bluuebunny/crossref_metadata_2025 huggingface dataset:
FUNGSI PENGAWASAN BADAN PERMUSYAWARATAN DESA (BPD) DALAM MELANCARKAN PELAKSANAAN PEMILIHAN PERBEKEL DI DESA WONGAYA GEDE KECAMATAN PENEBEL KABUPATEN TABANAN TAHUN 2020
Authors: Badrika I Nyoman Alit , Wibawa I Ketut Sukantha Artha
Published: November 2024

Badan Permusyawaratan Desa (BPD) menjadi penting karena keberadaannya sebagai representasi warga desa. Demokrasi desa sendiri sejatinya telah diafirmasi sejak era otonomi daerah di Indonesia, tepatnya melalui Undang-Undang Nomor 6 Tahun 2014 tentang Desa. Didorong oleh semangat mengevaluasi pemerintahan orde baru yang cenderung sentarlistik. Undang-Undang Nomor 6 Tahun 2014 mengusung penguatan tata kelola pemerintahan Desa melalui prinsip demokrasi. Keberadaan dan fungsi Badan Perwakilan Desa tetap dipertahankan setelah Undang-Undang Nomor 22 Tahun 1999 diganti menjadi Undang-Undang Nomor 32 Tahun 2004, dan diganti lagi dengan Undang-Undang Nomor 6 Tahun 2014, meskipun secara harfiah mengalami perubahan sebutan menjadi Badan Permusyawaratan Desa. Penelitian ini mengambil judul Fungsi Pengawasan Badan Permusyawaratan Desa  (BPD)  Dalam  Melancarkan  Pelaksanaan Pemilihan Perbekel Di Desa Wongaya Gede Kecamatan Penebel Kabupaten Tabanan Tahun 2020. Dengan menggunakan Teknik purposive sampling. Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan rancang bangun observasional deskriptif. Teknik penelitian yang dilakukan dengan cara survei lapangan, wawancara, dan studi literatur. Dari hasil penelitian bahwa pengawasan yang dilakkan oleh Badan Permusyawaratan Desa Wongaya sudah berjalan secara baik sehingga tercipptanya suasana pemilihan kepala desa dengan damai dan kondusif. Pengawasan yang dilakukan oleh BPD secara langsung dan tidak langsung berjalan dengan baik. Tidak ditemui adanya pelanggaran yang dapat mengganggu proses pemilihan Perbekel Desa Wongaya Gede.
EFEKTIVITAS PELAYANAN SAMSAT KERTI DALAM PEMBAYARAN TUNGGAKAN PAJAK KENDARAAN BERMOTOR PADA BADAN PENDAPATAN DAERAH PROVINSI BALI
Authors: Sumastra I Gusti Agung Bagus Rudy , Widyani Ida Ayu Putu Sri , Utari Dewi Nyoman Diah
Published: November 2024

Samsat Kerti yang merupakan layanan untuk membayar tunggakan pajak kendaraan bermotor untuk pengesahan tahunan dan kendaraan aktif yang langsung menuju rumah tinggal wajib pajak yang masih tercatat sebagai tunggakan pajak dengan sepeda motor keliling, yang saat ini di hadirkan di seluruh unit-unit pelayanan UPTD PPRD kabupaten/ kota. Keberadaan Samsat Kerti diharapkan dapat mempermudah masyarakat untuk membayar tunggakan pajak kendaraan bermotor. Adanya permasalahan terkait pembayaran pajak kendaraan bermotor melalui Samsat Kerti masih terlihat jauh dari targetnya. Kondisi tersebut di atas melatarbelakangi penelitian ini dalam rangka mengetahui bagaimana efektivitas pelayanan, faktor penghambat dan upaya yang dilakukan pada pelayanan Samsat Kerti dalam pembayaran tunggakan pajak kendaraan bermotor pada Badan Pendapatan Daerah Provinsi Bali. Penelitian ini menggunakan pendekatan metode deskriptif kualitatif. Tujuan penelitian adalah untuk mengetahui dan menganalisis efektivitas pelayanan, faktor penghambat dan upaya yang dilakukan pada pelayanan Samsat Kerti dalam pembayaran tunggakan pajak kendaraan bermotor pada Badan Pendapatan Daerah Provinsi Bali. Hasil penelitian menunjukan bahwa Efektivitas pelayanan Samsat Kerti dalam pembayaran tunggakan Pajak Kendaraan Bermotor pada Badan Pendapatan Daerah Provinsi Bali pendekatan sumber belum sepenuhnya efektif, pendekatan proses dan pendekatan sasaran sudah efektif. Adapun yang menjadi faktor penghambat adalah sarana prasarana seperti jaringan internet dan armada yang belum memadai. Upaya yang dilakukan meningkatkan layanan Samsat Kerti dengan menambahkan sumber daya manusia yang lebih profesional, memfasilitasi jaringan internet dan armada untuk disegala kondisi dan lingkungan, mempermudah syarat dan ketentuan samsat.
STRATEGI KOMUNIKASI DALAM MENINGKATKAN KINERJA SOPIR POOL DI BIRO UMUM DAN PROTOKOL SETDA PROVINSI BALI
Authors: Putu Widiarianto I Gusti
Published: November 2024

