iosr-JDMS   Volume-14 ~ Issue-12 ~ December-2015

Abstract: Dentigerous cyst (DC) is one of the most common odontogeniccystwhich evelopsabnormallyaround unerupted maxillary or mandibular teeth. It is often asymptomaticand can be found incidentally on dental radiography with delayed eruption ofteeth. However, it can be large and cause symptoms related to expansion andimpingement on contiguous structures. Pain and swelling may be the majorcomplains of patients. However, DC seldom causes inflammation or infection. Here, we present a case of surgically managed17 -year-old female, with a suspectedDC with a diagnostic dilemma between a radicular cyst and dentigerous cyst arising from left mandibular third molar extending up to roots of second, first molar and anover-retained deciduous second molar teeth.

Key word: Odontogenic Cyst, Dentigerous Cyst, Radicular Cyst

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Abstract: For quite long time we have known that bacteria can adhere to solid surfaces and form a slimy, slippery coat. These bacterial and fungal biofilm are prevalent on most wet surfaces in nature and can cause environmental problems. Perhaps because of many biofilms are sufficiently thick to be visible to the naked eye, these microbial communities were among the first to be studied by the late-developing science of microbiology. Anton van Leeuwenhoek scraped the plaque biofilm from his teeth and observed the "animalculi" that produced this microbial community with his primitive micro-scope.

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Abstract: Aim: T o study the socio demographic profile, the working condition and the health hazards of the female beedi workers. Method:A cross sectional study was done among female beedi rollers in a rural area of Mangalore. House visit survey was done and all beedi rollers currently working of the age group above 18 years were included in the study.A pre designed pre tested questionnaire was used to collect the socio demographic profile, work pattern and the health problems after getting informed consent. Data was analyzed using statistical package SPSS version 20.

[1]. Nakkeeran, Senthil K, Pugalendhi, Bharathi S: A study on occupational health hazards among women beedi rollers in Tamilnadu, India. International Journal of current research.December 2010;Vol.11(1):117-122 [2]. K.P. Joshi , M. Robins , Parashramlu , Venu and K.M. Mallikarjunaih. An epidemiological study of occupational health hazards among beedi workers of Amarchinta, Andhra Pradesh.Journal of Academia and Industrial Research February 2013; volume 1(9):2278-5213.
[3]. DivyaH, Priya K. International Journal of Reproduction, Contraception, Obstetrics and Gynecology . September 2014;3(3):870-871. [4]. Mandelia C, Subba SH, Yamini. Effects of Occupational Tobacco Exposure on Foetal Growth, among Beedi Rollers in Coastal Karnataka. Journal of Clinical and Diagnostic Research : JCDR. 2014;8(5):JC01-JC04. doi:10.7860/JCDR/2014/7710.4327.
[5]. Madhusudan M, Patil D, Jayaram S. Occupational Health Profile of Beedi Workers in Coastal Karnataka. Natl J Community Med 2014; 5(2):157-160 [6]. Sabale RV, Kowli SS, Chowdhary PH. Working condition and health hazards inbeedi rollers residing in the urban slums of Mumbai. Indian Journal of Occupational and Environmental Medicine. 2012;16(2):72-74.

Abstract: Objectives: To determine the prevalence of anemia in rural adolescent girls and the socio demographic correlates. Design: school Based cross sectional study. Settings: Two rural schools of Dehri Community development Block of Rohtas District. Material and Methods: one hundred and seventy six girls from 5th to 10th standard constituted the material of study. The subjects were drawn by systemic random sampling. Prior consent from the parents and school authority was obtained. The subjects were interviewed with help of predesigned and pretested schedule for socio demographic information.

[1] SiddharamSM ,Venkatesh GM,Thejaswar HL –A study of anemia in adolescent girls in rural areas of Hasan district, Karnataka , S India International journal of Biological and Medical research Vol. 2(4)922-924,(2011) .
[2] Working Group on Youth Affairs and Adolescents. Draft Final Report of working Group on Youth Affairs and Adolescents. The Development for formulation of 11th Five Year Plan(2007-2012) March 2007; Volume 1.
[3] Chatterjee Sukanta . Nutritional needs of adolescents. Pediatrics Today 2008; XI: 110-114.
[4] IIPS National Family Health Survey 1998-99(NFHS -2) and 2005-06(NFHS – 3),http://mohfw.nic.in/nfhsfactsheet.htm.

