DISSERTATION – SYNOPSIS

Dr. PREETHIKA GB
Post graduate student
Department of Oral Medicine and Radiology

A .J. INSTITUTE OF DENTAL SCIENCES,

MANGALORE
2013 – 2014
 Rajiv Gandhi University of Health Sciences, Karnataka.

Bangalore

ANNEXURE II

PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

1. Name of the Candidates and Dr. PREETHIKA GB

Address POST GRADUATE STUDENT
DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY
A.J. INSTITUTE OF DENTAL SCIENCES, MANGALORE

2. Name of the institution A.J. INSTITUTE OF DENTAL SCIENCES, MANGALORE

Master of Dental Surgery

3. Course of study and subject
ORAL MEDICINE AND RADIOLOGY

4. Date of admission to course 27th July 2013

Title of the topic:

5. “ORAL MANIFESTATIONS AMONG CHRONIC RENAL FAILURE PATIENTS WITH
AND WITHOUT TYPE II DIABETES MELLITUS”-ON HEAMODIALYSIS
-
6. BRIEF RESUME OF THE INTENDED WORK
6.1 Need for the study:
Oral cavity is the reflection of the overall health of the individual. Any imbalance in any of
the functional homeostasis of the body would throw the equilibrium of the body to a toss.
Hence to maintain this balance of health of the body, proper functioning of different organ
systems in the body is mandatory. Inability to maintain this homeostasis leads to
homeostatic imbalance, which results in various conditions and diseases.
Kidneys along with other major organs play a pivotal role in maintaining one such
homeostasis by functions such as selective reabsorption or removal of various metabolites
from the body.
The important function of kidneys is to regulate the water and electrolytes balance in the
body and removal of waste products like urea. In case of chronic renal failure this function
is impaired and various pathological disorders result.
Chronic renal failure (CRF) is a slow and progressive decline of kidney function. It gives
rise to a large spectrum of oral manifestations affecting hard and soft tissues of mouth. It
progressively and irreversibly leads to uraemia. Patients with high uremic values must
receive dialysis or renal transplant for normal body homeostasis.
As renal function deteriorates ,CRF patients suffer with severe medical problems like
metabolic–endocrine,hematologic-immunologic,cardiovascular,dermatologic,
neuromuscular and gastrointestinal etc.1
Uremic syndromes due to kidney failure also results in wide variety of oral changes as well,
like taste changes, dry mouth and uremic odor, tongue coating, mucosal inflammation: and
patients who are on dialysis will have mucosal petechia/ecchymosis due anticoagulants
being used.2
Chronic renal failure associated most often with diabetes further heralds increasing
morbidity in comparison with CRF patients without diabetes .So it is important to recognise
the impact of this combination, because diabetes itself is causative factor for many oral
manifestations like diabetic angiopathy, xerostomia, dental caries, periodontal diseases,
fungal infections and so on.3
Hence to asses this, a study attempt is made to evaluate and compare oral health status of
chronic renal failure patients on hemodialysis, who are with or without type II diabetes.
HYPOTHESIS:

NULL HYPOTHESIS (H1): There will not be any difference in oral manifestations
between the groups.

ALTERNATIVE HYPOTHESIS (H2): There will be difference in oral manifestations

between the groups.

6.2 REVIEW OF LITERATURE :

1. Shu-fen Chuang, Junne-Ming Sung,Shih-Chen Kuo, Jeng-Jong Huang, and Su-

Yuan Lee, Tianan,Taiwan(2005) Examined dental conditions and other oral conditions in

patients with diabetic and non-diabetic chronic renal failure undergoing hamodialysis and

concluded that significant increase was seen in dental caries and severe dry mouth, taste

changes, and mucosal pain compared to non diabetic group , and also pre-dialytic pH of

saliva of patients with diabetes was lower than the non diabetic group.4

2. Jorge Serafín Sobrado Marinho, Inmaculada Tomas Carmona , Alfredo

Loureiro , Jacobo Limeres Posse , Lucía García Caballero, Pedro Diz Dios(2007) in

their study on Oral health status in patients with moderate-severe and terminal renal failure

