iosr-JDMS   Volume-23 ~ Issue-11 ~ November 2024

Abstract: The purpose of this case report is to present an unusual endodontic periodontal lesion along with radix entomolaris in tooth 46 in a 31-year-old female patient with intermittent pain and sensitivity to hot and cold stimuli. Clinical examination revealed deep dentinal caries and periodontal pocket depth of 5mm in tooth #46.The radiographic examination revealed an extra distal root with a periapical radiolucency in tooth #46. patient was diagnosed with irreversible pulpitis and chronic apical periodontitis, with secondary periodontal involvement due to an endodontic-periodontal......

Keywords: Endodontic periodontal lesion (EPL), radix entomolaris (RE), root canal treatment (RCT).

[1] Alquthami H, Almalik Am, Alzahrani Ff, Badawi L. Successful Management Of Teeth With Different Types Of Endodontic-Periodontal Lesions. Case Rep Dent. 2018, 29;2018:1–7.
[2] Rotstein I, Simon Jhs. Diagnosis, Prognosis And Decision-Making In The Treatment Of Combined Periodontal-Endodontic Lesions. Periodontol 2000. 2004 ;34(1):165–203.
[3] Shenoy N, Shenoy A. Endo-Perio Lesions: Diagnosis And Clinical Considerations. Indian J Dent Res. 2010;21(4):579.
[4] Dwiyanti S. A Multi-Disciplinary Approach In The Management Of Endo-Perio Lesions: A 4-Year Follow-Up Case Report. Case Rep Dent. 2023;2023:1–9.
[5] Sartori S, Silvestri M, Cattaneo V. Endoperiodontal Lesion. J Clin Periodontol. 2002; 29(8):781–3.

Abstract: This case report describes the orthodontic treatment of a 21-year-old Caucasian female patient with a Class III incisor relationship on a Class II skeletal base and increased vertical proportions. The patient presented with severe crowding in both upper and lower arches, gingivitis, molar incisors hypomineralization, and extensive caries in the LL6 tooth. She also exhibited decreased overjet, a complete overbite, and a significant shift in upper and lower dental midlines. The primary objective of treatment was to correct the malocclusion through orthodontic camouflage, which involved the extraction of upper and lower first premolars on the right side and first molars on......

[1] Baumgaertel, S. And Hans, M.G., 2009. Mini-Implants In Orthodontics: Innovative Anchorage Concepts. American Journal Of Orthodontics And Dentofacial Orthopedics, 136(3), Pp.393-400.
[2] Bollen, A.M., Cunha-Cruz, J., Bakko, D.W., Huang, G.J. And Hujoel, P.P., 2008. The Effects Of Orthodontic Therapy On Periodontal Health: A Systematic Review Of Controlled Evidence. Journal Of The American Dental Association, 139(4), Pp.413-422.
[3] Janson, G., Valarelli, F.P., Valarelli, D.P., De Freitas, M.R. And Henriques, J.F., 2010. Relationship Between Dental Crowding And Mandibular Incisor Protrusion. American Journal Of Orthodontics And Dentofacial Orthopedics, 138(6), Pp.704.E1-704.E7.
[4] Kokich, V.G. And Shapiro, P.A., 2010. Lower Incisor Extraction In Orthodontic Treatment. Angle Orthodontist, 80(5), Pp.938-944.
[5] Littlewood, S.J., Millett, D.T., Doubleday, B., Bearn, D.R. And Worthington, H.V., 2006. Retention Procedures For Stabilising Tooth Position After Treatment With Orthodontic Braces. Cochrane Database Of Systematic Reviews, (1)..

Abstract: Background: Early childhood caries (ECC) is one of the most common diseases in early years of life. It is considered a serious public health problem. Though preventable, globally over 530 million children have decay in their primary teeth, and the condition is highly prevalent in both developed and developing countries. It has also been reported to have a close relationship with other systemic deficiencies. Materials and Methods: A systematic review on ECC and iron deficiency was done based on published articles in PubMed and......

Keywords: Early childhood caries (ECC), serum iron (Fe), iron deficiency (ID), Iron deficiency anemia (IDA).

