bluuebunny/crossref_metadata_2025 huggingface dataset:
Os efeitos agudos da musicoterapia em neonatos de uma Unidade de Terapia Intensiva Neonatal
Authors: Vieira Anny Karoliny Almeida , Coutinho Giselda Felix , Farias Kelly Soares
Published: February 2024

Objetivos: Avaliar os efeitos agudos da musicoterapia (MT) na monitorização cardiorrespiratória, nos agentes estressores e na dor de neonatos da Unidade de Terapia Intensiva Neonatal (UTIN). Metodologia: Ensaio clínico randomizado e controlado, descritivo e quantitativo, desenvolvido em uma UTIN. Participaram da pesquisa 19 neonatos: 9 grupo controle (GC) e 10 grupo experimental (GE). Foram incluídos neonatos após 72h até o 28° dia de vida, ambos os sexos, idade gestacional acima de 28 semanas e peso maior que 1.200 kg. Realizou-se a avaliação clínica através da ficha de avaliação. O GE foi submetido ao protocolo de MT por 20 minutos. Foram avaliados os parâmetros de frequência cardíaca (FC) e respiratória (FR) e saturação periférica (SpO2) e Neonatal Infant Pain Scale (NIPS) e Behavioral Indicators of Infant Pain (BIIP) antes, durante e após a intervenção. Para análise estatística utilizou-se o SPSS®. Resultado: A amostra, em sua maioria, foi composta por neonatos do sexo masculino (GE 60% - GC 55,6%) e prematuros (média de 35 semanas). O protocolo de MT não ocasionou diferença significativa entre grupos e intragrupo, entretanto, houve uma tendência a redução mais expressiva no GE: FC antes e depois (150,60 ± 16,58 vs 139,80 ± 19,11); FR antes e durante (44,8 ± 16,84 vs 39,10 ± 19,77); NIPS e BIIP antes, durante e depois (1,5± 2,67 vs 0,7±1,88 vs 07±1,88) e (1,5±2,91 vs 0,8±2,20 e 0,9±2,51). Considerações Finais: Apesar do número amostral pequeno, este trabalho sugere resultados positivos no relaxamento dos neonatos internos com um protocolo padronizado de musicoterapia.
Scientometrics of the use of toxic medicinal plants as a treatment and health risk
Authors: Coelho Dioelen Virgínia Borges Souza de Aquino , Maciel Bianca de Aquino , Ribeiro Rhannielly Rodrigues , Oliveira Giovanna Carrara de , Leite Eduarda Ribeiro
Published: February 2024

Objective: Through a literature review, we sought to identify and discuss the main characteristics of the theme related to poisoning by medicinal plants in species that have hallucinogenic properties. Methods: A literature review was carried out using the following databases: Online Medical Literature Search and Analysis System (MEDLINE/PUBMED), Nursing Database - Brazilian Bibliography (BDENF), Web of Science and Cochrane Library (SCOPUS), CAPES Journals and Latin American and Caribbean Health Sciences Literature (LILACS). The search was carried out using descriptors diversely recombined with the aid of the Boolean operator "and". Results: It was found that plants classified as toxic are so named because they contain bioavailable substances capable of causing metabolic alterations. Cases of poisoning cause serious inconvenience and, in more serious cases, death. The epidemiology of plant poisoning in Brazil is a public health problem, with the vast majority of reported cases occurring as a result of the presence of these plants in public environments, caused mainly by the population's ignorance of the toxic potential of a plant species. Conclusion: The lack of encouragement to better understand Alternative and Complementary Practices is due to unreliable information about the correct use of these species. Based on scientific publications, products derived from medicinal plants are considered safe for human health, provided they are used appropriately.
Comparative analysis of alveolar preservation using leukocyte-platelet rich fibrin during maxillary canine distalization: A retrospective study
Authors: Pacheco Ariel Adriano Reyes , Collins James Rudolph , Contreras Nelsida , Lantigua Astrid , Antelo Oscar Mario , Gasparello Gil Guilherme , Tanaka Orlando Motohiro
Published: February 2024

Objective: This study evaluated alveolar preservation using leukocyte-platelet rich fibrin (L-PRF) in adult patients, comparing it to control alveoli. Methods: Conducted from 2016 to 2018, the study included 17 adult patients, aged between 20 and 45 years, diagnosed with either Class I or Angle Class II-1 malocclusion. Participants underwent first premolar extractions, with L-PRF treatment applied to one side of their mouth, while the other side served as a control. This retrospective study compared tomography data from these patients, who also underwent maxillary canine retraction. One side of the mouth was treated as an experimental alveolus, preserved with L-PRF, and the other as a control. Data normality was assessed using the Shapiro-Wilk test. The Wilcoxon test was used for group comparisons, and the McNemar test was applied to fenestrations. Results: No statistically significant differences were observed in root length changes and surrounding bone tissue between the two sides (P > 0.05). Conclusion: The study found no significant differences in root length reduction and changes in supporting bone tissue between the experimental and control sides. This suggests that alveolar preservation with L-PRF does not alleviate the deleterious effects observed during maxillary canine distalization.
Cinética de secagem das amêndoas de cupuaçu cultivadas na Amazônia Oriental
Authors: Gonçalves Douglas dos Santos Damasceno , Gonçalves Naeliton de Aquino , Antunes Arlindo Modesto , Lopes Guilherme Mathias , Silva Magnun Antonio Penariol da , Pacheco Adriano Bicioni
Published: February 2024

