Self-assessment and clinical diagnosis of periodontal status among patients visiting dental institution in Bangalore city: a cross-sectional study

Background: Periodontal diseases are a group of lesions affecting tissues surrounding and supporting the teeth. Periodontal diseases are considered as a group of highly prevalent infectious, inflammatory conditions of the supporting structures of the teeth which affects more than 50% of the world’s adult population. The present study was undertaken to evaluate the extent of agreement between clinical and self-assessed periodontal health status among patients visiting the outpatient department of Rajarajeswari Dental College and Hospital, Bangalore, India. Methods: A cross-sectional study was done among 250 patients who attended the outpatient department of Rajarajeswari Dental College and Hospital, Bangalore. The study population was subjected to a self-administered questionnaire which was followed by periodontal examination. The clinical examination included an assessment of the periodontal condition using CPI and mobility. Results: There was a marked discrepancy between the two values of self-assessed and clinically diagnosed periodontal health status which shows that the self-assessed periodontal tool was a poor indicator of the periodontal health status. Conclusions: The present study showed that there is a discrepancy between the subjectively and objectively assessed periodontal health status. Increasing people’s awareness and knowledge of their own dental disorders and changing their attitudes and behavior towards oral health care will help in improving oral as well as general health.

Effect of a polyherbal formulation, Ambrex, on butylated hydroxy toluene (BHT) induced toxicity in rats.

Effect of polyherbal formulation Ambrex was evaluated in butylated hydroxytoluene (BHT) induced toxicity of lungs and liver in rats. Toxicity was produced by administering BHT (500 mg/kg/day) for 3 days. Lung damage was evidenced by elevated levels of broncho alveolar lavage fluid (BAL) parameters such as protein, lactate, lactate dehydrogenase (LDH), alkaline phosphatase (ALP), acid phosphatase (ACP) and glucose-6-phosphate dehydrogenase (G6PDH). Liver damage was proved by elevated levels of serum protein and markers such as LDH, ALP, aspartate amino transferase (AST), alanine amino transferase (ALT), decreased level of lipid peroxides (LPO) in serum and glutathione (GSH) in liver. Administration of aqueous suspension of Ambrex (50 mg/kg orally) retained these elevated levels of BAL-protein, lactate, LDH, ALP, ACP, G6PDH and serum-protein, LDH, ALP, AST and ALT at near normal values. Decreased level of liver GSH was retained at near normalcy in Ambrex pretreated BHT-administered animals. There was no change in liver LPO in all the four groups.

Neuro-immunomodulation by dorsolateral hippocampus--role of macrophages,T and B cells.

In dorsolateral hippocampal lesioned, Sham and control animals, the total number of splenocytes was determined and macrophages, B cells and T cells were isolated and their percentage distribution in total splenocytes were determined. The leukocyte migration inhibition was studied in these groups using different fractions of splenocytes namely whole splenocytes, macrophage removed fraction, and nylon wool eluted T cell population. The same groups were also studied after an antigenic challenge. The results indicate alterations in the macrophages, adherent cell population as well as T cell population in lesioned and Sham animals and also in their immunized groups. These altered cell sub-populations may be responsible for the altered migration.

Carcinoma gall bladder presenting as hemobilia.

A 60-year-old man presented with recurrent bouts of melena, requiring multiple transfusions. Upper GI endoscopic evaluation demonstrated fresh bleeding from the ampulla of Vater. Ultrasonography and CT scan suggested a gall bladder mass without evidence of metastases. Laparotomy confirmed a mass confined to the lumen of the gall bladder. The patient underwent cholecystectomy. Histological examination showed papillary adenocarcinoma of the gall bladder extending up to the muscularis propria.

Regional specificity seen within hypothalamus in neuroimmunomodulation.

Wistar strain male albino rats lesioned and sham lesioned at Ventromedial hypothalamus (VMH) were used to study the neuroimmunomodulation by this brain region. Except the decrease in thymus weight/body weight ratio (P < 0.01), and its cellularity (P < 0.02) in immunized VMH lesion animals, the rest of the parameters like plaque forming cells (PFC), antibody titre, leukocyte migration inhibition index, foot pad thickness in the lesioned as well as the lesion immunized animals never deviated from their respective sham and immunized sham animals. Sham operated belongs to VMH when compared to control rats, showed marked decrease in spleen weight (P < 0.001), thymus weight (P < 0.02) and decrease in popliteal lymph node weight (P < 0.001) ratios. After immunization, the immunized sham animals showed a marked decrease in antibody titre (P < 0.05), PFC (P < 0.05), spleen (P < 0.05) and thymus (P < 0.001) weight ratios with the significant increase in splenic cell count (P < 0.01) compared to immunized control rats. VMH may be one of the information receiving center. However, from these results, it is inferred that VMH could not be a modulating center for the many of the parameters studied as far as neuroimmunomodulation is concerned.

Peripheral immune response in albino rats following cerebroventricular and intraperitoneal antigen challenge.

Success in neural tissue transplants at central nervous system suggest that the site may be immunologically privileged. However, this experimental study in which an antigen (Sheep Red Blood Cells) was administered into the third ventricle does not support the above concept. The antibody titre and soluble immune complex levels seen in these animals are similar to the levels seen in animals immunized with the same amount of antigen through the intraperitoneal route. Intraventricular immunization is rather a more potent modulator in decreasing the total WBC count (P < 0.05) and neutrophils (P < 0.001). Further a marked increase in lymphocytes (P < 0.01) in peripheral blood was observed in these animals. Intraventricular immunization also increased the killing power (NBT reduction) of the neutrophils (P < 0.05).

Activated charcoal--an antidote to methyl alcohol poisoning.

Every year a considerable number of people die due to methly alcohol poisoning, in which most of them die even before they are given proper treatment. This report gives a simple and cheap first aid measure to those affected by methanol poisoning by the administration of activated charcoal. This study has shown that the mortality of methanol recipient rats have significantly reduced by the administration of activated charcoal.

Neuro immuno modulation by ventral hippocampus.

Bilateral electrical lesion at ventral hippocampal formation (VHF) did not affect some aspects of nonspecific immunity like total W.B.C. count, percentage of cells in differential count, their absolute count (lymphocyte and neutrophils) and neutrophil functions. The changes observed are due to non-specific craniocerebral trauma as the sham operated animals also showed a similar pattern of response. However the lesion at VHF increases the spleen cell count significantly whereas immunization in these animals decreases the spleen cell count. The thymus weight/body weight ratio also decreases in these animals. Our study confirms the neuroimmuno modulation and the influence of VHF on certain nonspecific immune parameters.