While the global literature on the need for promoting professionalism amongst health care personnel has accumulated extensively, there is a need to adopt a multi-pronged approach in which the faculty, regulating agencies and civil society join together in this endeavor. The institutes should admit right type of students and recruit right faculty who can serve as role model of professional behavior. Further, they should set clear expectations, provide both formal and “hidden curriculum” with emphasis on community service. Role modeling, mentoring, feedback and reflective practice should be emphasized throughout the course. The assessment strategy should be geared to collect multiple evidences through portfolio approach. Reforms are also called for in the legal and legislative mechanisms. Finally the civil society has a role to foster a culture of professionalism at all levels. Individual professional development can be aided by life style modification by techniques such as practice of Yoga.
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Babu E, R S, G K, V R. Validity of Demirjian and Cameriere Methods for Dental Age Estimation of Children aged 9 – 13 years in and around Puducherry– A Comparative Study. 2016; 6 (2):17-22.
Background: Several methods relying on dental calcification of the teeth, up to the second molar, are used for evaluation of age in childhood. The objective of this research was to evaluate the reliability and validity of Demirjian's and Cameriere's radiographic methods of dental age estimation in Puducherry population aged between 9 and 13 years. Aim: The purpose of this study was to evaluate the accuracy of Demirjian and Cameriere methods for dental age estimation in order to obtain a more reliable and reproducible age estimation method as an aid in forensic odontology. Settings and Design: The sample was comprised of 200 digital OPG of children in and around Puducherry (90 female and 110 male) aged 9 to 13 years. Method: Demirjian & Cameriere method, both are assessed by the dental maturity of seven left mandibular teeth. The mean age error and absolute age error for both the methods were calculated and the difference between the estimated dental age and chronological age were compared with the paired t–test. Results: The Demirjian method tends to overestimate (1.10 years) the chronological age of participants and Cameriere method underestimated (-0.31 years) the chronological age. On gender comparison, boys and girls showed overestimation by 0.99 years and 1.22 years for Demirjian methods respectively, while underestimation by -0.30 years and -0.33 years for boys and girls respectively was observed with Cameriere method. Conclusions: Cameriere method of dental age estimation is more accurate than Demirjian method for estimating the age among 9 – 13 year old in Puducherry population.
Kuldeep Singh Shekhawat,
Background: Replacement of missing teeth is important since it restores the functional and/or esthetics component. Among the options, patient's attitude generally plays an important role in selecting the type of prosthesis. Aim and Objectives: To highlight the factors determining the attitude of patients for replacement of missing teeth reporting to a dental college in Puducherry, India. Materials and Methods: A ten-item, closed-ended questionnaire was used to record the responses of 50 patients followed by a clinical examination Existing and missing teeth were charted by a single trained investigator. Collected data were analyzed using chi-square test at a significance level of 0.05. Result: The age of the subjects ranged from 25 years to 67 years with more subjects in range of 25 – 44 years. Among the study subjects 64 percent of the subjects belonged to class II [upper middle] socioeconomic status; 46 percent reported missing posterior teeth; 36 percent cited lack of knowledge and 24 percent reported that financial constraints were the main reasons for not replacing their missing teeth. Dental caries and periodontal diseases were found to be the most common cause for tooth loss. Subjects with different levels of socioeconomic status reported different reasons for not replacing extracted teeth, and these differences were not statistically significant (x2=9.27, p>0.05, NS). Conclusion: The findings indicate that awareness needs to be improved on the importance of both functional and esthetic aspects of teeth, since more importance was given to functional rather than esthetics component.
Background: Mucocele is the second most common benign soft tissue tumour occurring in the oral cavity. Clinically, a mucocele is characterized by an increase in volume, with a bubble-like shape that contains saliva, and is similarly colored to that of the normal mucosa or it may present blue coloration, depending on whether it is deep or superficial, respectively. A mucous cyst is common and harmless. However, if left untreated, it can organize and form a permanent bump on the inner surface of the lip. Literature contains a number of studies that confirm a traumatic etiology. This case report represents the treatment of a 22 year old male patient with a relapsing mucocele on the right side of the lower lip by diode laser as an alternative to conventional surgical technique due to its various advantages and also good patient acceptance.