No Brasil, o cupuaçu (Theobroma grandiflorum Schum.) é uma das frutas tropicais mais importantes na região amazônica. O estado do Pará é o principal produtor da Região Norte, com produção de 29 mil toneladas. No entanto, as amêndoas de cupuaçu passam por várias etapas antes do armazenamento, sendo a secagem a mais importante. Portanto, o objetivo deste estudo foi analisar a cinética de secagem, o teor de água inicial e final, a taxa de secagem, bem como ajustar modelos matemáticos aos dados experimentais, para indicar a melhor temperatura em função do tempo de secagem em protótipo de silo secador vertical de leito fixo com ar induzido forçado, submetidas às temperaturas de 55°C, 65°C e 75ºC. Para determinar a cinética de secagem, as amêndoas foram periodicamente pesadas até atingirem o equilíbrio para medir a perda de água. Com base nos dados experimentais de secagem, os valores da razão de umidade foram determinados e posteriormente aplicados a diferentes modelos matemáticos. As médias de teor de água inicial das amêndoas para ambas as temperaturas foram maiores que 50%, enquanto que nas médias finais para as temperaturas de 55°C, 65°C e 75°C foram sequencialmente de 13,8%, 7,25% e 6,51%. As taxas de secagem foram de 3,1%, 3,4% e 3,8%, respectivamente. O modelo de Henderson e Pabis modificado apresentou o melhor ajuste aos dados experimentais. Todas as temperaturas foram eficientes em relação ao tempo de secagem. As amêndoas secas podem ser utilizadas na fabricação de alimentos.
As implicações do distanciamento social por COVID-19 na saúde mental de crianças e adolescentes em Guanambi – BA
Authors: Celestino Anna Lhorena Brant , Prado Jany Rodrigues , Araújo Joice Santos de , Novaes Juliana Souto , Souza Lays Araújo Rocha , Mendes Lavinny Rios Vilas Boas , Fagundes Priscila Carine Leite
Published: February 2024

Introdução: Medidas como o isolamento social tiveram que ser adotadas durante a pandemia da COVID-19, onde crianças e adolescentes foram afastados das suas atividades e do convívio social, trazendo impacto neuropsicológico. Objetivo: Avaliar as implicações causadas pelo distanciamento social por COVID-19 na saúde mental das crianças e adolescentes em uma Unidade Básica de Saúde (UBS) no município de Guanambi-Ba. Métodos: Trata-se de uma pesquisa de corte transversal, com abordagem quantitativa e descritiva, por meio de uma pesquisa de campo em que foram avaliadas crianças e adolescentes de 04 a 18 anos, usuários de uma UBS, localizada em uma cidade do interior da Bahia. Os dados foram coletados por meio da aplicação de um questionário com os pais das crianças e adolescentes e a análise dos dados foi realizada com o auxílio do programa Statistical Package for the Social Sciences (SPSS)® versão 20 para performar a estatística descritiva e análises bivariadas. Resultados: Os dados apontaram que houve percepção dos pais quanto às alterações do estado emocional das crianças e adolescentes durante o período de isolamento social, principalmente para aquelas que tiveram COVID-19 e as que não possuíam espaço externo em suas casas para brincar. Conclusão: A pandemia apresentou uma repercussão negativa na saúde mental do público infanto-juvenil, deixando este grupo mais vulnerável a ansiedade, estresse, sintomas depressivos, decorrente principalmente do isolamento, das condições socioeconômicas afetadas. Uma atenção maior aos cuidados de saúde mental para indivíduos nesta faixa etária se faz necessário.
Qualidade de vida do paciente oncológico com dor atendido em um Hospital de ensino do interior do estado de São Paulo
Authors: Alves Estéfani de Almeida , Souza Isabela Cristina Antunes , Santos Rayane Silva , Pinto Maria Helena
Published: February 2024

