A Novel Gum Paint Formulation Derived From Licorice and Triphala: Characteristics and Clinical Significance for Improved Oral Health.

BACKGROUND: The clinical use of antimicrobial agents for managing aphthous ulcers and periodontal diseases has long been a subject of intensive research by numerous investigators. As concerns over the side effects and antibiotic resistance associated with conventional therapies persist, there has been a concerted effort to explore alternative medicinal approaches. In line with this objective, our study introduces a novel herbal gum paint designed specifically to address the therapeutic needs of individuals suffering from oral ulcers and periodontal diseases. MATERIALS AND METHODS: The herbal formulation utilized in our study was prepared using extracts derived from Licorice (Glycyrrhiza glabra) and Triphala, a combination of three fruits: Emblica officinalis, Terminalia chebula, and Terminalia belerica. These ingredients were selected based on their documented medicinal properties. The preparation process involved extraction and formulation techniques optimized for maximum efficacy. Antimicrobial activity was assessed using the bacterial culture method, where the formulation's ability to inhibit the growth of specific bacterial strains relevant to oral health was tested. Meanwhile, cytotoxicity was evaluated using the Brine Shrimp Assay method. Statistical analysis was conducted using a one-way analysis of variance (ANOVA) and Tukey post hoc test to validate the significance of our findings with statistical significance set at p<0.05. RESULTS: The formulation exhibited significant activity against microbes when compared to the control. The cytotoxic activity was present at a concentration of 60 and 80µL, which indicated safe usage within specified concentration ranges, highlighting its potential for clinical application without adverse effects on biological systems. Statistically significant differences were obtained between the antimicrobial activity of the formulated gum paint and the commercial gum paint against Candida albicans species at 25 µL and 80 µL (p=0.00). CONCLUSION: The study underscores the promising therapeutic potential of the herbal gum paint developed in this research. By harnessing the natural antimicrobial and anti-inflammatory properties of Licorice and Triphala, the formulated gum paint showed efficacy against C. albicans. These findings contribute to the growing body of evidence supporting the integration of herbal remedies into mainstream oral healthcare practices. Future investigations could further elucidate the mechanisms underlying its therapeutic actions and explore its broader clinical applications in diverse patient populations.

Phytochemical Targeting of Nerve Growth Factor by Thymoquinone and Cuscutin: A Molecular Dynamics Simulation Study.

Background Nerve growth factor (NGF) is a novel target of pain therapeutics for oral cancer, and it plays a main role in the nociception of chronic pain. Surgery, along with chemotherapy or radiotherapy, is the gold standard for treating patients, but the side effects are significant as well. Newer effective interventions with natural phytochemicals could improve patient compliance and enhance the quality of life among patients with oral cancer. A literature search revealed a positive correlation between NGF and oral cancer pain. Nigella sativa (N. sativa) and Cuscuta reflexa (C. reflexa) have proven anticancer effects, but their activity with NGF is unexplored. Aims and objectives We aimed to identify the potential phytochemicals in N. sativa and C. reflexa. We also checked the NGF-blocking activity of the phytochemicals. Molecular docking and molecular dynamic (MD) simulations evaluated the binding energy and stability between the NGF protein and selected phytochemical ligands. Materials and methods We obtained protein NGF structure from UniProt (ID: 4EDX, P01138, Beta-nerve growth factor), ligand (thymoquinone) structure using PubChem ID: 10281, and ligand (cuscutin) structure using PubChem ID: 66065. Maestro protein (Schrödinger Inc., Mannheim, Germany) was used for molecular docking. Desmond Simulation Package (Schrödinger Inc., Mannheim, Germany) was used to model MD for 100 nanoseconds (ns). We have assessed the interaction between the protein and ligands by root mean square deviation (RMSD) values.  Results The interaction of thymoquinone and cuscutin with NGF was assessed. While interacting with thymoquinone, there was mild fluctuation from 0.6 Å to 2.5 Å up to 80 ns and ended up at 4.8 Å up to 100 ns. While interacting with cuscutin, mild fluctuation was seen from 0.8 Å to 4.8 Å till 90 ns and ended at 6.4 Å up to 100 ns. We found a stable interaction between our drug combination and the NGF receptor. Conclusion We have identified a stable interaction between thymoquinone, cuscutin, and NGF by our MD simulations. Hence, it could be used as an NGF inhibitor for pain relief and to control tumor progression. Further in vitro and in vivo evaluations of this novel drug combination with phytochemicals will help us understand their biological activities and potential clinical applications in oral cancer therapeutics.

Gender Determination Through Mandibular Features on Orthopantomograms: A Preliminary Study.