[1] Policy On Early Childhood Caries (Ecc): Classifications, Consequences, And Preventive Strategies. Pediatr Dent.2017;39(6):59–61.
[2] Manton Dj. Child Dental Caries - A Global Problem Of Inequality. E Clin Med. 2018;1:3–4.
[3] Singh A, Purohit Bm. Malnutrition And Its Association With Dental Caries In The Primary And Permanent Dentition: A Systematic Review And Meta-Analysis. Pediatr Dent. 2020;42(6):418–26.
[4] Schroth Rj, Jeal Ns, Kliewer E, Sellers Ea. The Relationship Between Vitamin D And Severe Early Childhood Caries: A Pilot Study. Int J Vitam Nutr Res. 2012;82(1):53–62.
[5] Mansoori S, Mehta A, Ansari Mi. Factors Associated With Oral Health Related Quality Of Life Of Children With Severe -Early Childhood Caries. J Oral Biol Craniofac Res. 2019;9(3):222–5.

Abstract: Introduction: acute respiratory distress syndrome secondary to covid 19 can lead to the presence of pneumothorax and pneumomediastinum; rare but potentially fatal and is related to mechanical ventilation or the severity of the disease. Recently, cases of pneumomediastinum have been documented despite the use of different protective ventilation measures, without being clear about its origin or prognosis. Material and methods: descriptive, retrospective and single-center study in patients with covid 19 admitted to a second level hospital in the city of puebla during march 1, 2020 to march 1, 2021. Results: during the period from january 2020 to january 2021, 966 patients were admitted to hospital with a diagnosis of covid 19. 29.....

Keywords: pneumomediastinum, pneumothorax, prevalence, factors, COVID 19.

[1] Bolaños-Morales F, Santibáñez-Salgado J, Guadarrama-Pérez C, Herrera-Zamora J, Armas Zárate F, Santillán-Doherty P. Neumomediastino Espontáneo En Pacientes Con Covid-19. Serie De Casos. Gac. Méd. 2021; 157 (1).
Https://Doi.Org/10.24875/Gmm.20000839 .
[2] Okada M, Adachi H, Shibuya Y, Et Al. Diagnosis And Treatment Of Patients With Spontaneouspneumomediastinum. Respir Investig. 2014; 52(1):36-40. Https://Doi.Org/10.1016/J.Resinv.2013.06.001.
[3] Chu Cm, Leung Yy, Hui Jy, Et Al. Spontaneous Pneumomediastinum In Patients With Severe Acute Respiratory Syndrome. Eur Respir J. 2004; 23. Doi: 10.1183/09031936.04.00096404.
[4] Shan S, Guangming L, Wei L, Et Al. Spontaneous Pneumomediastinum, Pneumothorax And Subcutaneous Emphysema In Covid-19: Case Report And Literature Review. Rev Inst Med Trop Sao Paulo. 2020; 62 (76). 1-5. Doi: 10.1590/S1678-9946202062076.
[5] Manna S., Maron S, Et Al. Spontaneous Subcutaneous Emphysema And Pneumomediastinumin Non-Intubated Patients With Covid 19. Clinical Imaging 2020;67: 207-213. Https://Doi.Org/10.1016/J.Clinimag.2020.08.013

Abstract: Background: Deep bite is a common orthodontic malocclusion caused by factors like incisor supra-occlusion, molar infra-occlusion, or incisor angulation. Nonsurgical correction of deep bite involves extrusion of posterior teeth, intrusion of incisors, or both. Extrusion of posterior teeth in growing patients provides stable results due to secondary remodelling. In patients with deep bite and excessive gingival display, intrusion of incisors is typically required which can be accomplished using intrusion arches or mini-implants. Materials and Methods......

