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Mhaske AN, Mhaske S, Harke S, Jain A, Patel J, Mhaske S. Post Surgical Non-tuberculous Mycobacterium: A Case Series. Cureus 2022; 14:e24701. [PMID: 35663658 PMCID: PMC9162884 DOI: 10.7759/cureus.24701] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 05/03/2022] [Indexed: 11/05/2022] Open
Abstract
Background There has been an increase in non-tuberculous mycobacteria (NTM) infection reports in humans. Surgeons are concerned about the link between them and surgical site infections. As a result, it has been challenging to determine just how common this illness is. A two-year study by the authors examines the occurrence of NTM infections after different surgical procedures. Design and methods Researchers at a tertiary care hospital in central India performed this prospective study over two years. NTM was found in six of the 25 instances of post-surgical wound infections. Ziehl-Neelsen staining, Auramine O-Rhodamine fluorescence staining, Multiplex Real-Time PCR, and Genotyping were used to identify the species. Results M. fortuitum, M. chelonae and M.kansasii were isolated from discharge in 2 cases each respectively. NTM isolates evaluated for antibiotic susceptibility pattern were all sensitive to Clarithromycin (100%). One case with prolonged healing had to be intervened with amikacin along with clarithromycin. Conclusion NTM is an infection of uncommon nature which can occur following surgical procedures. Identification of these organisms through sensitive techniques and appropriate therapeutic regimen formulation must be done to tackle this growing menace in health care setups.
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Kumar A, Ghai S, Mhaske S, Singh R. Elective Neck Dissection Versus Therapeutic Neck Dissection in Clinically Node-Negative Early Stage Oral Cancer: A Meta-analysis of Randomized Controlled Trials. J Maxillofac Oral Surg 2022; 21:340-349. [DOI: 10.1007/s12663-021-01677-z] [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] [Received: 09/22/2021] [Accepted: 11/24/2021] [Indexed: 11/24/2022] Open
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Yuwanati M, Gondivkar S, Sarode SC, Gadbail A, Sarode GS, Patil S, Mhaske S. Impact of Oral Lichen Planus on Oral Health-Related Quality of Life: A Systematic Review and Meta-Analysis. Clin Pract 2021; 11:272-286. [PMID: 34067014 PMCID: PMC8161446 DOI: 10.3390/clinpract11020040] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [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: 03/31/2021] [Revised: 04/24/2021] [Accepted: 04/27/2021] [Indexed: 12/16/2022] Open
Abstract
Oral health-related quality of life (OR-QoL) measurement in patients with oral lichen planus (OLP) can provide valuable information for the optimal management of their clinical conditions. The main objective of the present study was to assess the OR-QoL of patients with OLP as measured by the short-form Oral Health Impact profile-14 (OHIP-14) questionnaire. PubMed/MEDLINE, ISI/Web of Science, clinical trial registry, Embase, Scopus, and grey literature (via Google Scholar and Scilit) were searched. Reviewers independently screened titles/abstracts, assessed full-text articles, extracted data, and appraised their quality. Random effect analysis along with subgroup analysis for age, gender, and clinical type was performed. Seventeen studies were included. Mean overall OH-QoL was 15.20, [95% CI 12.176, 18.231]; a higher OHIP-14 score was seen in OLP patients, resulting in poor OH-QoL. The impact of OLP on OH-QoL life was moderate as compared to healthy subjects. However, medical treatment of the disease improved the OH-QoL and thus reduced the impact of OLP on it. OH-QoL among patients with OLP is generally poor. Clinicians and physicians should consider the OH-QoL of these patients as part of patients’ evaluation and modulate the administered treatment based on the OH-QoL response.
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Affiliation(s)
- Monal Yuwanati
- Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India;
| | | | - Sachin C. Sarode
- Dr. D.Y. Patil Dental College & Hospital, Dr. D.Y. Patil Vidyapeeth, Pune 411018, India; (S.C.S.); (G.S.S.)
| | - Amol Gadbail
- Indira Gandhi Government Medical College & Hospital, Nagpur 440009, India;
| | - Gargi S. Sarode
- Dr. D.Y. Patil Dental College & Hospital, Dr. D.Y. Patil Vidyapeeth, Pune 411018, India; (S.C.S.); (G.S.S.)
