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Auswaf Ahsan
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Laskaris' Color Atlas of Oral Diseases, a highly successful diagnostic atlas now in its third edition, aids physicians in solving diagnostic problems and preparing their own outline of treatment. The entire spectrum of both local diseases... more
Laskaris' Color Atlas of Oral Diseases, a highly successful diagnostic atlas now in its third edition, aids physicians in solving diagnostic problems and preparing their own outline of treatment. The entire spectrum of both local diseases and oral manifestations of systemic diseases is presented. Each disease is illustrated by outstanding representative clinical color photographs juxtaposed with a concise text delineating the clinical signs and symptoms.
For the third edition, the text has been thoroughly revised to keep pace with new concepts in oral medicine. The structure of the text has been clarified and made more practically useful, with references to etiology, clinical images, differential diagnosis, laboratory diagnostic tests, and therapy guidelines.
Abstract Background Epistemic injustice and the so-called “predators” or illegitimate publishers are the challenges of Southern scholarly publishing. Even though open access (OA) publishing is revolutionary in academic publishing,... more
Abstract

Background

Epistemic injustice and the so-called “predators” or illegitimate publishers are the challenges of Southern scholarly publishing. Even though open access (OA) publishing is revolutionary in academic publishing, increased compensation from authors in the form of author processing charges (APCs) by commercial publishers has marginalized knowledge creation in the Global South. The purpose of this study was to map the nature and scope of dental journal publishing in India.

Methods:
We searched databases like Scopus, WoS, DOAJ, and the UGC CARE list for dental journals published in India.

Result:
There are currently 35 active dental journals, which mostly belong to or are affiliated with non-profit organizations (26, 55.9%) or educational institutions (9, 25.8%). The publication of 25 journals has been outsourced to international commercial publishers, with most of these linked to non-profit organizations. About 39.8% of Indian dental journals are OA and almost half charge APCs. Around 60% of the Indian journals are indexed in Scopus, and slightly less than half (12) are included in the Web of Science (WoS).

Discussion:
The monopoly of international commercial publishers and the presence of APCs are the real culprits of epistemic injustice in Indian dental journal publishing. Besides, the identification of regional legitimate publishers would help demarcate the term “predatory publishing”.

Conclusion:
The post-colonial world witnessed an emergence in Southern scholarly publishing. However, the hegemony or neoliberal exploitation of international commercial publishers and the prolonged use of “predators” in scholarly debates marginalized the knowledge produced in the Global South.
Origin and history of a parallel publishing house in Kozhikode (Calicut), Kerala, India
Background: Clinical use of antibiotics prophylaxis (AP) for preventing infective endocarditis (IE) after invasive dental procedures is controversial. Expert consensus guidelines are inconsistent, either restricting its use to high-risk... more
Background: Clinical use of antibiotics prophylaxis (AP) for preventing infective endocarditis (IE) after invasive dental procedures is controversial. Expert consensus guidelines are inconsistent, either restricting its use to high-risk individuals or advising its use again. Objectives: To determine whether there is a genuine need for AP to prevent IE in high-risk patients undergoing invasive dental procedures. Methods: Online search was performed on PubMed, Science Direct, British Dental Journal and Cochrane Register of Controlled Trials. The methodological quality of each study was assessed using the Cochrane Handbook for Systematic Reviews of Interventions. Results: Seventeen (17) clinical trials were included in the final analysis recruiting 2,410 patients (AP = 1,366; placebo = 1,044). Bacteraemia was detected in 302 AP patients (22.1%) and 362 placebo patients (34.7%). AP reduced the risk of bacteraemia by 49% (risk ratio: 0.51; 95% CI; 0.45 to 0.58; P = 0.0001). Conclusion: Although using AP for IE may be pragmatic and justified for high-risk patients undergoing invasive dental procedures, the evidence is inconclusive because post-procedural bacteraemia may not be a good surrogate marker for IE. Moreover, trials investigating the direct association between AP and IE are lacking due to low disease prevalence and high-cost challenges.
Humans can detect and distinguish the five basic taste qualities-salty, sour, sweet, bitter, and umami. Out of these, the bitter taste is the most unpleasant. According to Robert J. Lee and Noam A Cohen, bitterness is perceived on the... more
Humans can detect and distinguish the five basic taste qualities-salty, sour, sweet, bitter, and umami. Out of these, the bitter taste is the most unpleasant. According to Robert J. Lee and Noam A Cohen, bitterness is perceived on the tongue and throughout the body, where they defend against microbial invaders. [1] Varicella zoster virus (VZV) is an exclusively human neurotropic alpha-herpesvirus. Varicella is characterized by fever concurrent with a self-limiting rash on the skin and sometimes mucosa. Headache, malaise, and loss of appetite are also attributed to VZV. [2] Oral manifestations like dysgeusia have been less widely investigated. Here, we present a case in which an atypical initial presentation of bitter taste dysgeusia later developed into chickenpox.
