iosr-JDMS   Volume-18 ~ Issue-1 ~ January-2019

Abstract: Dental implant restoration has been considered to beone of the most reliable methods for treating partial orcomplete edentulism1–3.But the availability of adequate bone volume for dental implant placement is often diminished due to trauma, pathology, periodontal disease, congenital defectsetc4.There are various bone augmentation techniques available for the reconstruction of such bony defects for implant placement, but they have drawbacks like prolonged waiting period for graft acceptance and surgical reentry for implantation. Here a case is documented which demonstrates the usage of autogenous bone graft harvested from mandibular symphysis region and reconstruction of the bony defect in the maxillary anterior region through guided bone regeneration technique with simultaneous implant placement .In the follow up we are able to achieve good bone regeneration and osseointegration, thus reducing the waiting period by grafting and placing implants simultaneously..

Keywords: bone augmentation, graft acceptance, autogenous, symphysis, guided bone regeneration

[1]. Gonzalez S, Tuan M-C, Ahn KM, Nowzari H. Crestal Approach for Maxillary Sinus Augmentation in Patients with ≤4 mm of Residual Alveolar Bone: Crestal Approach Sinus Augmentation. Clin Implant Dent Relat Res. 2014 Dec;16(6):827–35.
[2]. Kim J-H, Kim Y-K, Bae J-H. Retrospective clinical study on sinus bone graft and tapered-body implant placement. J Korean Assoc Oral Maxillofac Surg. 2013;39(2):77.
[3]. Cha H-S, Kim A, Nowzari H, Chang H-S, Ahn K-M. Simultaneous Sinus Lift and Implant Installation: Prospective Study of Consecutive Two Hundred Seventeen Sinus Lift and Four Hundred Sixty-Two Implants: Simultaneous Sinus Lift and Implant Installation. Clin Implant Dent Relat Res. 2014 Jun;16(3):337–47.
[4]. Rao KP, Pagadala S. Localized ridge augmentation using autogenous block bone graft followed by dental implant placement. J Orofac Sci. 2012;4(2):148.
[5]. Cha H-S, Kim J-W, Hwang J-H, Ahn K-M. Frequency of bone graft in implant surgery. Maxillofac Plast Reconstr Surg 2016 Dec 2018 Oct 17];38(1).

Abstract: Background: Periodic paralysis is a disorder with episodic, hyporeflexic, and short-lived skeletal muscle weakness. Patients present with repeated episodes of the weakness of the limb muscles which last for few hours to few days and are often precipitated by exercises, heavy meals or fasting. hypokalemic periodic paralysis (HPP) is a form of metabolic myopathy, which is characterized by hypokalemia, acute flaccid paralysis, potentially fatal episodes of muscle weakness and lifethreatening cardiac arrhythmias. But prompt and early recognition of this condition and initiation of treatment can lead to excellent recovery. Aim: To study the clinical & biochemical profile of patients of hypokalemic periodic paralysis and to determine the association of dietary habits (fermented rice) with HPP. Methods: The cross-sectional study design with the total........

Key words: Hypokalemic Periodic Paralysis (HPP)

[1]. Rao, N., John, M., Thomas, N., Rajaratnam, S., & Seshadri, M. S. (2006). A etiological,clinical and metabolic profile of hypokalaemic periodic paralysis in adults: A single-centre experience. NATIONAL MEDICAL JOURNAL OF INDIA, 19(5), 246.
[2]. Cheng, C. J., Kuo, E., & Huang, C. L. (2013, May). Extracellular potassium homeostasis: insights from hypokalemic periodic paralysis. In Seminars in nephrology (Vol. 33, No. 3, pp. 237-247).
[3]. Statland, J. M., Fontaine, B., Hanna, M. G., Johnson, N., Kissel, J. T., Sansone, V. A., & Griggs, R. C. (2017). A Review of the Diagnosis and Treatment of Periodic Paralysis. Muscle & Nerve.
[4]. Vicart, S., Sternberg, D., Arzel-Hézode, M., Franques, J., Bendahhou, S., Lory, P., & Fontaine, B. (2014). Hypokalemic periodic paralysis.
[5]. Griggs, R. C., Resnick, J., & Engel, W. K. (1983). Intravenous treatment of hypokalemic periodic paralysis. Archives of neurology, 40(9), 539-540

Abstract: Canine impactionion is most comanly encountered problem in the eruption sequence of permanent teeth. Etiology varies from in each patient. Three quarters of its final root length. the mandibular central incisors and first molars have marginally less root development and mandibular canines and second molars marginally more when they erupt. this therefore can be taken as a diagnostic baseline from which to assess the eruption of teeth in general.incidence of maxxilary canine is more compared to mandibular canine.

