Accuracy of Dolphin Imaging software in predicting soft tissue changes of Class II Division 1 incisor relationship treated by all first premolar extraction compared with post-treatment lateral cephalogram.

BACKGROUND: To quantify the accuracy of Dolphin Imaging software in predicting soft tissue changes of Class II Division 1 incisor relationship treated by all first premolar extraction compared with actual changes. METHODS: Pretreatment and post-treatment lateral cephalograms of 30 young adult subjects (25 females and 5 males; age range of 16 to 21 years) were imported and traced in Dolphin Imaging software (version 11.95). Tracings of actual treatment results and the Dolphin predicted treatment outcome were superimposed to calculate the prediction errors. The mean difference for the Holdaway soft tissue analysis and at each landmark was measured in both the X and Y axes. Paired t test was used to compare the statistical differences in Holdaway soft tissue analysis parameters. RESULTS: There were significant differences between the predicted and actual values in three parameters of the Holdaway soft tissue analysis (P < 0.05). The overall accuracy of estimation was better in vertical direction than horizontal. Prediction of upper and lower lip landmarks was overestimated horizontally and underestimated vertically, whereas that belonging to chin was underestimated horizontally and overestimated vertically. Soft tissue nasion and soft tissue A-point were most accurately predicted, whereas the least accuracy was found in soft tissue chin region. CONCLUSIONS: Dolphin Imaging Software (version 11.95) can be accurate enough for use in patient communication and education but should be used with caution. It is most accurate in predicting soft tissue changes in the nasion and A-point regions, but least accurate in chin region.

Oral Cancer in Young vs Old Individuals: A Systematic Review.

AIM: To compare various parameters associated with oral cancer in young and old patients and systematically compile the data on prognosis or outcome of oral cancer in young and old patients that include case series, matched-pair analyses, institutional series, and database reviews. BACKGROUND: Though oral cancer is considered a disease of old age, a recent clinical scenario witnesses its increasing incidence among young persons. When compared to old patients, young patients with oral cancer are exposed to the carcinogens for a very petite period of time suggesting underlying pathogenesis to be distinct from that in older individuals. Literature reports several studies about the occurrence of oral cancer in young patients; however, no unanimous opinion exists about its prognosis and treatment outcomes when compared to older patients. Keeping this in mind, we have extensively studied all the possible aspects (location, local and regional recurrence, nodal and distant metastasis, overall survival, etc.) from the English literature and systematically compiled the available data on prognosis or outcomes of oral cancer. REVIEW RESULTS: The overall outcome of the case series shows poorer prognosis in young patients, matched-pair analyses, and institutional series suggesting no significant differences whereas the databases favored a better prognosis in young patients. The mean overall survival rate was found to be better for young patients in the database and institutional review whereas worse in the matched-pair analyses. The mean 5-year survival rate was found to be more in young individuals in matched-pair analyses, database reviews, and institutional series as compared to older oral cancer patients. CONCLUSION: Though data extracted from various study designs are heterogeneous, the present review gives a scoping view of the papers published on oral cancer in young vs old patients. More prospective studies are suggested with a larger sample size in the future. CLINICAL SIGNIFICANCE: The present review will help to better understand the nature, course, and biologic behavior of oral cancer in young patients leading to the development of specific treatment strategies to manage the patients based on their age-groups.

Tumor associated tissue eosinophilia in oral squamous cell carcinoma: A systematic review and meta-analysis.

BACKGROUND: Oral squamous cell carcinoma (OSCC) still lacks the valid prognosticator for survival. Tumor associated tissue eosinophilia (TATE) have been widely investigated in the literature but still there is no consensus viewpoint on its role as prognostic marker. With this view in mind, a systematic review and meta-analysis of studies that evaluated the overall risk of elevated TATE and survival in OSCC was conducted. METHODOLOGY: A systematic literature search conducted to identify studies that have evaluated TATE in OSCC. Overall survival (OS), Disease Free Survival (DFS) Hazard ratio (HR) with 95% confidence interval) was extracted. HR was extrapolated if direct HR was not given in publication. Studies were pooled and combined hazard ratios (HRs) of High TATE for OS and DFS were calculated. RESULTS: 6 out of 874 articles were found eligible for systematic review and meta-analysis. High TATE was predictor of OS (pooled HR 0.45 (95% CI, 030-0.65, P â€‹< â€‹0.0001)) and DFS (pooled HR 2.33 (95% CI, 0.74-7.37)) in OSCC patients. CONCLUSION: High TATE positively predicts OS and DFS in OSCC and thus can be regarded as an important survival prognosticator. Standardization of counting and reporting methodology for TATE count is recommended on future cohort studies.