A pesquisa buscou avaliar a qualidade de vida do paciente oncológico com dor. O estudo foi de abordagem quantitativa, descritivo, analítico, que utilizou para coleta dos dados a análise de prontuários e o European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, que foi preenchido durante uma sessão de quimioterapia com aqueles pacientes que relataram dor avaliada por meio da Escala Visual Analógica. Os dados foram analisados conforme orientação do manual do instrumento utilizado. Observou-se que 60,0% dos participantes eram mulheres e 40,0% homens, 54,02% com idade entre 50 e 69 anos, sendo que desses 26,7% relataram dor moderada e 30,8% dor intensa, assim como aqueles que viviam com companheiro(a), com escolaridade até 8ª série, aposentado, empregado e com história de não tabagismo e não etilismo. 27,5% dos participantes apresentavam diagnóstico de câncer de mama, 72,5% com diagnósticos há menos de um ano, 53,3% com metástase e 60,8% relataram alguma comorbidade. Na escala funcional e de saúde global, segundo o instrumento de qualidade de vida utilizado, a média de escores se apresentou acima de 60 e na escala de sintomas abaixo de 40. Concluiu-se que na escala funcional e de saúde global a média de escore demonstrou qualidade de vida moderada, mesmo na presença de sintomas.
Panorama das publicações científicas (2019-2023) sobre Inflamação Gastrointestinal associada à Orlistate: Uma revisão integrativa da literatura
Authors: Silva Kamila Luana Santos , Redig Carolina Barbosa , Furtado Giovanna Eduarda Mauro , Scheffer Glaucya Abdalla , Ferreira Eduarda Oliveira , Diniz Isabela Guerreiro , Guimarães Márcia Cristina Monteiro
Published: February 2024

Objetivo: Realizar uma revisão integrativa da literatura para avaliar o papel do Orlistate na indução de inflamação gastrointestinal, identificar os mecanismos subjacentes e fornecer uma visão abrangente dos estudos existentes sobre o assunto no período de 2019 a 2023. Metodologia: Segue uma abordagem de revisão integrativa, com o propósito de agregar os resultados de pesquisas publicadas e apresentá-los a partir de uma questão de pesquisa. Foram realizadas buscas em diversas bases de dados, incluindo o MEDLINE (via portal PubMed da National Library of Medicine), LILACS (Literatura Latino-americana e do Caribe em Ciências da Saúde), EMBASE, SCOPUS e Web of Science. Resultados: 11 publicações foram selecionadas para inclusão no estudo. Este número relativamente pequeno de estudos incluídos, em comparação ao número inicial (195) de publicações identificadas, reflete a rigidez dos critérios de seleção e a ênfase na qualidade e pertinência dos dados. Quanto as categorias, identificou-se Biomarcadores de Inflamação, Mediadores Envolvidos, Efeitos em Diferentes Doses e Impacto da Duração do Tratamento. Conclusão: Conclui-se que a personalização do tratamento, considerando as características individuais e a resposta do paciente, é fundamental para maximizar os benefícios e minimizar os efeitos adversos.
Uso da psilocibina no tratamento de transtornos psiquiátricos: Revisão da literatura
Authors: Teixeira Gabriella Brandão , Passos Ana Cláudia de Brito , Farias Beatriz Valentim , Girão Ana Beatriz Cavalcanti Fernandes , Marçal Larissa da Silva , Albuquerque Ketsya Oliveira dos Santos , Ferreira Maria Augusta Drago
Published: February 2024

Objetivo: Descrever as informações disponíveis na literatura acerca do uso da psilocibina no tratamento de transtornos psiquiátricos, seus mecanismos de ação e toxicidade, dentre outras informações relevantes sobre a temática. Metodologia: Trata-se de uma revisão de literatura narrativa, que permite a síntese de múltiplos estudos publicados e possibilita conclusões gerais acerca de um determinado assunto. As buscas ocorreram entre os meses de setembro e dezembro de 2023, nas bases de dados: PubMed, Biblioteca Virtual em Saúde, SciELO e Google Acadêmico. A análise crítica dos estudos e a síntese dos dados bibliográficos foram realizadas de forma descritiva, agrupados por tópicos pertinentes ao assunto estudado. Resultados: Na literatura observam-se estudos que relacionam psilocibina a melhora dos sintomas de depressão e ansiedade, tendo em vista seu mecanismo de ação, pois a psilocibina atua principalmente como agonista do receptor 5-HT2A, agindo no sistema serotonérgico amplificando a ação da serotonina na fenda sináptica e promovendo alterações qualitativas e quantitativas do funcionamento cerebral. Quanto à avaliação da toxicidade dessa substância, a psilocibina é geralmente considerada de baixa toxicidade, não gerando dependência física. Conclusão: Ante o exposto, verifica-se um potencial desse alucinógeno para o tratamento de transtornos psiquiátricos, como depressão e ansiedade. Porém, ainda são necessários mais estudos para melhor entender a eficácia da psilocibina, seus riscos e benefícios, bem como verificar aspectos regulatórios e protocolos para seu uso seguro e racional.
Reabilitação oral protética em paciente infantil com displasia ectodérmica: Relato de caso
Authors: Oliveira Daniela Silva , Miranda Carina Alves de Oliveira , Bertoldi Anna Karolliny Costa , Santos Mariana Aparecida dos , Araújo Junior Reinaldo Ferreira de , Nascimento Neto Antônio Félix do , Santo Aline Soares Monte
Published: February 2024

