Background: Temporomandibular joint disorders (TMDs) are one of the major causes of chronic orofacial pain affecting 28-86% of the population. The diagnosis of TMDs is challenging to a considerable number of practitioners and is influenced by their knowledge, attitude and experience. Aim: This study aimed at assessing the knowledge, attitude and practices regarding TMDs among TMD experts and general dental practitioners (GDPs) in India. Materials and Methods: A total of 200 dental practitioners (32 TMD experts and 168 GDPs) across India, registered under the Dental Council of India, were included in the survey. A questionnaire consisting of 21 issues with regard to TMDs was designed from relevant standard textbooks. The questionnaire was pretested for validation and distributed personally or through the web designed program. The knowledge and attitude scores of both the groups were assessed and compared. The therapeutic modalities practiced by the groups were also noted. Results: A significant difference was found in the knowledge scores and attitude between TMD experts and GDPs. A significant correlation was found between attitude score and years of experience in both the groups. Both TMD experts and GDPs expressed little confidence in the management of TMDs. About 75% of GDPs expressed concern over an inadequate number of TMD experts. Conclusion: Need for continued updating of knowledge, panel discussions, and revisions of the curriculum in graduate schools was realized.
Burning Mouth Syndrome (BMS) is a neurosensory disorder that affects the oral mucosa by causing a burning or stinging pain of varying degrees in different individuals. It is difficult to diagnose the condition as it does appear in conjunction with any clinical or laboratory abnormalities. The psychological and psychiatric issues involved along with the oral symptoms make oral healthcare provision in such individuals a challenging task. This review presents the oral healthcare provider an insight into the peculiar nature of BMS and the oral healthcare management of patients with BMS.
We present a rare case of isolated submandibular lymph node sarcoidosis with no systemic involvement. Differential diagnosis of cervical swellings is discussed. This case highlights the diagnostic difficulties in isolated head and neck manifestations of sarcoidosis. Long term follow up is recommended in such cases as these manifestations may serve as precursors for systemic sarcoidosis.
Dermatomyositis (DM) is an autoimmune condition characterized by skin rashes and progressive muscle weakness. It is classified under the idiopathic inflammatory myopathies (IIM) and can affect children as well as adults. A heightened incidence of malignancy in adults with DM has laid greater focus on its early diagnosis, treatment, and monitoring. In recent years, a greater understanding of the pathogenesis of the disease, its diagnostic criteria and management has improved the quality of life in affected individuals. The orofacial region presents with many manifestations of the disorder, sometimes even the initial presenting signs. This review presents an update on the disease process, its pathogenesis, diagnostic criteria, orofacial manifestations, medical management and dental considerations for patients with DM. The updated knowledge about DM is crucial for oral health care providers to plan and execute oral health care in a coordinated manner.
Introduction: Williams–Beuren syndrome is a rare, congenital, multisystem disorder, resulting from genetic alterations on chromosome 7q11.23. Characteristic features of WBS are the developmental, physical and mental abnormalities associated with it. Typical facial features and a spectrum of tooth disorders are associated with this condition. Cardiac and renal involvement may be so severe that sudden death during oral healthcare procedures is a possibility. Photophobia and hyperacusis further make dental treatment a challenge in these patients. Corpus: Routine dental treatment in the dental office pose a significant risk, depending upon the mental and physical compromise of the patient, thereby making hospital admission a safer approach. A multispeciality approach is necessary to provide effective and safe oral healthcare to such patients. This article provides undergraduates, residents, general dental practitioners, and specialists involved in oral healthcare with a comprehensive overview of the condition with emphasis on its genetic basis, pathology, clinical features, diagnosis, and management of general and oral health. Conclusion: Adequate knowledge regarding the various aspects of Williams–Beuren syndrome allows the oral health care student or specialist to plan and manage oral procedures safely and effectively. Specialist referral and multidisciplinary care may be considered when appropriate.
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