Review question / Objective: The aim of the present systematic review and meta-analysis is to determine whether there is a genuine clinical need for Antibiotic Prophylaxis(AP) for the prevention of Infective Endocarditis(IE) in high-risk... more
Review question / Objective: The aim of the present systematic review and meta-analysis is to determine whether there is a genuine clinical need for Antibiotic Prophylaxis(AP) for the prevention of Infective Endocarditis(IE) in high-risk individuals (particularly those with demonstrable structural heart diseases or valve surgery) undergoing invasive dental procedures. Information sources: PubMed, Science Direct, British Dental Journal and Cochrane Register of Controlled Trials. Search terms used included various combinations of the following subject headings and title or abstract keywords – prophylactic antibiotics, antibiotic prophylaxis, antimicrobial, dentist, extraction, implant, infective endocarditis, or bacterial endocarditis.
Management of TMDs with occlusal splint is a reversible, non- invasive modality which causes minimum damage to tissues, when compared to other irreversible treatment modalities. Objectives of this study is to assess the effectiveness of... more
Management of TMDs with occlusal splint is a reversible, non- invasive modality which causes minimum damage to tissues, when compared to other irreversible treatment modalities. Objectives of this study is to assess the effectiveness of flat occlusal splint in patients with anterior disc displacement without reduction by evaluating reduction in pain and improvement in mouth opening. 35 participants with mean age 35 years who does not have any systemic diseases and not undergoing treatment for ADD without reduction were selected for study. After recording pain score on VAS scale and maximum mouth opening, flat occlusal splint was fabricated for maxillary arch. Patients were advised to wear the splint for all the time except on meal times. Maximum mouth opening and pain score were again evaluated after 3 weeks. Statistical results showed that there is highly significant reduction in pain score and increase in maximum mouth opening. Mean VAS score before treatment was 7.26±0.88. After ...
Digital imaging has changed the scenario of medical and dental imaging as it has been able to address many limitations associated with traditional film based radiograph. However, subtle changes on the image are still difficult to... more
Digital imaging has changed the scenario of medical and dental imaging as it has been able to address many limitations associated with traditional film based radiograph. However, subtle changes on the image are still difficult to appreciate by the human eye because the changes are buried in a background of normal anatomic structures, and are not clearly evident. Digital subtraction radiography is one of the image enhancing technique which addresses this problem and has found its use in various fields of dentistry in the recent past. However, there is lack of review in the literature regarding this widely used technique. The purpose of this article is to present an overview of this technique and its uses in various fields of dentistry.
Background: Lip prints are seen to remain the same for an individual throughout his/her life. Cheiloscopy can be used as an effective tool in the identification of the persons from pieces of evidence that may be left behind from lip... more
Background: Lip prints are seen to remain the same for an individual throughout his/her life. Cheiloscopy can be used as an effective tool in the identification of the persons from pieces of evidence that may be left behind from lip prints. Aim and Objectives: The aim of the current research was to evaluate the predominant lip groove pattern among Calicut population, Kerala. Materials and Methods: The study involved 2112 individuals (1056 males and 1056 females) in the Department of Oral Medicine and Radiology, KMCT Dental College, Calicut, Kerala. Lipstick was used to record the lip groove patterns and the patterns were visualized by magnifying lens after the institutional ethical clearance and informed consent from the individual. Statistical analysis was done using SPSS software 22.0. Results: Among the study population, Type 1', Type 1, Type 4, and Type 5 were found to be common lip groove patterns. Males showed predominance on Type 1' and Type 1 lip groove patterns, whereas females showed predominance on Type 4 and Type 5 lip groove patterns. The results were similar when analyzed on upper and lower lips separately on males and females. Conclusion: Cheiloscopy is a reliable tool in personal identification and gender determination of an individual. The geographical prevalence of lip groove patterns was reported in the current research and is added to the database of the anthropological data. Studies in different geographical regions will add lip groove patterns on the database in the future and henceforth the potential of cheiloscopy could be further utilized.