Malignant transformation rate based stratification model for oral potentially malignant disorders: A potential idea.

By the virtue of heterogeneous biological aggressiveness, oral potentially malignant disorders (OPMDs) comprise the ideal group of disorders for biological behavior-based classification system. Concerning the exponentially increasing incidence and mortality of oral squamous cell carcinoma (OSCC), it has now become a need of the hour to formulate a classification system for OPMDs that even a general dental surgeon could apply in everyday clinical practice. With this view in mind, efforts have been made to stratify various OPMDs based on their malignant transformation rate (MTR). Databases like PubMed, SCOPUS, Web of Science and CINHAL were used for searching the appropriate papers. Preferences were given to meta-analyses and cohort studies for determining the value of MTRs. In other cases, cross-sectional studies, case series and case reports were consulted for obtaining the values. Based on the MTRs obtained, we stratified all the OPMDs into 3 groups: Low risk group (MTR: 0-3%), Moderate risk group (MTR: 4-15%) and High risk group (MTR: above 15%), based on their MTRs available from the literature so far. The idea proposed in the paper can aid researchers and clinicians in identifying and planning treatment strategies that can be generalized to different OPMDs included in the same group. Since the paper is not based on a cohort study or a meta-analysis, the authors recommend a systematic review and meta-analysis to be carried out for a clinically applicable classification based on the proposed idea.

Epidemiologic aspects of oral cancer.

Oral cancer is depicted by diverse geographic disparity in its incidence and prevalence, with a wide range of variation in its distribution across various parts of the world. The present review aims at focusing on the global epidemiological data of oral cancer and catalogues the available data from the past to till date on burden of oral cancer across different continents in the world. The review also suggests a few ideas on modifying the recording of the epidemiological data of the disease.

Transverse Ridge of Premolars and Oblique Ridge of Maxillary Molars are in Divine Golden Ratio.

AIMS: In premolars and molars, transverse ridge (TR) and oblique ridge (OR) play major roles in providing strength and stability to the cusps in particular and tooth as a whole. Hence, they could be divided at the central groove or the transverse groove in a divine golden ratio. MATERIALS AND METHODS: Twenty pairs of maxillary and mandibular casts were retrieved from the Department of Orthodontics. The lengths of buccal triangular ridge (BTR), lingual triangular ridge (LTR) and TR of maxillary and mandibular first and second premolars were measured. Similarly, lengths of distal cuspal ridge of mesiopalatal cusp, triangular ridge of distobuccal cusp (DBTR) and OR of the maxillary first and second molars were measured using a brass wire and a Vernier caliper. The TR:BTR, BTR:LTR, OR:distal ridge of mesiopalatal cusp (MPDR), and MPDR:DBTR ratios were calculated to find out the possibility of golden ratio. RESULTS: Transverse ridges of the premolars and OR of the maxillary first and second molars were divided at the central groove in a divine golden ratio. The mean TR/BTR ratio for maxillary first premolar was 1.61 ± 0.007, whereas the mean BTR/LTR ratio was 1.63 ± 0.02. The mean TR/BTR ratio for maxillary second premolar was 1.61 ± 0.01, whereas the mean BTR/LTR ratio was 1.62 ± 0.04. The TR/BTR and BTR/LTR ratios for mandibular first premolar were 1.6 ± 0.008 and 1.64 ± 0.02, respectively. Similarly, the mean TR/BTR ratio for mandibular second premolar was 1.61 ± 0.01, whereas the mean BTR/LTR ratio was 1.63 ± 0.02. CONCLUSION: The ORs of maxillary first molar ridge and TR of maxillary and mandibular premolars are divided into two parts at transverse and central grooves, respectively, in a divine ratio. CLINICAL RELEVANCE: The ORs of maxillary first molar ridge and TR of maxillary and mandibular premolars are divided into two parts at transverse and central grooves, respectively, in a divine ratio. This signifies the strength and stability of the occlusal table in the posterior teeth, as the golden ratio is the mark of functional excellence. Golden ratio should be taken into consideration while restoration or fabrication of the posterior teeth.

