Santhosh Basavarajappa

Applications of Raman Spectroscopy in Dentistry: Analysis of Tooth Structure

Abstract: Tooth enamel is the most mineralized tissue in the human body, and in this article the use of Raman spectroscopy for the analysis of tooth structure, a comparison with synthetic apatites, and use in dentistry are described. Spectral peaks that are related to dental hard and soft tissues are discussed, which provide crucial data in understanding the chemical structural properties of dentin and enamel. The Raman spectrum of dentin confirms the presence of crystalline phosphate-based minerals in dentin. Both dentin and enamel consist of two primary components: an inorganic or mineral phase that closely resembles hydroxyapatite and the Raman spectrum of dentin that confirms the presence of crystalline phosphate-based minerals in dentin. Hence, the mineral phase in dentin and enamel may be characterized essentially as nonstoichiometric substituted apatite. The presence of carbonate (A and B type) incorporated in the hydroxyapatite lattice is also confirmed by the presence of spectral bands. The organic phase, which is mainly composed of type I collagen, is confirmed by the spectral bands of amide I and amide II bands, tryptophan, and phenylalanine. Furthermore, these spectral bands associated with organic and inorganic parts of the enamel and dentin are useful in predicting early formation of carries formation.

Outcome of Palliative and Radical Radiotherapy in Patients with Oral Squamous Cell Carcinoma - a Retrospective Study

BACKGROUND The treatment selection for the oral squamous cell carcinoma remains controversial. Radiation therapy or surgical excision of the lesion can be applied as the sole treatment or it can be used in combination with other treatment modalities. Radiotherapy is considered to be the safest of all the treatment modalities and can be used in several situations for oral and oropharyngeal cancers. The aim of this study was to evaluate the survival outcome differences in patients treated with radical and palliative radiotherapy as the primary treatment modality. MATERIALS AND METHODS The study included a total of 47 patients with oral cancer reporting to our hospital between years 2009 to 2010. The age group for the selected patients was more than 65 years, treated with radical and palliative radiotherapy with no prior surgical interventions. Patients were evaluated till Dec 2013 for overall survival time. RESULTS Twenty nine patients were treated with radical radiotherapy as main stay of treatment, out of which 21 died during the follow up time with median survival of 352 ± 281.7 days with 8 patients alive. All the 16 patients were dead who received palliative radiotherapy with a median survival time of 112 ± 144.0 days. CONCLUSIONS This retrospective study showed improved overall survival time, loco regional control rates and reduced morbidity in patients treated with radical radiotherapy when compared to patients treated with palliative radiotherapy.

Effect of ethanol treatment on mechanical properties of heat-polymerized polymethyl methacrylate denture base polymer

This laboratory study was assessing the nano-mechanical properties (NMP), surface roughness (Sa), and topographic changes caused by ethanol on the surface of heat-polymerized denture base polymers at different time past dough stage. Specimens of heat polymerizing acrylic resin (Interacryl Hot, Interdent, Celje, Slovenia) of size 10×10×3 mm were prepared, wet ground, and polished for uniform smoothness and treated with ethanol in concentrations of 40, 70, and 99.9% for 30, 60, and 120 s and statistical analysis was done. Some statistical significance for Sa were highest with 120 s exposure to 40% ethanol. NMP were the highest for specimens treated with 99.9% ethanol concentration for 120 s, on specimens prepared 30 min past the dough stage. This study suggested that heat-polymerized denture base polymers are prone for changes by ethanol which alters mechanical properties and surface topography. Dough time influenced the ethanol resistance.

Photoactivated disinfection (PAD) of dental root canal system - An ex-vivo study.

Aim To investigate the efficacy of photo activated disinfection (PAD) in reducing colony-forming unit (CFU) counts of Enterococcus faecalis (E. faecalis) in infected dental root canals. The study compared the efficacy of PAD with conventional endodontic treatment (CET) and also a combination of CET along with PAD. Material and Methods 53 maxillary incisors were taken for the study. Teeth were divided into 3 groups, CET (Group I) (n = 11), PAD (Group II) (n = 21), and a combination of CET and PAD (Group III) which consisted of (n = 21) samples, Group II and Group III were further divided into 2 subgroups, Group IIa, IIb and Group IIIa, IIIb. Strains of E. faecalis were inoculated in all the root canals. CET group samples were treated by chemo-mechanical preparation (CMP) alone, PAD samples were treated with laser alone at 2 different exposure time (4 min and 2 min). In the combination treatment, samples were treated initially by CET and then by PAD for a time period of 4 min and 2 min. Contents of the root canal were aspirated, diluted and plated in Tryptone Soya Broth (TSB) and plates were incubated for 24 h to observe the bacterial regrowth. Results Showed PAD used along with CMP reduced the bacterial load of E. faecalis by 99.5% at 4 min and 98.89% at 2 min. Conclusion PAD may be an adjunctive procedure to kill residual bacteria in the dental root canal systems after standard endodontic root canal preparation.