Apert syndrome is a rare congenital anomaly characterized by acrocephaly, syndactyly, and abnormalities of other organs. It has characteristic features in the orofacial region, affecting the eyes, palate, middle third of face, and uvula.... more
Apert syndrome is a rare congenital anomaly characterized by acrocephaly, syndactyly, and abnormalities of other organs. It has characteristic features in the orofacial region, affecting the eyes, palate, middle third of face, and uvula. In this case report, the features of Apert syndrome, particularly in relation to the orofacial region, are discussed.
a systematic way. The dentist can help the patient right from the initial diagnosis of the condition up to the relief of pain in the terminal stages of the diseases. This inquiry into the oral physician‘s role on elderly care and special... more
a systematic way. The dentist can help the patient right from the initial diagnosis of the condition up to the relief of pain in the terminal stages of the diseases. This inquiry into the oral physician‘s role on elderly care and special needs would be of benefit to researchers of Palliative Dentistry; particularly in multidisciplinary contexts. This text proposes to discussintegrated oral care, oral health care delivery system, and a flow of educational actions, resources, research, conceptual framework, guidelines and dissemination of newer trends in oral palliative care.
Gorham disease is a rare disorder with progressive osteolysis which leads to the vanishing of bones. Its etiology and ideal management strategy are still an enigma. A case of Gorham disease involving the maxillofacial region in a... more
Gorham disease is a rare disorder with progressive osteolysis which leads to the vanishing of bones. Its etiology and ideal management strategy are still an enigma. A case of Gorham disease involving the maxillofacial region in a 25-year-old male with an emphasis on etiology and diagnosis is discussed.
Background: Management of TMDs with occlusal splint is a reversible, non-invasive modality which causes minimum damage to tissues, when compared to other irreversible treatment modalities. Objectives of this study is to assess the... more
Background: Management of TMDs with occlusal splint is a reversible, non-invasive modality which causes minimum damage to tissues, when compared to other irreversible treatment modalities. Objectives of this study is to assess the effectiveness of flat occlusal splint in patients with anterior disc displacement without reduction by evaluating reduction in pain and improvement in mouth opening. Materials and Methods: 35 participants with mean age 35 years who does not have any systemic diseases and not undergoing treatment for ADD without reduction were selected for study. After recording pain score on VAS scale and maximum mouth opening, flat occlusal splint was fabricated for maxillary arch. Patients were advised to wear the splint for all the time except on meal times. Maximum mouth opening and pain score were again evaluated after 3 weeks. Results & Discussion: Statistical results showed that there is highly significant reduction in pain score and increase in maximum mouth opening. Mean VAS score before treatment was 7.26±0.88. After treatment with splint therapy, VAS score was reduced to 2.94±1.41. The mean value of maximum mouth opening before treatment was 23.09±4.25. After treatment with splint therapy, it was increased to 30.37±5.43. Both parameters had p value <0.001, which is highly significant statistically. Conclusion: Significant reduction in pain score and improvement in mouth opening noted after using flat occlusal splint in patients having ADD without reduction. However, further studies are needed on a long term basis for better results. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
A case of desmoplastic ameloblastoma recurring within 2 months of curettage is presented. This tumour appeared in the premolar region of the left maxilla with involvement of the antrum. The 24-year-old female patient was initially treated... more
A case of desmoplastic ameloblastoma recurring within 2 months of curettage is presented. This tumour appeared in the premolar region of the left maxilla with involvement of the antrum. The 24-year-old female patient was initially treated by curettage with wide surgical margins. Later, partial maxillectomy was carried out followed immediately by iliac bone graft. The case was followed with periodic plain radiography and computed tomography. The presence of a pulpally infected premolar and the atypical radiographic appearance obscured the disease. The biologic profile of this tumour is not fully understood because of the limited number of reported cases, coupled with inadequate long-term follow-up. A review of the lesion with emphasis on the pathogenesis of recurrence is discussed.
Background: Identification of the suspect, living or dead with the help of physical charachteristics play a vital role in forensic science. Improved methods of gender determination and personal identification are important in solving... more
Background: Identification of the suspect, living or dead with the help of physical charachteristics play a vital role in forensic science. Improved methods of gender determination and personal identification are important in solving criminal cases. Cheiloscopy and dactyloscopy have been proved to be of use in personal identification. The present study aims to evaluate correlation of Cheiloscopy and Dermatoglyphics in gender determination Materials and Method: The study was carried out from January 2017 to January 2019 on 2112 individuals (1056 males and 1056 females) aged from 15 to 60 years in KMCT Dental College, Calicut. For lip print analysis Suzuki and Tsuchihashi classification was followed. For finger print analysis impression of all the fingers were taken. For analysis, the images were cropped and abode photoshop software was used. Results: Type 1 and 1&#39; lip groove patterns were found to be predominant among males.Type 4 and Type 5 lip groove patterns were found to be p...
