Jose Joy Idiculla | Manipal Academy of Higher Education (original) (raw)

Papers by Jose Joy Idiculla

Research paper thumbnail of Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners

The Cochrane library, Aug 18, 2014

Dentistry is a profession with a high prevalence of work-related musculoskeletal disorders (WMSD)... more Dentistry is a profession with a high prevalence of work-related musculoskeletal disorders (WMSD) among practitioners, with symptoms often starting as early in the career as the student phase. Ergonomic interventions in physical, cognitive, and organisational domains have been suggested to prevent their occurrence, but evidence of their effects remains unclear. To assess the effect of ergonomic interventions for the prevention of work-related musculoskeletal disorders among dental care practitioners. We searched CENTRAL, MEDLINE PubMed, Embase, PsycINFO ProQuest, NIOSHTIC, NIOSHTIC-2, HSELINE, CISDOC (OSH-UPDATE), ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry Platform (ICTRP) Search Portal to August 2018, without language or date restrictions. We included randomised controlled trials (RCTs), quasi-RCTs, and cluster RCTs, in which participants were adults, aged 18 and older, who were engaged in the practice of dentistry. At least 75% of them had to be free from musculoskeletal pain at baseline. We only included studies that measured at least one of our primary outcomes; i.e. physician diagnosed WMSD, self-reported pain, or work functioning. Three authors independently screened and selected 20 potentially eligible references from 946 relevant references identified from the search results. Based on the full-text screening, we included two studies, excluded 16 studies, and two are awaiting classification. Four review authors independently extracted data, and two authors assessed the risk of bias. We calculated the mean difference (MD) with 95% confidence intervals (CI) for continuous outcomes and risk ratios (RR) with 95% confidence intervals for dichotomous outcomes. We assessed the quality of the evidence for each outcome using the GRADE approach. We included two RCTs (212 participants), one of which was a cluster-randomised trial. Adjusting for the design effect from clustering, reduced the total sample size to 210. Both studies were carried out in dental clinics and assessed ergonomic interventions in the physical domain, one by evaluating a multi-faceted ergonomic intervention, which consisted of imparting knowledge and training about ergonomics, work station modification, training and surveying ergonomics at the work station, and a regular exercise program; the other by studying the effectiveness of two different types of instrument used for scaling in preventing WMSDs. We were unable to combine the results from the two studies because of the diversity of interventions and outcomes.Physical ergonomic interventions. Based on one study, there is very low-quality evidence that a multi-faceted intervention has no clear effect on dentists' risk of WMSD in the thighs (RR 0.57, 95% CI 0.23 to 1.42; 102 participants), or feet (RR 0.64, 95% CI 0.29 to 1.41; 102 participants) when compared to no intervention over a six-month period. Based on one study, there is low-quality evidence of no clear difference in elbow pain (MD -0.14, 95% CI -0.39 to 0.11; 110 participants), or shoulder pain (MD -0.32, 95% CI -0.75 to 0.11; 110 participants) in participants who used light weight curettes with wider handles or heavier curettes with narrow handles for scaling over a 16-week period.Cognitive ergonomic interventions. We found no studies evaluating the effectiveness of cognitive ergonomic interventions.Organisational ergonomic interventions. We found no studies evaluating the effectiveness of organisational ergonomic interventions. There is very low-quality evidence from one study showing that a multi-faceted intervention has no clear effect on dentists' risk of WMSD in the thighs or feet when compared to no intervention over a six-month period. This was a poorly conducted study with several shortcomings and errors in statistical analysis of data. There is low-quality evidence from one study showing no clear difference in elbow pain or shoulder pain in participants using light weight, wider handled curettes or heavier and narrow handled curettes for scaling over a 16-week period.We did not find any studies evaluating the effectiveness of cognitive ergonomic interventions or organisational ergonomic interventions.Our ability to draw definitive conclusions is restricted by the paucity of suitable studies available to us, and the high risk of bias of the studies that are available. This review highlights the need for well-designed, conducted, and reported RCTs, with long-term follow-up that assess prevention strategies for WMSDs among dental care practitioners.

