Appraisal of Periodontal Condition amongst Leather Manufacturing Plant Workers in Central India: A Prevalence Survey.

OBJECTIVE: To assess the periodontal status among the leather factory workers in Dewas and to provide a baseline data for the oral health care and promotion programs. MATERIALS AND METHODS: A total of 850 study population was considered for examination, and the age ranged from 20 to 60 years. All those factory workers with low socioeconomic status and poor background were considered. The data were collected by means modified World Health Organization (WHO) Oral Health Assessment 1997 Performa and clinical examination with the use of the Community Periodontal Index (CPI). Statistical analyses were used: chi-squared test, Mann-Whitney U test, and Kruskal-Wallis test. RESULTS: The sociodemographic characteristics were found to be significantly associated with the periodontal status in the study population (p ≤ 0.05). Mean number of loss of attachment (LOA) 0 sextants was 3.55 ± 2.35, LOA 1 was 0.935 ± 1.3, LOA 2 was 0.414 ± 0.8, LOA 3 was 0.529 ± 0.94, and LOA 4 was 1.24 ± 0.04; all the parameters showed statistically significant difference (p=0.001) except LOA 1 and LOA 2. CONCLUSION: The periodontal health status of the factory workers is poor. Factors associated with high prevalence of periodontal disease could be the following: a high rate of tobacco consumption and not cleaning their teeth at all along with other associated factors like stress, poor oral hygiene, etc.

Patellar instability in Indian population: relevance of tibial tuberosity and trochlear groove distance.

INTRODUCTION: The tibial tuberosity to trochlear groove (TTTG) distance in the western population is extensively studied through various modalities such as X-rays, computerised tomography and magnetic resonance imaging. However, to our knowledge there is very little or no literature support to indicate that TTTG distance has been studied in the Indian population. METHODS: We therefore undertook a study to measure the TTTG distance in 100 MRI scans of normal Indian knees. Patients with the following co-morbidities were excluded from the study; ligamentous laxity, patellofemoral instability, mal-alignment and osteoarthritis. We measured TTTG distance on the axial MRI slices using OsiriX software. RESULTS: The mean value for females was found to be 14.07 mm and that for male was found to be 13.34 mm. Our study indicates that the TTTG distance, using MRI scans as measurement modality, in the Indian population is significantly different when compared to the published western data. DISCUSSION: We believe that this study can form the basis for future studies on the relationship between TTTG distance and patellar instability in Indian population.

Groin pain in athletes: a novel diagnostic approach.

Groin pain in a performing athlete can be very challenging to diagnose and treat. The differential diagnosis includes intra-articular causes, extra-articular causes and non-musculoskeletal causes. A detailed clinical and radiological assessment of groin pain in this group is critical and can identify the underlying pathology. Diagnostic hip block is a valuable tool to differentiate intra-articular causes from extra-articular causes. Hip arthroscopy can help in identifying some of the elusive intra-articular conditions, which were once undiagnosed and therefore, left untreated, resulting in premature ending of competitive careers. This article attempts to explore current thinking on evaluation of groin pain, particularly in young individuals, and to establish a simple protocol for a clinical and diagnostic approach to this difficult problem.