ABSTRACT
Aims and Objective: Routine oral health care is essential for those living with HIV (human immunodeficiency virus) infection, especially in pregnant women. Hormonal changes during pregnancy, immunosupression in HIV along with bacterial load in periodontal infections strongly influence the pregnancy outcomes. The aim of this study was to evaluate the periodontal health status in HIV seropositive pregnant women in Andhra Pradesh, India. Materials and Methods: This study includes a sample of 90 divided into three groups; HIV seropositive pregnant women (group PH; n = 30), HIV seropositive nonpregnant women (group H; n = 30), and healthy pregnant women without HIV infection (group P; n = 30). Clinical examination includes the recording of probing depths (PD), clinical attachment level (CAL), plaque index (PI), gingival index (GI), and periodontal screening and recording index (PSR) were assessed in three groups. Statistical analysis was done by Mann–Whitney U-test and Wilcoxon paired test using the software SPSS version 17. Results: Clinical parameters do not show any significant variation between the three groups. But slightly higher mean PD and CAL levels was observed in HIV seropositive pregnant and nonpregnant women compared with healthy pregnant women without HIV infection. About 13% of severe gingivitis cases were observed in HIV seropositive pregnant group compared with 6% in HIV seropositive and 3% in healthy pregnant group. Conclusions: Presence of slightly higher percentage of severe gingivitis in HIV seropositive pregnant women strengthens the fact of extra need for preventive oral health services during the prenatal period and provides recommendations for promoting maternal oral health in regional antiretroviral therapy centers in India.
ABSTRACT
Liver dysfunction may be attributed to a number of causes, including lifestyle habits and other acquired infections and conditions. The patient with liver disease presents a significant management challenges for the dentist because the liver plays a vital role in metabolic functions. The purpose of this article was to review various risk factors, and the management of complications that occur in liver diseased patients while undergoing dental treatment.
ABSTRACT
BACKGROUND: Identification of gender is important in forensic science and anthropology.When entire skull is not available for analysis, mandible may play a vital role in sex determination as it is the strongest bone that resists damage and disintegration. Aims and Objectives: To determine the efficacy of condylar height and coronoid height of mandible for sex determination using orthopantomographs and to compare and determine the most reliable parameter for sex determination. Materials and methods: This study was conducted using digital panoramic images of 100 each in both genders. The images captured were viewed on Kodak software and were subjected to measure the condylar and coronoid heights both on left and right side using Kodak dental imaging software. The data was entered into microsoft excel sheet and statistical analysis was done. Results: Descriptive statistics for condylar and coronoid heights on the right and left sides of mandible in both males and females were analyzed. A statistical significance of P < 0.001 has been demonstrated for all the variables. All variables showed increased measurements in males than in females. The accuracy of sex determination forcondylar height is 82.5% on right side and 78% on left side and for coronoid height it is 74% on right side and 73% on left side. Conclusion: The parameters such as condylar height and coronoid height using orthopantomographs are reliable in gender determination and the condylar height of the right side is the best parameter in gender determination.