Key words: Canine ,Impaction.

[1]. The Orthodontic treatment of impacted teeth - Adrian Becker
[2]. Canine impaction - Biomechanics in clinical orthodontics
[3]. Bishara, S.E. : Impacted maxillary canines : A review, Am J.Orthod 101 : 159 - 171, 1992.
[4]. Jacoby, H : The "Ballista Spring" system for impacted teeth, Am J Orthod 75 : 143, 1979.
[5]. Samuel, R.H.A. et al., two Archwire Technique for alignment of impacted teeth, J. Clin orthod 31:183-187, 1997.

Abstract: Introduction- Spontaneous intraperitoneal rupture of the urinary bladder is a rare condition, mostly associated with some underlying chronic conditions necessitating long term catheterization. The preoperative diagnosis is difficult because of its presentation with non specific sign and symptoms. Case Presentation- We are presenting case series of Spontaneous intraperitoneal rupture of the urinary bladder. Both cases were diagnosed intraoperatively because of their presentation similar to that of an acute abdomen due to intestinal perforation. Conclusion- High degree of suspicion is the crux of the pre operative diagnosis. cystography/CT could play an important role in early diagnosis and better outcome..

Key words: SRUB ( Spontaneous rupture of Urinary bladder), Acute Abdomen

[1]. Schraur WH, Huffman J, Bagfley DH. Acute abdominal pain caused by spontaneous perforation of the urinary bladder. SurgGyneco Obstet. 1983;156:589–592. [PubMed]

[2]. Sisk IR, Wear JB. Spontaneous rupture of the urinary bladder. J Urol. 1929;21:517–521.
[3]. Ahmed J, Mallick IH, Ahmad S: Rupture of urinary bladder: a case report and review of literature. Cases J 2009;2:7004. [4]. Schein M, Weinstein S, Rosen A, Decker GAG. Spontaneous rupture of the urinary bladder delayed sequel of pelvic irradiation a case report. S Afr Med J. 1986;70:841–842.[PubMed]

[5]. Urology Care Foundation: Bladder Diverticulum. www.urologyhealth.org/urology/index.cfm?article=111. Updated January 11. 2014.

Abstract: Esthetic treatment of stained arrested caries lesions (ACLs) has mostly been done using invasive restorative techniques. The aim of this paper was to propose and report the efficacy of a conservative approach based on dental bleaching to esthetically treat these lesions. This paper reports a clinical case of pit and fissure-stained ACLs in four posterior teeth and proximal ACL on canine, which were treated with 35 % hydrogen peroxide in-office bleaching. Digital photographs were taken to document the efficacy of the treatment. The lesions showed noticeable increase in color lightness indicating the efficacy and suitability of the proposed approach. By using the conservative clinical technique presented, the esthetics of most stained ACLs could be improved, eliminating the need for invasive restorative treatments..

Key words: arrested caries lesion, bleaching, color change, esthetics, hydrogen peroxide.

[1]. Zühre Zafersoy Akarslan, Burak Sadık et al. Dental esthetic satisfaction, received and desired dental treatments for improvement of esthetics. Indian J Dent Res, 20(2), 2009
[2]. P. K. Vallittu, A. S. J. Vallittu and V. P. Lassila. Dental aesthetics - a survey of attitudes in different groups of patients. Journal of Dentistry, Vol. 24, No.5, pp.335-3381996.
[3]. Praveen Haricharan BhooPathi, Pavan Uday Patil, B vinayak kamath et al. Caries Detection with ICDAS and the WHO Criteria: A Comparitive Study. Journal of Clinical and Diagnostic Research. 2017 Dec, Vol-11(12): ZC09-ZC12
[4]. Schupbach P, Lutz F, Guggenheim B. Human root caries: histopathology of arrested lesions. Caries Res 1992; 26:153–164.
[5]. Andrea Zandona and Eduard Epure. Evolution of Caries Diagnosis. Decisionsindentistry.com/article/evolution-caries-diagnosis.