| | - Shankargouda Patil
- Division of Oral Pathology, Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
- Correspondence: ; Tel.: +966-50-7633755
| | - Shubhangi Mhaske
- People’s College of Dental Sciences & Research Centre, Bhopal 462037, India;
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Yuwanati M, Gondivkar S, Sarode SC, Gadbail A, Desai A, Mhaske S, Pathak SK, N Khatib M. Oral health-related quality of life in oral cancer patients: systematic review and meta-analysis. Future Oncol 2021; 17:979-990. [PMID: 33541115 DOI: 10.2217/fon-2020-0881] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [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: 01/08/2023] Open
Abstract
Aim: The purpose of this meta-analysis was to evaluate the impact of oral health on quality of life in oral cancer patients (OCPs). Methods: PubMed, Scopus and Web of Science databases were searched for publications on oral health-related quality of life (OHRQoL) in OCP and the information was extracted according to the PRISMA guidelines. A random effect model was used to obtain the pooled standard mean differences of Oral Health Impact Profile (OHIP)-14 questionnaire responses in meta-analysis. Results: total of 12 research papers were analyzed and revealed poor OHRQoL in OCPs (standard mean difference: 2.53; 95% CI: 1.55-3.50; p < 0.00001) compared with healthy individuals due to the effects of oncotherapy. Moreover, OHRQoL deteriorated with combinations of different treatment modalities. Conclusion: Oral health and oncotherapy can affect the quality of life in OCPs.
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Affiliation(s)
- Monal Yuwanati
- Department of Oral & Maxillofacial Pathology, People's College of Dental Sciences & Research Centre, People's University, Bhopal, 462037, Madhya Pradesh, India
| | - Shailesh Gondivkar
- Department of Oral Medicine & Radiology, Government Dental College & Hospital, Nagpur, 440009, Maharashtra, India
| | - Sachin C Sarode
- Department of Oral Pathology & Microbiology, Dr DY Patil Dental College & Hospital, Dr DY Patil Vidyapeeth, Pune, 411018, Maharashtra, India
| | - Amol Gadbail
- Department of Dentistry, Indira Gandhi Government Medical College & Hospital, Nagpur, 440018, Maharashtra, India
| | - Ami Desai
- Department of Oral & Maxillofacial Pathology, People's College of Dental Sciences & Research Centre, People's University, Bhopal, 462037, Madhya Pradesh, India
| | - Shubhangi Mhaske
- Department of Oral & Maxillofacial Pathology, People's College of Dental Sciences & Research Centre, People's University, Bhopal, 462037, Madhya Pradesh, India
| | - Sandeep K Pathak
- Central Library, Indian Institutes of Science Education & Research, Bhopal, 462006, Madhya Pradesh, India
| | - Mahalaqua N Khatib
- Division of Evidence Synthesis, School of Epidemiology & Public Health, Datta Meghe Institute of Medical Sciences (DU), Wardha, 442004, Maharashtra, India
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Mhaske A, Mhaske S, Harke S, Jain A, Patel J. Rapidly Growing Mycobacterium in Postsurgical Wounds: A Systematic Review and Meta-analysis. J Clin Diagn Res 2021. [DOI: 10.7860/jcdr/2021/52618.15744] [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: 11/24/2022]
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Yuwanati M, Gadbail A, Gondivkar S, Sarode SC, Dande R, Mhaske S, Tekade S, Pathak SK. A systematic scoping review on utility of cytomorphometry in the detection of dysplasia in oral potentially malignant disorders. J Oral Biol Craniofac Res 2020; 10:321-328. [PMID: 32714783 DOI: 10.1016/j.jobcr.2020.06.016] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 06/17/2020] [Accepted: 06/29/2020] [Indexed: 10/23/2022] Open
Abstract
Background Oral exfoliative cytology is simple, non-invasive, inexpensive tools prone to subjective bias. Objective computer-based quantitative cytomorphometry technique was developed in last few decades to overcome its limitation. However, there is no consensus about the utility of cytomorphometry as a routine screening tool for early detection of dysplastic changes. Objectives To review the utility of cytomorphometry in OPMDs in the detection of dysplasia changes. Method A scoping review was undertaken focusing on cytomorphometric analysis in exfoliative cells for detection of oral epithelial dysplasia and cytomorphometric parameter denoting dysplasia. The systematic search was carried out in the online journal databases (Scopus, Google Scholar, PubMed, Web of Science) using keywords until December 2019 for the studies evaluated the cytomorphometry in the detection of dysplastic changes in OPMDs. Three authors independently extracted data using collection forms. Result The search strategy found seven analytical cross-sectional studies for scoping review after eliminating 8940 out of 8947 initial results. The scoping review showed that cytomorphometry is useful tool in detecting the dysplastic changes in OPMDs. In addition, decrease in mean cellular area, increase in mean nuclear area, and decrease in mean cell diameter, increase mean nuclear diameter, increase in mean nuclear and cytoplasmic area ratio, associated with development of dysplastic changes in OPMDs. Conclusion Cytomorphometry is promising tool, yet there is currently no-good evidence to support role of cytomorphometry in detecting the dysplastic changes in OPMDs in this setting. More research is required for refinement of cytomorphometry as a screening tool.