concluded that Patients with CRF have more supragingival plaque, more teeth with a loss

of insertion and more missing teeth than the healthy controls. The prevalence of caries is

affected by the severity of the renal failure and dialysis treatment.5

3 .Vinay Mohan And Sonal Gupta(2011) Conducted a study on Dental health

of patients undergoing hemodialysis and concluded that 100% of the patients undergoing

haemodialysis established periodontal diseases(57.6%) or the beginning of the periodontal

diseases (38.4%).approximately 70% of the patients had high DMFT index. These findings

led to the conclusion that patients on dialysis need comprehensive professional oral care

and self care.6

4. V Asha, S Latha, Anuradha Pai, K Srinivas, K.S Ganapathy(2012) Conducted a

study on oral manifestations in diabetic and non diabetic chronic renal failure patients on

haemodialysis and arrived at a conclusion that prevalence of dental carries and periodontal

diseases was more in diabetic group whencompared to non diabetic group and salivary pH

was less in diabetic group than in non diabetic group.7

5. Santosh Patil, Suneet Khandelwal, Bharati Doni, Farzan Rahman, Sumita

Kaswan (2012) studied the nature, incidence, and severity of oral manifestations that occur

in chronic renal failure (CRF) in patients attending two hospitals in North Karnataka, in

comparison with healthy, disease-free controls and concluded that the most common oral

findings in the CRF patients were dry mouth (91%), pallor (87%), altered taste (42%),

and halitosis (34%). CRF patients showed significantly more oral changes than those in the

control group. These changes could be attributed to metabolic disturbances due to renal
failure.8

6. Lingam Amara Swapna, Reddy Sudhakara , Tatapudi Ramesh, Reddy Lavanya,

Nimma Vijayalaxmi, Partha Karmakar, Koppolu Pradeep(2013) in theirstudy on Oral

Health Status in Hemodialysis Patients concluded that the diabetic subjectswho were on

hemodialysis were at a high risk for developing periodontal disease and theyexhibited a

potential threat for dental decay and xerostomia. A lower salivary pH and a poor glycaemic

ontrol may affect their oral health.9

 6.3 OBJECTIVES OF THE STUDY:

1. To examine the dental conditions and oral manifestations in diabetic hospitalised

chronic renal failure patients on haemodialysis.

2. To examine the dental conditions and oral manifestations in non diabetic

hospitalised chronic renal failure patients on haemodialysis.

3. To compare and evaluate the differences if any among both groups.

7 MATERIAL AND METHODS :

7.1 SOURCE OF SAMPLE :

After obtaining written permission from the respective authorities, institutional ethical
committee clearance and with the informed consent of the patients , study subjects of 116
Chronic renal failure patients with and without Type II diabetes undergoing haemodialysis
in A.J Hospital and Research centre Mangalore will be chosen.

These patients will be divided equally into two groups of CRF patients each, with 58
diabetic and 58 non-diabetic patients depending on their fasting and post prandial blood
glucose level.

INCLUSION CRITERIA:

1 CRF patients who are diabetic patients for more than six months, and on maintenance
haemodialysis for more than a month

2 Non diabetic CRF patients who are on maintenance dialysis for more than a month

EXCLUSION CRITERIA:

1 Patients who received irradiation therapy for head and neck cancer

2 Patients on medications like tricyclic antidepressants, anticholinergic and

Antihistamines

3. Patients with less than 6 months of history of diabetes and less than 1 month of
haemodialysis.
7.2 METHODS OF COLLECTION OF DATA:

A total of 116 patients with chronic renal failure undergoing hemodialysis for a month will
be divided into diabetic and non diabetic based on their history and fasting and postprandial
blood glucose level.

METHODOLOGY:

The study methodology includes

 Recording the medical history,

 Laboratory investigation

 Assessment of salivary pH,

 Oral manifestations,

 Dental caries

 Periodontal evaluation.

1. Recording the medical history:

Patients general medical history with history of chronic renal failure with its
eitiology and the duration of haemodialysis will be recorded using a standard case
history format.

2. Lab investigations:

Blood investigations like fasting and post prandial blood glucose tests will be
done to determine the blood glucose level and then the patients are grouped into
diabetic and non diabetic groups.

