Antimicrobial effect of Juglans regia bark with commonly used antibiotics against initial colonizers of Plaque and Caries: A comparative study.

Introduction: There is a progressive increase in the patients of dental caries and periodontitis in the recent years. The main emphasis is laid on avoiding the accumulation and inducing the elimination/suppression of caries-causing microbes in the oral cavity. A variety of antimicrobial agents are incorporated into oral hygiene products but these products come up with their own disadvantages. Natural products prove to be biocompatible with medicinal properties. Aims and Objectives: The objective of the study is to access the antimicrobial activities of Juglans regia bark against dental caries and plaque. Also, antibacterial activity of Juglans bark is compared with oral rinses and systemic antibiotics. Material and Methods: The study sample consisted of 50 subjects and was divided into two groups. Group 1 consisted of 25 samples without caries and Group 2 also included 25 samples with caries. Both samples were in the age group 18-22 years. Plant samples of Juglans regia bark from Kashmir and Himachal were collected. Extracts containing both varieties were prepared and antibacterial activities of both groups were determined. Comparison of Juglans regia bark with antibiotics and mouthwashes was also done. Results and Conclusion: J. regia bark of both the varieties showed zone of inhibitions. Ethanol variety showed larger zone of inhibition than distilled water variety of both plaque and caries groups. Chlorhexidine showed satisfactory antimicrobial activity while Betadine showed none. Amoxicilline was effective but Metronidazole showed no activity against both groups. Bark of J. regia proved to be very beneficial against both plaque and caries bacteria without any side effects as both mouthwashes and antibiotics are harmful and cannot be used daily.

Determination of gender from dental pulp by identification of Barr bodies: A comparative study.

Introduction: The determination of gender by dental pulp Barr bodies seems to be efficient tool especially in case of natural calamities where bodies are mutilated, charred, and unidentified. Different techniques are used for Barr bodies two of which are histopathological and cytological methods. Aims and Objectives: The objective of the study is to check the reliability of human dental pulp for identification of gender using Barr bodies. Material and Methods: The study sample consisted of 60 extracted teeth from 20 male and 40 female patients aged 12-25 years. Inclusion criteria included non-carious freshly extracted teeth, Teeth were extracted and the pulp was obtained using a carborundum disc at 30,000 revolutions per minute (RPM). The teeth were categorized into two groups. Group 1 and Group II include 20 females and 10 males each. In group I, rapid manual tissue processing technique was done and in Group II pulp tissue slides were prepared by cytopathological technique. The slides obtained were stained with H&E and Barr bodies were visualized. Statistical Analysis: On comparison of Barr bodies on males and females in dental pulp, the mean number of Barr body count in females was more than males. Accuracy and count were much more appreciated in histopathological technique than cytological procedure. Conclusion: The mean Barr body count was more in females than in male samples. In histopathological technique Barr bodies were more analyzed and appreciated than in cytopathological technique on checking the efficacy and evaluating its diagnostic significance of dental pulp for identification of gender.

Odontoameloblastoma: A case report.

Odontoameloblastoma (OA) is an extremely rare odontogenic tumor that contains an ameloblastomatous component together with odontoma-like elements. Till date, very few cases have fulfilled the criteria of the current World Health Organization classification of odontogenic tumors. It is characterized by slow, progressively growing lesion with growth pattern similar to solid multi-cystic ameloblastoma. The majority of the tumors are associated with unerupted teeth and commonly seen in males. It is usually asymptomatic and may occur in either maxilla or mandible, but shows a slight predilection for mandible. As this tumor is extremely rare, there exists controversy regarding its treatment. Here, we present a case of OA in 17-year-old female patient resembling a fibro-osseous lesion and a brief review of the related literature.

Comparison of Immunohistochemical Expression of Antiapoptotic Protein Survivin in Normal Oral Mucosa, Oral Leukoplakia, and Oral Squamous Cell Carcinoma.

Background. Oral squamous cell carcinoma is the sixth most frequent malignant tumor worldwide and the third most common cancers in developing countries. Oral leukoplakia is the best-known precursor lesion of oral squamous cell carcinoma. The aim of the present study was to compare immunohistochemical expression of antiapoptotic protein survivin in normal oral mucosa, oral leukoplakia, and oral squamous cell carcinoma. Method. Total 45 specimens of formalin fixed paraffin embedded tissue blocks, 15 in each of the following: normal oral mucosa, leukoplakia, and oral squamous cell carcinoma were used for the study. Immunohistochemical reaction for survivin protein was performed for the 4 µm thick histological sections taken on positively charged slides. Results. 20% normal mucosa cases, 53.33% cases of leukoplakia, and 80% of oral squamous cell carcinoma were found out to be survivin positive. One way ANOVA test indicated statistically significant difference of survivin expression between the three different groups (p < 0.001). Conclusion. A high incidence of survivin protein expression in oral epithelial dysplasia and squamous cell carcinoma samples indicate that survivin protein expression may be an early event in initiation and progression of oral squamous cell carcinoma.

