iosr-JDMS   Volume-23 ~ Issue-6 ~ June 2024

Abstract: Ameloblastoma is a benign yet locally invasive epithelial neoplasm, predominantly originating from the enamel organ, remnants of dental lamina, or odontogenic cyst linings. Constituting approximately 10% of all mandibular and maxillary tumors, ameloblastomas are characterized by slow growth, high recurrence rates, and metastatic potential akin to malignant tumors. Histologically classified by the World Health Organization into types such as unicystic, extraosseous/peripheral, conventional, and metastasizing ameloblastomas, recent refinements have introduced adenoid ameloblastoma. Epidemiologically, ameloblastoma incidence varies regionally, with higher prevalence in developing countries........

Keywords: Ameloblastoma, benign epithelial neoplasm, odontogenic tumor, jaw tumor, histopathological classification, surgical treatment, BRAF inhibitors, molecular therapy, recurrence, mandibular tumor, maxillary tumor.

[1]. Shi, H.A., Ng, C.W.B., Kwa, C.T., & Sim, Q.X.C. (2020). Ameloblastoma: A Succinct Review of the Classification, Genetic Understanding and Novel Molecular Targeted Therapies. The Surgeon. https://doi.org/10.1016/j.surge.2020.06.009
[2]. Ghai, S. (2022). Ameloblastoma: An Updated Narrative Review of an Enigmatic Tumor. Cureus, 14(8), e27734. https://doi.org/10.7759/cureus.27734 [3]. Olajumoke A. Effiom, (2017) . Ameloblastoma: Current Etiopathological Concepts and Management. doi: 10.1111/odi.12646
[4]. Soluk-Tekkesin, M., & Wright, J. M. (2022). The World Health Organization Classification of Odontogenic Lesions: A Summary of the Changes of the 2022 (5th) Edition1. Turk Patoloji Derg, 38(168-184). https://doi.org/10.5146/tjpath.2022.01573.

Abstract: Introduction: During the 1980s, the sole requirement for implant treatment was that the fixtures remained immobile in the mouth for as long as possible. However, in the last decades, there has been an increase in the aesthetic and functional demands of patients, and therefore, the clinical planning must largely aim to meet these aesthetic and functional requirements. This research project stemmed from the need to examine and compare the patients' perspectives on their treatments with the opinions and success criteria outlined by dental professionals.......

Keywords: Dental implant, dental prosthetic, dental rehabilitation, edentulous rehabilitation, osseointegration, treatment excellence, treatment satisfaction

[1]. Stanford CM. Dental implants. A role in geriatric dentistry for the general practice? J Am Dent Assoc. 2007 Sep;138 Suppl:34S-40S.
[2]. Preciado A, Del Río J, Lynch CD, Castillo-Oyagüe R. Impact of various screwed implant prostheses on oral health-related quality of life as measured with the QoLIP–10 and OHIP–14 scales: A cross-sectional study. J Dent. 2013 Dec;41(12):1196–207.
[3]. Brunello G, Gervasi M, Ricci S, Tomasi C, Bressan E. Patients' perceptions of implant therapy and maintenance: A questionnaire‐based survey. Clin Oral Implants Res. 2020 Oct 26;31(10):917–27.
[4]. Khunsiri S, Pagaporn P, NikosM, Atiphan P, Keskanya S. Comparación de las percepciones de los pacientes antes y después del tratamiento sobre la terapia con implantes dentales. Clinical Implant Dentistry and related reserch. 2021 Oct;23(5):769–78.
[5]. Tortopidis D, Hatzikyriakos A, Kokoti M, Menexes G, Tsiggos N. Evaluation of the relationship between subjects' perception and professional assessment of esthetic treatment needs. J Esthet Restor Dent. 2007;19:154–62.

Abstract: Introduction: SARS-CoV-2 presented milder clinical manifestations in the pediatric range than in adults. However, with the arrival of the new variants and the beginning of vaccination of the adult population, children have come to represent a higher percentage of hospitalizations. Objective: To describe the care provided at the Municipal University Hospital of Taubate (HUT) by SARS-CoV-2 in 2020 and 2021. Methodology And retrospective cross-sectional study conducted through a survey of medical records of all visits to children under 12 years of age for SARS-CoV-2, confirmed by RT-PCR, from March 2020 to December 2021. Results In total, 198 children were assisted, seven (3.5%) in 2020 and 191 (96.5%) in 2021. The mean age of the patients was 4.7 years in girls and 4.5 years in boys. Children up to four years of age accounted for 56.1% (N=111) of the visits.....

