iosr-JDMS   Volume-22 ~ Issue-3 ~ March 2023

Abstract: Dentofacial orthopedics aims to affect the unacceptable skeletal relations by modifying or redirecting the patient's growth potential. The force used in orthopedic appliances is intermittent with high magnitude. The need for use of these appliances is more important for correcting skeletal disbalance. The objective of dental orthopedics is the growth and development of craniofacial structures including dental irregularities malocclusions and associated dentofacial problems.Growth modification appliances still have a place in modern orthodontic practices. Orthopedic appliances mainly are used for achieving dentofacial harmony, and these appliances are using the neck or the cranium as anchorage. The aim is inhibition or redirection of the growth potential before and during the growth spurt. Growth modification is the most favorable option if possible

Keywords: Dental orthopedics; Extraoral appliances; Headgear; Face mask; Chin cup

[1]. HENRIQUES, Fernanda Pinelli, JANSON, Guilherme, HENRIQUES, Jose Fernando and PUPULIM, Daniela Cubas. Effects of cervical headgear appliance: A systematic review. Dental Press Journal of Orthodontics. 2015. Vol. 20, no. 4p. 76–81. DOI 10.1590/2176-9451.20.4.076-081.oar.
[2]. Mohammed Almuzian, Fahad Alharbi, Grant McIntyre: Extra-oral Appliances in Orthodontic Treatment
[3]. Proffit, William R., Fields, Henry W., Larson, Brent and Sarver, David M. (2018) , in Contemporary Orthodontics, St. Louis, Mosby, pp. 476–499.
[4]. Bishara SE. Textbook of Orthodontics. 2001
[5]. Braun, Stanley (2004) "Extraoral Appliances: A twenty-First Century update." American Journal of Orthodontics and Dentofacial Orthopedics, 125(5), pp. 624–629..

Abstract: Lipoma are benign tumor composed of adipose tissue. They may be localized and almost all part of body. Rarely lipomas can grow to acquire gigantic proportions, turning into an entity termed as giant lipoma. Some of these giant lipomas may transform malignant. Giant lipoma cause problem in daily living and detoriate quality of life. Mass localization also restrict body functions

Keywords: Giant lipoma, Pseudo lipoma, Mass, Surgery, Quality of life

[1]. Martin H.S. Massive lipoma of the subcutaneous tissue of the back: report of case. JAMA. 1928; 90:2013–2015. [Google Scholar]
[2]. Bissel A.H. Large lipoma of back. Am. J. Surg. 1929; 6:366–367. [Google Scholar]
[3]. Silistreli O.K., Durmuş E.U., Ulusal B.G., Oztan Y., Görgü M. What should be the treatment modality in giant cutaneous lipomas? Review of the literature and report of 4 cases. Br. J. Plast. Surg. 2005;58(3):394–398. [PubMed] [Google Scholar]
[4]. Aydoğdu E., Yýldýrým S., Eker G., Aköz T. Giant lipoma of the back. Dermatol. Surg. 2004;30(1):121–122. [PubMed] [Google Scholar]
[5]. Terzioglu A., Tuncali D., Yuksel A., Bingul F., Aslan G. Giant lipomas: a series of 12 consecutive cases and a giant liposarcoma of the thigh. Dermatol. Surg. 2004;30(3):463–467. [PubMed] [Google Scholar].

Abstract: Background: Pain was not just a sensory phenomenon, but a combination of cognitive, sensory, and affective factors, as per Breecher.Tramadol is a weak opioid agonist which acts by interacting with opioid receptors named mu, alpha and delta. Buprenorphine is a semisynthetic opioid with both agonist and antagonist properties. It is highly lipid soluble and had a greater affinity for opioid receptors. In view of less literature on the comparison of tramadol with buprenorphine as postoperative analgesics, the current study was undertaken. Objective: To compare the efficacy and safety of tramadol with buprenorphine in patients scheduled for lower abdominal surgeries......

Keywords: Tramadol,Buprenorphine, Efficacy, Safety, Postoperativeanalgesia

[1]. Strong CA. The psychology of pain. Psychol Rev [Internet]. 1895;2(4):329–47. Available from: http://dx.doi.org/10.1037/h0075245
[2]. Beecher HK. Pain and some factors that modify it. Anaesthesiology 1951; 12:633-641.
[3]. Halvadia SH, Halvadia HB, Joshi RM, Upadhyaya DP. A study of fetomaternal outcome of epidural analgesia during labour -. National Journal of Medical Research [Internet]. 2013 [cited 2023 Feb 17];3(2):184–6. Available from: https://www.bibliomed.org/?mno=40533
[4]. Fang J, Hwang T, Huang Y, et al. Transdermal iontophoresis of sodium noniva- mide acetate. V. Combined effect of physical enhancement methods. Int J Pharm 2002;235(1–2):95–105.
[5]. Witjes W, Curl B, Vollaard E, et al. Application of sublingual buprenorphine in combination with naproxen or paracetamol for post-operative pain relief in cholecystectomy patients in a double-blind study. Acta AnaesthesiolScand 1992; 36(4):323–7..

