iosr-JDMS   Volume-21 ~ Issue-5 ~ May 2022

Abstract: Malignant melanoma of the ciliary body represents 9% of all uveal tumors. It is the most frequent tumor of the ciliary body. We report the case of a ciliary body melanoma revealed by a decrease in visual acuity whose behavior on magnetic resonance imaging was atypical. The patient was 55 years old and had no previous pathological history. She presented to the consultation for a progressive visual acuity decline in her right eye that started two months before. The visual acuity of the right eye was limited to light perception. Clinical examination........

[1]. Rastrelli M, Tropea S, Rossi CR, Alaibac M. Melanoma: epidemiology, risk factors, pathogenesis, diagnosis and classification. Vivo Athens Greece. déc 2014;28(6):1005‑11.
[2]. Singh AD, Turell ME, Topham AK. Uveal Melanoma: Trends in Incidence, Treatment, and Survival. Ophthalmology. 1 sept 2011;118(9):1881‑5.
[3]. Keenan TDL, Yeates D, Goldacre MJ. Uveal melanoma in England: trends over time and geographical variation. Br J Ophthalmol. 1 nov 2012;96(11):1415‑9.
[4]. Branisteanu DC, Bogdanici CM, Branisteanu DE, Maranduca MA, Zemba M, Balta F, et al. Uveal melanoma diagnosis and current treatment options (Review). Exp Ther Med. déc 2021;22(6):1428.
[5]. Hammer H, Oláh J, Tóth-Molnár E. Dysplastic nevi are a risk factor for uveal melanoma. Eur J Ophthalmol. déc 1996;6(4):472‑4.

Abstract: Background: smoking is widely regarded the strongest modifiable risk factor for periodontal disease progression and has been associated with increased risk of periodontal attachment loss and poorer clinical outcome of non-surgical or surgical periodontal therapy, so adjunctive therapies may prove to be more effective than conventional treatment only. This study evaluates the effect of the subgingival application of ozonated olive oil gel as an adjunct to scaling and root planning (SRP) in smokers with periodontitis. Materials and Methods: Thirty participants were involved in this study.15 subjects were non smokers and 15 were smokers. Both groups were diagnosed........

Key words: Periodontitis; Smoking; Ozone

[1]. Bartold PM, Van Dyke TE. Periodontitis: a host-mediated disruption of microbial homeostasis. Unlearning learned concepts. Periodontol 2000. 2013 Jun 25;62(1):203–17.
[2]. Leite FRM, Nascimento GG, Scheutz F, López R. Effect of Smoking on Periodontitis: A Systematic Review and Meta-regression. Am J Prev Med. 2018;54(6):831–41.
[3]. Tomar SL, Asma S. Smoking-Attributable Periodontitis in the United States: Findings From NHANES III. J Periodontol. 2000;71(5):743–51.
[4]. Chambrone L, Vargas M, Arboleda S, Serna M, Guerrero M, de Sousa J, et al. Efficacy of Local and Systemic Antimicrobials in the Non-Surgical Treatment of Smokers With Chronic Periodontitis: A Systematic Review. J Periodontol. 2016;87(11):1320–32.
[5]. Huang C, Shi G. Smoking and microbiome in oral, airway, gut and some systemic diseases. J Transl Med. 2019;17(1):1–15.

Abstract: Diabetes foot ulcers are one of the most serious consequences of diabetes mellitus, posing a staggering 25% lifetime risk.Healing diabetic foot ulcers takes substantially longer, even with strict glycemic control and excellent infection therapy, due to the bigger raw surface that requires significant time for granulation tissue coverage.In an attempt to influence this wound healing process many kinds of treatment have been developed, for example surgical debridement, various types of dressings, topical applications, and antiseptic agents.This study aimed to compare the diabetic wound healing with vacuum assisted closure with that of the conventional dressing method. Details of 50 cases was recorded including history and wound characteristics .They were divided into two groups, Group A with Vacuum Assisted Closure in diabetic foot healing and group B as conventional Saline and Eusol dressing on the wound.....