Research Interests:
Extreme oral myiasis is a rare condition, mostly affecting bedridden patients whose oral health care measures are neglected. Single stage manual removal of the maggots along with the necrotic tissue, debridement, and suturing under... more
Extreme oral myiasis is a rare condition, mostly affecting bedridden patients whose oral health care measures are neglected. Single stage manual removal of the maggots along with the necrotic tissue, debridement, and suturing under general anesthesia is the most effective way to treat the condition. Preventive measures are also equally important to eliminate the cause and recurrence. 
Our understanding and interest in the diagnosis and management of patients with various types of temporomandibular disorders had increased as research has identified structural abnormalities and disease mechanisms associated with some of... more
Our understanding and interest in the diagnosis and management of patients with various types of temporomandibular disorders had increased as research has identified structural abnormalities and disease mechanisms associated with some of these disorders there has also been remarkable progress in the imaging of the TMJ. However, with this increasing sophistication there seems to be growing confusion among specialists and general dental practitioners, as to when imaging should be used, i f at all, and when each modality can be expected to be most useful. This paper gives an overview to one such imaging modality, arthrography; and its implications in TMJ imaging
The dilated odontoma is an infrequent developmental alteration that appears in any area of the dental arches and can affect deciduous, permanent and supernumerary tooth. Dens invaginatus is a developmental anomaly resulting from... more
The dilated odontoma is an infrequent developmental alteration that appears in any area of the dental arches and can affect deciduous, permanent and supernumerary tooth. Dens invaginatus is a developmental anomaly resulting from invagination of a portion of crown forming within the enamel organ during odontogenesis. The most extreme form of dens invaginatus is known as dilated odontoma. The aim of this case report is to present a rare case of bilateral dilated odontoma affecting a microdontic permanent lateral incisor in a 30 year old female patient with hypodontia and peglateral teeth with its clinical, radiological and histological features, which has yet been not reported. Bilateral presence of dilated odontoma is not a common occurrence, although a single tooth involvement in each case has been reported in the literature.
Osteochondroma is one of the most common benign tumors of the axial skeleton, but is rarely found in the facial bones. When present, the tumor is most often reported to affect the mandibular coronoid process. Osteochondroma of the... more
Osteochondroma is one of the most common benign tumors of the axial skeleton, but is rarely found in the facial bones. When present, the tumor is most often reported to affect the mandibular coronoid process. Osteochondroma of the mandibular condyle is extremely rare. A case is presented of a massive osteochondroma of the mandibular condyle leading to facial asymmetry and disturbed occlusion. The diagnosis was confirmed by radiological and histological examination.
Hutchinson-Gilford progeria syndrome is a rare autosomal dominant disorder associated with skin fragility. It is characterized by craniofacial disproportion, delayed dentition, micrognathia, and plucked bird appearance. The genetic defect... more
Hutchinson-Gilford progeria syndrome is a rare autosomal dominant disorder associated with skin fragility. It is characterized by craniofacial disproportion, delayed dentition, micrognathia, and plucked bird appearance. The genetic defect is mainly de nova mutation in the lamin A gene. This report describes a 16-year-old patient with classical features of progeria along with post-streptococcal glomerulonephritis. The symptoms of hepatomegaly were also present in the patient. The differential diagnoses of this lesion are also discussed in detail in this literature.
A case of desmoplasticameloblastoma recurring within 2 months of curettage is presented. This tumour appeared inthe premolar region of the left maxilla with involvement of the antrum. The 24-year-old female patient was initiallytreated by... more
A case of desmoplasticameloblastoma recurring within 2 months of curettage is presented. This tumour appeared inthe premolar region of the left maxilla with involvement of the antrum. The 24-year-old female patient was initiallytreated by curettage with wide surgical margins. Later, partial maxillectomy was carried out followed immediately by iliac bone graft. The case was followed with periodic plain radiography and computed tomography. The presence ofa pulpally infected premolar and the atypical radiographic appearance obscured the disease. The biologic profile ofthis tumour is not fully understood because of the limited number of reported cases, coupled with inadequate longterm follow-up. A review of the lesion with emphasis on the pathogenesis of recurrence is discussed.
