Sujatha Reddy - Academia.edu (original) (raw)
Papers by Sujatha Reddy
EXCLI Journal, 2011
The present study was undertaken to assess the accuracy, precision and validity of hydrophilic Vi... more The present study was undertaken to assess the accuracy, precision and validity of hydrophilic Vinyl Poly Siloxane [VPS] impression material for bite mark documentation and analysis. Medium body VPS impressions of maxillary and mandibular anterior teeth among thirty subjects were taken and dental stone casts prepared. Hollow volume overlays were made and metric analysis was done using advanced imaging software like Adobe Photoshop - 9 and Image J. These values were compared to the measurements taken from bite mark impressions of the same 30 individuals on wax wafers using light body VPS material. The mean differences in the parameters measured by the different techniques were compared using Intra Class Correlation Coefficients [ICCC]. Additionally validity parameters such as sensitivity, specificity, positive and negative predictive value were computed.
Though now-a-days the prevalence Osteomyelitisis is decreasing, it still remains a challenging cl... more Though now-a-days the prevalence Osteomyelitisis is decreasing, it still remains a challenging clinical entity. In recent times there is an increasing incidence of systemic diseases that compromise the host immunity such as diabetes mellitus, HIV infection etc.In the present work, three cases of maxillary osteomyelitis secondary to odontogenic infection among immunecompromised individual are reported.
Fertility and Sterility, 2019
While infertile men do have significant demographic and healthcare utilization differences compar... more While infertile men do have significant demographic and healthcare utilization differences compared to fertile men, the overall health status of both infertile and fertile men appear similar.
Photodiagnosis and photodynamic therapy, Jan 24, 2018
Oral lichen planus is relatively chronic inflammatory, immune mediated mucocutaneous disorder of ... more Oral lichen planus is relatively chronic inflammatory, immune mediated mucocutaneous disorder of uncertain etiology. Psychologic stress has been found to be main contributing factor in onset and progression of lesions. Few erosive OLP patients are refractory to available therapies, even corticosteroids, and report remarkable side effects. Advent of photodynamic therapy (PDT) has proved it to be effective and safe alternative treatment of abnormal or neoplastic cells. Due to limited literature on application of this method for treatment of refractory erosive OLP, we present series of 10 cases of bilateral erosive LP treated by 5 -Aminolevulinic acid mediated PDT. Outcome of our clinical cases showed remarkable improvement in lesions with reduction in Reticulation, Erythema, Ulceration (REU) score ( from 5 to 3) and burning sensation as recorded by Visual Analogue Scale (Pretreatment VAS ranged from 5-8, posttreatment VAS was 0-1), thus PDT could be used as a complementary treatment m...
Journal of clinical and diagnostic research : JCDR, 2017
Spindle cell lesions of the head and neck region are diverse in nature by means of clinical and b... more Spindle cell lesions of the head and neck region are diverse in nature by means of clinical and biological heterogeneity. Though few lesions are found to be malignant, several others are benign or merely reactive in nature. Although these lesions are fairly common occurring in other parts of the body, they are very rare in the oral cavity, accounting for less than 1% of all tumours in the oral region. Herein, a case of 48-year-old man who presented with a polypoid lesion of the maxilla has been reported. Histopathological examination and immunohistochemistry revealed spindle cell sarcoma of the left maxillary sinus. We present this rare tumour to contribute to the better understanding and awareness of this rare malignancy where diagnosis can be very challenging.
Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, Jan 5, 2016
Oral cancer is the sixth most common malignancy in the world. Viruses are the causative agents of... more Oral cancer is the sixth most common malignancy in the world. Viruses are the causative agents of approximately 10-15% of all cancers worldwide (Cancers, 6, 2014 and 2155). The tumorigenic roles of Epstein-Barr virus in oral cancer are unclear. Literature search results are conflicting and dependent on various factors such as geographical/regional variations, sociocultural lifestyles, dietary habits, chewing/smoking tobacco habit. This study is the first original observation about frequency of Epstein-Barr virus among South Indian tobacco-chewing patients to elucidate its involvement in oral carcinogenesis and to know whether this can be a valuable diagnostic and prognostic indicator. A total number of 75 tobacco chewer subjects aged between 23 and 76 years with histopathologically confirmed oral potentially malignant disorders (25), oral squamous cell carcinoma (25), and age-matched healthy controls (25) formed the study group. Immunohistochemical expression of Epstein-Barr virus l...
