iosr-JDMS   Volume-20 ~ Issue-11 ~ November 2021

Abstract: Introduction: The treatment of immature teeth with regenerative endodontic procedures (REPs) has been described as a 'paradigm shift' as there is the potential for further root maturation .Regenerative endodontics has been defined as "biologically based procedures designed to replace damaged structures, including dentin and root structures, as well as cells of the pulp-dentin complex". Case report: This report describes an immature nonvital 11 with apical pathology which was treated via revascularization using 3% NaOCl and 17% ethylenediamine tetraacetic acid as irrigants; Ca (OH) 2 as intracanal medicament, Blood clot and platelet‑rich fibrin (PRF) as scaffold, On follow‑up at 6 and 12 months, healing of periapical lesion, dentinal thickening, and......

Keywords: Platelet-rich fibrin, blood clot, regenerative endodontics and revascularization

[1]. Langer R, Vacanti JP. Tissue engineering. Science. 1993;260:920–926. doi: 10.1126/science.8493529.
[2]. Hargreaves KM, Giesler T, Henry M, Wang Y . Regeneration potential of the young permanent tooth: what does the future hold? J Endod. 2008;34:S51–S56. doi: 10.1016/j.joen.2008.02.032.
[3]. Mishra N, Narang I, Mittal N. Platelet‑rich fibrin‑mediated revitalization of immature necrotic tooth. Contemp Clin Dent 2013;4:412‑5
[4]. Woo SM, Kim WJ, Lim HS, Choi NK, Kim SH, Kim SM, Jung JY. Combination of Mineral Trioxide Aggregate and Platelet-rich Fibrin Promotes the Odontoblastic Differentiation and Mineralization of Human Dental Pulp Cells via BMP/Smad Signaling Pathway. J Endod. 2016;42:82-88.

Abstract: Introduction: Alkaline caustics and acids are the most common chemicals implicated in caustic burns. Stricture formation with inability to swallow food after the injury is inevitable in some cases. As for the complications and ineffectiveness of the dilation in more severe strictures, colonic transposition serves as a better replacement for the esophagus. Aim: This study aims to study the adequacy of colonic transposition done for cases of corrosive esophageal strictures and to discuss the complications and their management and the outcome of therapeutic measures employed. Materials and Methods: A total of eight adults with corrosive esophageal strictures were studied at Government Mohan kumaramangalam medical......

[1]. Ertekin C, Alimogliu O, Akylildiz H (2004) The results of caustic ingestions. Hepato gastroenterology 51(59): 1397-1400.
[2]. Zhou JH, Jiang YG, Wang RW (2005) Management of corrosive esophageal burns in 149 cases. J Thorac Cardiovasc Surg 130(2): 449- 455.
[3]. Boukerrouche A (2016) A 15-year Personal Experience of Esophageal Reconstruction by Left Colic Artery-dependent Colic Graft for Caustic Stricture: Surgical Technique and Postoperative Results. Journal of GHR 5(1): 1931-1937.
[4]. Boukerrouche A (2015) Complications Associated with Enteral Nutrition Using Tube Jejunostomy after Esophageal Reconstruction. J Gastrointest Dig Syst 5: 252

Abstract: Paget disease (PD) of bone is a chronic progressive disease of unknown etiology which is characterized initially by an increase in bone resorption, followed by a disorganized and excessive bone formation, causing pain, fracture and deformities. The disease is often asymptomatic and commonly seen in older individuals. The diagnosis of the disease is mostly based on radiographic examination and biochemical markers of bone turnover. Elevated serum alkaline phosphatase is a constant feature while calcium and phosphate levels are typically within normal limits. PD is being successfully treated by bisphosphonate, a group of anti- resorptive drugs, thereby decreasing the morbidity and mortality associated with the disease. We report a case of an eighty year old female patient who presented with complaints of swelling and pain in the jaw. Panoramic radiography accompanied by laboratory findings confirmed the diagnosis which was crucial for choosing the appropriate treatment.

