Volume-11 ~ Issue-3
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Abstract: Maxillary resection results in a discontinuity of the oral nasal and maxillary sinus cavities. Defect of any extent results in significant disabilities experienced by the patient. This may be manifested as difficulties in speech, mastication and esthetics.Prosthetic rehabilitation in the form of a palatal obturator is usually required to cover the defect and restore normal functions. In the cases of edentulous patients application of anobturator becomes even more cumbersome as the mechanism of retention is compromised.Achieving peripheral seal is questionable. In the present case, palatal defect is rehabilitated with silicone relined hollow bulb obturator. The portrayed obturator reduces the redundant load on the supporting tissue and provides a functional solution to the compromised state of the patient.
Key words: Maxillary defect, Hollow maxillary obturator, Silicone lining,Lost salt technique
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[7] Barry H. Habib, DMD, MS, and Carl F. Driscoll, DMDFabrication of a closed hollow obturatorJ Prosthet Dent 2004; 91:383-385.
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Abstract: Context: Malocclusion can compromise the oral health tissues and can lead to social and psychological problem. Hence an investigation of the malocclusion status at the developing stages of the dentitions to intercept the same is required. Aims: To assess the malocclusion in school children of Karnataka between the age groups of 10-12 years and 13-16 years. Settings and Design: School settings and Descriptive cross-sectional survey. Methods and Material: A cross-sectional epidemiological survey was conducted in all the 30 districts of Karnataka. School children in the age group of 10-16 years were the target population. Population proportionate technique was employed for the sample size estimation. A total sample of 9505 was randomly selected from 102 schools all over Karnataka. Ackermann-Proffit classification of malocclusion was used to record the malocclusion. Statistical analysis used: Simple Descriptive statistics. Results and Conclusion: Prevalence of crowding is 52.3% in mixed dentition and 50.2% in permanent dentition. Cross-bite was reported in 17.4% and 18.3% in mixed and permanent dentition respectively. Increased over-jet was reported in 15.3% and 7.7% in mixed and permanent dentitions respectively.
Keywords: Prevalence, Malocclusion, School children, 10-12 years, 13-16 years, Ackermann-profit system.
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[9] Usha Mohan Das, Venkatsubramanian, Divya Reddy. Prevalence of malocclusion in school children in Bangalore, India. International Journal of Clinical Pediatric Dentistry 2008; 1(1):10-12.
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Abstract: Tuberculosis (TB) in children is a significant cause of morbidity and mortality. Occurrence of cavitory tuberculosis in children is not very common and is associated with greater degree of infectiousness. We report a 6 year old girl and 10 months old boy both from internally displaced couple and they presented to the Medical Centre with chronic cough, fever, chest pain, difficulty in breathing and weight loss. Their chests X-rays have revealed multiple cavitary lesions and were being managed with anti TB drugs. However, the older sibling died after 11 days of commencement of anti TB while the parents absconded with the younger child due to the death of the elder sibling. Pulmonary cavitary tuberculosis, though not very common in children, may still occur, especially in the immono-compromised like the malnourished and overcrowded internally displaced population. It is worthwhile to note the occurrence of pulmonary cavitary TB in children in an internally displaced setting like this as this may lead high TB infection and transmission rate as a result of overcrowding. An effective TB surveillance system in this setting is, therefore, needed to reduce the burden of TB in crowded population.
Key words: Internally displaced couple, siblings, cavitary tuberculosis
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[7] Stark JR. Tuberculosis in children. SeminRespirCrit Care Med 2004; 25 (3). www.medscape.com
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Abstract: C-shaped canal is one of the most difficult situations with which the dentist is confronted during endodontic treatment of teeth. Recognition of unusual variation in the canal configuration is critical because it has been established that the root with a single tapering canal and apical foramen is the exception rather than rule. The early recognition of these configurations facilitates cleaning, shaping, and obturation of the root canal system. "C" configuration, which is an important anatomic variation, presents a thin fin connecting the root canals. In this case reports successful management of C-shaped canals in mandibular second molars are presented by using cone-beam computed tomography and operating microscope for diagnosis, sonic irrigation and calamus dual obturating device.