Research paper thumbnail of Salivary Sialic Acid as a Diagnostic Indicator in Premalignant Lesions

Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology, Mar 1, 2015

Research paper thumbnail of Malignant sinonasal papilloma with neck metastasis: a rare report and literature review

International Journal of Oral and Maxillofacial Surgery, 2012

Sinonasal papillomas are relatively rare, benign epithelial tumours of the nasal cavity. These le... more Sinonasal papillomas are relatively rare, benign epithelial tumours of the nasal cavity. These lesions generate considerable interest because they are locally aggressive, have a tendency to recur and are associated with malignancy. The authors present a unique case of malignant sinonasal papilloma with neck metastasis. In the English literature only one case of such a presentation has been reported.

Research paper thumbnail of Telengiectactic osteosarcoma

Journal of Oral and Maxillofacial Pathology, 2011

Research paper thumbnail of Salivary Sialic Acid as a Diagnostic Indicator in Premalignant Lesions

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2015

Research paper thumbnail of Developmental anomalies of teeth and their applications in Forensic Odontology

European Journal of Forensic Sciences, 2016

Forensic odontologists are often part of disaster victim identification teams that help in establ... more Forensic odontologists are often part of disaster victim identification teams that help in establishing the identity of victims. There may be situations when forensic odontologists get summoned to establish or confirm identities of victims after mass disasters whose identities cannot be established by any other means, identify individuals in crime scenes, or even be used as corroborative evidence. The primary objective of a forensic odontologist at a disaster site/crime scene is to establish the identity of a deceased victim by comparing ante-mortem and post-mortem records. The objective of this article is to briefly explain the clinical and radiological features of developmental dental anomalies and associated syndromes and highlight their role in victim identification. The authors emphasize the roles of dental practitioners and forensic odontologists in victim identification by examining and recording dental features that may assist in establishing the identity of deceased individuals during disasters or otherwise.

Research paper thumbnail of Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners

Protocols, 1996

BACKGROUND Dentistry is a profession with a high prevalence of work-related musculoskeletal disor... more BACKGROUND Dentistry is a profession with a high prevalence of work-related musculoskeletal disorders (WMSD) among practitioners, with symptoms often starting as early in the career as the student phase. Ergonomic interventions in physical, cognitive, and organisational domains have been suggested to prevent their occurrence, but evidence of their effects remains unclear. OBJECTIVES To assess the effect of ergonomic interventions for the prevention of work-related musculoskeletal disorders among dental care practitioners. SEARCH METHODS We searched CENTRAL, MEDLINE PubMed, Embase, PsycINFO ProQuest, NIOSHTIC, NIOSHTIC-2, HSELINE, CISDOC (OSH-UPDATE), ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry Platform (ICTRP) Search Portal to August 2018, without language or date restrictions. SELECTION CRITERIA We included randomised controlled trials (RCTs), quasi-RCTs, and cluster RCTs, in which participants were adults, aged 18 and older, who were engaged in the practice of dentistry. At least 75% of them had to be free from musculoskeletal pain at baseline. We only included studies that measured at least one of our primary outcomes; i.e. physician diagnosed WMSD, self-reported pain, or work functioning. DATA COLLECTION AND ANALYSIS Three authors independently screened and selected 20 potentially eligible references from 946 relevant references identified from the search results. Based on the full-text screening, we included two studies, excluded 16 studies, and two are awaiting classification. Four review authors independently extracted data, and two authors assessed the risk of bias. We calculated the mean difference (MD) with 95% confidence intervals (CI) for continuous outcomes and risk ratios (RR) with 95% confidence intervals for dichotomous outcomes. We assessed the quality of the evidence for each outcome using the GRADE approach. MAIN RESULTS We included two RCTs (212 participants), one of which was a cluster-randomised trial. Adjusting for the design effect from clustering, reduced the total sample size to 210. Both studies were carried out in dental clinics and assessed ergonomic interventions in the physical domain, one by evaluating a multi-faceted ergonomic intervention, which consisted of imparting knowledge and training about ergonomics, work station modification, training and surveying ergonomics at the work station, and a regular exercise program; the other by studying the effectiveness of two different types of instrument used for scaling in preventing WMSDs. We were unable to combine the results from the two studies because of the diversity of interventions and outcomes.Physical ergonomic interventions. Based on one study, there is very low-quality evidence that a multi-faceted intervention has no clear effect on dentists' risk of WMSD in the thighs (RR 0.57, 95% CI 0.23 to 1.42; 102 participants), or feet (RR 0.64, 95% CI 0.29 to 1.41; 102 participants) when compared to no intervention over a six-month period. Based on one study, there is low-quality evidence of no clear difference in elbow pain (MD -0.14, 95% CI -0.39 to 0.11; 110 participants), or shoulder pain (MD -0.32, 95% CI -0.75 to 0.11; 110 participants) in participants who used light weight curettes with wider handles or heavier curettes with narrow handles for scaling over a 16-week period.Cognitive ergonomic interventions. We found no studies evaluating the effectiveness of cognitive ergonomic interventions.Organisational ergonomic interventions. We found no studies evaluating the effectiveness of organisational ergonomic interventions. AUTHORS' CONCLUSIONS There is very low-quality evidence from one study showing that a multi-faceted intervention has no clear effect on dentists' risk of WMSD in the thighs or feet when compared to no intervention over a six-month period. This was a poorly conducted study with several shortcomings and errors in statistical analysis of data. There is low-quality evidence from one study showing no clear difference in elbow pain or shoulder pain in participants using light weight, wider handled curettes or heavier and narrow handled curettes for scaling over a 16-week period.We did not find any studies evaluating the effectiveness of cognitive ergonomic interventions or organisational ergonomic interventions.Our ability to draw definitive conclusions is restricted by the paucity of suitable studies available to us, and the high risk of bias of the studies that are available. This review highlights the need for well-designed, conducted, and reported RCTs, with long-term follow-up that assess prevention strategies for WMSDs among dental care practitioners.

