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Background:Dental fear, anxiety and phobia have consistently been reported as widespread problems that persist despite the technological advances that have made dentistry less painful and less uncomfortable. The aim of this study was to assess the prevalence of dental anxiety (DA) and its relation to age and sex among Coastal Andhra (Visakhapatnam) population.Materials and Methods:A randomized controlled study was designed among 340 individuals at GITAM Dental College and Hospital, Visakhapatnam. The sample for the study consisted of 180 female and 160 male subjects between 15 and 65 years of age; all were supplied with two questionnaires (Corah DA scale [CDAS] and Clarke and Rustvold dental concerns assessment scale describing anxiety provoking stimuli. The Mann-Whitney U-test and the Kruskal-Wallis test were applied (significance level P < 0.05). The correlations between the two questionnaires were calculated using the Spearman's rank correlation coefficient.Results:Two questionnaires were collected from all 340 individuals and the Indian translation of both instruments was found to be internally reliable with a Cronbach's alpha of 0.093. Overall prevalence of DA was high (77.4%) but severe (22.6%) anxiety (phobia) was low. Kruskal-Wallis test showed a significant relation between age and DA. The mean CDAS scores were high in 25-35 (11.08) and low in 55-65 (9.45) year age groups. Mann-Whitney U test showed significant relation between sex and DA. Mean CDAS score levels were significantly higher in females (10.88) than in males (9.96) (P < 0.0001).Conclusion:Patients anxious about dental procedures are often more difficult to treat. If Dentists become aware about the level of DA among their patients, they can anticipate patient's behavior and can be prepared to take behavioral/pharmacological measures to reduce anxiety levels.

In recent years, age estimation has become increasingly important in living people for a variety of reasons, including identifying criminal and legal responsibility, and for many other social events such as a birth certificate, marriage, beginning a job, joining the army, and retirement.Objectives:The aim of this study was to assess the developmental stages of left seven mandibular teeth for estimation of dental age (DA) in different age groups and to evaluate the possible correlation between DA and chronological age (CA) in South Indian population using Willems method.Materials and Methods:Digital Orthopantomogram of 332 subjects (166 males, 166 females) who fit the study and the criteria were obtained. Assessment of mandibular teeth (from central incisor to the second molar on left quadrant) development was undertaken and DA was assessed using Willems method.Results and Discussion:The present study showed a significant correlation between DA and CA in both males (r = 0.71 and females (r = 0.88). The overall mean difference between the estimated DA and CA for males was 0.69 ± 2.14 years (P < 0.001) while for females, it was 0.08 ± 1.34 years (P > 0.05). Willems method underestimated the mean age of males by 0.69 years and females by 0.08 years and showed that females mature earlier than males in selected population. The mean difference between DA and CA according to Willems method was 0.39 years and is statistically significant (P < 0.05).Conclusion:This study showed significant relation between DA and CA. Thus, digital radiographic assessment of mandibular teeth development can be used to generate mean DA using Willems method and also the estimated age range for an individual of unknown CA.

Introduction:Determining the age of a person in the absence of documentary evidence of birth is essential for legal and medico-legal purpose. Fishman method of skeletal maturation is widely used for this purpose; however, the reliability of this method for people with all geographic locations is not well-established.Aims and Objectives:In this study, we assessed various stages of carpal and metacarpal bone maturation and tested the reliability of Fishman method of skeletal maturation to estimate the age in South Indian population. We also evaluated the correlation between the chronological age (CA) and predicted age based on the Fishman method of skeletal maturation.Materials and Methods:Digital right hand-wrist radiographs of 330 individuals aged 9-20 years were obtained and the skeletal maturity stage for each subject was determined using Fishman method. The skeletal maturation indicator scores were obtained and analyzed with reference to CA and sex. Data was analyzed using the SPSS software package (version 12, SPSS Inc., Chicago, IL, USA).Results:The study subjects had a tendency toward late maturation with the mean skeletal age (SA) estimated being significantly lowers (P < 0.05) than the mean CA at various skeletal maturity stages. Nevertheless, significant correlation was observed in this study between SA and CA for males (r = 0.82) and females (r = 0.85). Interestingly, female subjects were observed to be advanced in SA compared with males.Conclusion:Fishman method of skeletal maturation can be used as an alternative tool for the assessment of mean age of an individual of unknown CA in South Indian children.

