The department of Oral medicine & Diagnosis, Radiology (OMDR) is the first department which every patient enters through before proceeding for the treatment in other departments of the dental college. The department of OMDR is well equipped to handle, diagnose, suggest and perform treatments for all types of cases that enter though the gates of GITAM Dental College & Hospital. The staff in the department are well trained and are updated with the latest know how in the field of oral diagnostics that enables the early diagnosis and management of the patients without any delay in any of the diagnostic procedures. The staff also imparts quality training program to the undergraduate students and the post graduates alike to use of latest diagnostic equipment and diagnose the cases. All types of cases right from the simple pulp and periapical pathologies to other pathologies like the TMJ disorders, Salivary gland disorders, patients with systemic illnesses and diagnosing precancers and oral cancers are carried out in this department. Most of the chairside investigations like the tooth vitality tests, aspiration cytology, vital staining of precancerous lesions and punch biopsies of suspected lesions are carried out immediately. Advanced diagnostic procedures like the light-based detection system are also used to for diagnosing early precancerous lesions.
The radiographic procedures also carried out in the department using the latest radiographic equipment like the digital panoramic radiographic unit, RVG, Skull projections using 100mA extraoral machine. Other advanced radiographic techniques like the sialography are also done in cases required. All the radiographic equipments are AERB certified and are handled by well trained staff so as to deliver quality radiographs for diagnostic purposes. All the radiographs taken are interpreted by the students and the staff and adequately reported.
The department also is competent enough to carry out the medical management of the patients with oro facial pains like the myofascial pain, TMJ pain and neuralgias. Management of common oral and mucosal disorders, precancerous lesions and salivary gland disorders. The department in collaboration with other department will suggest and manage cases of patients with medically compromised conditions like CVS diseases, Diabetics, bleeding and clotting disorders etc.
The department also has an undergraduate training program (BDS) for third and fourth year students and also has a three year post graduate program (MDS). The training given to the undergraduates includes the assessment of the patients to identify, diagnose and manage common oro facial and dental problems and also to take diagnostic intra oral radiographs and interpreting them. The post graduate training includes the detailed examination of the patient along with diagnosing the oro facial disorders and managing such disorders. They are also trained to interpret the intraoral and extraoral radiographs along with the interpretation of OPGs, CT, ultrasound, MRI and CBCT. They are also trained to undertake chairside investigations and medically manage patients with medical conditions, geriatric patients and also impart palliative care to the patients with oral cancers.
In future the department has plans for the procurement of CBCT so as to impart hands on training to the post graduates and facilitate implant planning for other departments. There are also plans to include lasers for the management of oral and mucosal lesions.
- Able to identify precancerous and cancerous lesions of the oral cavity and refer to the concerned speciality for their management.
- Should have an adequate knowledge about common laboratory investigations and interpretation of their results.
- Should have adequate knowledge about medical complications that can arise while treating systemically compromised patients and take prior precautions/ consent from the concerned medical specialist.
- Have adequate knowledge about radiation health hazards, radiations safety and protection.
- Competent to take intra-oral radiographs and interpret the radiographic findings.
- Gain adequate knowledge of various extra-oral radiographic procedures, TMJ radiography and sialography.
- Be aware of the importance of intra- and extra-oral radiographs in forensic identification and age estimation.
- Should be familiar with jurisprudence, ethics and understand the significance of dental records with respect to law.
Y. Pavan Kumar
Rupa Chandini Dabbiru
CHINTADA VENKATA RAMANI
Treatment procedures offered in Oral Medicine and Radiology department
- Medical Management of Potentially malignant disorders like Leukoplakia, Oral Lichen planus, Oral submucous fibrosis, Discoid lupus erythematosis, Systemic lupus erythematosis.
- Medical management of oral ulcers like traumatic ulcers, apthous ulcers, herpetic ulcers.
- Medical management of neuralgias like trigeminal neuralgia, glossopharyngeal neuralgia.
- Medical management of fungal infections like oral candidiasis, histoplasmosis, aspirgillosis.
- Medical management of vesiculo- bullous lesions like Pemphigus, Pemphigoid ,Herpes zoster infections.
- TENS ( Trans cutaneous electric nerve stimulation) therapy for Myofascial pain.
- Medical management of maxillary sinusitis.
- Medical management of Oro facial pains like Post traumatic neuropathy, burning mouth syndrome.
- Medical management of salivary gland disorders like xerostomia, sialorrhea, sialadenitis.
- Medical management of Periapical and periodontal infections.
- Medical management of oral manifestations of immunocompromised patients and radiotherapy patients.
- Medical management of TMJ disorders like disc displacement patients.
- Medical management of oral manifestations of systemic diseases.
Investigative procedures offered in Oral Medicine department
- Toludine blue staining for detection of oral potentially malignant disorders
- Lugols Iodine staining for detection of oral potentially malignant disorders
- Microlux for detection of oral potentially malignant disorders
- Electric and thermal Pulp vitality test
- Incisional biopsies
- Fine needle Aspiration cytology
- Punch biopsy
- Sailography for salivary glands and ducts
- Diascopic examination for AV malformations
- Diagnostic nerve blocking techniques
- Salivary flow tests for salivary flow rate detection.
Investigative procedures offered in Oral Radiology department
- Intra oral periapical radiographs (IOPAR’s)
- Bitewing radiographs
- Occlusal Radiographs
- Conventional and Digital Panaromic radiographs (OPG)
- Latral Cephalograms used for relation of the jaws to the skull and the relation of the soft tissues to the teeth and jaws.
- Extra Oral Radiographs like Paranasal view (PNS), PA skull view, submento vertex view, jug handle view, reverse town view, PA mandible, lateral oblique body and ramus views.
- Temporomandibular joint (TMJ) views like Transcranial projection, Transpharyngeal projection, Transorbital projection for detecting TMJ abnormalities.
List of ongoing research projects
- Comparative assessment of the accuracy of CBCT with panoramic radiography for TMJ imaging.
- Comparative evaluation of serum and salivary IgA among various potentially malignant disorders. (OPMDs)
- Comparative evaluation of salivary cotinine levels among different types of smokers.
- Comparative evaluation of liner and volumetric measurements of the upper airway apace in patients with obstructive sleep apnea.-A CBCT Study.
- Estimation and correlation of serum cortisol and vitamin D in oral lichenplanus.-A case control study.
- Comparative evaluation of Dr Oroscope and Microlux DL in the assessment and visualization of oral potentially malignant disorders.