Fusobacterium necrophorum from pericoronitis resulting in disseminated intravascular coagulation: a case report and review of literature

ISSN It has been reported that complication due to Fusobacterium necrophorum may lead to disseminated intravascular coagulation associated with septicaemia, capable of platelet aggregation and coagulation factor activation. Here, we present a case report of a 43-year-old male patient with F. necrophorum pericoronitis, followed by septicaemia and disseminated intravascular coagulation. The patient was treated with intravenous metronidazole and imipenem, and recovered thereafter. Copyright 2016 Wolters Kluwer Health, Inc. All rights reserved.

Effect of smoking on the genetic makeup of toll-like receptors 2 and 6.

Background Cigarette smoking is a major risk factor for lung cancer, asthma, and oral cancer, and is central to the altered innate immune responsiveness to infection. Many hypotheses have provided evidence that cigarette smoking induces more genetic changes in genes involved in the development of many cigarette-related diseases. This alteration may be from single-nucleotide polymorphisms (SNPs) in innate immunity genes, especially the toll-like receptors (TLRs). Objective In this study, the genotype frequencies of TLR2 and TLR6 in smoking and nonsmoking population were examined. Methods Saliva samples were collected from 177 smokers and 126 nonsmokers. The SNPs used were rs3804100 (1350 T/C, Ser450Ser) and rs3804099 (597 T/C, Asn199Asn) for TLR2 and rs3796508 (979 G/A, Val327Met) and rs5743810 (745 T/C, Ser249Pro) for TLR6. Results Results showed that TLR2 rs3804100 has a significant effect in short-term smokers (OR =2.63; P=0.04), and this effect is not observed in long-term smokers (>5 years of smoking). Therefore, this early mutation may be repaired by the DNA repair system. For TLR2 rs3804099, the variation in genotype frequencies between the smokers and control patients was due to a late mutation, and its protective role appears only in long-term smokers (OR =0.40, P=0.018). In TLR6 rs5743810, the TT genotype is significantly higher in smokers than in nonsmokers (OR =6.90). The effect of this SNP is observed in long-term smokers, regardless of the smoking regime per day. Conclusion TLR2 (rs3804100 and rs3804099) and TLR6 (rs5743810) can be used as a potential index in the diagnosis and prevention of more diseases caused by smoking.

Effect of solvent/disinfectant ethanol on the micro-surface structure and properties of multiphase denture base polymers.

AIM OF THE STUDY The aim of this study was to evaluate the effect of solvent/disinfectant ethanol on the surface of denture base polymers. Changes in surface roughness, topography and some nanomechanical properties were assessed by SEM and nanoindentation plotted against different concentrations of ethanol on heat cured and autopolymerized polymetyl methacrylate based acrylic denture base polymers. MATERIALS AND METHODS Test specimens (10×10×3mm(3)) of heat-curing (HC) and auto-polymerizing (AP) acrylic resin were prepared and polished to obtain uniform smoothness which were further grouped into 3 sub-groups HC1, HC2, HC3 and AP1, AP2, AP3 respectively 10 specimens (n) in each group. HC1 and AP1, HC2 and AP2, HC3 and AP3 were treated with 99.9%, 70% and 40% respectively for 30, 60 and 120s followed by analysis of surface roughness (Sa), topographical changes and some nanomechanical properties. RESULTS Both HC and AP resins showed changes in their Sa and nanomechanically measured modulus of elasticity and surface hardness after being treated at different concentrations of ethanol and at different lengths of time. Surface changes were most clearly seen in autopolymerizing denture base polymer, especially at the interface region between the PMMA polymer bead and polymer matrix. There was a correlation (R2=0.83, r=0.91, P<0.001) between the time of treatment by ethanol and thickness of the affected area of denture base polymer. CONCLUSION The present study demonstrated that denture base polymers, especially autopolymerized denture base polymer is prone for surface crazing and dissolving by solvent/disinfectant ethanol. The interphase region between the PMMA polymer bead and the polymer matrix was most affected by the ethanol.