Abstract: Clonidine has been extensively evaluated as an alternative to neuraxial opioids for control of pain and has been proven to be a potent analgesic. It is used in combination with opioids and local anaesthetics in labour analgesia and orthopaedic surgery. However there are not many studies for using epidural clonidine in lower abdominal and lower limb surgeries. This clinical study was conducted on 90 adult patients of ASA grade 1 & 2 in the age group of 18 to 55 years posted for elective lower abdominal and lower limb surgeries under epidural anaesthesia.

[1] Maze M, Tranquilli W. Alpha 2 adrenoceptor agonists- defining the role in clinical anaesthesia. Anesthesiology 1991;74:581-605.
[2] Kuthiala G, Chaudhary G. Ropivacaine: A review of its pharmacology and clinical use. Indian J Anaesth 2011;55(2):104-110
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[6] Cherng CH, Yang CP, Wong CS. Epidural fentanyl speeds the onset of sensory and motor blocks during epidural ropivacaine anesthesia. AnesthAnalg 2005;101:1834-7.

Abstract: Aim and objective: The aimof this study was to evaluate the levels of salivary anti-cyclic citrullinated peptide (anti-CCP) in Rheumatoid Arthritis patients. The salivary anti-CCP level was compared with the serum values. Materials and method: saliva and serum samples were collected from 30 rheumatoid arthritis (group R) patients and 30 controls (group C). The samples were analysed by chemiluminescent micro particle immunoassay method. The results were compared and statistically analyzed.

[1]. David T. Wong. Salivary diagnostics powered by nanotechnologies, proteomics and genomics JADA 2006; 137:313-21.
[2]. EliazKaufman, IraB.Lamster. The Diagnostic Applications of Saliva−A Review Crit Rev Oral Biol Med 2002; 13(2): 197-212.
[3]. Sanjeev Mittal, Vikram Bansal, Sushant Garg,Gaurav Atreja,Sanjay Bansal.The diagnostic role of saliva - A Review.J Clin Exp Dent. 2011;3(4):e314-20.
[4]. Pooja khosla, S.Shankar, Lalit Duggal. Anti-CCP antibodies in rheumatoid arthritis. J Indian Rheumatol Assoc 2004; 12:143-46.
[5]. Ausaf Ahmad, T.B. Singh,Usha. An epidemiological study on clinically suspected rheumatoid arthritis rural patients of eastern Uttar Pradesh, India IRMJCR 2014;II (1): 48-54.
[6]. Rohini handa. New classification criteria for rheumatoid arthritis and ankylosing spondylitis: game changers or mere name changers?. Medicine update 2012; 22:653-658.
[7]. HS Groover, NGaba, A Gupta1, CM Mayura. Rheumatoid arthritis: a review and dental care considerations. Nepal Med Coll J 2011; 13(2): 74-76.

Abstract: BACKGROUND: Patients suffering from diabetes mellitus may develop a number of complications involving the limbs especially the lower limbs. The most important limb problems, clinically are ulceration, gangrene and Charcot neuropathy. Appropriate knowledge and care of the limbs can prevent anumber of these complications.
OBJECTIVE: This study therefore aims to assess the attitude and knowledge of foot care amongst diabetic patients attending clinics in two hospitals in Delta State. Nigeria.

[1.] Mayfield JA, Reiber GE, Sanders LJ, Janisse D, Pogach LM. Preventive foot care in people with diabetes. Diabetes Care 1998; 21:
2161–77.
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[3.] Ikem RT, Kolawole BA, Ikem IC. The prevalence, presentation and outcome of diabetic foot lesions in a Nigerian teaching hospital.
Tropical Doctor 2002; 32: 226–7.
[4.] Palumbo PJ, Melton LJ.Peripheral vascular disease and diabetes. In: Diabetes in America:Diabetes Data Compiled. Washington
DC: Government Printing office, 1985: XV-1– XV–21 (NIH publication no 85–1468).
[5.] Consensus Development Conference on Diabetic Foot Wound Care: 7–8 April 1999, Boston Massachusetts. Diabetes Care 1999;
22: 1354–60.
[6.] Reiber GE, Vileikyte L, Boyko EJ, et al Casual pathways for incident lower-extremity ulcers in patients from two settings. Diabetes
Care 1999; 22: 157–162.
[7.] Ikem RT, Ikem IC. Screening And Identifying Diabetic Patients A Risk Of Foot Ulceration. Use of Semes Weinstein
Monofilament.Diabetes International. 2009;.pp. 15, 17.