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
Parotid duct sialocele is a salivary cavity arising at the expense of parotid duct. Facial trauma... more Parotid duct sialocele is a salivary cavity arising at the expense of parotid duct. Facial trauma is the most common cause of this rare condition. If left untreated, a sialocele may develop into a significantly large facial swelling. Fistula formation may occur, often draining extraorally. We report a case of Parotid duct sialocele that was assessed by sialography and ultrasonogarphy and was managed by placement of intraductal cannula for fifteen days till duct was found patent. We also discuss various treatment options of this condition in this case report.
Indian Journal of Dental Research, 2015
The increasing use of chewing tobacco (CT) in the last 10-12 years has led to an increased incide... more The increasing use of chewing tobacco (CT) in the last 10-12 years has led to an increased incidence of potentially malignant oral disorders and frank oral malignancies. To determine the frequency of oral mucosal lesions and to correlate the dose-response relationship among CT users of Bengaluru North province. This population-based cross-sectional study was conducted among a randomized cluster sample of adults in low-income group (slums), of Bengaluru North, Karnataka state, India. Nine hundred and one subjects, all CT users were surveyed in this cross-sectional study. A prestructured questionnaire which included information on type and amount of CT used, duration and frequency of use, and location of placement of tobacco in the oral cavity was used for assessment, which was followed by oral examination for the presence of lesions. Chi-square and Fisher's exact tests were used to assess the statistical significance. Of the 901 subjects with CT habits, 55.8% revealed no clinically detectable oral mucosal changes and 44.1% showed mucosal changes of which 63.8% were males and 36.1% were females. The most common finding was chewers mucositis (59.5%) followed by submucous fibrosis (22.8%), leukoplakia (8%), lichenoid reaction (6.5%), oral cancer (2.7%), and lichen planus (0.5%). This study provides information about different CT habits and associated mucosal lesions among this population.
Oral health and dental management, 2014
Sturge-Weber Syndrome (SWS) is a rare, non-hereditary, congenital neuro cutaneous disorder charac... more Sturge-Weber Syndrome (SWS) is a rare, non-hereditary, congenital neuro cutaneous disorder characterized by vascular hamartomatous proliferations affecting classically, the leptomeninges and the skin of the face and may be associated with glaucoma, seizures and mental retardation. Intraoral findings are variable. A case of Roach type II Sturge Weber syndrome is reported here that did not show any neurological disorder but revealed a prominent angiomatous enlargement of the ipsilateral maxillary gingiva. SWS is a condition where dental management and surgical procedures of the patient can be risky, thus a sound knowledge of the disease and its management protocols better equips the clinician to avoid serious complications.
Journal of clinical and diagnostic research : JCDR, 2014
To measure and determine mandibular cortical width (MCW) on the panoramic radiographs, to evaluat... more To measure and determine mandibular cortical width (MCW) on the panoramic radiographs, to evaluate the usefulness of the method in identifying postmenopausal women with low femoral bone mineral densities (f- BMD) and to correlate the radiographic findings on panoramic radiographs with the f-BMD assessed by dual X-ray absorptiometry (DXA) to predict the efficacy of the radiographic method in diagnosing osteoporosis. One hundred and twenty postmenopausal women (60 normal and 60 osteoporotic) in the age group of 50-75 y with f-BMD assessed by DXA had undergone panoramic radiographic examination. The patients were classified as normal (T-score ≥ -1.0) and osteoporotic (T-score ≤ -2.5). MCW on panoramic radiographs was measured bilaterally at the mental foramen region with a caliper and their mean was used as the exposure measure in the analysis. Student t-test showed that mean f-BMD, BMI and MCW was found be less in osteoporotic patients as compared to normal group with a statistically ...
