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Kumar S L, Naik Z, Panwar A, M S, Keluskar V, Kumar RS. Comparative evaluation of the efficacy of Nigella sativa (75% v/v) cream and clobetasol propionate (0.05% w/w) gel in oral lichen planus-a double-blinded randomized control trial. Oral Maxillofac Surg 2024; 28:225-234. [PMID: 36547822 DOI: 10.1007/s10006-022-01130-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Accepted: 12/04/2022] [Indexed: 06/17/2023]
Abstract
OBJECTIVES The a im of this study is to evaluate and compare the efficacy of Nigella sativa (75% v/v) cream and clobetasol propionate (0.05% w/w) gel for the management of oral lichen planus (OLP). STUDY DESIGN Sixty clinically diagnosed cases of OLP were stratified into moderate cases or severe cases based on burning sensation before getting allocated to group I receiving Nigella sativa cream and group II receiving clobetasol propionate gel, two times a day for 45 days. Patients were examined every 15 days for a change in burning sensation and size of the lesion using the numeric pain rating scale (NRS) and a standard Vernier caliper, respectively. Statistical tests including Mann-Whitney U, Wilcoxon signed-rank, Friedman's, Dunn's post hoc, unpaired t, paired t, one-way repeated measures ANOVA, and Bonferroni's post hoc were applied. RESULTS There was a statistically significant reduction in the burning sensation as well as the size of the lesion in both groups (P ≤ 0.05). There was an 87.8% (moderate cases) and 85.7% (severe cases) reduction in the mean NRS scores on the 45th day in group I when compared to the 96.5% (moderate cases) and 93.48% (severe cases) in group II. There was a 92.9% (moderate cases) and 90.7% (severe cases) reduction in the size of the lesion in group I when compared to the 92.6% (moderate cases) and 93.1% (severe cases) in group II. CONCLUSION The topical application of Nigella sativa cream was effective and comparable to clobetasol propionate 0.05% gel in the management of OLP, without any side effects. Hence, this study recommends the use of topical Nigella sativa cream therapy in the management of OLP. CLINICAL RELEVANCE The current mainstay of treatment for OLP is the administration of topical or systemic corticosteroids, which are known to cause side effects, demanding a search for an alternative. Nigella sativa oil cream could be a safe, promising, cost-effective, adjunctive, or alternative modality. Clinical trial registration number: CTRI/2020/07/026745 (India).
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Affiliation(s)
- Lokesh Kumar S
- Department of Oral Medicine, Radiology, and Special Care Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), No. 162, Poonamalle High Road, Chennai-, 600077, Tamil Nadu, India.
| | - Zameera Naik
- Department of Oral Medicine and Radiology, KAHER's KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, JNMC Campus, Nehru Nagar, Belagavi-, 590010, Karnataka, India
| | - Arun Panwar
- Department of Oral Medicine and Radiology, KAHER's KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, JNMC Campus, Nehru Nagar, Belagavi-, 590010, Karnataka, India
| | - Sridhar M
- Department of Oral Medicine and Radiology, KAHER's KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, JNMC Campus, Nehru Nagar, Belagavi-, 590010, Karnataka, India
| | - Vaishali Keluskar
- Department of Oral Medicine and Radiology, KAHER's KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, JNMC Campus, Nehru Nagar, Belagavi-, 590010, Karnataka, India
| | - Ram Surath Kumar
- Department of Public Health Dentistry, KAHER's KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, JNMC Campus, Nehru Nagar, Belagavi-, 590010, Karnataka, India
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M S, Bagewadi A, Lagali-Jirge V, S LK, Panwar A, Keluskar V. Reliability of gender determination from paranasal sinuses and its application in forensic identification-a systematic review and meta-analysis. Forensic Sci Med Pathol 2023; 19:409-439. [PMID: 36201147 DOI: 10.1007/s12024-022-00520-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/22/2022] [Indexed: 10/10/2022]
Abstract
This systematic review aims to determine whether linear or morphometric analysis of paranasal sinuses can be used for accurate determination of gender and to appraise which sinus can be evaluated for accurate gender determination.A comprehensive search of the specialized databases (PubMed/MEDLINE, Science Direct, Clinical Key, ProQuest, Google Scholar, Epistomonikos, LILACS, OpenGrey) and other institutional repositories was performed for including the studies which assessed paranasal sinuses for gender determination. Quality assessment was carried out with the AQUA tool. The meta-analysis was performed with the eligible study data at 95% CI and p ≤ 0.05 in the random-effects model.Forty-six studies evaluating frontal sinus (13), maxillary sinus (26), frontal and maxillary sinus (5), or three paranasal sinuses (2) were included. All the included studies assessed height, length, width, and volume, respectively, and other additional parameters (area, perimeter) if wherever applicable. Frontal sinus had significantly higher values for males compared to females except for left height (LH) and left volume (LV). Maxillary sinus measurements were significantly higher in males contrasted to females except for LH. Sub-group analyses revealed that analyses involving the population had statistically significant results for all the measured parameters for both the sinuses (p < 0.05 and p = 0.00, respectively).Measurements obtained from assessing sinuses reveal that there are variations in size, among populations in different geographic regions. Hence, more studies with improved sample sizes and standardized measurement protocols should be carried out on different populations to see the diversity and their reliability.