3. Salivary ph assessment:

Pre–dialytic, un-stimulated, pH of saliva will be recorded by using pH-measuring

strips (Indikrom paper).Patients will be asked to pool the saliva on the tongue and
the pH strip will be placed on it. The change in colour will be compared with scale
provided with the strip and the value will be recorded.

4. Oral manifestations:

Oral manifestations seen is these patients will be classified into subjective findings
and objective findings.

Subjective symptoms like dry mouth change in taste perception and tongue and
mucosal pain will be assessed by a set of questionnaire and will be recorded as present or
absent.

Objective signs like xerostomia, uremic odor, tongue coating, petechia/

ecchymosis, ulcerations are recorded as present or absent. Odor is checked while talking to
patient, tongue coating, petechia/ecchymosis and ulcerations are checked on oral
examination with mouth mirror and torch light. Xerostomia will be assessed by mouth
mirror test.

3. Dentate health is assessed in two parts that is for dental carries using DMFT index
and for periodontal status using Community Periodontal Index.

DMFT index is used to check the prevalence of dental carries; recordings are
recorded as Decayed (D), Missing (M) and Filled (F) according to criteria’s of WHO for
each patient. All the teeth are examined; teeth excluded are third molars, congenitally
missing, unerrupted teeth and teeth extracted for reasons other than carries like trauma or
cosmetic reasons. Teeth with temporary restorations are considered as Decay and initial
lesions are not considered as decay. The DMFT value is obtained from the sum of decay
filled and missing tooth for each patient. Coding criteria is as follows

 E- EXCLUDED TOOTH OR TOOTH SPACE

 1-SOUND PERMANENT TOOTH

 2-FILLED PERMANENT TOOTH

 3-DECAYED PERMANENT TOOTH

 0-MISSING,IMPACTED,CONGENITALLY OR UNERRUPTED TOOTH

CPI index for periodontal status is assessed by using a CPITN probe which is a
specifically designed periodontal probe with a 0.5 mm ball tip and a black band between 3.5
and 5.5 mm and with rings at 8.5 and 11.5 mm from the ball tip and a mouth mirror and
according to WHO criteria the dentition is divided into sextants which are defined by tooth
numbers: 18-14, 13-23, 24-28, 38-34, 33-43, and 44-48, and it is coded as followed

Code 0-healthy periodontium

Code 1-bleeding on gentle probing

 Code 2-calculus deposition

Code3-probing dept of 4 to 5mm

Code4-probing depth of 6 mm or greater

CodeX-3 or more teeth missing

The index teeth which will be examined are 17, 16, 11, 26, 27, 37, 36, 31, 46, and 47. If no
index teeth are present, all the remaining teeth in that sextant will be examined and the
highest code in the sexant will be recorded to identify the periodontal status.

INTERPRETATION OF RESULTS:

7.3 Does the study requires any investigations or interventions to be conducted on

patients or other humans or animals ? If So, please describe briefly.

YES

7.4 Has ethical clearance been obtained from your institution in case of 7.3 ?

YES
INVESTIGATION DESIGN
CASE CONTROL STUDY

SAMPLE

SIZE 116

116
BLOOD INVESTIGATION: FASTIN AND
POST PRANDIAL GLUCOSE LEVEL

DIABETIC GROUP NON-DIABETIC GROUP

ORAL MANIFESTATIONS

Subjective Objective pH of saliva Dental caries Periodontal

Changes Changes evaluation

Dry mouth Uremic odor

Change in taste Tongue coating

Tongue pain Mucosal petechia

Mucosal pain ecchymosis

Ulcerations

RESULTS
 STASTSTIICAL ANALYSIS :

A cross-sectional study of 116 patients will be done .Data will be entered into the excel
sheet using SPSS version 19. Unpaired T test will be used to compare the two groups and p
value of less than 0.05 will be considered as significant

8. LIST OF REFERENCES :

1. De rossi SS, Glick M. Dental considerations for the patients with renal diseases
receiving hemodialysis. J Am Dent Assoc 1996;127:211-9

2. Kho HS, Lee SW, Chung SC, Kim YK .Oral manifestations and salivary flow rate,
pH, and buffer capacity in patients with end stage renal dialysis undergoing
hemodialysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:316-9

3. Manfredi, M., et al.Update on diabetes mellitus and related oral diseases. Oral
dis 2004: 187-200.

4. Chuang SF, Sung JM, Kuo SC, Huang JJ, Lee SY. Oral and dental manifestations in
diabetic and non-diabetic uremic patients receiving hemodialysis. Oral Surg Oral
Med Oral Pathol Oral Radiol Endod. 2005 Jun; 99(6):689-95.

