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<TEI>
<teiHeader>
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<titleStmt>
<title xml:lang="en">Association of Temporomandibular Joint Signs & Symptoms with Dental Fluorosis & Skeletal Manifestations in Endemic Fluoride Areas of Dungarpur District, Rajasthan, India</title>
<author>
<name sortKey="Asawa, Kailash" sort="Asawa, Kailash" uniqKey="Asawa K" first="Kailash" last="Asawa">Kailash Asawa</name>
<affiliation>
<nlm:aff id="aff1"> Reader, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Singh, Anukriti" sort="Singh, Anukriti" uniqKey="Singh A" first="Anukriti" last="Singh">Anukriti Singh</name>
<affiliation>
<nlm:aff id="aff2"> Post Graduate Student, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bhat, Nagesh" sort="Bhat, Nagesh" uniqKey="Bhat N" first="Nagesh" last="Bhat">Nagesh Bhat</name>
<affiliation>
<nlm:aff id="aff3"> Professor and Head, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tak, Mridula" sort="Tak, Mridula" uniqKey="Tak M" first="Mridula" last="Tak">Mridula Tak</name>
<affiliation>
<nlm:aff id="aff4"> Senior Lecturer, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shinde, Kushal" sort="Shinde, Kushal" uniqKey="Shinde K" first="Kushal" last="Shinde">Kushal Shinde</name>
<affiliation>
<nlm:aff id="aff5"> Post Graduate Student, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Jain, Sandeep" sort="Jain, Sandeep" uniqKey="Jain S" first="Sandeep" last="Jain">Sandeep Jain</name>
<affiliation>
<nlm:aff id="aff6"> Post Graduate Student, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
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<idno type="pmid">26816986</idno>
<idno type="pmc">4717726</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717726</idno>
<idno type="RBID">PMC:4717726</idno>
<idno type="doi">10.7860/JCDR/2015/15807.6958</idno>
<date when="2015">2015</date>
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<title xml:lang="en" level="a" type="main">Association of Temporomandibular Joint Signs & Symptoms with Dental Fluorosis & Skeletal Manifestations in Endemic Fluoride Areas of Dungarpur District, Rajasthan, India</title>
<author>
<name sortKey="Asawa, Kailash" sort="Asawa, Kailash" uniqKey="Asawa K" first="Kailash" last="Asawa">Kailash Asawa</name>
<affiliation>
<nlm:aff id="aff1"> Reader, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Singh, Anukriti" sort="Singh, Anukriti" uniqKey="Singh A" first="Anukriti" last="Singh">Anukriti Singh</name>
<affiliation>
<nlm:aff id="aff2"> Post Graduate Student, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bhat, Nagesh" sort="Bhat, Nagesh" uniqKey="Bhat N" first="Nagesh" last="Bhat">Nagesh Bhat</name>
<affiliation>
<nlm:aff id="aff3"> Professor and Head, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tak, Mridula" sort="Tak, Mridula" uniqKey="Tak M" first="Mridula" last="Tak">Mridula Tak</name>
<affiliation>
<nlm:aff id="aff4"> Senior Lecturer, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shinde, Kushal" sort="Shinde, Kushal" uniqKey="Shinde K" first="Kushal" last="Shinde">Kushal Shinde</name>
<affiliation>
<nlm:aff id="aff5"> Post Graduate Student, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Jain, Sandeep" sort="Jain, Sandeep" uniqKey="Jain S" first="Sandeep" last="Jain">Sandeep Jain</name>
<affiliation>
<nlm:aff id="aff6"> Post Graduate Student, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of Clinical and Diagnostic Research : JCDR</title>
<idno type="ISSN">2249-782X</idno>
<idno type="eISSN">0973-709X</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Introduction</title>
<p>Endemic fluorosis resulting from high fluoride concentration in groundwater is a major public health problem. India is among the numerous nations, where fluoride sullied groundwater is creating wellbeing issues. Safe drinking water in rural areas of India is predominantly rely on groundwater sources, which are exceptionally contaminated with fluoride.</p>
</sec>
<sec>
<title>Aim</title>
<p>To investigate the association of temporomandibular joint Signs & Symptoms with Dental Fluorosis & Skeletal Manifestations among people living in Dad, Bokersal & Deotalab villages of Dungarpur District, Rajasthan, India.</p>
</sec>
<sec>
<title>Materials and Methods</title>
<p>The study group consisted of 750 subjects who were born & brought up in Dad, Bokersal & Deotalab villages of Dungarpur District, Rajasthan. Temporomandibular joint & Dental fluorosis was assessed by performing type III clinical examination according to WHO guidelines (1997). For the assessment of skeletal manifestations, participants were asked to perform three diagnostic tests: (1)Touching the toes without bending the knees; (2) Touching the chest with the chin; (3) Stretching the arms sideways & folding the arms to touch the back of the head. Chi Square test & Multiple Logistic Regression were applied for statistical analysis.</p>
</sec>
<sec>
<title>Results</title>
<p>Among the 750 (462 males & 288 females) who participated in the study, 53% had moderate grade of dental fluorosis. The most prominent symptom suggesting Temporomandibular Joint Disorder was the clicking sound affecting 21.4% population.(p>0.001). TMJ Signs & Symptoms were prominent in the age group of 45-54 years & males were highly affected than females.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Clinical examination of TMJ in Dental Fluorosis & Skeletal Fluorosis subjects showed a significant association with Dental Fluorosis & Skeletal Fluorosis.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="hwp">Journal of Clinical and Diagnostic Research</journal-id>