Penelitian ini adalah penelitian pendekatan deskriptif kualitatif untuk meneliti strategi  komunikasi dalam meningkatkan kinerja sopir pool di Biro Umum dan Protokol Setda Provinsi Bali. Fokus penelitian ini menjelaskan sejauh mana strategi komunikasi yang dilakukan dalam rangka meningkatkan kinerja sopir pool Biro Umum dan Protokol Setda Provinsi Bali, serta upaya apa yang dilakukan untuk menyelesaikan kendala–kendala yang ada. Dalam penelitian ini difokuskan pada pengukuran kinerja yang dilihat dari lima faktor keberhasilan pencapaian prestasi yaitu fisiologis, keselamatan/keamanan, rasa memiliki, penghargaan dan aktualisasi diri. Tujuan dari penelitian ini adalah memberi suatu kesimpulan tentang strategi  komunikasi dalam meningkatkan kinerja sopir pool di Biro Umum dan  komunikasi serta kendala yang dihadapi strategi komunikasi dalam meningkatkan kinerja sopir pool di Biro Umum dan Protokol Setda Provinsi Bali. Data yang dianalisis adalah hasil wawancara dengan Kepala Biro Umum dan Protokol Setda Provinsi Bali, Kepala Bagian Rumah Tangga, Kepala Sub Bagian Urusan Dalam, Staf koordinator, sopir pool Biro Umum dan Protokol Setda Provinsi Bali serta pemakai jasa transportasi dari OPD lain, serta telaah dokumen di Biro Umum dan Protokol Serda Provinsi Bali.Hasil penelitian menunjukkan strategi komunikasi dalam meningkatkan kinerja sopir pool di Biro Umum dan Protokol Setda Provinsi Bali sangat penting dilihat dari komunikasi yang dilakukan sehingga dapat meningkatkan kinerja  sopir pool di Biro Umum dan Protokol Setda Provinsi Bali.
Neurological Recovery after Surgical Intervention in Patients with Traumatic Spinal Cord Injury (SCI). A single centre experience
Authors: Satar Abdul , Khan Muhammad Zahid , Kabir Samir Khan , Khan Arif
Published: November 2024

Objective: To determine the frequency of neurological recovery in patients with traumatic spinal cord injuries (SCI) following surgical intervention at the Department of Orthopedic & Spine Surgery, Hayatabad Medical Complex, Peshawar.

Methodology: This was a retrospective, cross-sectional study conducted from June 2016 to June 2024. A total of 354 patients with traumatic SCI who underwent surgical intervention were included. Data were collected from hospital records and analyzed using the ASIA (American Spinal Injury Association) grading system for neurological outcomes. Statistical analysis was performed using SPSS, with a significance level of p < 0.05.

Results: Out of 354 patients, 270 (76.3%) were male, and 84 (23.7%) were female, with a mean age of 31.81 years (SD ± 13.31). Falls from height were the leading cause of injury (63.6%). Neurological recovery, defined as an improvement of at least one ASIA grade, was observed in 268 (75.7%) patients. Among patients with ASIA A, 17.53% showed improvement, while 86.66% of ASIA B, 83.04% of ASIA C, and 43.7% of ASIA D patients experienced neurological improvement post-surgery.

Conclusion: The study findings underscore the significant potential for neurological recovery following surgical intervention in SCI patients, particularly in those with incomplete injuries. The results highlight the importance of early and tailored surgical management for optimal recovery.
Frequency of Dry Cough as an Adverse Effect in Patients Started on Angiotensin-Converting Enzyme (ACE) Inhibitors Presenting with Acute Coronary Syndrome (ACS) and Heart Failure to MTI-Hayatabad Medical Complex, Peshawar
Authors: Ullah Nazeef , Khan Shah Sawar , Ullah Abid , Shah Rayan Ali , khan Owais , Aamir Muhammad
Published: November 2024

Objective: To determine the frequency of dry cough as an adverse effect in patients initiated on angiotensin-converting enzyme inhibitors (ACE inhibitors) for the management of acute coronary syndrome (ACS) and heart failure (HF).

Methodology: This prospective observational study included 250 patients diagnosed with ACS or HF. Data on demographics, comorbidities, and the incidence of dry cough were collected and analyzed. The patients were followed for 30 days after initiation of ACE inhibitors, and the occurrence of dry cough was documented. Statistical analysis was performed using the chi-square test, with a p-value of <0.05 considered statistically significant.

Results: The overall incidence of dry cough was 14.5% in ACS patients and 8.8% in HF patients. A statistically significant difference in the incidence of dry cough was observed between the two groups (p = 0.03). The higher incidence in ACS patients suggests a stronger predisposition to ACE inhibitor-induced cough in this population. Other clinical factors such as age, smoking status, and comorbidities did not show a significant correlation with cough development.

Conclusion: The study found that dry cough is a frequent adverse effect of ACE inhibitors, particularly in ACS patients. Clinicians should monitor for this side effect and consider alternative therapies if intolerable symptoms occur.
Maternal risk factors and family burden with cleft children in Bangladesh
Authors: Howlader Latifa
Published: November 2024

Background: Congenital anomalies like cleft lip and palate are defects that are visible at birth and can be fatal. The family burden of cleft children is high in the world. Methods: This cross-sectional study included 110 cleft children (case) aged three months to 15 years. Data was collected through face-to-face interviews from parents or caregivers attended the Department of Oral and Maxillofacial Surgery of Dhaka Dental College and Update Dental College in Dhaka, Bangladesh. Results: This study included 58 (52.7%) males and 52 (47.3%) females cleft children. About 62 (56.4%) cases were <1 year old and the birth weight of 70 (63.6%) child was <2.5 kg. Fifteen (13.6%) mothers of them had a previous history of birth abnormalities with cleft children. Twenty-four (21.8%) mothers were malnourished during pregnancy. The mean caregiver burden score was 42.40; most were mothers, whereas 7 (43.8%) had no burden, followed by mild to moderate burden 13 (44.8%). Notably, 24 (36.9%) caregivers experienced moderate to severe burden levels with an age range of 30 to 40 years. Education up to HSC level and middle socio-economic status were found statistically significant for the birth of a cleft child (p<0.05). Conclusion: These findings highlighted the significant impact on family burden and caregiver's well-being.
Outcome of Lumbar Interbody Fusion and Posterior Instrumentation in Spondylolisthesis
Authors: Rahman Mizanur
Published: November 2024

