iosr-JDMS   Volume-19 ~ Issue-6 ~ June 2020

Abstract: Purpose: The primary purpose of treating any TMJ ankylosis is to restore function andsecondarily correction of aesthetics if needed. Methods: TMJ ankylosis treated with distraction on the left side of mandible before ankylotic massrelease and reconstructing with the Interpositional gap with autogenous bilateral coronoid graft formaintaining TMJ function. Results: The result of this report suggest that distraction osteogenesis should be consideredbefore gap arthroplasty as a surgical treatment option with restoring the esthetic form and function.

Keywords: TMJ ankylosis, Distraction Osteogenesis, Arthroplasty, Ramal Condylar unitReconstruction

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[2]. He D, Ellis E 3rd, Zhang Y: Etiology of temporomandibular joint ankylosis secondary tocondylar fractures: the role of concomitant mandibular fractures. J Oral MaxillofacSurg2008,66:77–8 .
[3]. Joseph E. et al distraction osteogensis: advancements in the last 10 years. Oral maxillofacialsurgClin N Am.2007
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[5]. Cheung LK, Lo J. The long-term effect of transport distraction in the management oftemporomandibular joint ankylosis. PlastReconstr

Abstract: Background-Dental implant use has been increased exponentially over the last decade to support the removable and fixed partial denture prosthesis. Radiographic imaging plays an vital role in the placement of implant and to check the survival of implant. Aim-A survey was conducted on the radiographic prescription practice among the dentist for dental implant assessment. Materials and Methods-100 dentist were interviewed using 11 questions questionnaire related to imaging modalities for both pre-operative.......

Key words- Dental implant, Orthopantomography (OPG), Cone-Beam Computed Tomography (CBCT), Intra-Oral Periapical Radiography (IOPAR) , American Academy of Oral and Maxillofacial Radiology (AAOMR)

[1]. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981; 10: 387–416.
[2]. Andersson B, Odman P, Lindvall AM, Branemark PI. Five-year prospective study of prosthodontic and surgical single-tooth implant treatment in general practices and at a specialist clinic. Int J Prosthodont 1998; 11: 351–355.
[3]. Gupta S, Patil N, Solanki J, Singh R, Laller S. Oral implant imaging: A review. Malays J Med Sci. 2015;22(3):7-17
[4]. Vishanti R, Rao G. Implant imaging. Int J Innovate Res Dev 2013;2(13): 285-289.
[5]. Prabhath Ramakrishnan, Faris Mohammed Shafi, Anil Subhash, Ajeya Kumara EG, Jithesh Chakkarayan, Janisha Vengalath. A Survey on Radiographic Prescription Practices in Dental Implant Assessment among Dentists in Kerala, India. OHDM 2014;13;826-830.

Abstract: Granular cell tumor is a rare neoplasm of soft tissues which usually appears in tongue and rarely affects female breast. It is probably of schwann cell origin. Granular cell tumor appears mammoraphically, by ultrasonography as well as clinically a breast carcinoma hence it is a mandate diagnostic challenge to differentiate this benign mimicker from malignancy through histopathology and immunohistochemistry. We present a case of 42 years postmenopausal women presented with a lump in right breast measuring 15×13 mm seen in 7 'o' clock position of left breast. It was BIRADS 4a i.e; low probability of malignancy. Biopsy was done and histopathology favoured the diagnosis of Granular cell tumor which was confirmed by Immunohistochemistry.