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Affiliation(s)
- Monal Yuwanati
- Department of Oral Pathology & Microbiology, People's College of Dental Sciences and Research Centre, People's University, Bhopal, Madhya Pradesh, India
| | - Amol Gadbail
- Department of Dentistry, Indira Gandhi Government Medical College & Hospital, Nagpur, Maharashtra State, India
| | - Shailesh Gondivkar
- Department of Oral Medicine & Radiology, Government Dental College & Hospital, Nagpur, Maharashtra, India
| | - Sachin C Sarode
- Department of Oral Pathology & Microbiology, Dr. D.Y. Patil Dental College & Hospital, Dr. D.Y. Patil Vidyapeeth, Maharashtra State, Pune, India
| | - Ravi Dande
- Department of Dentistry, Indira Gandhi Government Medical College & Hospital, Nagpur, Maharashtra State, India
| | - Shubhangi Mhaske
- Department of Oral Pathology & Microbiology, People's College of Dental Sciences and Research Centre, People's University, Bhopal, Madhya Pradesh, India
| | - Satayjit Tekade
- Modern Dental College and Research Centre, Indore, Madhya Pradesh, India
| | - Sandeep Kumar Pathak
- Indian Institutes of Science Education and Research, Bhopal, Madhya Pradesh, India
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Yuwanati M, Mhaske S, Keswani H, Jain L. Evaluation of oral health awareness among public school children – A school-based study from Bhopal. Arch Med Health Sci 2018. [DOI: 10.4103/amhs.amhs_86_17] [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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Shah PS, Deoshatwar A, Karad S, Mhaske S, Singh A, Bachal RV, Alagarasu K, Padbidri VS, Cecilia D. Seroprevalence of dengue in a rural and an urbanized village: A pilot study from rural western India. J Vector Borne Dis 2017; 54:172-176. [PMID: 28748839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023] Open
Abstract
BACKGROUND & OBJECTIVES Dengue is highly prevalent in tropical and subtropical regions. The prevalence of dengue is influenced by number of factors, i.e. host, vector, virus and environmental conditions including urbanization and population density. A cross sectional study was undertaken to determine the seroprevalence of dengue in two selected villages that differed in the level of their urbanization and population density. METHODS Two villages with demographically well-defined populations close to Pune, a metropolitan city of western India, were selected for the study. Age stratified serosurvey was carried out during February to May 2011 in the two villages-a rural village A, located 6 km from the national highway with a population density of 159/km2 ; and an urbanized village B, located along the highway with a population density of 779/km2 . Assuming a low seroposi- tivity of 10%, 702 serum samples were collected from village A. Sample size for village B was calculated on the basis of seropositivity obtained in village A, and 153 samples were collected. Serum samples were tested for the presence of dengue virus (DENV)-specific IgG. Simple proportional analyses were used to calculate and compare the seroprevalence. RESULTS Of the 702 samples collected from village A, 42.8% were found positive for anti-DENV IgG. A significantly higher seropositivity for DENV (58.8%) was found in village B. In village A, there was an age dependent increase in seroprevalence; whereas, in village B, there was a steep increase from 17% positivity in 0-10 yr age group to 72% in the 11-20 yr age group. The seroprevalence was almost similar in the older age groups. INTERPRETATION & CONCLUSION The observations suggested that prevalence of dengue is probably associated with urbanization and host population density. Areas that are in the process of urbanization needs to be monitored for prevalence of dengue and its vector, and appropriate vector control measures may be implemented.
