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INTRODUCTION: Dental caries is the most prevalent chronic disease among children worldwide irrespective of the advancements in oral healthcare. The basis of considering dermatoglyphic patterns as marker for dental caries is that the epithelium of finger buds and enamel are both ectodermal in origin and develop during the same period of intrauterine life. AIM AND OBJECTIVE: To record and evaluate the dermatoglyphic patterns, its correlation with early childhood caries (ECC) and to predict its efficacy in assessing the caries risk. METHOD: The study was carried out on 100 school going children within the age group of 36-71 months. Study population was divided into two groups comprising of 50 individuals each on the basis of def score, experimental group (def ≥ 1) and control group (def score 0). Dermatoglyphic patterns of all ten palmar digits were recorded using Cummins and Midlo method and assessed using a magnifying glass (2×). RESULTS: Statistically significant increase in number of whorls was found in ECC group, whereas higher number of loops was seen in control group. In ECC group, value of both, the mean axial t triradius angle and mean total ridge count was low as compared to the caries-free group. CONCLUSION: There is definite variation in dermatoglyphics between the ECC and caries-free group, indicating that dermatoglyphic patterns can be used as a non-invasive predictive tool for children with ECC.
RESUMO
BACKGROUND: Oral implants are considered safe in the mandibular anterior region, but complications often occur if vital structures such as inferior alveolar nerve, mandibular incisive canal (MIC), anterior mental loop (AL), or mental foramen (MF) are not properly identified. AIM: The aim was to evaluate vital anatomical structures in the mandibular interforaminal region and to investigate sexual dimorphism and differences with respect to left and right side regions using cone-beam computed tomography (CBCT). MATERIALS AND METHODS: Eighty CBCT scans (forty male and forty female) were analyzed for MF position and shape, presence and measurement of AL and MIC (both in mm), emergence patterns of mandibular canal, and symmetry of MF and AL. A pilot study was conducted on five patients to determine interobserver reliability among two oral and maxillofacial radiologists, considered for interpretation of CBCT images. All the scans were taken by CS 9300, CBCT machine adjusted at 80 kVp, 15 mA, voxel size 0.3 × 0.3 × 0.3, and field of view of 10 × 5 (mandible only). The acquired images were reconstructed into multiplanar views (axial, panoramic, and cross-sectional) for evaluation. RESULTS: The mean age of the study population was 42.64 ± 16.22 years, with males noted with slightly higher age. Position 4 of MF (below the apex of the second premolar) was noted the most on the right side, whereas position 3 (between the first and second premolars) was noted on the left side, with 75% of symmetrical MF position. The oval-shaped MF was most common among both genders and sides. The prevalence of MIC was noted in 93.75% of patients with a mean length of 12.09 ± 5.95 mm. The prevalence of AL was 53.13%, with a mean length of 1.07 ± 1.42 mm. No statistically significant sexual dimorphism (P > 0.05) was found between genders or sides for all the evaluated interforaminal parameters. CONCLUSION: CBCT evaluation of vital anatomical structures needs to be elicited before planning an interforaminal placement of implants, and no sexual dimorphism was found regarding them.
