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Hu X, Sujanamulk B, Lakshmi CR, Li C. Age and Gender-related Morphometric Assessment and Degenerative Changes of Temporomandibular Joint in Symptomatic Subjects and Controls using Cone Beam Computed Tomography (CBCT): A Comparative Analysis. Curr Med Imaging 2024; 20:1-12. [PMID: 38389339 DOI: 10.2174/0115734056248617231002110417] [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: 04/10/2023] [Revised: 07/19/2023] [Accepted: 08/11/2023] [Indexed: 02/24/2024]
Abstract
BACKGROUND The temporomandibular joint diseases have been associated with various predisposing factors. Joint spaces, articular eminence height and inclination, and the shapes of the condylar and glenoid fossa have all been shown to vary in temporomandibular joint diseases (TMD) patients. Advanced imaging techniques like cone beam computed tomography (CBCT) have been employed to estimate these parameters. AIMS AND OBJECTIVES The aim of the current study was to investigate the condylar morphology, condylar and glenoid fossa shapes, and assessment of joint spaces, such as anterior, posterior, superior, lateral, and medial spaces, through CBCT slices in coronal and sagittal planes and compare them between the control group and TMD group. MATERIALS AND METHODS A cross-sectional study was planned where 80 joints in 40 patients were assessed for the above parameters; group I consisted of healthy patients, and group II included those with temporomandibular joint diseases (TMDs). The articular eminence height and inclination were assessed on the midsagittal section. The condylar changes and shapes of the glenoid fossa and condyles, as well as the joint spaces, were assessed on the selected coronal and sagittal sections. RESULTS The condylar fossa had a triangular shape in the TMJ group and an oval shape in the control group. The results were highly significant (P = 0.000**). A highly significant difference in morphological parameters, such as AJS, PJS, SJS, MJS, LJS, articular eminence height, and inclination, was found between the two groups (P = 0.000**). The association of morphological parameters, such as AJS, PJS, SJS, MJS, LJS, and articular eminence height and inclination were compared with condylar and glenoid fossa shapes, where the association of superior joint space and articular eminence inclination was observed. A highly significant difference was noted between the two groups with regard to all the parameters with P=0.00*. CONCLUSION The articular eminence inclination, as well as the superior joint space, were found to be associated with the glenoid and condyle fossa shapes in the TMJ group. These observations would, therefore, help in the early diagnosis of temporomandibular joint diseases.
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Affiliation(s)
- Xiaoyin Hu
- Department of Imaging, The First People's Hospital of Lianyungang, Lianyungang, Jiangsu Province, 222002, China
| | - Bhavana Sujanamulk
- Department of Oral Medicine and Radiology, DRS Sudha and Negeswararao Siddhartha Institute of Dental Sciences, Chinnoutpalli, Gannavaram, Andhra Pradesh, India
| | - Chintamaneni Raja Lakshmi
- Department of Oral Medicine and Radiology, DRS Sudha and Negeswararao Siddhartha Institute of Dental Sciences, Chinnoutpalli, Gannavaram, Andhra Pradesh, India
| | - Changhui Li
- Department of Radiology, People's Hospital of Luxian County, Luzhou, Sichuan Province, 646100, China
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Vundavalli S, Sujanamulk B, Kotti AB, Raghunath RG, Manyam R, Doppalapudi R, Chalapathi Rao D. COVID-19 prevalence and infection control practices among dentists in Andhra Pradesh State, India. Work 2023:WOR210362. [PMID: 36683521 DOI: 10.3233/wor-210362] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND The coronavirus 2019 (COVID-19) pandemic posed a new challenge not only to public health but also to the health care systems and dentists are one of the highly vulnerable health care professionals for COVID-19 infection. OBJECTIVE To assess the COVID-19 prevalence, associated factors, and infection control practices among dentists in Andhra Pradesh State, IndiaMETHODS:A cross-sectional web-based questionnaire survey was conducted among dentists in Andhra Pradesh state, India. 21-item pretested questionnaire was used for data collection between January 30, 2021 and February 21, 2021. 3700 dentists from the Andhra Pradesh state were selected from the Dentists Register of India through systematic random sampling method. RESULTS Out of 3700 dentists invited to participate in this study, responses from 1876 dentists were received with response rate of 51%. Prevalence of 8 among the study population was 9%. Patients were the primary source of infection for 60.5% of the COVID-19 positive study participants. 65.8% of total respondents using full face shield and two-third of them using N-95 or equivalent mask while providing dental care. CONCLUSION This study found a high prevalence rate of COVID 19 among the dentists. Among the associated factors, being into active practice during the pandemic was found to be statistically significant. This study recommend for additional infection control protocols specific to the COVID-19 pandemic.