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2015
Nonsteroidal anti-inflammatory drugs (NSAIDs), including both the traditional nonselective NSAIDs... more Nonsteroidal anti-inflammatory drugs (NSAIDs), including both the traditional nonselective NSAIDs and the selective cyclooxygenase (COX)-2 inhibitors, are widely used for their anti-inflammatory and analgesic effects. They are routinely prescribed in dental practice for the management of pain and swelling. Their use in treating acute dental pain and chronic orofacial pain, as adjuncts to the treatment of periodontal disease, and to minimize edema following surgical procedures is well documented. However, long-term utilization of nonselective NSAIDs could increase the risk of gastrointestinal symptoms, ranging from mild (e.g., dyspepsia, nausea, or vomiting) to serious gastric problems (e.g., gastric bleeding or perforation). Therefore, selective COX-2 inhibitors have been developed with fewer GI side effects but the recently identified cardiovascular adverse reactions limit their routine use in dental practice. Another major concern for oral physicians is NSAID-induced mucosal lesions and prolongation of bleeding time during invasive dental procedures. This article reviews therapeutic and analgesic uses of NSAIDs in dentistry. The various issues surrounding NSAID-induced adverse reactions and their implications in dentistry are also discussed.
Journal of Clinical and Experimental Dentistry, 2010
The term orofacial granulomatosis (OFG) is a descriptive term used for granulomatous disorders af... more The term orofacial granulomatosis (OFG) is a descriptive term used for granulomatous disorders affecting the face and oral cavity, which can occur for a variety of reasons resulting in significant morbidity. It is characterised by persistent swelling that may involve one or both the lips and /or recurrent ulcers and a variety of other orofacial features. Medical history is very important in the diagnosis of OFG as medical condition like Crohn's disease can also present an extra intestinal manifestation of OFG. Exclusion of other entities like sarcoidosis, mycobacterial infections, foreign body reactions and biopsy helps to establish a correct diagnosis. Herein we report a case of OFG in a 55 year old female patient with review of literature.
Journal of Advanced Clinical and Research Insights, 2014
Introduction: Most common form of oral ulcers is recurrent aphthous stomatitis (RAS). It occurs i... more Introduction: Most common form of oral ulcers is recurrent aphthous stomatitis (RAS). It occurs in three forms minor, major and herpetiform ulcers. They are extremely painful ulcer, and there are no established causes or treatment for it. Various causes such as vitamin defi ciencies, stress, micro-trauma, has been hypothesized for the etiology of RAS. Treatment with cold lasers is commonly known as low-level laser therapy (LLLT). They are used as adjuvant treatment in the various disorders such as arthritis, tennis elbow, chronic wounds, burns, peripheral nerve regeneration. In this study, we are using cold lasers for the treatment of the oral ulcers. Materials and Methods: A total of 12 subjects with RAS in the age group of 16-50 years of both genders were included in the study. After taking informed consent, they were treated with LLLT (0.63 nm, 10 mW, continuous wave). Area of the ulcer was determined, and the duration of the laser treatment was calculated. On an average, the treatment duration was 10-18 s/day. Subjects were treated daily until the ulcers healed. Effi cacy of the treatment was based on assessment pain scores (measured using visual pain analog scale) measured every day after therapy. Results: Total of 12 subjects underwent treatment. The average size of the ulcer was 8 mm 2 with a range of 8-35 mm 2. The average pain score (visual analog scale) on the 1 st , 2 nd , 3 rd day, and 5 th were 6.9, 6.4, 4.9, and 2.3 respectively. Conclusion: LLLT is known to cause vasodilatation by releasing nitric oxide at base of the ulcers. This increase in blood supply drains out of the metabolic substances, which cause tissue destruction and pain. It also favors the production of growth factors which causes healing of the ulcer and tissue repair. The observation that pain in the ulcers is same on the 2 nd day could suggest that LLLT augments the natural process of healing. Further comparative and follow-up studies are required to prove further effi cacy of LLLT on RAS.
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2010
The aim of this study was to evaluate the efficacy of conventional radiography, digital radiograp... more The aim of this study was to evaluate the efficacy of conventional radiography, digital radiography and ultrasound imaging in diagnosing periapical lesions. Study design. Twenty-one patients aged between 15 and 45 years with well defined periapical radiolucency associated with anterior maxillary or mandibular teeth requiring endodontic surgery or extraction were selected and consented to the study. Preoperative intraoral periapical radiographs and digital images using charge-coupled device obtained by paralleling technique were assessed by 3 specialist observers who gave their diagnosis of the periapical lesions. Then ultrasound examination was performed and the images were assessed for size, contents, and vascular supply by 3 ultrasonographers. It was followed by curettage of periapical tissues to enable histopathologic investigation, which is the gold standard in diagnosis. The data were statistically analyzed using SPSS, analysis of variance, and statistics. Results. The percentage accuracy of diagnosing periapical lesions using conventional radiography was 47.6%, digital radiography 55.6%, and ultrasound 95.2%. Ultrasound had the highest sensitivity and specificity: 0.95 and 1.00, respectively. Conclusion. Conventional and digital radiography enable diagnosis of periapical diseases, but not their nature, whereas ultrasound provides accurate information on the pathologic nature of the lesions, which is of importance in predicting the treatment outcome. Therefore ultrasound can be used as an adjunct to conventional or digital radiography in diagnosing periapical lesions.