Key words: C-shaped canal, Melton's Classification, Endoactivator, Calamus Dual
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Paper Type | : | Research Paper |
Title | : | Implant Protected Occlusion |
Country | : | India |
Authors | : | Yogeshwari Swaminathan, Gururaj Rao |
: | 10.9790/0853-1132025 |
Abstract: Implant protected occlusion is a very important criteria to obtain an improved longevity of both the dental implant and the prosthesis. It is an occlusal scheme which reduces the force at the crestal bone and the implant interface. This concept was proposed by Dr. Carl E. Misch. Implant protected occlusion helps in reducing the noxious load and to maintain the implant load within the physiological limits of individualized occlusion. Occlusal overload will lead to biomechanical complications like early implant failure , early crestal bone lost, intermediate to late implant failure, screw loosening, uncemented restoration, component failure, porcelain fracture, prosthesis fracture and periimplant disease.
Keywords: Dental implants, implant occlusion, implant protected occlusion, implant longevity, biomechanical complication
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[2] Tonetti, M. & Schmid, J, Pathogenesis of implant failures. Periodontology,4, 1995, 127–138.
[3] Schwarz M S, Mechanical complications of dental implants, Clinical Oral Implants Research, 11 (Suppl.),2000, 156–158.
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[5] Kim Y, Oh T-J, Misch CE, Wang H-L, Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale, Clin. Oral Impl, 16, 2005, 26–35.
[6] Y H Ismail, N Yacoub, Occlusal consideration in implant prosthodontics, Dental News, 5(3),1998, 19-24.
[7] Shantanu J, Mohit K, Mukund K, Ramandeep D, Occlusion and occlusal consideration in implantology, Indian J of Dental Advancements, 2(1), 2010, 125-130.
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Paper Type | : | Research Paper |
Title | : | Prelations in Periodontics- A quest. |
Country | : | India |
Authors | : | Bhanu Kotwal, Nanika Mahajan, Haresh Kalvani, Vinod Tomar |
: | 10.9790/0853-1132628 |
Abstract: Advances in periodontal science and practice over the last decade have radically changed the understanding of periodontal diseases and have opened new, exciting prospects for both medical and surgical therapy of periodontal diseases. Establishment of the aetiology and pathogenesis of periodontitis, understanding of the unique genetic and environmental susceptibility profile of affected subjects, and recognition of the systemic implications of periodontal infections are the key research findings.
Key words: Periodontics, Periodontal treatment, Lasers, Tissue engineering
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Abstract: A Dental Staff encounters various occupational hazards like noise induced hearing loss due to various sources like high speed turbine hand piece, low speed hand piece, ultrasonic scaler, ultrasonic cleaner, stone mixers, suction pumps etc. This study was conducted to evaluate the hearing threshold level of 20 dental staff using pure tone audiometer in five different frequencies in comparison to 20 physicians who are not exposed to such noise. The results of this study showed significant changes in hearing threshold level at 3000 Hz and 4000Hz in dental staff. Also the findings showed that exposed group showing more hearing loss in left ear while the physicians showed no hearing loss. This study affirms the need for periodic audiometric evaluation for all dental professionals to identify hearing loss at a early stage and prevent permanent hearing loss.
KeywordS: Acoustic hazards, audiometric analysis, hearing threshold levels, noise induced hearing loss, ultrasonic scalers.