Abstract: Giant Hemangiomas (GH) are benign liver tumours which are more than 4 cm and can be frequently symptomatic .They may be associated with complications due to local compression , rupture or rare
coagulopathy syndromes like Kasabach-Merritt Syndrome(KMS), which are all indications for surgery. Surgery can be either enucleation or hepatic resection where enucleation is the usual surgery of ch o ice and he p atic resection,reserved for indications like c omplete lobe involvement by the tumour.

Key words: Hemangioma, hepatectomy, Kasabach-Merritt, enucleation

[1]. Giuliante F, Ardito F, Vellone M et al: Reappraisal of surgical indications and approach for liver hemangioma: single-center experience on 74 patients. Am J Surg, 2011; 201(6): 741–48
[2]. Hall GW: Kasabach-Merritt syndrome: pathogenesis and management. Br J Haematol, 2001; 112(4): 851–62
[3]. Adam yg, huvos Ag, Fortner jg: Giant hemangiomas of the liver. Ann surg 1970; 172: 239-45.
[4]. Corigliano n, mercantini P, Amodio Pm et al.: Hemoperitoneum from a spontaneous rupture of a giant hemangioma of the liver: report of a case. surg Today 2003; 33: 459-63.
[5]. Toro A., et al. Indication and treatment of hepatic hemangioma. Annals of hepatology, 2014; 13 (4): 327-339

Abstract: Head and neck malignancy are among one of the leading cause of moratlity and morbidity and increasing day by day and. We did a retrospective observational study to identify the demography, modes of reconstruction in department of general surgery, GRMC, Gwalior during the period of six months from September 2017 to march 2018 Results: Out of 20 cases operated during this period, all were males (100%). Most common decade of presentation was 40-60 years of age. The commonest site of cancer was buccal mucosa. Mode of reconstruction used was regional pedicled flaps including Deltopectoral cutaneous flap , Pectoralis Major Myocutaneous flap, Forehead flap by a single surgeon. 20 Delto pectoral flap (DP), 20 PMMC flaps, 2 forehead flap were performed.......

Key words: Oral Malignancy, Deltopectoral Flap (DP), Pectoralis Major Myocutaneous Flap (PMMC), Forehead flap, Microvascular Anastomosis

[1]. Blackwell KE, Buchbinder D, Biller HF, Urken ML. Reconstruction of massive defects in the head and neck: The role of simultaneous distant and regional flaps. Head Neck. 1997;19:620–8. [PubMed]
[2]. McCrory AL, Magnuson JS. Free tissue transfer versus pedicled flap in head and neck reconstruction. Laryngoscope. 2002;112:2161–5. [PubMed]
[3]. Ariyan S. The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg. 1979;63:73–81. [PubMed]
[4]. Milenovic A, Virag M, Uglesic V, Aljinovic-Ratkovic N. The pectoralis major flap in head and neck reconstruction: First 500 patients. J Craniomaxillofac Surg. 2006;34:340–3. [PubMed]
[5]. Croce A, Moretti A, D'Agostino L, Neri G. Continuing validity of pectoralis major muscle flap 25 years after its first application. Acta Otorhinolaryngol Ital. 2003;23:297–304. [PubMed]

Abstract: Background: Leptin is an adipokine that has been shown to be involved in pathways influencing the risk of cardiovascular disease and diabetes mellitus. Aims: To estimate and compare plasma leptin levels in type 2 diabetes mellitus (T2DM) patients with normal healthy individuals. Materials and methods: 60 T2DM patients and 50 age matched healthy individuals were taken as cases and controls respectively, in a case-control study conducted from October 2013 to September 2015 in the Department of Biochemistry in collaboration with the Department of Medicine, RIMS, Imphal. Fasting plasma leptin levels was estimated by DRG Leptin (Sandwich) ELISA kit manufactured by DRG Instruments GmbH, Germany Frauenberstrabe 18, D-35039........