Key Word: Coronavirus Infections, COVID-19, Pandemics, Child, Pediatrics

[1]. World Health Organization (WHO). Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected: interim guidance, 13 March 2020 [Internet]. Geneva: WHO; 2019; [acesso em 2020 Jun 05] Disponível em: https://www.who.int/publications-detail/ clinical-management-of-severe-acuterespiratory-infection-when-novel- -coronavirus-(ncov)-infection-is-suspected.
[2]. Lurie N, Saville M, Hatchett R, Halton J. Developing Covid-19 Vaccines at Pandemic Speed. New England Journal of Medicine. 2020 May 21;382(21):1969–73.
[3]. Swann O V, Holden KA, Turtle L, Pollock L, Fairfield CJ, Drake TM, et al. Clinical characteristics of children and young people admitted to hospital with covid-19 in United Kingdom: prospective multicentre observational cohort study. BMJ. 2020 Aug 27; m3249.
[4]. Rabha AC, Oliveira Junior FI de, Oliveira TA de, Cesar RG, Fongaro G, Mariano RF, et al. Clinical manifestations of children and adolescents with covid-19: report of the first 115 cases from Sabará Hospital Infantil. Revista Paulista de Pediatria. 2021;39.
[5]. LEVY B. Fiocruz analisa dados sobre mortes de crianças por Covid-19. https://portal.fiocruz.br/noticia/covid-19-mata-dois-menores-de-5-anos-por-dia-no-brasil. 2021

Abstract: Background: Fournier gangrene, is a rare and rapidly progressing disease that affects the deep and superficial tissues in the perineal, anal, scrotal and genital regions. This condition involves the swift spread of severe inflammation and infection along fascial planes, often without noticeable skin manifestations in its early stages. In severe cases involving extensive loss of scrotal or perineal skin, reconstructive options typically include split-thickness grafts, local fasciocutaneous or musculocutaneous flaps, free flaps, use of tissue expanders, or any combination of these.We present a case involving a 47-year-old man who suffered from Peri-anal Abscess which got complicated into Fournier Gangrene and underwent surgical debridement followed by Secondary.....

Keywords: Fournier Gangrene,Peri-Anal Abscess,Fistula-in-Ano

[1]. Paty R, Smith AD. Gangrene and Fournier's gangrene. Urologic Clinics of North America. 1992 Feb 1;19(1):149-62. [2]. Zhang KF, Shi CX, Chen SY, Wei W. Progress in multidisciplinary treatment of Fournier's gangrene. Infection and Drug Resistance. 2022 Jan 1:6869-80. [3]. Thayer, Jacob MD; Mailey, Brian A. MD. Two-stage Neoscrotum Reconstruction Using Porcine Bladder Extracellular Matrix after Fournier's Gangrene. Plastic and Reconstructive Surgery - Global Open 8(8):p e3034, August 2020. | DOI: 10.1097/GOX.0000000000003034 [4]. Loloi J, Gottlieb J, MacDonald SM, Aboumohamed A, Ricci JA, Laudano M, Watts K. Case–Testicular thigh pouches for severe Fournier's gangrene: A how-to guide. Canadian Urological Association Journal. 2022 Oct;16(10):374. [5]. Steele, Scott R. M.D.; Kumar, Ravin M.D.; Feingold, Daniel L. M.D.; Rafferty, Janice L. M.D.; Buie, W. Donald M.D.. Practice Parameters for the Management of Perianal Abscess and Fistula-in-Ano. Diseases of the Colon & Rectum 54(12):p 1465-1474, December 2011. | DOI: 10.1097/DCR.0b013e31823122b3

Abstract: Background: Hydatid disease (HD) is a common parasitic disease which is caused by larval stage of Echinococcus Granulosus.It has various mode of presentation with world wide distribution.it can involve any part of the human body but commonly involves liver and lungs and rarely the brain, heart and other organs.In abdomen,It primarily affects the liver but may involve retroperitoneum. Radio Imaging modalities ultrasonography (USG),computed tomography (CT) and magnetic resonance imaging (MRI) are highly accurate in detecting hepatic hydatid cyst. It is usually treated by surgical excision with medication iflesion is large and prominent or can be treated conservatively with medicine as albendazole if lesion small and detected early or medicine with percutaneous aspiration if lesion is small to moderate in size....