Research paper thumbnail of Research-Alterations in serum lipid profile patterns in patients with oral submucous fibrosis

Aim: Altered lipid profile patterns have been associated with pre-malignancies and malignancies b... more Aim: Altered lipid profile patterns have been associated with pre-malignancies and malignancies because lipids play a vital role in the maintenance of cell integrity. The present study evaluated alterations in serum lipid profile in untreated patients with oral submucous fibrosis (OSF) and compared the changes in serum lipid profiles among various histological grades of OSF. Materials and methods: The study included 30 patients with oral submucous fibrosis and 19 healthy controls. Serum lipids, including (i) total cholesterol, (ii) LDL cholesterol (LDLC), (iii) HDL cholesterol (HDLC), (iv) VLDL cholesterol (VLDLC) and (v) triglycerides, were analyzed using spectrophotometry kits. Health Sciences 2014;1(3):JS001G 1 An Open Access Peer Reviewed E-Journal Original ResearchAlterations in serum lipid profile patterns in patients with oral submucous fibrosis Results: A significant decrease in serum total cholesterol (TC) levels, TC:HDLC ratios(p = 0.005, p = 0.001 respectively) were obser...

Research paper thumbnail of The impact of chimerism in DNA-based forensic sex determination analysis

The Malaysian journal of medical sciences : MJMS, 2013

Sex determination is the most important step in personal identification in forensic investigation... more Sex determination is the most important step in personal identification in forensic investigations. DNA-based sex determination analysis is comparatively more reliable than the other conventional methods of sex determination analysis. Advanced technology like real-time polymerase chain reaction (PCR) offers accurate and reproducible results and is at the level of legal acceptance. But still there are situations like chimerism where an individual possess both male and female specific factors together in their body. Sex determination analysis in such cases can give erroneous results. This paper discusses the phenomenon of chimerism and its impact on sex determination analysis in forensic investigations.

Research paper thumbnail of Alterations in serum lipid profile patterns in patients with oral submucous fibrosis

Aim: Altered lipid profile patterns have been associated with pre-malignancies and malignancies b... more Aim: Altered lipid profile patterns have been associated with pre-malignancies and malignancies because lipids play a vital role in the maintenance of cell integrity. The present study evaluated alterations in serum lipid profile in untreated patients with oral submucous fibrosis (OSF) and compared the changes in serum lipid profiles among various histological grades of OSF.

Research paper thumbnail of Know this Field

Journal of Oral and Maxillofacial Pathology, 2010

A 65-year-old male patient reported with a swelling in the left maxillary posterior region since ... more A 65-year-old male patient reported with a swelling in the left maxillary posterior region since 1 month. The swelling was soft, fluctuant, tender and measured approximately 1.5 cm ?? 0.6 cm ?? 0.5 cm. There was history of extraction of left maxillary molars (26, 27, 28) 3 ...