Introduction:Demirjian's method of tooth development is most commonly used to assess age in individuals with emerging teeth. However, its application on numerous populations has resulted in wide variations in age estimates and consequent suggestions for the method's adaptation to the local sample. Original Demirjian's method utilized seven mandibular teeth, to which recently third molar is added so that the method can be applied on a wider age group. Furthermore, the revised method developed regression formulas for assessing age. In Indians, as these formulas resulted in underestimation, India-specific regression formulas were developed recently. The purpose of this cross-sectional study was to evaluate the accuracy and applicability of original regression formulas (Chaillet and Demirjian 2004) and India-specific regression formulas (Acharya 2010) using Demirjian's 8 teeth method in South Indian children of age groups 9–20 years.Methods:The present study consisted of 660 randomly selected subjects (330 males and 330 females) were in the aged ranging from 9 to 20 years divided into 11 groups according to their age. Demirjian's 8 teeth method was used for staging of teeth.Results:Demirjian's method underestimated the dental age (DA) by 1.66 years for boys and 1.55 years for girls and 1.61 years in total. Acharya's method over estimated DA by 0.21 years for boys and 0.85 years for girls and 0.53 years in total. The absolute accuracy was better for Acharya's method compared with Demirjian method.Conclusion:This study concluded that both the Demirjian and Indian regression formulas were reliable in assessing age making Demirjian's 8 teeth method applicable for South Indians.

Aims and Objectives:The main objective of this study was to evaluate the duration of stimulation over the parotid salivary flow following the use of transcutaneous electric nerve stimulation (TENS) in different age groups.Materials and Methods:The study was carried out in three different age groups. Under group A individuals from 21 to 35 years of age, group B 36-50 years and group C above 51 years were considered. In each group 30 subjects were taken of whom 15 were males and 15 were females. The placement of pads was approximated bilaterally over the parotid glands. The working parameters of TENS unit were fixed at 50 Hz and the unit was in normal mode.Results:Subjects belonging to group B were showing statistically significant increases in the duration of stimulated parotid salivary flow following the use of TENS.Conclusion:TENS can be considered as a non-pharmacological alternative to improve salivation for longer period in xerostomia patients.

Background:Human identification has been studied since fourteenth century and it has gradually advanced for forensic purposes. Traditional methods such as dental, fingerprint, and DNA comparisons are probably the most common techniques used in this context, allowing fast and secure identification processes. But, in circumstances where identification of an individual by fingerprint or dental record comparison is difficult, palatal rugae may be considered as an alternative source of material.Aim:The present study was done to evaluate the individualistic nature and use of palatal rugae patterns for personal identification and also to test the efficiency of computerized software for forensic identification by photographic superimposition of palatal photographs obtained from casts.Materials and Methods:Two sets of Alginate impressions were made from the upper arches of 100 individuals (50 males and 50 females) with one month interval in between and the casts were poured. All the teeth except the incisors were removed to ensure that only the palate could be used in identification process. In one set of the casts, the palatal rugae were highlighted with a graphite pencil. All the 200 casts were randomly numbered, and then, they were photographed with a 10.1 Mega Pixel Kodak digital camera using standardized method. Using computerized software, the digital photographs of the models without highlighting the palatal rugae were overlapped over the images (transparent) of the palatal rugae with highlighted palatal rugae, in order to identify the pairs by superimposition technique. Incisors were remained and used as landmarks to determine the magnification required to bring the two set of photographs to the same size, in order to make perfect superimposition of images.Results:The result of the overlapping of the digital photographs of highlighted palatal rugae over normal set of models without highlighted palatal rugae resulted in 100% positive identification.Conclusion:This study showed that utilization of palatal photographs is highly viable. The photographic superimposition technique using Adobe Photoshop 8.0 software (used in this study for comparison of palatal rugae) was proved effective for human identification and can be used when ante-mortem data regarding palatal rugae is provided. This study also concluded that palatal rugae are highly individualistic and play an important role as a complementary method in personal identification.

Introduction:The identification of human skeletal remains plays a crucial role in forensic investigation and its accuracy depends on the available parts of the skeleton. The mandible is the hardest and strongest bone of the skull, which exhibits a high degree of sexual dimorphism and helps to identify the sex in human remains. The aim of this study was to develop discriminant function to determine sex from the mandibular radiographs in a South Indian (Visakhapatnam) population.Materials and Methods:This retrospective study consisted of 384 (192 males and 192 females) digital orthopantomographs (OPGs) divided into five groups according to age. Ten mandibular variables were measured using Planmeca Romexis software. The data were tabulated and subjected to discriminant function analyses using Statistical Package for the Social Sciences (SPSS) software (version 20.0) package.Results:All the parameters showed a significant sexual dimorphism (P < 0.001) except for the gonial angle. An overall accuracy of 75.8% was achieved and coronoid height (CrH) was the single best parameter providing an accuracy of 74.1%.Conclusion:All the mandibular variables except for the gonial angle (GA) were found to be reliable in determining the sex in South Indians for forensic purposes.