Keywords: Deep bite, utility arch, mini-implants, incisor intrusion

[1] Viken Sassouni, Surender Nanda. Analysis Of Dentofacial Vertical Proportions. Am J Orthod Dentofacial Orthop 1964;50(11):801-823.
[2] Parker Cd, Nanda Rs, Currier Gf. Skeletal And Dental Changes Associated With The Treatment Of Deep Bite Malocclusion. Am J Orthod Dentofacial Orthop 1995; 107(4):382-93.
[3] Jain Rk, Kumar Sp, Manjula Ws. Comparison Of Intrusion Effects On Maxillary Incisors Among Mini Implant Anchorage, J Hook Headgear And Utility Arch. Journal Of Clinical And Diagnostic Research. 2014; 8(7): Zc21-4.
[4] Polat-Ozsoy O, Arman-Ozcırpıcı A, Veziroglu F, Cetinsahin A. Comparison Of The Intrusive Effects Of Miniscrews And Utility Arches. Am J Orthod Dentofacial Orthop. 2011 Apr;139(4):526-32
[5] Neha Gupta, Tulika Tripathi, Priyank Rai, Anup Kanase, Neha. A Comparative Evaluation Of Bite Opening By Temporary Anchorage Devices And Connecticut Intrusion Arch: An In Vivo Study. Int J Orthod Rehabil 2017;8(4):129-35.

Abstract: We use the word "stress" when we feel that everything seems to have become too much - we are overloaded and wonder whether we really can cope with the pressures placed upon us. Anything that poses a challenge or a threat to our well-being is a stress. More than 60% of nurses say they have suffered the side-effects of work-related stress, such as physical or mental health problems in the past year. according to the findings from our latest annual survey on the state of nursing. "l am nearly on my knees with the level of work l have. l am beyond exhausted......

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Abstract: A 48-year-old female with a history of diabetes mellitus for more than five years, controlled with metformin 500mg 12 hourly, sitagliptin 50mg 12 hourly, and dapagliflozin 10mg once daily. One month after the introduction of dapagliflozin, she presented to the outpatient department with lower back pain and fever. Clinical examination revealed a temperature of 38°C and suprapubic tenderness. Initial investigations are depicted in table....

[1] Kaur R, Kaur R. Symptoms, Risk Factors, Diagnosis And Treatment Of Urinary Tract Infections. Postgrad Med J. 2021 Dec;97(1154):803-812. Doi: 10.1136/Postgradmedj-2020-139090. Epub 2020 Nov 24. Pmid: 33234708.
[2] Bettcher Cm, Campbell E, Petty La, Et Al. Urinary Tract Infection [Internet]. Ann Arbor (Mi): Michigan Medicine University Of Michigan; 2021 May. Available From: Https://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk572335/
[3] Salari N, Karami Mm, Bokaee S, Et Al. The Prevalence Of Urinary Tract Infections In Type 2 Diabetic Patients: A Systematic Review And Meta‐Analysis. Eur J Med Res. 2022;27(1):20. Doi: 10.1186/S40001-022-00644-9 [
[4] Geerlings Se. Clinical Presentations And Epidemiology Of Urinary Tract Infections. Microbiol Spectr. 2016;4(5):Uti‐0002‐2012. Doi: 10.1128/Microbiolspec.Uti-0002-2012
[5] Hsia Ds, Grove O, Cefalu Wt. An Update On Sodium-Glucose Co-Transporter-2 Inhibitors For The Treatment Of Diabetes Mellitus. Curr Opin Endocrinol Diabetes Obes. 2017;24(1):73–79. Doi: 10.1097/Med.0000000000000311..

Abstract: Introduction: the paranasal sinuses are mucosa-lined structures physically contiguous with the nasal cavity that aid in insulation, reducing cranial weight, heating & humidifying the air, imparting resonance to the voice, providing airway defense and simply to replace functionless bone. Sinusitis is rarely life threatening, but the complex anatomy of the facial planes, the associated venous and lymphatic spread and the close location to the central nervous system can lead on to serious complications. It is, therefore, important to understand the normal anatomy......

Key-words: para-nasal sinuses (pns), computed tomography (ct), enigma, anatomical variants

[1] Evans Phr. The Paranasal Sinuses And Other Enigmas: An Aquatic Evolutionary Theory. J Laryngol Otol 1992; 106: 214-225
[2] Reuler Jb, Lucas Lm, Kumar Kl. Sinusitis: A Review For Generalists. West J Med 1995; 163: 40-48
[3] Gotwald Tf, Zinreich Sj, Corl F, Fishman Ek. Three-Dimensional Volumetric Display Of The Nasal Ostiomeatal Channels And Paranasal Sinuses. Am J Roentgenol 2001; 176 : 241–245
[4] Yonkers Aj. Sinusitis–Inspecting The Causes And Treatment. Ear Nose Throat J 1992; 71: 258
[5] Duvoisin B, Landry M, Chapuis L, Krayenbuhl M, Schnyder P. Low-Dose Ct And Inflammatory Disease Of The Paranasal Sinuses. Neuroradiology 1991; 33:403–406.