Keywords: granular cell tumour, myoblastoma, breast carcinoma

[1]. Patel A, Lefemine V, Yousuf SM, Abou-Samra W. Granular cell tumour of the pectoral muscle mimicking breast cancer. Cases J. 2008;1(1):142
[2]. Maria Castillo Lara Antonia Martínez Herrera Rafael Torrejón Cardoso Daniel Maria Lubián López Breast cancer: targets and therapy 9,245,2017.
[3]. Weber CO. Anatomische Untersuchung einer hypertrophischen Zunge nebst Bemerkungen über die Neubildung quergestreifter Muskelfasern [Anatomical examination of a hypertrophic tongue as well as remarks on the new formation of transverse muscle fibers]. Virchows Arch A Pathol Anat. 1854;7:115–125. German.
[4]. Abrikossoff AI. Weitere Untersuchungen über Myoblastenmyome. Virchows Arch Pathol Anat Physiol Klin Med. 1931;280:723–740.
[5]. Becelli R, Perugini M, Gasparini G, Cassoni A, Fabiani F. Abrikossoff‟s tumor. J Craniofac Surg. 2001;12(1):78–81. 5.

Abstract: A reported case of death of a 51-year-old male victim from a stab wound to the back of the neck. When the victim was taken to the hospital, a knife still stuck in the back of the neck. According to the testimony of residents who found the victim, the victim was injured in a gold mining barracks, there were no eyewitnesses who saw the incident. In forensic medical examinations, stab wounds were found in the neck and chest and several incised wounds on the back and arms. On the X-ray photograph, a knife appears through the inner chest wall causing pneumothorax. The victim was treated at the intensive care unit, but in the end was not helped because the victim suffered pneumothorax and subcutaneous emphysema which caused the victim to die. Cause of death of the case is penetrating neck injury, the mechanism of death due to asphyxia and bleeding, the manner of death is maybe homicide..

Key Words: Penetrating neck injury, asphyxia, bleeding, forensic medicine.

[1]. Nerchan E, Mallo JF, Mallo NTS. Wound Patterns in Deaths due to Sharp Violence in the Division of Forensic Medicine and Medicolegal RSUP Prof.Dr.R.D.Kandou Manado Period 2013. J e-Clinic. 2015;3.
[2]. Solarino B, Buschman CT, Tsokos M. Suicidal cut-throat and stab fatalities: three case reports. Rom J Leg Med. 2011; 9: 161-166.
[3]. Putri DFA, Kusuma SE. Sharp Violence In Abdomen That Cause Death. Proceeding in National Congress of Indonesian Association of Forensic Medicine. 2017:107–10.
[4]. Perinjelil V, Mercer L, Daoud F AL, Ligate to Live : Stab Wound to the Neck with Major Vascular Injuries. Bs TN, Bs BM. iMedPub Journals. 2017:1–5.
[5]. Nirmalasari N, Bagus I, Putra G, Kusparwati RAY, Pristianti I, et al. Penetrating Heart Injuries and Pancreas Causing Deadly DIC (A Case Report). Indones J Leg Forensic Sci. 2013;3(1):14–20..

Abstract: Corona viruses have been causing problems to the humanity for a long time. Corona Virus Infectious Disease 2019 (COVID-19), caused by the severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) has developed into a pandemic since it was first identified in Wuhan, China. In this regard, a plenty of research works in traditional medicines are conducted around the world in the search for potential treatments for COVID-19. Siddha system of medicine is one of the Indian traditional medicines have wide potential for usage in such conditions owing to their longstanding use in the community (predominantly in South India), ancient references and clinical efficacy. The majority of people who contract Covid-19 suffer only mild respiratory symptoms like cough, cold, difficulty in breathing, etc. So, it is important to elaborate the disease Iyya Irumal (Irumal – one of the respiratory......

