Journal of Oral Health and Community Dentistry

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2013 | September-December | Volume 7 | Issue 3

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P Kadagad, P Pinto

Trends in Attitudes Towards Orofacial Cleft by Pregnant Women and Future Need for Cleft Care

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:3] [Pages No:134 - 136]

   DOI: 10.5005/johcd-7-3-134  |  Open Access |  How to cite  | 



To investigate the attitude of pregnant women towards prenatal ultrasound diagnosis of orofacial cleft and its impact on the future needs of cleft treatment.


100 subjects consulting the department of obstetrics and gynecology of KLE PK Hospital and Medical research centre were interviewed using a questionnaire.


Only 3 patients out of 100 patients chose the option of medical termination of pregnancy over continuation of pregnancy on prenatal ultrasound diagnosis of cleft.


Majority of pregnant women chose to continue pregnancy on prenatal ultrasound diagnosis of cleft; hence the implication to scale up the provision of future cleft therapy.



U Sudhakar, JA Sivaranjani, MC Dayan

Interleukin-1 as a Marker of Periodontitis with Oral Carcinoma – A Biochemical Study

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:3] [Pages No:137 - 139]

   DOI: 10.5005/johcd-7-3-137  |  Open Access |  How to cite  | 



This biochemical study aimed at evaluating the level of interleukin-1beta in patients with oral squamous cell carcinoma as a reflection of amount of bone destruction leading to periodontitis in comparison with the normal healthy individuals.


The subjects were grouped under four major categories like chronic periodontits, chronic periodontitis with oral squamous cell carcinoma and squamous cell carcinoma alone and the control. Each group consisted of 10 subjects each. Unstimulated whole saliva was collected from each subject. IL-1 in saliva was measured by enzyme linked immunosorbent assay.


In the present study, IL-1 was significantly more in patients with cancer and periodontitis than patients with only cancer. When compared with the normal subjects IL-1 value was significantly more in subjects with carcinoma (0.016).


This study presents the first evidence of association between level of salivary biomarker interleukin 1 in subjects with periodontitis and in oral squamous cell carcinoma.



TBH McFarland, RB Quiñonez, C Phillips, J Lee, Y Chung

Provision of Preventive Oral Health Services to Infants and Toddlers: North Carolina General Dentists’ Readiness

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:8] [Pages No:140 - 147]

   DOI: 10.5005/johcd-7-3-140  |  Open Access |  How to cite  | 



Stage of readiness can contribute to providers’ clinical behavioral patterns, but little is understood about its impact in dentistry. The purpose of this investigation is to (1) describe the stage of readiness of general dentists in North Carolina (NC) to deliver preventive oral health services to infants and toddlers and (2) assess factors that may be associated with stage of readiness.


Utilizing a survey study design, 1,010 surveys were distributed to NC General Dentists. The outcome variable, stage of readiness, was categorized into three stages: pre-contemplation, contemplation/preparation and action/maintenance. Explanatory variables included comfort, knowledge, and demographic characteristics. Univariate, bivariate, and proportional odds modeling was performed using SAS 9.1. Level of significance was set at p<0.05.


A 40% (N=406) response rate was achieved. Over half (58%, N=235) of providers reported delivering preventive services to infants and toddlers, 12% (N=48) were considering delivering these services, and 30% (N=119) reported no involvement with this age group. Comfort was significantly associated with general dentists’ stage of readiness. As practitioners’ comfort increased, the likelihood of practitioners performing these services (action stage) was 3.4 (2.1, 5.5; p<.0001) and 5.8 (3.9, 8.6, 8.25; p<.0001) times greater when compared to those contemplating and those not willing to perform these services, respectively. Increased comfort also increased the likelihood that practitioners would consider providing these services, versus those who were not considering it (1.7 [1.0, 2.7] p=0.03).


Strategies to increase general practitioners’ comfort levels could positively affect the likelihood of providing care to infants and toddlers.