Indian Journal of Dental Research, 2009
Salivary gland examination is an important part of oral examination, especially because of it&... more Salivary gland examination is an important part of oral examination, especially because of it's involvement in most of the systemic diseases. Patients most commonly seek medical attention when the major salivary glands like parotid and submandibular gland become enlarged or painful. The various imaging modalities practiced to check the salivary gland disorders include conventional radiography, sialography, ultrasonography, computerized tomography, radionuclide imaging and magnetic resonance imaging. Sialography is one of the oldest imaging procedures and still most commonly practiced, as it is a chair side procedure, simple to perform, and cost effective. We report the role of sialography as an adjuvant in the diagnosis of bacterial sialadenitis and sialadenosis and as a diagnostic and therapeutic aid in a case of juvenile recurrent parotitis.
European Archives of Paediatric Dentistry, 2009
BACKGROUND: Juvenile recurrent parotitis (JRP) is a rare salivary gland disease of obscure aetiol... more BACKGROUND: Juvenile recurrent parotitis (JRP) is a rare salivary gland disease of obscure aetiology that affects children. It is characterized by multiple episodes of unilateral or bilateral parotid inflammation over a period of years. CASE REPORT: A 14 year old boy presented with multiple episodes of recurrent bilateral swellings of the parotid glands since 1 year of age with no relevant past medical and dental history, TREATMENT: Included prescription of antibiotic Dicloxacillin 500 mg tid for 7 days and analgesics as a combination of Diclofenac 50 mg and Paracetamol 500 mg tid for 10 days, to resolve acute infection followed by sialography using Iopromide (ultravist-300) twice at an interval of 6 months for glandular lavage which helps to clear the mucous plugs that form during the acute phase. FOLLOW-UP: It was satisfactory as there has been no recurrence of parotitis during 18 months.
EXCLI Journal, 2011
The present study was undertaken to assess the accuracy, precision and validity of hydrophilic Vi... more The present study was undertaken to assess the accuracy, precision and validity of hydrophilic Vinyl Poly Siloxane [VPS] impression material for bite mark documentation and analysis. Medium body VPS impressions of maxillary and mandibular anterior teeth among thirty subjects were taken and dental stone casts prepared. Hollow volume overlays were made and metric analysis was done using advanced imaging software like Adobe Photoshop - 9 and Image J. These values were compared to the measurements taken from bite mark impressions of the same 30 individuals on wax wafers using light body VPS material. The mean differences in the parameters measured by the different techniques were compared using Intra Class Correlation Coefficients [ICCC]. Additionally validity parameters such as sensitivity, specificity, positive and negative predictive value were computed.
Though now-a-days the prevalence Osteomyelitisis is decreasing, it still remains a challenging cl... more Though now-a-days the prevalence Osteomyelitisis is decreasing, it still remains a challenging clinical entity. In recent times there is an increasing incidence of systemic diseases that compromise the host immunity such as diabetes mellitus, HIV infection etc.In the present work, three cases of maxillary osteomyelitis secondary to odontogenic infection among immunecompromised individual are reported.
Fertility and Sterility, 2019
While infertile men do have significant demographic and healthcare utilization differences compar... more While infertile men do have significant demographic and healthcare utilization differences compared to fertile men, the overall health status of both infertile and fertile men appear similar.
Photodiagnosis and photodynamic therapy, Jan 24, 2018
Oral lichen planus is relatively chronic inflammatory, immune mediated mucocutaneous disorder of ... more Oral lichen planus is relatively chronic inflammatory, immune mediated mucocutaneous disorder of uncertain etiology. Psychologic stress has been found to be main contributing factor in onset and progression of lesions. Few erosive OLP patients are refractory to available therapies, even corticosteroids, and report remarkable side effects. Advent of photodynamic therapy (PDT) has proved it to be effective and safe alternative treatment of abnormal or neoplastic cells. Due to limited literature on application of this method for treatment of refractory erosive OLP, we present series of 10 cases of bilateral erosive LP treated by 5 -Aminolevulinic acid mediated PDT. Outcome of our clinical cases showed remarkable improvement in lesions with reduction in Reticulation, Erythema, Ulceration (REU) score ( from 5 to 3) and burning sensation as recorded by Visual Analogue Scale (Pretreatment VAS ranged from 5-8, posttreatment VAS was 0-1), thus PDT could be used as a complementary treatment m...