Abstract: The interrelationship between restorative dentistry and periodontics is very dynamic and inseparable. The establishment of periodontal health is a prerequisite for successful restorative procedures, because for a restoration to survive, the periodontium must be healthy so that the teeth are maintained properly in the dental arch. The adaptation of the margins, the proximal relationships and the surface smoothness has a critical biological impact on the periodontium. Therefore dental restorations play a significant role in maintaining periodontal health. This literature review addresses the interactions between periodontal tissues and restorative
procedure.
Keywords: Interdisciplinary approach, Over hanging restorations, Periodontal health, Plaque accumulation.

[1.] R Vacaru, A Podariu, D Jumanca, A Galuscan, R Muntean. Periodontal-restorative interrelationships. OHDMBSC. 2003,3,12-5.
[2.] Renggli H, Regolati B. Gingival inflammation and plaque accumulation by well- adapted subgingival and supragingival proximal
restorations. Hel Odontol Acta. 1972,15,99-101.
[3.] Waerhaug J. Effect of rough surfaces upon gingival tissue. Journal of Dental Research. 1956,35,323-5.
[4.] Gilmore N, Sheiham, A. Overhanging dental restorations and periodontal disease. Journal of Periodontology. 1971,42,8-12.
[5.] Jeffcoat MK, Howell TH. Alveolar bone destruction due to overhanging amalgam in periodontal disease. Journal of
Periodontology. 1980,51,599–602.
[6.] Pack ARC, Coxhead LJ, McDonald BW. The prevalence of overhanging margins in posterior amalgam restorations and
periodontal consequences. Journal of Clinical Periodontology. 1990,17,145–52.
[7.] Ibraheem AF, Al-Safi KA. Prevalence of overhang margins in posterior amalgam restorations and alveolar bone resorption.
Journal of College of Dentistry. 2005,17,11-3.

Abstract: Background: Ankle fractures have been the subject of numerous studies and articles regarding the mechanism of injury, classification and treatment modalities. Objective: To compare the clinical, radiological and functional outcome of medial malleolar fracture management by cannulated screw fixation and tension band wiring. Methods: This is a randomized comparative study done on 40 patients between the age group of 15 to 65 years. The study period was from September 2013 to September 2015. Twenty patients each were treated with cannulated screw fixation and tension band wiring respectively. Outcome measure includes clinical and
radiological union. Functional outcome was assessed by using modified ankle score of Olerud and Molander.

[1.] Kannus P, Parkkari J, Niemi S et al. Epidemiology of osteoporotic ankle fractures in elderly persons in Finland. Ann Intern Med
1996;125(12):975-8.
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Surg 1950;60(5):957–85.
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[6.] Sang-Hanko M, Young-JunPark D. Comparison between screw fixation and tension-band wiring for medial malleolus fractures.
Korean Society of Foot Surgery 2002;6(1):41-4.

Abstract: OBJECTIVE. Our purpose was to determine the value of triphasic helical CT (unenhanced, hepatic arterial, and portal venous phases) in the detection and characterization of focal hypervascular and hypovascular metastases.
MATERIALS AND METHODS. Thirty seven patients with known or suspected liver metastases underwent triphasic CT. The number and conspicuity of lesions were evaluated on each phase.

[1.] Carlos Valls et al. Hepatic Metastases from Colorectal Cancer: Preoperative Detection and Assessment of Resectability with
Helical CT.Radiology 2001; 218:55–60.
[2.] Onishi et al. Hepatic Metastases: Detection with Multi–Detector Row CT, SPIOenhanced MR Imaging, and Both Techniques
Combined. Radiology 2006; 239:131–138
[3.] Kanematsu et al. Portal Venous-Phase CT of the Liver in Patients without Chronic Liver Damage: Does Portal-Inflow Tracking
Improve Enhancement and Image Quality? OJRad, 2013, 3, 112-116.
[4.] Daniele Marin, Alessandro Furlan,Michael P. Federle, Massimo Midiri,Giuseppe Brancatelli. Imaging Approach for Evaluation
of Focal Liver Lesions. Clinical Gastroenterology And Hepatology 2009;7:624–634.
[5.] FrankH.Miller, ReniS.Butler, FrederickL.Hoff, StevenW.Fitzgerald, AlbertA. Nemcek,Jr. RichardM. Gor. UsingTriphasic
Helical CT to Detect Focal Hepatic Lesions in Patients with Neoplasms. AJR1998;171:643-46.
[6.] Oliver 111III, BaronRL. Helical biphasic contrast enhancedCT of theliven technique, indications, interpretation and pitfalls.
Radiology 1996;201-14