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Affiliation(s)
- P S Shah
- Dengue/Chikungunya Group, ICMR-National Institute of Virology, Pune, India
| | - A Deoshatwar
- Epidemiology Group, ICMR-National Institute of Virology, Pune, India
| | - S Karad
- Vadu Rural Health Program, Pune, India
| | - S Mhaske
- Dengue/Chikungunya Group, ICMR-National Institute of Virology, Pune, India
| | - A Singh
- Dengue/Chikungunya Group, ICMR-National Institute of Virology, Pune, India
| | - R V Bachal
- Dengue/Chikungunya Group, ICMR-National Institute of Virology, Pune, India
| | - K Alagarasu
- Dengue/Chikungunya Group, ICMR-National Institute of Virology, Pune, India
| | | | - D Cecilia
- Dengue/Chikungunya Group, ICMR-National Institute of Virology, Pune, India
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Jain M, Saawarn S, Gupta A, Ashok S, Mhaske S, Khan S, Jain M. Assessment of Tumor Cell Cannibalism as a Predictor of Oral Squamous Cell Carcinoma - A Histopathologic Correlation. Gulf J Oncolog 2017; 1:52-56. [PMID: 28272003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2016] [Indexed: 06/06/2023]
Abstract
AIM Cellular cannibalism is defined as the ability of a cell to engulf another cell of its own type or any other. It has been recognized in various malignancies and is linked well with the aggressiveness, degree of anaplasia, invasiveness and metastatic potential. Literature search fetched up very few studies related to the presence and significance of cannibalism with respect to Oral squamous cell carcinoma [OSCC]. The present study was aimed to detect tumor cell cannibalism in OSCC and to validate its role as a prognosticator of OSCC in relation to metastasis and degree of differentiation. METHOD 30 histopathologically proven cases, 15 cases each of metastatic OSCC (7 well differentiated OSCC and 8 moderately differentiated OSCC) and non-metastatic OSCC (8 well differentiated OSCC and 7 moderately differentiated OSCC) were included in the study. Quantitative assessment of tumor cell cannibalism was done. The data was analyzed using Mann Whitney test. RESULT Metastatic OSCC showed higher frequency of cannibalistic cells compared to non-metastatic OSCC. More number of cannibalistic cells were found in moderately differentiated OSCC than well differentiated OSCC in both groups. Moreover, Grade III cannibalism and complex cannibalism was also found to be associated with metastatic, moderately differentiated OSCC exclusively. CONCLUSION It has been found that higher number of cannibalistic cells were associated with OSCC showing metastasis indicating their aggressive behavior. So, we recommend that quantitative assessment of tumor cell cannibalism should become a part of the routine histopathological examination of OSCC to screen its hostile behavior.
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Affiliation(s)
- Megha Jain
- Department of Oral Pathology and Microbiology, Peoples Dental Academy, Bhopal, India
| | - Swati Saawarn
- Department of Oral Pathology and Microbiology, Peoples Dental Academy, Bhopal, India
| | - Anish Gupta
- Department of Oral Pathology and Microbiology, Peoples Dental Academy, Bhopal, India
| | - Sahana Ashok
- Department of Oral Pathology and Microbiology, Peoples Dental Academy, Bhopal, India
| | - Shubhangi Mhaske
- Department of Oral Pathology and Microbiology, Peoples Dental Academy, Bhopal, India
| | - Samark Khan
- Department of Oral and Maxillofacial Pathology, College of Dentistry, Jazan University, Jazan KSA
| | - Manish Jain
- Department Public Health Dentistry, Peoples Dental Academy, Bhopal, India
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Yuwanati M, Mhaske S, Mhaske A. Congenital granular cell tumor - a rare entity. J Neonatal Surg 2015; 4:17. [PMID: 26034711 PMCID: PMC4447470] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2015] [Accepted: 03/27/2015] [Indexed: 11/24/2022] Open
Abstract
Congenital granular cell tumor is a rare benign neoplastic growth affecting the gingival mucosa of neonates. Prenatal ultrasound diagnosis has recently come to focus and in spite of several reports on immune-histochemical and other advanced marker studies, the cause and origin of the lesion remains debatable till date. Review of literature on prenatal diagnosis and histopathology along with immunohistochemistry is discussed.
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Affiliation(s)
- Monal Yuwanati
- Dept of Oral Pathology and Microbiology, Peoples Dental academy, Bhopal
,
Correspondence: Dr. Monal Yuwanati, MDS (Oral Pathology), Reader, Department of Oral Pathology, Peoples Dental Academy, Peoples Campus, Bhanpur, Bhopal Bhopal-462037, Madhya Pradesh (MP), India. E-mail:
| | - Shubhangi Mhaske
- Dept of Oral Pathology and Microbiology, Peoples Dental academy, Bhopal
| | - Ashok Mhaske
- Dept of General Surgery, Peoples College of Medical Sciences, Bhanpur bypass road, Bhopal
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Abstract
Congenital granular cell tumor is a rare benign neoplastic growth affecting the gingival mucosa of neonates. Prenatal ultrasound diagnosis has recently come to focus and in spite of several reports on immune-histochemical and other advanced marker studies, the cause and origin of the lesion remains debatable till date. Review of literature on prenatal diagnosis and histopathology along with immunohistochemistry is discussed.