Keywords: COVID-19, Corona virus, Iyya Irumal, SARS-CoV-2, Siddha medicine, Traditional Medicine

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[4]. Worldometer. COVID-19 coronavirus pandemic. Available from: https://www.worldometers.info/coronavirus/?, accessed on April 12, 2020. and no specific drug has been discovered for Coronavirus Disease 2019 (COVID-19).
[5]. WHO Virtual press conference on COVID-19.https://www.who.int/docs/default-source/coronaviruse/transcripts/who-audio-emergencies-coronavirus-press-conference-full-and-final-11mar2020.pdf?sfvrsn=cb432bb3_2

Abstract: Duodenal perforation following blunt abdominal trauma is a rare and often overlooked injury leading to increased mortality and morbidity. We report a case of combined duodenal and jejunal perforation following blunt trauma abdomen and highlight the challenges associated with their management. This case emphasizes the need of a thorough systematic search for any other intarabdominal injuries with kocherization in cases with suspected duodenal injuries. On initial evaluation, CT Abdomen (plain) reported a suspicious defect in D2 segment of duodenum. A thorough bowel run revealed another perforation in the jejunum. Patient was managed with a simple closure of both the perforations with a nasogastric tube decompression, proximal duodenostomy and a distal feeding jejunostomy.

Keywords: Blunt trauma abdomen, Duodenal perforation, jejunal perforation, Duodenostomy, Jejunostomy.

[1]. Sa S, Asensio JA. ´ A ESPAN ˜ OLA Duodenal Injuries Due to Trauma : 2015;3:68–74.
[2]. Bhattacharjee HK, Misra MC, Kumar S, Bansal VK. Duodenal perforation following blunt abdominal trauma. 2011;4–8.
[3]. Zelic M, Mendrila D, Depolo A, Uravic M. Wiener klinische Wochenschrift Double transection of complete duodenal circumference after blunt abdominal trauma without other intra-abdominal injuries. 2010;54–6.
[4]. Huang C, Nee C, Juan T, Pan C, Ker C, Juan C. HANDLEBAR HERNIA WITH
[5]. JEJUNAL AND DUODENAL INJURIES : A CASE REPORT. Kaohsiung J Med Sci . 2004;20(9):461–4.

Abstract: When periodontal subgingival bacteria enter the gingival tissues, an inflammatory reaction is triggered, aimed to restrain and to undo the microbiological challenge. The efficiency of this host immune response is paramount for determining the type of evolution and rate of progression of periodontal disease. At this moment, the bacterial challenge may seem to meet a certain counterattack and consequent elimination, but the host immune response is predisposed to the influence of multiple systemic factors that can alter its efficacy and intensity. Thus, the regular immune mechanisms may be inefficient against periodontal pathogenic challenge, and consequently such systemic elements are considered to be risk factors for the onset, evolution and progression of periodontal disease. These systemic risk factors include age, systemic conditions, medication, hormonal changes, smoking, diet and stress. As reflected by this case report, the influence of systemic risk factors can be significant on the periodontal status of a patient, particularly, an elderly one.

Key Word: Periodontal Disease, Systemic Risk Factors, Systemic Disease, Periodontal Status

[1]. Mombelli A. Microbial colonization of the periodontal pocket and its significance for periodontal therapy. Periodontol 2000. 2018;76(1):85‐96.
[2]. Lang NP, Schätzle MA, Löe H. Gingivitis as a risk factor in periodontal disease. J Clin Periodontol. 2009;36 Suppl 10:3‐8
[3]. Hajishengallis G. Immunomicrobial pathogenesis of periodontitis: keystones, pathobionts, and host response. Trends Immunol. 2014;35(1):3‐11.
[4]. Knight ET, Liu J, Seymour GJ, Faggion CM Jr, Cullinan MP. Risk factors that may modify the innate and adaptive immune responses in periodontal diseases. Periodontol 2000. 2016;71(1):22‐51.
[5]. Almiñana-Pastor PJ, Boronat-Catalá M, Micó-Martinez P, Bellot-Arcís C, Lopez-Roldan A, Alpiste-Illueca FM. Epigenetics and periodontics: A systematic review. Med Oral Patol Oral Cir Bucal. 2019;24(5):e659‐e672