Keywords: Hydatid cyst, Liver, Retroperitoneum.

[1]. Prousalidis J, Tzardinoglouk K, Katsokis C, Aletras C. Uncommon sites of hydatid disease. World J Surg 1998; 22:17-22.
[2]. Avcı, Left retroperitoneal hydatid cyst disease and the treatment approach, J Microbiol Infect Dis. 03 (04) (2013) 222–223, https://doi.org/10.5799/ ahinjs.02.2013.04.0114.
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[4]. P.L. Moro, R.H. Gilman, M. Verastegui, C. Bern, B. Silva, J.J. Bonilla, Human hydatidosis in the central Andes of Peru: evolution of the disease over 3 years, Clin. Infect. Dis. 29 (4) (1999) 807–812, https://doi.org/10.1086/520440
[5]. Hamamci EO, Besim H, Korkmaz A. Unusual locations of hydatid disease and surgical approach. ANZ J Surg 2004;74:356—60.

Abstract: Though the advent and attempt of robotic cardiac surgery (RCS) began on May 7, 1998 at Broussais Hospital in Paris when Carpentier and Loulmet completed successfully the first robotic mitral repair by Mona-DaVinci prototype1, its acceptance and uptake have been slow but fruitful in the Indian subcontinent. obotic surgery has challenged the notorious Halstedian teaching adage of "See one, do one, teach one"This was acceptable during the advent of RCS but with a more widespread uptake it is imperative to form and put in place a structure for training and credentialing to ensure robust standards of patient care and safety.

[1]. Chitwood R. Jr Historical evolution of robot-assisted cardiac surgery: a 25-year journey Ann CardiothoracSurg 2022;11:564–82.
https://doi.org/10.21037/acs-2022-rmvs-26
[2]. Hung AJ, Jayaratna IS, Teruya K, Desai MM, Gill IS, Goh AC. Comparative assessment of three standardized robotic surgery training methods BJU. Int 2013;112:864–71. https://doi.org/10.1111/bju.12045
[3]. Jason L, Phillip Y, Sundaram Chandru M, Elspeth M. Best practices for robotic surgery training and credentialing J Urol.2011;185:1191-7. J Urol 2011;185:1191–7.https://doi.org/10.1016/j.juro.2010.11.067
[4]. Siddiqui NY, Tarr ME, Geller EJ, Advincula AP, Galloway ML, Green IC, et al. Establishing benchmarks for minimum competence with dry lab robotic surgery drills. J Minim Invasive Gynecol 2016;23:633–8. https://doi.org/10.1016/j.jmig.2016.03.014.
[5]. Matthewvaldis MD, Chu A, Md. MDa Evaluation of robotic cardiac surgery simulation training: A randomized controlled trial J Thorac Cardiovasc Surg 2016;151:1498–505.

Abstract: Small bowel tumors are a rare cause of small bowel obstruction. Despite advances in diagnostic modalities, small bowel is notoriously difficult to explore and tumors are often advanced at the time of diagnosis and treatment. We describe the case of a 67-year-old patient admitted into our emergency department for intestinal obstruction due to the presence of two masses in the jejunum that have created an impassable stricture. Surgical resection involving the two masses in the ileum was performed, followed by an end-to-end anastomosis. Histopathological examination of the resected tissue confirmed the presence of a double location of small bowel adenocarcinoma. This report highlights the need for physicians to consider the diagnosis of small bowel malignancy when a patient presents with clinical symptoms suggestive of gastrointestinal malignancy, but conventional endoscopic or imaging investigations show negative results.

