This issue of the journal carries an original article, several interesting review articles and a case report, besides the usual columns. An original article reports on the prevalence of medical disorders in a dental population; some patients presented with the medical disorder and in others, the disorder was picked up at a routine dental examination thereby indicating that even the unspoken mouth often tells about the underlying medical condition.

“Mouth Is The Mirror Of The Body”. The incidence of systemic diseases has increased presently due to changes in the life style of an individual. There is a rapid advancement in the treatment modality of systemic disease which has resulted in the enhanced life span of an individual. A two way relationship exists between oral diseases and systemic diseases which is the prime focus today. Hence this study analyzes the frequency of systemic problems among patients visiting the Chettinad Dental College and Research Institute. Materials and Methods: In this retrospective study medical records of patients visiting CDCRI was analyzed for the year 2011, 2012, and 2013 in the presence of systemic disease. The list of extracted data from each patient’s documents contained the history of cardiovascular diseases, respiratory, renal diseases, endocrine diseases like diabetes mellitus and thyroid, hematological disorders, gastrointestinal diseases. This data was tabulated and frequency distribution of each disease was analyzed using SPSS software. Results: Around 92,177 patients’ medical records were analyzed retrospectively for 3 years (2011, 2012, and 2013). 3,820 patients had medically compromised conditions which accounted for 4.14%.The percentage of systemic disease accounted are the following: cardiovascular disease (39.29%), Diabetes mellitus (35.45%), Respiratory disorders (8.69%), thyroid (6.23%), Hepatitis (2.46%), Skin (2.43%), Epilepsy (2.02%), Renal disorders (2.01%), Blood dyscrasias (1.34%), which is depicted in the tabulation and graph. Conclusion: As there is increased prevalence of systemic disorders, primarily, a modification in the treatment modality can be done only with a perfect medical charting. Secondly, more emphasis should be given to annual dental checkups as a "healthy mouth leads to healthy body".

Alveolar bone augmentation is mandatory in deficient ridges prior to implant placement but ridge defects require regenerative membranes and bone grafts to achieve and particularly vertical bone augmentation which still remains a challenge to be proven. The aim of this case report is to propose a treatment modality for three dimensional augmentation of alveolar ridge using autogenous symphseal graft, PRF membrane, Titanium mesh and bone morselizer.

As a medical student, he developed the first continuous record for recording pulse and respiration during surgery in 1895, which forms the basis for present day anesthesia records. Cushing was involved in the introduction of X-ray technology into the clinical realm at Massachusetts General Hospital and Johns Hopkins Hospital after its discovery by Roentgen.

Head injury is a major cause of mortality and morbidity in India and responsible for two lakh deaths each year. In addition, over ten lakh people require rehabilitation services each year. The management of head injury has been revolutionised through the introduction of evidence based recommendations by the Brain Trauma Foundation. This article is broadly based around these recommendations and deals with the emergency room, anaesthetic and intensive care management of head injured patients. It recommends the introduction of protocols by each and every institution dealing with head injured patients in order to streamline their management.

Male factor infertility is an important cause of a barren marriage. Semen abnormalities constitute the most important cause of the same. These could be abnormalities in sperm concentration, motility or morphology. Several medical and surgical methods have been introduced in the past and several more are currently being tried to improve the sperm abnormalities. These methods have not yielded much benefit except in established cases of obstruction. To evolve methods to improve sperm abnormalities, a proper understanding of sperm physiology and a deeper perspective of pathophysiology of sperm abnormalities are important. The paper describe the current role of nutraceuticals in male infertility. Nutraceuticals are widely used in an attempt to combat the effect of free radicals in male reproductive system.

Semen analysis is an important tool in male infertility investigation. Through its cellular and chemical components, human semen can provide information on the functional properties of the organs producing this fluid, i.e., the testes, epididymis and accessory glands.

Free radicals play an important role in several biological processes such as cell signaling and redox regulation. However, prolonged exposure to free radicals leads to oxidative damage. Subsequently, it has been implicated in the progression of several diseases like cancer, cardiovascular disease, neurological disease, pulmonary disease, rheumatoid arthritis, nephropathy, ocular disease and pre-eclampsia. The antioxidant defense system within the body may confer protection to oxidative damage by scavenging free radicals. Antioxidants also may be obtained from dietary sources/ supplements. The efficacy of antioxidant intake on initiation and progression of chronic diseases will be reviewed.