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pISSN NO. 2277 - 8845 Indexed in eISSN NO. 2278 - 2044 INDEX COPERNICUS GENAMICS JOURNAL SEEK Volume - 3, Number - 3 GOOGLE SCHOLAR July - September 2014 RESEARCH BIBLE DIRECTORY OF SCIENCE DIRECTORY OF RESEARCH JOURNAL INDEXING JOURNAL INDEX.NET Chettinad Health City MEDICAL JOURNAL In this issue Menstruation : A Sign or Symptom of Physiology or Failed Physiology? Haematological Parameters Including Platelet Indices in Vivax and Falciparum Malaria Ectodermal Dysplasia and Malocclusion – Retrospective study Clinical Assessment of Effects of Untreated Dental Caries in School Going Children Using PUFA Index Oral Health in Correctional Facilities: A Study on Knowledge, Attitude and Practice of Prisoners in Central India Review Articles in Dentistry Case Reports www.chcmj.ac.in and and CHETCARDIOCON 2014 REVISITING CORONARY REVASCULARIZATION 13th December 2014 Lecture Hall - 3 (Mini Auditorium) CME 2 Chettinad Hospital & Research Institute CREDIT HOURS AVAILABLE Chettinad Health City Campus, Rajiv Gandhi Salai, Kelambakkam, Kanchipuram District, Tamil Nadu-603 103. All rights are reserved Chettinad Health City Medical Journal Chettinad Academy of Research and Education (CARE) is published by the Chettinad Academy of Research and Education. Dr. K. Ravindran Mr. SpK. Chidambaram Vice Chancellor - CARE Registrar - CARE Apart from the fair dealing for the Editorial Advisors Chief Editor purposes of research or private study, Dr. K. Ravindran Dr. N. Pandiyan or criticism or review, no part of the Dr. K. Ramesh Rao publication can be reproduced, stored, Associate Editors or transmitted in any form or by any Dr. R.M.Pitchappan Dr. D. C. Mathangi means without prior permission. Dr. P. Rajesh Dr. V. Anitha Mrs. L. Lakshmi Dr. Thilaka Muthiah Chettinad Health City Medical Journal Dr. K. Senthil Kumar and /or its publisher cannot be held Editors responsible for errors or for any Dr. K. Ramesh Rao Assistant Editors consequences arising from the use of Dr. R. Murugesan Dr. Shah Dupesh Khan the information contained in this Dr. Pradeep G. Nayar Ms. Prathima. T journal. The appearance of advertising Dr. Ramesh V G or product information in the various International Editors sections of the journal does not Statistical Advisor constitute an endorsement or approval Dr. Jayant G Mehta, by the journal and / or its publisher of Dr. S. Govindaraju BHR University Hospitals the quality or the value of the said NHS Trust, UK National Editors product or of claims made for it by its Dr. Ram Dhillon, manufacturer. Dr. Dalim Kumar Baidya Middlesex University, UK AIIMS, New Delhi. Dr. Suresh Nair Dr Malini Moni, Johns Hopkins University, USA EDITORIAL OFFICE Sri Chitra Institute of Medical Sciences & Technology, Thiruvananthapuram. Dr. N. Pandiyan Dr. Vedantam Rajshekhar CMC,Vellore. Chief Consultant, Department of Reproductive Medicine, Dr. K.A.Abraham Apollo Hospitals, Chennai. Chettinad Health City, Rajiv Gandhi Salai, (OMR, Chennai), Dr. P.B.Seshagiri Kelambakkam, Kanchipuram Dist., IISc, Bangalore. 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Manigandan Mr. Balaji pISSN NO. 2277 - 8845 eISSN NO. 2278 - 2044 Chettinad Health City MEDICAL JOURNAL Contents Editorial 93 Anitha V Opinion Menstruation : A Sign or Symptom of Physiology or Failed Physiology? – A Hypothesis 94 Pandiyan N Original Article Haematological Parameters Including Platelet Indices in Vivax and Falciparum Malaria 95 Sushma Nayar, Murli Manohar Reddy, Vijayashree R, Femila Padmavathy, Ramijan Begum, Arudra P Ectodermal Dysplasia and Malocclusion – Retrospective study 101 Yamini J, Divya Loganathan, Saravana Kumar S, Annamalai P R Clinical Assessment of Effects of Untreated Dental Caries in School Going Children 105 Using PUFA Index Jain K, Singh B, Dubey A, Avinash A Oral Health in Correctional Facilities: A Study on Knowledge, Attitude and Practice 109 of Prisoners in Central India Ram Tiwari, Jayachandra Megalamanegowdru, Rohit Agrawal, Anjali Gupta, Abhinav Parakh, Mayank Chandrakar Review Article Piezoelectric surgery: A Novel Approach in Periodontics 115 Balaji V R, Rohini G, Manikandan D Limitations and Scope of Orthodontic Treatment in Medically Compromised Patients 118 Divya Loganathan, Saravana Kumar S, Yamini J, Annamalai PR Oral Health Management of Geriatric Patients with Systemic Disorders 122 Murali Karthik, Nagappan N, Prasanna