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Original Article Top
PERCEPTION ABOUT THE ROLE OF ORTHODONTIST IN TOBACCO CESSATION- A CROSSSECTIONAL STUDY p. 01 - 04
Gangesh Bahadur Singh, Bhavin Purohit , Suruchi Chouhan, Pavan Kumar Singh , Arun M
DOI:10.4103/0972-124X.11   
Background: Tobacco is the leading preventable cause of death and more than five million people die globally from the effects of tobacco every year. As members of an important health profession, dentists have a duty to promote oral health and healthy lifestyles among their patients, by raising their awareness about the harmful effects of tobacco on health and guiding them in conquering tobacco addiction. Materials and methods: A Self-administered structured, coded questionnaire was distributed to 100 private practioner Orthodontists and teaching staff in all the dental colleges in Chhattisgarh city. The 100 dentists to whom the questionnaire was sent included the Orthodontists working in the dental colleges, those having private practice, postgraduates were included in the study. Results: 52% are optimistic about the capability of dentists in tobacco cessation though 40% felt that the dentists are not presently well prepared to assist the patients. 98% strongly agree that formal training will be an effective tool to provide the guidelines to Orthodontists in tobacco cessation and counseling. Conclusion: Dental care settings provide an exceptional opportunity to reach Tobacco users and provide brief cessation counselling and treatment to reduce oral and other tobacco-related health conditions. Orthodontists share a moral responsibility by getting involved in helping their patients to quit tobacco by learning the correct Techniques.
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Original Article Top
KNOWLEDGE AND AWARENESS OF DENTAL PATIENTS ATTENDING ORTHODONTICS DEPARTMENT REGARDING ADVERSE EFFECTS OF TOBACCO p. 05 - 08
Sadaf Naaz, Shashank Katiyar, Swalpa Agrawal, Anurag Tiwari, Debashish Dash
DOI:10.4103/0972-124X.12   
Background: Tobacco use is a potent risk factor for many human diseases and conditions including oral cancer, cardiovascular and pulmonary diseases and it has a major deleterious effect on population health. Therefore it becomes important to assess awareness among patients about the ill-effects of Tobacco. Materials and methods: A questionnaire study was performed in which total 100 dental patients participated attending the Department of Orthodontics and Dentofacial Orthopedics, Rungta Dental Sciences and Sciences, Bhilai,Chattisghar. The questionnaire consisted of 22 questions, which was made in two languages, English and Hindi. Data was collected and analysed using SPSS version 18.0. Results: The study consisted of a total of 100 patients, which included 17 Tobacco users and 83 non - Tobacco users. Both groups knew that smoking mainly causes oral cancer (87%), staining of teeth (61%) and delayed healing (36%). However, less number of patients wereaware of the other adverse effects such as halitosis (51%), mouth ulcers (22%), and decreased mouth opening (19%). Conclusion: Considering the present scenario, efforts are required to increase the awareness, where health professionals including dental, medical and allied health professionals should provide Oral Health Education regarding the illeffects of tobacco.
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Review Article Top
ENVIRONMENTAL TOBACCO SMOKE AND DENTAL CARIES IN CHILDREN p. 09 - 14
Manish Kumar, Aruna CN, Padma K.Bhat, Shafi Ahmad, Monalisa
DOI:10.4103/0972-124X.13   
Background: Passive smoking is the inhalation of smoke, called Second-hand smoking (SHSe), or Environmental tobacco smoking (ETS), by the person other than the intended “active” smoker. It occurs when tobacco smoke permeates any environment, causing its inhalation by people within that environment. Active smokers not only run personal risk of serious health hazard, they may also expose their nonsmoking spouse and children to ETS. ETS is perhaps one of the most important toxic exposure in childhood. The social environment and parental smoking influences child development, including the risk for developing dental caries. Different forms of tobacco usage have direct relationship with the prevalence of dental caries. Smoking along with co-existing factors like bad oral hygiene habits, food habits, limited preventive dental visits and overall health standards, can be associated with high caries incidence. However, a direct etiological relationship is lacking. Environmental tobacco smoke (ETS) causes dental caries in children but no studies have been reported in adults. Existing findings are not sufficient and conclusive enough to confirm that ETS causes dental caries. Unfortunately, published studies are not converging towards one single factor through which tobacco usage can have direct relationship to dental caries.
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Case Report Top
A RARE BIPHASIC NEOPLASM OF THE MAXILLA- A DIAGNOSTIC CONUNDRUM p. 15 - 19
Sangeetha J,Balaji P,Poornima G
DOI:10.4103/0972-124X.14   
Background: Carcinosarcoma is a rare biphasic neoplasm comprising of epithelial and mesenchymal components and accounts for less than 1% of all tumours of oral region. The clinical presentation is usually advanced and follows an aggressive course. It is known for propensity for recurrence and metastases. Here we present a case of maxillary carcinosarcoma with extension to the palate and maxillary sinus and to discuss the diagnostic procedures of a very uncommon malignant neoplasia of the oral cavity
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Case Report Top
MPNST: A RARE YET AMBIGUOUS LESION p. 20 - 24
Daksh Mutreja,Balaji P,Poornima G,Mahesh Kumar
DOI:10.4103/0972-124X.15   
Background: Malignant Peripheral nerve sheath tumors (MPNSTs) are uncommon, ectomesenchymal in origin, representing about 5% of soft-tissue sarcomas. World Health organization (WHO) coined the term MPNST replacing previous heterogeneous and often confusing terminology, such as malignant schwannoma, malignant neurilemmoma, and neurofibrosarcoma, for tumors of neurogenic origin with similar biological behavior. These tumors may arise from peripheral nerve branches, spontaneously in adult patients in age group of 20-50 years with equal predilection in males and females. Accurate diagnosis of MPNST is important to differentiate between soft tissue sarcomas and other malignant neoplasms as it is a diagnostic dilemma. A combination of clinical presentation, histopathological, and immunohistochemical studies shall be utilized appropriately to arrive at a diagnosis. Surgery is the main stay of treatment of this tumor though they are biologically aggressive in nature. This case report highlights ambiguous nature of the lesion in its clinical presentation with a series of multiple investigations utilized
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