M Abu-Hussein, Abdulgani Azz, M Bajali

Autotransplantation of Tooth in Children with Mixed Dentition

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:5] [Pages No:148 - 152]

   DOI: 10.5005/johcd-7-3-148  |  Open Access |  How to cite  | 


Autotransplantation of tooth in children is the surgical movement of a tooth from one place in the mouth to another in the similar individual. Once thought to be uncertain, Autotransplantation has achieved high success rates and is an outstanding option for tooth replacement in children. Although the indications for autotransplantation are narrow, careful patient assortment coupled with a suitable method can lead to exceptional esthetic and useful results. One benefit of this procedure is that placement of an implant-supported prosthesis or other form of prosthetic tooth replacement is not needed. A review of the recommended surgical technique as well as success rates is also discussed.



S Agarwal, R Gupta, V Mehrotra, A Sawhny, I Gupta, K Garg

Cultural, Religious, Social and Personal Customs “A Boon or Bane” For Oral and General Health

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:8] [Pages No:153 - 160]

   DOI: 10.5005/johcd-7-3-153  |  Open Access |  How to cite  | 


Professional dental care is increasingly conducted in multicultural environments. This article not only highlights disparities in oral and general health but also highlights the importance of cultural, religious, social, personal habits and practices and their effect on oral and general health and the need to adopt more holistic approaches to oral health promotion. Cultural beliefs, values and practices are often implicated as causes of oral health disparities, yet little is known about the breadth or adequacy of literature about cultural issues that could support these assertions.



S Saxena, M Kaur, YP Samantha, G Chawla, G Yadav

Usefulness of Oral Exfoliative Cytology in Dental Practice

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:5] [Pages No:161 - 165]

   DOI: 10.5005/johcd-7-3-161  |  Open Access |  How to cite  | 


Early detection of oral cancers is not easy, because oral precancerous lesions and early oral cancers can mimic many benign conditions in the mouth, leading to delays in diagnosis and treatment. There is a need to emphasize the early diagnosis of oral cancers in order to reduce the unacceptably high morbidity and mortality. Oral exfoliative cytology can be a powerful tool for early detection of malignant and premalignant lesions as well as for some viral and fungal infections. The use of oral exfoliative cytology in clinical practice declined due to the subjective nature of its interpretation and because there may be only a small number of abnormal cells identifiable in a smear. The more recent application of quantitative techniques, together with advances in immunocytochemistry, has refined the potential role of cytology, stimulating a reappraisal of its value in the diagnosis of oral cancer. The limitations of the method should be thoroughly understood and appreciated by the dental clinician. The aim of the publication is to encourage maximum participation of dental professional in early detection and control of oral cancer by means of early diagnosis through use of cytological smear.



V Madhumathi, R Swamy

Xerostomia and its Dental Implications: A Review

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:4] [Pages No:166 - 169]

   DOI: 10.5005/johcd-7-3-166  |  Open Access |  How to cite  | 


Xerostomia is a relatively common complaint often related to the use of certain pharmacological agents. Knowledge about xerostomia, its effect on oral health among the aged population and provision of modified dental care for these patients are the objectives of this review. Further explaining the methods to improve the comfort and oral function of dentate and edentate patients with dry mouth.



A Chaudhary, NA Ingle, N Kaur, K Dhankar

Geriatric Dentistry: A Review

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:4] [Pages No:170 - 173]