Keywords: small bowel adenocarcinoma – double localisation– intestinal obstruction – emergency

[1]. Bilimoria, K. Y., Bentrem, D. J., Wayne, J. D., Ko, C. Y., Bennett, C. L., & Talamonti, M. S. (2009). Small bowel cancer in the United States: changes in epidemiology, treatment, and survival over the last 20 years. Annals of surgery, 249(1), 63–71. https://doi.org/10.1097/SLA.0b013e31818e4641
[2]. Khosla D, Dey T, Madan R, Gupta R, Goyal S, Kumar N, Kapoor R. Small bowel adenocarcinoma: An overview. World J Gastrointest Oncol. 2022 Feb 15;14(2):413-422. doi: 10.4251/wjgo.v14.i2.413. PMID: 35317322; PMCID: PMC8918997[3]. Khalid, W., Ali, D., Rehman, A., Kaiser, M. A., Fatima, T., & Afzal, M. F. (2021). An atypical presentation of small bowel adenocarcinoma; a case report. JPMA. The Journal of the Pakistan Medical Association, 71(4), 1255–1257. https://doi.org/10.47391/JPMA.1214
[4]. Pan SY, Morrison H. Epidemiology of cancer of the small intestine. World J Gastrointest Oncol. 2011 Mar 15;3(3):33-42. doi: 10.4251/wjgo.v3.i3.33. PMID: 21461167; PMCID: PMC3069308.
[5]. Ozturk, E., van Iersel, M., Stommel, M. M., Schoon, Y., Ten Broek, R. R., & van Goor, H. (2018). Small bowel obstruction in the elderly: a plea for comprehensive acute geriatric care. World journal of emergency surgery : WJES, 13, 48. https://doi.org/10.1186/s13017-018-0208-z

Abstract: An acrylic resin complete fixed dental prosthesis with a metal substructure that is supported by implants is known as an implant supported hybrid prosthesis. In extreme situations where a restoration is required for speech, lip support, function, or appearance, this type of prosthesis may be an option. The purpose of this clinical study is to describe the functional and esthetic prosthetic rehabilitation of a hybrid prosthesis-supported in a borderline patient. On clinical examination, an excessive intra-arch dimension with C-h type bone was seen in the posterior region of all four quadrants. This case report indicates that in situations when a porcelain-fused metal fixed restoration cannot be planned because of greater cantilever requirements and increased occlusal loads, implant-supported hybrid prostheses can be a dependable alternative treatment approach.1

Keywords: Dental implants, hybrid prosthesis, intra-arch distance, cantilever, surgical guide, occlusal load.

[ Egilmez F, Ergun G, Cekic-Nagas I, Bozkaya S. Implant-supported hybrid prosthesis: Conventional treatment method for borderline cases. European journal of dentistry. 2015 Jul;9(03):442-8. [ Gowd MS, Shankar T, Ranjan R, Singh A. Prosthetic consideration in implant-supported prosthesis: A review of literature. Journal of International Society of Preventive and Community Dentistry. 2017 Jun 1;7(Suppl 1):S1-7. [ Ahmet BS, Özel GS, Toygar HU. Fabrication of a screw-retained hybrid prosthesis following treatment of peri-implant defects: A case report. Journal of Istanbul University Faculty of Dentistry. 2016 Oct 1;50(3):57-61.

Abstract: Background: Periodontal phenotype (PP) is defined by gingival thickness, keratinized tissue width, and bone morphotype. Gingival thickness has been linked to the effectiveness of several procedures, including mucogingival therapy, guided tissue regeneration, crown lengthening, and implant dentistry. There is less literature on how PP affects the result of open flap debridement (OFD). Aim: To determine the effect of periodontal phenotype on the outcome of open flap debridement. Materials and Methods: 131......

Keywords: Periodontal Phenotype; Gingival Recession; Open Flap Debridement; Clinical Attachment Level; Pocket Depth; Chronic Periodontitis

[1]. Seibert J, Lindhe J. Esthetics and periodontal therapy. In: Lindhe J. Textbook of clinical periodontology. 2nd ed. Copenhagen: Munksgaard; 1989. p.477-514.
[2]. Jepsen S, Caton JG, Albandar JM, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89:S237-S248.
[3]. Nyman S, Lindhe J, Rosling B. Periodontal surgery in plaque-infected dentitions. J Clin Periodontol. 1977;4:240–249.
[4]. Ramfjord SP, Nissle RR. The Modified Widman Flap. J Periodontol. 1974;45:601– 607.
[5]. Gumber B, Sharma RK, Tewari S, Arora R, Tanwar N. Clinical evaluation of impact of periodontal phenotype on the outcome of open flap debridement in patients with chronic periodontitis: A comparative interventional study. J Periodontol. 2021 Aug;92(8):1171-1180.