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Affiliation(s)
- Sridhar M
- Department of Oral Medicine, Diagnosis and Radiology, KAHER'S KLE Vishwanath Katti Institute of Dental Sciences, JNMC Campus, Nehru Nagar, Karnataka, 590010, Belagavi, India.
| | - Anjana Bagewadi
- Department of Oral Medicine, Diagnosis and Radiology, KAHER'S KLE Vishwanath Katti Institute of Dental Sciences, JNMC Campus, Nehru Nagar, Karnataka, 590010, Belagavi, India
| | - Vasanti Lagali-Jirge
- Department of Oral Medicine, Diagnosis and Radiology, KAHER'S KLE Vishwanath Katti Institute of Dental Sciences, JNMC Campus, Nehru Nagar, Karnataka, 590010, Belagavi, India
| | - Lokesh Kumar S
- Department of Oral Medicine, Radiology and Special Care Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), 162, Poonamallee High Road, Chennai, 600077, India
| | - Arun Panwar
- Department of Oral Medicine, Diagnosis and Radiology, KAHER'S KLE Vishwanath Katti Institute of Dental Sciences, JNMC Campus, Nehru Nagar, Karnataka, 590010, Belagavi, India
| | - Vaishali Keluskar
- Department of Oral Medicine, Diagnosis and Radiology, KAHER'S KLE Vishwanath Katti Institute of Dental Sciences, JNMC Campus, Nehru Nagar, Karnataka, 590010, Belagavi, India
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Panwar A, Keluskar V, Charantimath S, Kumar S L, M S, T J. Bilateral elongated styloid process (Eagle’s syndrome) - a case report and short review. Acta Oto-Laryngologica Case Reports 2022. [DOI: 10.1080/23772484.2022.2077206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Affiliation(s)
- Arun Panwar
- Department of Oral Medicine and Radiology, KAHER’s KLE Vishwanath Katti Institute of Dental Sciences, Belagavi, India
| | - Vaishali Keluskar
- Department of Oral Medicine and Radiology, KAHER’s KLE Vishwanath Katti Institute of Dental Sciences, Belagavi, India
| | - Shivayogi Charantimath
- Department of Oral Medicine and Radiology, KAHER’s KLE Vishwanath Katti Institute of Dental Sciences, Belagavi, India
| | - Lokesh Kumar S
- Department of Oral Medicine and Radiology, KAHER’s KLE Vishwanath Katti Institute of Dental Sciences, Belagavi, India
| | - Sridhar M
- Department of Oral Medicine and Radiology, KAHER’s KLE Vishwanath Katti Institute of Dental Sciences, Belagavi, India
| | - Jayapriya T
- Department of Oral Medicine and Radiology, KAHER’s KLE Vishwanath Katti Institute of Dental Sciences, Belagavi, India
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T J, Patil N, Keluskar V, M S, S LK, Panwar A. An Unusual Presentation of “Two-Thirds Tumor” in the Mandible – A Diagnostic Quandary with a Review of the Literature. Galician med j 2022. [DOI: 10.21802/gmj.2022.4.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
An adenomatoid odontogenic tumor (AOT) is an uncommon benign tumor of the oral cavity commonly found in the maxillary anterior region and is associated with impacted canines in young females. It rarely occurs in the mandibular region with no impacted or missing teeth. A 21-year-old female reported to the clinic with swelling on the right side of the face for the past six months with no history of pain. Radiographic features such as unilocular radiolucency with thinning of the cortical borders and considerable buccal cortical expansion, as well as some evidence of radiopaque specks were noted. Histopathological examination revealed cells with hyperchromatic nuclei, rosette-like structures with focal areas of calcified mass, and concentric rings resembling Liesegang rings, suggestive of AOT. The tumor was treated surgically by enucleation and cauterization. Although follicular type is a common variant, the tumor presented in this case was of extrafollicular type noted in the mandibular canine and premolar regions of a young female patient with no related impacted tooth.