Background: Spondylolisthesis, a prevalent source of low back pain, may require surgery after conservative treatment. Techniques like PLIF, ALIF, and TLIF have distinct benefits; PLIF, notably, provides stabilization and sagittal balance restoration via a single posterior approach. Objective: This study aimed to assess the outcomes of Lumbar Interbody Fusion and Posterior Instrumentation in Spondylolisthesis using cages and bone grafts. The study evaluated the impact of lumbar decompression, interbody fusion, and stabilization on patients' conditions. Methods: A prospective observational study was conducted at Dhaka Medical College Hospital from January to December 2021, involving 21 patients who underwent the operative procedure. The analysis encompassed the influence of lumbar decompression, interbody fusion using bone graft with cages, and stabilization with pedicle screws and rods on lumbar Spondylolisthesis patients. Results: Out of 21 patients, 7(33.3%) were male and 14(66.7%) were female. The mean age was 46.90±13.7 years and range between 23-70 years. The most expected involved level is L4 over L5 17(81.0%). According to Meyerding's grading, grade II was 15(71.4%), and grade I was 6 (28.6%), according to types of Spondylolistheses lytic 12(57.1%), degenerative 8(38.1%), and dysplastic 1 (4.8%). Excellent outcomes were seen in 17(81.0%) cases and good results were found in 4(19.0%) cases. Probably not fused after surgery was observed in 2(9.5%) patients. The preoperative Oswestry Disability Index was 57.78±2.25, and the postoperative ODI was 16.56±3.53. Conclusion: Instrumented fusion demonstrated higher fusion rates and superior clinical outcomes, suggesting its efficacy in managing lumbar spondylolisthesis.
Surgical treatment of a giant tumor resembling an inguinal hernia
Authors: Bejinariu C.G. , Manescu Obreja R.C. , Boghian L.M. , Marinescu S.A.
Published: November 2024

The paper’s aim is to present a case of successful diagnosis and treatment of a male patient with a giant lipoma of the right groin area. The patient was hospitalized in the Plastic Surgery Department at “Bagdasar-Arseni” Emergency Clinical Hospital. The particularity of this case is given by the area involved, the close boundaries with important anatomical structures, the large size of the tumor and the potential differential diagnosis. As lipomas with such localization are considered to be a rare pathology, orientation of preoperative diagnosis is fundamental for planning the surgical protocol. Taking into consideration the minimum period of hospitalization, the rapid functional recovery and the degree of patient satisfaction, the result of the therapeutic approach was a success.
Effects of Topical Fluoride Applications on Caries Risk In Patients With Fix Orthodontic Appliances
Authors: Oancea R. , Caramida M. , Sfeatcu R. , Funieru C. , Ilici R.R. , Jumanca D.
Published: November 2024

The outcome of orthodontic treatment is usually aesthetically and functionally satisfactory. Caries is an undesirable side-effect of treatment with fixed orthodontic appliances. So pathogenic microbes like streptococcus mutants and lactobacillus gather, multiply and ferment the carbohydrates and sucrose. Therefore, it is crucial to understand how orthodontic treatment and different professional fluoride treatment affect caries risk and individual risk factors.
Digital vs conventional workflow in fixed prosthodontic restorations
Authors: Hajaj T. , Rominu M. , Negrutiu M.L. , Talpos S. , Dobrota G.-G. , Perdiou A. , Hajaj K.R. , Stan A.T. , Clinci R. , Sinescu C.
Published: November 2024

Aim and objectives: This study will try to emphasize the differences between different materials and technologies currently used for dental crown manufacturing. Materials and methods: We performed 4 different types of dental crowns, using different materials and technologies, on the same preparation, on 4 different duplicate models, and we examined the marginal adaptation and the surface quality, using a HD camera. Results: The worst results, both in marginal adaptation and surface quality, were found to be present in the crowns manufactured in the traditional casting and waxing manner. Discussions: The traditional procedures, which involve casting and waxing, are many times subject to human error and are also affected by many physical factors, which are harder to control. Conclusion: Regardless on the material chosen – metal, ceramic or zirconia, the CAD-CAM technology offers better properties to the final restorations and, thus, more safety to the clinician and to the dental technician.
Decreasing the risk of complications in Covid-19 patients by prescribing substitute erythropoietin
Authors: Pirvu R. , Parlatescu I. , Ciobanu O. , Tiliscan C. , Moroti Constantinescu R.
Published: November 2024