Abstract: Electricity is the backbone for modern industrialization, development and day to day needs. Electrical Injuries are among the most devastating of burn injuries. High voltage electrical injuries result in extensive deep tissue damage and are associated with multiple complications and a high mortality rate. The passage of electric current through the body, produces wide range of effects, varying from insignificant localised spasm, little or no contact burns, or extreme severe burns. We describe the case of a 6-year-old child who suffered high voltage electric injury leading.....

Keywords: abdominal wall blow out , high voltage electrical injury , fore arm auto amputation , burns

[1] B. Azzena, I. Tocco-Tussardi, A. Pontini, B. Presman, F. Huss Late Complications Of High-Voltage Electrical Injury Might Involve Multiple Systems And Be Related To Current Path Ann Burns Fire Disasters, 29 (3) (2016), Pp. 192-194 Sep 30
[2] J.G. Shih, S. Shahrokhi, M.G. Jeschke Review Of Adult Electrical Burn Injury Outcomes Mworldwide: An Analysis Of Low- Voltage Versus High-Voltage Electrical Injury J Burn Care Res, 38 (1) (2017), Pp. E293-E298
[3] A.P. Singh, V. Mathur, R. Tanger, A.K. Gupta Low Voltage Electric Current Causing Ileal Perforation: A Rare Injury Apsp J Case Rep, 7 (2) (2016), P. 17 May-Jun
[4] M. Sharma, P. Kaundal, P. Sharma, R. Chaudhary Electric Current Causing Sigmoid Perfora-Tion: Case Report Annals Of International Medical And Dental Research, 1 (1) (2015), Pp. 39-40
[5] Nizhu Ln, Hasan Mj, Rabbani R. High-Voltage Electrocution-Induced Pulmonary Injury And Cerebellar Hemorrhage With Fractures In Atlas. Trauma Case Rep. 2019 Nov 27; 25:100267

Abstract: Background: Sigmoid volvulus an uncommon source of bowel obstruction in middle-aged individuals.. This perilous condition pervades globally, with a pronounced predilection for elderly population burdened by concurrent health ailments. While both genders can fall victim, males (1) are more frequently affected.
Case Report: A middle aged gentleman presented to emergency center reporting pain abdomen, vomiting , obstipation. On palpation generalized tenderness , guarding present, X – ray abdomen showed classic coffee bean (volvulus) immediately underwent emergency laparotomy - found sigmoid colon was distended and gangrenous.......

Keywords: sigmoid volvulus ,middle aged , intestinal obstruction , sigmoidopexy, Hartmann

[1] Sarfaraz M, Hasan Sr, Lateef S. Sigmoid Volvulus In Young Patients: Ą New Twist On An Old Diagnosis. Intractable Rare Dis Res. 2017;6(3):219-223. Doi:10.5582/Irdr.2017.01033
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[5] Sturzaker Hg, Lawrie Rs, Joiner Cl. Recurrent Sigmoid Volvulus In Young People: A Missed Diagnosis. British Medical Journal . 1975; 4:338-339. [Pmc Free Article] [Pubmed]

Abstract: The most commonly used monolithic ceramics are lithium-disilicate and zirconium-dioxide ceramics. Lithium disilicate ceramics is the best choice for the reconstruction of front teeth because of the naturalness of the color and the translucency of the material. Zirconium-oxide ceramics have excellent mechanical properties and are most suitable for larger joint replacements in the area of strong dental forces. Case study of two patients. The first one has crowns made of monolithic lithium-disilicate ceramics in the frontal region, and the second patient has a crown made of monolithic translucent zirconium-dioxide ceramics. Monolithic fixed-prosthetic products successfully satisfy the patient's aesthetic and functional needs........