Research paper thumbnail of Age estimation using development of third molars in South Indian population: A radiological study

Journal of International Society of Preventive and Community Dentistry, 2015

Aim: To assess the estimation of chronological age based on the stages of third molar development... more Aim: To assess the estimation of chronological age based on the stages of third molar development following the eight stages (A-H) method of Demirjian et al. in Chennai population of South India. Materials and Methods: A sample consisting of 848 individuals (471 males and 377 females) aged between 14 and 30 years was randomly selected for the clinical evaluation and 323 orthopantomograms with clinically missing third molars were taken for radiological evaluation using Demirjian's method from a Chennai population of known chronological age and sex. Statistical analysis was performed using Pearson's Chi-square test and mean values were compared between the study groups using t-test or analysis of variance (ANOVA) followed by Tukey's highly significant difference (HSD). In the present study, P < 0.05 was considered as the level of significance. Results: The results showed that the mean age of having clinically completely erupted maxillary third molars was 22.41 years in male subjects and 23.81 years in female subjects and that of mandibular third molars was 21.49 years in male subjects and 23.34 years in female subjects. Mandibular third molars were clinically missing more often in females than in males. Eruption of mandibular third molars was generally ahead of the emergence of maxillary third molars into the oral cavity. Third molar development between male and female subjects showed statistically significant differences at calcification stage F and stage G in maxillary third molars and stage F in mandibular third molars (P < 0.05). Conclusion: There are differences indicating that maxillary and mandibular third molar eruption reached Demirjian's formation stages earlier in males than in females. It is suggested that in future studies, to increase the accuracy of age determination, indications of sexual maturity and ossification should also be evaluated in addition to third molar mineralization.

Research paper thumbnail of The impact of chimerism in DNA-based forensic sex determination analysis

The Malaysian journal of medical sciences : MJMS, 2013

Sex determination is the most important step in personal identification in forensic investigation... more Sex determination is the most important step in personal identification in forensic investigations. DNA-based sex determination analysis is comparatively more reliable than the other conventional methods of sex determination analysis. Advanced technology like real-time polymerase chain reaction (PCR) offers accurate and reproducible results and is at the level of legal acceptance. But still there are situations like chimerism where an individual possess both male and female specific factors together in their body. Sex determination analysis in such cases can give erroneous results. This paper discusses the phenomenon of chimerism and its impact on sex determination analysis in forensic investigations.

Research paper thumbnail of Enamel Hypoplasia and its Correlation with Dental Caries In School Children of Bagalkot, Karnataka

Journal of Oral Health and Community Dentistry

Aim: To study the prevalence and correlation of Enamel Hypoplasia and Dental caries among school ... more Aim: To study the prevalence and correlation of Enamel Hypoplasia and Dental caries among school children aged 6-15 years in Bagalkot, Karnataka. Materials and Methods: 5500 school children aged 6-15 years from different schools in Bagalkot were examined with mouth mirror and probe under natural light. The findings were entered into standard examination forms. Results: Out of 5500 school children between the age of 6-15 years, 507 (9%) had carious teeth with hypoplasia with a mean of 3.1 carious teeth per child. In 5500 children 1987 (41%) had carious teeth without enamel hypoplasia with a mean of 1.39 decayed teeth per child and this shows that the prevalence of caries in hypoplastic teeth was evident and was statistically significant.

Research paper thumbnail of Developmental anomalies of teeth and their applications in Forensic Odontology

European Journal of Forensic Sciences, 2016

Forensic odontologists are often part of disaster victim identification teams that help in establ... more Forensic odontologists are often part of disaster victim identification teams that help in establishing the identity of victims. There may be situations when forensic odontologists get summoned to establish or confirm identities of victims after mass disasters whose identities cannot be established by any other means, identify individuals in crime scenes, or even be used as corroborative evidence. The primary objective of a forensic odontologist at a disaster site/crime scene is to establish the identity of a deceased victim by comparing ante-mortem and post-mortem records. The objective of this article is to briefly explain the clinical and radiological features of developmental dental anomalies and associated syndromes and highlight their role in victim identification. The authors emphasize the roles of dental practitioners and forensic odontologists in victim identification by examining and recording dental features that may assist in establishing the identity of deceased individuals during disasters or otherwise.