Substitutes of erythropoietin (Epo) prescribed to the Covid-19 confirmed patients might increase blood oxygenation. A higher benefit will be in comorbidities patients because Epo may lower complications such as acute respiratory distress syndrome, myocardial dysfunction, and acute kidney injury. Exogenous erythropoietin downregulates inflammatory T cells and myeloid cells responses and reduces endothelial activation. Multiple myeloma patients treated with recombinant human erythropoietin (rHuEpo) for anemia have a prolonged survival rate. In inflammatory response, Epo level drops, hepcidin level increases and affects the iron metabolism by blocking iron inside macrophages. A low dose of rHuEpo administered three times a week is enough for healthy moderate athletes to maintain an increased hematocrit and maximum oxygen volume approximately 5% –10% above the initial levels. Under these circumstances adding rHuEpo may improve the blood oxygenation level from 5% to 20%, which is a great contribution in tissular oxygen levels and enhance humoral immunity.
Evaluation of the cytotoxic and anti-angiogenic potential of flavone apigenin using the B164A5 mouse melanoma cell line
Authors: Ghiţu A. , Avram Ş. , Pavel I. Z. , Scurtu A.-D. , Minda D. , Danciu C. , Tigmeanu C.V.
Published: November 2024

Aim and objectives: The present study was designed in order to evaluate the cytotoxic and anti-angiogenic potential of apigenin using the B164A5 mouse melanoma cell line. Material and methods: The effect of apigenin against B164A5 mouse melanoma cell line was evaluated by MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) and Lactate dehydrogenase (LDH) assays. For the determination of the anti-angiogenic potential CAM assay was performed. Results: At 72h post-stimulation, Api provoked a dose-dependent decrease of melanoma cells viability. Significant statistic results were found at the concentrations of 10 µM 30µM and 60 µM for reduction of proliferation, respectively 30µM and 60 µM for cytotoxicity. Data from this study showed that at both tested doses Api reduced the migration potential of melanoma cells. Conclusions: Apigenin induced, dose-dependent antiproliferative, cytotoxic and anti-angiogenic effects on B164A5 cells. The compound represents a promising candidate for further studies of experimental animal models of melanoma.
Success rate of pulp capping in primary and first permanent molars – A retrospective study
Authors: Per S. , Feraru I.V. , Răducanu A.M. , Buzatu R. , Didilescu A.C.
Published: November 2024

The aim of this study was the evaluation of the success rate of 3 pulp capping treatment techniques and to compare the results obtained in primary (PM) and first permanent molars (FPM). Material and methods: In this retrospective study we collected data from 194 medical records; 330 PM and immature FPM treated by pulp cappings were analyzed. Results: The success rate of pulp capping treatments in PM was 64.5%, while for FPM this counted for 96.6%. The means of survival time in PM were: indirect pulp capping (IPC) – 59.24±3.92 months, stepwise (SW) – 32.55±3.19 months, and direct pulp capping (DPC) – 32.35±6.6 months; for FPM: IPC – 102.47±3.07 months, SW – 57.31±5.18 months, and DPC – 49.46±17.07 months. When we compared the findings between dentitions, we observed that IPC and SW techniques had superior results in FPM than in PM. Conclusions: Based on our results, IPC and SW methods seem to be better choices in terms of preserving pulp vitality in both PM and FPM. Overall, FPM vital therapy was more successful than that of PM.
Methods of isolation and identification of Enterobacteriaceae
Authors: Popovici R. , Bei M.F. , Popovici R.A. , Domocoș D. , Todor P.C. , Pogan M.D.
Published: November 2024

Aim and objectives: The purpose of this study on the isolation and identification of Enterobacteriaceae is aimed at bacteriological examination, following the basic examination of the microbiological diagnosis of pathological samples, being represented by the cultivation of feces on specific culture media. Methods: We conducted a prospective and retrospective study on eighty-six isolated clinical trials, including Enterobacteriaceae, to identify and highlight genotypic and/or phenotypic characteristics between strains isolated from single infections and those isolated from recurrent cases based on microbiological diagnosis registered in the bacteriological register of the medical analysis laboratory, SC Diaser, Oradea. Results: Antibodies detected by the Western blot method are guided against the 3 species of Yersinia: enterocolitica, pseudotuberculosis and pestis. For the detection of specific anti-Yersinia antibodies, the antigen-loaded band is incubated together with the patient's diluted serum. The weakly selective media, MacConkey, Eosin-Methylene Blue, allow the growth of all Enterobacteriaceae lactase positive and negative, even other groups of gram-positive bacilli. Conclusions: Poorly selective media, MacConkey, Eosin methylene blue, allow the growth of all Enterobacteriaceae lactase positive and negative, even other groups of gram-positive bacilli.
Premature infants with premature retinopathy in timisoara. Prevention and therapeutic conduct in Bega maternity
Authors: Ilyes S. , Neamțu R.I. , Dahma G. , Erimescu A.G. , Bernad E.S. , Silaghi C.-I. , Craina M.L.
Published: November 2024

Premature retinopathy (ROP) is a vasoproliferative disease secondary to inadequate vascularization of the immature retina of premature infants, which can lead to blindness or severe visual sequelae. It is one of the leading causes of preventable child blindness, with about 2/3 of the 50,000 blind children worldwide living in Latin America. The proportion of blindness caused by ROP is greatly influenced by the level of neonatal care (availability, human resources, equipment, access and quality of care), as well as the existence of screening and treatment programs. Therefore, there is great variability in the occurrence of the disease in developed and developing countries [1-3]
The importance of the anamnesis in the early diagnosis of oral cancer
Authors: Matichescu A. , Negru D. , Galuscan A. , Balean O. , Oancea R. , Sava-Rosianu R. , Alexa V. , Jumanca D.
Published: November 2024

Cancer, malignant tumor or malignant neoplasm, is the scientific name of the disease that involves the chaotic multiplication of cells, with the potential to invade and / or spread in all body systems. A number of 47 patients with various types of oral lesions were included in this study. The aim of this study was to evaluate two imaging methods in order to identify abnormal changes in soft tissues by fluorescent light emitted by VEL scope Vx and Oral-iD optical systems. The aim was to evaluate the accuracy of the diagnosis, the sensitivity and the specificity of these methods.
Treatment effectiveness of dry eye syndrome among computer users
Authors: Jurca A. M. , Stanila A. , Gajta A. , Stanila D. , Panga A.
Published: November 2024