Expression of Yes-associated Protein in Oral Squamous Cell Carcinoma.

AIM: Though the exact mechanism of yes-associated protein (YAP) in tumorigenesis is not well understood, studies have shown that YAP plays an imperative role in cancer advancement via the Hippo signaling pathway. The purpose of the present study was to appraise the clinicopathological correlation of YAP expression in various grades and stages along with different parameters like tumor size and nodal metastasis in oral squamous cell carcinoma (OSCC). MATERIALS AND METHODS: Twenty-seven surgically excised specimens from patients with OSCC were selected for the study. Grading of the OSCC specimens was done according to Broder's grading system and staging had been done using tumor-node-metastasis (TNM) system by American Joint Committee on Cancer (AJCC). Comparative analysis of YAP expression and various aforementioned parameters of OSCC was performed and statistically analyzed. RESULTS: Differences in the expression of YAP was observed among well differentiated and moderately differentiated OSCC, with increased YAP expression with successive grades but was statistically insignificant. On evaluating YAP expression among various stages of OSCC, we observed that stages I, II, and IV demonstrated a weak expression of YAP, while stage III showed a strong expression but the differences were insignificant. Insignificant differences were also noted in YAP expression between different tumor sizes, while significant differences were observed between different nodal statuses. CONCLUSION: Our results suggest that YAP could be responsible for extensive proliferation and invasiveness of OSCC.

Recent trends in predictive biomarkers for determining malignant potential of oral potentially malignant disorders.

Despite of the tremendous advancements in the field of cancer prevention, detection and treatment, the overall prognosis of oral squamous cell carcinoma (OSCC) still remains poor. This can be partly imparted to the lack of early detection of oral potentially malignant disorders (OPMDs), especially those at a higher risk of progression into OSCC. Over years, various specific and non-specific markers have been introduced that could predict the malignant transformation of OPMDs; however detail information on these OPMD markers in a concise manner is lacking. Moreover, their use on daily clinical basis still remains questionable. With continuous research in the field of cytology and genomics, several contemporary biomarkers have been discovered that are not yet foregrounded and proved to be more promising than those used conventionally. Here, in the present paper, we overview several recently concluded predictive biomarkers with special emphasis on their role in molecular pathogenesis of OSCC transformation. These markers can be used for risk assessment of malignant transformation in patients with OPMDs as well as for prophylactic conciliation and fair management of the high-risk OPMD patient group.

Use of Tilapia Hepcidin in Oral Cancer Therapeutics: A Proposal.

Tilapia hepcidin (TH), an antimicrobial peptide (AMP) derived from tilapia (Oreochromis mossambicus) forms an important component of the fish innate immune defense.1 However, the functionality of TH is not just limited to its antimicrobial actions, significant applications in cancer research remain an area to be explored. Antimicrobial peptides derived from fish and shrimp demonstrated anticancer activities in addition to their previously discovered antimicrobial action. Three hepcidin-like AMPs can be isolated from tilapia, namely TH1-5, TH2-2, and TH2-3. Of these, TH1-5 and TH2-3 have shown potent antitumor activity.2.

Cajal Bodies and Oral Squamous Cell Carcinoma.