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Hutcheson K, Peterson C, Barbon C, Quon H, Mehra R, Ringash J, Lewin J, Flamand Y, Duvvuri U, Ozer E, Thomas G, Kupferman M, Koch W, Bell R, Saba N, Panwar A, Annino Jr D, Wagner L, Ferris R, Burtness B. Reduced Aspiration Rates for 50 Gy Postoperative Radiation in HPV-Associated Oropharynx Cancer in E3311: A Trial of the ECOG-ACRIN Cancer Research Group. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Kumar SL, Naik Z, Panwar A, Sridhar M, Bagewadi A. Prevalence of temporomandibular disorders and their correlation with gender, anxiety, and depression in dental students − A cross-sectional study. J Indian Acad Oral Med Radiol 2022. [DOI: 10.4103/jiaomr.jiaomr_65_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Keluskar V, Baliah J, Livingstone D, Panwar A. Evaluation of pain management and quality of life among oral cancer patients - A cross sectional study. J Indian Acad Oral Med Radiol 2021. [DOI: 10.4103/jiaomr.jiaomr_171_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Le X, Gluck I, Maurice-Dror C, Panwar A, Gold K, Berlin J, Dai T, Grewal J, Nagasaka M, Rosenberg A, Haigentz M, Le Tourneau C, Moreno I, McDevitt M, Patel M, Da Costa D, Lambert S, Li Y, Blaney M, Gillison M. 975TiP Phase Ib trial of ABBV-368 + tilsotolimod in combination with nab-paclitaxel and/or budigalimab (ABBV-181) in patients with recurrent/metastatic head and neck squamous cell carcinoma. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Gilhuis HJ, Panwar A, Van Duinen SG, De Jong FJ. Apnea and dysphagia as the sole features of an -synucleinopathy. Neurology 2014; 83:1988-9. [DOI: 10.1212/wnl.0000000000000998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Abstract
A polystyrene based membrane of 3,4:12,13-dibenzo-2,5,11,14-tetraoxo- 1,6,10,15-tetraazacyclooctade-cane shows a Nernstian response to Cd(II) ions over a wide concentration range (3.16 x 10(-6) - 1.00 x 10(-1) mol L(-1) with a Nernstian slope of 29.8 mV/decade of concentration, between pH 2.0 and 6.0. This electrode has been found to be chemically inert and of adequate stability with a response time of 20s. The electrode gives reproducible results with a lifetime of 130 days. The membrane works satisfactorily in a partially non-aqueous medium up to a maximum 35% (v/v) content of methanol and ethanol. The practical utility of the proposed chemical sensor has been observed by using it as end-point indicator in the titration of Cd(II) ions with EDTA. The potentiometric selectivity coefficient values indicate that the membrane sensor is highly selective for Cd(II) ions over a number of cations. Small amounts of surfactants do not disturb the functioning of the sensor. This electrode has also been used to estimate cadmium ions in real samples.
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Affiliation(s)
- A Panwar
- Department of Chemistry, University of Roorkee, India
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