Large Complex Odontoma : A report of a rare entity

Odontomas are hamartomatous lesions composed of mature enamel, dentin, and pulp, and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. They are the most common benign odontogenic tumours, constituting 22% of all odontogenic tumours of the jaw. They are often non-aggressive and slow growing in nature, and are usually diagnosed on routine radiological examinations in the second decade of life. We report the case of an unusually large, painless, complex odontoma, which is a rare entity. It was located in the left posterior mandible and was associated with missing 1st and 2nd left mandibular molars. The diagnosis was confirmed following surgical excision and histopathological analysis of the lesion

Estimation of salivary cortisol level in post-menopausal women with psychosomatic disorders

Background: Stress is an undesirable or health threatening response of the body, which is brought on by deleterious external influences (stressors). Objective measurement of psychosocial stress helps in assessment of pivotal role of stress in precipitation of multitude of health problems and a solution to the same. Salivary biomarkers are suggested to provide a reliable and non-invasive method for the estimation of these general health problems. Salivary cortisol is such biomarker used as tool in the examination of human physiological stress response. Post-menopausal women show an increase in stress levels and hence suffer with multiple health related problems. Hence the present study aimed to estimate salivary cortisol levels in post-menopausal women with clinically diagnosed psychosomatic disorder/disorders of the head and neck region, so as to establish salivary cortisol as a biochemical indicator of stress.Methods: Thorough intra-oral and extra-oral examination was performed to check for the presence of psychosomatic disorder of head and neck. Unstimulated saliva was collected from 100 post-menopausal women with and 100 without clinically diagnosed psychosomatic disorder/disorders through ‘Spit Technique’. Salivary cortisol was estimated using ELISA method.Results: The results were statistically significant as they showed that the salivary cortisol was in higher levels in post- menopausal women with clinically diagnosed psychosomatic disorder/disorders.Conclusion: The geriatric patients feel that they have very little skills or resources to deal with the high levels of stress that they are experiencing and hence suffer from lack of self-worth. The results of this study recommend that stress evaluation should be done on a regular basis for all post- menopausal women. For individuals who do not reveal their psychological distress, salivary analysis of cortisol may be used as an aid to diagnose their situation in conjunction with clinical diagnosis.Keywords: Post-menopausal women, psychosomatic disorder, head and neck, salivary cortisol, biomarker

Estimation of salivary cortisol level in post-menopausal women with psychosomatic disorders

Background: Stress is an undesirable or health threatening response of the body, which is brought on by deleterious external influences (stressors). Objective measurement of psychosocial stress helps in assessment of pivotal role of stress in precipitation of multitude of health problems and a solution to the same. Salivary biomarkers are suggested to provide a reliable and non-invasive method for the estimation of these general health problems. Salivary cortisol is such biomarker used as tool in the examination of human physiological stress response. Post-menopausal women show an increase in stress levels and hence suffer with multiple health related problems. Hence the present study aimed to estimate salivary cortisol levels in post-menopausal women with clinically diagnosed psychosomatic disorder/disorders of the head and neck region, so as to establish salivary cortisol as a biochemical indicator of stress. Methods: Thorough intra-oral and extra-oral examination was performed to check for the presence of psychosomatic disorder of head and neck. Unstimulated saliva was collected from 100 post-menopausal women with and 100 without clinically diagnosed psychosomatic disorder/disorders through \u2018Spit Technique\u2019. Salivary cortisol was estimated using ELISA method. Results: The results were statistically significant as they showed that the salivary cortisol was in higher levels in post- menopausal women with clinically diagnosed psychosomatic disorder/disorders. Conclusion: The geriatric patients feel that they have very little skills or resources to deal with the high levels of stress that they are experiencing and hence suffer from lack of self-worth. The results of this study recommend that stress evaluation should be done on a regular basis for all post- menopausal women. For individuals who do not reveal their psychological distress, salivary analysis of cortisol may be used as an aid to diagnose their situation in conjunction with clinical diagnosis

Ameloblastoma–A rigorous odontogenic tumours of the jaws: A regional retrospective analysis

Background: Ameloblastoma is an aggressive odontogenic tumor that is often asymptomatic and slow-growing. Although it is benign in nature, due to its invasive characters and tendency to recur it is considered as a localized malignant tumour. Procedure: This is a retrospective study that involves 87 confirmed cases of ameloblastoma over 10 years. The case records and biopsy reports were retrieved from the archives of the Department of Oral & Maxillofacial Pathology and Oral Microbiology, A B Shetty Memorial Institute of Dental Sciences. Results and conclusion: The results revealed that age group between 26-50 years (49.4%) were affected the most, and had a male predilection (58.6%) and maximum involvement of jaw was mandible (88.5%), site involvement was the body of the mandible (52.9%), the radiographic feature was the multicystic type (56.3%), the histopathological variant was follicular (33.3%) and out of the total number of cases analysed 9 cases had recurrence (10.3%). Clinical significance: The purpose of this study is to analyse and evaluate the distribution and frequency of ameloblastoma among various entities such as age group, jaw involved, site, histopathological variant, radiographic feature, and recurrence, to promote early diagnosis and treat them effectively

Surgical Protocols before and after COVID-19—A Narrative Review

The COVID-19 epidemic has affected not only people’s daily lives but also the working methods of clinicians, surgical procedures, open/minimally invasive procedures, operating room management, patient and healthcare worker safety, education and training. The main objective of this study was to review selected articles and determine the changes in the general surgery protocols/procedures before and after the emergence of the COVID-19 pandemic. The literature was carried out in PubMed-Medline, Cochrane Library, Embase, Scopus and Google Scholar. The terms utilised for the searches were “SARS-CoV-2”, “Surgery”, “COVID-19”, “Surgical protocol”, “Surgical recommendations” and “before and after”. A total of 236 studies were identified, out of which 41 studies were included for data extraction. Significant changes in all the articles were observed with respect to the surgeries done before, during and after the COVID-19 pandemic. Specifically, the number of elective surgeries were considerably fewer in comparison to the pre-pandemic period. Since the COVID-19 pandemic started, hospitals all throughout the world have conducted significantly fewer procedures, particularly elective/non-urgent surgeries