bluuebunny/crossref_metadata_2025 huggingface dataset:
ANÁLISE NUMÉRICA DE CONEXÕES METÁLICAS EM ESTRUTURAS DE MADEIRA EM SITUAÇÃO DE INCÊNDIO
Authors: Masiero Fianco Mariana , Martin Rocha Fabio , Antunes Martins Gisele Cristina
Published: August 2024

As conexões metálicas desempenham um papel crucial na transmissão de cargas e na integridade estrutural em elementos de madeira, visto que seu comportamento rege o comportamento da estrutura em sua totalidade. Em altas temperaturas, as propriedades mecânicas dos materiais sofrem alterações e apresentam perda de resistência. Com o objetivo de investigar o comportamento de dispositivos de conexão metálicos utilizados em ligações de elementos estruturais de madeira, o presente trabalho realiza análises numéricas térmicas, considerando dois tipos de ligações: uma composta por apenas pinos metálicos e parafusos e a segunda composta por pinos e uma chapa de aço. As análises numéricas foram realizadas com o uso do pacote computacional ABAQUS considerando o método avançado de dimensionamento proposto pela EN 1995-1-2, e validados com resultados de ensaios experimentais. Observou-se uma diferença de comportamento entre parafusos e pino metálicos, sendo destacado que a região da cabeça do parafuso devido a exposição direta na face exposta a chamas, apresenta um aumento de temperatura maior do que encontrado em ligação com o uso de pinos. A taxa de carbonização determinada por meio de análise numérica apresenta valores mais conservadores do que os encontrados em norma e em ensaios experimentais utilizados como base neste artigo.
Planning of Wind Power Plant as Additional Energy Source at Malikussaleh Mosque
Authors: Putri Raihan , Hasibuan Arnawan , Ezwarsyah Ezwarsyah , Jannah Misbahul , Siregar Widyana Verawaty , Lukman Fajar Syahbakti , Fithra Herman
Published: August 2024

One of several renewable energy sources currently being developed in the world is wind energy. This wind energy is very flexible, environmentally friendly and has high efficiency.. This research focuses on planning a wind power plant that will be implemented at the Malikussaleh Mosque. The research stage begins with studying references and literature as well as the results of previous research. Then carry out a location survey to measure the existing wind speed. The second stage is selecting the windmill and designing its mount to determine the need for a control circuit, inverter, and battery selection. The third stage is planning the system plan, then the fourth stage is measuring and testing the suitability of the device whether it complies with the design and produces the planned power or not. The output resulting from this research is a recommendation for planning the use of wind power plants as an additional source of electrical energy at the Malikussaleh Mosque.
Techno-Economic Assessment of the Development of a Biogas Power Plant Made from Liquid Palm Oil Waste in Rantau Sub-District
Authors: Fitria Nura , Hasibuan Arnawan , Zulnazri Zulnazri , Azhari Azhari , Safitri Nelly , Ula Munirul
Published: August 2024

This examination talks about the potential for natural fluid waste to be utilized as a wellspring of electrical energy. The fluid waste produced from the processingof palm oil factories discharges methane into the air, causing a nursery impact which is harmful to the climate. Then again, methane contains potential as a source of electrical energy.This research was conducted quantitatively as all out energy investigation and analysis of the economic viability of biogas use in Rantau sub-district using Homer Energy software. Overall, the feasibility of development for the biogas power plant is carried out based on the supply of raw materials and electricity demand, with an estimated total investment is around 65.8 M and operational costs 5.4 M/year.
The Impact of PV and WTG Integration on Transient Stability in the Meulaboh Distribution Grid
Authors: Kurniawan Robi , Daud Muhammad , Hasibuan Arnawan , Abd. Muthalib Mukhlis , Setiawan Adi , Safitri Nelly
Published: August 2024

One of the key factors driving global interest in generating large quantities of electricity from renewable energy sources is global warming. As a consequence of advancements in solar cell fabrication, wind turbine technology, and converter technology, PV solar and Wind Turbine Generators (WTG) have emerged as the most promising renewable energy sources for large-scale electricity generation. If the current commissioning rate continues, the capacity of PV and Wind Turbine Generators will necessitate modifications to various aspects of the power system and may impact system stability. This research broadly examines technical challenges, particularly transient stability issues, associated with the large-scale integration of PV and Wind Turbine Generators into the power system. Furthermore, this research also reviews dynamic models by applying three-phase short-circuit connections at critical network points and observes their influence on transient stability of the system. Simulations are conducted using ETAP 19.0 software, which was employed to model the 20 kV distribution system network (Lamno and Calang) from the Main Substation of Muelaboh City Area. Finally, this paper summarizes research findings regarding techniques and solutions to address transient stability issues in the electric power system associated with the large-scale integration of PV and WTG into the distribution system.
The Stage of Function Analysis for Value engineering (ve)  on the Rukoh Dam Steering Construction Project
Authors: Irawati Jailani , Mubarak Mubarak , Fachrurrazi Fachrurrazi
Published: August 2024