Research paper thumbnail of Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners

The Cochrane library, Aug 18, 2014

Dentistry is a profession with a high prevalence of work-related musculoskeletal disorders (WMSD)... more Dentistry is a profession with a high prevalence of work-related musculoskeletal disorders (WMSD) among practitioners, with symptoms often starting as early in the career as the student phase. Ergonomic interventions in physical, cognitive, and organisational domains have been suggested to prevent their occurrence, but evidence of their effects remains unclear. To assess the effect of ergonomic interventions for the prevention of work-related musculoskeletal disorders among dental care practitioners. We searched CENTRAL, MEDLINE PubMed, Embase, PsycINFO ProQuest, NIOSHTIC, NIOSHTIC-2, HSELINE, CISDOC (OSH-UPDATE), ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry Platform (ICTRP) Search Portal to August 2018, without language or date restrictions. We included randomised controlled trials (RCTs), quasi-RCTs, and cluster RCTs, in which participants were adults, aged 18 and older, who were engaged in the practice of dentistry. At least 75% of them had to be free from musculoskeletal pain at baseline. We only included studies that measured at least one of our primary outcomes; i.e. physician diagnosed WMSD, self-reported pain, or work functioning. Three authors independently screened and selected 20 potentially eligible references from 946 relevant references identified from the search results. Based on the full-text screening, we included two studies, excluded 16 studies, and two are awaiting classification. Four review authors independently extracted data, and two authors assessed the risk of bias. We calculated the mean difference (MD) with 95% confidence intervals (CI) for continuous outcomes and risk ratios (RR) with 95% confidence intervals for dichotomous outcomes. We assessed the quality of the evidence for each outcome using the GRADE approach. We included two RCTs (212 participants), one of which was a cluster-randomised trial. Adjusting for the design effect from clustering, reduced the total sample size to 210. Both studies were carried out in dental clinics and assessed ergonomic interventions in the physical domain, one by evaluating a multi-faceted ergonomic intervention, which consisted of imparting knowledge and training about ergonomics, work station modification, training and surveying ergonomics at the work station, and a regular exercise program; the other by studying the effectiveness of two different types of instrument used for scaling in preventing WMSDs. We were unable to combine the results from the two studies because of the diversity of interventions and outcomes.Physical ergonomic interventions. Based on one study, there is very low-quality evidence that a multi-faceted intervention has no clear effect on dentists&#39; risk of WMSD in the thighs (RR 0.57, 95% CI 0.23 to 1.42; 102 participants), or feet (RR 0.64, 95% CI 0.29 to 1.41; 102 participants) when compared to no intervention over a six-month period. Based on one study, there is low-quality evidence of no clear difference in elbow pain (MD -0.14, 95% CI -0.39 to 0.11; 110 participants), or shoulder pain (MD -0.32, 95% CI -0.75 to 0.11; 110 participants) in participants who used light weight curettes with wider handles or heavier curettes with narrow handles for scaling over a 16-week period.Cognitive ergonomic interventions. We found no studies evaluating the effectiveness of cognitive ergonomic interventions.Organisational ergonomic interventions. We found no studies evaluating the effectiveness of organisational ergonomic interventions. There is very low-quality evidence from one study showing that a multi-faceted intervention has no clear effect on dentists&#39; risk of WMSD in the thighs or feet when compared to no intervention over a six-month period. This was a poorly conducted study with several shortcomings and errors in statistical analysis of data. There is low-quality evidence from one study showing no clear difference in elbow pain or shoulder pain in participants using light weight, wider handled curettes or heavier and narrow handled curettes for scaling over a 16-week period.We did not find any studies evaluating the effectiveness of cognitive ergonomic interventions or organisational ergonomic interventions.Our ability to draw definitive conclusions is restricted by the paucity of suitable studies available to us, and the high risk of bias of the studies that are available. This review highlights the need for well-designed, conducted, and reported RCTs, with long-term follow-up that assess prevention strategies for WMSDs among dental care practitioners.

