Background: In recent years, there has been a growing appreciation of the issues of career preference in dentistry. But there is a little knowledge about the future aspirations and career perspective among dental students pursuing graduation. Objectives: This study was carried out to investigate the career preferences of students in dental colleges of Haryana and to determine the factors that might influence their career decisions. Methods: This cross sectional observational study was conducted among 644 students from 6 dental colleges in Haryana. Participants were chosen randomly after obtaining permission from the administration of the respective colleges. A close-ended questionnaire was administered and the data was analyzed using SPSS version 19.0. Results: Out of total subjects, 76.40% were willing to opt for a master's degree in the field of dentistry. Oral surgery was the most preferred choice (35.77%) and paedodontics was the subject of least preference (0.81%). Personal interest in the subject was the most common reason associated with the choice of speciality. The reason least chosen as a factor for determining the future specialization choice was easiness of the subject. Conclusions: Our study revealed that the most preferred speciality was oral surgery followed by orthodontics and endodontics. A variety of factors appear to inspire dental students to choose a dental speciality. Further research work needs to be done to find out the changing nature of perceptions regarding future specializations and unidentified factors impact on graduates\' career preferences in the field of dentistry.
Hemangiomas are relatively common benign proliferative lesion of vascular tissue origin. They are considered to be benign tumors of infancy characterized by a rapid growth phase with endothelial cell proliferation, followed by gradual involution. It is more common in females when compared to males. In this case report we present a case of Lobular capillary hemangioma in the right buccal mucosa in a 39 year old female.
Schwannomas are uncommon neurogenic tumors that are typically benign, slow growing, and asymptomatic. The preoperative imaging provides us valuable information on location and origin of the tumor aiding in near accurate preoperative diagnosis. In rare cases such as schwannoma, it is critical to determine the origin of the tumor to preserve nerve function which is done with the help of the Magnetic resonance imaging modality.
Idiopathic Thrombocytopenic Purpura (ITP) being a hematologic disorder is characterized by reduced count of circulating platelets. The clinical presentation of ITP manifest with petechiae, purpura, gingival bleeding and other manifestations which include Gatrointestinal bleeding, petechial spots over the skin and intracranial hemorrhage in fatal conditions. These may be acute or chronic bleeding with mild to severe symptoms. As a dental professional one must aim at arresting the bleeding from oral cavity and to proceed with further treatment along with physician. Delaying the diagnosis may worsen the condition of ITP. We present a case report on ITP and an update on treatment modalities of ITP.
Peripheral Cement- Ossifying Fibroma [PCOF] is a reactive gingival growth mostly occurring in the anterior region of the maxilla, predominantly seen in teenagers and young adults. Here we report a case of PCOF in a 42 years old female patient presents with the history of asymptomatic gingival growth in right maxillary premolar region over a period of 6 months. Histopathological examination was suggestive of Peripheral cement- ossifying fibroma which exhibits the presence of cellular connective tissue stroma with focal calcifications. To prevent recurrence an early diagnosis and surgical excision is required.
The term Odontoma was coined by Paul Broca in 1869, who defined it as a tumor formed by overgrowth of complete dental tissue. Odontomas constitute about 22% of the odontogenic tumours of the jaws. Here we report 2 cases in the age range of 9-12 years visited our OPD with the chief complaint of missing teeth. Routine clinical, radiographic and histopathological examination revealed the presence of compound odontoma which was removed surgically. Being a benign odontogenic neoplasm early diagnosis of odontomas ensure better prognosis.
A. Santha Devy,
Satheesh Kumar. K
Lipomas are benign tumors consisting entirely of mature fat cells (adipocytes) and they can occur anywhere in body among which intraoral lipoma comprises only 0.1% to 4.5% of all benign tumors. It is most frequently tend to occur in major salivary glands (especially the parotid gland) followed by the buccal mucosa, lip, tongue, palate, floor of the mouth, and gingiva. Lipomas are usually asymptomatic, slow growing round to ovoid mass with soft consistency. Large sized intra oral lipomas may cause discomfort, difficulty in chewing, dysphagia and dyspnea. The objective of this paper is to present a case of oral lipoma in the buccal mucosa in a 38 years old male patient.
Low flow venous malformations are characteristic lesions with unique presenting features. The most common sites of occurrence are the cheek and the ear in the midface region. Most centres recommend sclerotherapy as the first line of treatment for low flow vascular malformations. We report a case of low flow vascular malformation in the buccal mucosa treated successfully by wide excision and reconstructed with buccal pad of fat. Case report: A 26 year old patient reported to our hospital with a painless swelling in the buccal mucosa. Under IV sedation patient underwent angiography via the femoral artery which showed no abnormal feeding vessels or draining veins. The lesion was treated by wide excision including the surrounding nidi, which was followed by reconstruction with buccal fat pad under general anaesthesia. The patient was followed up regularly and there was good take at recipient site and also there was no evidence of recurrence. Conclusion: Low flow venous malformations can be managed by surgical excision alone if there is no feeder vessel or very minimal uptake of the dye by a feeder vessel with the combined effects of a surgeon and vascular radiologist.
Satheesh Kumar. K,
Oral squamous papilloma refers to the benign proliferation of stratified squamous epithelium, which exhibits a papillary or verrucous exophytic growth on the surface and is composed of benign epithelium and small amount of connective tissue core that is supportive. It is caused by Human Papillomavirus (HPV) types 6 and 11 (HPV 6 and HPV 11) which contain double stranded DNA. 4 in 1000 persons exhibit oral squamous papilloma and is seen in the age group of 30-50 years with equal sex incidence. It is commonly found on the tongue, hard and soft palate, gingival, buccal, labial or lingual mucosa and sometimes area near to the uvula. Clinically, this lesion presents as an exophytic growth with a verrucous, roughened or cauliflower or wart-like surface and is often a solitary lesion. Histologically, it is a benign proliferative exophytic or verrucous growth lined by stratified squamous epithelium with acanthosis and well ordered stratification. Treatment is conservative surgical excision or use of keratinolytic agents.
Pulpal necrosis is a relatively common sequel following dental trauma which arrests the further root development in an immature permanent tooth resulting in wide open apices. The immature root with a necrotic pulp and apical periodontitis presents multiple challenges to successful treatment. Various treatment modalities for management such teeth include calcium hydroxide apexification, MTA apexification, and endodontic surgeries. Apexification using calcium hydroxide although shown some success but it is less popular nowadays due to limitations like multiple visits, formation of porous barrier. Mineral trioxide aggregate (MTA) apexification is a commonly used treatment option for management of immature non-vital teeth. However, it doesnot strengthen the remaining root structure and the tooth remains fracture prone and non-vital. Regenerative endodontic procedures are designed to replace damaged structures, including dentin and root structures, as well as cells of the pulp-dentin complex. Thickening of root dentin and reestablished tooth vitality are the significant outcome with revascularization which cannot be achieved with apexification procedure. Considering the advantages, if the proper case selection protocol is followed revascularization can be used as an alternative to apexification for management of immature non-vital teeth.