additional fixation required in 30% (n = 3) of patients in group-I, and 10% (n = 1) in Group-II. 20% (n = 2) of patients in Group-I developed infection. All patients in both the groups had inadequate mouth opening on immediate post operative day, later resumed normal mouth opening. 10% (n = 1) in group-I and 20% (n = 2) of patients in group-II presented with postinjury/preoperative inferior alveolar nerve sensory disturbance with no incidence of postoperative sensory disturbance. None of the patients in both the groups had malunion, nonunion, plate fracture, and loosening of plates and screws. Conclusion: 3-D titanium miniplates showed more favorable results compared to single conventional titanium miniplate with respect to initial interfragmentary stability and complications. © 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

A community intervention trial was conducted to assess the feasibility of APF gel as a caries-preventive agent in a high-risk group of school children in Bangalore City. The study was conducted in two schools, randomly selected from a list of schools catering to underprivileged children. These schools were randomly allocated into experimental and control groups. Children aged 9-16 years having three or more incipient or cavitated primary or secondary carious lesions were enrolled in the study. In the experimental group, APF gel was applied and oral health education was provided to both groups at baseline and 6 months. Follow-up examination was performed at 6 and 12 months and the caries status was recorded by an investigator who was blinded to the allocation of intervention. There was no statistically significant difference in DMFT and DMFS values, but a significant difference was seen in incipient carious lesions between the experimental and control groups at 6 and 12 months. These results suggest that biannual APF gel application is an effective preventive measure in reversing incipient carious lesions.

Banavar S.R.,MS Ramaiah Dental College and Hospital | Vidya G.S.,MS Ramaiah Dental College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2014

Background: Dengue, a mosquito-transmitted viral infection presents variable symptoms, including death. Due to their increasing incidences, early detection and improved diagnoses of severe cases are of prime importance. Currently, viral antigens and antibodies are detected by traditional serological tests. However, the introduction of oral fluid as an alternative, has led to many researches. Hence, this prompted us to carry out a pilot study to evaluate the diagnostic efficacy of saliva in detecting dengue antibody by using Enzyme Linked Immunosorbent Assay (ELISA). Aim and objectives: To evaluate the presence of Dengue antibody in saliva and its sensitivity and specificity through ELISA. Methodology and Results: Twenty seropositive patients and twenty seronegative patients of Dengue were considered individually. Saliva samples collected from these patients were subjected to ELISA test for detection of Dengue antibody. A sensitivity of 100% and a specificity of 100% were obtained for making a diagnosis of Dengue infection. Conclusion: Many studies have been conducted by utilizing saliva as a diagnostic tool, especially in western population. Its advantages over venipuncture are many, especially as it is less invasive, safe, less expensive and as it allows large numbers of samples to be collected easily for screening and epidemiological purposes. In a developing tropical country like India, such a diagnostic tool has to be encouraged. Further research necessitates the implementation of saliva as a diagnostic tool.

Bijle M.N.A.,Dr Dy Patil Dental College And Hospital | Patil S.,Ms Ramaiah Dental College And Hospital
Indian Journal of Dental Research | Year: 2013

Background: Patent policies have proved to be extremely important for several countries to develop. India has achieved its global status since 2005; a critical analysis of the patents at IPO will help us to identify the potential, available for patents with Indian Dental Fraternity. Aim: The aim of this study is to critically analyze and review Indian Patents in the field of Dentistry from 2005-2009 for evaluation of status of Indian Patents in Dentistry. Materials and Methods: A total of 110 patents were scrutinized from 2005-2009 available by IPO on www.patentoffice.nic.in. Following which a preliminary data were collected from individual patents and recorded in a record sheet. Statistical Analysis: The data collected were analyzed using SPSS 16.0 software and were subjected to ANOVA test. Results: All patents scrutinized were applied for dental materials (100%). Company applicants (70%) were the maximum followed by the individual applicants (27.2%). A total of 87.3% of patents had enrolled for International Application. Priority country had maximum favor with USA (39.2%) followed by Europe (36.1%). Single inventors (44.5%) were the maximum followed by two inventors (22.7%). Europe (37.3%) had the maximum first inventor, followed by United States of America (30%) and India (10.9%). Individual inventors were maximum in Europe (38.8%) followed by USA (20.4%) and India (16.3%). Conclusion: Contribution from Indian Nationals as inventors for patents in the field of Dentistry is limited, thus reducing the pace of progress and development. Indian inventors in the field of Dentistry have to go a long way to compete with the fellow mates of developed countries like USA and Europe. Continuing Dental Education programs on Intellectual property rights should be conducted on regular basis especially for Dentist's involved in research.

Reddy S.J.,MS Ramaiah Dental College and Hospital | Jatti D.S.,MS Ramaiah Dental College and Hospital
Dentomaxillofacial Radiology | Year: 2012

Gorham's disease, or vanishing bone disease, is a rare condition of unknown aetiology. Any bone of the body can be affected, although there is a predilection for the pelvis, humerus, axial skeleton and the mandible. The mandible is the most commonly involved bone in the maxillofacial region. 41 cases have been reported so far in the literature showing involvement of the mandible in Gorham's disease. This paper presents a rare case of Gorham's disease involving the mandible in a 38-year-old male with a 10-year follow-up. © 2012 The British Institute of Radiology.

Sujatha S.,Ms Ramaiah Dental College And Hospital | Jatti D.,Ms Ramaiah Dental College And Hospital
Journal of investigative and clinical dentistry | Year: 2015

Neurofibromatosis and fibrous dysplasia show the presence of café-au-lait spots, bone lesions, and endocrinopathies. There has been speculation whether neurofibromatosis and fibrous dysplasia are different manifestations of the same disease or if these conditions are in some way related. We provide a case of whether neurofibromatosis and fibrous dysplasia complicated by hyperparathyroidism and osteoporosis. © 2013 Wiley Publishing Asia Pty Ltd.