Abstract: Objective:to assess the influence of timing of soft tissue augmentation on soft tissue health around the implants. Material andmethods: Twenty patients with missing teeth and deficient width of the keratinized mucosa (KM)were selected for the current study. The patients were divided into 2 groups. 1st group (G1) received the free gingival graft (FGG) two months prior to implant placement, 2nd group (G2) received the FGG at time of second stage surgery. Thesoft tissue health around the implants was evaluatedafter soft tissue augmentation......

Keywords: Dental implant; free gingival graft, augmentation

[1] K. S. Oikarinen, G. K. Sàndor, V. T. Kainulainen, and M. Salonen‐ Kemppi, "Augmentation of the narrow traumatized anterior alveolar ridge to facilitate dental implant placement," Dental Traumatology, vol. 19, no. 1, pp. 19-29, 2003.
[2] Y.-W. Chiu, S.-Y. Lee, Y.-C. Lin, and Y.-L. Lai, "Significance of the width of keratinized mucosa on peri-implant health," Journal of the Chinese Medical Association, vol. 78, no. 7, pp. 389-394, 2015.
[3] A. Monje, O. González‐ Martín, and G. Ávila‐ Ortiz, "Impact of peri‐ implant soft tissue characteristics on health and esthetics," Journal of Esthetic and Restorative Dentistry.
[4] D. P. Tarnow, S. M. Chu, and S. J. Chu, "Peri-implantitis in the esthetic zone: a guideline for decision making and treatment modalities," Front Oral Maxillofac Med, vol. 3, p. 22, 2021.

Abstract: Background:prompt and accurate identification of ST Elevation myocardial infarction(STEMI) In the presence of Left bundle branch block(LBBB) remains difficult. Repolarization in LBBB is characterized by ST segment deviation away from direction of terminal QRS waveforms. Therefore the ECG manifestations of STEMI may be obscured or mimicked by baseline secondary ST segment deviation of LBBB. Aim: study is aimed at finding the incidence of MI in new onset LBBB Methods:This is a prospective observational study .patients older than 30 years who presented with chest pain whose ecg showed ACS was enrolled ECG classified according to standardized guidelines , including LBBB not to be known old . LBBB to be old , or no LBBB......

Keywords: LEFT BUNDLE BRANCH BLOCK, MYOCARDIAL INFARCTION

[1]. Sgarbossa EB, Pinski SL, BarbagelataA, et al. Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle-branch block.GUSTO-1 (Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries) Investigators. N Engl J Med 1996;334:481-7.
[2]. Cannon CP, McCabe CH, Stone PH, et al. The electrocardiogram predicts one-year outcome of patients with unstable angina and non-Q wave myocardial infarction: results of the TIMI III Registry ECG Ancillary Study. Thrombolysis in Myocardial Ischemia. J Am CollCardiol 1997;30:133- 40.
[3]. Wong CK, French JK, Aylward PE, et al. Patients with prolonged ischemic chest pain and presumed-new left bundle branch block have heterogeneous outcomes depending on the presence of ST-segment changes. J Am CollCardiol 2005;46:29 -38.
[4]. 4.. Al-Faleh H, Fu Y, Wagner G, et al. Unraveling the spectrum of left bundle branch block in acute myocardial infarction: insights from the Assessment of the Safety and Efficacy of a New Thrombolytic (ASSENT 2 and 3) trials. Am Heart J 2006;151:10 -5.
[5]. Lopes RD, Siha H, Fu Y, et al. Diagnosing acute myocardial infarction in patients with left bundle branch block. Am J Cardiol 2011;108:782- 8.

Abstract: Background: The aim of this in-vitro study was to compare the implant position accuracy when using different designs of scan bodies for the same implant system. Materials and Methods:A 3 different designs of scan bodies was attached to a refence 3d printed model, the first is an original one from the implant's manufacture (control- group), the second one from accessories company (compatible group) and the third is custom made (custom made group). The scan bodies were scanned with the model and RMS values were......