Odontome is a developmental anomaly where dental tissues are disorganized and laid down in an abnormal pattern. Though several theories have been put forward, the etiology is still unknown. Occasionally an odontome may be associated with... more
Odontome is a developmental anomaly where dental tissues are disorganized and laid down in an abnormal pattern. Though several theories have been put forward, the etiology is still unknown. Occasionally an odontome may be associated with an impacted tooth interfering with the latter’s eruption into the oral cavity. This is a case report in which a complex odontome lying superior to an impacted third molar not only prevents it from erupting but also pushes it inferiorly towards the lower border of the mandible resulting in a visible bulge affecting patient’s esthetics. To make things worse, the close proximity of the inferior alveolar nerve along with a dilaceration of the impacted third molar made treatment planning a difficult task.
LMNA يذلاو نوسينشتاه ايريجورب دروفليج ضارعأ روهظ عم ماع ضارعأ ترهظ امك .ريبك لكشب تايبدلأا يف ةلالحا فصو تم ةفلتخلما تاصيخشتلا ةشقانم تم امك .ضيرلما ىدل دبكلا مخضت .لاقلما اذه يف ليصفتلاب Hutchinson-Gilford progeria syndrome is a rare... more
LMNA يذلاو نوسينشتاه ايريجورب دروفليج ضارعأ روهظ عم ماع ضارعأ ترهظ امك .ريبك لكشب تايبدلأا يف ةلالحا فصو تم ةفلتخلما تاصيخشتلا ةشقانم تم امك .ضيرلما ىدل دبكلا مخضت .لاقلما اذه يف ليصفتلاب Hutchinson-Gilford progeria syndrome is a rare autosomal dominant disorder associated with skin fragility. It is characterized by craniofacial disproportion, delayed dentition, micrognathia, and plucked bird appearance. The genetic defect is mainly de nova mutation in the lamin A gene. This report describes a 16-year-old patient with classical features of progeria along with post-streptococcal glomerulonephritis. The symptoms of hepatomegaly were also present in the patient. The differential diagnoses of this lesion are also discussed in detail in this literature.
Odontomas are benign tumors of odontogenic origin. They are considered to be hamartomas rather than true neoplasms. Odontomas, though not uncommon, rarely erupt into the oral cavity. A case of compound composite odontoma erupting into... more
Odontomas are benign tumors of odontogenic origin. They are considered to be hamartomas rather than true neoplasms. Odontomas, though not uncommon, rarely erupt into the oral cavity. A case of compound composite odontoma erupting into oral cavity is presented.
Palliative care is a global human right, to be provided in a systematic way. The dentist can help the patient right from the initial diagnosis of the condition up to the relief of pain in the terminal stages of the diseases. This inquiry... more
Palliative care is a global human right, to be provided in a systematic way. The dentist can help the patient right from the initial diagnosis of the condition up to the relief of pain in the terminal stages of the diseases. This inquiry into the oral physician's role on elderly care and special needs would be of benefit to researchers of Palliative Dentistry; particularly in multidisciplinary contexts. This text proposes to discussintegrated oral care, oral health care delivery system, and a flow of educational actions, resources, research, conceptual framework, guidelines and dissemination of newer trends in oral palliative care.
Lip prints are seen to remain the same for an individual throughout his/her life. Cheiloscopy can be used as an effective tool in the identification of the persons from pieces of evidence that may be left behind from lip prints. Aim and... more
Lip prints are seen to remain the same for an individual throughout his/her life. Cheiloscopy can be used as an effective tool in the identification of the persons from pieces of evidence that may be left behind from lip prints. Aim and objectives: The aim of the current research was to evaluate the predominant lip groove pattern among Calicut population, Kerala. Materials and methods: The study involved 2112 individuals (1056 males and 1056 females) in the Department of Oral Medicine and Radiology, KMCT Dental College, Calicut, Kerala. Lipstick was used to record the lip groove patterns and the patterns were visualized by magnifying lens after the institutional ethical clearance and informed consent from the individual. Statistical analysis was done using SPSS software 22.0. Results: Among the study population, Type 1', Type 1, Type 4, and Type 5 were found to be common lip groove patterns. Males showed predominance on Type 1' and Type 1 lip groove patterns, whereas females showed predominance on Type 4 and Type 5 lip groove patterns. The results were similar when analyzed on upper and lower lips separately on males and females. Conclusion: Cheiloscopy is a reliable tool in personal identification and gender determination of an individual. The geographical prevalence of lip groove patterns was reported in the current research and is added to the database of the anthropological data. Studies in different geographical regions will add lip groove patterns on the database in the future and henceforth the potential of cheiloscopy could be further utilized.
