Publications by authors named "Ramani P"

Background: Oral squamous cell carcinoma (OSCC) is one of the most prevalent oral cancers in the world. The major etiological factors are considered to be tobacco and alcohol. However, the etiological factors for non-habit associated oral squamous cell carcinoma (NHOSCC) remains an enigma.

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A novel Schiff base ligand (L), bearing NO donor sites, was derived from the condensation of 5-chloromethylisophthaldehyde and phenylpropanolamine (PPA). Mononuclear Co(II), Cu(II), and Zn(II) complexes were synthesized and were characterized by FTIR, UV-Vis, H NMR, ESI-mass spectroscopy, molar conductance, and thermal and electrochemical studies. The thermal investigation revealed that the complexes were stable up to 150-250 °C and began to degrade in stages, resulting in the development of respective metal oxides.

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Objective: The study aims to identify potential pharmacophore models for targeting beta-catenin, a crucial protein involved in the development of oral squamous cell carcinoma (OSCC), using a combination of herbal compounds and computational approaches.

Methods: Five natural compounds namely Quercetin, Lycopene, Ovatodiolide, Karsil, and Delphinidin were selected based on their reported activity against beta-catenin. Ligand characteristics were analyzed using SwissADME to evaluate drug-likeness, lipophilicity (logP), and bioavailability.

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Background: Gingiva is a keratinised mucosa akin to the skin and is exposed in all modalities of treatment of oral cancer. Acquired lymphangiectasia are acquired dilatations of lymphatic channels secondary to an external cause. They are extremely rare in the oral cavity despite that oral cancers are treated with different treatment modalities.

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Fungal strains have inspired us to find the untapped sources of secondary metabolites. Corticiolic acid (CA, 2,4-dihydroxy-6-pentadecylbenzoic acid; from fungus, ) is one of the core active scaffolds in natural compounds such as Aquastatin-A, B, & C. CA can also be isolated from the plant .

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Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a rare, benign lesion often misdiagnosed due to its clinical and histological similarities with malignant conditions. It typically presents as a persistent, non-healing ulcer in the oral cavity. This case report describes a 64-year-old female patient who presented with a solitary ulcer caused by chronic trauma from a supra-erupted tooth.

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This article outlines a systematic workflow for the clinical management of lip swellings, ensuring an accurate diagnosis and appropriate treatment plan. The process involves a thorough clinical examination and necessary diagnostic investigations such as imaging and biopsy, which will guide treatment decisions. Depending on the findings, treatment may range from conservative management to surgical excision.

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Inflammatory paradental cysts (IPC) are frequently under-reported due to insufficient clinical details. Our case report describes a 45-year-old male with a complaint of discomfort in the right lower posterior region. Intra-oral examination revealed a partially erupted, mesioangularly impacted 48 without any dental caries.

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Trabecular juvenile ossifying fibroma (TrJOF) is a rare, benign, fibro-osseous lesion that predominantly affects children and adolescents. The lesion is locally aggressive, has a high recurrence rate, and is often misdiagnosed due to its clinical and radiographic similarities to other lesions. A seven-year-old female presented with a history of swelling and pain on the right side of her face for the last month.

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Sebaceous hyperplasia is a benign condition characterized by an overgrowth of sebaceous glands, often presenting as small, soft, yellowish papules on areas rich in sebaceous glands, such as the face. While the condition is harmless, it can mimic other dermatological conditions, such as basal cell carcinoma. This case report describes a 71-year-old female with sebaceous hyperplasia presenting as wart-like lesions and whiteheads on the forehead and cheek regions.

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Background Internal audits are essential tools for enhancing the operational efficiency, quality, and effectiveness of healthcare departments. Audits enable the departments and laboratories to meet the changing needs of the healthcare environment by giving a detailed picture of the department's operations and highlighting areas for possible growth and development. Aims and objectives This study focuses on the biopsies received in the Oral Pathology Department at Saveetha Dental College, aiming to evaluate biopsy trends, financial performance, and resource utilization over one year.

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We report a case of mucocele of the lower lip in a 17-year-old female patient. She complained of a painless swelling on her lower lip for the last one month. The patient also gave a history of lip-biting.