Rukoh Dam is one of the structures that can increase the reliability of providing raw water for various purposes. The dam is expected to be able to accommodate excess water during the rainy season and anticipate water shortages during the dry season. The Rukoh dam is located in the flow of the Rukoh crew which will be assisted by the directional channels from the Inong Tiro crew dam to provide sufficient water drainage. This research aims to identify work items based on functions to ensure that the application of Value Engineering (Value Engineering) can or can not be carried out on the Rukoh Dam Irrigation Tunnel Construction Project Pidie Regency. The function analysis stage is the most important stage in value engineering because function analysis is what differentiates value engineering from other cost saving techniques. The process carried out is to identify work items through functional analysis based on their function in comparison of cost with value. From the Pareto analysis and graph, there are two high-cost work items, namely the Kr Inong supply and tunnel work. However, the cost-savings review was carried out only on suppletion duct work. At this stage of function analysis, it is known that the carrier channel structure work produces C/W ˃ 2.59, which means that it is indicated that there are unnecessary costs so that it can be continued to the next stage.
Fentanyl versus Magnesium Sulfate with 0.5% Ropivacaine in Adductor Canal Block for Knee Surgeries
Authors: Khosla Saniya , Khandelwal Hariom , Bari Nigar , Negi Anoop Singh , Saini Mohit
Published: August 2024

Background:

Adductor canal block (ACB) is an emerging technique for postoperative analgesia following knee surgery. ACB technique is relatively easy and is performed under ultrasound guidance.

Aims:

This study aimed to compare the efficacy of fentanyl and magnesium sulfate as adjuvants with 0.5% ropivacaine in ACB for patients undergoing knee surgeries. Adverse events if any were also noted.

Materials and Methods:

The study was conducted on 100 patients aged 40–80 years posted for knee surgeries. They were divided into two groups of 50 each: Group ropivacaine with fentanyl (RF) and Group ropivacaine with magnesium (RM). Group RF received 30 mL of 0.5% ropivacaine with 50 μg of fentanyl. Group RM received 30 mL of 0.5% ropivacaine with 125 mg of magnesium sulfate. Both the groups were compared on the basis of time for the first rescue analgesia given after the block. The results were analyzed using the SPSS software.

Results:

The mean time of the first rescue analgesia was 8.40 ± 0.85 h in Group RF and 10.63 ± 1.10 h in Group RM, which was higher and statistically significant (P = 0.002). Rescue analgesia was given more frequently in Group RF (5.77±3.84) compared to group RM (3.20±1.27) and this was statistically significant (P = 0.000). There were no significant adverse events noted in both the groups.

Conclusion:

Both the adjuvants, when added to ropivacaine, prolong the duration of blockade and reduce the requirement of rescue analgesia without causing significant adverse effects, but magnesium sulfate has an extra edge over fentanyl in terms of longer duration of postoperative analgesia.
Acute kidney injury in coronavirus disease 2019 patients: a game modifier
Authors: Rakha Ahmed M. , Tawfik Gamal A. , Mahmoud Mahmoud E. , Keshawy Mohammed M.
Published: August 2024

Background

Coronavirus disease 2019 (COVID-19) is a contagious disease caused by the severe acute respiratory syndrome-coronavirus-2. Most individuals affected by the virus will suffer mild to moderate respiratory symptoms and recover without the need for special care. However, acute kidney injury (AKI) was present in 0.5–25% of hospitalized COVID-19 patients and associated with poor prognosis. Among COVID-19 patients, hypovolemia and dehydration are common causes of AKI. AKI is the second most frequent cause of morbidity and mortality in severe acute respiratory syndrome-coronavirus-2 patients after acute respiratory distress syndrome. There are scarce studies about the incidence and outcomes of AKI in COVID-19 patients worldwide.

Patients and methods

This study aims at evaluating the incidence, risk factors, and outcomes of AKI in COVID-19 patients. This study is a retrospective observational study conducted on 296 patients with a positive PCR test for COVID-19 admitted to the isolation unit in Suez Canal University Hospital, Egypt.

Results

AKI developed in 53.4% of COVID-19 patients. Moreover, critically ill COVID-19 patients in the ICU had a higher incidence of AKI compared with hospitalized patients. Furthermore, AKI incidence was significantly associated with higher age, presence of hypertension, or chronic kidney disease.

Conclusion

AKI developed in a considerable number of COVID-19 patients and was significantly associated with higher mortality.
Investigating the Effects of Various Root Canal Irrigation Solutions on Tissue Dissolution and Microbial Control
Authors: Jakhar Ashima , Vats Anjali Shrivastava , Singh Simarjeev , Thind Gagandeep , Aga Nausheen , Agwan Muhammad Atif Saleem , Makkad Ramanpal Singh
Published: August 2024

ABSTRACT

Background:

Both the mechanical cleansing effect and the irrigants’ capacity to disintegrate tissue are necessary for irrigation to be successful. Strong antibacterial but not poisonous to the periapical tissues and increased pulp tissue dissolution irrigant are all desirable qualities in an irrigant.

Aim:

To assess and compare the antibacterial properties and pulp tissue dissolving activity of various irrigation solutions.

Methods and Materials:

A total of 240 human mandibular permanent premolar teeth that were extracted recently for periodontal or orthodontic reasons were used in this investigation. Following irrigation, blood agar plates were used to conduct colony-forming unit (CFU) counts of the microorganism breeding colonies. Next, log CFU was computed. Before evaluating the ability of the five distinct irrigants utilized in this investigation to dissolve the frozen pulp tissues, the tissues were first smashed into smaller pieces using a mallet.