[1]. Wang WC, Cheng YS, Chen CH, Lin YJ, Chen YK, Lin LM. Paget's disease of bone in a Chinese patient: a case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Jun;99(6):727-33. doi: 10.1016/j.tripleo.2004.12.006. PMID: 15897860.
[2]. Rai, H., Pai, S. M., Dayakar, A., & Javagal, V. (2014). A rare incident of Paget's disease of bone in early adult life. Journal of oral and maxillofacial pathology : JOMFP, 18(Suppl 1), S147–S150. https://doi.org/10.4103/0973-029X.141373.
[3]. Stephen Paul Tuck, Robert Layfield, Julie Walker, Babitha Mekkayil, Roger Francis, Adult Paget's disease of bone: a review, Rheumatology, Volume 56, Issue 12, December 2017, Pages 2050–2059, https://doi.org/10.1093/rheumatology/kew430
[4]. Kanis JA. Pathophysiology and treatment of Paget's disease of bone. Taylor & Francis; 1998 Apr 3.
[5]. Hadjipavlou A, Lander P, Srolovitz H, Enker IP. Malignant transformation in Paget disease of bone. Cancer. 1992 Dec 15;70(12):2802-8. doi: 10.1002/1097-0142(19921215)70:12<2802::aid-cncr2820701213>3.0.co;2-n. PMID: 1451058.

Abstract: Hip dislocation is a high energy trauma .(1) Hip is stabilized by bony anatomy and arrangement of anatomical structure around it (capsule and labrum ) and acetabulum socket also play an important role in stability. Dislocation are classified according to involvement of femur and acetabulum as simple or complex. Anatomically hip dislocation is classified as posterior(90%) ,anterior and central .(2,3) Isolated avulsion injury of pelvis ring is uncommon in adults .(4)Tile classified the avulsion injury of the pelvic ring into A1 (stable ring /not involving the ring ) which in general managed conservatively . (5) But for dislocation of the hip with Tiles A1 type bony injury no specific guideline of management is present . We here reporting a case of anterior dislocation of the hip with anterior inferior iliac spine (AIIS) managed surgically .....

[1]. Sahin V, Karaks ES; Aksu S, Atlihan D et al (2003) Traumatic dislocation and fracture-dislocation of the hip: a long term follow-up study. J Trauma 54:520–529
[2]. Reigstad A (1980) Traumatic dislocation of the hip. J Trauma 20:603
[3]. Stewart MJ, Milford LW (1954) Fracture-dislocation of the hip: an end-result study. J Bone Joint Surg Am 36:315
[4]. Meyer NJ, Schwab JP, Orton D (2001) Traumatic unilateral avulsion of the anterior superior and inferior iliac spines with anterior dislocation of the hip: a case report. J Orthop Trauma 15(2):137–140
[5]. Tile M (1988) Pelvic ring fractures: should they be fixed? J Bone Joint Surg [Br] 70:1–12.

Abstract: Background :Tuberculosis (TB) is a life-threatening disease causing million deaths every year and is one of the commonest causes of death in the young making it a global emergency. A large number of these patients present with acute abdomen and are diagnosed on exploratory laparotomy only. These laparotomies could be easily avoided had there been an efficient and reliable method to diagnose abdominal tuberculosis early. Materials and Methods: This prospective observational study included 50 people. In this study, patients suspected of tuberculosis were subjected to ESR, Mantoux test, Ultrasound, CECT – Abdomen and Diagnostic laparoscopy. The study observed......

Key Word: Abdominal tuberculosis, Diagnostic Laparoscopy

[1]. Chugh SN, Jain V. Abdominal tuberculosis, current concepts in diagnosis and management, Chapter 102, API Medicine, 1-9, Available at http://www. Apiindia.org/pdf/medicine_update_2007/102.pdf.
[2]. Sharma MP, Bhatia V. Abdominal tuberculosis, Indian J Med Res. 2004;120:305-15.
[3]. Flores-Alvarez E, Tello-Brand SE, López-López F, Rivera-Barragán V. Peritoneal tuberculosis. Report of seven cases. Cir Cir. 2010;78(1):67-71.
[4]. Akcam M, Artan R, Yilmaz A, Cig H, Aksoy NH. Abdominal tuberculosis in adolescents. Difficulties in diagnosis. Saudi Med J 2005;26(1):122–6.
[5]. Salky BA, Edye MB. The role of laparoscopy in the diagnosis and treatment of abdominal pain syndromes. Surg Endosc 1998;7(12):911–4..

