1.The role of oral physicians in predicting the risk of obstructive sleep apnea: A case-control study.
Reddy LAVANYA ; Dara Balaji GANDHI BABU ; Sunandha CHAVVA ; Mamatha BORINGI ; Shefali WAGHRAY ; Mounica YELADANDI
Imaging Science in Dentistry 2016;46(3):167-171
PURPOSE: Obstructive sleep apnea (OSA) is a common medical disorder with serious complications if untreated. Dentists play a vital role in the early diagnosis of this condition, thereby improving patients' prognoses. The purpose of this study was to identify patients with a high risk of OSA using simple cephalometric measurements in patients receiving routine dental care. MATERIALS AND METHODS: The present study was conducted on 206 patients divided into a high-risk group and a control group after answering the Berlin questionnaire. Cephalometric analysis of a digital cephalogram was performed to measure the upper airway diameter (UAD) and mandibular-to-hyoid bone distance (MP-H) by 2 observers at 2 different times. RESULTS: Among 206 patients, 93 (45%) were included in the high-risk group and 113 (55%) were in the control group. No significant difference was present between the groups with regard to gender, and the patients ranged in age from 18 to 65 years. The UAD measurements in the high-risk group were significantly lower than in the control group, and the MP-H measurements were significantly higher in the high-risk group than in the control group. The UAD was lower in middle-aged patients in both groups. CONCLUSION: Our study found that the UAD was lower in individuals with a high risk of OSA. Also, we found that middle-aged individuals of both genders were more likely to develop OSA. Dentists play a vital role in diagnosing patients at a high risk for OSA via thorough clinical examinations, risk factor analyses, and simple cephalometric analyses.
Berlin
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Case-Control Studies*
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Cephalometry
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Dental Care
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Dentists
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Early Diagnosis
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Humans
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Obesity
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Prognosis
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Risk Factors
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Sleep Apnea, Obstructive*
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Snoring
2.Diverse imaging characteristics of a mandibular intraosseous vascular lesion.
Hina HANDA ; Giridhar S NAIDU ; Balaji Gandhi Babu DARA ; Ashwini DESHPANDE ; Raju RAGHAVENDRA
Imaging Science in Dentistry 2014;44(1):67-73
Intraosseous vascular lesions of the maxillofacial region are rare, and the differential diagnosis of intraosseous vascular malformations from other jaw lesions can be challenging. In the present case, magnetic resonance imaging and three-dimensional computed tomographic angiography (CTA) was used for diagnosis, and the lesion was treated wih surgical excision. Diverse characteristics such as the "honeycomb" and "sunburst" radiographic appearances and the absence of major peripheral feeder vessels in the CTA were noted. Intraosseous vascular malformations have a varied radiographic appearance, and the nomenclature of these lesions is equally diverse, with several overlapping terms. Pathologists do not generally differentiate among intraosseous vascular lesions on the basis of histopathology, although these lesions may present with contrasting immunohistochemical and clinical behaviors requiring varied treatment strategies. This case report highlights the need for multiple imaging modalities to differentiate among vascular lesions, as well as to better understand the behaviors of these unique lesions.
Angiography
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Diagnosis
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Diagnosis, Differential
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Jaw
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Magnetic Resonance Imaging
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Tomography, X-Ray Computed
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Vascular Malformations