The aim of the study is to evaluate the symptoms of dry eye syndrome among computer users and to evaluate the effectiveness of treatment with various topical medication (artificial tears). The investigative methods used were: Ocular surface disease index questionnaire (OSDI), based on 12 questions related to subjective ocular signs and symptoms that occurred during various activities of daily living, the Schirmer I test (without anesthesia), tear break-up time (T-BUT) and tear pH. In this study were admitted 35 subjects, video terminal operators (VDT), 12 Male (M) and 23 Female (F), average age of 38.51 years, with signs and symptoms of dry eyes, no acute ocular pathology, no previous eye surgery and no topical drugs administered two months before the study. The results show an improvement in symptoms after one month of treatment with topical medication.
Minimally Invasive Chemo-Mechanical Treatment Methods Used in Paediatric Dentistry
Authors: Veltean-Corneschi R.L. , Dragoș B. , Nikolajević S.N. , Matichescu A. , Bratu D.C. , Luca M.M.
Published: November 2024

Dental caries prevention is one of the main tasks of therapeutic dentistry. Despite this fact dental anxiety in young children is a clinical reality and thus the application of conventional therapeutic protocols is a challenge for any paediatric dentistry specialist. Pain associated with the therapeutic act of removing a carious process and the use of local anaesthetic agents are still a real problem in pediatric dentistry, concerning anxious patients. For these reasons, we try to create a relaxing environment and perform minimally invasive procedures to increase patient comfort and increase the rate of acceptance of the therapeutic act, especially in the case of anxious and uncooperative children. The use of chemo-mechanical methods involves the application of proteolytic substances that soften the infected dentinal tissue and allow the selective removal of necrotic tissue using hand instruments, keeping only healthy dental tissue. The main advantage of this technique is that allows the practitioners to achieve dental treatment without the use of rotary instruments, without generating aerosols and is pain free so, well tolerated by children.
Variations in cervical preparations for metal-ceramic crowns in undergraduate dental students.
Authors: Chisnoiu A. , Iacob S. , Kui A. , Picoș A. , Buduru S. , Duncea I. , Negucioiu M. , Buzatu R. , Chisnoiu R.
Published: November 2024

Objective. This study aims to evaluate the characteristics of the finish line of dental abutments made by fourth year dental students in during clinical practice in prosthodontics. Materials and methods. Eighty preparations were evaluated on working cast. All preparations were made for the application of porcelain fused to metal (PFM) crown, with non-noble metal framework. Aspects of the preparations were quantified and compared with accepted criteria defined following a review of the literature. Results. The teeth found to be most frequently prepared for PFM crowns were premolars and molars (lateral group) (80,74%). Six percent of samples presented a shoulder finish line while a chamfer margin design was noticed in 62,6%. Thirty-one percent of samples had either a feathered or no clear margin design respectively. Of the cervical preparations analyzed, 86% had been underprepared, mostly on the oral and distal surfaces. A significant difference was observed between cervical preparations on molars (preparation width ≤ 0,5 mm), comparing to premolars (preparation width ≥ 0,5 mm). Conclusion. On the evidence of this survey of this sample of undergraduate dental students, it was found that relevant guidelines for the preparations of PFM crown are not being fully adhered to.
The management of the inferior third molar in the mandibular fracture line
Authors: Roi C. , Riviș M. , Badea I. , Roi A. , Monea A. , Nica D.
Published: November 2024

The treatment approach concerning the mandibular fractures is often challenging and requires an accurate local and radiographic examination. The presence of the teeth in the fracture line is an important aspect that can influence the outcome of the treatment. The aim of the present study is to evaluate the management of the inferior third molar localized in the fracture line. Our retrospective study included a number of 12 subjects diagnosed with mandibular fractures with the involvement of the third molar in the fracture line. The results revealed the fact that the treatment option related to the presence of the third molar was in 67% of the cases the decision to maintain it in position, while in 33% the indication was for the odontectomy. The management of the third molar in the fracture line should take into consideration the consequences upon the final treatment of the fracture and the possible complications associated to the presence of the tooth.
The nasomaxillary or septo-premaxillary crest
Authors: Iamandoiu A.V. , Ilie O.C. , Jianu A.M. , Rusu M.C.
Published: November 2024

The nasopalatine (incisive) canal of maxilla (NPC/IC) is commonly assigned a”Y” shape in coronal plane. The two upper arms of that canal are separated by an osseous piece that was indicated as nasomaxillary crest (NMC) in fetuses and is located on the course of the septo-premaxillary ligament. The NMC, or septo-premaxillary crest (SPMC), was not studied previously in human adults. It was therefore performed a Cone Beam Computed Tomography study on a retrospective lot of forty-one cases, ten males and thirty-one females. On coronal slices were found five types of NMC/SPMC: (a) type I – median, long NMC/SPMC, descending into the NPC (51.22%); (b) type II – inclined, long NMC/SPMC, descending into the NPC (2.44%); (c) type III – median, short NMC/SPMC, above the NPC (21.95%); (d) type IV – median, short NMC/SPMC, absent NPC (4.88%); (e) type V – inclined, short NMC/SPMC, absent NPC (19.51%). Seemingly, the NMC persists in adults as a distinct osseous structure on the course of the septo-premaxillary ligament and determines the variable patterns of the NPC/IC.
Laparoscopic incidence in acute appendicitis associated with demographic factors
Authors: Gavrilă (Brata) R.D. , Maghiar T.T. , Maghiar O. , Domocoș D. , Bonta D.F. , Popovici-Muț A.M. , Pogan M.D.
Published: November 2024