Key words: Leptin, Type 2 diabetes mellitus, adipokine, ELISA- Enzyme linked immunosorbent assay

[1]. World Health Organization. Global report on diabetes. World Health Organization. 2016. http://www.who.int/iris/handle/10665/204871 accessed on September 8, 2017
[2]. ICMR draft guidelines on management of type 2 diabetes 2018:1

[3]. Classification and Diagnosis of Diabetes. American Diabetes Association. Diabetes Care Jan 2015, 38 (Supplement 1) S8-S16; DOI: 10.2337/dc15-S005. Accessed on 26th, July, 2016

[4]. Hu FB. Sedentary lifestyle and risk of obesity and type 2 diabetes. Lipids Feb 2003;38(2):103-8.

[5]. Conde J, Scotece M, Gomez R, Lopez V, Gomez-Reino JJ, Lago F, Gualillo O. "Adipokines: biofactors from white adipose tissue. A complex hub among inflammation, metabolism, and immunity". Biofactors 2011;37(6):413–20.

Abstract: Cancer in the elderly has become an increasingly common problem.. Indeed, epidemiologic studies describe that about 60% of all malignancies occur in people aged 65 years or older , and if the current demographic trends continue, it can be estimated that by 2020 about 70% of all cancers will be diagnosed in those aged 65 years or older . One out of two cancer patients report psychiatric disorders, especially depression. At the same time, depression is a burdensome problem even in elderly people . Thus, depression is highly prevalent both in cancer and in the elderly. Consequently, depression appears to be a relevant problem in people with cancer. The diagnosis of cancer........

[1]. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet 1997;349:1498–504.
[2]. Yancik R. Population aging and cancer: a cross-national concern. Cancer J 2005;11:437–41.
[3]. Balducci L, Extermann M. Cancer and aging. An evolving panorama. Hematol Oncol Clin North Am 2000;14:1–16.
[4]. Akechi T, Okuyama T, Sugawara Y, Nakano T, Shima Y, Uchitomi Y. Major depression, adjustment disorders, and post-traumatic stress disorder in terminally ill cancer patients: associated and predictive factors. J Clin Oncol 2004;22:1957–65.
[5]. SEPOS Group. Psychosocial morbidity and its correlates in cancer patients of the Mediterranean area: findings from the Southern European Psycho-Oncology Study. J Affect Disord 2004;83:243–8

Abstract: The present case report demonstrates the use of intracanal medicament of calcium hydroxide and 2% chlorhexidine for the treatment of nonsurgical healing of a large periapical lesion of a patient who was unable to report back for completion of treatment ; but despite of it showed healing of the lesion and tooth remaining largely asymptomatic even after 10 months of initiation of treatment..

Key words: calcium hydroxide, chlorhexidine, healing, non-surgical root canal treatment, periapical lesion

[1]. Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J. 1999; 32(5): 361 –9.
[2]. Gjermo P. Hibitane in periodontal disease. Journal of Clinical Periodontology. 1099; 4: 94-101
[3]. Soh LL, Newman HN, Strahan JD. Effects of subgingival chlorhexidine irrigation of periodontal inflammation. Journal of Clinical Periodontology. 1982; 9: 66-74
[4]. Wennstrom JL, Dahlen G, Grondahl K, et al. Periodic subgingival antimicrobial irrigation of periodontal pockets. Microbiological and radiographical observations. Journal of Clinical Periodontology. 1987; 14: 573-80.
[5]. Lang NP and Ramseier-Grossmann K. Optimal dosage of chlorhexidine digluconate in chemical plaque control when applied by the oral irrigator. Journal of Clinical Periodontology. 1981; 8: 189-202.

Abstract: Introduction: In recent years there has been a spurt of publications on the ophthalmic complications of dengue fever. The aim of this is to review the ocular manifestations, utility of relevant diagnostic tests, management, prognosis, and sequelae of dengue-related ocular complications. Methods: A comprehensive literature search was conducted on Medline, PubMed, and Google Scholar databases. Only articles published or translated into the English language were considered, and key data from the full article of each paper was extracted and evaluated. Results: A total of 686 patients with amean age of 33.4 years (range 14–73 years) were included. Blurring of vision was the most common presenting symptom followed.......