Abstract: The separated instrument particularly a broken file leads to metallic obstruction, in the root canal and blocks thorough cleaning and shaping procedure. When attempts of bypassing such a fragment go in vain, it should be retrieved by mechanical devices. Masserann Kit is one such device for orthograde removal of intracanal metallic obstructions. This clinical case demonstrates usage of Masserann technique in successful retrieval of a separated file which was tightly binding in the apical 3rd root canal dentin of mandibular left lateral incisor

[1.] Comparison of the Different Techniques to Remove Fractured Endodontic Instruments from Root Canal Systems.
[2.] Arcangelo CM, Varvara G, Fazio P.D. Broken instrument removal – two cases, J Endodon
[3.] 2000 ; 26 : 568 – 70
[4.] Roda RS, Gettleman BH. Nonsurgical retreatment. In: Cohen S, Burns RC, editors. Pathways of the pulp, 9th ed. St. Louis: CV
Mosby; 2006. p. 982-90.
[5.] Hulsmann M. Methods for removing metal obstruction from the root canal. Endod Dent Traumatol 1993 ; 9: 223-37.
[6.] Okiji T. Modified usage of the Masserann Kit for removing intracanal broken instruments. J Endod 2003;29:466-7
[7.] Arcangelo CM, Varvara G, Fazio PD. Broken instrument removal two cases. J Endod 2000; 26:568-70.
[8.] Freidman S, Stabholz A, Tamse A. Endodontic retreatment: case selection and techniques part 3. Retreatment techniques. J.
Endodon 1990 ; 16 : 543-9

Abstract: ABO and Rh blood groups were tested for seven hundred and nine college students of age group 18 to 25. Blood samples were collected from the students by finger-prick method and blood groups were examined by slide-test haemagglutination method. The highest with percentage frequency was observed for the blood group O (36.32%) followed by B (34.37%), A (22.66%) and the least percentage frequency was AB (6.48%). In the case of Rh(D)+ve, the frequency observed was 93.94% and that for Rh(D)-ve it was 5.9%.
Keywords- ABO, Rh-D, Blood group system, haemagglutination method.

[1] Garratty G, Dzik W, Issitt PD, Lublin DM, Reid ME, Zelinski T. Terminology for blood group antigens and genes – historical
origins and guideline in the new millennium. Transfusion, 40, 2000, 477-89.
[2] Mollison PL. The genetic basis of the Rh blood group system. Transfusion 34, 1994, 539-41.
[3] Adeyeomo, O.A and Soboyejo, O.B. Frequency distribution 0f ABO, RH blood groups and blood genotypes among the cell
biology and genetics students of University of Lagos, Nigeria, African Journal of Biotechnology Vol. 5 (22), 2006, 2062-2065.
[4] Seeley, R.R, Stepherns T.D, and Tate, P. Anatomy and physiology 4th ed. The Mc Graw Hill Companies, Inc. USA.P 1998,
1098.
[5] Khurshid B, Naz M, Hassan M and Mabood SF. Frequency of ABO and Rh (D) blood groups in district Sawabi NWFP Pakistan.
Journal of Science and Technology University Peshawar 16, 1992, 5–6.

Abstract: The present study involves study of elective induction of labor in 200 multiparous women and comparison of 1.induction to delivery interval, 2.duration of labour3. Mode of delivery 4.maternal complications with 200 control group of spontaneous delivery. The study results are analyzed and compared with studies of different authors Macer JA1, Prysak M2, Smith LP3,Hofmann MK4, Dubin et al5, Meghan rattigan study6.. This study shows induction to delivery interval is greater in women without preinduction cervical ripening and shorter in women with preinduction cervical ripening group compared to spontaneous group.