   DOI: 10.5005/johcd-7-3-170  |  Open Access |  How to cite  | 


Education in geriatric medicine is in its infancy in India and geriatric dentistry is nonexistent. Poor oral health is linked to serious systemic diseases such as cardiovascular diseases and stroke. Edentulousness and paucity of prosthodontic rehabilitation prevent the elderly from choosing food that they like and deny them the pleasure of eating, which is essential for a feeling of wellbeing. Oral mucosal diseases and lesions are common in elderly people. Many older adults have pigmented and benign soft-tissue and hard-tissue conditions. Lichenoid mucosal lesions can also be caused by a variety of medications commonly prescribed in older patients. The prevalence of leukoplakia and lichen planus in older people ranges from 1.0 to 4.8% and 1.1 to 6.6%, respectively. Fifty percent of zoster patients over 60 years of age will develop postherpetic neuralgia that may persist for months or even years. Root surface caries result from an age-related condition that develops on cementum following gingival recession or as an extension of existing coronal caries onto the root surface coronal caries are also quite prevalent among older persons. A recent survey of 65-74-year-old in Madagascar observed that the mean number of DMFT was 20.2. In China, second national oral health survey revealed that the mean number of decayed and filled teeth was 2.5 at old age, and study in India confirmed this figure observed in China, the mean number of decayed teeth being 2.5. Denture stomatitis is a common oral mucosal lesion of clinical importance in old-age populations. The prevalence rate of stomatitis is reported within the range of 11-67% in complete denture wearers. Other major denture-related lesions include denture hyperplasia and traumatic ulcer; their prevalence rates in old-age denture wearers range from 4 to 26%.



R Singhal, S Rozra, A Bhagol

Idiopathic Gingival Fibromatosis: Review of Literature and A Case Report

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:4] [Pages No:174 - 177]

   DOI: 10.5005/johcd-7-3-174  |  Open Access |  How to cite  | 


Idiopathic Gingival Fibromatosis (IGF) is a rare condition of gingival enlargement that is characterized by gingival enlargement of normal colour and firm consistency that is non-haemorrhagic and asymptomatic. The purpose of this article is to report a case of 6-year old male child and review the literature related to IGF.



G Kayalvizhi, T Tayab

Labially Positioned Rudimentary Mesiodens – A Case Report

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:3] [Pages No:178 - 180]

   DOI: 10.5005/johcd-7-3-178  |  Open Access |  How to cite  | 


This is a case report that describes a labially positioned rudimentary mesiodens in between the fully erupted maxillary central incisors in a 10-year-old girl. It was partially erupted in the oral cavity, without causing malocclusion or displacement of adjacent teeth. The clinical and radiographic appearance and therapeutic considerations are presented. The diverse modes of presentation of this common dental anomaly are described in this case report to alert the clinician.



A Agarwal, P Gupta, M Goel, N Jindal, J Batra

Management of Anterior Maxillary Odontomes Secondary to Impacted Maxillary Central Incisor

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:3] [Pages No:181 - 183]

   DOI: 10.5005/johcd-7-3-181  |  Open Access |  How to cite  | 


Odontomes arise as a result of an aberration in the tissues responsible for the formation of teeth. Though regarded as tumors or hamartomas in the past they are now usually regarded as variations in development of malformations. A 15 yr old female patient with complaint of swelling and mobility of upper anterior teeth diagnosed as complex Odontomes of anterior maxilla managed with enucleation. Odontomes are diagnosed in the second decade of life and are commonly associated with delayed eruption and displacement of related permanent teeth which is sometimes accompanied by retention of deciduous teeth and swelling. The treatment of the Odontomes is surgical removal and there is no expectancy of recurrence. Since both the ameloblastic odontoma and the ameloblastic fibro-odontoma bear great resemblance to the common Odontomes, particularly on the radiographs it is suggested that all Odontomes be sent for histopathological examination.



V Madhumathi, AK Gujjari, MB Ravi, Ganesh

Prosthetic Rehabilitation for Patients with Maxillectomy – A Case Report

[Year:2013] [Month:September-December] [Volume:7] [Number:3] [Pages:3] [Pages No:184 - 186]

   DOI: 10.5005/johcd-7-3-184  |  Open Access |  How to cite  | 


Fabrication of obturator for maxillectomy patient is not a easy task due to lack of anatomic structures required for support, retention and stability of the prosthesis. This clinical report describes the Prosthodontic management of patient operated for tumour. The technique described in this article to fabricate the hollow obturator is a variation of other well-known techniques, it can be fabricated in single day with very simple and easily available materials even in a very small dental setup like public health center or a satellite clinic.


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