Abstract The neurologic symptoms of Sjogren Syndrome are often ignored. Mononeuritis multiplex is a peripheral motor neuropathy that is not rare with primary Sjogren Syndrome, but is less reported in literature. Early diagnosis of... more
Abstract The neurologic symptoms of Sjogren Syndrome are often ignored. Mononeuritis multiplex is a peripheral motor neuropathy that is not rare with primary Sjogren Syndrome, but is less reported in literature. Early diagnosis of neurological symptoms can help prevent the progression of disease and thereby improve the patient’s quality of life. Here, we present a case report where the patient was under neurological consultation for mononeuritis multiplex with no reduction in symptoms for the past one year. She visited us with a complaint of recurrent parotid abscess, after clinical and laboratory examination, diagnosis of Sjogren syndrome was made.  Identification of the relationship between Sjogren Syndrome and mononeuritis multiplex was the key to delivering proper treatment to this patient.
The first quarter of the twentieth century, following the discovery of X-rays, was a promising time for radiology. It was a time of experimentation and laid the foundations for the science that brought about a radical change in... more
The first quarter of the twentieth century, following the discovery of X-rays, was a promising time for radiology. It was a time of experimentation and laid the foundations for the science that brought about a radical change in healthcare. Professor Antoni Cieszyński, a Polish physician, dentist, and surgeon, who worked at the University of Lvov during this period, continues to be remembered for his contribution to dentistry as a whole and oral radiology in particular. The professor, accomplished much during a period that was ridden with strife, in a region that was prone to war, between people of different ethnic origins. Despite the odds, he went on to propose several techniques, across fields as varied as oral radiology, periodontology, and oral and maxillofacial surgery, with some of these techniques still being relevant today. As we pass through a century since the ‘interbellum’, the period between the two world wars, when most of the professor’s works were published, we cannot but forget his contributions to dentistry. This tribute serves as an introduction to his early life, his career achievements, and social activities – an inspiration for all of us to emulate, as the science passes through an era of three-dimensional imaging.
keywords:
radiography, dental; history, 20th century; Europe, eastern
Bell's palsy is a peripheral palsy of the facial nerve resulting in abrupt unilateral muscular weakness of the face. Its idiopathic etiology leads to the inflammation and compression of the facial nerve at the geniculate ganglionic site,... more
Bell's palsy is a peripheral palsy of the facial nerve resulting in abrupt unilateral muscular weakness of the face. Its idiopathic etiology leads to the inflammation and compression of the facial nerve at the geniculate ganglionic site, ultimately leading to the paralysis of the facial muscles. In this article, a case report of a 42-year-old male patient is discussed with a special emphasis on clinical features, diagnosis and various treatment modalities of Bell's palsy.
Impacted anterior teeth are an impediment to treatment planning in Dentistry. Therefore, proper localisation of the impacted tooth is imperative. CBCT is the gold standard of imaging such teeth; however, poor availability of such devices... more
Impacted anterior teeth are an impediment to treatment planning in Dentistry. Therefore, proper localisation of the impacted tooth is imperative. CBCT is the gold standard of imaging such teeth; however, poor availability of such devices in rural areas and the economic costs involved often deter patients. Additionally, the high radiation from such devices cannot be ignored. As technology advances and we move towards a 'smart world', we need to retrospect on whether we are foregoing our cognitive skills at the expense of patient radiation. Previous studies have proven that plain film radiographs are highly sensitive and specific at anterior impacted teeth localisation. Here we review different localisation techniques that can enable us to identify correct tooth position using plain films.
Odontome is a developmental anomaly where dental tissues are disorganized and laid down in an abnormal pattern. Though several theories have been put forward, the etiology is still unknown. Occasionally an odontome may be associated with... more
Odontome is a developmental anomaly where dental tissues are disorganized and laid down in an abnormal pattern. Though several theories have been put forward, the etiology is still unknown. Occasionally an odontome may be associated with an impacted tooth interfering with the latter's eruption into the oral cavity. This is a case report in which a complex odontome lying superior to an impacted third molar not only prevents it from erupting but also pushes it inferiorly towards the lower border of the mandible resulting in a visible bulge affecting patient's esthetics. To make things worse, the close proximity of the inferior alveolar nerve along with a dilaceration of the impacted third molar made treatment planning a difficult task.
Botox (botulinum toxin-BTX or botulinum neuro toxin) is a highly versatile multipurpose therapeutic agent in the modern era, which is often used for cosmetic treatment of the face, for correcting lines and wrinkles, strabismus,... more
Botox (botulinum toxin-BTX or botulinum neuro toxin) is a highly versatile multipurpose therapeutic agent in the modern era, which is often used for cosmetic treatment of the face, for correcting lines and wrinkles, strabismus, blepharospasm, cervical dystonia, hyperhidrosis, torticollis, spasmodic dysphonia etc. It is also helpful in the management of muscle generated dental disorders. To review the relevant data accounting for the effects that botulinum toxin had on patients with muscular and dental disorders, a Medline/PubMed ® literature search that only included articles published in English language from 1990 to June 2017 was done. A detailed discussion on the mechanism of action, clinical applications, treatment efficacy, adverse effects and contra indications are illustrated in this paper.