Key words: Blurring of vision; Complications; Dengue; Maculopathy; Ocular; Ophthalmic; Retinal hemorrhage; Scotoma; Treatment.

[1]. World Health Organization. Dengue and dengue haemorrhagic fever—Fact sheet. 2009; Available at: http://www.who.int/csr/disease/dengue/en. Accessed 19 May 2011.
[2]. Barkham TM, Chung YK, Tang KF, Ooi EE. The performance of RT-PCR compared with a rapid serological assay for acute dengue fever in a diagnostic laboratory. Trans R Soc Trop Med Hyg. 2006;100:142–8. Ophthalmol Ther (2012) 1:2 Page 17 of 19
[3]. De Oliveira Poersch C, Pavoni DP, Queiroz MH, et al. Dengue virus infections: comparison of methods for diagnosing the acute disease. J Clin Virol. 2005;32:272–7.
[4]. Gubler DJ. Dengue and dengue hemorrhagic fever. Clin Microbiol Rev. 1998;11:480–96.
[5]. Haritoglou C, Dotse SD, Rudolph G, Stephan CM, Thurau SR, Klauss V. A tourist with dengue fever and visual loss. Lancet. 2002;360:1070.

Abstract: Oral Verrucous Carcinoma [OVC] is described as a part of the Squamous Cell Carcinoma [SCC] due toits specific properties. Verrucous carcinoma is a form of squamous cell carcinoma with specific clinical, morphologic, and cytokinetic features. The term verrucous carcinoma refers to those exophytic squamous mucosal or cutaneous tumors that are heaped above the epithelial surface with a papillary micronodular appearance. Verrucous carcinoma is distinguished by controversy regarding appropriate diagnosis and treatment. In this paper, 3 cases of verrucous carcinoma of tongue, retromolar trigone region and maxillary vestibular region are reported and a mini review of literature is described..

[1]. Gnepp DR. Diagnostic Surgical Pathology of the Head and Neck. 2nd ed. Philadelphia: WB Saunders; 2001.
[2]. Thomas GJ, Barrett AW. Papillary and verrucous lesions of the oral mucosa. Diagn Histopathol 2009; 15:279‑85.
[3]. Sapp JP, Eversole LR, Wysocki GP. Contemporary Oral and Maxillofacial Pathology. 2nd ed. St. Louis: Mosby; 2004.
[4]. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology. 2nd ed. New Delhi: Saunders; 2002.
[5]. Steffen C. The man behind the eponym: Lauren V. Ackerman and verrucous carcinoma of Ackerman. Am J Dermatopathol. 2004; 26:334-41.

Abstract: Introduction: A complex relationship exists between the thyroid gland and the liver in both health and disease. Many studies have been carried out on liver disease patients assessing their thyroid status, mostly in European countries. Most of these studies are limited by the number of patients in these studies. This study tries to find out the relationship between thyroid function and chronic liver disease in a general hospital in India. Materials and methods: This hospital-based cross-sectional study was conducted in patients admitted in the ward under the Department of General Medicine, Kamineni Academy of Medical Sciences and Research Centre, Hyderabad. A total of 200 subjects........

Key words: thyroid function, chronic liver disease, West Haven criteria, refractory ascites

[1]. Udiong CE, Udoh AE, Etukudoh ME. Evaluation of thyroid function in diabetes mellitus in Calabar, Nigeria. Indian J Clin Biochem. 2007 Sep 1;22(2):74-8.
[2]. Wang C. The relationship between type 2 diabetes mellitus and related thyroid diseases. J Diabetes Res. 2013;2013.
[3]. Papazafiropoulou A, Sotiropoulos A, Kokolaki A, Kardara M, Stamataki P, Pappas S. Prevalence of thyroid dysfunction among Greek type 2 diabetic patients attending an outpatient clinic. J Clin Med Res. 2010 Apr;2(2):75.
[4]. Perros P, McCrimmon RJ, Shaw G, Frier BM. Frequency of thyroid dysfunction in diabetic patients: value of annual screening. Diabetic Med. 1995 Jul;12(7):622-7.
[5]. Chopra IJ, Solomon DH, Hepner GW, Morgenstein AA. Misleadingly low free thyroxine index and usefulness of reverse triiodothyronine measurement in nonthyroidal illnesses. Ann Intern Med. 1979 Jun;90(6):905–912.