Results:

The bacterial count after irrigation in category 1 (normal saline), category 2 (aqueous ozone), category 3 (ethylenediaminetetraacetic acid (EDTA)), category 4 (chlorhexidine gluconate (CHX)), category 5 (super-oxidized water), and category 6 (sodium hypochlorite (NaOCl)) was 6.08 ± 0.87 log CFU mL-1, 0.92 ± 0.89 log CFU mL-1, 4.15 ± 0.20 log CFU mL-1, 3.34 ± 0.46 log CFU mL-1, 0.21 ± 0.52 log CFU mL-1, and 0.00 ± 0.00 log CFU mL-1, respectively.

Conclusion:

NaOCl has maximum antimicrobial reduction and pulp tissue dissolution property.
Correlation of MTHFR C677T Polymorphism with Male Infertility among Indian Population: Case-Control Study
Authors: More Akash , Anjankar Namrata , Shrivastava Jarul , Nair Nancy , Jadhav Ritesh
Published: August 2024

ABSTRACT

This case-control study investigated the correlation between male infertility in India and the methylenetetrahydrofolate reductase (MTHFR) C677T variant. Infertile males were utilized as the case group in the study, whereas fertile individuals served as the control group. The C677T polymorphism was genotyped using PCR-RFLP analysis (polymerase chain reaction–restriction fragment length polymorphism). The Chi-square test and odds ratio calculation were implemented in the statistical analysis method for assessing the correlation between the C677T mutation and infertility. The results of this study revealed that the case group (9.4%) had a substantially greater prevalence of the C677T variation than the control group (1.6%). The C677T variation is significantly associated with male infertility by the Chi-square test (P value: 0.006). According to these results, the MTHFR gene›s C677T variation may increase the incidence of male infertility in the Indian population. Additional evaluations were also conducted to investigate the association between the C677T variation and particular infertility indicators. The C677T variation has been demonstrated to have been significantly correlated with a low or missing sperm count (p 0.05). These findings highlight the potential function of the MTHFR gene in reproductive health and advance our understanding of the genetic underpinnings of male infertility. It is encouraged to investigate the underlying mechanisms and additional investigation of the underlying mechanisms and to support the creation of individualized approaches to diagnosing and managing male infertility.
Analysis of Pregnancy Outcomes in Women with Polycystic Ovary Syndrome (PCOS): A Retrospective Study
Authors: Salgotra Manjula , Bharti Nancy , Sinha Varsha , Tiwari Rahul , Tiwari Heena Dixit , Shashank Chapala , Kalsi Jasmine , Pujari Priyanka R
Published: August 2024

ABSTRACT

Introduction:

Although PCOS affects reproductive health, its consequences on the outcome of pregnancies are still up for discussion. Comparing the pregnancy outcomes of women with PCOS to a control group was the goal of this retrospective research.

Methods:

Analysis of data from tertiary care centers between 2017 and 2022 was done in retrospective. While the controls (n = 300) matched for age, BMI, and parity, the PCOS group (n = 300) satisfied Rotterdam criteria. Maternal-fetal health, birth outcomes, and gestational problems were evaluated.

Results:

Compared to controls, women with PCOS had a greater incidence of preeclampsia (12.3% vs. 8.1%, P = 0.023) and gestational diabetes (18.7% vs. 9.8%, P < 0.001). On the other hand, there were no notable variations in low birth weight (P = 0.589) or preterm delivery (P = 0.321).

Conclusion:

In summary, the correlation between PCOS and increased risks of gestational diabetes and preeclampsia emphasizes the necessity of customized therapies. The intricacy of PCOS’s influence on birth outcomes is shown by the inconclusive results regarding preterm delivery and low birth weight, which call for more research to enhance mother and newborn health in this group.
Evaluation of Post-Operative Pain Management Techniques in Oral Surgery
Authors: Mongia Jeswin Singh , Tejaswee Annaluru Sri Sasank , Marella Vishnu Gowtham , Srilakshmi Donka , Almasri Mazen Ahmad , Tenglikar Pavan , Dayanithi BS
Published: August 2024

ABSTRACT

Objective:

This prospective research directed to estimate the efficacy and safety of different post-operative pain management techniques in oral surgery subjects.

Methods:

Patients scheduled for various oral surgical procedures were recruited from a single oral surgery clinic between January 2022 and December 2023. Inclusion criteria encompassed adult subjects undergoing elective oral surgery under local or general anesthesia. Subjects were randomly assigned to one of three post-operative pain management protocols: Group A received standard analgesics, Group B received combination analgesics, and Group C received non-pharmacological interventions. Pain intensity scores, analgesic consumption, adverse events, and patient satisfaction were assessed at specified intervals post-operatively.

Results:

Non-pharmacological interventions demonstrated lower pain intensity scores and analgesic consumption compared to standard and combination analgesics. Additionally, the incidence of adverse events was lower in the non-pharmacological intervention group. Statistical analysis revealed significant differences in pain outcomes among the three groups.

Conclusion:

This prospective research suggests that non-pharmacological interventions may provide effective pain relief with fewer adverse events compared to traditional analgesics in post-operative oral surgery subjects. Implementation of multi-modal pain management approaches tailored to individual patient needs may improve overall pain control and enhance patient outcomes.
Comparative Analysis of Surgical Techniques for Wisdom Tooth Extraction
Authors: Pillai A Rashmi , Ibrahim Mohammed , Malhotra Aayush , Sunil R , Somaraj Vinej , Nasyam Fazil Arshad , Tenglikar Pavan , Managutti Anil , Tiwari Rahul
Published: August 2024

ABSTRACT

Background:

Wisdom tooth extraction often requires various surgical techniques due to differences in tooth position, root morphology, and patient characteristics. This research aims to compare traditional surgical extraction with minimally invasive techniques such as piezo surgery and laser-assisted extraction, as well as extraction with the aid of 3D imaging and navigation systems.