Acute appendicitis is a surgical condition characterized by the inflammation of the vermiform appendix, being one of the most common causes of acute abdominal pathology. Appendectomy can be performed by open or laparoscopic methods, the latter being the preferred way. Once the diagnosis of acute appendicitis has been established, the appendicectomy should be performed urgently within the first hours of hospitalization. Our findings on the impact of demographic factors on the incidence of acute appendicitis have led to a result showing that the laparoscopic incidence of acute appendicitis is higher among female patients, 52.04%, compared to male patients in the study group. The prevalence of acute appendicitis according to age was recorded in patients under 40 years, the highest incidence in this age group, after the analysis was recorded in patients under 20 years. To date, the indications for laparoscopic appendicectomy are controversial and the benefits do not appear to be as convincing as those of cholecystectomy or hiatal hernia surgery. Laparoscopy has a dual role, being used for diagnosis and treatment. It allows complete and consecutive diagnosis, solving in the same operating session other possible surgical causes that are at the origin of the abdominal pain syndrome.
Usefulness of digital light processing based three-dimensional printing in the digital production of provisional restorations
Authors: Burde A.V. , Vigu A.L. , Sava S.
Published: November 2024

Digital light processing (DLP) based 3D printing is an additive digital technique that allows manufacturing of a complex three-dimensional structure by projecting light on a light cured resin. After each exposure, the platform of the printer descends, with a distance equal to the thickness of a layer, and the process repeats until the final product is obtained. Our study aims to present the laboratory steps necessary for the manufacturing of temporary restorations consisting of provisional crowns by DLP based 3D printing. The temporary restorations obtained fulfilled the targeted aesthetic and functional characteristics and restored the morphological and functional integrity of the maxillary arch, until the application of the final fixed dental prostheses. In addition to ease and accuracy, significant time saving can be achieved for both the dental office and the laboratory, as well as for the patient, eliminating a number of steps by the advantages of 3D printing technology over conventional techniques.
The importance of clinical examination in determining the benignity or malignancy of parotid tumors
Authors: Urechescu H. , Talpoș Ș. , Cosoroabă R.M. , Popovici R.A. , Dinu S.C. , Pricop M.
Published: November 2024

Parotid tumors are a common disease in the population not only as a primary disease but also in association with other diseases. There are a number of clinical signs and symptoms that may direct the examiner to a potential diagnosis of a benign or malignant tumor. The study is retrospective and consists in analysing the cases of parotid tumors treated during a year in the Maxillofacial Department. Clinical signs and symptoms that may indicate the malignancy or benign nature of the tumor were analysed and compared with the histopathological result obtained after surgical removal of the tumor. The aim is to determine the degree of correlation between the clinical signs and the type of tumor. Although the final diagnosis is determined by histopathological examination, clinical examination of any tumor is essential because it may lead to certain investigations and to the establishment of a specific treatment plan.
Mechanisms Of Oxidative Stress and Maternal-Fetal Involvement
Authors: Vornic I.M. , Paiusan F. , Pop O.L. , Cheregi C.D. , Pascalau A.V. , Ionescu C.
Published: November 2024

Oxidative stress is manifested at the maternal-fetal interface from the beginning of pregnancy. It plays a role both in the normal development of the placenta and in the pathophysiology of complications: miscarriage, preeclampsia, intrauterine growth restriction (IUGR) and premature rupture of membranes. We studied from an immunohistochemical point of view nine placentas from pregnant women between the ages of 35 and 40 who had miscarriages in the absence of an obvious medical cause with a control group consisting of 9 normal, up to term placentas. We studied the anti-Gluthatione antibody and METH1 patterns of staining. The results showed an obvious association of low values of GLUTH and METH1 with miscarriages.
Comperison between an aesthetic metal free band-and-loop space maintainer and a metal one
Authors: Luca M.M. , Nikolajevic-Stoican N. , Popa M. , Igna A. , Dragoș B. , Buzatu R.
Published: November 2024

This paper deals with the use of a device similar in design to the band-and-loop space maintainer, but with a better aesthetic component. The manufacture of this device is made of aesthetic, elastic materials, which will not compromise the ability to maintain adequate space on the dental arches and will not interfere with the eruption of permanent teeth. The ability to provide greater comfort to the patient compared to the classic maintainers was also pursued. A case of a bilateral second temporary molar loss was chosen to apply a classic stainless steel space maintainer and the aesthetic one, obtained from a thermoplastic material (Vertex Thermosense). The essential conditions that any space maintainer are met by the appliances: both managed over time to maintain the mesio-distal dimension of the apparent edentulous gap, to withstand in time from a structural and dimensional point of view, it also did not disturb the normal functionality of the stomatognathic system.
Bacteria, biofilm and cholesteatoma - perspectives of innovative therapeutic approaches
Authors: Marin A. , Semenescu A.D. , Dinu S. , Poenaru M.
Published: November 2024