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Affiliation(s)
- Sudhakar Vundavalli
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Al Jawf, Saudi Arabia
| | - Bhavana Sujanamulk
- Department of Oral Medicine and Radiology, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, India
| | - Ajay Benarji Kotti
- Department of Oral Medicine and Radiology, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, India
| | - Ravi Gummaraju Raghunath
- Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Hofuf, Saudi Arabia
| | - Ravikanth Manyam
- Department of Oral and Maxillofacial Pathology, Vishnu Dental College, Bhimavaram, India
| | - Radhika Doppalapudi
- Department of Oral Medicine and Radiology, College of Dentistry, Jouf University, Al Jawf, Saudi Arabia
| | - D Chalapathi Rao
- Department of Prosthodontics, Mamata Dental College, Telangana, India
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Uwishema O, Sujanamulk B, Abbass M, Fawaz R, Javed A, Aboudib K, Mahmoud A, Oluyemisi A, Onyeaka H. Russia-Ukraine conflict and COVID-19: a double burden for Ukraine's healthcare system and a concern for global citizens. Postgrad Med J 2022; 98:569-571. [PMID: 35654572 PMCID: PMC9340026 DOI: 10.1136/postgradmedj-2022-141895] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Accepted: 05/14/2022] [Indexed: 01/25/2023]
Abstract
The conflict between Ukraine and Russia significantly influences the healthcare sector. The ongoing COVID-19 pandemic and the armed conflict have badly devastated the established healthcare system. Only 36.08% of the Ukrainian population has received the COVID-19 vaccination, with the majority receiving two doses, and currently, Ukraine records the highest mortality rate in the world. In addition to the conflict injuries, increased susceptible deaths to COVID-19 can be found due to inadequate vaccination rates for the disease. To save their lives and for their well-being, many individuals have been relocating to the underground metro stations, other cities, nearby towns and countries. In these settings, social distancing, hand sanitation and wearing masks are not prioritised. In the current circumstances, the broken healthcare system needs to be rebuilt, and the Non-Governmental Organizations (NGOs), doctors and all the front-line workers should extend their humanitarian support to the Ukrainian population. Conclusion: It is an arduous task for healthcare organisations to supply vaccines and medicines in this ‘armed conflict’ between Russia and Ukraine. This can only happen when both parties extend their support to rebuild the shattered healthcare infrastructure.
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Affiliation(s)
- Olivier Uwishema
- Oli Health Magazine Organization, Research and Education, Kigali, Rwanda .,Department of General Medicine, Karadeniz Technical University, Trabzon, Turkey
| | - Bhavana Sujanamulk
- Oli Health Magazine Organization, Research and Education, Kigali, Rwanda.,Department of Oral Medicine and Radiology, DRS Sudha and Nageswararao Sidhhartha institute of Dental Sciences, Chinnoutpalli,Gannavaram, Andhrapradesh, India
| | - Mortada Abbass
- Oli Health Magazine Organization, Research and Education, Kigali, Rwanda.,Department of General Medicine, Beirut Arab University, Beirut, Lebanon
| | - Rabih Fawaz
- Oli Health Magazine Organization, Research and Education, Kigali, Rwanda.,Department of General Medicine, Beirut Arab University, Beirut, Lebanon
| | - Amaan Javed
- Oli Health Magazine Organization, Research and Education, Kigali, Rwanda.,Department of General Medicine, University College of Medical Sciences (University of Delhi), Dilshad Garden, Delhi, India
| | - Khaled Aboudib
- Oli Health Magazine Organization, Research and Education, Kigali, Rwanda.,Department of General Medicine, Beirut Arab University, Beirut, Lebanon
| | - Ashraf Mahmoud
- Oli Health Magazine Organization, Research and Education, Kigali, Rwanda.,Department of General Medicine, Kilimanjaro Christian Medical University College, Moshi, Kilimanjaro, Tanzania, United Republic of
| | - Adekunbi Oluyemisi
- Oli Health Magazine Organization, Research and Education, Kigali, Rwanda.,Department of Public and Allied Health, School of Public and Allied Health, Babcock University, Ilishan-Remo, Ogun State, Nigeria