A displasia ectodérmica (DE) representa uma condição genética rara caracterizada por defeitos no desenvolvimento de estruturas originárias do ectoderma. Isso pode resultar em anormalidades como a ausência ou subdesenvolvimento de tecidos como pele, cabelo, unhas, dentes e certas glândulas, incluindo as sebáceas e sudoríparas. Frequentemente, os dentes são escassos e possuem formas anormais nas suas coroas, e em casos mais raros, pode ocorrer a completa ausência de dentes. O diagnóstico dessa condição geralmente ocorre na infância, e o manejo odontológico pode envolver o uso de próteses dentárias, sejam elas parciais ou totais, e fixas ou removíveis, adaptadas conforme a situação específica do paciente. Este estudo visa discutir o caso de um menino de quatro anos de idade que foi atendido na clínica odontológica da Universidade Tiradentes, apresentando DE anidrótica. Foi recomendada a aplicação de uma prótese parcial removível para as duas arcadas dentárias, acompanhada de suporte psicológico. Ressalta-se a importância do diagnóstico precoce para prevenir impactos negativos na estética dental e na oclusão, os quais podem comprometer significativamente o bem-estar da criança. É crucial que o profissional de odontologia possua conhecimento adequado sobre as variantes da DE para assegurar uma intervenção eficaz e melhorar as condições dentárias do paciente.
Associação entre cognição, saúde mental e espiritualidade em idosos de uma Instituição de Longa Permanência (ILP) de Pernambuco
Authors: Siqueira Rayza Cecília Chaves de , Sobral Bruna Katy , Martins Jade Souza , Romeiro Joana , Carvalho Amanda Pacheco de , Jordán Arturo de Pádua Walfrido
Published: February 2024

Objetivo: Avaliar a associação entre cognição, saúde mental e espiritualidade em idosos institucionalizados do Abrigo Cristo Redentor (ACR) em Pernambuco. Metodologia: Estudo observacional, analítico, de corte transversal, quantitativo, realizado de Agosto de 2022 a Agosto de 2023. A coleta de dados foi feita através de prontuário e por meio do Mini Exame do Estado Mental (MEEM); da Escala Reduzida de Depressão Geriátrica (EDG) e da Escala de Bem-Estar Espiritual (EBE). O estudo foi aprovado pelo Comitê de Ética em Pesquisa com o parecer 5.689.073 e seguiu todos os preceitos éticos da Resolução 466/10 da Comissão Nacional de Ética em Pesquisa (CONEP). Os dados coletados foram submetidos ao processamento estatístico, sendo utilizado o programa SPSS (Statistical Package for Social Sciences) versão 26. Além disso, foram realizados os testes de qui-quadrado e exato de Fisher. Nos casos em que o p-valor foi menor que 0,05, considerou-se que a relação entre as variáveis foi significativa. Resultados: A amostra final contou com 20 idosos após a aplicação do MEEM, identificando aqueles com a cognição mais preservada. Desses, 6 apresentaram depressão leve e 2 depressão severa, e todos os 20 idosos possuem nível moderado de bem-estar espiritual, constatando-se uma possível associação entre um bem-estar espiritual, menores índices de depressão e menor declínio cognitivo na amostra. Conclusão: Os idosos institucionalizados estão inseridos em um contexto de vulnerabilidade social, o qual impacta no comprometimento cognitivo e nos níveis de depressão, cenário em que a espiritualidade pode ser uma aliada.
Atresia da valva pulmonar com septo interventricular íntegro: Relato de caso
Authors: Farias Kelly Soares , Coutinho Giselda Felix , Vieira Anny Karoliny Almeida
Published: February 2024