Research Interests:
GDPs can systematically screen their patients for life style diseases. This can be achieved by an assistant who is trained to check blood pressure and diabetes. A recently published article pointed out that, policy makers in the US have... more
GDPs can systematically screen their patients for life style diseases. This can be achieved by an assistant who is trained to check blood pressure and diabetes. A recently published article pointed out that, policy makers in the US have put forth some important suggestions which could be relevant for a state like Kerala too. Fresh graduates in dentistry, if provided with short term intense training in the fields like disaster management, palliative care and geriatric care, would add up to the pool of health care professionals and also turn the dentists into major contributors in this sector. Whatever researches and advances we talk about in the tertiary institutions, we need GDPs to practice and popularise it. In other words we should call GDPs as practitioners of research.
Research Interests:
Gorham disease is a rare disorder with progressive osteolysis which leads to the vanishing of bones. Its etiology and ideal management strategy are still an enigma. A case of Gorham disease involving the maxillofacial region in a... more
Gorham disease is a rare disorder with progressive osteolysis which leads to the vanishing of bones. Its etiology and ideal management strategy are still an enigma. A case of Gorham disease involving the maxillofacial region in a 25-year-old male with an emphasis on eti-ology and diagnosis is discussed.
Why not document the history of dentistry in this region? This must consist of history of early dentistry, private practitioners who brought modern dentistry to Calicut, debutant qualifiers, even the history of Calicut Dental College and... more
Why not document the history of dentistry in this region? This must consist of history of early dentistry, private practitioners who brought modern dentistry to Calicut, debutant qualifiers, even the history of Calicut Dental College and so on.
Research Interests:
Cheiloscopy has been fascinating from the time it took a prominent place in the field of forensic dentistry. This article aims at a review tracing the cheiloscopic studies conducted worldwide. It highlights the results achieved of each... more
Cheiloscopy has been fascinating from the time it took a prominent place in the field of forensic dentistry. This article aims at a review tracing the cheiloscopic studies conducted worldwide. It highlights the results achieved of each research work, and focus is made on the effect of the same. Cheiloscopy and dermatoglyphics with its various applications have immense potential, which are not fully explored till date, and it is necessary to channel the resources of cheiloscopy in a proper channel and henceforth maximum scientific benefit can be achieved with the same.
Research Interests:
Though Ethics is an important element in dental practice, it is not
often discussed by dentists as significantly as it deserves.
Research Interests:
Disseminated Intravascular Coagulation (DIC) is a complex clinical syndrome characterized by hypercoagulable state, bleeding diathesis and multiple organ failure. The most common precipitating factor is sepsis. Gram negative sepsis is the... more
Disseminated Intravascular Coagulation (DIC) is a complex clinical syndrome characterized by hypercoagulable state, bleeding diathesis and multiple organ failure. The most common precipitating factor is sepsis. Gram negative sepsis is the most notable infectious cause. The pivotal mediator of activation of coagulation appears to be interleukin-6. This report describes a 60 year old farmer with swelling on the floor of mouth and blisters, non-healing ulcer on the leg which was diagnosed as oral manifestations of disseminated intravascular coagulation secondary to gram negative septicemia. This case represents acute exacerbation of chronic disseminated intravascular coagulation. The main foci of infection for this acute episode arises from the periodontal infection of lower left second molar teeth. The cornerstone of the management of this condition is the treatment of the triggering cause.
Research Interests:
A case of desmoplastic ameloblastoma recurring within 2 months of curettage is presented. This tumour appeared in the premolar region of the left maxilla with involvement of the antrum. The 24-year-old female patient was initially treated... more
A case of desmoplastic ameloblastoma recurring within 2 months of curettage is presented. This tumour appeared in the premolar region of the left maxilla with involvement of the antrum. The 24-year-old female patient was initially treated by curettage with wide surgical margins. Later, partial maxillectomy was carried out followed immediately by iliac bone graft. The case was followed with periodic plain radiography and computed tomography. The presence of a pulpally infected premolar and the atypical radiographic appearance obscured the disease. The biologic profile of this tumour is not fully understood because of the limited number of reported cases, coupled with inadequate long-term follow-up. A review of the lesion with emphasis on the pathogenesis of recurrence is discussed.