5. Marinho JSS ,Carmona IT, Loureir A , Posse JL,Caballero LG, Dios PD.Oral health
status in patients with moderate-severe.Med Oral Patol Oral Cir Buccal 2007;12;305-
10

6. Mohan V, Gupta S.Dental health of patients undergoing haemodialysis. JIAOMR

2011 July- Sept: 23 (3):208-210.

7. Asha V, Latha S, Pai A, Srinivas K, Ganapathy KS. Oral Manifestations in Diabetic

and Nondiabetic Chronic Renal Failure Patients on Hemodialysis.JIAOMR.2012:
274-279.

8. Patil S,Khandelwal S,Doni B,Rahman F,Kaswan S et al. Oral Manifestations in

Chronic Renal Failure Patients Attending Two Hospitals in North Karnataka,
India. Oral health and dent manag 2012: 100-106.
 9. Swapna L A , Reddy S, Tatapudi R, Reddy L, Nimma V, Karmakar P et al., Oral
Health in Chronic Kidney Disease Patients. J Clin Diagn Res 2013 Sept;7(9): 2047-
2050.

9. Signature of Candidate
10. Remarks of the guide :

Dr. VATHSALA
PROFESSOR & HOD
Name & Designation of
DEPARTMENT OF ORAL MEDICINE AND
11.
11.1 Guide : RADIOLOGY

A. J. INSTITUTE OF DENTAL SCIENCES.

11.2 Signature :

Dr. RAGHAVENDRA KINI

11.3 Co-Guide PROFESSOR

DEPARTMENT OF ORAL MEDICINE AND
RADIOLOGY
A.J. INSTITUTE OF DENTAL SCIENCES.

11.4 Signature :

Dr. VATHSALA
11.5 Head of Department
PROFESSOR & HOD

DEPARTMENT OF ORAL MEDICINE AND

RADIOLOGY

A. J. INSTITUTE OF DENTAL SCIENCES.

Signature :
12. 12.1 Remarks of the Chairman & Principal :

DEEPAK NAYAK

PRINCIPAL

12.2 Signature
 A.J. Institute of Dental Sciences, Kuntikana,

Mangalore-575018, Karnataka, India

INFORMATION SHEET

This informed Consent form is for patients who are hospitalised in dialysis unit of AJ
HOSPITAL AND RESEARCH CENTRE Mangalore. The title of our research project is

“ORAL MANIFESTATIONS AMONG CHRONIC RENAL FAILURE PATIENTS

WITH AND WITHOUT TYPE II DIABETIS MILLITUS -ON HEAMODIALYSIS”.

I am Dr.PRETHIKA GB, Postgraduate student in Department of Oral Medicine and

Radiology, A.J. Institute of Dental Sciences, Mangalore. I’m doing comparative study on
oral manifestations among chronic renal failure patients with and without type II diabetis
mellitus-on heamodialysis. This research involves recording medical history, blood
investigations, salivary pH , oral manifestations, dental and eriodontal examination among
the diabetic and non diabetic patients with chronic renal failure on hemodialysis. I am going
to give you information and invite you to be part of this research. You do not have to decide
today whether or not you will participate in the research. Before you decide, you can talk to
anyone you feel comfortable with, about the research.

There may be some words that you do not understand. Please ask me to stop as we go
through this information sheet and I will take time to explain. If you have questions later, you
can ask them to me or the staff. This informed Consent form is for patients who are
hospitalised in the dialysis unit of AJ SHETTY HOSPITAL AND RESEARCH CENTER
Mangalore. Your participation in this research is entirely voluntary. It is your choice whether
to participate or not. All the services you receive at this college will continue and nothing will
change, even if you choose not to participate in this research project.

