Rohit Malik

Assessment of anxiety and depression in patients with burning mouth syndrome: A clinical trial

Introduction: Burning mouth syndrome is a chronic pain syndrome primarily affecting elderly women with hormonal changes or psychological disorders. It is multifactorial in origin, often idiopathic and its etiopathogenesis, majorly being neuropathic, largely remains enigmatic. Aim: To determine the prevalence of burning mouth symptom, in elderly women and evaluate local and systemic causes responsible for burning sensation. Materials and Methods: 100 elderly postmenopausal women were included in the study out of which 56 had a chief complaint of burning sensation. These patients were evaluated for the levels of anxiety and depression by means of questionnaire. The severity of burning and the response to the treatment was assessed with a five point Visual Analog Scale. The results were analyzed using “Chi-square test”. Results: There was statistically significant increase in the levels of anxiety and depression in the study group. Conclusion: The present study clearly indicates that most of the patients had moderate to severe levels of depression, which suggests that anxiety and depression are constant features in postmenopausal female patients.

Oral Myiasis Caused by Chrysomya bezziana in Anterior Maxilla

Oral myiasis is a rare pathology and is associated with poor oral hygiene, alcoholism, senility, suppurating lesions, and severe halitosis. It arises from invasion of body tissues or cavities of living animals by maggots or larvae of certain dipterian flies. It is mostly reported in developing countries and in the tropics. We hereby report a rare case of oral myiasis in a 70-year-old female with extensive necrotic oral lesion burrowing into the hard palate through which numerous live maggots (larvae) and seen emerging out and discuss the definition, etiology, predisposing factors, classification, and management of the same. Furthermore, the life cycle of the causative organism in the present case, that is, Chrysomya bezziana, has also been discussed.

Limbal dermoid in Nager acrofacial dysostosis: a rare case report

Nager syndrome, also called preaxial acrofacial dysostosis, comprises two groups of defects involving the limbs and craniofacial region, respectively. This syndrome is rare and only 70 cases have been reported in the literature. The exact cause of this syndrome is unknown, but there is indication that it is genetically based. Ocular manifestations of this syndrome include widely separated downward slanting eyes, absence of eyelashes, ptosis of upper eyelids and colobomas on the inner aspect of lower eyelids. We report limbal dermoid in a patient with Nager syndrome. We did not find such an association of “Limbal dermoid in Nager acrofacial dysostosis syndrome” on PubMed using Nager acrofacial dysostosis, limbal dermoid and ocular manifestations as the keywords.

Unilateral segmental odontomaxillary dysplasia: A rare entity of 3 cases and review

Segmental odontomaxillary dysplasia (SOD) is an uncommon, nonhereditary, rare developmental disorder primarily involving the posterior part of the maxilla and related dental components. It is a rare condition of uncertain etiology that results in painless unilateral expansion of the posterior dentoalveolar complex, gingival hyperplasia, lack of one or both premolars in the affected area, delayed eruption of adjacent teeth and malformations of the primary molars. Radiographically, the affected bone is thickened and irregular in outline, with a coarse trabecular pattern that is vertically oriented resulting in a relatively radioopaque granular appearance. The treatment is focused on extraction of the involved teeth, while in some milder cases the teeth may be retained for a long period. The treatment plan should be based on the degree of involvement as well as the functional and esthetic needs in each case. Considering the rarity of the condition, we report three cases of SOD with variable presentations in a 45-year-old, 24-year-old and 23-year-old individual.

Role of cone beam computed tomography in the prompt diagnosis of a nasopalatine duct cyst

The nasopalatine duct cyst (NPDC) is the most common of all the developmental, epithelial, and non-odontogenic cysts of the maxilla, believed to originate from the epithelial remnants of the nasopalatine duct. Typically, the lesion is asymptomatic and is detected accidentally on a radiograph. The definite diagnosis must be based on the clinical, radiological, and histopathological findings. Frequently misdiagnosed, the NPDC is not rare. The motive of reporting an entity that is not very rare is that the lesion is mostly misdiagnosed, and to emphasize the importance of cone-beam computed tomography (CBCT) in the diagnosis and optimized treatment planning of NPDCs.

Cone-beam computed tomographic illustration of an unusual position of keratocystic odontogenic tumor mimicking a dentigerous cyst: A case report

Cone-beam computed tomography (CBCT) is an advanced imaging modality, with its application in all branches of dentistry. Of all the imaging modalities available, CBCT, with minimum required exposure, provides the best image quality and helps in arriving at a correct diagnosis and in treatment planning. An odontogenic keratocyst, reclassified as a keratocystic odontogenic tumor (KCOT), has an aggressive behavior, is prone to recur, and thus, has been classified as a tumor. Here, we discuss a rare case of a keratocystic odontogenic tumor occurring in the maxilla, with an ectopic tooth position mimicking a dentigerous cyst.