Methods:

Patients requiring wisdom tooth extraction were randomly assigned to one of the surgical technique groups. Preoperative imaging assessed tooth position and root morphology. Intraoperative variables and postoperative outcomes were recorded, including pain levels, swelling, and healing time. Patient-reported outcomes were assessed using standardized questionnaires.

Results:

Piezo surgery, 3D imaging, and navigation-guided extraction techniques demonstrated a shorter mean duration of surgery and lower incidence of intraoperative complications compared to traditional extraction and laser-assisted extraction. Postoperative outcomes were superior in the 3D imaging and navigation-guided extraction group, with lower pain scores, reduced swelling, and faster healing time.

Conclusion:

Advanced imaging-guided techniques, particularly 3D imaging and navigation-guided extraction, offer significant benefits for patients undergoing wisdom tooth extraction by improving surgical precision, minimizing complications, and enhancing postoperative outcomes. Incorporating these technologies into routine practice can optimize patient care and outcomes in oral surgery.
Evaluation of Orthodontic Retention Protocols and Their Impact on Treatment Stability: Insights from a Tertiary Care Study
Authors: Mohanty Biswaroop , Ravuri Preetham , Kubavat Ajay K. , Kauser Afreen , Bansilal Wagh Shital , Varma Datla Praveen Kumar , Pujari Priyanka R. , Nallamilli Leela Venkata Soujanya
Published: August 2024

ABSTRACT

Context:

The goals of orthodontic therapy are to provide stable treatment results and the best possible tooth alignment. Orthodontic retention regimens are essential for avoiding relapses after treatment; however, there is ongoing discussion on the best regimen.

Methods:

Orthodontic patients treated at a tertiary care center were the subject of a retrospective analysis. Information was gathered about follow-up evaluations, treatment techniques, patient demographics, and retention procedures. Relapse rates and occlusal characteristics were among the objective variables used to evaluate treatment stability. A statistical analysis evaluated the effectiveness of various retention strategies.

Findings:

When it came to preserving treatment stability, fixed retainers outperformed detachable appliances, Hawley retainers, and Essix retainers. The mean changes in occlusal parameters and relapse rates were greater for removable appliances, but the performance of Hawley and Essix retainers was moderate. Significant variations in retention techniques were verified by statistical analysis, with fixed retainers outperforming alternative detachable retainers and removable appliances. In conclusion, compared to alternative detachable retainers and removable equipment, fixed retainers are more successful in preserving treatment stability. Retention protocols, however, must to be established with each patient’s needs and treatment preferences in mind. The length of patient compliance and retention has a crucial role in determining the stability of therapy, underscoring the significance of patient education and continued monitoring. To improve long-term treatment results and optimize orthodontic retention techniques, further research and technical developments are required.
Comparative Analysis of Post-operative Pain Relief and Healing Outcomes between Single-Visit and Multiple-Visit Root Canal Therapy: A Tertiary Care Study
Authors: Chaitanya Miriyala , Bhawalkar Abhilasha , Bagchi Anandamoy , Divyatammana  , Shetty Anshuman , Chohan Hitesh , Mustafa Mohammed
Published: August 2024

ABSTRACT

Background:

Apical periodontitis and irreversible pulpitis are typical dental conditions treated with “Root Canal Treatment (RCT)”. Single-visit RCT has become a viable alternative to the multi-visit RCT method used in traditional RCT.

Methods:

A total of 100 RCT participants were randomised to either the single-visit or multiple-visit groups at random. A ”Visual Analogue Scale (VAS)” was used to measure post-operative discomfort at 24, 48, and 72 hours. At 6 and 12 months, peri-apical radiographs were used to assess the healing results.

Results:

At all time periods, there were no discernible variations in post-operative discomfort between the single-visit and multiple-visit groups. In contrast to the multiple-visit group, the single-visit group had greater rates of full healing at both 6 and 12 months.

Conclusion:

Compared to multiple-visit RCT, single-visit RCT provides similar post-operative pain alleviation and may result in better healing results. This suggests that single-visit RCT is a feasible and effective management option for patients who need root canal therapy.
Assessment of Factors Affecting the Success of Endodontic Retreatment Procedures
Authors: Mirza Mubashir Baig , Shetty Shilpa , Maiti Niladri , Dewan Harisha , Dutta Smita Durga , Sainudeen Shan , Thakkar Radhika
Published: August 2024

ABSTRACT

Background:

Endodontic retreatment is crucial for preserving dental health but is influenced by various factors.

Objective:

This research aimed to assess factors affecting the success of endodontic retreatment procedures.

Methods:

A retrospective analysis was conducted on 250 cases of endodontic retreatment. Demographic and clinical data were collected, and treatment success was defined based on predetermined criteria. Statistical analysis was performed to evaluate associations between treatment factors and retreatment outcomes.

Results:

The overall success rate was 75%. Rotary instrumentation, gutta-percha obturation, and use of intracanal medication were significantly associated with higher retreatment success rates (P < 0.05).