Abstract: Introduction: The pandemic of Covid-19 infection has affected all primary health services including subspecialty services in healthcare facilities across Malaysia. The cardiology service worldwide especially the primary percutaneous coronary angioplasty for ST- elevation myocardial infarction (STEMI) was also affected due to the current pandemic. In this study, we would like to examine the effect of the covid-19 pandemic to a leading cardiology service of a tertiary centre in Malaysia. Methods: The study evaluated retrospective data from the Invasive Cardiovascular Laboratory (ICL), National Cardiovascular Database (NCVD) Registry, and medical records of University Malaya Medical Centre (UMMC). We used quantitative methods......

Key Word: Cardiology services, Primary PCI; Covid-19; Movement Control Order;

[1]. Zhang L, Fan Y, Lu Z. Experiences and lesson strategies for cardiology from the COVID-19 outbreak in Wuhan, China, by "on the scene" cardiologists. Eur Heart J. 2020;41(19):1788–90.
[2]. Abdalqader MA, Baobaid MF, Ghazi HF, Hasan TN, Mohammed MF, Abdalrazak HA, et al. the Malaysian Movement Control Order (Mco) Impact and Its Relationship With Practices Towards Coronavirus Disease 2019 (Covid-19) Among a Private University Students in Selangor. Malaysian J Public Heal Med. 2020;20(2):49–55.
[3]. Khor V, Arunasalam A, Azli S, Khairul-Asri MG, Fahmy O. Experience from Malaysia During the COVID-19 Movement Control Order. Urology [Internet]. 2020;141:179–80. Available from: https://doi.org/10.1016/j.urology.2020.04.070
[4]. Henry Tan Chor Lip, Tan Jih Huei, Yuzaidi Mohamad, Rizal Imran Alwi, Tuan Nur' Azmah Tuan Mat, Critical adjustments and trauma surgery trends in adaptation to COVID-19 pandemic in Malaysia, Chinese Journal of Traumatology.
[5]. Official Portal Ministry of Health Malaysia Latest COVID-19 statistics in Malaysia http://covid-19.moh.gov.my/, Accessed 23rd May 2020.

Abstract: To evaluate the fracture resistance of Bio-HPP frame work veneered by different materials for fixed partial prostheses, twenty – four 3 unites bridge with PEEK substructure were on standardized PMMA abutments for premolars and molars and divided into three groups according to veneering materials. Group I: PEEK Frame work veneered with vasoline composite. Group II: PEEK Frame work veneered with E-max CAD Lithium Disilicate glass. Group III: PEEK Frame work veneered with Hybrid ceramics. BIO-HPP/PEEK substructure veneered with vasoline composite, E-max CAD, and Vita Enamic groups (n=8). were stored in distilled water for 24 hours at 37℃, then subjected to thermocycling for 10,000 cycles (5-55ºC) with a 30-s dwell time, 20 seconds transfer time,.......

Key words: Frame work, CAD/CAM, Vasoline composite, E.max, VITA ENAMIC, Thermo-dynamic stressing, Fracture resistance.

[1]. Seferis JC. Polyetheretherketone (PEEK): Processing‐structure and properties studies for a matrix in high performance composites. Polymer composites. 1986;7:158-69.
[2]. Katzer A, Marquardt H, Westendorf J, Wening J, Von Foerster G. Polyetheretherketone—cytotoxicity and mutagenicity in vitro. Biomaterials. 2002;23:1749-59.
[3]. Fuhrmann G, Steiner M, Freitag-Wolf S, Kern M. Resin bonding to three types of polyaryletherketones (PAEKs)—durability and influence of surface conditioning. Dental Materials. 2014;30:357-63.
[4]. Schmidlin PR, Stawarczyk B, Wieland M, Attin T, Hämmerle CH, Fischer J. Effect of different surface pre-treatments and luting materials on shear bond strength to PEEK. Dental materials. 2010;26:553-9.
[5]. Rosentritt M, Behr M, van der Zel JM, Feilzer AJ. Approach for valuating the influence of laboratory simulation. Dental materials. 2009;25:348-52.