[1]. Lone AM, Zaroo MI, Laway BA, Pala NA, Bashir SA, Rasool A. Vacuum-assisted closure versus conventional dressings in the management of diabetic foot ulcers: a prospective case-control study. Diabet Foot Ankle. 2014;5:10.3402/dfa.v5.23345.
[2]. Viswanathan V. The diabetic foot: perspectives from Chennai, South India. Int J Low Extrem Wounds. 2007;6(1):34–6.
[3]. Bennett DK, Nasqidashvili T, Saunders J, Swaby L, Wilson C. A Retrospective Study of the Microbiology of Diabetic Foot Infections at a Community Hospital in Bermuda. Int J Diabetes Endocrinol. 2021;6(2):76–9.
[4]. Hasan MY, Teo R, Nather A. Negative-pressure wound therapy for management of diabetic foot wounds: a review of the mechanism of action, clinical applications, and recent developments. Diabet Foot Ankle. 2015;6:27618.
[5]. Bowering CK. Diabetic foot ulcers. Pathophysiology, assessment, and therapy. Can Fam Physician. 2001;47:1007–16.

Abstract: Root fractures are fractures which involve dentin, cementum and pulp and comprise to about 0.5-7% of injuries affecting permanent dentition. They are broadly divided into horizontal and vertical root fractures. Vertical root fractures may be complete or incomplete fracture lines and are associated commonly with endodontically treated teeth, less commonly with vital teeth. These fractures present a challenging situation to the clinician owing to difficult diagnosis and management. The overall prevalence is about 3-5%. The etiology is multifactorial. Early recognition of such fractures is rare as signs and symptoms develop at a later stage which contribute to eventual loss of tooth. Conventional radiographs taken in different angulations together with advanced imaging modalities such as CBCT can best aid to visualize fracture. This review is a summary.......

Key words: Vertical Root fractures, Endodontically treated teeth, Radiographic findings

[1]. American Assosiation of Endodontics. Cracking the cracked tooth code: detecting and treatment of longitudinal tooth fractures. Endodontics; colleagues for excellence, Chicago summer 2008 [2]. Tamse A, Fuss Z, Lustig J, Kaplavi J. An evaluation of endodontically treated vertically fractured teeth. J Endod 1999 Jul;25(7):506-8.
[3]. Tamse A. Vertical root fractures in endodontically treated teeth; diagnostic signs and clinical management. Endod Topics 2006;13:84-94
[4]. Testori T, Badino M, Castagnola M. Vertical root fractures in endodontically treated teeth: A clinical survey of 36 cases. J Endod 1993;19:87-91.
[5]. Gher ME, Dunlap RM, Anderson MH, Kuhl LV. Clinical survey of fractured teeth. J Am Dent Assoc 1987;114:174-7.

Abstract: Background: Guided Bone Regeneration (GBR) is a very challenging procedure. This case discusses replacement of missing anterior teeth with implant restorations using guided bone regeneration using two different protocols: single and staged. The proper treatment planning, case selection, implant positioning, final restorations selection is very important for the final outcome of the treatment. The principles for GBR to be followed for different case scenarios are discussed in this article

Key words: Guided bone regeneration, Implant restorations, Bone graft

[1]. Deesricharoenkiat N, Jansisyanont P, Chuenchompoonut V, Mattheos N, Thunyakitpisal P. The effect of acemannan in implant placement with simultaneous guided bone regeneration in the aesthetic zone: A randomized controlled trial. International Journal of Oral and Maxillofacial Surgery. 2022 Apr 1;51(4):535-44.
[2]. Buser D, Chappuis V, Kuchler U, Bornstein M, Wittneben J, Buser R, Cavusoglu Y, Belser U. Long-term stability of early implant placement with contour augmentation J Dent Res 2013;92:176S–82S. http://dx.doi. org/10.1177/0022034513504949.
[3]. Nemcovsky C, Artzi Z. Comparative study of buccal dehiscence defects in immediate, delayed, and late maxillary implant place-ment with collagen membranes: clinical healing between placement and second-stage surgery. J Periodontol 2002; 73:754–61. http://dx.doi.org/10.1902/ jop.2002.73.7.754.
[4]. Van der Weijden F, Dell'Acqua F, Slot D. Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review. J Clin Periodontol 2009; 36:1048– 58. http://dx.doi.org/10.1111/j.1600- 051X.2009.01482.x.
[5]. Araújo MG, Lindhe J (2005) Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 32:21–218. https://doi.org/10.1111/j.1600-051X.2005.00642.x

Abstract: Introduction: Radial head arthroplasty is commonly used to treat acute unreconstructible radial head fractures. Radial head fractures are the most common elbow fractures. Radial head fractures are together with the radial neck fractures, relatively common injuries can be seen in all age groups, usually occur in adults (between 20-60 years of age). Radial head fractures usually occur as a result of indirect trauma, with most resulting from a fall on an abducted arm with minimal or moderate flexion of the elbow joint. In order to maintain stability of the injured elbow, goals of treatment of radial head fractures become more and more towards restoring function and stability of the elbow......