Keywords: monolithic ceramics lithium-disilicate zirconium-dioxide ceramics.

[1] Ćatović A, Komar D, Ćatić A I Sur. Klinička Fiksna Protetika – Krunice. 1. Izd. Zagreb: Medicinska Naklada; 2015. 198 P.
[2] Christensen Gj. Pfm Vs. Zirconia Restorations – How Are They Comparing Clinically?. Cr Found. 2008;1:1-2.
[3] Milardović Ortolan S, Mehulić K, Viskić J, Jakšić A. Cementiranje Potpuno Keramičkih Protetskih Radova. Sonda. 2010;20:54.
[4] Kern M, Thompson Vp, Beuer F, Frankenberger R, Kohal Rj, Kunzelmann Kh, Pospiech P, Reiss B. All-Ceramics At A Glance: An Introduction To The Indications, Material Selection, Preparation And Insertion Techniques For All-Ceramic Restorations. 3. Izd. Malsch: Ag-Keramik; 2017. 190 P.
[5] Kunzelmann Kh. Vollkeramik Auf Einen Blick: Leitfaden Zur Indikation, Werkstoffauswahl, Vorbereitung Und Eingliederung Von Vollkeramischen Restaurationen, Arbeitsgemeinschaft Für Keramik In Der Zahnheilkunde. 3. Izd. Malsch: Ag-Keramik; 2008. 101 P.

Abstract: Odontomas are benign mixed odontogenic tumours, considered to be developmental anomalies resulting from the growth of differentiated epithelial and mesenchymal cells. It is the most common benign odontogenic tumour, usually asymptomatic and are often discovered during routine radiographic examinations. It can occur at any age, but are most common in the first two decades of life. It is more commonly seen in the anterior maxilla and frequently cause delayed eruption of teeth or retention of primary teeth. Morphologically odontomas are classified as compound and complex odontomas, in which the former resembles teeth whereas the latter being an irregular mass........

Keywords: Odontomas; multiple odontomas; compound composite odontome

[1]. Bastos Vdads, Et Al., Management Of Over Retention Of Permanent Incisor Impacted By Compound Odontoma: Clinical, Radiological, And Microscopic Evaluation, Pediatric Dental Journal (2018), Ttps://Doi.Org/10.1016/J.Pdj.2018.03.001
[2]. Divya V, Backiyalakshmi A. Compound Odontome. Ip International Journal Of Maxillofacial Imaging. 2024 Jan 28;9(4):194–7
[3]. Mittal M, Sultan A, Batra R, Bhargava D. Compound Composite Odontome With Mesiodens - A Case Report. Journal Of Pierre Fauchard Academy (India Section). 2010 Sep;24(3):116–20.
[4]. Abdul M, Pragati K, Yusuf C. Compound Composite Odontoma And Its Management. Case Rep Dent. 2014;2014:1–4.
[5]. Botelho J, Machado V, Gomes J, Borrecho G, Maia P, Mendes J, Et Al. Multiple Complex Odontomas Of The Mandible: A Rare Case Report And Literature Review. Contemp Clin Dent. 2019;10(1):161–5.

Abstract: Background- Children are most vulnerable and dependent groups on others in the society other than geriatric person .So appropriate healthcare seeking behavior of their caregivers are very much important to reduce morbidity & mortality and improve healthy life . Materials & Methods-This was a cross-sectional study was conducted at rural area of West Bengal among 180 caregivers of under 5 yr children with the help of predesigned pretested semistructured schedule. Study subject selected by systematic random sampling and data compilation were done MS Office Excel-2010 and data analysis were done by chi sq test in IBM SPSS version 2019.......