The value of a civilization is predicated on how it treats kids, elderly and the disadvantaged. With the progress of modern medicine, life expectancy has improved considerably in many places around the globe. This paradigm shift has... more
The value of a civilization is predicated on how it treats kids, elderly and the disadvantaged. With the progress of modern medicine, life expectancy has improved considerably in many places around the globe. This paradigm shift has brought in alterations in morbidity. We could postpone death, albeit not without diseases. " Even death, faced with the option of death or life, would choose life. " (José Saramago, Death with Interruptions). Presumably, people living with diseases increased considerably. This change in scenario is redefining the role of health workers the world over. Dentists can contribute enormously to improve the quality of life among the elderly. Professionals who deal with elderly are aware that periodontitis associated with diabetes, dental caries, missing teeth are generally major issues of the geriatric patients. Various reasons prevent dental treatment from reaching this segment of population. Simple hurdles like difficulty in walking up the stairs, getting conveyance and unavailability of a bystander are some factors that deny them treatment. Many of them need physical help even to reach a clinic; some find it tough to explain their medical conditions to the dentist and are erratic in maintaining their medical records. A large section are not in a position to afford the cost of the treatment or they should get permission from their spouse or sons or daughters. The dentist herself may not get convinced about the need of the treatment of an elderly patient in certain cases. Kerala state is no exception. We are greying rapidly than ever with a life expectancy of 72 years. This is at par with, if at times more than, the situations in many welfare states. Obviously, we have many patients with carious teeth, painful abscesses, and elderly with chewing difficulties. This number is swelling exponentially. Do we have expert hands to handle geriatric cases? Prevailing infrastructure is abysmally inadequate to contain the crisis. Policy makers should turn their attention in this direction and make the healthcare system strong enough to tackle such issues.
Research Interests:
To assess submental route intubation as an alternative technique to a tracheostomy in the management of the airway in cranio-maxillofa-cial trauma, along with an assessment of its morbidity and complications
Research Interests:
Intense debates on various treatment modalities like Root canal treatment, Silver amalgam restorations, Orthodontic teeth repositioning and dental implants are not new. Such debates not only solidify the loose sand upon which the theories... more
Intense debates on various treatment modalities like Root canal treatment, Silver amalgam
restorations, Orthodontic teeth repositioning and dental implants are not new. Such debates not only
solidify the loose sand upon which the theories are built, but also help to polish the rough edges of the
argument. However, the discourses will never arrive at a desirable culmination unless handled with
utmost honesty and least amount of dogmatism.
Research Interests:
Research Interests:
The objective of this study was to perceptually assess velopharyngeal dysfunction and to identify improvements in velopharyngeal competency level after speech therapy in repaired Cleft of Lip, Alveolus & Palate (CLAP) patients (complete... more
The objective of this study was to perceptually assess velopharyngeal dysfunction and
to identify improvements in velopharyngeal competency level after speech therapy in repaired
Cleft of Lip, Alveolus & Palate (CLAP) patients (complete or incomplete, unilateral/ bilateral),
also to identify the incidence of speech misarticulation and resonance disorders post-surgically so
as to provide a timely intervention.
Research Interests:
Extreme oral myiasis is a rare condition, mostly affecting bedridden patients whose oral health care measures are neglected. Single stage manual removal of the maggots along with the necrotic tissue, debridement, and suturing under... more
Extreme oral myiasis is a rare condition, mostly
affecting bedridden patients whose oral health care
measures are neglected. Single stage manual removal
of the maggots along with the necrotic tissue,
debridement, and suturing under general anesthesia
is the most effective way to treat the condition.
Preventive measures are also equally important to
eliminate the cause and recurrence.
The dilated odontoma is an infrequent developmental alteration that appears in any area of the dental arches and can affect deciduous, permanent and supernumerary tooth. Dens invaginatus is a developmental anomaly resulting from... more
The dilated odontoma is an infrequent developmental alteration that appears in any area of the
dental arches and can affect deciduous, permanent and supernumerary tooth. Dens invaginatus
is a developmental anomaly resulting from invagination of a portion of crown forming within the
enamel organ during odontogenesis. The most extreme form of dens invaginatus is known as
dilated odontoma.
The aim of this case report is to present a rare case of bilateral dilated odontoma affecting a
microdontic permanent lateral incisor in a 30 year old female patient with hypodontia and peg lateral
teeth with its clinical, radiological and histological features, which has yet been not reported. Bilateral
presence of dilated odontoma is not a common occurrence, although a single tooth involvement
in each case has been reported in the literature.

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