A Study to Analyze Different Patterns of Quid Usage among Subjects with Oral Submucous Fibrosis in Mangalore Population

Aim and Objectives. Oral submucous fibrosis (OSF) is a potentially malignant disorder associated with the usage of areca nut. Usage of processed forms of areca nut is popular among the youth and its carcinogenic effects are not well known. Due to large immigrant population, various patterns of areca nut usage are seen. The aim of this study is to assess the various quid chewing patterns and their association with severity of OSF. Materials and Methods. A cross-sectional study was carried out with 250 cases clinically and histologically diagnosed as having OSF lesion that were selected and subjected to a detailed habit history which was recorded through preformed questionnaire. The data obtained was statistically analyzed. Results. Among the 250 subjects, males were seen to be affected more than females within the age group of 26-35 years and were having clinical stage I OSF. A combination of processed areca nut and processed tobacco was used by the majority of the subjects with duration of 1 to 5 years, at a frequency of 3 to 5 quids per day. Conclusion. The present study confirms the association between oral submucous fibrosis and the quid containing processed areca nut and processed tobacco and also highlights the increasing youth population using the processed forms of areca nut

Field Cancerization - A Case Report

Field cancerization was first described in 1953 as histologically altered epithelium surrounding tumor samples taken from the upper aerodigestive tract. Since then, the term has been used to describe multiple patches of premalignant disease, a higher than expected prevalence of multiple local second primary tumors and the presence of synchronous distant tumors within the upper aerodigestive tract. We report one such case of field cancerization in a 70-year-old male patien

Peutz-Jeghers Syndrome: In Siblings with Palmer-Plantar Pigmentation

Peutz-Jeghers syndrome (PJS) is a rare autosomal dominant disorder characterized by typical pigmented perioral maculesn pigmented spots in the oral mucosa and digits along with hamartomatous polyps in the gastrointestinal tract. The pigmented macules usually appear during infancy or early childhood and have a tendency to increase in size during adolescence. The characteristic clinical course includes recurrent episodes of polyp-induced bowel obstruction, abdominal pain and gastrointestinal bleeding. In addition to polyposis, the risk of gastrointestinal and extragastrointestinal malignancies is significantly higher in patients with PJS. We report two unique cases of Peutz-Jeghers syndrome in sibling with intestinal polyposis and mucocutaneous pigmentation with a definite family history. An overview on differential diagnosis and therapeutic aspects of the disease has been discussed

Solitary osteoma of body of the mandible

Osteomas are relatively rare benign osteogenic neoplasm′s characterized by the proliferation of compact or cancellous bone. Osteomas can develop as peripheral (periosteal) masses attached to the cortical plates or as central lesions arising from endosteal bone surfaces. Although multiple osteomas of the jaws are a hallmark of Gardner′s syndrome (familial adenomatous polyposis), non-syndromic cases are typically solitary. The purpose of this paper is to present a large peripheral osteoma originating from the buccal surface of the mandible and causing asymmetry in a 35-year-old woman

Evaluation of normal range of mouth opening using three finger index: South India perspective study

Aims: The frequency, with which restricted mouth opening is encountered in the clinical practice, makes it essential to establish what constitutes the normal range. This study was undertaken to evaluate the normal range of mouth opening in adult population in south India. Settings and Design: randomized clinical study conducted on dentate adult patients to evaluate the normal range of mouth openin. Materials and Methods: 500 healthy patients aged between 18-59 were randomly selected and divided into four groups according to their age ranges. The maximum inter-incisal distance and width of right and left three fingers at the first distal inter-phalanges were measured using vernier calipers. Statistical analysis used: ANOVA test, student t test and pearsons correlation test. Results: The mean value and range of maximum mouth opening of 50.3mm±6.26mm for males and 49.9mm±6.74mm for females was recorded. These values were significant and correlated with the width of three fingers. It was found that the greatest mean maximum mouth opening was recorded in youngest age group and lowest was recorded in older age group in both genders. Conclusions: The mean mouth opening value decreases with age and is lesser in females as compared to males of same age. This study demonstrated that individuals in all the four groups were able to vertically align their right and left three fingers between the upper and lower central incisors upto the first distal interphalangeal folds thus suggesting that, width of three fingers can be used as 'tool' to distinguish 'normal' from 'restricted' mouth opening

A Study to Analyze Different Patterns of Quid Usage among Subjects with Oral Submucous Fibrosis in Mangalore Population

Aim and Objectives. Oral submucous fibrosis (OSF) is a potentially malignant disorder associated with the usage of areca nut. Usage of processed forms of areca nut is popular among the youth and its carcinogenic effects are not well known. Due to large immigrant population, various patterns of areca nut usage are seen. The aim of this study is to assess the various quid chewing patterns and their association with severity of OSF. Materials and Methods. A cross-sectional study was carried out with 250 cases clinically and histologically diagnosed as having OSF lesion that were selected and subjected to a detailed habit history which was recorded through preformed questionnaire. The data obtained was statistically analyzed. Results. Among the 250 subjects, males were seen to be affected more than females within the age group of 26–35 years and were having clinical stage I OSF. A combination of processed areca nut and processed tobacco was used by the majority of the subjects with duration of 1 to 5 years, at a frequency of 3 to 5 quids per day. Conclusion. The present study confirms the association between oral submucous fibrosis and the quid containing processed areca nut and processed tobacco and also highlights the increasing youth population using the processed forms of areca nut

Pleomorphic adenoma of the palate

Pleomorphic adenoma is a benign salivary gland tumor commonly affecting in the major salivary glands. Incidence of pleomorphic adenoma affecting minor salivary gland tumors has also been reported. Presenting a case report of a 48-year-old male diagnosed with pleomorphic adenoma arising from minor salivary gland

Taking a step towards greener future: A practical guideline for eco-friendly dentistry

Humans have had a tremendous impact on the ecology and of late have rapidly damaged its delicate balance. Dentists as protectors of oral health should not limit their responsibilities to patient treatment but also inculcate methods to protect the environment as well. Thus the concept of eco-friendly dentistry or green dentistry has been introduced. Eco-dentistry or "green dentistry" is a practice of dentistry using technologies and materials that promote and protect the planet. It is a thought process, an attitude, and a guide for making earth friendly choices in dental practice. This article intends to provide guidance to practitioners about the practical changes we can make in practice, so as to minimizing the release of potential pollutants and reduce the impact of dentistry on Earth