Objetivo: avaliar o desenvolvimento neuropsicomotor de uma criança com diagnóstico clínico de atresia da valva pulmonar, atendida na clínica escola de fisioterapia da Universidade Estadual da Paraíba (UEPB), por meio da aplicação da Escala Motora Infantil de Alberta (AIMS). Método: Trata-se de um relato de caso descritivo, com abordagem quantitativa e transversal, realizado em uma Clínica Escola de Fisioterapia. O objetivo foi avaliar uma criança com diagnóstico clínico de atresia da valva pulmonar com septo interventricular completo, que foi encaminhada para atendimento fisioterapêutico. Os instrumentos utilizados foram uma ficha de avaliação sociodemográfica e a AIMS (Alberta Infant Motor Scale). Este estudo foi aprovado pelo Comitê de Ética em Pesquisa da UEPB - CAAE: 74237223.1.0000.5187. Resultados: bebê do sexo feminino de 7 meses de idade, que nasceu a termo e adequado para a idade gestacional. O diagnóstico clínico foi feito logo após o nascimento e o bebê passou por uma cirurgia torácica para corrigir a malformação. A criança apresentou retardo no crescimento, evidenciado por baixo peso e altura para faixa etária. Os resultados da AIMS mostraram déficits significativos no desenvolvimento motor, especialmente em relação ao controle da cabeça, rotação, postura de prono e locomoção. Conclusão: Este caso ilustra a importância da avaliação e intervenção fisioterapêutica em crianças com atresia da valva pulmonar. A utilização dos instrumentos avaliativos permitiu identificar as dificuldades motoras da criança e direcionar um tratamento específico. Estudos futuros são necessários para investigar abordagens terapêuticas mais eficazes para melhorar a função respiratória e o desenvolvimento motor.
The Growing Problem of Early-Onset Gastrointestinal Cancers
Authors: Bradbury Helena
Published: February 2024

AN INFORMATIVE session, reviewing the current challenges faced by patients with early-onset gastrointestinal cancer, was presented at the American Society of Clinical Oncology (ASCO) Gastrointestinal (GI) Cancers Symposium 2024, held in San Francisco, California, USA, from 18th–20th January 2024. The session was chaired by Rachna Shroff, University of Arizona Cancer Center, Tucson, USA.
Wear and Tear: Life Stories and Sartorial Experiences in the First World War
Authors: Neal Rachel
Published: February 2024

During the First World War, 1914–1918, the British Army uniform provided an important tool in the transition from civilian to soldier and a symbol of a mass collective identity. However, soldier writings from the war and post-war years reveal the more individual experiences of their uniforms and the intimate relationships that formed between their physicality and the materiality of the garment. Focusing on the uniform experiences of British servicemen during the First World War, this article explores the narratives recorded in soldier correspondence, diaries and life writing to discover how men, despite wearing military uniform, continued to express the sartorial identities and practices developed as civilians. The uniform was central to soldiers’ physicality and their writings show that the materiality of the uniform became a conduit for their sensory and haptic experiences of the landscape around them. Yet the uniform remained only a temporary sartorial shift and, underneath, civilian identities and sensibilities remained resolute. Evidence of sartorial interventions and personalization expose the attempts to ameliorate the fit and feel of the uniform. Shining a light on these narratives of the uniform on a more personal and affective level challenges us to reconsider the boundaries between uniformity and individuality.
Sitārah: Exploring the Transformation of Yemeni Women's Dress Code over Time via Boushra Almutawakel's Photography
Authors: Bokir Shada
Published: February 2024

‘Mother, Daughter, Doll’ and ‘Colourful Sitārah’ are two photographic collections by Boushra Almutawakel (b. 1969). These collections aim to visualize the conservative grip on Yemeni women from the 1960s up to the present day. This article discusses the progression of the blackness of female covering caused by social, political and cultural developments that are special to the Yemeni context. Almutawakel's photographs celebrate the sitārah, the traditional colourful Yemeni cape, which was altered into a black, shapeless garment through the ideological invasion of Wahhabism in Yemen, which has led to increased isolation and invisibility for women there.
Initial thickness effect of momentum boundary layer on the mixing characteristics of a supercritical nitrogen jet under modal control
Authors:   Beijing Key Laboratory of Process Fluid Filtration and Separation, College of Mechanical and Transportation Engineering, China University of Petroleum, Yuan Minpeng , Xiang Yong ,   Beijing Key Laboratory of Process Fluid Filtration and Separation, College of Mechanical and Transportation Engineering, China University of Petroleum, Feng* Yanyan ,   Beijing Key Laboratory of Process Fluid Filtration and Separation, College of Mechanical and Transportation Engineering, China University of Petroleum, Wang Cunhai ,   School of Energy and Environmental Engineering, University of Science and Technology Beijing
Published: February 2024

