In the present study, it was apparent that most of the respondents were lacking adequate knowledge and awareness on teledentistry. Hence, there is an immense need to create awareness among dental professionals on teledentistry as the future lies in technological advancement. Tele dentistry can mark the beginning of a new era in dentistry. This can be achieved by conducting CDE programs and awareness campaigns/programs which helps in various levels.

There may be an association between chronic inflammation and dyslipidemia that increases the risk for cardiovascular disease. OLP and OLR patients have increased serum cholesterol and LDL-C when compared to normal adults. Further research on lipid levels in OLR are required to establish the findings of this study.

Mucormycosis is an opportunistic fulminant fungal infection, which has the ability to cause significant morbidity and frequently mortality in the susceptible patient. Common predisposing factors include diabetes mellitus and immunosuppression. The infection begins in the nose and paranasal sinuses due to inhalation of fungal spores. The fungus invades the arteries leading to thrombosis that subsequently causes necrosis of the tissue. The infection can spread to orbital and intracranial structures either by direct invasion or through the blood vessels. Here we describe a case of mucormycosis of maxillary antrum extending to ethmoidal and frontal sinus and also causing necrosis of left maxilla in an uncontrolled diabetic individual to emphasize early diagnosis and treatment of this fatal fungal infection.

Introduction:Oral mucositis is an unavoidable complication occurring during the treatment of cancer by radiotherapy, concurrent chemoradiotherapy (CCRT), or chemotherapy. This is a painful sequelae, significantly affecting the nutritional intake and quality of life.Materials and Methods:A multicentric cross-sectional study was done at four cancer centers in Hyderabad. About 455 subjects of both genders between 20 and 80 years undergoing cancer treatment such as chemotherapy (Group I), CCRT (Group II), radiotherapy within 14 days of initiation (Group III), and radiotherapy after 14 days of initiation of therapy (Group IV) who had oral mucositis were included in the study. A self-addressed Hospital Anxiety and Depression Scale questionnaire was used to assess the anxiety/depression in cancer therapy-induced oral mucositis patients.Results:Group III had established anxiety (58.82%) followed by Group IV (47.5%) of patients showing severe oral mucositis. In Group I, 47.17% and in Group II, 40% patients with borderline anxiety had mild mucositis, which was statistically significant (P = 0.01). Group III had established depression in 56.36%, followed by Group IV with 39.62% patients showed severe oral mucositis. Group I and II had mild to moderate mucositis, which was associated with established depression at statistically significant result (P = 0.02).Conclusion:Group IV had maximum participants with anxiety and depression, closely followed by Group II, Group III, and least in Group I. Thus appropriate intervention in the form of nonpharmacological and pharmacological treatment is warranted.

A 33-year-old male patient reported with a chief complaint of swelling below tongue since 8 months. The swelling started as a small nodule and gradually increased to present size. There was history of pain since 2 months, which aggravated on lifting tongue and on swallowing.The medical history was noncontributory and there was no history of trauma, tooth pain or preceding inflammation and no constitutional symptoms like fever, weight loss.Extraoral examination was unremarkable and on intraoral examination, a solitary well circumscribed swelling was present on anterior floor of mouth and lingual to lower anteriors. The size of swelling was 1 x 1.5 cm [Table/ Fig-1].The surface was smooth with no visible pulsations and no secondary changes. It was firm in consistency, tender, non-fluctuant, non-compressible, non-reducible and mobile. The oral hygiene status was good with no evidence of stains, calculus, carious lesions and apparently normal gingivoperiodontal status. The mandibular anterior teeth on percussion and palpation were normal and were vital. A provisional diagnosis of minor salivary gland tumour was made, with differential diagnosis of mucous retention cyst, ranula, lymphangioma, haemangioma, lipoma, and ectopic lymphnode.Diascopy test was not done because of anatomy and FNAC did not yield any aspirate. Intraoral periapical radiograph with respect to mandibular anterior teeth and mandibular topographical occlusal view showed no abnormality [Table/ Fig-2]. MRI revealed patchy area of signal abnormality in floor of mouth, infero-medial to attachment of geniohyoid muscle. Mildly hypointense on T1 and T2 image was appreciated with an impression of malignancy from minor salivary gland [Table/ Fig-3]. Mild diffuse restriction was noted on Diffuse weighted image (DWI). Complete surgical profile was advised in which no abnormality was detected. Correlating clinical, radiographic and MRI findings, odontogenic lesion was ruled out and working diagnosis of minor salivary gland tumour was arrived. Excisional biopsy of the lesion was performed under local anaesthesia [Table/ Fig-4] and the specimen was subjected to histopathological examination.On microscopic examination, there were cavernous vascular spaces, solid spindle cells attached to vessel walls and vacuolated epitheloidendothelial cells [Table /Fig-5,6]. The lesion was well circumscribed, highly cellular with vascular proliferation and slit like spaces 7]. There were few lymphocytes and eosinophils. Larger thin walled vessels with RBCs and areas of hemorrhage were also appreciated. The lesion did not show any cellular atypia and was well circumscribed without infiltration to surrounding structures. Histopathological diagnosis of vascular lesion i.e., spindle cell haemangioma was given. Immunohistochemistry (IHC) was done for the markers CD-34 and CD-31 for evaluation of origin of these spindle cells which were triple positive. Pericytes with surrounding blood vessels, split like vascular spaces lined by endothelial cells were positive for CD-34 and cells in ...