Nowadays, bacterial infections still represent a problem of global interest due to the emergence of antibiotic resistance. Also, microbial infection are the basis of cholesteatoma being known for the production of chronic inflammation, the collection of cellular debris and the increase in the viscosity of the secretions, the dysfunction of the Eustachian tube, the invasion of the cells of the immune system and epithelial hyperplasia Aim and objectives: To evaluate the antibacterial effect of epigallocatechin gallate (ECGC), in association with an antibiotic (ciprofloxacin) related to the possible synergistic effect. Material and methods: The disk diffusion method was employed to test the sensitivity of S. aureus and P. aeruginosa in the presence of ECGC and ciprofloxacin, at different concentrations (25–100 μg/mL) as such or in combination. Results: The results demonstrated that ECGC has an antibacterial effect on the selected strains, but the strongest activity was observed following the association of the natural compound with the antibiotic, with a better effect on the S. aureus strain. Conclusions: The association of natural compounds with antibiotics can represent an alternative to antibiotic resistance, being a possible effective option in combating infections and even pathologies of the middle ear, such as cholesteatoma.
Management and treatment in tooth discoloration
Authors: Buzatu R. , Luca M.M. , Valceanu A.S. , Chirila A.V. , Miron M.I.
Published: November 2024

Recommendations for original studies Original studies must include a structured abstarct of maximum 150 words, containing the following titles and informations: Aim and objectives; Material and methods; Results; Conclusions; Key words: give 3-5 key words; The abstract will be translated into an international circulation language. The aims of this study is evaluation of color change and sensitivity that occur in all the teeth. By Mean, a comparison between 2 main categories of treatment to cure tooth discoloration. In – office bleaching treatment and home bleaching treatments. This article is a systemic review study research. Bleaching techniques and other methods used for removing discolorations and stains suffered various improvements over the years such as aesthetic outcome and the reduction of secondary reactions. Development of Home Bleaching products is an outcome of improvements made in this domain, though they are not realised by a professionist and do not qualify as quality equal. Therefore, professional bleaching represents an efficient, safe and sustainable method for this kind of therapy, but home bleaching techniques do give relative good results at a considerable lower cost of treatment.
Evolution of periodontal disease in patients with type 2 diabetes in the context of initial therapy - systematic review
Authors: Ciora E.D. , Miron M.I. , (Bojoga) Mocuța D.E. , Dragoș B. , Luca M.M.
Published: November 2024

Periodontal disease and diabetes are two conditions with an increased prevalence in most populations around the world. Diabetic patients present particular manifestations in the oral cavity, mainly determined by the frequent presence of infectious processes, which may be due to: alteration of oral microbial flora, alteration of neutrophil function and/or microangiopathies. The protocol of this review was developed following the principles of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes) and was structured to cumulate the results of clinical trials based on the effects of non-surgical therapy on periodontal status of patients with type 2 diabetes.
Phytotherapy as an adjuvant in the treatment and prevention of oral cancer
Authors: Cosoroabă R. , Todor L. , Popovici R.A. , Todor S.A. , Motoc G.V. , Olariu I.
Published: November 2024

Over time, plant extracts have been used to treat various diseases. Natural products have played an important role in anticancer therapy. Oral cancer is becoming more prevalent in elderly patients. Oral mucositis and xerostomia, induced by cancer therapy, are some of the most distressing morbidities after radio-chemotherapy. Phytochemicals present in fruits, vegetables and grains have a protective effect against the development of cancers. The protective role of phytochemicals may be associated with their antioxidant activity. Herbal remedies are often used alongside conventional treatments to care for cancer patients, with increasing interest in the use of complementary and alternative medicine. Cancer chemoprevention focuses on identifying agents that specifically influence the early stages of cell transformation.
How dental restorations influence plaque-induced gingivitis (a cross-sectional study)?
Authors: Funieru C. , Oancea R. , Cărămidă M. , Sfeatcu R.
Published: November 2024

Aim and objectives: This study aims to establish if oral distribution of dental restorations in close contact to gingiva can influence the risk, severity or distribution of gingivitis. Material and methods: The data presented in this study are part of the PAROGYM cross-sectional study developed on a sample of 1595 Bucharest schoolchildren aged 11 to 14 years. The students were clinically examined and gingival scores were recorded. The Löe GRI index (gingival restoration index) was used for the assessment of dental restorations in close contact to gingiva. Results: The first molars are the teeth that have most often dental restorations in relation to gingiva and can provide some reasons for the prevalence value of gingivitis from this area.
Use of dōTERRA essential oils for periodontal manifestations in mature adult type I diabetes mellitus – case report
Authors: Matei R.I. , Iurcov R.C.O. , Berechet D. , Pistol E. , Scrobotă I.
Published: November 2024

Case presentation: Diabetes is similar to periodontal diseases, with a common, multifactorial disease process involving genetic, environmental, and behavioural risk factors. The aim of current periodontal therapy is to remove the bacterial deposits from tooth surface and to shift the pathogenic microbiota to one compatible with periodontal health. Materials and method: Traditionally, various species of herbs are used to control and cure some of dental problems or systemic diseases. The literature documents that many plants themselves have anti-inflammatory, antioxidant, antibacterial, astringent and other useful properties. We presented a 59 years old female with type I diabetes mellitus case. The patient presented a mild diabetic periodontitis. We introduced in the oral therapy, besides periodontal manoeuvres, a specific recipe with essential oils from dōTERRA. In parallel with clinical surveillance there were performed microbiological tests with samples from oral biofilm. Discussions/Conclusions: In this case report we successfully used topical extracts from plants, such as essential oils, manufactured by dōTERRA. The microbiologic lab tests showed no pathological flora.
Assessment study of the views on the importance of informed consent in the medical act in dental health services in Timis County
Authors: Boscu L. , Popovici R.A. , Dinu S. , Lintini T.R. , Salehi M. , Alsaeyd Ahmad M.K. , Popa M.
Published: November 2024