Research paper thumbnail of Salivary Sialic Acid as a Diagnostic Indicator in Premalignant Lesions

Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology, Mar 1, 2015

Research paper thumbnail of Malignant sinonasal papilloma with neck metastasis: a rare report and literature review

International Journal of Oral and Maxillofacial Surgery, 2012

Sinonasal papillomas are relatively rare, benign epithelial tumours of the nasal cavity. These le... more Sinonasal papillomas are relatively rare, benign epithelial tumours of the nasal cavity. These lesions generate considerable interest because they are locally aggressive, have a tendency to recur and are associated with malignancy. The authors present a unique case of malignant sinonasal papilloma with neck metastasis. In the English literature only one case of such a presentation has been reported.

Research paper thumbnail of Telengiectactic osteosarcoma

Journal of Oral and Maxillofacial Pathology, 2011

Research paper thumbnail of Salivary Sialic Acid as a Diagnostic Indicator in Premalignant Lesions

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2015

Research paper thumbnail of Developmental anomalies of teeth and their applications in Forensic Odontology

European Journal of Forensic Sciences, 2016

Forensic odontologists are often part of disaster victim identification teams that help in establ... more Forensic odontologists are often part of disaster victim identification teams that help in establishing the identity of victims. There may be situations when forensic odontologists get summoned to establish or confirm identities of victims after mass disasters whose identities cannot be established by any other means, identify individuals in crime scenes, or even be used as corroborative evidence. The primary objective of a forensic odontologist at a disaster site/crime scene is to establish the identity of a deceased victim by comparing ante-mortem and post-mortem records. The objective of this article is to briefly explain the clinical and radiological features of developmental dental anomalies and associated syndromes and highlight their role in victim identification. The authors emphasize the roles of dental practitioners and forensic odontologists in victim identification by examining and recording dental features that may assist in establishing the identity of deceased individuals during disasters or otherwise.

Research paper thumbnail of Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners

Protocols, 1996

BACKGROUND Dentistry is a profession with a high prevalence of work-related musculoskeletal disor... more BACKGROUND Dentistry is a profession with a high prevalence of work-related musculoskeletal disorders (WMSD) among practitioners, with symptoms often starting as early in the career as the student phase. Ergonomic interventions in physical, cognitive, and organisational domains have been suggested to prevent their occurrence, but evidence of their effects remains unclear. OBJECTIVES To assess the effect of ergonomic interventions for the prevention of work-related musculoskeletal disorders among dental care practitioners. SEARCH METHODS We searched CENTRAL, MEDLINE PubMed, Embase, PsycINFO ProQuest, NIOSHTIC, NIOSHTIC-2, HSELINE, CISDOC (OSH-UPDATE), ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry Platform (ICTRP) Search Portal to August 2018, without language or date restrictions. SELECTION CRITERIA We included randomised controlled trials (RCTs), quasi-RCTs, and cluster RCTs, in which participants were adults, aged 18 and older, who were engaged in the practice of dentistry. At least 75% of them had to be free from musculoskeletal pain at baseline. We only included studies that measured at least one of our primary outcomes; i.e. physician diagnosed WMSD, self-reported pain, or work functioning. DATA COLLECTION AND ANALYSIS Three authors independently screened and selected 20 potentially eligible references from 946 relevant references identified from the search results. Based on the full-text screening, we included two studies, excluded 16 studies, and two are awaiting classification. Four review authors independently extracted data, and two authors assessed the risk of bias. We calculated the mean difference (MD) with 95% confidence intervals (CI) for continuous outcomes and risk ratios (RR) with 95% confidence intervals for dichotomous outcomes. We assessed the quality of the evidence for each outcome using the GRADE approach. MAIN RESULTS We included two RCTs (212 participants), one of which was a cluster-randomised trial. Adjusting for the design effect from clustering, reduced the total sample size to 210. Both studies were carried out in dental clinics and assessed ergonomic interventions in the physical domain, one by evaluating a multi-faceted ergonomic intervention, which consisted of imparting knowledge and training about ergonomics, work station modification, training and surveying ergonomics at the work station, and a regular exercise program; the other by studying the effectiveness of two different types of instrument used for scaling in preventing WMSDs. We were unable to combine the results from the two studies because of the diversity of interventions and outcomes.Physical ergonomic interventions. Based on one study, there is very low-quality evidence that a multi-faceted intervention has no clear effect on dentists' risk of WMSD in the thighs (RR 0.57, 95% CI 0.23 to 1.42; 102 participants), or feet (RR 0.64, 95% CI 0.29 to 1.41; 102 participants) when compared to no intervention over a six-month period. Based on one study, there is low-quality evidence of no clear difference in elbow pain (MD -0.14, 95% CI -0.39 to 0.11; 110 participants), or shoulder pain (MD -0.32, 95% CI -0.75 to 0.11; 110 participants) in participants who used light weight curettes with wider handles or heavier curettes with narrow handles for scaling over a 16-week period.Cognitive ergonomic interventions. We found no studies evaluating the effectiveness of cognitive ergonomic interventions.Organisational ergonomic interventions. We found no studies evaluating the effectiveness of organisational ergonomic interventions. AUTHORS' CONCLUSIONS There is very low-quality evidence from one study showing that a multi-faceted intervention has no clear effect on dentists' risk of WMSD in the thighs or feet when compared to no intervention over a six-month period. This was a poorly conducted study with several shortcomings and errors in statistical analysis of data. There is low-quality evidence from one study showing no clear difference in elbow pain or shoulder pain in participants using light weight, wider handled curettes or heavier and narrow handled curettes for scaling over a 16-week period.We did not find any studies evaluating the effectiveness of cognitive ergonomic interventions or organisational ergonomic interventions.Our ability to draw definitive conclusions is restricted by the paucity of suitable studies available to us, and the high risk of bias of the studies that are available. This review highlights the need for well-designed, conducted, and reported RCTs, with long-term follow-up that assess prevention strategies for WMSDs among dental care practitioners.