<journal-id journal-id-type="publisher-id">JCDR</journal-id>
<journal-title-group>
<journal-title>Journal of Clinical and Diagnostic Research : JCDR</journal-title>
</journal-title-group>
<issn pub-type="ppub">2249-782X</issn>
<issn pub-type="epub">0973-709X</issn>
<publisher>
<publisher-name>JCDR Research and Publications (P) Limited</publisher-name>
<publisher-loc>Delhi, India</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26816986</article-id>
<article-id pub-id-type="pmc">4717726</article-id>
<article-id pub-id-type="doi">10.7860/JCDR/2015/15807.6958</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Dentistry Section</subject>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Association of Temporomandibular Joint Signs & Symptoms with Dental Fluorosis & Skeletal Manifestations in Endemic Fluoride Areas of Dungarpur District, Rajasthan, India</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Asawa</surname>
<given-names>Kailash</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Singh</surname>
<given-names>Anukriti</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bhat</surname>
<given-names>Nagesh</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tak</surname>
<given-names>Mridula</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shinde</surname>
<given-names>Kushal</given-names>
</name>
<xref ref-type="aff" rid="aff5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jain</surname>
<given-names>Sandeep</given-names>
</name>
<xref ref-type="aff" rid="aff6">6</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
Reader, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Rajasthan, India</addr-line>
.</aff>
<aff id="aff2">
<label>2</label>
Post Graduate Student, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</aff>
<aff id="aff3">
<label>3</label>
Professor and Head, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</aff>
<aff id="aff4">
<label>4</label>
Senior Lecturer, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</aff>
<aff id="aff5">
<label>5</label>
Post Graduate Student, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</aff>
<aff id="aff6">
<label>6</label>
Post Graduate Student, Department of Public Health Dentistry,
<institution>Pacific Dental College and Hospital</institution>
,
<addr-line>Debari, Udaipur, Rajasthan, India</addr-line>
.</aff>
<author-notes>
<corresp id="cor1">NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Anukriti Singh, Post Graduate Student, Department of Public Health Dentistry, Pacific Dental College and Hospital, Debari, Rajasthan-313024, India. E-mail:
<email>dr.anukriti5516@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>12</month>
<year>2015</year>
</pub-date>
<volume>9</volume>
<issue>12</issue>
<fpage>ZC18</fpage>
<lpage>ZC21</lpage>
<history>
<date date-type="received">
<day>20</day>
<month>7</month>
<year>2015</year>
</date>
<date date-type="rev-request">
<day>15</day>
<month>9</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>09</day>
<month>10</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>© 2015 Journal of Clinical and Diagnostic Research</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Endemic fluorosis resulting from high fluoride concentration in groundwater is a major public health problem. India is among the numerous nations, where fluoride sullied groundwater is creating wellbeing issues. Safe drinking water in rural areas of India is predominantly rely on groundwater sources, which are exceptionally contaminated with fluoride.</p>
</sec>
<sec>
<title>Aim</title>
<p>To investigate the association of temporomandibular joint Signs & Symptoms with Dental Fluorosis & Skeletal Manifestations among people living in Dad, Bokersal & Deotalab villages of Dungarpur District, Rajasthan, India.</p>
</sec>
<sec>
<title>Materials and Methods</title>
<p>The study group consisted of 750 subjects who were born & brought up in Dad, Bokersal & Deotalab villages of Dungarpur District, Rajasthan. Temporomandibular joint & Dental fluorosis was assessed by performing type III clinical examination according to WHO guidelines (1997). For the assessment of skeletal manifestations, participants were asked to perform three diagnostic tests: (1)Touching the toes without bending the knees; (2) Touching the chest with the chin; (3) Stretching the arms sideways & folding the arms to touch the back of the head. Chi Square test & Multiple Logistic Regression were applied for statistical analysis.</p>
</sec>
<sec>
<title>Results</title>
<p>Among the 750 (462 males & 288 females) who participated in the study, 53% had moderate grade of dental fluorosis. The most prominent symptom suggesting Temporomandibular Joint Disorder was the clicking sound affecting 21.4% population.(p>0.001). TMJ Signs & Symptoms were prominent in the age group of 45-54 years & males were highly affected than females.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Clinical examination of TMJ in Dental Fluorosis & Skeletal Fluorosis subjects showed a significant association with Dental Fluorosis & Skeletal Fluorosis.</p>
</sec>
</abstract>
<kwd-group>
<kwd>TMJ</kwd>
<kwd>Dean’s fluorosis index</kwd>
<kwd>Skeletal fluorosis</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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