P. Ramaswamy

Association of chronic periodontitis with white blood cell and platelet count - A Case Control Study

Objectives:The objective of the study was to determine whether plasma levels of white blood corpuscles (WBCs) and platelets were altered in patients with chronic periodontitis compared to healthy controls. Study Design:A total of 120 subjects, 60 with chronic periodontitis and 60 with healthy periodontium of age group 30-50 years were selected for the study. Oral hygiene status and pocket probing depth were measured. During clinical evaluation, venous blood samples were taken to analyze the WBC and platelet counts. Statistical analysis was utilized to compare differences across various groups. Results:The WBC count was higher in patients with chronic periodontitis when compared with controls whereas the platelet count was lower in the case group. Conclusions:Elevated WBC count plays a key role in chronic periodontitis and in turn a risk factor for cardiovascular diseases. However, there is no significant role of platelets in periodontal infection even though it has a major role in atherogenesis. Key words:Periodontitis, white blood cells, platelets, cardiovascular diseases.

Intraductal Papilloma: Atypical Presentation

Ductal papillomas have unique papillary features arising from the salivary gland duct system. They comprise three rare benign adenomas, namely, inverted ductal papilloma, sialadenoma papilliferum, and intraductal papilloma. Intraductal papilloma is an extremely rare benign salivary gland tumor that occurs most commonly in the minor salivary glands. Here, we are presenting a case report of intraductal papilloma in an 18-year-old patient.

Radio-morphometric Analysis of Sella Turcica in the South Indian Population- A Digital Cephalometric Study

Aim: The present study was undertaken to identify the role of radio-morphometric analysis of sella turcica in sex determination. Material and Methods: A total of 260 good quality lateral cephalograms (130 males and 130 females) were randomly selected from the orthodontic database between2014 and 2015. Radiographic measurements (antero-posterior diameter and depth of sella) were carried out by a senior oral radiologist. The values obtained were tabulated in a spreadsheet and subjected to statistical analysis (SPSS version 16.0SPSS.inc Chicago 1989 – 2 “007). Results: A higher percentage of both males (70.0%) and females (67.7%) were presented with normal sella. The second best sella presentation was the shallow sella in males (16.2%). The mean antero-posterior diameter was significantly higher in females (12.25 mm) than males (11.74 mm). The mean depth of sella turcica was greater in females (8.08 mm) than males (7.68mm). Discriminant function analysis was done with gender as a grouping variable and antero-posterior dimensions and sella depth as independent variables. The formula obtained was D = 0.452 (x) +0.295(y)-7.753. (Where “D” is the discriminant score “x” is antero-posterior diameter of sella “y” is sella depth).The present study revealed an overall accuracy rate of58.1% in identifying correct gender using sella measurements. Conclusion: The present study was the first of its kind in the South Indian population and has presented results that justify the use of sella turcica for sex determination.

SkIndia Quiz 23: A swelling on the tongue.

Department of Oral Medicine and Radiology, St. Joseph Dental College and Hospital, Eluru, Andhra Pradesh, India A 40-year-old male patient reported with a complaint of swelling over the tongue of two months duration. The patient had first noticed the swelling four months ago which was initially the size of a grape seed and had gradually increased to attain the present size. There was pain over the swelling for the past one month that was insidious in onset, and aggravated by speech and mastication. There was no history of trauma to the tongue, paresthesia or loss of taste sensation. The medical and family histories were unremarkable. The general physical and systemic examinations were normal.