Determination of sexual dimorphism via maxillary first molar teeth in Himachali population.

CONTEXT: Sex determination of skeletal remains forms part of archaeological and medicolegal examinations. It is an aspect of forensic odontology. Forensic odontology primarily deals with identification, based on recognition of unique features present in an individual's dental structures. Correct sex determination limits the pool of missing persons to just one half of the population. AIM OF STUDY: Purpose of this study is to evaluate the existence of sexual dimorphism and variation in left and right maxillary first molars using bucco-lingual and mesio-distal dimensions in population of Sirmour District, H.P. MATERIALS AND METHODS: Base sample comprised 100 subjects (50 males and 50 females) of an age group ranging from 17 to 25 years. STATISTICAL ANALYSIS USED: Unpaired t-test. RESULTS: It was observed that the comparison of mean values of bucco-lingual and mesio-distal parameters showed highly statistically significant differences between males and females, measured both intraorally and on study casts. There were no significant differences between the mean values of both the parameters on the left side as compared to right side. CONCLUSION: The study concludes that sexual dimorphism is population specific. Among Himachali people, mesio-distal dimensions and bucco-lingual dimensions of first molar can aid in sex determination.

Follicular lymphoma transforming into anaplastic diffuse large B-cell lymphoma of oral cavity: A case report with review of literature.

Follicular lymphoma (FL) is a common form of non-Hodgkin's lymphoma (NHL) with the ability to transform into a more aggressive disease, frequently to B cell-lymphoblastic lymphoma. Diffuse large B-cell lymphoma (DLBCL) is a subtype of NHL, which is characterized by diffuse proliferation of large neoplastic B-lymphocytes. It accounts for 30% of all NHL and its occurrence in the mandible is very rare. It is often seen in young adults, but in the present case, a 50-year-old male patient presented with painless swelling in left lower jaw since 25 days following extraction of left lower molar teeth. There was a history of fever and submandibular lymph nodes were enlarged. On incisional biopsy, features of NHL-like lesion were observed and confirmed by immunohistochemistry using CD20, bcl-2, CD10, CD3, CD5, Ki67 markers to be FL (3A) lymphoma transforming into DLBCL. This is a very uncommon presentation.

Epithelioid hemangioma of lingual alveolar mucosa: an immunohistochemical case report.

Epithelioid hemangioma is a rare benign vascular lesion that presents as a nodular lesion in the skin of head and neck region. It is a superficial vascular entity which can either be due to tumor or reactive lesion, but the exact etiology is still unknown. We hereby present a rare case which has been reported with the history of small nodular-like growth on mandibular buccal and lingual area. The excisional biopsy was performed and tissue was submitted for histopathological diagnosis. The immunohistochemistry was performed to check the expression of CD31 marker which proved that origin of epithelioid cells was vascular.

Biosafe alternative to xylene: A comparative study.

BACKGROUND: Xylene in one of the non-substitutable chemical used in histology laboratories. However, it is known to have many toxic effects. The toxic effects of xylene include heart and kidney injuries, some fatal blood dyscrasia and other less dangerous problems, such as skin erythema, drying, scaling and secondary infections. The exposure and handling of xylene is maximum during deparaffinizing tissue sections. AIMS: The aim of this study was to evaluate the efficacy of 1.7% dishwashing soap (DWS) solution as a deparaffinizing agent for hematoxylin and eosin (H and E) staining and compare it with xylene. MATERIALS AND METHODS: Sixty sections of 4 µm were obtained from 30 formalin-fixed paraffin-embedded (FFPE) tissues and were considered in two different groups, groups A and B. Slides in group A were stained with routine H and E staining procedure; whereas, slides in group B were stained using 1.7% DWS as a deparaffinizing agent. STATISTICAL ANALYSIS USED: Wilcoxon matched-pairs signed rank test was used to calculate the test of significance (P-value significant at ≤0.05). RESULTS AND CONCLUSION: 1.7% DWS was found to be an effective alternative deparaffinizing agent to xylene and meanwhile facilitating as less biohazardous, economical and a faster deparaffinizing agent.