The mixing degree of fuel jets is one of the key factors that influence the combustion efficiency and emission level of engines. In this paper, the flow field mixing characteristics of supercritical nitrogen jets with different initial thicknesses of the momentum boundary layer (θ) under the excitation of varicose mode are investigated using Reynolds-averaged numerical simulations. The results show that without excitation, as R_/θ _increases in the studied range (10 < R_/θ _< 90, R_ _is the orifice radius), the radial velocity gradient of the jet increases and the propagation of the flow instability is significantly suppressed. The potential core length of the jet increases and the expansion angle decreases, indicating weak mixing performance. When 10 < R_/θ _< 40, the turbulent fluctuations in density and temperature are more intense with thinner initial momentum boundary layer (10 < R_/θ _< 40) under same excitation amplitude. The core lengths of the density and temperature have more pronounced shortening, and the gains of mass and heat mixing enhancement are enhanced more effectively. However, the velocity fluctuation and momentum mixing are weak due to excited by non-preferred modal frequencies and the velocity core length has no obvious change. With thinner initial thicknesses of momentum boundary layer (40 < R_/θ _< 90), the modal instability dominates the instability of the flow field, and the decay rates of the core lengths basically remain unchanged.
MANAGEMENT OF ODONTOGENIC MYXOMA OF MANDIBLE BY SEGMENTAL RESECTION – A CASE REPORT
Authors: NARWADE PALLAVI UDDHAV , P ANBUMANI , V ASHWIN
Published: February 2024

Abstract
OdontogenicMyxoma (OM) is a benign odontogenic tumour of ectomesenchymal origin. It presents as a slow growing, painless locally aggressive tumour of jaw bones, common in the posterior mandible and is generally asymptomatic.Treatment in¬cludes surgical management that may range from simple enucleation and curettage to surgical excision in the form of peripheral osteotomy, segmental or radical resection. Here, we present a case report on odontogenicmyxoma of mandible managed by segmental resection.

Key words
Odontogenicmyxoma – Mandible – segmental resection – reconstruction plate
TwoTechniques for BleachingofDiscolouredEndodontically Treated Teeth– A Case Series
Authors: Agarwal Navin , Gaikwad Prajakta , Singh Shishir , Podar Rajesh , Kale Apurva
Published: February 2024

Discoloration of anterior teeth can cause aesthetic impairment after an endodontic treatment. Use of in-office non vitalbleaching is an effective method to overcome such an aesthetichinderance whichis a conservative alternative to more invasive esthetic treatments like full-coverage crowns or veneers. Bleaching agents like sodium perborate and hydrogen peroxide can be used for such procedure. This case series presents two cases with anterior discoloration treated with in-office non vital bleaching procedure to gain the desired results. In case 1,walking bleach (non-vital bleaching) was decided for the discoloured central incisor (11) where after placement glassionomer cement as an intraorifice barrier, the mixture of sodium perborate and 3% hydrogen peroxide was placed in the chamber and temporization using cavit was performed; the desired results were obtained in one week. In case 2 after the required endodontic treatment and placement of glass ionomer cement as an intraorifice barrier,in-office non vital bleaching was performed with upper central incisor (11) using Opalesence Boost (40% Hydrogen Peroxide), where 2 cycles of freshly mixed pastes were applied on labial, palatal surface and in the chamber for 20 minutes. The same cycle was repeated after one week, and the desired shade was achieved. In both the cases definitive restoration using composite resin was performed after a week.

Keywords: Non-vital bleaching; bleaching case series; tooth discolouration; tooth bleaching; bleaching techniques
Oral Mucocele - A Case Report
Authors: R. Karthik , N. Mohan , PT Ravikumar , Gokulraj Sabitha , A Kumar
Published: February 2024

Mucocele is a mucus retention pseudocyst caused by accidental lip biting which results in the spillage of mucin and this spilled mucin gets collected in a sac like cavity resulting in a dome shaped,fluctuant,non-tender swelling.Mucocele is a pseudocyst, as they lack an epithelial lining. such a case of mucocele in a 23-year-old-male reported to department of oral medicine due to accidental lip biting resulting in an unaesthetic appearance and interference in mastication and speech and treated by surgical excision was described here.

KeyWords:Lip biting,Mucin, Mucocele.
Clinical & Radiographic Evaluation of Complete Pulpotomy In A Tooth with Irreversible Pulpitis: A Case Report
Authors: Sahu Sonal , Vin Sarathi , Salgar Avinash , Shetty Roshan , Poplai Gaurav
Published: February 2024

Management of deep caries has traditionally been with complete caries removal followed by root canal therapy. Minimally invasive procedures like Pulpotomy have come to the forefront ever since the introduction of highly biocompatible calcium silicate based materials even in mature teeth. There is increasing evidence of success with pulpotomy in mature,irreversibly inflamed teeth provided the case selection is accurate ,proper asepsis is maintained, and hemostasis is achievable. This case report demonstrates clinical and radiographic success of a case with signs and symptoms of irreversible pulpitis ,treated by a conservative procedure of complete pulpotomy.

Keywords: Pulpotomy; vital pulp therapy; mineral trioxide aggregate; chronic irreversible pulpitis; mature tooth; complete pulpotomy
Esthetic correction of mesiodens in primary dentition
Authors: Challa Ramasubba Reddy , Alahari Swetha
Published: February 2024

The management of supernumerary teeth, especially mesiodens, consists of a wide range of treatment options. Constant monitoring of supernumerary teeth is mandatory to decide whether to retain it in case of its favourable positioning in the arch by reshaping or endodontically or orthodontically treating it. If its position is unfavourable, surgical removal may be followed.
This case report consists of treating labially erupted mesiodens, resulting in early exfoliation of primary maxillary incisor in a five-year-old and modifying the mesiodens into primary incisor until its successor erupts.