Introduction Determination of gender can be highly accurate with a complete adult skeleton, but in scenarios like mass disasters, only fragmented bones might be available. In such cases, identifying gender relies significantly on which parts of the skeleton are found. The mandible is a notably distinct bone in the skull and can be key in determining gender, especially when the entire skull is not available. The mandibular features provide clues that can help forensic experts determine the gender of an individual. Aim of the study This preliminary study aimed to determine the gender of an individual using mandibular parameters such as coronoid ramus height, condylar ramus height, projective ramus, minimum ramus breadth, and maximum ramus breadth. The objectives of this study were to (i) determine the gender of an individual using various mandibular parameters, (ii) evaluate the effectiveness of these mandibular parameters in distinguishing between male and female individuals, and (iii) establish a reliable method for gender identification based on the measured mandibular parameters. Materials and methods Since it was a preliminary study, the sample size calculation was done using G*Power software (Version 3.1.9.4; Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany). The sample size was determined to guarantee a 95% statistical power at a significance level (alpha error probability) of 0.05. To ensure sufficient statistical power, a total of 100 samples were included, with a projected sample size of 92. A total of 100 samples, evenly split between 50 males and 50 females aged 20 to 30 years, were analyzed. Orthopantomograms (OPGs) showing pathologies, fractures, developmental disturbances of the mandible, and edentulous mandibles were excluded from the study. Statistical analysis was performed using SPSS for Windows, Version 16.0 (Released 2007; SPSS Inc., Chicago, IL, USA). Additionally, an accuracy test, analysis of variance (ANOVA), multiple regression, and discriminant analysis for gender were performed on individual data. Results In this study, five mandibular parameters were analyzed for gender such as coronoid ramus height, condylar ramus height, projective ramus, minimum ramus breadth, and maximum ramus breadth showed a positive correlation comparatively, and a novel formula was developed.  Conclusion According to the present study, panoramic radiography can be considered a valuable tool in sex determination (with an accuracy of 90%), and all parameters of the mandible exhibited sexual dimorphism, showing they are reliable parameters with a total accuracy of 90%. However, coronoid ramus height, projective ramus, and maximum ramus breadth played a significant role in identifying gender in this particular study.

Molecular expression of Forkhead Box C2 gene (FOXC2) and Prospero homeobox gene (PROX-1) in oral squamous carcinoma and their correlation with clinicopathological parameters: A prospective cohort study.

Background: Forkhead box C2 gene (FOXC2) acts as an epithelial-mesenchymal transition (EMT) inducer while Prospero homeobox 1 gene (PROX-1) function as a regulator of lymphangiogenesis and angiogenesis in oral squamous cell carcinoma (OSCC). It is presumed that PROX-1 has both tumour-suppressive and oncogenic effects. The main aim of this study is to evaluate the role of PROX-1 and FOXC2 in the invasion and progression of OSCC cases and to correlate their expression with various histopathological parameters. Materials and Methods: A prospective cohort study was conducted in a total sample size of 52 OSCC tissues and histologically tumour-free margins of 20. mRNA expression and protein levels of FOXC2 and PROX-1 were evaluated using real-time PCR and sandwich enzyme-linked immunosorbent assay techniques. Chi-square analysis and correlation analysis were done. Kaplan-Meier analysis evaluated the survival rate. Results: Mean Ct values of FOXC2 were 1.915 ± 0.519 and PROX-1 was 0.061 ± 0.173. There was a significant 2-fold increase in the FOXC2 expression and a 0.5-fold decrease in the PROX-1 expression in OSCC tissue. Increased levels of FOXC2 protein and decreased levels of PROX-1 with a mean difference of 1.64 ± 0.73 ng/ml and 1.27 ± 0.33 ng/ml were observed in OSCC compared to histologically tumour-free margins. A significant positive correlation was found between the FOXC2 expression and clinicopathological parameters such as staging, perineural invasion (PNI) and lymphovascular invasion (LVI) whereas PROX-1 showed a significant negative correlation with histopathological parameters such as staging, PNI, LVI and tumour staging. There was a significant positive correlation between the PROX-1 and histologically tumour-free margins in disease-free survival patients (P-value = 0.03). Conclusion: FOXC2 and PROX-1 expressions were correlated with lymphovascular invasion, OSCC tumour staging and PNI. Thus, FOXC2 and PROX-1 could be possible therapeutic targets in the treatment of OSCC that can inhibit the EMT in OSCC and thereby favouring a better prognosis.

Assessment of Turnaround Time (TAT) for Oral Squamous Cell Carcinoma Biopsies: A Single-Institution Experience.