Hemangiomas are benign tumors composed of blood vessels. Capillary hemangiomas are developmental hamartomatous lesions of the vascular tissue, which are common in infancy and adolescents. Head and neck are the most prevalent sites for origin of hemangiomas, but are rarely observed in the oral cavity. This paper presents a rare case report of capillary hemangioma on the palate of a pregnant patient, which was managed by laser therapy with satisfactory uneventful healing. The characteristic clinical and histo.pathologic features of vascular tumors and malformations, especially capillary hemangiomas are discussed.
Eldhose K George,
Odontoma is a hamartomatous lesion of odontogenic origin involving both epithelial and mesenchymal tissues. Odontomas constitute about 22% of all odontogenic tumors of the jaws. They are usually asymptomatic but sometimes may interfere with the eruption of the associated tooth, leading to impaction or delayed eruption. This paper reports a case of management of the radiopaque mass which was associated with the impacted left maxillary canine. The radiopaque mass was surgically removed and confirmed as Compound Odontoma histopathologiocally.
Unicystic ameloblastoma (UA) is a less frequently encountered variant of intraosseous ameloblatoma. UA shows clinical and radiological characteristics of an odontogenic cyst but on histological examination a typical ameloblastomatous epithelium lining a part of cyst is evident. A high percentage of these lesions are associated with impacted teeth. Hence dentigerous cyst (DC) is the most common cited provisional diagnosis. An eight year old patient presented with 4-5cm dome shaped swelling in relation to maxillary right region. Radiographically a unilocular radiolucency extending from right canine to molar was noted. On incsional biopsy superficial sections showed histopathological picture of infected odontogenic cyst. However on excisional biopsy, comprehensive sampling, and deeper sections characteristic ameloblastic epithelium was noted, establishing the diagnosis of intraluminal and intramural UA It is essential to differentiate between DC and UA since both the entities call a differing treatment plan. Herein we present a case report of UA and highlighting the role of comprehensive sampling and deeper sectioning in diagnosis of UA.
The periodontium and periodontal disease activity can be affected by systemic drug therapy. Immunosuppressant drugs are one among such category. These drugs in common, influences the response of gingival and periodontal tissues to bacterial plaque. An extremely effective and most commonly used immunosuppressant drug for organ transplant procedures is cyclosporine A. The drug is also associated with various untoward effects, including gingival overgrowth. Corticosteroids are another major drug category, which may either exert its action as an immunosuppressant or as an anti-inflammatory agent. This review considers the pharmacokinetics, pharmacodynamics, and unwanted effects of immunosuppressants, on the gingival tissues.
Accurate diagnosis, reduction or elimination of causative agents and risk management forms the basis for the prevention and/or treatment of periodontal disease. Thus it becomes logical to differentiate between risk and diagnosis, as both are vastly different entities. Risk predicts the disease status at some future point in time, including the rate at which an existing disease condition is likely to progress. Diagnosis, by contrast, is an expression of a current disease status. AAP World Workshop 1996, states that “Assessment of risk is an integral part of diagnosing and treating periodontal disease”. This article reviews some of the periodontal risk assessment tools including the recent advances for the same.
The term yoga originates from Sanskrit which denotes “to join” or “to unite”, and term salutogenesis originates from latin and greek meaning health and origin respectively . Though the origin of both differs, their concept towards health application is the same. Early vedic literature on yoga reveals it was a way of meditation practiced by ancient Indian saints to control body and mind activities. Aaron Antonovsky a medical sociologist belonging to late 20th century, felt that human well being is related to stress free lifestyle and adapting to life as it comes and he proposed model namely salutogenic model which deals with abovementioned factors. Stress and lifestyle modifications which offflate are the predisposing factors for deadly non communicable diseases have to maneuvered to save the future generation. Hence, management for human well being could be handled by yoga through salutogenic approach since both are considered to be the medical model rather than surgical model of treating disease, wherein the disease is managed taking into considerations of health status, physical and mental condition of a person to achieve well being.
Occlusal discrepancy after direct restorations, even if it is minor, leads to discomfort to the patients, since proprioceptors of stomatognatic system react sensibly under pressure. Eventually patients compensate by adapting to new habitual occlusal position, which causes serious long term craniomandibular disturbances. A stamp technique is proposed which is an easy-to-follow procedure to recreate accurate occlusal topography for a direct composite resin restoration effectively and efficiently.