Keywords:
Primary dentition, Mesiodens, Supernumerary teeth.
External Root Resorption of the Mandibular Second Molar Associated with Completely Impacted Third Molar: A Case Report and Review of the Literature
Authors: Daware Surendra , Hate Charulata
Published: February 2024

External root resorption (ERR) of permanent teeth is believed to result from mechanical or inflammatory factors, such as the force pressure of orthodontic appliances, dental trauma, cysts or tumours, chronic apical periodontitis, and poor regeneration of the periodontium in reimplanted or transplanted teeth. Another factor frequently associated with ERR of second molars is an unerupted third molar close to the root of the second molar. This type of root resorption has been observed at the site of contact with the impacted tooth, indicating that the impacted tooth's pressure participates in the resorption process. Though this resorption mechanism is not yet apparent, some investigators deem it similar to the mechanism involved in the resorption of primary teeth. This case report aims to describe a second molar resorption case triggered by an impacted third molar and perform a literature review.

Key Words
External Root Resorption, Mandibular third molar, Pressure resorption,
Comparative analysis of working length determination using Radiovisiography,
Electronic apex locator & Graduated root canal length indicating cone – An in vivo study
Authors: Kandhari Archana , Shenoi Pratima , Gunwal Mohit , Shahu Shriya
Published: February 2024

Purpose:The present study evaluated accuracy of radiovisiography (RVG), electronic apex locator (EAL)andgraduated root canal length indicating cone (GRCLIC) when used for working length determination.

Materials and Methods:Total of 11 patients with 30 maxillary anterior teeth in the age group of 30-60 years scheduled for extraction for periodontal reasons were selected. Standard access cavities were preparedand selected teeth were then subjected to working length determination using three methods and compared with actual canal length determined after extraction. The study groups were as follows:
Group 1: Working length determination using RVG
Group 2: Working length determination with EAL Propex-II, Dentsply
Group 3: Working length determination using GRCLIC
Group 4: Actual canal length determined after extraction and 1mm subtracted from it
The data was analyzed statistically by ANOVA test to compare the four groups and by unpaired t-test and scheffe’s multiple comparison test group wise.

Results:There was no significance difference (p > 0.05) observed between Group 1 (RVG), Group 2 (EAL) and Group 3 (GRCLIC) with Group 4 (AL).Percentage accuracy analysis indicated that GRCLIC method showed maximum accuracy i.e. 96.43% followed by RVG with 96.12% accuracy and EAL with a value of 95.81%.

Conclusion: GRCLIC used for calibration of working length produced comparable results with the actual length, thus suggesting that it may be used for root length determination in clinical practice instead of conventional files with less accuracy.

Key Words:Electronic Apex Locator, Graduated Root Canal Length Indicating Cone, Radiovisiography, Working length determination
Conservative surgical management of Juvenile Central Cemento- Ossifying Fibroma of
anterior mandible. - Case report and literature review
Authors: Arumugam Aravindhan , Chak Rakesh Kumar , Maurya Malti Kumari , Yadav Dipika , Somkuwar Jay Kishor
Published: February 2024

Cemento-ossifying fibroma (COF) is a benign neoplasm that arises from the periodontal membrane which contains multipotential cells that are capable of forming cementum, lamellar bone and fibrous tissue. Juvenile cemento-ossifying fibroma is a type of fibro osseous lesion which contains cementoid tissue and developed in first two decades of life. Majority of the juvenile COF are aggressive in nature that necessitates extensive radical surgery to prevent the recurrence. This case report describes the conservative surgical management of juvenile cemento- ossifying fibroma in an 8 year old child with the preservation of permanent teeth and long term follow up.

Key words: Anterior mandible, Cemento-ossifying fibroma , Fibro osseous lesion,
Juvenile osseous neoplasm, Periodontoma
Is 8-OHdG a reliable marker in Periodontitis – the sixth complication of Diabetes mellitus?
Authors: Muthuraj Maria Subash Aaron , Janakiram Srihari , Chithresan Koshy
Published: February 2024

The imbalance between oxidants and antioxidants in favour of oxidants leads to oxidative damage. In diabetes mellitus, the above phenomenon occurs due to an increase in free radicals and a profound reduction in antioxidants. In periodontitis which is the sixth complication of diabetes mellitus, oxidative damage occurs in periodontal tissues. The oxidative damage to DNA results in 8-OHdG (8- hydroxydeoxyguanosine) formation in diabetes mellitus patients as well as in periodontitis patients. 8-OHdG is a stable product and is excreted in tissue fluids such as urine, saliva and gingival crevicular fluid. Here in this review, biochemical marker 8-OHdG and its association with periodontitis, the sixth complication of diabetes mellitus will be discussed.