BACKGROUND: Oral squamous cell carcinoma (OSCC) is one of the most common cancers worldwide. A delay in the diagnosis of OSCC can have a drastic impact on management and patient outcomes. One of the most crucial elements in oral management is the timely histopathological final diagnosis. Turnaround time (TAT) is regarded as the most important component of the quality performance evaluation. Many labs have struggled to improve their TATs despite advancements in computerization, transport systems, and analytical technologies.  Aim: This study aimed to assess the TAT of OSCC cases, assess the mean TAT period, evaluate any TAT delays, and explore the reasons behind the TAT delays.  Materials and methods: OSCC reports in Saveetha Dental College and Hospitals, Chennai, for one year from January 1, 2022, to December 31, 2022, were retrieved from the Dental Information Archival Software (DIAS), and the mean TAT was noted. Further, the number of cases with delay in TAT was also observed, and the reason for their delay was listed. Descriptive statistics and graphical representation were performed utilizing IBM SPSS Statistics for Windows, V. 23.0 (IBM Corp., Armonk, NY, USA). One-way ANOVA was performed with a significance set at a p-value less than 0.05. RESULTS: 230 OSCC cases were retrieved and included in the TAT evaluation for this study. Among 230 cases, 161 (70%) were incisional and 69 (30%) were excisional biopsies. Only seven (4%) incisional cases and seven (10%) excisional biopsies showed a delay in TAT. The most common reason for the delay in TAT was the requirement for deeper sections and decalcification of bone specimens. Out of 161 incisional cases, only 48 (29%) have undergone excision and further treatment. Twenty-one out of 69 (30%) excisional cases were found to be referral cases from other private institutions. The overall average TAT for 12 months was 3.24 ± 0.41 days for incisional biopsies and 11.88 ± 2.07 days for excisional biopsies. One-way ANOVA revealed a statistically significant p-value of less than 0.00001. CONCLUSION: Our study sheds light on specific challenges in TAT delay and opportunities for the improvement of TAT. This can result in faster TAT of OSCC reports, further improve patient care, and enable prompt treatment. This study quantified the TAT for OSCC cases and identified critical areas for process improvement. The findings can inform strategies to streamline diagnostic workflows, reduce delays, and ultimately improve the timely delivery of care to patients with OSCC.

Biomedical Applications of Lauric Acid: A Narrative Review.

Lauric acid, a major component of coconut oil, has been studied for its various health benefits over the years. Lauric acid is a medium-chained fatty acid with several potential biomedical applications based on its antimicrobial action, capacity for drug delivery, tissue engineering scaffolds, and cleansing capabilities. Various studies are carried out in vitro and in vivo using experimental animals, such as rats, shedding light on the efficacy of lauric acid. The studies related to lauric acid were brought under one umbrella and emphasized the need for further research to explore the efficacy of lauric acid in human health. This review aims to scientifically assess the reported data and present a narrative review on lauric acid in medicine.

Efficacy of a Novel Nanohydrogel Formulation Containing Dopamine, Chitosan Nanoparticles, and Tridax procumbens Extract for Enhanced Wound Healing in Human Gingival Fibroblast Cells: An In Vitro Study.

Background Natural compounds and biomaterials, such as nanohydrogels, have gained interest due to their biocompatibility and tissue regeneration potential. A novel nanohydrogel was prepared by employing Tridax procumbens, a traditional plant with anti-inflammatory properties and chitosan nanoparticles and a natural bioadhesive with potent antimicrobial and antioxidant effects and dopamine, which has been shown to regulate angiogenesis and influence cell growth. The objective of this study was to examine how human gingival fibroblast (HGF) cells respond to a nanohydrogel formulation containing dopamine, chitosan nanoparticles, and T. procumbens extract in terms of cell viability and cell migration. Methods From human gingival tissue, fibroblasts were cultured. A nanohydrogel formulation was prepared by combining dopamine, chitosan nanoparticles, and T. procumbens extract. Three groups were evaluated: Group 1 (nanohydrogel containing dopamine, chitosan nanoparticles, and T. procumbens extract (DnCTP)), Group 2 (chitosan nanoparticles and T. procumbens extract (nCTP)), and Group 3(T. procumbens extract (TP)). The MTT assay was used to measure the percentage of cell viability and a scratch assay to observe cell migration in the wounded area at different concentrations. The data were tabulated in Microsoft Excel (Microsoft Corporation, USA) and imported to IBM SPSS Statistics for Windows, version 23.0 (released 2015, IBM Corp., Armonk, NY), and the Mann-Whitney U test was conducted to statistically analyze the cell viability for different concentrations within the three groups. Results The nanohydrogel formulation (DnCTP) showed dose-dependent effects on cell viability with the highest cell viability at 40 µL/mL concentration, and higher concentrations of 80 µL/mL exhibited cytotoxic effects. nCTP and TP showed decreased cell viability at 80 µL/mL concentration (p < 0.05), indicating potential cytotoxicity at higher concentrations. DnCTP showed improved cell migration in the scratch assay as compared to other groups (nCTP and TP), indicating its potential for facilitating wound healing. Conclusion Dopamine, chitosan nanoparticles, and T. procumbens worked together synergistically to create a nanohydrogel formulation (DnCTP) that showed promise for improving wound healing in human gingival fibroblast cells at a dose-dependent concentration, which may therefore work as an excellent wound-healing agent in periodontal and peri-implant therapy.

Gonial Angle in Forensic Anthropology to Determine Age and Gender: A Population-Specific Analysis.