| | - Helen Onyeaka
- Department of Chemical Engineering, School of Chemical Engineering, University of Birmingham, Birmingham, UK
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Sujanamulk B, Shyam Sunder S, Ratnakar Pawar B, Rajalakshmi C, Naik Maloth K. Comparison of antifungal efficacy of ethanolic extracts of Woodfordia fruticosa leaf and Punica granatum peel in uncontrolled diabetic patients wearing removable dentures: A randomized controlled clinical trial. Curr Med Mycol 2020; 6:15-20. [PMID: 33834138 PMCID: PMC8018823 DOI: 10.18502/cmm.6.3.3983] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 06/15/2020] [Accepted: 07/26/2020] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND AND PURPOSE The search for the development of a suitable novel antimicrobial agent for fungal diseases continues to be a key problem in the current clinical field. The present investigation was aimed to determine the antifungal effect of the ethanolic crude extracts of Woodfordia fruticosa leaf (Wfl) and Punica granatum peel (Pgp) in uncontrolled diabetic patients wearing removable dentures. MATERIALS AND METHODS The ethanolic extracts of both plants were prepared using the soxhlet extraction method, and the obtained metabolites were confirmed by thin- layer chromatography. After the preparation of the mouthwash, a total of 100 subjects were randomly divided into two groups. Each subject was given physiological saline at the baseline. Group I was provided with P. granatum mouthwash, while Group II was given W. fruticosa mouthwash. Following the administration of the mouthwash, the patients were requested to rinse the mouthwash using the oral rinse technique twice daily 5 ml/rinse for 30 sec. Subsequently, colony-forming units (CFU) were evaluated in the participants. Post-therapeutic samples were collected 1 h and 1 week after the mouthwash use. RESULTS The mean reduction of CFU was calculated at the baseline, as well as 1 h and 1 week after using mouthwash. The results indicated a drastic reduction in CFU 1 h and 1 week after the application of Wfl mouthwash. CONCLUSION The obtained data revealed that Wfl had potential anticandidal activity against Candida yeast cells, probably owing to its bioactive compounds like glycosides. Therefore, this agent can be used effectively as a natural remedy for the treatment of oral candidiasis. However, the exact mechanism of action of this plant needs to be elucidated.
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Affiliation(s)
- Bhavana Sujanamulk
- Department of Oral Medicine and Radiology, Drs Sudha and Nageswararao Siddhartha Institute of Dental Sciences, Gannavaram Mandal, Krishna District, Andhrapradesh, India
| | - Salavadhi Shyam Sunder
- Department of Periodontics, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh, India
| | - Babita Ratnakar Pawar
- Department of Periodontics, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh, India
| | - Chintamaneni Rajalakshmi
- Department of Oral Medicine and Radiology, Drs Sudha and Nageswararao Siddhartha Institute of Dental Sciences, Gannavaram Mandal, Krishna District, Andhrapradesh, India
| | - Kotya Naik Maloth
- Department of Oral Medicine and Radiology, Mamata Dental College, Khammam, Telangana, India
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Koothati R, Raju DR, Krishna Prasad C, Sujanamulk B, Srivastava A, Maloth K. Prevalence of tobacco associated oral mucosal lesions in the population of Mahabubnagar District of Telangana State: A cross-sectional study. J Indian Acad Oral Med Radiol 2020. [DOI: 10.4103/jiaomr.jiaomr_36_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
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Sujanamulk B, Chintamaneni R, Chennupati A, Nahar P, Chaluvadi RS, Vemugunta R, Prabhat MVP. Evaluation of Antifungal Efficacy of Ethanolic Crude Lawsone and Listerine Mouthwash in Uncontrolled Diabetics and Denture Wearers - A Randomized Clinical Trial. J Clin Diagn Res 2016; 10:ZC90-5. [PMID: 27504419 DOI: 10.7860/jcdr/2016/19463.8036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2016] [Accepted: 04/16/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Lawsonia Inermis (LI) is a shrub cultivated throughout India. Many in vitro studies have been done on antifungal activity of LI, although