Abstract: Background: Caries is an important health problem to overcome because it can interfere with quality of life. In primary school children, the impact of caries can cause a reduction in appetite, thereby disrupting the child's growth and development. In addition, caries causes children's concentration to be disturbed so that their learning achievement decreases. Based on WHO data, 60-90% of children experience dental caries. In Indonesia, the prevalence of caries is still high and serious treatment efforts are needed. The results of Basic Health Research (2018) from the Ministry of Health of the Republic of Indonesia stated that the prevalence of caries in children aged 3-4 years was 81.5.......

Keywords: Dental health; Animated educational video; Knowledge

[1]. Glick, M. et al. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. J. Am. Dent. Assoc. 147, 915–917 (2016).
[2]. Yao, K., Yao, Y., Shen, X., Lu, C. & Guo, Q. Assessment of the oral health behavior, knowledge and status among dental and medical undergraduate students: A cross-sectional study. BMC Oral Health 19, 1–9 (2019).
[3]. Barranca-Enríquez, A. & Romo-González, T. Your health is in your mouth: A comprehensive view to promote general wellness. Front. Oral Heal. 3, 1–14 (2022).
[4]. Ramos-Jorge, J., Pordeus, I. A., Ramos-Jorge, M. L., Marques, L. S. & Paiva, S. M. Impact of untreated dental caries on quality of life of preschool children: Different stages and activity. Community Dent. Oral Epidemiol. 42, 311–322 (2014).
[5]. Riskesdas. Health Research and Development Agency, Ministry of Health of the Republic of Indonesia. (Jakarta: RI Ministry of Health, 2018

Abstract: Spontaneous rupture of the spleen is a rare and potentially fatal surgical emergency. Symptoms are usually acute, characterized by abdominal pain, hemodynamic instability and altered general condition. However, progressive forms may delay diagnosis and therapeutic management. Spontaneous rupture of the spleen is often due to an underlying pathology: hematological, infectious or tumoral, sometimes idiopathic. Splenectomy is performed in the majority ofcases. We report a case of a 27-year-old female patient with unrecognized hemoglobinosisS-C admitted for sudden abdominal pain with splenomegaly and clinical and laboratory anemia. Confirmation of subcapsular splenic rupture on splenomegaly was established on the basis of CT images, and the patient underwent splenectomy. The outcome was favorable.

Keywords: spontaneous rupture, spleen, review, surgey

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[2]. Kianmanesh R, Aguirre HI, Enjaume F, Valverde A, Brugière O, Vacher B, Bleichner G. Ruptures non traumatiques de la rate: trois nouveaux cas et revue de la littérature [Spontaneous splenic rupture: report of three new cases and review of the literature]. Ann Chir. 2003 Jun;128(5):303-9. French. doi: 10.1016/s0003-3944(03)00092-0.
[3]. Debnath D, Valerio D. Atraumatic rupture of the spleen in adults. J R Coll Surg Edinb. 2002 Feb;47(1):437-45.
[4]. Schwarz M, Zaidenstein L, Freud E, Neuman M, Ziv N, Kornreich L, Zer M. Spontaneous splenic rupture in infectious mononucleosis: conservative management with gradual percutaneous drainage of a subcapsular hematoma. Pediatr Surg Int. 1999;15(2):139-40. doi: 10.1007/s003830050537.
[5]. Rapp C, Debord T, Imbert P, Lambotte O, Roué R. Ruptures de rate au cours des maladies infectieuses: splénectomie ou traitement conservateur? A propos de trois cas [Splenic rupture in infectious disease: splenectomy or conservative treatment? Report of three cases]. Rev Med Interne. 2002 Jan;23(1):85-91. French. doi: 10.1016/s0248-8663(01)00518-5..