Background The study highlights the gonial angle as a key craniofacial landmark for age and gender determination in forensic cases. It emphasizes population-specific analysis, enhancing precision by recognizing variations between populations. By clarifying the gonial angle's forensic use, the study offers clear guidelines, improving forensic practices. Moreover, the gonial angle and age and gender correlations are thoroughly examined, offering important information on their forensic relevance. The results highlight how crucial population-specific research is to improving the precision and dependability of forensic age and gender estimation techniques, which advances forensic anthropology and supports forensic investigations around the globe. Aim and objective The purpose of this study is to assess the accuracy of age and gender estimates using gonial angles. The objectives of this research are to evaluate the precision of age and gender estimates utilizing the gonial angle. Materials and methods This present study comprises two groups based on age groups: Group I belongs to 51 to 60 years of age, and Group II belongs to 61 to 70 years of age. Making use of G-Power software (version 3.1.9.4, Düsseldorf, Germany), the sample size was determined. The calculation ensured 95% statistical power at a significance level (alpha error probability) of 0.05. To achieve sufficient statistical power, a total of 1000 samples were included, with a projected required sample size of 92. A total of 1000 samples, consisting of 500 male and 500 female panoramic radiographs, were meticulously selected for the study. The samples picked were within the age range of 51 to 70 years. Orthopantomograms were determined using Planmeca software (Planmeca Romexis®, Version 6.0, USA Inc.). Descriptive statistics, including prediction classification analysis of age and gender, were conducted using SPSS Statistics version 16.0 (SPSS Inc., Released 2007, SPSS for Windows, Version 16.0, Chicago, SPSS Inc.). Results According to this study, the mean gonial angle of males aged 51 to 60 years is larger (124.7370 degrees) than that of females (119.6371 degrees). The female group's mean estimates are more accurate, as seen by the smaller standard error (0.20844) compared to the male group's (0.60998). A statistically significant difference in mean gonial angles between the genders is evident, with males having a larger gonial angle (p-value <0.001). In the age range of 61 to 70 years, the mean gonial angle of females is higher (128.4322 degrees) than that of males (124.0529 degrees). In this instance, the male group's standard error is smaller (0.14968) than the female group's (0.30028), indicating more accurate mean estimates. Once more, a statistically significant difference is indicated by a p-value of less than 0.001, with females having a larger gonial angle than males. Conclusion Our study revealed that the gonial angle of the mandible can be considered a reliable parameter for gender identification. The study's limitation is its inability to reliably identify gender in the subadult population and in cases of edentulousness. An orthopantomogram is a trustworthy and accurate method for taking the different measurements needed to identify the gender of a particular mandible.

Evaluation of Sexual Dimorphism Using Condylar and Coronoid Mandibular Parameters in Orthopantomograms: A Pilot Study.

Background Gender determination is critical to forensic science and medico-legal applications. Given that it is the most dimorphic bone in the skull and is frequently found intact, the mandibular bone may be extremely important in determining gender. Orthopantomograms (OPGs) are quite helpful in accurately estimating age and sex in this regard. It is a laborious task for forensics to determine the gender of victims of mass casualties, natural disasters, and severely dismembered bodies. The mandible, which is susceptible to development spurts, has a high degree of accuracy for determining sex. Aim  This study aims to evaluate the potential use of coronoid height and condylar height as reliable anatomical markers for determining gender. Materials and methods In this study, 100 samples were used as study samples, 50 of which were male and 50 of which were female, in the age group of 20-30 years. The OPGs were obtained using a Planmeca Promax Scara 3 Digital OPG Machine (Planmeca, Helsinki, Finland), with settings of 70 kVp, 8 mA for 0.9 seconds, ensuring a 1:1 ratio. The images were then transferred to Planmeca Romexis® Viewer Software, Version 6.0 (Planmeca Oy, Helsinki, Finland) for measurement recording. Results Descriptive statistical analysis was done for this study and discriminant analysis was also done to create a population-specific formula. Results showed that the standard mean error for males concerning condylar height was 2.3 and coronoid height was 0.7. The standard mean error for females by condylar height was 1.6 and coronoid height was 0.6. The p-value was significant for coronoid height in both males and females. The p-value was not clinically significant for condylar height in both males and females. Conclusion The study's findings indicate that a larger mandibular angle is advantageous for gender assessment and helps with gender dimorphism. Out of both the parameters evaluated, coronoid height has shown statistical significance in both males and females. Hence, the study concludes that the parameter, coronoid height can be utilized to assess the gender of an individual.

A Concordance Between Clinical and Pathological Tumor Staging of Oral Squamous Cell Carcinoma: An Institutional Study.