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Paper Type | : | Research Paper |
Title | : | Failure Mode of Implant Abutment Connections –An Overview |
Country | : | India |
Authors | : | Aashritha Shenava |
: | 10.9790/0853-1133235 |
Abstract:The use of single tooth implant restoration in anterior and lateral regions is increasing . Replacing single missing teeth especially in the anterior region has always been a challenge for clinicians and dental technicians .With the advent of single tooth implant restoration ;an acceptable alternative is identified .Implant abutment must meet biological, functional and esthetic requirements . Biological and mechanical implant-abutment connection complications and failures are still present in clinical practice, frequently compromising oral function. Abutment screw loosening has occurred with many of other designs used for single tooth implant .The purpose of this review is to highlight the mode of failure as well as the reasons. Clinical cases, experimental and non-experimental studies were included, as well as literature reviews.
Key words: Dental implant; Implant–abutment connection; Failure mode
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Abstract: Thorough cleaning and shaping and followed by three-dimensional obturation is secret to successful clinical endodontics. Therefore, it is imperative that aberrant anatomy should be identified before and during root canal treatment. Multiple case reports of aberrant canals morphology in the mesial root of mandibular first molar have been documented. However, fewer studies have discussed the occurrence of a third distal canal in distal root of mandibular molars. The incidence of middle distal canal is much lower than that of middle mesial canal. This article presents the two rare case reports describing of multiple canals in mandibular first molars i.e 3 distal canals in one case report and 3 mesial canals in another.
Keywords: Endodontics, middle distal, middle mesial
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Abstract: Aim/objectives: This is to determine the frequency/age of predilection/factors that might have contributed to a particular age/range of age that is seen to be vulnerable to the lesion. Materials and Method: A eight(8) years study of histologically diagnosed adenocarcinoma of prostate results from January, 2005-december,2012 were extracted from the departmental result register. They were a total of 330 patients were seen and analysed using SPSSversion 16.The data was presented as per age range and charts. A few of the results excluded were with no age specification – only inscribed with term 'AD' signifying Adult. Results: From our comparison among the years of study-the age range of 60-70 years appeared to be the most frequent age affectation of the lesion when compared with all age range. This is closely followed byage range greater than 70 years. The study also showed the presence of the malignant lesion on age range of 40-50years even when one may be thinking that at this age range the prostate starts enlargement processes. Conclusion/Recommendation: This showed the most vulnerable age range was 60-70 years as it appeared in all the year of study. This is closely followed by 70 years and above. We think that there is a great need for awareness through media education and provision of screening centres for early detection and intervention.
Keywords: Prostate,age,adenocarcinoma,histology
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Abstract: Aim/Objectives: This is to determine the frequency of burkitt's lymphoma occurrence and most gender involved, age/year of predilection. Materials and Method: A sectional study of this malignant lesion was determined by extracting all the histopathological reported cases seen over a period of six years spanning from January 2007 –December 2012. The data obtained was analysed using SPSS version 16 presenting each year per sex,age/frequency of occurrences seen. Results: It showed a relatively low frequency of occurrence in our centre possible due to the ignorance of such parents care giver, parent or late reporting after trial with alternative medicine provider/religious institutes and above all issue of low socio-economic status of most if not all patients seen within the period. Conclusion/Recommendation: A more aggressive chemotherapeutic approach is paramount ; health education and institution of cancer free treatment centres which will be a great ameliorating factor to all these patients seeking non- orthodox approach of treatment/willingness to avail themselves.
Keywords: Burkitts lymphoma, age, sex, Frequency, histology
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Abstract: The effects of Bitter cola (Garcinia cola) on haemostatic and biochemical indices of induced male diabetic albino wistar rats were investigated 21 male albino rats (200-230g) were placed into three groups namely Group A (control) Group B ( induced diabetic rats on bitter cola extract) and Group C (induced diabetic rats on dianil reference tablets). At the end of the 28 days feeding on the extracts, blood samples were withdrawn from the animals for investigation. The results from the haemoglobin concentration and packed cell volume indicates a reduction in control rats compared with test rats; Hb Group A 13.8g/dl, group B 10.8g/dl, group C 13.5g/dl, PCV group A 41%, group B 31% group C 41%. The white blood cell count and platelet count were not significantly reduced. WBC for group A 4,800mm3, group B 3280 ± 86mm3 and group C 5,120 ± 666mm3. Platelet count group A 216 ± 40×109/l, group B 160±70x109/l, and group C 210± 57x109/l.