Keywords: Scan body; Implant; Digital Impression; Position Registration

[1]. Fluegge, T., Att, W., Metzger, M., & Nelson, K. (2017). A Novel Method to Evaluate Precision of Optical Implant Impressions with Commercial Scan Bodies—An Experimental Approach. Journal of Prosthodontics, 26(1), 34–41. https://doi.org/10.1111/jopr.
[2]. Mizumoto, R. M., & Yilmaz, B. (2018). Intraoral scan bodies in implant dentistry: A systematic review. Journal of Prosthetic Dentistry, 120(3), 343–352. https://doi.org/10.1016/j.prosdent.2017.10.029
[3]. Piedra-Cascón, W., Methani, M. M., Quesada-Olmo, N., Jiménez-Martínez, M. J., & Revilla-León, M. (2020). Scanning accuracy of nondental structured light extraoral scanners compared with that of a dental-specific scanner. Journal of Prosthetic Dentistry, 1–5. https://doi.org/10.1016/j.prosdent.2020.04.009and Related Disorders. 2009;7(3):221–230
[4]. Kim, J. H., Kim, J. H., Son, K. B. da, Son, K. B. da, Lee, K. B., Lee, K. B., & Lee, K. B. (2020). Displacement of scan body during screw tightening: A comparative in vitro study. Journal of Advanced Prosthodontics, 12(5), 307–315. https://doi.org/10.4047/jap.2020.12.5.307
[5]. González de Villaumbrosia, P., Martínez-Rus, F., García-Orejas, A., Salido, M. P., & Pradíes, G. (2016). In vitro comparison of the accuracy (trueness and precision) of six extraoral dental scanners with different scanning technologies. Journal of Prosthetic Dentistry, 116(4), 543-550.e1. https://doi.org/10.1016/j.prosdent.2016.01.025.

Abstract: Background: )The form and inclination of the occlusal plane shows individual variation and are related to the function of the stomatognathic system and aesthetics. The cant or angulation of the plane of occlusion also has a profound effect on mandibular position, masticatory movement, upper smile attractiveness, posture and biting force. This study was intended to clinically evaluate the inclination of the posterior occlusal plane in relation to Frankfort horizontal plane on right and left side by means of face-bow transfer after orthodontic treatment in first premolar extraction cases......

[1]. Li JL, Kau CH, Wang M. Changes of occlusal plane inclination after orthodontic treatment in different dentoskeletal frames. Progress in Orthodontics. 2014 Dec;15(1):1-0.
[2]. Tanaka EM, Sato S. Longitudinal alteration of the occlusal plane and development of different dentoskeletal frames during growth. American Journal of Orthodontics andDentofacial Orthopedics. 2008 Nov 1;134(5):602-e1.
[3]. Fushima K, Kitamura Y, Mita H, Sato S, Suzuki Y, Kim YH, Department of Orthodontics, Kanagawa Dental College, Yokosuka, Kanagawa, Japan. Significance
[4]. ofthecant of the posterior occlusal plane in Class II division I malocclusions. The European Journal of Orthodontics. 1996 Jan 1;18(1):27-40..

Abstract: A preperitoneal abscess is an uncommon manifestation of extraperitoneal collection. We present a case of an anterior abdominal wall preperitoneal abscess in 35-years-male who presented in emergency department of our institute with 10 days history of lower and mid abdominal pain and chronic constipation and with typical signs of peritoneal irritation.This case highlights the importance of detailed history, clinical examination, and atypical presentation which has low threshold of suspicion in patients with risk factors

Keywords: Intestinal perforation, Preperitoneal abscess, Abdominal pain

[1]. Tirkes T, Sandrasegaran K, Patel AA, et al. Peritoneal and retroperitoneal anatomy and its relevance for cross-sectional imaging. Radiographics. 2012;32(2): 437–451.
[2]. Gore RM, Balfe DM, Aizenstein RI, Silverman PM. The great escape: interfascial decompression planes of the retroperitoneum. American Journal of Roentgenology. 2000; 175(2):363–370.
[3]. Horta M,Neto N, Couceiro C, Martins L. Extraperitoneal space: Anatomic and radiologic overview. EurCongrRadiol. 2014.
[4]. Crepps JT, Welch JP, Orlando R. Management and outcome of retroperitoneal abscesses. Ann Surg. 1987;205(3):276-81.
[5]. Meyers M. The Extraperitoneal Spaces: Normal and Physiologic Anatomy. Dynamic Radiology of the Abdomen.6th ed. Springer-Verlag: New York;2005..

Abstract: The most popular technique for healing wounds is still suture, which has been used for millennia. There are drawbacks to sutures. Due to these drawbacks, wound closure alternatives have been sought after. Adhesive glue and adhesive tapes are a couple of the appealing solutions that are currently offered. Since it was first discovered, adhesive glue has been applied to traumatic wounds for more than three decades(1). The use of adhesive glue for surgical incisions has received recent attention. Only a small number of clinical studies have been done to support this indication. The application of adhesive tape for wound closure is an additional technique. Compared to glue and sutures, tape is less expensive. This study compared the results of closure surgical incisions shut using traditional sutures, tapes, and adhesive glue(2).