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Yuwanati M, Bhatnagar N, Mhaske S. Oncoviruses: An overview of oncogenic and oncolytic viruses. Oncobiol Targets 2015. [DOI: 10.4103/2395-4469.163581] [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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Yuwanati M, Mhaske S, Moghe S, Bhatnagar N, Rawal M. An aggressive presentation of adenomatoid odontogenic tumor associated with calcifying epithelial odontogenic tumor: A hybrid variant. J Oral Res Rev 2015. [DOI: 10.4103/2249-4987.172494] [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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Ragavendra TR, Mhaske S, Gouraha A, Yuwanathi M, Kamath KP, Saawarn S, Kasetty S. Quick Response Code In Acrylic Denture: Will it Respond When Needed? J Forensic Sci 2013; 59:514-6. [DOI: 10.1111/1556-4029.12331] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Thayappa Raju Ragavendra
- Department of Oral Pathology and Microbiology; People's Dental Academy; Bhanpur Bhopal-462010 Madhya Pradesh India
| | - Shubhangi Mhaske
- Department of Oral Pathology and Microbiology; People's Dental Academy; Bhanpur Bhopal-462010 Madhya Pradesh India
| | - Abhishek Gouraha
- Department of Oral Pathology and Microbiology; People's Dental Academy; Bhanpur Bhopal-462010 Madhya Pradesh India
| | - Monal Yuwanathi
- Department of Oral Pathology and Microbiology; People's Dental Academy; Bhanpur Bhopal-462010 Madhya Pradesh India
| | - Kavitha P. Kamath
- Department of Oral Pathology and Microbiology; People's Dental Academy; Bhanpur Bhopal-462010 Madhya Pradesh India
| | - Swati Saawarn
- Department of Oral Pathology and Microbiology; People's Dental Academy; Bhanpur Bhopal-462010 Madhya Pradesh India
| | - Sowmya Kasetty
- Department of Oral Pathology and Microbiology; People's College of Dental Sciences and Research Centre; Bhanpur Bhopal-462010 Madhya Pradesh India
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Abstract
An unusual case of large buccal tumour has been described. The lesion was clinically compatible with a squamous cell carcinoma, but it had pathological features of an ameloblastoma arising in the soft tissues. Only few cases of extragingival peripheral ameloblastoma were found in a review of the literature. Possible origins of these tumours are still debatable.
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Abstract
Dentin dysplasia type I is a rare hereditary disturbance of dentin formation characterised clinically by nearly normal appearing crowns and hypermobility of teeth that affects one in every 100,000 individuals and manifests in both primary and permanent dentitions. Radiographic analysis shows obliteration of all pulp chambers, short, blunted, and malformed roots, and periapical radiolucencies of non-carious teeth. This paper presents three cases demonstrating classic features of type I dentin dysplasia.
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Affiliation(s)
- Aarti Singh
- Department of Oral Medicine and Radiology, Maulana Azad Institute of Dental Sciences, New Delhi, India
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Agrawal N, Agrawal K, Mhaske S. An uncommon presentation of an inflammatory gingival enlargement--responding to non-surgical periodontal therapy. Int J Dent Hyg 2011; 9:303-7. [PMID: 21356030 DOI: 10.1111/j.1601-5037.2010.00497.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND The various clinical manifestations of inflammatory gingival enlargement reported are more or less similar regardless of the underlying aetiological factors. Unusual presentation and unknown aetiology pose a diagnostic challenge for a periodontist. METHODS A 34-year-old Indian woman presented with the complaint of gum swelling that was sessile, lobulated, soft in consistency and bluish red in colour with ulcerated surface in some region, which was covered by the necrotic slough. This type of enlargement was unusual and some underlying systemic pathology was suspected. But a written consultation from her physician confirmed her systemic health, which was based on clinical, radiological and haematological investigations. Histopathological examination confirmed the diagnosis of inflammatory gingival enlargement. Patient was treated with oral hygiene instructions, scaling and root planning. RESULT Within a month of conventional periodontal therapy, gum enlargement reduced markedly and patient was put on oral hygiene maintenance programme. CONCLUSION Periodontal therapy is diagnosis-driven and, to the extent possible, should address all the possible factors that impact development and progression of diseases that may affect periodontal tissue. In plaque-induced periodontal diseases, non-surgical periodontal therapy is still a gold standard among all the therapies available.
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Affiliation(s)
- N Agrawal
- Department of Periodontics, People's Dental Academy, Bhopal, India.
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