Research paper thumbnail of Research-Alterations in serum lipid profile patterns in patients with oral submucous fibrosis

Aim: Altered lipid profile patterns have been associated with pre-malignancies and malignancies b... more Aim: Altered lipid profile patterns have been associated with pre-malignancies and malignancies because lipids play a vital role in the maintenance of cell integrity. The present study evaluated alterations in serum lipid profile in untreated patients with oral submucous fibrosis (OSF) and compared the changes in serum lipid profiles among various histological grades of OSF. Materials and methods: The study included 30 patients with oral submucous fibrosis and 19 healthy controls. Serum lipids, including (i) total cholesterol, (ii) LDL cholesterol (LDLC), (iii) HDL cholesterol (HDLC), (iv) VLDL cholesterol (VLDLC) and (v) triglycerides, were analyzed using spectrophotometry kits. Health Sciences 2014;1(3):JS001G 1 An Open Access Peer Reviewed E-Journal Original ResearchAlterations in serum lipid profile patterns in patients with oral submucous fibrosis Results: A significant decrease in serum total cholesterol (TC) levels, TC:HDLC ratios(p = 0.005, p = 0.001 respectively) were obser...

Research paper thumbnail of The impact of chimerism in DNA-based forensic sex determination analysis

The Malaysian journal of medical sciences : MJMS, 2013

Sex determination is the most important step in personal identification in forensic investigation... more Sex determination is the most important step in personal identification in forensic investigations. DNA-based sex determination analysis is comparatively more reliable than the other conventional methods of sex determination analysis. Advanced technology like real-time polymerase chain reaction (PCR) offers accurate and reproducible results and is at the level of legal acceptance. But still there are situations like chimerism where an individual possess both male and female specific factors together in their body. Sex determination analysis in such cases can give erroneous results. This paper discusses the phenomenon of chimerism and its impact on sex determination analysis in forensic investigations.

Research paper thumbnail of Alterations in serum lipid profile patterns in patients with oral submucous fibrosis

Aim: Altered lipid profile patterns have been associated with pre-malignancies and malignancies b... more Aim: Altered lipid profile patterns have been associated with pre-malignancies and malignancies because lipids play a vital role in the maintenance of cell integrity. The present study evaluated alterations in serum lipid profile in untreated patients with oral submucous fibrosis (OSF) and compared the changes in serum lipid profiles among various histological grades of OSF.

Research paper thumbnail of Know this Field

Journal of Oral and Maxillofacial Pathology, 2010

A 65-year-old male patient reported with a swelling in the left maxillary posterior region since ... more A 65-year-old male patient reported with a swelling in the left maxillary posterior region since 1 month. The swelling was soft, fluctuant, tender and measured approximately 1.5 cm ?? 0.6 cm ?? 0.5 cm. There was history of extraction of left maxillary molars (26, 27, 28) 3 ...