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Article Synopsis
  • Oral squamous cell carcinoma (OSCC) poses significant challenges for clinicians and pathologists, as illustrated by a unique case involving the left buccal mucosa that included severe bone exposure and skin perforation.
  • The case exhibited alarming symptoms such as ulceration, necrosis, and maggot infestation, with histological analysis revealing poorly differentiated malignant cells that indicated a severe form of the disease.
  • The report highlights the critical importance of early diagnosis and treatment to halt disease progression, mitigate immune suppression, and enhance patient quality of life.
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  • This systematic review examines how fluoride exposure affects kidney and liver functions, bringing attention to potential health risks and encouraging cautious use of fluoride.
  • It involved a comprehensive analysis of studies from 2013 to 2023, focusing on various methodologies and findings related to fluoride's toxic effects on renal and hepatic systems.
  • The results show significant damage to kidneys and livers in animal studies with high fluoride doses, while also highlighting the need for further research to determine safe exposure levels and understand the mechanisms of fluoride toxicity.
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  • - Oral plexiform neurofibromas are benign tumors of peripheral nerves characterized by a "plexus" or "bag of worms" appearance and have higher chances of recurring and potentially becoming malignant.
  • - A case study involves a young male with this type of tumor in the buccal mucosa, who was recommended to undergo a full-body exam to check for neurofibromatosis.
  • - Although surgery is the typical treatment, understanding the mechanisms behind recurrences is important for better surgical success and management, especially since involved anatomical structures can limit the extent of removal.
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Background and objective Oral submucous fibrosis (OSMF) is a common and potentially malignant disorder with a high risk of malignant transformation to oral squamous cell carcinoma (OSCC). Tumor budding is a scattered pattern of invasion and is related to the aggressive behavior of malignant tumors, increased depth of invasion, higher clinical staging, size, and grade of the tumor. The present study aimed to evaluate tumor budding in OSCC arising in the background of OSMF.

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Background: Next generation sequencing (NGS) is a massive, high-throughput sequencing technology used to analyze various mutations and genetic changes in cancer. Oral squamous cell carcinoma (OSCC) is the most common malignancy of the head and neck region. OSCC usually arises from oral potentially malignant disorders, like oral leukoplakia, oral submucous fibrosis and erythroplakia, and shows mutation of tumor suppressor genes, and several other critical genes involved in apoptotic pathways, cell migration, and cell growth.

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  • - Osteoblastoma is a rare and benign bone tumor mainly found in the spine but can also appear in the mandible, as seen in a case involving a 38-year-old female with mild pain and swelling.
  • - Diagnosis was confirmed through clinical, radiographic, and histopathological evaluations, leading to a conservative surgical excision with no recurrence during follow-up.
  • - The report highlights the need to differentiate osteoblastoma from similar lesions like low-grade osteosarcoma and osteoid osteoma for proper treatment and better outcomes.
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Background: The Surgical Tool for Auditing Records scoring system [STAR] focuses on surgical record auditing with promising outcomes. It offers a structured approach to evaluating the quality of surgical notes.

Aims And Objectives: This study aimed to assess the effectiveness of the STAR in evaluating oral surgical records and identifying areas for improvement in documentation practices.

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Article Synopsis
  • The study investigates the levels of receptors for advanced glycation end products (RAGEs) in patients with oral submucous fibrosis (OSMF), oral leukoplakia, and oral squamous cell carcinoma (OSCC).
  • It involved a cross-sectional analysis with 49 patients, where tissue samples were analyzed to determine the concentration of RAGEs.
  • Results indicated that RAGE levels were significantly higher in OSMF patients compared to OSCC, suggesting the potential for anti-RAGE therapies in treating OSMF.
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Introduction: White spot lesions are opaque, chalky white or yellowish discolorations on the surface of teeth that result from the demineralization of the tooth structure. Many methods, including SEM, XRD, and FTIR spectroscopy, are crucial for identifying and evaluating enamel white spot lesions. It is imperative to have a thorough grasp of the morphology, crystallographic structure, mineral composition, and chemical changes associated with enamel white spot lesions.

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Introduction: Head and neck squamous cell carcinoma (HNSCC) is the most common mucosal neoplasm that affects the head and neck region. It is the 6th most common cancer globally, most commonly seen in South Asian countries. Insulin receptor substrate 1 (IRS-1), like insulin receptor, is an adapter protein that integrates multiple transmembrane signals from growth factors and hormones, to regulate cell growth, survival, differentiation, and metabolism.

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Background: Forkhead box C2 gene (FOXC2) acts as an epithelial-mesenchymal transition (EMT) inducer while Prospero homeobox 1 gene (PROX-1) function as a regulator of lymphangiogenesis and angiogenesis in oral squamous cell carcinoma (OSCC). It is presumed that PROX-1 has both tumour-suppressive and oncogenic effects. The main aim of this study is to evaluate the role of PROX-1 and FOXC2 in the invasion and progression of OSCC cases and to correlate their expression with various histopathological parameters.

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Background: The clinical use of antimicrobial agents for managing aphthous ulcers and periodontal diseases has long been a subject of intensive research by numerous investigators. As concerns over the side effects and antibiotic resistance associated with conventional therapies persist, there has been a concerted effort to explore alternative medicinal approaches. In line with this objective, our study introduces a novel herbal gum paint designed specifically to address the therapeutic needs of individuals suffering from oral ulcers and periodontal diseases.

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