ORCID Profile
0000-0002-6432-7569
Current Organisation
The University of Edinburgh
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Publisher: Unpublished
Date: 2019
Publisher: Hindawi Limited
Date: 2018
DOI: 10.1155/2018/2689098
Abstract: Prosthodontics is not just confined to replacement of missing teeth but beyond one’s scope. The fabrication of any extraoral maxillofacial prosthesis presents the prosthodontist with several phenomenal challenges. Psychologically, these patients are severely affected either by congenital absence or loss of ear due to trauma or burns. Replacement or reconstruction can be done by surgical or prosthetic approach. However, not all situations are favourable to surgical reconstruction. This article emphasises on the steps in fabrication of ear prosthesis for burn deformity.
Diabetes Related Knowledge, Attitudes and Practice – A Survey Among Oral Health Professionals in Victoria, Australia
Publisher: Informa UK Limited
Date: 04-2020
Publisher: Springer Science and Business Media LLC
Date: 12-2017
Publisher: Springer International Publishing
Date: 21-11-2017
Publisher: Hindawi Limited
Date: 25-08-2020
DOI: 10.1155/2020/2964020
Abstract: Background . With the close link between diabetes mellitus (DM) and periodontal disease (PD), dentists have an unrealized opportunity to make a chance discovery of a patient’s medical condition. Unlike in the medical setting, information on the point of care (PoC) and opportunistic screening for DM in the dental setting is limited. To make a reliable estimate on the prevalence of undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes among dental patients in the dental setting and to assist healthcare planners in making an informed decision, information on the disease frequency and strategies employed to address this issue is of paramount importance . Objectives . To summarize the data on the prevalence of undiagnosed T2DM and prediabetes amongst dental patients and further explore the effectiveness of the PoC screening and its implication for use in the dental setting. Methods . A MEDLINE-PubMed, EMBASE, Web of Science, and Cochrane Library search was conducted with no time specification. Information on study characteristics and diagnostic parameters was retrieved for meta-analysis. All the studies were assessed for methodological quality using the QUADAS-2 tool. Proportions were presented in tables and forest plots. All statistical analysis was performed using the MedCalc software. Results . Nine studies met the inclusion criteria. The proportion of dental patients identified to be at a risk of hyperglycaemia with the PoC screening using random blood glucose (RBG) and HbA1 was 32.47% and 40.10%, whilst the estimated proportion with undiagnosed T2DM and prediabetes was identified as 11.23% and 47.38%. Conclusion . A significant proportion of dental patients can be identified as undiagnosed T2DM and prediabetes. Targeted opportunistic screening is a feasible approach and can help reduce the prevalence of undiagnosed T2DM and prediabetes.
Publisher: Research Square Platform LLC
Date: 24-03-2020
DOI: 10.21203/RS.3.RS-18670/V1
Abstract: Background With the close link between Diabetes Mellitus (DM)and periodontal disease dentists have an unrealized opportunity to make a chance discovery of a patient’s medical condition. Unlike in the medical setting, information on the Point-of-Care (PoC), opportunistic screening for DM in the dental setting is limited. To make a reliable estimate on the prevalence of undiagnosed type 2 diabetes mellitus (T2DM) and prediabetes among dental patients in the dental setting and to assist healthcare planners in making an informed decision, information on the disease frequency and strategies employed to address this issue are of paramount importance . As such, the objectives of this study is to summarize the data on the prevalence of undiagnosed T2DM and pre-diabetes amongst dental patients and further explore the effectiveness of the PoC screening and its implication for use in the dental setting. Methods A MEDLINE – PubMed, EMBASE, Web of Science and Cochrane library search was conducted with no time specification. Information on study characteristics and diagnostic parameters were retrieved for metaanalysis. All the studies were assessed for methodological quality using the QUADAS 2 tool. Proportions were presented in tables and Forrest plots. All statistical analysis was performed using the Medcalc software. Results Nine studies met the inclusion criteria. The proportion of dental patients identified to be at risk of hyperglycaemia with the PoC screening using random blood glucose, and glycated haemoglobin was 32.47% and 40.10%, whilst the estimated proportion with undiagnosed T2DM and pre-diabetes was identified as 11.23% and 47.38%. Conclusion A significant proportion of dental patient can be identified as undiagnosed T2DM and prediabetes. Targeted opportunistic screening is a feasible approach and can help reduce the prevalence of undiagnosed T2DM and pre-diabetes.
Publisher: Research Square Platform LLC
Date: 04-06-2021
DOI: 10.21203/RS.3.RS-590681/V1
Abstract: Although oral cancer is multifactorial in origin only few had evaluated the diagnostic parameters for candidal infection in oral squamous cell carcinoma (OSCC). We aims to compare and assess the accuracy of Calcofluor Whilte (CFW) to that of conventional staining methods to identify the presence of candidal infection in OSCC. Archival collection of 43 OSCC were retrieved for this investigation. Standard staining protocol was followed for the index test (CFW) and reference standard (Periodic Acid Schiff). Two examiners were blinded for either one of the staining techniques. Diagnostic test evaluation and Kappa statistic was calculated using MedCalc software. The study comprised of 37 males, six females, and their mean age at the time of presentation was 51 (range 23 to 75 years). The sensitivity and specificity of CFW was 75.8% (CI 57.7 to 88.9%) and 10.0% (CI 0.2 to 44.5%). While the positive predictive and negative predictive values were 63.1% (CI − 50.6% − 74.0%) and 67.0% (CI − 49.2% − 81.0%). Our results show minimal agreement with PAS with a Kappa score of 0.148 (95% CI = 0.39 to 0.09). Overall detection rate was similar for both the index test and reference standard although there was considerable number of intermediate test results. Sensitivity of CFW was comparable to that of earlier studies but specificity was low and the degree of concordance of 60.4%. Although CFW staining can come with high false positive they are an useful test for ruling out candida infection when the test result is negative.
Publisher: Medicina Oral, S.L.
Date: 2019
DOI: 10.4317/JCED.56059
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Alagesan Chinnasamy.