Conclusion:

Factors such as instrumentation type, obturation material, and intracanal medication significantly influence endodontic retreatment success. Understanding and optimizing these factors are crucial for improving treatment outcomes and patient satisfaction.
Effectiveness of Different Bonding Agents in Minimally Invasive Cavity Preparations
Authors: Maiti Niladri , Bhawalkar Abhilasha , Ali Rozina Hussain , Roja Nallamilli Lalitha Sri , Agrawal Pratik , Shetty Anshuman , Singh Shalini
Published: August 2024

ABSTRACT

Objective:

This research is meant to evaluate the effectiveness of different bonding agents in minimally invasive cavity preparations at a tertiary care center.

Materials and Methods:

A prospective research was conducted involving patients requiring minimally invasive cavity preparations. Patients were randomly assigned to groups based on the bonding agent used. Standardized cavity preparations were performed, and bonding agent application followed manufacturer instructions. Outcome measures included bond strength and marginal adaptation. Data were analyzed using appropriate statistical methods.

Results:

Bonding Agent A exhibited the highest mean bond strength (25.6 MPa) and superior marginal adaptation (mean score: 4.2) compared to Bonding Agents B and C. These differences were statistically significant (P < 0.001 for bond strength, P < 0.05 for marginal adaptation).

Conclusion:

Bonding Agent A demonstrated superior performance in achieving durable and esthetically pleasing restorations in minimally invasive cavity preparations. These findings underscore the importance of selecting appropriate bonding agents for conservative dental treatments to optimize treatment outcomes and patient satisfaction.
Assessment of Temporomandibular Joint Disorders: Retrospective Study of Clinical Presentations
Authors: Jain Aishla , Mansuri Samir , Perti Sonali , Gupta Brajesh , Raut Vaibhavi , Mujoo Sheetal , Gulia Sunil K.
Published: August 2024

ABSTRACT

Objective:

This retrospective research aimed to assess the clinical presentations and management strategies for “temporomandibular joint (TMJ)” disorders.

Methods:

Medical records of patients diagnosed with TMJ disorders between 2017 and 2022 were retrospectively analyzed. Data collected included demographic information, clinical symptoms, radiographic findings, treatment modalities, and treatment outcomes. Statistical analysis was performed to examine associations between variables and treatment outcomes.

Results:

A total of 150 patients were included in the research, with a mean age of 42.5 years. The most common presenting symptoms were pain (80.0%), limited mouth opening (60.0%), and clicking/popping sounds (40.0%). Muscle tenderness (53.3%) and jaw deviation (20.0%) were also observed. Treatment modalities encompassed pharmacotherapy, physical therapy, occlusal splints, and surgical interventions. Statistical analysis revealed significant associations between certain demographic characteristics and clinical presentations.

Conclusion:

This research provides valuable insights into the clinical presentations and management strategies for TMJ disorders. Pain, limited mouth opening, clicking/popping sounds, muscle tenderness, and jaw deviation were among the common symptoms observed. A multi-disciplinary approach involving various healthcare professionals is essential to optimize patient outcomes and improve quality of life for individuals affected by TMJ disorders.
Retrospective Research of Cases of Oral Mucosal Diseases: Diagnosis and Management Trends
Authors: Prakash Sasankoti M. Ravi , Verma G. R. Raveendra , Kaur Harveen , Karankot Gouthami , Ausare Surabhi S. , Mujoo Sheetal , Bagewadi Shivanand
Published: August 2024

ABSTRACT

Objective:

The purpose of this retrospective study was to look into patterns in the diagnosis and treatment of oral mucosal disorders over a 12-year period in a tertiary care environment.

Methods:

A comprehensive review of medical records from a Tertiary Care Center was conducted, encompassing 2010–2022. Data on patient demographics, clinical presentations, diagnostic methods, treatment modalities, and outcomes were systematically analyzed. Descriptive statistics and trend analyses were employed to discern patterns and changes over time.

Results:

A total of 500 cases were included in the research, with a mean age of 42.5 years. Aphthous ulcers, oral lichen planus, and candidiasis were the predominant diseases, collectively constituting 58% of cases. Diagnostic modalities varied, including biopsy and imaging. Treatment modalities ranged from topical agents to surgical procedures, tailored to specific diagnoses. The prevalence of squamous cell carcinoma was noteworthy at 8%.

Conclusion:

This research provides insights into the evolving landscape of oral mucosal disease diagnosis and treatment in tertiary care. Identified trends emphasize the importance of individualized care, advancements in diagnostic techniques, and ongoing research collaboration. Addressing challenges identified in this research is crucial for enhancing patient outcomes and shaping future research directions.
Long-Term Trends in the Utilization of Cone Beam Computed Tomography in Oral and Maxillofacial Radiology
Authors: Kumar Nithin , Malik Bhavna , Dubey Alok , Kaur Harveen , Mujoo Sheetal , Jugade Shraddha C. , Gulia Sunil K.
Published: August 2024

ABSTRACT

Background:

Cone beam computed tomography (CBCT) has become a cornerstone in oral and maxillofacial radiology due to its high-resolution, three-dimensional imaging capabilities and lower radiation exposure compared to traditional computed tomography (CT). The purpose of this retrospective study is to examine long-term patterns in the use of CBCT in a tertiary care context, with an emphasis on patient characteristics, CBCT indications, and variations in use patterns over time.

