ABSTRACT
Oral submucous fibrosis (OSMF) is a chronic debilitating irreversible oral potentially malignant disorder affecting any part of the oral cavity. It is usually seen in adults but rarely noticed in children and adolescents. Since the paucity of the cases, there exists a gap of knowledge in the causative habits, root reasons of habit initiation, age of habit initiation, and the common clinical representation of this disorder. The current article aims to bridge this gap by presenting unusual 36 cases of children and adolescents reported at the tertiary care hospital of Vadodara, Gujarat, India, with specific areca nut chewing habit and distinct features of OSMF. Furthermore, the present case series is the first of its kind in the scientific literature with a high number of OSMF cases in children and adolescents.
Subject(s)
Oral Submucous Fibrosis , Adolescent , Adult , Areca , Child , Habits , Humans , India , MasticationABSTRACT
Oral submucous fibrosis (OSMF) is a chronic, progressive, debilitating, scarring and crippling disorder of the oral cavity. It is a potentially malignant oral disease which predominantly affects people of South and Southeast Asia, especially Indian subcontinent, where chewing of areca nut and its commercial preparation is rampant. However, due to increase in immigration of people from the Indian subcontinent, the health professionals in many developed countries do come across this disease very often. Since decades, many treatment modalities are suggested and studied using medicines, surgery and physiotherapy, with varying degrees of benefit, but none have been able to cure this disease completely, and hence, it has become a challenging condition. The present article emphasizes on various therapeutic interventions used till date to curb the menace of this disease and the principal author with his vast academic research and clinical experience in treating this disease has proposed the stage-wise treatment regimen for OSMF. The current article is an attempt to compile the available treatment, its current status and future perspectives, so as to assist early intervention of the disease with evidence-based approach. This article will ignite the research minds of dental clinician, oral medicine specialist, otolaryngologist and general physician in treating OSMF.
ABSTRACT
BACKGROUND: Identification of sex from skeletal remains is an important tool in forensic science. Mandibular ramus can be used for sex determination either on dry mandible or through orthopantomogram (OPG). AIM: To determine the sex from mandibular ramus using digital OPG. MATERIALS AND METHODS: The morphometric analysis was conducted on mandibular ramus of 1000 digital OPG using Kodak Master View version 4.3 software. Statistical analysis was performed, and independent t-test and discriminant function were applied. RESULTS: The participants' age ranged from 21-60 years with an equal number of males and females. The mean dimensions of all parameters for ramus were higher in males and highly significant (P < 0.001). The total mean length of minimum and maximum ramus breadth was 27.44 ± 3.41 mm and 32.27 ± 3.40 mm, respectively. The maximum and projective ramus height was 71.78 ± 5.98 mm and 65.62 ± 6.19 mm, respectively. The coronoid height was 59.23 ± 6.08 mm. The correlation of gender with morphology of mandibular ramus was significant (P < 0.05). The overall accuracy for diagnosing sex was 69%, whereas for diagnosing male and female, the accuracy was 68% and 70%, respectively. CONCLUSION: Measurements of mandibular ramus using OPG are helpful in sex determination.
ABSTRACT
Stafne's bone cavity is a rare, asymptomatic, unilateral oval shaped radiolucent defect in the posterior region of the mandible below the inferior alveolar canal. The prevalence ranges from 0.10% to 0.48% and more common in males. It is mostly an incidental finding on panoramic radiograph. This radiolucency is considered to be a deformity of the medial cortex. This article presents five rare cases of Stafne's bone cavity which were referred for opinion or wrongly diagnosed by practicing health professionals as jaw tumour leading to psychological distress in these patients. This article also focuses on reviewing the published literature, differential diagnosis along with use of various diagnostic imaging resources for this bone defect and to add five new Indian cases to the literature.
ABSTRACT
BACKGROUND: Soft palate is an important part of oro-naso-pharyngeal apparatus. The morphometric assessment of soft palate is well-performed on computed tomography (CT). AIM: To evaluate the morphology of soft palate in healthy individuals by using Computed tomography. MATERIALS AND METHODS: The study was conducted on 300 healthy voluntary participants who were subjected to CT scan (sagittal view) of head and neck region. The measurements of antero-posterior and supero-inferior length of soft palate were performed by using Syngo CT 2009E software. STATISTICAL ANALYSIS: The statistical analysis was performed by using SPSS software version 16 and test applied were one-way ANOVA, independent t-test, chi-square and Karl Pearson's co-relation coefficient. RESULTS: The participant's age ranged from 18-80 years with mean of 39.51±14.64. The study had equal number of males (n=150) and females (n=150). Out of six shapes of soft palate, Butt type (38.7%) was the commonest. The morphology of soft palate in different age groups was statistically not significant (p>0.05). The total mean of antero-posterior length (30.31±3.39 mm) of soft palate was more than supero-inferior length (10.72±1.71 mm). The mean of antero-posterior length in males (30.69±3.42 mm) was more than females (29.92±3.32 mm); which was statistically significant (p<0.05). The mean of supero-inferior length in males (10.67±1.78 mm) was less than females (10.78+1.64 mm), which was statistically not significant (p>0.05). CONCLUSION: CT scan is an important diagnostic aid for studying the accurate morphology of soft palate.