Keywords: Health care seeking behavior, Caregivers, Under 5 children , Rural area,

[1] Olenja J. Health Seeking Behaviour In Context. East Afr Med J. 2003;80(2):61–2.
[2] Latunji Oo, Akinyemi Oo. Factors Influencing Health-Seeking Behaviour Among Civil Servants In Ibadan, Nigeria. Ann Ib Postgrad Med 2018;16:52-60.
[3] Social Capital And Household Health-Seeking Behaviour For Children In The Context Of Urban Neighbourhoods: The Case Of Khayelitsha In Westerncape, South Africa. Available At: Https://Open.Uct.Ac.Za/Handle/11427/13806. Accessed On 11 March 2024.
[4] Pillai Rk, Williams Sv, Glick Ha, Polsky D, Berlin Ja, Lowe Ra. Factors Affecting Decisions To Seek Treatment For Sick Children In Kerala, India. Soc Sci Med. 2003;57(5):783–90).
[5] Wardlaw T, You D, Hug L, Amouzou A, Newby H. Unicef Report: Enormous Progress In Child Survival But Greater Focus On Newborns Urgently Needed. Reprod Health 2014;11:82.

Abstract: Plane CT brain is considered as the first investigation of choice for the patients presenting with acute onset headache, with sensitivity of 95% for detection of Subarachnoid hemorrhage(SAH). SAH appears as areas of hyper densities in the sulci and fissures and is easily diagnosed on unenhanced CT.(1,2)CT Angiography has vital role in diagnosing the etiology of the SAH by finding the aneurysmal or any other vascular abnormality and is considered as gold standard imaging for the same.(3,4,5)Correlation between pattern of distribution of SAH in plane CT with the abnormal intracranial.......

[1] Gauvrit Jy, Leclerc X, Ferre Jc, Taschner Ca, Carsin-Nicol B, Auffray-Calvier E, Et Al. Imaging Of Subarachnoid Hemorrhage. J Neuroradiol 2009;36(2):65—73.
[2] Boesiger Bm, Shiber Jr. Subarachnoid Hemorrhage Diagnosis By Computed Tomography And Lumbar Puncture: Are Fifth Generation Ct Scanners Better At Identifying Subarachnoid Hemorrhage? J Emerg Med 2005;29(1):23—
[3] Papke K, Kuhl Ck, Fruth M, Haupt C, Schlunz-Hendann M, Sauner D, Et Al. Intracranial Aneurysms: Role Of Multidetector Ct Angiography In Diagnosis And Endovascular Therapy Planning. Radiology 2007;244(2):532—40.
[4] Taschner Ca, Thines L, Lernout M, Lejeune Jp, Leclerc X. Treatment Decision In Ruptured Intracranial Aneurysms: Comparison Between Multi-Detector Row Ct Angiography And Digital Subtraction Angiography. J Neuroradiol 2007;34(4):243—9.
[5] Westerlaan He, Van Dijk Jm, Jansen-Van Der Weide Mc, De Groot Jc, Groen Rj, Mooij Jj, Et Al. Intracranial Aneurysms In Patients With Subarachnoid Hemorrhage: Ct Angiography As A Primary Examination Tool For Diagnosis — Systematic Review And Metaanalysis. Radiology 2011;258(1):134—45.

Abstract: Alarming amount of reports from various parts of the world are coming in concern about increasing multidrug resistant tuberculosis (MDR-TB). Treatment options for which are limited and expensive, prescribed medicines are not always available, additionally the concomitant adverse effects of the drugs are almost inevitable. Thus, frequent research for the factors linked with multidrug resistant TB should be carried out to understand its prevalence and mechanism of spread. The present study observed 200 MDR-TB patients and observed their socio-economic and other factors. With a cross sectional study design, this study has been conducted in the National Institute of Disease of the Chest and Hospital during the period of January to December of the year 2019........

Keywords: Tuberculosis, Multi drug resistant tuberculosis, Diabetes, Smoking

[1]. Banu S, Rahman MT, Ahmed S, Khatun R, Ferdous SS, Hosen B, et al. Multidrug-resistant tuberculosis in Bangladesh: results from a sentinel surveillance system. Int J Tuberc Lung Dis. 2017 Jan 1;21(1):12–7.
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[3]. World Health Organization. Global tuberculosis report 2014 [Internet]. World Health Organization; 2014 [cited 2021 Apr 24]. Available from: https://apps.who.int/iris/handle/10665/137094
[4]. National Tuberculosis Control Program, DGHS. Tuberculosis Control in Bangladesh. 2007.
[5]. Faustini A, Hall AJ, Perucci CA. Risk factors for multidrug resistant tuberculosis in Europe: a systematic review. Thorax. 2006 Feb 1;61(2):158–63..