Background: Informed consent is an ethical concept that is codified by law and must be put into daily practice in every health institution. Informed consent is based on the concept of respect for autonomy, which gives adults the right to govern their lives according to their own values and preferences. In Romania, for any type of clinical investigation, medical care or potentially risky treatment we need the written consent of the patient, certified by his/her signature. The objective of the study was to evaluate the signing and use of informed consent to dental health care in Timis County. Material and method: A retrospective observational epidemiological study was conducted, in which we aimed to evaluate the signing and use of informed consent in current dental practice in Timis County. The research method used was the use of a questionnaire survey, which was put online on a group of dentists in Timis County, between March and May 2022. Results: The habit of signing informed consent in dental services in Timis County is not present in 45% of respondents. Conclusions: Our study revealed that the use of informed consent by patients in Timis County is not necessarily a practice habit, especially in rural areas.
The role of mast cells in inflammatory and malignant lesions of the oral cavity
Authors: Cosoroaba R.M. , Popovici R.A. , Gaje P.N. , Ceaușu A.R. , Pitic D.E. , Dinu Ș. , Kis A.M. , Todor L.
Published: November 2024

Mast cells (MC) were described over 100 years ago by Paul Erlich. They are located in the connective tissue in the immediate vicinity of the blood vessels. Mast cells originate from a medullary progenitor cell. It presents in the cytoplasm numerous granules with a variable content of mediators. Different subpopulations of mast cells are described depending on their content in proteases and localization. They are multifunctional cells, being involved both in the body's physiological processes, but also in the pathogenesis of many diseases. Mast cells are involved in the initiation of inflammatory processes in the oral cavity by releasing proinflammatory cytokines. The role of mast cells in cancer is still debatable whether they contribute to tumor progression or have an antitumor effect. In the future, more in-depth research on mast cells may provide not only insights into their biology, but also a better understanding of their role in various diseases. Mast cells still cause many debates regarding their role in cancer, including oral cancer. The presence of mast cells in oral squamous cell carcinomas has been noted by many authors, but their role remains unclear. However, new therapies targeting mast cells could play an important role in controlling tumor growth and metastasis.
Perioperative management of tooth extraction in patients with antiplatelet and anticoagulant treatment
Authors: Olariu I. , Todor L. , Popovici R.A. , Fluieras R. , Todor S.A. , Kis A.M. , Roi C. , Riviș M.
Published: November 2024

Patients on anticoagulant or antiplatelet treatment require close monitoring during extraction surgery because of the significant risk of postoperative bleeding. There is no consensus regarding the treatment of patients with anticoagulants, recently dentists opt for a conservative approach, in which the intervention takes place without interrupting the medication, and haemostasis is achieved through local measures. Discontinuation of anticoagulant treatment during oral surgery increases the risk of thromboembolic events through various mechanisms, such as INR (international normalized ratio), compensatory hypercoagulability and the post-thrombotic effect. Thus, patients are prone to the risk of pre- and postoperative arterial thromboembolism and postoperative venous thromboembolism if the INR value returns to normal shortly after discontinuation of treatment. This study aims to evaluate the haemorrhagic complications associated with dental extractions in patients under chronic anticoagulant treatment, with the modification of drug therapy and following a standard perioperative management protocol.
Study on risk factors implicated in post-extraction alveolitis
Authors: Riviș M. , Todor L. , Todor S.A. , Cosoraoaba R.M. , Popovici R.A. , Olariu I. , Dinu S.
Published: November 2024

Post-extraction alveolitis is a complication specific to tooth extraction that can occur during the healing process (usually 24–72 hours after extraction). This complication can occur due to the dislodgement of the blood clot (the first stage of the healing process), following a local infection, poor local hygiene, or factors related to the plasma system. It is estimated that the probability of developing dental alveolitis after an extraction is 3%. In the case of wisdom teeth, the percentage of probability increases to 20% and even 30%. This paper aims to evaluate one of the complications that can occur after tooth extraction, namely post-extraction alveolitis, as well as on the particularities that can contribute to the development of this complication that leads to the alteration of the patient's general condition and delayed healing. The retrospective study was carried out on a number of 28 patients hospitalized in Timisoara Oral and Maxillo-Facial Surgery Clinic, who presented post-extraction alveolitis. A series of risk factors are implicated in the evolution of post-extraction alveolitis: surgical trauma, bacterial infections, patient age and sex, oral contraceptives, smoking.
Peculiarities of tooth extraction in patients with diabetes
Authors: Todor L. , Riviș M. , Popovici R.A. , Cosoroaba R.M. , Todor S.A. , Roi C. , Olariu I.
Published: November 2024

Tooth extraction is one of the most common procedures in oral and dental surgery, and in the case of diabetic patients this procedure must be managed with greater care. Several soft and hard tissue disorders of the oral cavity have been reported to be associated with diabetes mellitus. These include periodontal diseases (periodontitis and gingivitis), salivary dysfunction leading to a reduction in salivary flow and changes in the composition of saliva and taste dysfunctions, neuro-sensory mucosal disorders, fungal and bacterial infections and also lesions of the oral mucosa in the form of stomatitis, geographic tongue, benign glossitis, fissured tongue, traumatic ulcer, lichen planus and angular cheilitis. Post-extraction complications such as delayed wound healing, increased risk of bleeding and wound infection have been reported in patients with diabetes. The present work intends to identify the impact of diabetes on dental extraction, in terms of post-extraction wound healing and the development of complications.