Habbu S.G.,Dr Hsrsm Dental College And Hospital Maharashtra | Krishnappa P.,Ms Ramaiah Dental College And Hospital
International Dental Journal | Year: 2015

Background So that resources and manpower are allocated in a way of most benefit to the population, systematic review of available evidence on the effectiveness of programmes and interventions is required. Objectives To assess the quality of evidence presented in studies carried out to investigate the effectiveness of oral health education in children. Methods The MEDLINE (PubMed) bibliographic database was searched for English-language articles published from 2005 to 2011. Fifty-five articles were identified by the literature search, and the relevance of each article was determined by examining the title and the abstract. Sixteen original research studies met the inclusion criteria. These articles were read in full and scored independently by two reviewers, with scoring based on predetermined criteria. Articles scoring less than 10 were excluded from the study. For each paper that achieved a validity score of more than 10 (n = 11), data concerning the objectives of the intervention, the types and numbers of participants and the outcomes were extracted from the article. Considering the absence of homogeneity among the articles (as a result of variation in the age of subjects, type of intervention and outcome measures) quantitative analysis was not conducted. The publications were grouped based on their outcome measures: (i) plaque and gingival health; (ii) caries incidence; (iii) knowledge, attitude and oral health-related behaviour; and (iv) toothbrushing skills. Results The results of this analysis suggest that further efforts are required to synthesise, systematically, current information about dental health education, along with the maintenance of rigorous scientific standards in research. © 2014 FDI World Dental Federation.

Chaitanya Babu N.,Ms Ramaiah Dental College And Hospital | Gomes A.,Ms Ramaiah Dental College And Hospital
Journal of Oral and Maxillofacial Pathology | Year: 2011

The oral cavity is the site of much infectious and inflammatory disease which has been associated with systemic diseases such as diabetes, cardiovascular disease and pre-term low births. This article emphasizes on the oral-systemic disease connection which is now a rapidly advancing area of research. The possible systemic diseases which arise from oral microorganisms are hereby focused.

Shetty V.D.,Sinhgad Dental College and Hospital | Bijle M.N.A.,Dr DY Patil Dental College and Hospital | Patil S.,MS Ramaiah Dental College and Hospital
Journal of Contemporary Dental Practice | Year: 2013

Aim: To assess and compare the quality of life and oral health status among institutionalized elderly in Pune. Materials and methods: A cross-sectional, quantitative exploratory study was conducted in persons 60 years of age in an institutionalized elderly home. The GOHAI questionnaire was completed by a single examiner, who interviewed the patients in their local language. The oral examination was carried out according to WHO oral health survey using the DMFT-index, community periodontal index (CPI), periodontal loss of attachment (PLA), prosthetic use, and needs according to criteria established by the WHO by a calibrated examiner. Descriptive analysis was carried out using absolute and relative frequencies of the qualitative variables and means with respective standard deviations for the quantitative variables. The Student's t-test was applied to compare groups. Results: Out of the total 110 individuals interviewed for the study, 64% were males and 36% were females. Individuals with up to 20 missing teeth and individuals with more than 20 missing teeth were 20 and 80% respectively. Based on the prosthetic need, 66% individuals needed replacement of teeth by dentures in one or both arches while 34% did not need any replacement by complete denture. The mean value for physical dimension was 5.40 whereas for psychosocial dimension, pain/discomfort and behavioral dimension were 8.02, 4.58 and 7.32. Conclusion: The quality of life was found to be more favorable in individuals with less than 20 teeth missing. The quality of life among complete denture wearers in both the arches was better as compared to the quality of life among nondenture wearers. Prosthetic replacement by complete denture helps the individuals to maintain better oral health. Clinical significance: The data obtained from the present study may serve as a reference point for comparisons of the magnitude of quality-of-life indicators relating to oral health. Clinical significance: The data obtained from the present study may serve as a reference point for the magnitude of quality-of-life indicators relating to oral health.

Gopalraju P.,Ms Ramaiah Dental College And Hospital | Lalitha R.M.,Ms Ramaiah Dental College And Hospital | Prasad K.,Ms Ramaiah Dental College And Hospital | Ranganath K.,Ms Ramaiah Dental College And Hospital
Journal of Cranio-Maxillofacial Surgery | Year: 2014

The aim of this comparative, prospective, randomized, controlled study was to evaluate two different regimens of analgesics: a preoperative intravenous dose of either Tramadol or Ketorolac given 10 min prior to surgery to assess their impact on clinical recovery after third molar surgery. Forty patients requiring surgical extraction of unilateral impacted mandibular third molars similar in position were enrolled in the study. Patients were randomly divided into two groups based on permuting the numbers. Patients in Group 1 and Group 2 were administered either Tramadol 50 mg or Ketorolac 30 mg, intravenously, 10 min prior to surgery. The difference in postoperative pain was assessed by four primary points: pain intensity as measured by a 10 mm visual analogue scale hourly for 12 h, median time to rescue analgesics, number of analgesics consumed and patient's overall 5-point global assessment scale. Throughout the 12 h investigation period, patients treated with Ketorolac reported significantly lower pain intensity scores, significantly longer time to rescue analgesics (Acetaminophen 500 mg) and less intake of postoperative analgesics. In Group 2, 40% of the patient had good overall assessment as compared to Group 1 where only 25% of patients had good overall assessment. The current study shows that pre-emptive use of Inj. Ketorolac 30 mg intravenously can reduce the severity of the postoperative sequelae of asymptomatic impacted mandibular third molar surgery. © 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

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