Abstract: Introduction:Since its introduction, Glass Ionomer Cement [GIC] has been very popular with various advantages. However, the major disadvantage which limits its use in stress bearing areas is its poor compressive strength. Many studies in literature aim to improve the compressive strength by addition of various Nanoparticles. Hence calcium and hydroxyapatite Nanoparticles are used in the present study. Aim:To evaluate and compare the compressive strength of Glass Ionomer Cement after Incorporation of Calcium Nanoparticles and Hydroxyapatite Nanoparticles. Materials and methods: This Invitro study was conducted at CKS THEJA institute of dental sciences and research, Tirupati, India. Calcium and hydroxyapatite nano particles are used in the study. The calcium nano particles are synthesized and characterization was done using dynamic light scattering machine. A total of 24 samples were divided into 4 groups. Group......

Key Word: Glass ionomer cement; hydroxyapatite nanoparticle; calcium nano particles; compressive strength.

[1]. Wilson AD. A new translucent cement for dentistry: the glass-ionomer cement. Br Dent J. 1972;132:133-5.
[2]. Hatton PV, Hurrell-Gillingham K, Brook IM. Biocompatibility of glass-ionomer bone cements. Journal of dentistry. 2006 1;34(8):598-601.
[3]. Gao W, Smales RJ. Fluoride release/uptake of conventional and resin-modified glass ionomers, and compomers. Journal of dentistry. 2001 1;29(4):301-6.
[4]. Attar N, Turgut MD. Fluoride release and uptake capacities of fluoride-releasing restorative materials. OPERATIVE DENTISTRY-UNIVERSITY OF WASHINGTON-. 2003 1;28(4):395-402.
[5]. Vermeersch G, Leloup G, Vreven J. Fluoride release from glass–ionomer cements, compomers and resin composites. Journal of Oral Rehabilitation. 2001;28(1):26-32.

Abstract: Traumatic dental injuries occur most commonly in children and adults and causes be fall, accidents, sports injuries etc. Tooth avulsion comprises around 1-16% of these injuries. It is one of the rare emergencies in dentistry. Many sports-related traumatic dental injuries can be prevented. Avulsion is one of the most dramatic sports related dental injuries. The main method for preventing orofacial injuries in sports is the wearing of mouthguards and headgear,consisting of a helmet and face protector. Yet, a study by the National Institute of Dental Research reported that children do not consistently wear mouthguards and headgear during organized sports. This article reviews meathods for the prevention of traumatic tooth injuries.

Keywords: mouth guard, facemask, helmets

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[2]. Ranalli DN. Dental injuries in sports. Curr Sports Med Rep. 2005 Feb;4(1):12-7.
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Abstract: BACKGROUND: Osteoarthritis is a highly prevalent and severely debilitating chronic disease . Characteristic changes in the cartilage macromolecular matrix occur with osteoarthritis, including a decrease in proteoglycan content and disruption of the highly organized collagen fiber network . Various quantitative magnetic resonance (MR) imaging techniques have been used to identify changes in the composition and ultrastructure of articular cartilage in patients with osteoarthritis. AIM: To study the distribution of cartilage thickness in knee joint of osteoarthritis patients using 3T MRI and.......

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Abstract: Background: Pain during child birth is an unpleasant and emotional experience. Adequate analgesia during labour is beneficial to mother and foetus and had positive influence on course of labour.An ideal analgesic should be easy to give ,produce good pain relief ,should not be toxic , impair consciousness of mother ,or delay the labour .Though epidural analgesia has been popular ,because of lack of awareness ,trained staff and monitoring facilities ,its use is limited .The present study was done in Rural Development Trust hospital to compare the labour outcome and maternal satisfaction of parturient with and without epidural analgesia. Materials and Methods : Primigravida with low risk and term pregnancies (37weeks -40weeks ) coming to labour room in Rural development Trust hospital .Anantapur ,during period of 2years from 2016 to 2018 . Using simple randomisation techniques ,divided in to 2groups.....

Keywords: Epidural analgesia , Tramadol hydrochloride ,Labour analgesia .

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