BACKGROUND: Among oral diseases, oral cancer is the primary cause of death and poses a serious health risk. Primary tumor (T) - regional lymph node (N) - distant metastasis (M) comprising (TNM) staging is crucial for planning treatment strategies for patients with oral squamous cell carcinoma (OSCC). AIM: This study evaluated the predictive accuracy of clinical TNM staging of OSCC to histopathological staging (pTNM) in an institutional setting. MATERIALS AND METHODS: Fifty-four consecutive histologically confirmed, surgically treated OSCC cases were evaluated for TNM staging. The study compared the clinical staging at the time of surgery with the pathological staging obtained from excisional biopsy reports. Microsoft Excel (Microsoft® Corp., Redmond, WA, USA) was used for the data compilation and descriptive analysis. The chi-square test, analysis of variance (ANOVA), and Tukey's Honest Significant Difference (HSD) posthoc test were used to compare the data for statistical significance with p value <0.05 using Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Version 23.0, Armonk, NY). RESULTS: The alveolar mucosa (n=22, 40.74%) was the most frequently occurring site, followed by the tongue (n=17, 31.48%). Out of the 54 included cases, based on clinical tumor size, there were T1 (n=6), T2 (n=13), T3 (n=13), T4a (n=16) and T4b (n=6). T2 tumors were usually upstaged (n=7) while T4a (n=8) tumors were most often downstaged. T4a (n=8) had the best concordance between clinical and histopathological staging, followed by T2, T3, and T1. In nodal status, N1 showed the most variation. The chi-squared test showed statistical significance for tumor size comparison (p <0.001) and nodal status comparison (p=0.002). ANOVA test did not show any statistical significance. Tukey's HSD posthoc test showed statistical significance (p=0.034) for N0 and N1 status. The highest concordance was shown by N0 and N1 followed by N2b. CONCLUSION: Preoperative radiological and clinical assessments are essential for deciding on a patient's course of treatment. However, not all patients may require radiographs to determine tumor size or nodal status assessment. Accurate diagnosis is vital for the treatment planning of OSCC.

Epidemiological Trends and Clinicopathological Characteristics of Oral Leukoplakia: A Retrospective Analysis From a Single Institution in Chennai, Tamil Nadu, India.

Background India has a high prevalence of oral potentially malignant disorders and malignant transformation. Cases of oral leukoplakia are not commonly encountered, and only a small cohort of patients undergo biopsies for the same. This study aims to assess the various etiological factors causing leukoplakia, the clinical features, histopathological findings, and treatment received by the patients who were histopathologically diagnosed with oral leukoplakia. Methodology Oral leukoplakia cases were included in this study from total biopsy samples received in the oral pathology department. Details were collected from the Dental Information Archival Software of our institution. The period analyzed was from January 1, 2021, to December 31, 2023. Relevant clinical and histopathological details were retrieved and tabulated. Statistical analysis (chi-square test) was used to assess the association between the clinicopathological parameters using SPSS software version 21.0 (IBM Corp., Armonk, NY, USA) with a significance level set at a p-value <0.05. Results A total of 76 oral leukoplakia cases were retrieved from 2,600 biopsy samples. The prevalence of oral leukoplakia was 3.1% to 3.4% for the three years. Leukoplakia was commonly observed in those aged 51 to 60 years (33%). Overall, 21% of the patients with leukoplakia showed severe epithelial dysplasia, 22% showed mild epithelial dysplasia, and 39% showed moderate epithelial dysplasia. Moreover, 30% of the patients presented with leukoplakia and oral submucous fibrosis and showed varying degrees of epithelial dysplasia. Finally, 45% of the patients were managed conservatively using pharmacotherapy. Conclusions Severe epithelial dysplasia was commonly associated with oral leukoplakia. Oral submucous fibrosis was also found to be associated with leukoplakia and showed epithelial dysplasia. None of our proliferative verrucous leukoplakia cases showed any association with oral submucous fibrosis. Surgical management was the preferred treatment.

Quantifying Sexual Dimorphism by Analyzing Ramus Flexure and Bigonial Width in Orthopantomography.

Introduction The mandible constitutes one of the skull's largest and strongest bones. Growth spurts can influence it, and it has a variety of dimorphic traits that can be used to identify sex. In addition to observing, comparing, and evaluating the potential for mandibular ramus flexure and bigonial breadth to discriminate between sexes using digital orthopantomograms (OPG), a retrospective study was conducted to examine the validity of this method for sex estimation in the Indian population. Aim and objective This study aims to quantify sexual dimorphism by analyzing two mandibular parameters, the ramus flexure and the bigonial width, using orthopantomography (OPG). The objective is to determine the accuracy of sex determination using the ramus flexure and bigonial width. Materials and methods A total of 500 OPG images (250 males and 250 females) were analyzed using the Planmeca software (Helsinki, Finland). The ramus flexure was measured as the angle formed between the tangent to the inferior border of the mandible and the tangent to the posterior border of the ramus. The bigonial width was measured as the distance between the left and right gonion points. A statistical analysis was performed to assess sexual dimorphism and determine the accuracy of sex determination using these parameters. The study employed descriptive statistics, such as means and standard deviations, and an independent t-test to determine the significance of the characteristics in relation to males and females. Results The mean bigonial width for females was 193.3068 mm (SD = 13.51669 mm) and for males was 217.6308 mm (SD = 10.87453 mm), with a statistically significant difference (p = 0.000). The 95% confidence interval for the difference in the bigonial width between males and females was between -49.97173 mm and -43.93787 mm. For the ramus flexure, the mean was 0.0000 for both males and females (SD = 0.00000), with a significant difference between males and females (p = 0.003). The 95% confidence interval for the difference in the ramus flexure between males and females was between -0.59543 and -0.12457. Conclusion The results indicated significant sexual dimorphism in both the ramus flexure and bigonial width. This study demonstrated that the ramus flexure and bigonial width, measured using orthopantomography (OPG), exhibited significant sexual dimorphism. The analysis of these mandibular parameters provided valuable information for sex determination in forensic and anthropological contexts.