By participating in this study you will not be at risk .There may not be any benefit for you but
your participation is likely to help us find the answer to the research question. There may not
be any benefit to the society at this stage of the research, but future generations are likely to
benefit. This research will not carry any monetary benefit to you. The information that we
collect from this research project will be kept confidential.
If you have any questions you may ask them now or later, even after the study has started. If
you wish to ask questions later, you may contact me as follows:

Dr. PREETHIKA GB
Postgraduate student
Department of Oral Medicine and Radiology
A.J. Institute of Dental Sciences
Kuntikana,Mangalore – 575004
Contact no: 9035305870
Email id: gbpreethika@gmail.com
This proposal is submitted for approval to A.J. Ethics Committee, which is a committee
whose task is to make sure that research participants are protected from harm. If you wish to
find out more about this committee,

Contact:

Dr.Vathsala
Professor and HOD
Department of Oral Medicine and Radiology
A.J.Instituteof Dental Sciences
Kuntikana,Mangalore -575004
Email id- vathsalablr@gmail.com
CERTIFICATE OF CONSENT

I have read the foregoing information, or it has been read to me. I have had the opportunity to
ask questions about it and any questions that I have asked have been answered to my
satisfaction.

I consent voluntarily to participate as a participant in this research.

Name of Participant

Case Number (OP)

Contact number

Signature of Participant

Address

Date

If illiterate

I have witnessed the accurate reading of the consent form to the potential participant, and the
individual has had the opportunity to ask questions. I confirm that the individual has given
consent freely.

Name of witness Thumb print of participant

Case Number (OP)

Contact number

Signature of Participant

Address

Date
Statement by the researcher/person taking consent

I have accurately read out the information sheet to the potential participant, and to the best of
my ability, in their own language. I have made sure that the participant understands the
procedure and research will be done.

1. Blood investigations will be done.

I confirm that the participant was given an opportunity to ask questions about the study, and
all the questions asked by the participant have been answered correctly and to the best of my
ability.

I confirm that the individual has not been coerced into giving consent, and the consent has
been given freely and voluntarily.

A copy of ICF has been provided to the participant.

Name of Researcher/person taking consent
Signature of Researcher/person taking consent
Date
 DEPARTMENTOF ORAL MEDICINE & RADIOLOGY
A. J. INSTITUTE OF DENTAL SCIENCES,

KUNTIKANA, MANGALORE.

DATA COLLECTION FORM

Patient data:
Name: Date:
Age: Op no:
Sex:
Occupation:
Address:
Contact number:

Chief complaint:
History of present illness:
Medical history:
Drug history:
Dental history
Personal history
Clinical examination:

Provisional diagnosis:

Investigation:
Blood investigation:

Final diagnosis:
 CURRICULUM VITAE
# 8, staff quatrz,
A.J. Hospital campus
Dr. VATHSALA, MDS kuntikanan,,
Oral Medicine & Radiology Mangalore- 575004
E-mail ID: vathsalablr@g.mail.com Mobile : 9740061137

PERSONAL DETAILS:

Date of birth : 26.4.1960

Passport No. : E-8359477

Marital Status : Married

Religion : Christian

PROFESSIONAL QUALIFICATIONS:

 B.D.S. :- Govt. Dental College, Bangalore 1983

 M.D.S. :- Govt. Dental College, Bangalore 1993

TOTAL WORK EXPERIENCE: 26 Years

TEACHING EXPERIENCE Dept. OMDR: 14 Years and 06 Months

PROFESSIONAL EXPERIENCE:

1984 - 1986 : Worked as Dental Surgeon, at Govt. General Hospital Hunsur,

Mysore Dist. Karnataka
1986 - 1989 : Worked as Dental Surgeon, at Govt. Dental College, Bangalore
1989 - 1991 : Post Graduate, Oral Medicine and Radiology,
Govt. Dental College, Bangalore
1992 - 2000 : Worked as a Lecturer in the Department of Oral Medicine and
Radiology, Govt. Dental College, Bangalore
2001 - Sept 2002 : Worked as Asst Professor, in the Department of Oral Medicine
& Radiology, Govt. Dental College, Bangalore
Oct2002 –June2007 : Worked as Dental Surgeon at DENTO PLAST CENTRE Dammam,
Kingdom of Saudi Arabia
July 2007—upto date : Professor and HOD , department of Oral Medicine & Radiology
A.J. Institute of Dental Sciences, Mangalore
LIFE MEMBER OF:
Karnataka State Dental Council

Indian Academy of Oral Medicine and Radiology

Karnataka Govt. Medical and Dental College Teachers Association

SCIENTIFIC PURSUITS

In the Country:
-Thesis on BLOOOD FUCOSE LEVELS as a marker of Oral Cancer

-Paper presentation on DESMOPLASTIC AMELOBLASTOMA at Ashwini Hospital

Madikere on World Health Day 2002

-Diffuse Large B – cell Lymphoma of Mandible: A case report published in Journal of

Oral Medicine and Pathology 2009

-Pseudosarcomatous Facitits of Maxilla: A case report sent for publication to

JIAOMR

-Pleomorphic adenoma of upper lip: A case report

-Central giant cell granuloma managed non-surgically: A case report

PARTICIPATED IN:

-Third National Conventional of Indian Academy of Oral Medicine 8 th & 9th

September 1990, Bangalore

-Fifth National Conference of Indian Academy of Oral Medicine 3 rd and 4th July 1993,
Madras

-Ninth National Conference of Indian Academy of Oral Medicine & Radiology 13 th

and 14th December – 19997. J.S.S. Dental College Mysore

-Tenth National Conference of Indian Academy of Oral Medicine & Radiology ( 1st
Asia Pacific Symposium of Oral and Maxillo Facial Radiologists) 18 th, 19th and 20th
December 1998, Mangalore, India

-B.A.P(Bangalore Academy of Periodontology) 3rd & 4th July 1999, Bangalore

-Gyanadhare PG Seminar at Oxford Dental College Bangalore 2007

-Research Methodology and Scientific Writing conducted by GDC Bangalore 2008

-Triple ‘o’ conference at Belgaum on 4 & 5 July 2008

 -National Conference of Indian Academy of Oral Medicine & Radiology 13 & 14
December 2008

-Cancer Awareness Programme conducted by R.G.U.H.S, 2009

-Talk on TMJ ankylosis AJIDS, Mangalore

-Current concepts in oral malignancies MCORDS Mangalore

-Recent advances in Maxillofacial Imaging

-21st I.A.O.M.R. National conference at Indore

-CDE on hand hygiene in AJIDS Mangalore.

-CDE on applications of nanotechnology in medicine

-3rd international conference on genetics and molecular diagnosis in modern

medicine and biology 2010

-Diagnostic dilemmas in oral cancer AJIDS Mangalore

-Hand hygiene AJIDS Mangalore

-CDE on Photography A.B Shetty Memorial institute mangalore

-OOO National symposium Bangalore 2010

CONDUCTED FREE MEDICAL AND DENTAL CAMPS:

CHANDRAHASA TRUST, soraba, shimoga Dist, Karnataka State. 12th & 13th
November 2000

IMAM KHOMEINI Hospital Alipur July 22nd , 2001

IMAM KHOMEINI Hospital Alipur February 17th . 2002

OUTSIDE THE COUNTRY:

Dental Implants, 30th November 2004, Al-Sadiq Hospital, Damman, K.S.A.

Herpes Simplex ( the Slient Epidemic) 24 th May 2005, Al-Sadiq Hospital, Damman,
K.S.A.

Pediatric Basic Life Support 26th April 2005, Al-Sadiq Hospital, Damman, K.S.A.
Renal Faliure 4th January 2005, Al-Sadiq Hospital, Damman, K.S.A.
 Head Injuries 3rd May 2005, Al-Sadiq Hospital, Damman, K.S.A.

Third Annual update on Dentistry and Oral Medicine ( Infection Control ) 7 th April
2005, College of Dentistry, king Faisal University, Dammam, K.S.A.