Research paper thumbnail of Age estimation using development of third molars in South Indian population: A radiological study

Journal of International Society of Preventive and Community Dentistry, 2015

Aim: To assess the estimation of chronological age based on the stages of third molar development... more Aim: To assess the estimation of chronological age based on the stages of third molar development following the eight stages (A-H) method of Demirjian et al. in Chennai population of South India. Materials and Methods: A sample consisting of 848 individuals (471 males and 377 females) aged between 14 and 30 years was randomly selected for the clinical evaluation and 323 orthopantomograms with clinically missing third molars were taken for radiological evaluation using Demirjian's method from a Chennai population of known chronological age and sex. Statistical analysis was performed using Pearson's Chi-square test and mean values were compared between the study groups using t-test or analysis of variance (ANOVA) followed by Tukey's highly significant difference (HSD). In the present study, P < 0.05 was considered as the level of significance. Results: The results showed that the mean age of having clinically completely erupted maxillary third molars was 22.41 years in male subjects and 23.81 years in female subjects and that of mandibular third molars was 21.49 years in male subjects and 23.34 years in female subjects. Mandibular third molars were clinically missing more often in females than in males. Eruption of mandibular third molars was generally ahead of the emergence of maxillary third molars into the oral cavity. Third molar development between male and female subjects showed statistically significant differences at calcification stage F and stage G in maxillary third molars and stage F in mandibular third molars (P < 0.05). Conclusion: There are differences indicating that maxillary and mandibular third molar eruption reached Demirjian's formation stages earlier in males than in females. It is suggested that in future studies, to increase the accuracy of age determination, indications of sexual maturity and ossification should also be evaluated in addition to third molar mineralization.

Research paper thumbnail of The impact of chimerism in DNA-based forensic sex determination analysis

The Malaysian journal of medical sciences : MJMS, 2013

Sex determination is the most important step in personal identification in forensic investigation... more Sex determination is the most important step in personal identification in forensic investigations. DNA-based sex determination analysis is comparatively more reliable than the other conventional methods of sex determination analysis. Advanced technology like real-time polymerase chain reaction (PCR) offers accurate and reproducible results and is at the level of legal acceptance. But still there are situations like chimerism where an individual possess both male and female specific factors together in their body. Sex determination analysis in such cases can give erroneous results. This paper discusses the phenomenon of chimerism and its impact on sex determination analysis in forensic investigations.

Research paper thumbnail of Enamel Hypoplasia and its Correlation with Dental Caries In School Children of Bagalkot, Karnataka

Journal of Oral Health and Community Dentistry

Aim: To study the prevalence and correlation of Enamel Hypoplasia and Dental caries among school ... more Aim: To study the prevalence and correlation of Enamel Hypoplasia and Dental caries among school children aged 6-15 years in Bagalkot, Karnataka. Materials and Methods: 5500 school children aged 6-15 years from different schools in Bagalkot were examined with mouth mirror and probe under natural light. The findings were entered into standard examination forms. Results: Out of 5500 school children between the age of 6-15 years, 507 (9%) had carious teeth with hypoplasia with a mean of 3.1 carious teeth per child. In 5500 children 1987 (41%) had carious teeth without enamel hypoplasia with a mean of 1.39 decayed teeth per child and this shows that the prevalence of caries in hypoplastic teeth was evident and was statistically significant.

Research paper thumbnail of Developmental anomalies of teeth and their applications in Forensic Odontology

European Journal of Forensic Sciences, 2016

Forensic odontologists are often part of disaster victim identification teams that help in establ... more Forensic odontologists are often part of disaster victim identification teams that help in establishing the identity of victims. There may be situations when forensic odontologists get summoned to establish or confirm identities of victims after mass disasters whose identities cannot be established by any other means, identify individuals in crime scenes, or even be used as corroborative evidence. The primary objective of a forensic odontologist at a disaster site/crime scene is to establish the identity of a deceased victim by comparing ante-mortem and post-mortem records. The objective of this article is to briefly explain the clinical and radiological features of developmental dental anomalies and associated syndromes and highlight their role in victim identification. The authors emphasize the roles of dental practitioners and forensic odontologists in victim identification by examining and recording dental features that may assist in establishing the identity of deceased individuals during disasters or otherwise.