Abstract: Background: Oral mucoceles are common cystic lesions of minor salivary glands. Mucocele occurrence in the ventral surface of tongue is extremely rare. Case Report: A 6 years old girl was diagnosed with Blandin-Nuhn mucocele in the ventral surface of the tongue, causing discomfort during speech and eating. The swelling was removed previously by surgical excision under GA, the biopsy revealed mucocele, and the lesion recurred after only 2 months. The decision was made to remove the mucocele with laser under local anesthesia. We used Diode Laser 980 nm wavelength, fiber tip diameter 300 μm, power 3.5 Watt, continuous-wave mode, and contact mode. The procedure was completed in 7 minutes; the patient was followed up after 1 week, 2 weeks, and after 12 months. Results: The procedure took only 7 minutes, and the patient did not feel pain. Complete healing occurred after 2 weeks and there is no recurrence......

Key Word: Diode 980 nm, girl, Laser, Mucocele, Tongue

[1]. Essaket S, Hakkou F, Chbicheb S. Mucocele of the oral mucous membrane. Pan Afr Med J. 2020 Apr 29; 35: 140. French. doi: 10.11604 / pamj.2020.35.140.21079. PMID: 32655754; PMCID: PMC7335251.
[2]. Hayashida AM, Zerbinatti DC, Balducci I, Cabral LA, Almeida JD. Mucus extravasation and retention phenomena: a 24-year study. BMC Oral Health. 2010 Jun 7; 10:15. doi: 10.1186/1472-6831-10-15. PMID: 20529263; PMCID: PMC2894742.
[3]. Chaitanya P, Praveen D, Reddy M. Mucocele on Lower Lip: A Case Series. Indian Dermatol Online J. 2017 May-Jun; 8(3):205-207. doi: 10.4103/idoj.IDOJ_151_16. PMID: 28584760; PMCID: PMC5447343.
[4]. Jose SC, Abraham KK, Khosla E. Blandin and Nuhn mucocele in a pediatric patient. J Indian Soc Pedod Prev Dent. 2018 Jul-Sep; 36(3):315-318. doi: 10.4103/JISPPD.JISPPD_10_18. PMID: 30246756.
[5]. Guimarães MS, Hebling J, Filho VA, Santos LL, Vita TM, Costa CA. Extravasation mucocele involving the ventral surface of the tongue (glands of Blandin-Nuhn). Int J Paediatr Dent. 2006 Nov; 16(6):435-9. doi: 10.1111/j.1365-263X.2006.00759.x. PMID: 17014543..

Abstract: Background: Mast cells are considered to be multifunctional cells of immunity presenting themselves in several health and disease states. It is increasingly evident that maturation, function, and phenotype of mast cells are a direct result of the local microenvironment. Degranulated mast cells that are in active form help in knowing the chronicity of lesion and thus aiding in the treatment planning for better diagnosis. The anti-mast cell therapy may offer an adjunct to the existing treatment modalities in the coming years. Modified Ferroin Technique, stain only the degranulated mast cells aiding in detection of chronicity of the lesion. Objective: To stain......