Journal of clinical and diagnostic research : JCDR, 2017
Spindle cell lesions of the head and neck region are diverse in nature by means of clinical and b... more Spindle cell lesions of the head and neck region are diverse in nature by means of clinical and biological heterogeneity. Though few lesions are found to be malignant, several others are benign or merely reactive in nature. Although these lesions are fairly common occurring in other parts of the body, they are very rare in the oral cavity, accounting for less than 1% of all tumours in the oral region. Herein, a case of 48-year-old man who presented with a polypoid lesion of the maxilla has been reported. Histopathological examination and immunohistochemistry revealed spindle cell sarcoma of the left maxillary sinus. We present this rare tumour to contribute to the better understanding and awareness of this rare malignancy where diagnosis can be very challenging.
Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, Jan 5, 2016
Oral cancer is the sixth most common malignancy in the world. Viruses are the causative agents of... more Oral cancer is the sixth most common malignancy in the world. Viruses are the causative agents of approximately 10-15% of all cancers worldwide (Cancers, 6, 2014 and 2155). The tumorigenic roles of Epstein-Barr virus in oral cancer are unclear. Literature search results are conflicting and dependent on various factors such as geographical/regional variations, sociocultural lifestyles, dietary habits, chewing/smoking tobacco habit. This study is the first original observation about frequency of Epstein-Barr virus among South Indian tobacco-chewing patients to elucidate its involvement in oral carcinogenesis and to know whether this can be a valuable diagnostic and prognostic indicator. A total number of 75 tobacco chewer subjects aged between 23 and 76 years with histopathologically confirmed oral potentially malignant disorders (25), oral squamous cell carcinoma (25), and age-matched healthy controls (25) formed the study group. Immunohistochemical expression of Epstein-Barr virus l...
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
Parotid duct sialocele is a salivary cavity arising at the expense of parotid duct. Facial trauma... more Parotid duct sialocele is a salivary cavity arising at the expense of parotid duct. Facial trauma is the most common cause of this rare condition. If left untreated, a sialocele may develop into a significantly large facial swelling. Fistula formation may occur, often draining extraorally. We report a case of Parotid duct sialocele that was assessed by sialography and ultrasonogarphy and was managed by placement of intraductal cannula for fifteen days till duct was found patent. We also discuss various treatment options of this condition in this case report.
Indian Journal of Dental Research, 2015
The increasing use of chewing tobacco (CT) in the last 10-12 years has led to an increased incide... more The increasing use of chewing tobacco (CT) in the last 10-12 years has led to an increased incidence of potentially malignant oral disorders and frank oral malignancies. To determine the frequency of oral mucosal lesions and to correlate the dose-response relationship among CT users of Bengaluru North province. This population-based cross-sectional study was conducted among a randomized cluster sample of adults in low-income group (slums), of Bengaluru North, Karnataka state, India. Nine hundred and one subjects, all CT users were surveyed in this cross-sectional study. A prestructured questionnaire which included information on type and amount of CT used, duration and frequency of use, and location of placement of tobacco in the oral cavity was used for assessment, which was followed by oral examination for the presence of lesions. Chi-square and Fisher's exact tests were used to assess the statistical significance. Of the 901 subjects with CT habits, 55.8% revealed no clinically detectable oral mucosal changes and 44.1% showed mucosal changes of which 63.8% were males and 36.1% were females. The most common finding was chewers mucositis (59.5%) followed by submucous fibrosis (22.8%), leukoplakia (8%), lichenoid reaction (6.5%), oral cancer (2.7%), and lichen planus (0.5%). This study provides information about different CT habits and associated mucosal lesions among this population.