[1]. Macer JA, Macer CL, Chan LS, Elective induction versus spontaneous labor; A retrospective study of complications and outcome.
Am J obstet Gynecol 1992: 166: 1690-7.
[2]. Prysak M, Castronova FC. Elective induction versus spontaneous labour: a case control analysis of safety and efficacy. Obstet
Gynecol 1998:92:166:1690-7
[3]. Smith LP, Nagourney BA, Mclean FH, Usher RH, Hazards and benefits of elective induction of labor. Am J Obstet Gynecol
1984:148:579-85
[4]. Hofmann MK, Vahratian A, Sciscione AC, Troendle JF, Zhang J. Comparision of labor progression between induced and
noninduced multiparous women. Obstet Gynecol 2006:107:1029-34.

Abstract: The purpose of this study was to investigate the different components of skeletal class III, and its relative growth transformation in the three dimensions of space. The sample of skeletal Class III included 79 individuals; 41 in mixed dentition stage, and 38 in permanent dentition stage. The control group included 83 individuals; 40 in mixed dentition stage, and 43 in permanent dentition stage. Lateral and postero-anterior films were taken for each individual, and then digitally analyzed, and planned measurements were performed. Among skeletal Class III types, combined maxillary retrusion and mandibular protrusion showed the highest percentage
of incidence, and normal vertical growth pattern showed the highest incidence. Mandibular rotation didn't increase with age in skeletal Class III individuals. Transverse dimensions of the mandible of skeletal Class III individuals had no correlation with the antero-posterior discrepancy. Treatment of skeletal Class III cases is recommended in the early mixed dentition stage with big emphasis on the antero-posterior dimension.
Keywords: Cephalometric, Craniofacial, Growth, Skeletal Class III.

[1]. Ellis III E, McNamara JA. Components of adult Class III malocclusion. J Oral Maxillofacial Surg 1984; 42:295-305.
[2]. Chang H, Kinoshita Z, Kawamoto T. Craniofacial pattern of Class III deciduous dentition. Angle Orthod 1992; 62:139-144.
[3]. Battagel JM. The etiological factors in Class III malocclusion. Eur J Orthod 1993; 15:347-370.
[4]. Staudt CB, Kiliaridis S. Different skeletal types underlying Class III malocclusion in random population. Am J Orthod
Dentofacial Orthop 2009; 136:715-721.
[5]. Baccetti T, Reyes BC, McNamara Jr JA. Craniofacial changes in Class III malocclusion as related to skeletal and dental
maturation. Am J Orthod Dentofacial Orthop 2007; 132:171-178.
[6]. Alexander AE, McNamara Jr JA, Lorenzo F, Baccetti T. Semilongitudinal cephalometric study of craniofacial growth in
untreated Class III malocclusion. Am J Orthod Dentofacial Orthop 2009; 135:700.e1-700.e14.
[7]. Kuc-Michalska M, Baccetti T. Duration of the pubertal growth spurt in skeletal Class I and Class III subjects. Angle Orthod
2010; 80:54-57.

Abstract: Background: Menstrual disorders are very common among the young females and its incidence decreases as the age advances. Any abnormality in the hypothalamic or pituitary hormone leads to disturbance in menstrual cycle. Hypothyroidism is one of the major endocrine disorder prevalent amongst the females. The increased level of TSH influences the secretion of FSH and LH, leading to menstrual disorders. The aim of the study was to estimate the TSH levels in the nulliparous females with menstrual cycle disorders and so as to establish hypothyroidism as a risk factor.

[1]. Symonds EM, Symonds LM. Essential Obstetrics and Gynecology.2004. UK. Churchill Livingstone.
[2]. Harlow Sd, Ephross SA. Epidemiology of menstruation and its relation to women's health. Epidemiol Rev.1995; 17(2): 265-286.
[3]. V.G. Padubidri and Shirish N. Daftary. Shaw's Textbook of Gynaecology.12th edition. Churchill Livingstone.
[4]. Women Gynecologic Health. Jones and Barlett Publishers. 2011. p 94.
[5]. " Menstruation and menstrual cycle fact sheet". Office of women's health. December 23,2014. Retrieved on 25 June 2015.
[6]. " Menopause : Overview" , 2013-06-28. Retrieved on 8-03-2015.
[7]. ACOG Comittee on Adolescent Health Care: Menstruation in girls and adolescents using menstrual cycle as a vital sign. Obstet Gynecol 2006,108(5):1323-1328.