Methods:

During the course of 5 years, a tertiary care facility performed 500 CBCT scans, all of which were included in the study. Information on the age, sex, and source of referral for each patient was gathered from their electronic medical records. Radiology data were used to categorize CBCT indications, which included implant planning, impacted tooth assessment, and pathology evaluation. Regression analysis and descriptive statistics were used to examine utilization trends.

Results:

Throughout the study period, there was a consistent rise in the use of CBCT, with implant planning being the most often cited indication. Impacted tooth assessment and pathology evaluation were next in line. Considerable differences were noted in the use of CBCT for various age groups and indications. The results demonstrate how CBCT is improving oral and maxillofacial radiology’s diagnostic precision and treatment planning. In summary, this study offers a significant understanding of the long-term patterns in CBCT use in a tertiary care context. With ramifications for resource allocation, patient care, and future research objectives, the observed trends highlight the increasing acceptability and incorporation of CBCT into standard clinical practice.
Evaluating the Efficacy of Adjuvant Radiotherapy in the Management of Advanced Oral Cancer Cases
Authors: Thakkar Radhika , Nalini M. Rama , Jha Rohit K. , Chaturvedi Mudita , Prathigudupu Raja S. , Hemavathy S. , Dayanithi B S
Published: August 2024

ABSTRACT

Background:

Because of its high rates of morbidity and death, especially in its late stages, oral cancer poses a serious threat to world health. Even with improvements in surgical and chemotherapeutic techniques, advanced oral cancer is still difficult to treat and frequently has unfavorable results.

Methods:

Information on demographics, tumor features, treatment options, and results were gathered from medical records. Patients were categorized according to whether they underwent surgery alone or adjuvant radiation treatment after initial surgical resection. For the survival analysis, Kaplan–Meier curves and Cox proportional hazards models were employed.

Results:

There were 150 patients in all, 75 in each group, who took part in the trial. Comparing adjuvant radiation to surgery alone resulted in considerably better overall survival (P < 0.001) and disease-free survival (P < 0.001). However, problems connected to the adjuvant radiation group affected a portion of the patient population.

Conclusion:

In conclusion, patients with advanced oral cancer can improve their overall and disease-free survival with adjuvant radiation, a successful therapeutic option. To maximize results, nevertheless, cautious patient selection and effective management of treatment-related problems are crucial. To improve treatment algorithms and investigate cutting-edge therapeutic techniques for this difficult condition, further research is necessary.
Longitudinal Study of Oral Precancerous Lesions: Transformation Rate and Predictive Markers for Malignancy
Authors: Das Duttatrayee , Issac Anu Sumi , Sangala Bhavani N. , Jerry Aldrin , Jankar Ajit , Jain Teerthesh , Singh Rohit Kumar
Published: August 2024

ABSTRACT

Background:

One of the main risk factors for the occurrence of oral cancer is oral precancerous lesions (OPLs). Early management and preventive efforts depend on knowing the transformation rate and detecting predictive signs of malignancy.

Methods:

For 6 months, a group of 200 individuals with clinically diagnosed OPLs was followed up on in this longitudinal research. To examine biomarker expression levels and describe the lesions, examinations using immunohistochemistry, histopathology, and clinical methods were carried out.

Findings:

Over the course of 2 years, 200 patients with OPLs were monitored in this study. Most lesions had mild dysplasia, according to histopathological examination. The expression of many biomarkers that were correlated with the dysplasia grade were p53 (60.0%), Ki-67 (40.0%), CDKN2A (30.0%), and epidermal growth factor receptor (EGFR) (25.0%).

Conclusion:

In summary, this study emphasizes how crucial it is to provide patients with OPLs with individualized care plans and routine surveillance. Certain biomarkers, such EGFR, Ki-67, and p53, can be useful prognostic markers for identifying malignant transformation. To confirm these results and create tailored therapies for high-risk patients, more study is necessary.
Evaluating the Impact of Prosthetic Material Choices on the Clinical Outcomes of Implant-Supported Restorations
Authors: Patil Vishal V. , S Sowmya , Vathare Amit Shivakant , Desai Hima , Dewan Harisha , Yekula Prem Sagar , Sutariya Sanjana I
Published: August 2024

ABSTRACT

Background:

By resolving the difficulties associated with missing teeth, implant-supported restorations have emerged as a key component of contemporary dentistry. The choice of prosthetic materials is crucial in establishing the durability and clinical efficacy of these restorations.

Methods:

A prospective design was used at a tertiary care hospital with 150 patients receiving implant-supported restorations. Depending on which of the three prosthetic materials were utilized for their prosthesis—ceramic, metal, or polymer—the patients were randomized into one of three groups. Clinical assessments were carried out at baseline and at regular intervals for a minimum follow-up period of [insert time]. These evaluations included implant stability, peri-implant health, restorative integrity, patient satisfaction, and maintenance needs.

Results:

When compared to metal and polymer alternatives, ceramic restorations showed superior implant stability (75.2 ± 3.6 N cm), peri-implant health (1.8 ± 0.4), and restoration integrity (92%). Ceramic restorations had the greatest patient satisfaction ratings (8.5 ± 1.2), but there was no statistically significant difference between the material groups. Restorations made of polymers showed the greatest maintenance requirements (2.0 ± 0.9).