Oral health and dental management, 2014
Sturge-Weber Syndrome (SWS) is a rare, non-hereditary, congenital neuro cutaneous disorder charac... more Sturge-Weber Syndrome (SWS) is a rare, non-hereditary, congenital neuro cutaneous disorder characterized by vascular hamartomatous proliferations affecting classically, the leptomeninges and the skin of the face and may be associated with glaucoma, seizures and mental retardation. Intraoral findings are variable. A case of Roach type II Sturge Weber syndrome is reported here that did not show any neurological disorder but revealed a prominent angiomatous enlargement of the ipsilateral maxillary gingiva. SWS is a condition where dental management and surgical procedures of the patient can be risky, thus a sound knowledge of the disease and its management protocols better equips the clinician to avoid serious complications.
Journal of clinical and diagnostic research : JCDR, 2014
To measure and determine mandibular cortical width (MCW) on the panoramic radiographs, to evaluat... more To measure and determine mandibular cortical width (MCW) on the panoramic radiographs, to evaluate the usefulness of the method in identifying postmenopausal women with low femoral bone mineral densities (f- BMD) and to correlate the radiographic findings on panoramic radiographs with the f-BMD assessed by dual X-ray absorptiometry (DXA) to predict the efficacy of the radiographic method in diagnosing osteoporosis. One hundred and twenty postmenopausal women (60 normal and 60 osteoporotic) in the age group of 50-75 y with f-BMD assessed by DXA had undergone panoramic radiographic examination. The patients were classified as normal (T-score ≥ -1.0) and osteoporotic (T-score ≤ -2.5). MCW on panoramic radiographs was measured bilaterally at the mental foramen region with a caliper and their mean was used as the exposure measure in the analysis. Student t-test showed that mean f-BMD, BMI and MCW was found be less in osteoporotic patients as compared to normal group with a statistically ...
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2015
Nonsteroidal anti-inflammatory drugs (NSAIDs), including both the traditional nonselective NSAIDs... more Nonsteroidal anti-inflammatory drugs (NSAIDs), including both the traditional nonselective NSAIDs and the selective cyclooxygenase (COX)-2 inhibitors, are widely used for their anti-inflammatory and analgesic effects. They are routinely prescribed in dental practice for the management of pain and swelling. Their use in treating acute dental pain and chronic orofacial pain, as adjuncts to the treatment of periodontal disease, and to minimize edema following surgical procedures is well documented. However, long-term utilization of nonselective NSAIDs could increase the risk of gastrointestinal symptoms, ranging from mild (e.g., dyspepsia, nausea, or vomiting) to serious gastric problems (e.g., gastric bleeding or perforation). Therefore, selective COX-2 inhibitors have been developed with fewer GI side effects but the recently identified cardiovascular adverse reactions limit their routine use in dental practice. Another major concern for oral physicians is NSAID-induced mucosal lesions and prolongation of bleeding time during invasive dental procedures. This article reviews therapeutic and analgesic uses of NSAIDs in dentistry. The various issues surrounding NSAID-induced adverse reactions and their implications in dentistry are also discussed.
Journal of Clinical and Experimental Dentistry, 2010
The term orofacial granulomatosis (OFG) is a descriptive term used for granulomatous disorders af... more The term orofacial granulomatosis (OFG) is a descriptive term used for granulomatous disorders affecting the face and oral cavity, which can occur for a variety of reasons resulting in significant morbidity. It is characterised by persistent swelling that may involve one or both the lips and /or recurrent ulcers and a variety of other orofacial features. Medical history is very important in the diagnosis of OFG as medical condition like Crohn's disease can also present an extra intestinal manifestation of OFG. Exclusion of other entities like sarcoidosis, mycobacterial infections, foreign body reactions and biopsy helps to establish a correct diagnosis. Herein we report a case of OFG in a 55 year old female patient with review of literature.