Karthik , Gajapathi B, Shiva Kumar V Dental Stem Cells 126 Daya Srinivasan, Joe Louis A Stitch in Time Saves Nine 129 Meena Priya B, Anitha V, Shanmugam M Case Report Sickle Beta+ Thalassemia 133 Jegan Niwas K, Ramcharan Reddy, Udayashankar D, Durga Krishnan, Rajasekaran D Endodontic Management of a Mandibular Second Premolar with 136 Two Roots and Three Canals Sai Shamini, Padmini Govindasamy, Vidya KM McInnes solution - The Forgotten Entity for Fluorosis Stains 139 Sadasiva Kadandale, Sriram K, Vijikarthikai Balan I Warty But Not Warts 141 Riswana Jasmine M, Preethi K, Meenakshi Mohanram, Srinivasan M S Editorial Chettinad Health City Medical Journal is an A review article discusses the usefulness of dental stem International, peer reviewed, quarterly medical cells in regenerative therapies. The article on journal. This issue of the journal has a special section limitations and scope of orthodontic treatment in focusing on Dentistry. Dentistry is the branch of medically compromised patients revealed the medicine that is involved in the study, diagnosis, implications of cardiovascular, endocrine and prevention, and treatment of diseases, disorders and respiratory diseases on orthodontic treatment. A stitch conditions of the oral cavity. There are nine specialties in time saves nine states that periodontal diseases act as in dentistry namely Oral Medicine and Radiology, Oral a focus of infection for many systemic diseases due to and Maxillofacial surgery, Public Health Dentistry, Oral dissemination of microbial products to distant parts of and Maxillofacial Pathology, Pedodontics and the body. Another review article focuses on the oral Preventive dentistry, Orthodontics and Dentofacial health management of geriatric patients with common Orthopedics, Periodontics, Prosthodontics and Crown systemic disorders. Piezoelectric surgery is a minimally and bridge, Conservative dentistry and Endodontics. invasive osseous surgical technique developed in Periodontics to reduce the risk of damage to This issue carries original articles, review articles and surrounding tissues. case reports. The original article on Ectodermal dysplasia and malocclusion focuses on cranio The case reports are on Sickle beta Thalassemia, maxillofacial deformation associated with it. A study Endodontic Management of mandibular second on the knowledge, attitude and practice of prisoners in premolar with two roots and three canals, McInnes central India revealed that 75% of prisoners were solution for fluorosis stains and Warty Dyskeratoma deprived of dental treatment. Another article focuses which is a benign epidermal proliferation. An on the role of untreated caries in school children and interesting ECG and medical updates complete the designing the interventional strategies with a view to issue. We hope you will find this issue interesting. attend to oral health care needs of children. Another Please do give your valuable suggestions. article is an eye opener on malaria revealing that low platelet count is an additional diagnostic tool. Dr. Anitha V E-mail: [email protected] 93 Chettinad Health City Medical Journal Volume 3, Number 3 Opinion Menstruation : A Sign or Symptom of Physiology or Failed Physiology? – A Hypothesis Pandiyan N, Chief Consultant, Dept. of Reproductive Medicine, Chettinad Super Speciality Hospital, Chennai, India. Corresponding author - Pandiyan N ([email protected]) Chettinad Health City Medical Journal 2014; 3(3): 94 Menstruation is of unknown evolutionary Therefore, I would like to propose that menstruation is significance1. It is not clear why women are one of the a sign of failed physiology or function. This acceptance very few species that menstruate1,2. In fact, is not just for semantic purposes but also may help us menstruation may even be harmful to women’s health understand many of the menstruation related by causing blood loss which may in turn lead to anaemia pathologies in humans like endometriosis. and this is associated with morbidity and mortality3,4. Menstruation remains a gynecological or reproductive Acknowledgement endocrinological enigma. I thank Dr. Siddharth, Fellow in Clinical Andrology for Menstruation is widely believed to be a physiological helping me in researching the references and function of all reproductive age women5. However, in structuring the article. I also thank the peer reviewers recent times, we have