Dentistry Just for KIDDS June 16th 2005, Medical Services Organization, Saudi-
Aramco, Dammam, K.S.A.

The use of Nitrous Oxide analgesia in dental clinic by Dr. Anas Chapra. And Muco-
Gingival Therapy with Sub-Gingival Restorations by Dr. Rami Hassanein 28 th May
2006, Saudi Council of Health Specialities

Fourth Annual update on Dentistry and Oral Medicine, 6 th April 2006, College of
Dentistry, King Faisal University, Dammam K.S.A.

Cerec 3D CAD/CAM Basic Course 9th and 10th May 2006, Dento-plast Center,
Dammam, K.S.A.

I.S.O. Awareness and Training (International Organization for Standard) 12 th

December 2006 and 6th January 2007, respectively, Dento Plast Center Dammam,
K.S.A.

PRO-TAPER Endodontics, 8th & 9th April 2007, Dento Plast Center Dammam, K.S.A.

LANGUAGE KNOWN
English, Kannada, Hindi, Tamil & Arabic (adequate for profession)

REFERENCES:
Dr. Ramananda Shetty, Principal, Govt. Dental College, Bangalore, Karnataka

Dr. Mohammad Faizuddin MDS, Professor and HOD, Dept. of Periodontia Ambedikar
Dental College, Bangalore, Karnataka

Dr. Ali Mefli Khadre, Director, Dentoplast Center Dammam, K.S.A.

Dr. B Sureshchandra, Dean A.J. Institute of Dental Sciences, Mangalore

Place:
Date:
(DR. VATHSALA, MDS)
CURRICULUM VITAE OF THE POSTGRADUATE.

1. Name: Dr PREETHIKA GB
2. Gender: female
3. Date of birth: 24/10/1988
4. Nationality: Indian
5. Marital status: Unmarried.
6. Address: D/O B GANESH NAIK
Bedrala house
Po Box Darbe
 Puttur DK 574202
7. Education:
Institutions : AB Shetty Memorial Institute Of Dental
Sciences College, Mangalore

Date: AUGUST 2006-SEPTEMBER 2011

from(months/year)
to (months/year)
Degree(s) or diploma(s) : BDS

8. Language skills:
Language Passive Spoken Written
English Written
Kannada Written
Hindi Written
Marati spoken
Tulu spoken
Malayalam spoken

9. Membership of professional bodies: Karnataka state dental council

10. Other skills: Nil
11. Present position: Post graduate student
Department Of Oral Medicine and Radiology
A J Institute of Dental Sciences
Kuntikana , Mangalore
12. Work experience:

2010-2011 One year of compulsory rotatory internship from A.B.Shetty Memorial Institute
of Dental Sciences, Mangalore

2012(April)-2013(july) Worked as Lecturer in the department of conservative dentistry and

Endodontics IN AJ INSTITUTE OF DENTAL SCIENCES MANGALORE .

13. Workshops Attended:

 CDE on Pedagogic and personal effectiveness workshop in AJIDS
 CME on Brian and Behaviour in AJIMS
 CDE on CBCT in MCODS
 Talk on TMJ ankylosis in AJIDS
 CDE on Hand hygiene in AJIDS
14. Any Publications : NIL

Signature
Date

CONSENT LETTER

From,

Dr. PREETHIKA GB

PG student

Dept of Oral Medicine and Radiology

A J Institute of Dental Sciences

Mangalore.
1 October 2013

To,

The Head of the Department,

Dept of NEPHROLOGY

A J SHETTY HOSPITAL AND RESEARCH CENTRE

Mangalore.

Sub: Consent letter.

Respected Sir,

I Dr. PREETHIKA GB PG student in the Dept of Oral Medicine And Radiology is doing a RESEARCH on
‘ORAL MANIFESTATIONS AMONG CHRONIC RENAL FAILURE PATIENTS WITH AND
WITHOUT TYPE II DIABETES –ON HAEMODIALYSIS’ for my major dissertation.

The subjects for my research comes under your Department.

So I humbly request you to kindly grant me permission for the same.

Thanking you,

Yours obediently,

Dr. Preethika GB