none of the studies have been conducted invivo. AIM To evaluate the antifungal efficacy of ethanolic extract of crude lawsone in comparison with listerine mouth wash in known diabetics and wearing dentures. MATERIALS AND METHODS A total of 60 subjects were taken and randomly divided into two groups of 30 each. Group 1 received crude lawsone mouthwash and Group 2 received listerine mouth wash. Oral rinse technique was performed. Each subject was given distilled water at baseline and Colony Forming Units (CFU) of candidal species was determined. Post therapeutic samples were then collected 1hr and 1week following drug usage and they were further advised to use given mouth washes twice daily with volume of 5ml/rinse for 30 seconds and CFU was evaluated. RESULTS Crude lawsone mouthwash showed superior antifungal activity when compared to listerine mouthwash. On individual comparison of both mouth washes at baseline, 1hr and 1week highly significant results were obtained using inferential statistics. The inter group comparison was done using independent t-test where lawsone was considered to be more effective in reducing CFU, at 1hr and 1week of using the mouth wash (p<0.01). Subjective symptoms like taste and smell were determined by chi square test where good taste was felt for lawsone and olfactory satisfaction was good with listerine (p<0.01). Burning sensation was found to be more with listerine mouth wash. CONCLUSION The present study revealed superior antifungal activity with ethanolic extract of crude lawsone mouth wash compared with listerine mouthwash.
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Affiliation(s)
- Bhavana Sujanamulk
- PhD Candidate, Department of Oral Medicine and Radiology, Pacific Academy of Higher Education and Research University , Udaipur, Rajasthan, India
| | - Rajalakshmi Chintamaneni
- Associate Professor, Department of Oral Medicine and Radiology, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences , Gannavaram Mandal, Andhra Pradesh, India
| | - Anuradha Chennupati
- Post Graduate Student, Department of Oral Medicine and Radiology, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences , Gannavaram Mandal, Andhra Pradesh, India
| | - Prashant Nahar
- Professor, Department of Oral Medicine and Radiology, Pacific Academy of Higher Education and Research University , Udaipur, Rajasthan, India
| | - Rattaiah Setty Chaluvadi
- Professor and Head, Department of Microbiology, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation , Gannavaram Mandal, Andhra Pradesh, India
| | - Ramakrishna Vemugunta
- Assistant Professor, Department of Pharmacognosy, KVSR Siddhartha College of Pharmaceutical Sciences , Vijayawada, Andhra Pradesh, India
| | - Meka Venkata Poorna Prabhat
- Professor and Head, Department of Oral Medicine and Radiology, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences , Gannavaram Mandal, Andhra Pradesh, India
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Abstract
Adenoid cystic carcinoma (ACC) accounts for approximately 6-10% of all salivary gland tumors. Palatal minor salivary glands, parotid, and sub-mandibular glands are usually affected. Rarely, these lesions arising intraosseously have been reported. Mandible is commonly involved than maxilla. The present case is a giant ACC involving the right maxilla. A thorough clinical and radiographic evaluation was performed to assess the involvement of surrounding vital structures along with a meticulous metastatic work-up. Computed tomography showed a giant lesion in maxilla encroaching the left nasal fossa, antrum, buccal space, and oral cavity. No metastasis was noted. Histological evaluation from multiple sites showed both cribriform and solid patterns. Radiotherapy was given as patient did not comply for surgery. Though central ACC is extremely rare, especially in maxilla, it should be included in the differentials for lesions in maxilla. A prompt diagnosis with treatment and long-term follow-up is advised in such cases.
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Affiliation(s)
- Prasannasrinivas Suresh Deshpande
- Department of Oral Medicine and Radiology, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Gannavaram mandal, Krishna, Andhra Pradesh, India
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