Alpha-Tocopherol Levels in Patients With Dentigerous Cysts: A Cross-Sectional Study.

Background Dentigerous cysts (DC) form due to fluid accumulation between the crown of the tooth and the reduced enamel epithelium. Due to the diverse clinical characteristics, such as ambiguity concerning their biological origins and the significance of timely diagnosis and detection of these lesions, researchers are presently motivated to undertake further investigations. The aim of the present study was to assess the amount of serum alpha-tocopherol in patients with DC and compare it with that of normal, healthy individuals. Methods A total sample size of n=34 was included in the current study. Group A, designated as the control group, comprised 17 randomly selected healthy subjects, while Group B, the DC diagnostic group, consisted of 17 patients. Blood samples were collected, and the concentration of vitamin E or alpha-tocopherol was evaluated and expressed in mg/mL. Results Compared to the mean vitamin E level in healthy controls (12.08 ± 1.92 mg/mL), patients with DC showed a statistically significant (p<0.0001) reduction in mean vitamin E levels (5.29 ± 1.01 mg/mL). Conclusion Patients with DC have lower levels of vitamin E than healthy individuals. The reduced concentration of vitamin E can have a role in the extension of cystic volume and thus have an impact on the aggressiveness of pathologic lesions. The therapeutic benefits of vitamin E supplementation in reducing the aggressiveness of DC should be evaluated in future research.

In Vitro Analysis of Enamel Patterns Across Three Species Using Stereomicroscopy.

Background Dental enamel, the outermost layer of the tooth, stands as a unique and remarkable tissue that plays a crucial role in safeguarding teeth against various external factors. The examination and analysis of enamel rod end patterns on tooth surfaces, referred to as ameloglyphics, offer a promising avenue for dental identification and forensic investigations in forensic medicine, thereby enhancing the precision and reliability of forensic analyses. This paper aims to evaluate and compare the ameloglyphics of different species under a stereomicroscope. The species examined in this study include the beaver (genus Castor), fox (genus Vulpes), and human (Homo sapiens). Methods Teeth samples from each species (n = 3) were gathered from the tooth repository and examined under a stereomicroscope at various magnifications, both with and without graphite staining. Photographs were captured, and the enamel patterns were meticulously evaluated. Through the utilization of plot profiles, the enamel patterns of the different species were compared, and any discernible differences between them were carefully noted. Results The plot profiles of the three species were analyzed, revealing distinct characteristics. Specifically, it was observed that the plots of the genus Castor teeth and Homo sapiens teeth exhibited dispersed arrangements, whereas the plot profile of the genus Vulpes displayed a closely arranged pattern. Conclusions Within the confines of the current investigation, it can be inferred that every mammal exhibits a distinct and exclusive arrangement of enamel rods. Hence, the task of identifying a deceased individual through dental imprints may pose difficulties if the structural characteristics are not thoroughly comprehended.

Role of Mandibular Parameters in Gender Determination: A Systematic Review and Meta-Analysis.

Forensic anthropology and forensic medicine both have been fascinating fields that deal with mandibular characteristics and sex determination. Researchers may determine an individual's biological sex with amazing precision by examining the size, shape, and proportions of the mandible. This information is useful for anthropological studies and criminal investigations. This systematic review aims to evaluate the consistency and validity of using mandibles as a method for gender determination across different populations. A systematic search was conducted in PubMed, Web of Science, and Scopus databases. Further, a manual search was carried out to find additional studies. Mandibular parameters and other relevant data about research were extracted from the included studies. Random effects meta-analysis was carried out for four parameters. A total of nine studies were included in the systematic review out of 76 initial search results. All studies were in vitro. Nine studies were included in the qualitative analysis, whereas only seven studies were included in the meta-analysis. A total of 2385 individuals (1193 male and 1192 female) were evaluated in the included studies. The parameters assessed were as follows: minimum ramus breadth (MiRB), maximum ramus breadth (MaRB), projective ramus height (PRH), bigonial width (BGW), gonial angle (GA), and antegonial angle (AGA). Meta-analysis was conducted for four parameters out of six. For the two parameters, meta-analysis was not conducted as only one study was evaluated. Meta-analyses of PRH obtained a high degree of heterogeneity (99%), mean difference (MD) of 4.06 mm, and p-value of p=0.09. Meta-analysis of BGW obtained 93% heterogeneity, MD of 9.03 mm, and p=0.0007. Meta-analysis of GA showed 99% heterogeneity, MD of 3.44 mm, and p=0.66. Meta-analysis of AGA obtained a low heterogeneity of 30%, MD of -0.77 mm, and p=0.23. The parameter, BGW, can be considered a useful tool in identifying sex. The parameters, PRH, GA, and AGA, cannot be preferred as a reliable tool in identifying the sex of an individual in forensic contexts.