Conclusion:

The choice of prosthetic material has a major impact on how well implant-supported restorations function clinically. Ceramic restorations performed better in terms of restoration quality, peri-implant health, and implant stability, demonstrating their appropriateness for producing positive long-term outcomes.
Impact of E-Learning and Predictable Practical Learning Expectations During the Covid-19 Pandemic on Dental Graduates
Authors: Priya N Tulasi , Vanapatla Amulya , Rajani Punna , Rayi Sreeharsha , Naresh Gaddala , Puppala Chaitanya
Published: August 2024

ABSTRACT

Background:

Dental education is facing hitherto unheard-of difficulties as a result of the COVID-19 epidemic, which calls for quick adaption to remote learning methods. The purpose of this study was to look at how dental graduates were affected by the COVID-19 epidemic and the effects of e-learning and predictable practical learning expectations.

Methods:

Data from dental college graduates were gathered using a mixed-methods approach that included questionnaires and interviews. While surveys evaluated e-learning’s perceived efficacy, obstacles faced, and levels of satisfaction, interviews offered a deeper look into the opinions and experiences of participants.

Findings:

Graduates in dentistry expressed great satisfaction and perceived efficacy with e-learning platforms. Nevertheless, difficulties were faced, such as inadequate practical expertise and technological obstacles. Expectations related to practical learning, such as training predictability and availability of clinical resources, markedly declined throughout the epidemic.

Conclusion:

In summary, the results underscore the intricate relationship among e-learning, realistic learning objectives, and the difficulties encountered by recent dentistry graduates during the COVID-19 epidemic. Assuring thorough dentistry education in the post-pandemic period requires a hybrid strategy that incorporates virtual and practical learning modalities.
Evaluation of Immediate and Delayed Placement of Post on Sealing ability of Periapical Area: An Original Research
Authors: Sadan Pramod Punchiri , Dutta Smita Durga
Published: August 2024

ABSTRACT

Objective:

The purpose of this research is to compare the effects of post placement—immediate and delayed—on the periapical area’s capacity to close after root canal therapy (RCT).

Techniques:

A random split of sixty recently removed human single-rooted teeth was made into two groups: Group A received immediate post placement, whereas Group B received post placement after seven days. Standard guidelines were followed in the preparation of root canals and the placement of posts. A dye penetration method was used to measure microleakage, a measure of sealing capacity.

Findings:

Compared to the immediate post placement group (0.62 ± 0.08) (P < 0.001), the delayed post placement group had a considerably lower mean microleakage score (0.35 ± 0.06), showing improved sealing capacity. In conclusion, post implantation done later enhances the periapical area’s sealing capacity after RCT. This research underscores the significance of scheduling endodontic treatments to maximize treatment success and improve tooth retention, as well as the possible therapeutic advantages of postponing post implantation.
Assessment of Factors Associated with Mandibular Anterior Crowding in Mixed Dentition
Authors: Shetty Vikranth Omprakash , Ravi M. S. , Shetti Shraddha , Bhangare Jayashri , Kudalkar Varada , Dhanshetti Shruti
Published: August 2024

ABSTRACT

Introduction:

Dental crowding can be defined as a disparity in the relationship between the tooth size and arch length, which results in imbrication and rotation of teeth. Crowding of permanent teeth, especially in the anterior part of the mandible, is believed to be the most frequent form of malocclusion in children. The appropriate age for treatment of crowding is the late mixed dentition period.

Aim:

To assess and compare the dental and skeletal factors associated with early crowding and non-crowding in children with mixed dentition. Methodology: This experimental cross-sectional study was conducted in Mangalore within 24 months. A total of sixty subjects between the age group of 7–10 years of both sexes were included in the study, in which the experimental group includes 30 subjects with mandibular crowding and the control group includes 30 subjects without lower anterior crowding. A comparison of model analysis parameters between the crowding group and the non-crowding group was done using Student’s t-test. Any P-value of ≤0.05 is considered statistically significant.

Results:

The result showed that dental parameters like total incisor width were greater and intercanine width was found to be reduced in the crowding group, whereas arch diameter was found to be increased in non-crowding group, which was statically significant (P-value). Skeletal parameters like SNA and SNB were found to be significantly decreased in crowding individuals (P-values of 0.011 and 0.04, respectively).

Conclusion:

The total incisor width was found to be greater in the crowding group when compared to the non-crowding group, and this could be one of the reasons for the cause of crowding in the early mixed dentition period. The intercanine width and arch diameter were reduced in the crowding group when compared to the non-crowding group. Crowding in the permanent dentition may either be eliminated or at least severity can be reduced if interceptive orthodontics is initiated at an early stage in such children.
Single-Piece Implant Systems and its Longterm Stability: An Evaluative Research
Authors: Javiya Piyush , Rajakumari Kandra , Gorrepati Sravya , Srilakshmi Donka , Mansoor Manawar Ahmad , Abdul Hina Naim , Baig Fawaz Abdul Hamid
Published: August 2024

ABSTRACT

Objective:

The objective of this research was to compare the longstanding stability of single-piece implant systems to typical two-piece systems by analyzing patient records retrospectively.

Methods:

A retrospective examination of patient records from January 2010 to December 2020 was undertaken at the Department of Oral Implantology, University Hospital. The research included dental rehabilitation patients who got single- or two-piece implant systems. Patient demographics, implant features, surgical procedures, and follow-up results were extracted. Implant success rates, stability defined by resonance frequency analysis (RFA) utilizing Osstell ISQ®, and peri-implant bone loss evaluated by standardized periapical radiographs at baseline and follow-up visits were the main outcomes.