Journal of Advanced Clinical and Research Insights, 2014
Introduction: Most common form of oral ulcers is recurrent aphthous stomatitis (RAS). It occurs i... more Introduction: Most common form of oral ulcers is recurrent aphthous stomatitis (RAS). It occurs in three forms minor, major and herpetiform ulcers. They are extremely painful ulcer, and there are no established causes or treatment for it. Various causes such as vitamin defi ciencies, stress, micro-trauma, has been hypothesized for the etiology of RAS. Treatment with cold lasers is commonly known as low-level laser therapy (LLLT). They are used as adjuvant treatment in the various disorders such as arthritis, tennis elbow, chronic wounds, burns, peripheral nerve regeneration. In this study, we are using cold lasers for the treatment of the oral ulcers. Materials and Methods: A total of 12 subjects with RAS in the age group of 16-50 years of both genders were included in the study. After taking informed consent, they were treated with LLLT (0.63 nm, 10 mW, continuous wave). Area of the ulcer was determined, and the duration of the laser treatment was calculated. On an average, the treatment duration was 10-18 s/day. Subjects were treated daily until the ulcers healed. Effi cacy of the treatment was based on assessment pain scores (measured using visual pain analog scale) measured every day after therapy. Results: Total of 12 subjects underwent treatment. The average size of the ulcer was 8 mm 2 with a range of 8-35 mm 2. The average pain score (visual analog scale) on the 1 st , 2 nd , 3 rd day, and 5 th were 6.9, 6.4, 4.9, and 2.3 respectively. Conclusion: LLLT is known to cause vasodilatation by releasing nitric oxide at base of the ulcers. This increase in blood supply drains out of the metabolic substances, which cause tissue destruction and pain. It also favors the production of growth factors which causes healing of the ulcer and tissue repair. The observation that pain in the ulcers is same on the 2 nd day could suggest that LLLT augments the natural process of healing. Further comparative and follow-up studies are required to prove further effi cacy of LLLT on RAS.
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2010
The aim of this study was to evaluate the efficacy of conventional radiography, digital radiograp... more The aim of this study was to evaluate the efficacy of conventional radiography, digital radiography and ultrasound imaging in diagnosing periapical lesions. Study design. Twenty-one patients aged between 15 and 45 years with well defined periapical radiolucency associated with anterior maxillary or mandibular teeth requiring endodontic surgery or extraction were selected and consented to the study. Preoperative intraoral periapical radiographs and digital images using charge-coupled device obtained by paralleling technique were assessed by 3 specialist observers who gave their diagnosis of the periapical lesions. Then ultrasound examination was performed and the images were assessed for size, contents, and vascular supply by 3 ultrasonographers. It was followed by curettage of periapical tissues to enable histopathologic investigation, which is the gold standard in diagnosis. The data were statistically analyzed using SPSS, analysis of variance, and statistics. Results. The percentage accuracy of diagnosing periapical lesions using conventional radiography was 47.6%, digital radiography 55.6%, and ultrasound 95.2%. Ultrasound had the highest sensitivity and specificity: 0.95 and 1.00, respectively. Conclusion. Conventional and digital radiography enable diagnosis of periapical diseases, but not their nature, whereas ultrasound provides accurate information on the pathologic nature of the lesions, which is of importance in predicting the treatment outcome. Therefore ultrasound can be used as an adjunct to conventional or digital radiography in diagnosing periapical lesions.
Indian Journal of Dental Research, 2009
Salivary gland examination is an important part of oral examination, especially because of it&... more Salivary gland examination is an important part of oral examination, especially because of it's involvement in most of the systemic diseases. Patients most commonly seek medical attention when the major salivary glands like parotid and submandibular gland become enlarged or painful. The various imaging modalities practiced to check the salivary gland disorders include conventional radiography, sialography, ultrasonography, computerized tomography, radionuclide imaging and magnetic resonance imaging. Sialography is one of the oldest imaging procedures and still most commonly practiced, as it is a chair side procedure, simple to perform, and cost effective. We report the role of sialography as an adjuvant in the diagnosis of bacterial sialadenitis and sialadenosis and as a diagnostic and therapeutic aid in a case of juvenile recurrent parotitis.
European Archives of Paediatric Dentistry, 2009
BACKGROUND: Juvenile recurrent parotitis (JRP) is a rare salivary gland disease of obscure aetiol... more BACKGROUND: Juvenile recurrent parotitis (JRP) is a rare salivary gland disease of obscure aetiology that affects children. It is characterized by multiple episodes of unilateral or bilateral parotid inflammation over a period of years. CASE REPORT: A 14 year old boy presented with multiple episodes of recurrent bilateral swellings of the parotid glands since 1 year of age with no relevant past medical and dental history, TREATMENT: Included prescription of antibiotic Dicloxacillin 500 mg tid for 7 days and analgesics as a combination of Diclofenac 50 mg and Paracetamol 500 mg tid for 10 days, to resolve acute infection followed by sialography using Iopromide (ultravist-300) twice at an interval of 6 months for glandular lavage which helps to clear the mucous plugs that form during the acute phase. FOLLOW-UP: It was satisfactory as there has been no recurrence of parotitis during 18 months.