A Retrospective Analysis of the Clinicopathological Profile of Oral Squamous Cell Carcinoma in Tobacco and Non-tobacco Users: Highlighting the Significance of Chronic Mechanical Irritation.

BACKGROUND AND AIM: Oral squamous cell carcinoma (OSCC) is among the leading top three cancers in India. However, recent literature has shown an increase in the rise of oral cancer in younger individuals without any history of tobacco-related habits. Chronic mucosal irritation (CMI) has been noted to have a substantial impact on the development and etiology of OSCC. With the shift in the trend, it is imperative to observe and monitor alterations associated with its etiological factors. The study aims to evaluate the prevalence and clinical characteristics of OSCC patients and the association of these parameters in cases with and without tobacco usage. METHODOLOGY: A retrospective study spanning a period of 10 years was done on histopathologically diagnosed cases of OSCC. Various clinicopathological characteristics were collected from patient records, including demographic features, tobacco-related habits, including tobacco chewing and smoking, clinical presentation, anatomic sites, and histopathological grading based on the inclusion and exclusion criteria. The data were tabulated to Microsoft Excel (Microsoft Corporation, Redmond, WA), and descriptive statistics analysis and chi-square test of significance were applied to the data using IBM SPSS Statistics (version 29.0.2; IBM Corp., Armonk, NY). The study correlated the epidemiologic behavior of OSCC with age, gender, site, and tobacco-related habits. RESULTS: This study included a sample size of 204 (72 females & 132 males). Tobacco-related habit-associated cases were 98 (48.5%) and without tobacco habits were 61 cases (29.6%). Etiology associated with CMI emerged to be a significant tooth-related factor. Out of 72 females, 32 (44.4%) of the females were without habit. OSCC caused by trauma from CMI was analyzed in 40 cases (19.6%) and 22 (55%) were females. The majority of lesions (76 (37.4%) cases) presented on the lateral border of the tongue. Among the OSCC patients with a history of chronic mechanical irritation, 37 (48.7%) cases were observed to be specifically on the lateral border of the tongue. CONCLUSION: These 10-year data will generate awareness about the disease pattern occurring within a community and provide an overview of the prerequisite of considering CMI as an etiological factor for the development of OSCC without the association of tobacco-related habits.

Dental Anomalies: An Identification Marker in Forensics.

Aim This study aims to evaluate the non-morphological traits of the South Indian population. Introduction Dental morphological traits, also known as non-metric dental traits, exhibit variation in appearance both within and between groups. The study analyzed the non-metric traits among the South Indian population, as few variants can be grouped within the population.  Materials and methods A total of 500 extracted tooth samples were collected. The dental non-metric traits that were evaluated are the cusp of Carabelli (CC), Talon's cusp (TC), shoveled incisor (SI), peg-shaped lateral incisor (PL), protostylid (PR), Dryopithecus pattern groove (DP), hypoconulid (HY), parastyle (PA), multiple parastyle (MPA), paracone (PC), Bushman's canine (BC), interruption groove (IG), tuberculum dentale (TD), tuberculum intermedium (TI), radix entomolaris (RE), fusion (F), radiculous premolar (RP), dilaceration (D), dens evaginatus (DE), and enamel pearl (EP).  Results Out of 20 dental non-metric traits that were evaluated in the study, 14 traits were identified to be common within the population. The prevalence were as follows: cusp of Carabelli (52%), shoveled incisor (8.2%), peg-shaped lateral incisor (7.4%), parastyle (0.8%), multiple parastyle (0.2%), Bushman's canine (0.4%), interruption groove (2.2%), tuberculum intermedium (0.6%), radix entomolaris (39.6%), fusion (2.8%), radiculous premolar (0.2%), dilaceration (58.2%), dens evaginatus (1.2%), and enamel pearl (0.8%) among the South Indian population.  Conclusion The current study was discovered to have more Carabelli traits, shoveled incisors, radix entomolaris, and dilaceration than other non-metric features. This shows that these characteristics are more prevalent in the South Indian population, which could be one of the strategies used to validate human identification in a forensic context.

Nanomaterial Biosensors in Salivary Diagnosis of Oral Cancer: A Scoping Review.

Oral cancer is among the highest in the Indian subcontinent. Advanced stages of oral cancer are associated with severe morbidity and higher mortality. Salivary diagnosis is novel and non-invasive. It could be employed on patients even with restricted mouth opening. Hence, an attempt was made to retrieve relevant data regarding this clinically relevant topic.  This article has reviewed metal oxide nanoparticles as a biosensor (BS) in salivary diagnosis for oral cancer. Gold, copper oxide, and carbon nanotubes (CNTs) were used in BS applications. A search from the PUBMED database collection (2004 to 2024) was performed to identify the nanoparticle biomarkers and salivary diagnosis in oral cancer. It revealed 30 articles. All the relevant data was extracted and tabulated in this review. We have discussed the relevance of these BS in salivary diagnosis with their corresponding clinical parameters and sensitivity. We hope that this review summarizes the available literature on this topic and incites dedicated research in prompt and early diagnosis of oral cancer, which directly influences the quality of life outcomes in such patients.