Results:

The research involved 320 patients (160 per cohort). The average patient age was 52.7 years, with 55% men. The mandibular region received 65% of implants, and the maxillary region the rest. Single-piece cohort A had 94.6% implant success, and two-piece cohort B 96.2%. Implant success rates were similar between cohorts (P = 0.412). The mean ISQ scores were 72.4 ± 4.8 in cohort A and 74.8 ± 5.1 in cohort B (P = 0.086). Peri-implant bone loss was 1.8 ± 0.7 mm in cohort A and 1.4 ± 0.6 mm in cohort B (P = 0.031).

Conclusion:

Single-piece implant systems provide a stable and successful alternative to classic two-piece systems. However, patient selection, surgical technique, and monitoring are essential to reduce peri-implant problems and improve clinical results. To improve implant dentistry patient care and evidence-based clinical practice, single-piece and two-piece implant systems’ design, biomechanical features, and longstanding performance should be studied.
Investigating of Minimally Invasive Approaches in the Treatment of Temporomandibular Joint Disorders
Authors: Kumar Sachin , Punga Rohit , Bhagat Nitin , Sharma Rohit , Adurti Aparajita , Das Subhajit , Makkad Ramanpal S.
Published: August 2024

ABSTRACT

Background:

Minimal intrusive TMJ operations have been recommended as a substitute for conservative therapy when conservative measures fail to relieve significant acute pain, chronic discomfort, inflammation, and/or degenerative illness, specifically in TMD cases.

Aim:

This study was conducted to investigate minimally invasive approaches (TMJ arthrocentesis and TMJ arthroscopy) in the treatment of temporomandibular joint (TMJ) disorders.

Methods and Materials:

It was a prospective study which included 30 clinically and radiographically diagnosed cases of TMDs. The study participants underwent two main therapy was carried out: TMJ arthrocentesis and TMJ arthroscopy. There was assessment of pain through VAS scale and maximum mouth opening (MMO) 1 month preoperatively as well as 3 months postoperatively.

Results:

There was statistically significant decrease in mean VAS score and increase in MMO in patients treated with TMJ arthrocentesis and TMJ arthroscopy. When there is comparison between TMJ arthrocentesis and TMJ arthroscopy, then there was more reduction in pain and increase in MMO in TMJ arthroscopy; however, the difference was non-significant statistically at both preoperative and postoperative situations.

Conclusion:

Minimally invasive approaches like TMJ arthrocentesis and TMJ arthroscopy can be useful in the treatment of TMJ disorders.
Clinical Evaluation of Role of Laser in Soft Tissue Surgical Guide for Implant Placement
Authors: Kukreja Bhavna Jha , Talukder Dhaniram , Kumar K Hanumantha , Yadav Apna , Singh Tarun Kumar , Sahoo Nivedita , Makkad Ramanpal Singh
Published: August 2024

ABSTRACT

Background:

Applying automated laser ablation procedures with pulsed, electronically administered diode laser equipment, and large-area masking results in highly aligned, uniform microstructures on these surfaces.

Aim:

Clinical evaluation of role of laser in soft tissue surgical guide for implant placement.

Methods and Materials:

This study included 30 patients with dental implants in their oral cavity. These patients were divided into two categories. Category 1: Control where laser was not used for soft tissue guide. Category 2: Laser group where laser was used for soft tissue guide. There was the evaluation of bleeding index, plaque index, probing depth, and crestal bone loss in each patient at 3-month follow-up, 6-month follow-up, and 12-month follow-up by the same clinician.

Results:

There was decline in values of bleeding index, plaque index, and probing depth in both control group and laser group at 3-month follow-up, 6-month follow-up, and 12-month follow-up. However, the decline in values was more pronounced in laser group. There was more increase in crestal bone loss as time progressed in control group while the increase in crestal bone loss in laser group was minimal as time progressed.

Conclusion:

Laser can be applied successfully in soft tissue surgical guide for implant placement as it gives better results regarding soft tissue health and crestal bone loss.
Comparative Study to Assess the Effects on Blood Pressure of Drinking Green and Black Tea among Hypertensive Patients
Authors: Meena P , Jayakumar Meenakshi
Published: August 2024

ABSTRACT

Hypertension is a serious condition that affects both industrialized and developing nations’ public health. It is an important medical condition that can raise the chance of developing heart, brain, kidney, and other problems.

Objective:

• To evaluate the effect of green tea and black tea on blood pressure (BP). • To compare the levels of BP among black tea- and green tea-consuming hypertensive patients. • To find out the association between effects of green tea- and black tea-consuming hypertensive patients with selected demographic variables.

Methodology:

A quasiexperimental research design with the purposive sampling technique was adopted to conduct a study among 60 hypertensive patients. Thirty patients consume black tea, and 30 consume green tea. Data were gathered by structured questionnaires using demographic variables and biological parameters.

Result:

The calculated Student independent ‘t’ test value of t = 3.216 in the post-test shows that there was a statistically significant difference between the post-test levels of systolic BP between the two groups, which was statistically significant at P < 0.01 level. The calculated student independent‘t’ test value of t = 2.986 in the post-test shows that there was a statistically significant difference between the post-test levels of diastolic BP between the two groups, which was statistically significant at P < 0.01 level.

Conclusion:

Green tea was found to be more effective than black tea in reducing the level of hypertension among the hypertensive clients.