Keywords: Diabetes, Bitter cola, Haemostatic, Albino rats, Biochemical, Bleeding time, Prothrombin.
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Abstract: Background -Urinary tract infection (UTI) is one of the most common bacterial infections seen in patient. It may lead to renal scarring, hypertension, and end-stage renal disease. Early diagnosis is important to preserve renal function of the growing kidney. Aim- The aim of the present study was to assess the prevalence and changing susceptibility pattern of urinary pathogensin febrile paediatrics patients. Methods and Material- Fifty millilitres urine specimen was collected in a sterile container with sterile precaution and used for microscopic examination (pyuria detection) and for culture and sensitivity. Results-Out of total 820 cases 170 showed significant bacteriuria of which 107(62.94%) had fever. Females showed higher positivity in UTI cases than males with ratio of 1.3:1. In our study E.coli was 27.05 % and Klebsiella 18.82% was predominant pathogen isolated. These isolates showed the highest resistance towards first line of drugs Cefadroxil, Amoxicillin and Cefuroxime, being most sensitive to Imipenem cefepime. Conclusion-To successfully eradicate UTI by empiric treatment, knowledge of local etiologic agents and their antibiotic susceptibility is of great value.
Key Word: Dysuria, Significant bacteriuria,UTI
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Abstract: Transfusion transmitted infections (TTIs) are a real concern worldwide. Blood transfusion is an important mode of transmission of infections to recipients. The aim of our study was to assess the prevalence of transfusion transmitted infection among blood donors, a 10years retrospective study, from April 2002 to March2012 was conducted at the blood bank of Calcutta National Medical College and Hospital, Kolkata, West Bengal. Donors were screened routinely for seroprevalence of HIV, HBV, HCV and syphilis and malaria. Our study was focused on mainly HIV, Hepatitis and syphilis. A total of 128119 donors were tested, out of which 523 (0.40%) were replacement donors and 127596 (99.59%) were voluntary donors. The seroprevalence of HIV was 0.28% in the donors. The seroprevalence of HBV, HCV and syphilis was 1.75%, 0.37% and 0.44% respectively in total donors. Seroprevalence of HBV, HCV, and HIV in voluntary blood donors is high throughout this study.
Key words: TTI, Blood donors, Hepatitis, HIV, Seroprevalence, Prevention
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Abstract: Objective: To evaluate the results of anterior cruciate ligament (ACL) reconstruction using four strand hamstring tendon autograft. Settings: Hospital for Bone and Joint Surgery Srinagar Kashmir. Material and methods: Thirty patients of anterior cruciate ligament tears underwent arthroscopic ACL reconstruction using four strand hamstring tendon autograft between October 2010 to November 2012. Results: The mean age in our series was 31.8 years with a range from 19-50 years. The male to female ratio was 5:1. Sports injury accounted for 46.7% of the cases. 46.7% of the cases had an associated meniscal injury. The Lysholm score improved from a mean pre-op value of 52.7 ( range 22-81 ) to mean value of 89.7 ( range 62-100 ) at the final follow-up at a minimum of 2 years. The single leg hop measurements improved from a mean pre-op value of 52.37% to mean value of 88.4% at the final follow-up. 93.3% of the patients had either grade 0 or grade 1 Lachman grading at the final follow-up. Conclusion : Arthroscopic ACL reconstruction eliminated symptomatic knee instability associated with a torn ACL. Significant improvements in the functional scores were noted.
Key Words : Anterior Cruciate Ligament; ACL reconstruction; Endobutton fixation ; Hamstring tendon autograft; Semitendinosus autograft; Transtibial technique .
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