Longitudinal Assessment of the Quality of Life in Oral Squamous Cell Carcinoma Patients.

Background Studies evaluating the quality of life (QoL) among oral cancer patients in the Indian population are scarce. Regular follow-ups and QoL assessment in oral squamous cell carcinoma (OSCC) patients can aid in comprehensive support strategies to improve their QoL outcomes. Aim and objectives This study aimed to assess the QoL of oral cancer patients and correlate the QoL with demographic and treatment parameters.  Materials and methods The study included oral cancer patients who had previously reported to the Department of Oral and Maxillofacial Surgery. QoL assessment was done using the EORTC QLQ-C30 and QLQ-HN43 questionnaires before and after treatment. The clinico-demographic details, treatment data, follow-up data, and recorded mean QoL were procured from the patient records in Dental Information Archival Software. Assessment of QoL was done before treatment and at intervals of one month, three months, six months, 12 months, 24 months, and 36 months postoperatively after treatment. Statistical analysis was performed using IBM SPSS Statistics for Windows, Version 23 (released 2015; IBM Corp., Armonk, New York, United States). A repeated measures analysis of variance (ANOVA) was utilized for comparing the average QoL scores and frequency of follow-ups across various intervals. Chi-square tests assessed differences in mean QoL among genders, across different sites, and between primary closure and graft placement. The significance was set at a p-value of less than 0.05. Results A total of 90 OSCC patients had reported to the department. A preoperative assessment of QoL was done for 90 (100%) patients. Out of these patients, surgery has been performed on 41 (45%). Twenty-five out of 41 (60%) patients had responded to regular follow-up, and QoL was assessed for these patients. After the immediate postoperative phase, only 12 (48%) had reported after three months. Only six (24%) had a 12-month follow-up, five (20%) had a two-year follow-up, and one (4%) had a three-year follow-up. There was a constant decrease in the number of follow-ups after the treatment of OSCC (p=0.00). Prior to treatment, the mean QoL index was 4.64. Females had a slightly higher preoperative QoL of 4.76 compared to males, with a score of 4.67 (p=0.157). Immediately after the treatment of OSCC, a decline in QoL scores was noted, with a mean score of 4.25 (p=0.32). Patients who underwent primary closure after excision had a mean post-op QoL score of 4.9, while patients who underwent graft placement had a mean score of 4.6 (p=0.157). Conclusion This study highlights the enduring impact of oral cancer on a patient's quality of life and emphasizes the need for ongoing research to explore specific interventions that can contribute to sustained improvement in QoL. It emphasizes personalized, holistic care approaches for such patients.

Exploring Prevalence Trends of Jaw Bone Pathologies: A Three-Year Institutional Study.

Background Head and neck bone pathologies cover various conditions with diverse causes. Infections like osteomyelitis and dental abscesses can spread to soft tissues and bones, causing tissue death, inflammation, and systemic effects. Benign and malignant tumors can develop from soft tissue, cartilage, or bone, posing challenges for diagnosis and treatment. Studies on their prevalence in local populations are rare, obscuring our understanding of regional health dynamics. Aim In this study, we aimed to assess the prevalence of bone pathologies documented over the last three years from 2021 to 2023. Materials and methods Histopathologically confirmed cases of bone pathologies at Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India, were gathered from the institutional database (DIAS: Dental Information Archiving Software) from January 1, 2021, to December 31, 2023. They were categorized into groups of infectious and inflammatory lesions, fibro-osseous lesions, malignancies originating from bone, malignancies invading bone, and miscellaneous conditions. The data was then compiled into a Google spreadsheet (Google, Inc., Mountain View, USA) for further analysis. Graphs were created to visualize the prevalence of bone pathologies enabling a descriptive exploration of temporal trends. Results A total of 2626 biopsy records were reviewed. Among these, 242 (9.21%) cases of bone-related pathologies were included, and the remaining 2384 (90.79%) entities without any mention of bone were excluded. Overall, considering all three years, 43.8% (100) bone-related lesions were reported in 2021, 30.3% (77) in 2022 and 25.9% (65) in the year 2023. Under each category, infectious and inflammatory lesions for 40.5% (98), fibro-osseous lesions for 14.9% (36), benign lesions for 2.9% (7), malignancies originating from bone for 1.7% (4), malignancies invading bone for 38% (93), and miscellaneous conditions for 1.65% (4) were reported. The highest number of infectious and inflammatory pathologies (53%) were reported in 2021. A steep fall was observed in 2022 and 2023 under the infectious and inflammatory category. The malignancies invading the bone showed almost similar distribution in all three years. Conclusion The observed variations highlight the unpredictability of bone pathologies, involving the jaw bones. We emphasize continuous observation and analysis to comprehend changing patterns in bone health.