Indian Journal of Public Health Research & Development

D. Malarvizhi ¹, M. Arvind ¹

Affiliations
1 SRM College of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur, Kancheepuram District, Tamilnadu, IN

Abstract

Background: Standing stork test is a balance test which is used to assess the static balance state of an individual. Waist Hip Ratio is the measure of dimensionless ratio of waist circumference to the hip circumference. So this study was done to check how much Waist Hip Ratio plays a major role in standing stork balance test. The aim of the study is to find the correlation of Waist Hip Ratio with standing stork test among the college students.

Methodology: 30 participants of age 18-25 years, SRM college of physiotherapy participants were separated into four groups based on the category of the WHR norms. Each group of participants was asked to perform the standing stork balance test. Three trails were conducted and the mean value was noted. The outcome measures were done by standing stork balance test. The participants with recent fracture in leg, diabetes, any neurological conditions like CVA, vertigo, tinnitus were excluded in this study

Results and Conclusion: The mean values, standard deviation and p values are calculated and tabulated. The p value of Waist Hip Ratio (excellent, good and fair) categories are greater than 0.05 with Standing Stork Balance test. Hence, all the three categories of the Waist Hip Ratio do not correlate with the Standing Stork Balance test.

Keywords

Standing Stork Test, Waist Hip Ratio.

Full Text

     

S. R. Priyanka ¹, M. Arvind ²

Affiliations
1 Post Graduate Student, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IN
2 Professor & Head, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IN

Abstract

Accurate diagnosis and treatment of oral diseases is an essential component of a comprehensive oral care practice. Accurate diagnosis also helps formulate the appropriate treatment plan and helps to avoid further complications from inadequate treatment and to avoid adverse effects from treatment that is not necessary for the particular patient. Obtaining an oral biopsy allows the clinician to diagnose many precancerous conditions and ensure early treatment. Biopsy may be the gold standard for final tissue diagnosis but any invasive procedure comes with its own risks and side effects. When a clinician is faced with a patient with signs and symptoms that are suggestive, but not diagnostic of a disease, he/she has the responsibility to decide between the option to treat empirically or not to treat or to perform further diagnostic tests. This paper aims to review the basic indications and contraindications of performing an oral tissue biopsy and to identify different oral mucosal lesions that may benefit from empirical therapy better than a biopsy in the early stages. Knowledge of these lesions will help the clinician avoid the undesirable outcomes that may be associated with an oral biopsy.

Keywords

Biopsy, Oral Lesions, Decision Analysis, Oral Mucosa, Oral Medicine.

Full Text

     

S. R. Priyanka ¹, M. Arvind ²

Affiliations
1 Post Graduate Student, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IN
2 Professor & Head, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IN

Abstract

Over 15% of the world’s population has some form of disability with 110-190 million people experiencing functional difficulties, which includes people with physical, sensory, intellectual, medical, mental or social impairments. WHO has emphasized the need for oral health care in these patients as they generally have greater levels of oral disease. Poor oral health can complicate the underlying systemic condition and cause deterioration of general health. Dental treatment of people who are medically compromised, disabled or older poses challenges as they might require multiple interventions and are less likely to receive adequate care compared to their apparently normal counterparts. The solution is to have a speciality designed specifically to treat these patients by training professionals in treatment of patients with special needs. Oral Medicine is the speciality concerned with dental and “medical” related disorders of the oro-facial region, including oral manifestations of systemic disease and management of medically complex patients. One of the competencies of an Oral Medicine graduate is the ability to effectively manage patients with medically complex conditions and special needs. Oral Medicine specialists may be considered the best choice for integration with the field of Special Care Dentistry as they have knowledge on medical diseases and their effect on oral health. This paper highlights the need for Special Care Dentistry in the Oral Medicine Curriculum and why Oral physicians are best suited for provision of dental care in this population.

Keywords

Special Care Dentistry, Oral Medicine, Oral Physician, Special Needs, Medically Compromised.

Full Text

     

Priyanka S. R. ¹, M. Arvind ², Priyanka S. R. ²

Affiliations
1 Post Graduate Student, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Chennai, IN
2 Professor & Head, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Chennai, IN

Abstract

Background: Trigeminal neuralgia is chronic, debilitating and painful condition involving the trigeminal nerve and has a major impact on patients’ quality of life. It is characterized by brief attacks of excruciating pain in the area of distribution of one or more branches of the trigeminal nerve. It has an annual incidence of about 4.5 to 12.6 per 100,000 population and has a female predilection. According to studies, it commonly occurs in the older age group and a hallmark of idiopathic trigeminal neuralgia is that it occurs twice as often on the right side of the face. There are various hypotheses proposed to explain this side predilection.

Aim: To evaluate and analyze the side of occurrence, distribution of pain in patients diagnosed with trigeminal neuralgia among patients visiting Saveetha Dental College.

Materials and Method: The retrospective clinical data of 42 patients who reported with a complaint of orofacial pain and diagnosed with trigeminal neuralgia in the department of Oral Medicine and Radiology, Saveetha Dental College from Jan 2016 to Dec 2017 were obtained. The data regarding age of onset, gender, side of nerve involvement, and distribution of pain as retrieved and analyzed.

Results: Trigeminal neuralgia was mostly diagnosed in the 5th and 6th decades of life with a mean age of 55.3 years. Male patients were affected more than female patients but the difference was not comparable. It affected the right side more frequently and the maxillary branch was the most commonly involved.

Conclusion: This study investigated the clinical characteristics of 42 patients diagnosed with trigeminal neuralgia. Further multicentre studies need to be done to investigate the clinical characteristics and imaging studies need to be done along with anatomical studies to investigate causes for nerve entrapment as an etiological agent for trigeminal neuralgia.

Keywords

Trigeminal Neuralgia, Site Predilection, Trigeminal Nerve, Orofacial Pain, Neuropathic Pain.

Full Text

     

Priyanka S. R. ¹, M. Arvind ²

Affiliations
1 Post Graduate Student, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IN
2 Professor & Head, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IN

Abstract

Background: Oral Medicine specialists provide clinical care to patients with a wide variety of chronic diseases affecting the oral and maxillofacial region, oral manifestations of systemic diseases and behavioral disorders and provide general dental care to patients with medically compromised states. It is important to conduct studies that address the strengths and shortcomings of our specialty and the current system of its education and practice in order to yield highly skilled professionals and truly serve the oral health care needs of the public.

Aim & Method: This study aims to describe the current status of Oral Medicine curriculum and practice in India. A survey was designed to assess the current status of oral medicine education and clinical practice. The survey was sent to Oral Medicine Specialists across India to assess their opinion and analyze the benefits and shortcomings of the present system.

Results: 52 respondents completed the survey from various states across India. More than 87% of respondents considered management of oral mucosal diseases, salivary dysfunction, oral manifestations of dermatological diseases, HIV, oral manifestations of systemic disease and facial pain as part of Oral Medicine. Only 27% of respondents reported participating in multidisciplinary clinics for treatment of patients, and 85% of respondents agreed to the need for presence of multidisciplinary clinics. 85% of respondents agreed to the suggestion of developing a curriculum for training in Special Care Dentistry for Oral Medicine postgraduates in India.

Conclusion: Limitations to this survey study include a small sample size. Future efforts at defining the scope of oral medicine practice in India and improvements in training and education can help model future graduates and inspire undergraduates to choose Oral Medicine as a career.

Keywords

Oral Medicine, Survey, Clinical Practice, Oral Medicine Curriculum.

Full Text