[1]. Azmat CE, Council M. Wound Closure Techniques. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 [cited 2023 Feb 3]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK470598/
[2]. Tandon S, Ensor ND, Pacilli M, Laird AJ, Bortagaray JI, Stunden RJ, et al. Tissue adhesive, adhesive tape, and sutures for skin closure of paediatric surgical wounds: prospective randomized clinical trial. Br J Surg. 2022 Oct 14;109(11):1087–95.
[3]. Joshi AD, Saluja H, Mahindra U, Halli R. A Comparative Study: Efficacy of Tissue Glue and Sutures after Impacted Mandibular Third Molar Removal. J Maxillofac Oral Surg. 2011 Dec 1;10(4):310–5.
[4]. Yag-Howard C. Sutures, needles, and tissue adhesives: a review for dermatologic surgery. Dermatol Surg. 2014 Sep;40 Suppl 9:S3–15.
[5]. Boksh K, Haque A, Sharma A, Divall P, Singh H. Use of Suture Tapes Versus Conventional Sutures for Arthroscopic Rotator Cuff Repairs: A Systematic Review and Meta-analysis. Am J Sports Med. 2022 Jan;50(1):264–72.

Abstract: Background: By the introduction of newer and safer local anaesthetics, regional anaesthesia has taken over as the principal technique for anaesthesia in upper limb surgeries. Supraclavicular and infraclavicular techniques are the most efficient in producing complete anaesthesia of the brachial plexus as the slenderest of the plexus is encountered by these techniques. Several studies have demonstrated Clonidine and Dexmedetomidine as adjuvants to local anaesthetic in brachial plexus block without significant adverse effects. These observations led us to compare between Clonidine and Dexmedetomidine as adjuvants to plain Ropivacaine. Objective:This study was done to know the safety and efficacy of plain ropivacaine versus ropivacaine with clonidine and ropivacaine with dexmedetomidine.......

Keywords: Clondine, Dexmedetomidine, Efficacy, Safety, Supraclavicular brachial plexus block, Upperlimbsurgeries

[1]. Cousins MJ Bridenbaugh. Neural blockade in clinical anaesthesia and pain medicine. 4th ed.: Lippincott Williams and Wilkins; 2009.
[2]. Edward G Morgan, Maged S Mikhail I, Michael J Murray. Peripheral nerve block, 4th ed. Chapter 17. In: Clinical anaesthesiology, New Delhi: Tata McGraw-Hill;2009
[3]. Patil KN, Singh ND. Clonidine as an adjuvant to ropivacaine-induced supraclavicular brachial plexus block for upper limb surgeries. J Anaesthesiol Clin Pharmacol. 2015 Jul-Sep;31(3):365-9. doi: 10.4103/0970-9185.161674. PMID: 26330717; PMCID: PMC4541185.
[4]. Tripathi A, Sharma K, Somvanshi M, Samal RL. A comparative study of clonidine and dexmedetomidine as an adjunct to bupivacaine in supraclavicular brachial plexus block. J Anaesthesiol Clin Pharmacol. 2016 Jul-Sep;32(3):344-8. doi: 10.4103/0970-9185.188819. PMID: 27625483; PMCID: PMC5009841.
[5]. Singh S, Aggarwal A. A randomized controlled double-blinded prospective study of the efficacy of clonidine added to bupivacaine as compared with bupivacaine alone used in supraclavicular brachial plexus block for upper limb surgeries. Indian J Anaesth. 2010 Nov;54(6):552-7. doi: 10.4103/0019-5049.72646. PMID: 21224974; PMCID: PMC3016577..

Abstract: Background: Necrotizing soft tissue infections are a group of highly lethal infection that is characterized by widespread necrosis of skin, subcutaneous tissue and superficial fascia and typically occur after trauma or surgery. The essentials of successful treatment include early diagnosis, aggressive surgical debridement, antibiotics and supportive intensive treatment unit care. The two commonest pitfalls in management are failure of early diagnosis and inadequate surgical debridement. Grounded along the outcomes of this work, the aggressive treatment strategy resulted in decrease in overall.....

Keywords: Necrotizing soft tissue infection, Debridement, Fasciotomy, Septicaemia

[1]. Bosshardt T. L., Henderson V.J., Organ C.H.: Necrotizing soft tissue infections. Archives of Surgery, 131(8):846-854,1996.
[2]. dePolavieja MG ,Fernandez R., Martinaz C et al: Necrotizing infections of the soft tissues, Emferm Infecc Microbiol Clin,1996 Jan; 14(1):16- 20
[3]. Pessa M.E., Howard R.J: Necrotising fasciitis, Surg Gynecol Obstet,1985 Oct; 161 :357-361.
[4]. Jones J : Investigation upon the nature, causes and treatment of hospital gangrene –as is prevailed in Confederate Armies 1861-1865; Surgical memoirs of the war of Rebellion : US sanitary commission; New York 1871.
[5]. Fournier J-A.: Gangrene foudroyanate de la verge, La Samaine medicale, 1883; 3:345-348.