Abstract: Introduction: Diabetes mellitus is a major cause of concern because of its increasing prevalence rate globally. The increase in burden is highest in the Asian and African countries.[1] As per estimates, in year 2013, worldwide, 382 million people aged 20–79 years were living with diabetes, 46% of them being undiagnosed. Materials and methods: This observational, multi-center, cross-sectional study was conducted in the department of General Medicine, Kamineni Academy of Medical Sciences and Research Centre, Hyderabad from January 2017 to December 2018. The primary objective of the START India study was to estimate the proportion of T2DM patients with CKD (GFR <60 ml/min/1.73 m 2 or albumin creatinine ratio [ACR] ≥30 mg/g or ≥3 mg/mmol or both) as defined by Kidney........

Key words: CKD, T2DM, GFR,ACR.

[1]. Inker LA, Astor BC, Fox CH, Isakova T, Lash JP, Peralta CA, et al. KDOQI US Commentary on the 2012 KDIGO Clinical Practice Guideline for the Evaluation and Management of CKD. Am J Kidney Dis. 2014;63(5):713-35.
[2]. Wu B, Bell K, Stanford A, Kern DM, Tunceli O, Vupputuri S, et al. Understanding CKD among patients with T2DM: prevalence, temporal trends, and treatment patterns- NHANES 2007–2012. BMJ Open Diabetes Res Care. 2016;4:e000154.
[3]. Rodriguez-Poncelas A, Garre-Olmo J, Franch-Nadal J, Diez-Espino J, Mundet-Tuduri X, Barrot-De la Puente J, et al. Prevalence of chronic kidney disease in patients with type 2 diabetes in Spain: PERCEDIME2 study. BMC Nephrol. 2013;14:46.
[4]. Sahay R, Kalra S, Agarwal N, Baruah MP, Bandgar T, Bantwal GM, et al. PO162 burden of chronic kidney disease among type 2 diabetics in India. Diabetes Res Clin Pract. 2014;106(1):130.
[5]. Bailey RA, Wang Y, Zhu V, Marcia FT. Rupnow Chronic kidney disease in US adults with type 2 diabetes: an updated national estimate of prevalence based on Kidney Disease: Improving Global Outcomes (KDIGO) staging. BMC Res Notes. 2014;7:415

Abstract: A wound is defined as an injury creating a disruption in the normal anatomical structure and function of the skin. There are two different types of wounds: vulnus that is an acute wound, which heals according to the normal wound healing process, and ulcus that is defined as hard-to-heal wounds (previously labeled chronic wounds) such as leg ulcers, pressure ulcers and diabetic foot ulcer. These wounds have duration of more than six weeks and often show a disturbed wound healing process due to underlying causes other than direct trauma. MATERIALS AND METHODS This is a prospective study. Source of study were the 40 Cases satisfying the inclusion criteria admitted in KIMS, Hubli during the study period of November 2012 to October 2014. RESULTS 40 patients visiting KIMS.......

[1]. Lindholm C. Sår. Third ed. Lund: Studentlitteratur. 2012. 114-135.
[2]. Ahn C, Mulligan P, Salcido RS. Smoking-the bane of wound healing: biomedical interventions and social influences. Adv Skin Wound Care. May 2008;21(5):227-236.
[3]. Bjarnsholt T, Kirketerp-Moller K, Jensen PO, et al. Why chronic wounds will not heal: a novel hypothesis. Wound Repair Regen. Jan-Feb 2008;16(1):2-10.
[4]. Howes EL, Sooy, J.W., Harvey, S.C. The healing of wounds as determined by their tensile strength. JAMA. 1929;92(1):42-45.
[5]. Doughty DB, Sparks-Defriese, B. Wound-Healing Physiology. In: Bryant RA, & Nix, D.P., ed. Acute & Chronic wounds. Current management concept. 3rd ed. St.Louis, USA: Mosby Elsevier. 2007.114-152.