Neetu Singla

Gardner's syndrome: A case report and review of literature

Gardner syndrome is a rare, autosomal dominant syndrome that follows a positive course with diagnosis and treatment by medical and dental specialists. General dental physicians can diagnose the syndrome through radiological images taken in addition to dental and skeletal findings. In this article a 45-year-old male patient with previously undiagnosed Gardner′s syndrome who presented for removal of painful mobile tooth is reported to illustrate the importance of detection and proper referral.

Odontogenic keratocyst of the angle and ramus of the mandible-a case report

The Odontogenic Keratocyst (OKC), first described by Phillipsen in 1956, has been reclassified as odontogenic neoplasm and has been renamed as Keratocystic Odontogenic Tumor (KCOT) as reported in WHO classification of head and neck tumors in 2005. Odontogenic keratocysts are benign intraosseous tumors of odontogenic origin that occur most commonly in the jaw. In particular, they have a predilection for the angle and ascending ramus of the mandible. The recurrent rate of odontogenic keratocyst is 25–30 percent. A case of odontogenic keratocyst in 60 years old patient is presented involving mandibular third molar ramus area which was recurred after 3 years.

Clear Cell Variant of Squammous Cell Carcinoma - a Rare Case Report

In recent years, head and neck cancer has become one of the leading causes of morbidity and mortality. 92–95% of all oral malignancies are oral squamous cell carcinomas (OSCC). Squamous cell carcinoma is the most common malignancy affecting the oral cavity which is usually associated with habit of smoking and smokeless tobacco. It occurs more frequently in males, usually in the 5th–6th decade of life. We report an unusual case of OSCCs composed predominantly of clear cells in an edentulous elderly female with no habitual history and the diagnosis was based on the clinical and histopathological examination.

Tens versus ultrasonic massage therapy in temporomandibular disorders - a study

The aim of this study is to compare the effectiveness of transcutaneous electrical nerve stimulation (TENS) and ultrasonic massager in the management of TMJ Pain disorders. A total of 20 subjects with clinical diagnosis of temporomandibular disorders were randomly allocated in two study groups GROUP A received TENS therapy and GROUP B received ULTRASOUND MASSAGER therapy. All patients were examined before and after the treatment using a visual analogue scale(VAS). A significant pain reduction was observed in both TENS and Ultrasound massage therapy groups. Decrease in pain and muscle tenderness was significantly more in Ultrasonic therapy group than TENS group, so Ultrasonic therapy appears to be valuable physiotherapy method for pain reduction in TMD disorders.

Prevalance of soft Palatemorphology - A Unique Cephalometric Study

Soft palate as part of nasopharyngeal and oropharyngeal apparatus has an important role in phonation, deglutition and respiration. Its varied morphology is implicated in variety of diseases. Therefore, it is essential to establish the morphology of soft palate in normal patients to establish the variations in its morphology in various diseases. The present study aims to investigate the various shapes of soft palate and to find out predominant shape in pediatric group and adult group in Sunam population. The study population comprised of 70 patients at random that includes 35 adult patients group of age between 15–28 yrs and 35 pediatric out of which type 2 (rat tail-shaped soft palate) was the most frequent type in 16 cases (22.9%) in pediatric patient group and in 14 cases (20.0%) in adult patient group, which was an unusual finding. These findings can be used as patients group of age between 7–14 yrs, references for the research of velopharyngeal closure in cleft palate individuals and for the aetiological research of OSAS and other conditions.

Role of imaging in forensic odontology

Forensic radiology is a specialized area of medical imaging utilizing radiological techniques to assist physicians in matter pertaing to the law. With the advancement of newer technologies, more accurate information is obtained for identification as well as in the facial reconstruction of the unknown deceased person. Dentofacial imaging is a useful tool in forensic science to reveal characteristics of the structures of the dentofacial region. It helps in human identification that aids in age estimation and sex determination. This present article describes the various imaging modalities in Forensics.

Cherubism: Report of a regressed nonfamilial grade 1 case

Cherubism is a rare non-neoplastic fibro-osseous disorder characterized by clinically evident bilateral painless enlargement of the jaws that usually gives a cherubic appearance. Major complications may occur along with the presence of facial deformities. The facial deformities may frequently be associated with dental malformations. Bilateral swelling of the jaws usually appears between the age of 2 and 7 years, after which, the lesions proliferate and increase in size until puberty. These lesions subsequently begin to regress, fill with bone and remodel until the age of 30 years. Following this, the lesions frequently become undetectable clinically, due to which, many affected adults have a normal facial appearance. Here, we report a case of a 22-year-old female patient suffering from cherub-like appearance with regressed features.

Evaluation of TENS therapy and Placebo drug therapy in the management of TMJ pain disorders: A comparative study

Background: In recent times, transcutaneous electrical nerve stimulation (TENS) therapy and placebo drug therapy have been studied widely in the management of temporomandibular joint (TMJ) pain; but at the individual level. Thus, it was required to compare the efficacy of TENS and placebo drug therapy in patients with TMJ pain disorders. Aims: To determine the effectiveness of TENS therapy and placebo drug therapy in the treatment of TMJ pain disorders and to compare the efficacy of both. Settings and Design: A comparative study was done with 40 subjects reporting with the chief complaint of TMJ pain by dividing them into two groups through randomization. Materials and Methods: Subjects of either sex in the age group of 18-60 years and diagnosed with TMJ pain disorders were considered and divided into two equal groups of 20 patients each as Group I and Group II. Group I patients were advised TENS therapy once in a week for 4 weeks and were followed up in the fifth week. In Group II, placebo was given once daily for 4 weeks and follow-up was done in the fifth week. TMJ pain before, during, and at the completion of the treatment was measured in terms of Visual Analogue Scale (VAS). Statistical Analysis: Z-test for proportion and one-way analysis of variance (ANOVA) were used. Results: A significant improvement in the tenderness of muscles and TMJ and for maximum mouth opening bilaterally was observed in Group I during different visits. It was also observed that the average values for pain and tenderness of the muscles and TMJ in TENS therapy for the different visits including follow-up were less compared to the values in placebo drug therapy. Conclusion: TENS therapy proved to be one of the widely and most effectively used treatment modalities with its multifaceted approach toward the treatment of the TMJ pain disorders as compared to placebo therapy.