A study to evaluate the impact of examination stress on recurrent aphthous ulceration in professional college students in Jaipur district.

AIM: Recurrent aphthous ulcers (RAU) are one of the most common and poorly understood mucosal disorders. Most of the literature suggests that stress has a causal role in RAU and it is estimated that at least 1 in 5 individuals is afflicted with RAU. Review of literature reveals that nutritional and stress factors may be of paramount importance in the occurrence and severity of RAU. To test this hypothesis we have derived a study to explore definitive relationship between nutrition, stress and RAU in professional undergraduate students. METHODS: A total of 80 undergraduate students were selected randomly for the study from professional colleges. On evaluation 50 subjects were identified to be RAU positive and the rest 30 never had ulcers. All the subjects were evaluated during their university examinations and the 50 RAU positive subjects were later evaluated for the stress levels after the examinations. The major variables that were compared were simplified oral hygiene index, body mass index, hemoglobin percentage, mid upper arm circumference and malnutrition universal screening tool, Hamilton anxiety rating scale and general health questionnaire. RESULTS: The stress level was measured using Hamilton anxiety scale (HAS) and a highly significant difference was determined between during exams and post exam period in the students who tested positive for RAU. The General Health Questionnaire (GHQ) also appeared to be a sensitive instrument to determine the stress levels and statistically significant differences were recorded in the RAU positive students during exams and post exam period. General health is also poor during exams as compared after exams. The hematological factor as denoted by HB measurement showed significant statistical difference between patients who had RAU (present and history) and those who did not. Nutritional indicator (Malnutrition Universal Screening Tool) MUST also showed that it was a sensitive measure for detecting nutritional compromise and the statistically significant difference was shown between RAU positive and negative. The BMI, OHI-S and MUAC had no statistical differences shown in our analysis. CONCLUSION: A number of conditions and diseases have been shown to lead to the onset of RAU. However, RAU can occur in the absence of any diagnosable disease or physical condition. According to our evaluation, stress emerged as having a causal role on RAU, along with hematinic deficiencies and poor nutritional status in professional undergraduate college students.

Condylocoronal angle of the human mandible--its radiological implications.

26 dry specimens of mandible were utilised for making antropometric & condylo coronal angle measurements. 26 living subjects were radiographed in a standardized SMV an CCA values were established. Average value of Antero posterior dimension was obtained to be 8.5 mm and latero medial dimension obtained to be 17 mm. Left and right condylo coronal angle (CCA) from dry specimens was assessed to be 18 & 16 respectively. From the living subjects CCA was established as 17 degrees in Indian population. The following radiological implications are evident from this study. (1) A tomographic cut of the TMJ if done at the depth of 8 to 9 mm i.e. half of 17 mm (lateromedial dimension average) it would pass through the centre of the condyle and may contribute to the diagnostic importance. (2) The CCA of 17 degrees obtained for Indian population may be utilized by clinicans to obtain clearer transpharyngeal and transcranial views of the TMJ by adjusting the radiographic cone to 17 degrees tilt in horizontal angulation keeping the standard values for vertical angulation as--10 degrees for transpharyngeal and +25 degrees for transcranial views.

Evaluation of serum fucose level in patients with oral cancer.

Serum fucose level was determined in 57 oral cancer patients and 25 normal persons before any treatment was performed. There was a significant rise in these levels in patients with oral cancer, and they correlated well with the clinical stages. This correlation is found to be exceedingly helpful in establishing the presence of and evaluating the extent of oral cancer.