Keywords: Immunity , Mast cells, Modified Ferroin. Conflict of Interest: None

[1]. SilvaEZMd, Jamur MC, Oliver C. Mast Cell Function A New Vision of an Old Cell. J HistochemCytochem. 2014 Oct; 62(10): 698–738.
[2]. Effiom OA, Adeyemo WL, SoyeleOO. Focal reactive lesions of the gingiva: An analysis of 314 cases at a tertiary health Institution in Nigeria. Niger Med J. 2011;52:35–40.
[3]. Reddy V, Bhagwath SS, Reddy M. Dent Res J (Isfahan). 2014 Mar-Apr; 11(2): 187–192.
[4]. Sharma R, Sircar K, Singh S, Rastogi V.Role of mast cells in pathogenesis of oral lichen planus. Journal of Oral and Maxillofacial Pathology. 2011Sep – Dec; 15(3):267-71
[5]. Bhatt AP, Dholakia HM. Mast cell density in oral submucous fibrosis. J Indian Dent Assoc 1977;49:187-91.
[6]. TomasiVH, Orrea SC, Raimondi AR, Itoiz ME. A new technique for staining mast cells using ferroin. Biotech Histochem. 2003 Oct;78(5):255-59

Abstract: Background: Post operative Nausea Vomiting(PONV) is one of the feared and incapacitating side effect of surgery that is associated with significant morbidity that leads to delayed recovery and prolonged hospital stay. Nitrous Oxide(N2O) widely used as an anaesthetic carrier gas. It has analgesic and sedative properties but it potentiates the incidence of PONV .Where as Medical Air (MA) is an inert, environment friendly and can safely be used as an alternate vehicle for anaesthesia. Methods : 60 female patients of ASA 1 &11 posted for Breast Surgery between March-September were randomly allocated in to two groups......

Keywords: PONV , Medical Air, Nitrous Oxide, Rescue analgesia

[1]. Eberhart LH, Ho¨ gel J, Seeling W, Staack AM, Geldner GGeorgieff M. Evaluation of three risk scores to predict postoperative nausea and vomiting. Acta AnaesthesiologicaScandinavica 2000; 44: 480–8.
[2]. Gan TJ. Postoperative nausea and vomiting. Can it beeliminated? Journal of the American Medical Association 2002;287: 1233–6.
[3]. Cohen MM,Duncan PG, DeBoer DP,et al. The postoperative interview: assessing risk factors for nausea and vomiting. Anaesth Analg 1994;78:7-16.
[4]. Reihner E,Grunditz R,Giesecke K, et al. postoperative nausea and vomiting after breast surgery: efficacy of prophylactic ondansetron and droperidol in a randomized placebo-controlled study. Eur J Anaesth 2000;17:197-203.
[5]. Fujinaga M, Maze M. Neurobiology of nitrous oxide-induced antinociceptive effects. Mol Neurobiol. 2002; 25:167–189. [PubMed: 11936558].

Abstract: Background: All imaging techniques utilizing ionizing radiation, such as X-ray modalities used for diagnosis and therapy, require high awareness of all radiation protection principles. High-level knowledge of ionizing radiation exposure risks among medical staff is essential for planning diagnostic and therapeutic procedures. Materials and Methods: This study consisted of a questionnaire survey. The study included a total of 90 individuals from professional groups: Radiologists and technologists. The study was carried out in the following hospitals: Al-jalla, Al-hawarie, Benghazi medical centre (BMC), Ibn Sina, and Dar Al-Shifa. Data were collected in the period between December 2020 to February 2021. Results: The results indicate that most medical staff, especially radio-technologists, are not adequately aware of the risks involved with the ionizing......

Key words: Radiation protection, Occupational exposure Image-guided interventional methods, protective implements, protective clothes Monitoring.

[1]. Kyung-Hyun Do. General Principles of Radiation Protection in Fields of Diagnostic Medical Exposure: J Korean Med Sci 2016; 31: S6-9
[2]. UNSCEAR 2008 Report: Sources of ionizing radiation, vols. I & II; in press.
[3]. John Le Herona , Renato Padovanib, Ian Smithc, Renate Czarwinski. Radiation protection of medical staff: European Journal of Radiology 76 (2010) 20–23.
[4]. International Commission on Radiological Protection. The 2007 recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Ann ICRP 2007;37:1–332.
[5]. Richtlinie zur Festlegung der Grundnormen für den Gesundheitsschutz der Bevölkerung und der Arbeitskräfte gegen die Gefahren ionisierender Strahlungen; Amtsblatt der Europäischen Gemeinschaften. Nr. 11 vom 20/02/1959; 221–39