Forensic dentistry now and in the future

Forensic dentistry (odontology) deals with the examination, handling and presentation of dental evidence for the legal system. In the UK this work mainly involves criminal cases but in many other countries its remit also extends to civil litigation. There are four main aspects to forensic dentistry: single body identification, Disaster Victim Identification (DVI), age estimation and bite mark identification and analysis. This article provides a brief introduction to the topics and discusses potential future developments that aim to reduce the subjectivity in the analysis process and simplify presentation of evidence to non-dental parties. CPD/Clinical Relevance: This article highlights ways that dental practitioners can assist legal investigations and, in particular, forensic dentists

Oral anticoagulants for nonvalvular atrial fibrillation in frail elderly patients: insights from the ARISTOPHANES study

Background Patient frailty amongst patients with nonvalvular atrial fibrillation (NVAF) is associated with adverse health outcomes and increased risk of mortality. Additional evidence is needed to evaluate effective and safe NVAF treatment in this patient population. Objectives This subgroup analysis of the ARISTOPHANES study compared the risk of stroke/systemic embolism (S/SE) and major bleeding (MB) amongst frail NVAF patients prescribed nonvitamin K antagonist oral anticoagulants (NOACs) or warfarin. Methods This comparative retrospective observational study of frail, older NVAF patients who initiated apixaban, dabigatran, rivaroxaban or warfarin from 01JAN2013‐30SEP2015 was conducted using Medicare and 3 US commercial claims databases. To compare each drug, 6 propensity score‐matched (PSM) cohorts were created. Patient cohorts were pooled from 4 databases after PSM. Cox models were used to estimate hazard ratios (HR) of S/SE and MB. Results Amongst NVAF patients, 34% (N = 150 487) met frailty criteria. Apixaban and rivaroxaban were associated with a lower risk of S/SE vs warfarin (apixaban: HR: 0.61, 95% CI: 0.55–0.69; rivaroxaban: HR: 0.79, 95% CI: 0.72–0.87). For MB, apixaban (HR: 0.62, 95% CI: 0.57–0.66) and dabigatran (HR: 0.79, 95% CI: 0.70–0.89) were associated with a lower risk and rivaroxaban (HR: 1.14, 95% CI: 1.08–1.21) was associated with a higher risk vs warfarin. Conclusion Amongst this cohort of frail NVAF patients, NOACs were associated with varying rates of stroke/SE and MB compared with warfarin. Due to the lack of real‐world data regarding OAC treatment in frail patients, these results may inform clinical practice in the treatment of this patient population

Sequence-selective detection of double-stranded DNA sequences using pyrrole-imidazole polyamide microarrays

We describe a microarray format that can detect double-stranded DNA sequences with a high degree of sequence selectivity. Cyclooctyne-derivatized pyrrole-imidazole polyamides were immobilized on azide-modified glass substrates using microcontact printing and a strain-promoted azide-alkyne cycloaddition (SPAAC) reaction. These polyamide-immobilized substrates selectively detected a seven-base-pair binding site incorporated within a double-stranded oligodeoxyribonucleotide sequence even in the presence of an excess of a sequence with a single-base-pair mismatc

Virulence and mycotoxic effects of Metarhizium anisopliae on Mahogany shoot borer, Hypsipyla robusta (Lepidoptera: Pyralidae)

Developing appropriate control measures for the Mahogany shoot borer, Hypsipyla robusta Moore has become increasingly important due to the severe damaging effect of the pest on the establishment of the saplings of Swietenia mahagoni Jacq (Sapindales: Meliaceae). Existing management methods are largely limited to silvicultural practices and spraying of chemical insecticides. To identify a potential fungal biocontrol agent, we compared the virulence of six native and two standard ARSEF isolates of Metarhizium anisopliae Metsch. against this pest. The average survival time and conidial yield of IWST-Ma7 was higher (6.2 to 7.3 days and 4.9 to 4.7×105 conidia/ml) than the standards. Significant difference in sporulation on the cadavers between isolates, doses and incubation periods were substantiated for the selection of potential strain. The mycotoxic effects of crude soluble protein extract when incorporated in the artificial diet, the ARSEF 2596 and ARSEF 3603 showed LD50 value of 3.7% and 5.6%. However, IWST-Ma7 was highly lethal with significant lowest LD50 value of 2.6%. The enzyme activity of IWST-Ma7 was highest for chitinase, CDA, protease and lipase viz., 1.90 U/mg, 1.80 U/mg, 0.98 U/mg and 0.80 U/mg respectively. However the enzyme activity of chitinase and Chitin deacetylase assay for all the isolates was significantly higher than protease and lipase activity. The ITS regions (5.8S rDNA and 28S rDNA) of seven isolates of M. anisopliae were amplified using the ITS1 and ITS4 primers which was a unique fragment of approximately 550 bp. Based on ITS regions, phylogenetic tree have been constructed and the isolates have been grouped in to 5 clades. The virulence and mycotoxic effects of different isolates could rationally be used to employ them for the management of the mahogany borer

Infectivity of Metarhizium anisopliae (Deuteromycotina: Hyphomycetes) isolates to the arboreal termite Odontotermes sp. (Isoptera: Termitidae)

Infectivity of the entomopathogenic fungus Metarhizium anisopliae against workers of the arboreal termite Odontotermes sp. was assayed under laboratory conditions. Test isolates were collected from different sources, including soil from varied locations and insect hosts from the orders Lepidoptera, Coleoptera, Hemiptera and Orthoptera. All the 23 isolates tested and the standard (ARSEF 7413) were pathogenic to the workers of Odontotermes sp. at a concentration of 107 conidia/ml, with mean mortality ranging from 57.5 to 100%. Two of the isolates (Ma2, Ma13) and the standard caused 100% mortality in the termite species. A detailed bioassay was subsequently conducted with the five most promising isolates, namely Ma1, Ma2, Ma13, Ma16 and Ma17, at concentrations ranging from 104 to 107 conidia/ml. The lethal concentrations (LC50) of these isolates ranged from 0.01 to 0.46 £ 105 conidia/ml. The average survival time (AST) for the termites treated with the most virulent isolate (Ma2) varied from 4.2 to 5.7 days across the four spore loads, while AST with the standard isolate ranged from 5.3 to 6.3 days. Two of the isolates, Ma2 and Ma13, were found to be significantly more pathogenic to Odontotermes sp. workers than all the others, including the standard

Benign Tumours Of Salivary Gland-A Review

 Tumours of salivary gland are a heterogeneous group of lesions arising from major or minor salivary glands. They were classified as benign and malignant. There was a female preponderance [1.16:1.0] for the benign tumors and a male preponderance [1.32:1.0] for the malignant tumors. Pleomorphic adenoma (69%) was the most common tumor and 20% were located in minor glands. Malignant tumors were predominantly mucoepidermoid carcinoma (30%) and adenoid cystic carcinoma (30%). Treatment starts with an appropriate diagnosis including histopathological evaluation, immunohistochemistry and imaging techniques. Benign tumors require careful excision as they are encapsulated and residual tissue after surgery can increase the risk of tumor recurrence. Minor salivary gland lesions have a good prognosis and can be treated safely by conservative local excision.&nbsp