Key words: Elbow, fracture, management, radial head trauma.

[1]. Furry KL, Clinkscales CM. Comminuted fractures of the radial head: arthroplasty versus internal fixation. Clin Orth Rel Res 1998;353:40 –52.
[2]. Morrey BF. Radial head fracture. In: Morrey BF, ed. The elbow and its disorders. 3rd ed. Philadelphia: WB Saunders, 2000:341–364.
[3]. Harrington IJ, Tountas AA. Replacement of the radial head in the treatment of unstable elbow fractures. Injury 1981;12: 405–412.
[4]. Mason ML. Some observations on fracture of the head of the radius with a review of one hundred cases. Br J Surg 1954; 42:123–132.
[5]. Johnston GW. A follow up of one hundred cases of fracture of the head of the radius with a review of the literature. Ulster Med J 1962;31:51–56..

Abstract: Introduction: Hip fractures are common among the aged population. Among those hip fractures 50% are intertrochanteric fractures, of those 50-60% are categorized as unstable intertrochanteric fractures. In unstable intertrochanteric fractures early treatment is required to avoid mortality and morbidity in the patients. Treatment is immediate surgery to avoid fracture collapse and medial displacement of the fracture for which various implants have been designed. The purpose of this study was to evaluate the functional outcomes of short proximal femoral nail versus long proximal femoral nail for managing unstable intertrochanteric fractures. Aim: To evaluate the comparison of effectiveness of short proximal femoral nail versus long proximal femoral nail for managing unstable intertrochanteric fractures........

Key words: Hip fractures, unstable intertrochanteric fractures, Long proximal femoral nail, Short proximal femoral nail

[1]. Mundi S, Pindiprolu B, Simunovic N, Bhandari M. Similar mortality rates in hip fracture patients over the past 31 years. Acta Orthop 2014; 85: 54-59.
[2]. Bazylewicz DB, Egol KA, Koval KJ. Cortical encroachment after cephalomedullary nailing of the proximal femur: evaluation of a more anatomic radius of curvature. J Orthop Trauma. 2013 Jun;27(6):303-7.
[3]. Kleweno C, Morgan J, Redshaw J, Harris M, Rodriguez E, Zurakowski D, Vrahas M, Appleton P. Short versus long cephalomedullary nails for the treatment of intertrochanteric hip fractures in patients older than 65 years. J Orthop Trauma. 2014;28:391–7.
[4]. Y.Z. Zhang Hip fractures in the elderly—the chance and challenge for Chinese orthopedic surgeons Chin J Trauma, 30 (2014), pp. 193–195.
[5]. Hou Z, Bowen TR, Irgit KS, Matzko ME, Andreychik CM, Horwitz DS, Smith WR. Treatment of pertrochanteric fractures (OTA 31-A1 and A2): long versus short cephalomedullary nailing. J Orthop Trauma. 2013 Jun;27(6):318-24

Abstract: Background: Separated instrument in endodontic is an endodontic accident. Broken instrument can affects treatment outcome when blocking the canals for cleaning and shaping procedures, which are important aspects for the successful of root canal treatment. Incidence of broken instrument is reported in 0,7-7% of cases. Objectives: This article discusses endodontic management of separated instrument retrieval with modified Burrow technique in lower left mandibular molar. Case: A 32 years old female patient was referred because of broken instrument inside the root canal. Clinical examination of teeth #36, temporary restoration was seen, teeth was responsive to percussion but nonresponsive to palpation. Pre-operative intraoral radiograph showed radio opacity in mesial canal, furcation lesion, and periapical radiolucency........

Key Word: broken instrument retrieval; Burrow technique; minimal invasive

[1]. AA Madarati. Retrieval of multiple separated endodontic instruments using ultrasonic vibration: Case report. J Taibah University Med Sci. 2016; 11(3) : 268-73.
[2]. Rohan Gupta,et al. Clinical Approach to the Management of Fracture Instruments using ultrasonics and the instrument retrieval system under dental operating microscope. IJMBS.2020; 4(3) : 116-21.
[3]. Narasimhan B, et al. A Modified Partial Platform Technique to Retrieve Instrument Fragments from curved and narrow canals: A Report of 2 cases. JOE. 2021; 47(10) : 1657-63.
[4]. Ruddle CJ. Broken Instrument Removal The Endodontic Challenge. Advanced Endodontic. 2018.
[5]. Meidyawati R, et al. Broken File Retrieval in the lower right first molar using an ultrasonic instrument and endodontic micro forceps. Hindawi. 2019