Oral squamous cell carcinoma (OSCC) is a complex disease with heterogeneity in its clinical and pathological presentation as well as phenotypic and biologic behavior. Despite tremendous advancements in the field of genomics and technology, this particular entity still continues to contribute significantly to the mortality rates worldwide.1 Research that is directed toward the identification of molecular strategies adopted by cancer cells for survival, growth, invasion, and migration along with development of novel therapeutic schemes accordingly might help us to overcome this Delphic disease. In recent time, colossal development has been made in the field of cancer research exploring almost all the aspects that are linked with cell physiology. However, entering into totally new territory of cancer biology is the need of the hour that might solve the complex maze of cancer initiation and progression. One such area is Cajal bodies that are yet to be investigated for their role in oral carcinogenesis.

Use of X-ray Diffraction Technique of Hair for Oral Cancer Detection: A Proposal.

Techniques that contribute to early diagnosis of oral potentially malignant disorders (OPMDs) and oral squamous cell carcinoma (OSCC) till now followed are vital staining, light-based detection systems along with various histological, cytological, molecular and imaging techniques.1 In spite of histopathological technique being the gold standard, diagnosis by taking random biopsies of both clinically normal and the suspected oral area is impractical, since various serious downsides are associated with it and are also not appropriate for repetitive sampling at multiple sites.2 A screening test which is non-invasive, safe without exposing an individual to X-radiation and more consistent than any other current method is direly required.

Gold Nanoparticles: A Novel Approach in Early Detection of Oral Cancers.

HowOral squamous cell carcinoma (OSCC) holds a place among the 10 most common cancers in the world with a reported increase in its incidence every year, particularly in western and Asian countries.1 Of the reported cases, majority of oral cancers are preceded by precancerous lesions.2 Expeditious and untimely detection of oral cancer is paramount for improving the survival rate of this disease as any delay in its diagnosis is accompanied with poor prognosis despite advanced treatment approaches.

Oral cancer databases: A comprehensive review.

Cancer database is a systematic collection and analysis of information on various human cancers at genomic and molecular level that can be utilized to understand various steps in carcinogenesis and for therapeutic advancement in cancer field. Oral cancer is one of the leading causes of morbidity and mortality all over the world. The current research efforts in this field are aimed at cancer etiology and therapy. Advanced genomic technologies including microarrays, proteomics, transcrpitomics, and gene sequencing development have culminated in generation of extensive data and subjection of several genes and microRNAs that are distinctively expressed and this information is stored in the form of various databases. Extensive data from various resources have brought the need for collaboration and data sharing to make effective use of this new knowledge. The current review provides comprehensive information of various publicly accessible databases that contain information pertinent to oral squamous cell carcinoma (OSCC) and databases designed exclusively for OSCC. The databases discussed in this paper are Protein-Coding Gene Databases and microRNA Databases. This paper also describes gene overlap in various databases, which will help researchers to reduce redundancy and focus on only those genes, which are common to more than one databases. We hope such introduction will promote awareness and facilitate the usage of these resources in the cancer research community, and researchers can explore the molecular mechanisms involved in the development of cancer, which can help in subsequent crafting of therapeutic strategies.

Mucous Cell Prosoplasia in Oral Pathologies: A Brief Review.

One of the enigmas in cell differentiation process is prosoplasia, which is contemplated as forward differentiation. A well-known example of prosoplastic switch is mucous cell prosoplasia, which is the transformation of a simple squamous epithelial cell into mucous secreting cell. Numerous theories have been proposed for histogenesis of this phenomenon, which are comprehensively discussed in the present paper. Oral pathologies like odontogenic cysts and salivary gland tumours show mucous prosoplasia quite often; sometimes leading to diagnostic difficulties. In the present paper, efforts have been made to comprehensively discuss diverse aspects of mucous prosoplasia like histogenesis, theories and diagnostic importance in various oral pathologies.

Abscopal Effect: Propitious or Pernicious?

Recent advances in the field of radiation biology have increased our knowledge of cellular responses to radiation and microenvironmental disseminations through radiation at molecular level.

A Genomic Microchip for Oral Cancer.

A series of genetic mutations in somatic cell results in cancer. The cells of malignant tumor have the ability to acclimate to the microenvironmental changes. This can be attributed to the nature of tumor cell biology, i.e., based on effectual molecular signaling events.