Key words: 8- hydroxy deoxy guanosine, Aggressive periodontitis, Chronic periodontitis, Diabetes Mellitus, Periodontitis,
“A simplified delayed repositioning technique on managing luxated and locked permanent tooth”
Authors: Mandviwala Dilshad , Arora Ankit , Kapoor Sonali
Published: February 2024

Lateral luxation is a frequent traumatic injury commonly dealt with repositioning of the tooth to its original location in its early days. Delayed cases may present locking of the tooth after the injury. Multiple techniques like inclined planes, surgical intervention and fixed orthodontics have been used to reposition the tooth. Explained below is a simplified technique that involves wedges for rapid teeth separation before delayed repositioning of the luxated and locked tooth.

KEYWORDS
Dental trauma, Lateral luxation, Rapid separation, Repositioning, Splinting, Wedge
ANTIMICROBIAL SUSCEPTIBILITY OF PERIODONTOPATHOGENS
Authors: Muthuraj Maria Subash Aaron , Ayeni MAJ Mary Kural
Published: February 2024

Antimicrobial therapy is commonly used as an adjuvant in periodontitis involving tissue invasive pathogens, to prevent earlier repopulation of the above after periodontal therapy. In developing countries like India where empirical antimicrobial therapy is common, the antimicrobial resistance is a life threatening problem. In order to avoid this situation, we have to go for antimicrobial susceptibility testing before periodontal therapy. Here in this review we are going to discuss about antimicrobial susceptibility of various periodontal pathogen.

Key words:
Antimicrobial therapy, antimicrobial susceptibility, antimicrobial resistance, periodontitis, periodontal pathogen
Esthetic Outcome and Follow up of Strip Crowns Restoration for a child with Primary
Dentition – A Case Report
Authors: Deshmukh Bhagyashree , Kakade Adesh , Lokare Manoj , Banthiya Karun
Published: February 2024

Aesthetic treatment of severely decayed anterior primary teeth is one of the greatest challenges faced by paediatric dentists. Traditionally, aesthetic considerations were often omitted or ignored when full-coverage restorations were indicated in children with primary dentitions. However, the availability of paediatric strip crowns and reliable techniques makes esthetic outcomes practical and consistent when restoring primary dentition. We report the management of a 4.5-year-old girl with presentation of severe early childhood caries affecting both anterior and posterior teeth. Pulpectomy was performed in pulp involved anteriors followed by restoration of those with strip crowns. Teeth which weren’t showing any pulpal involvement were restored by composite strip crowns alone. Functional and pleasing aesthetics were attained till a follow up period of 6 months.

Keywords – Strip crowns, Early Childhood Caries, Resin Composite
Awareness, Attitude, Practice And Perceived Barriers Of Tobacco Cessation Counseling Among Dental Practitioners In Ghaziabad – A Cross-Sectional Study
Authors: Kumari Monika , Rajeev Ananthalekshmy
Published: February 2024

Introduction: Tobacco using habit is one of the leading causes of preventable death and disease globally. Dental practitioners play a vital role in preventing tobacco related diseases. The present study attempted to carry out a survey on the Awareness, Attitude, Practice and Perceived barriers of tobacco cessation counseling among dental practitioners in Ghaziabad.

Materials and Methods: The present descriptive cross-sectional study encompasses 401 dental practitioners in Ghaziabad. A self-administered survey questionnaire was designed to collect the required data. The data were entered in Microsoft Excel spreadsheet and were exposed to frequency distribution and Chi square analysis using the Statistical Package for the Social Sciences software (SPSS) 21.0v.

Results: 75% graduate dentists and 93% post graduate dentists counseled their patients about the effects of smoking on oral health. According to the dentists, lack of financial incentives reflected to be another barrier in providing tobacco cessation counseling. The fear of damaging dentist–patient relationship was considered to an extent as a barrier in providing smoking cessation counseling by 85.07% graduate dentists while 84.9% post graduate dentists considered only to some extent about the same and this difference was found to be statistically significant (p≤0.01).

Conclusion: According to the present study, dental professionals were aware about their role in motivating people to quit the habit of tobacco usage. But Dentists are facing many perceived barriers for tobacco cessation counseling so effective approaches should be made to overcome all these hurdles.

Keywords: Attitude, Awareness, Counseling, Dentist, Practice, Tobacco Cessation
Hemisection - A Case Report
Authors: Tandon Vaibhav , Kumari Diya , Singh Monika
Published: February 2024

Hemisection denotes removal or separation of root with its accompanying crown portion of mandibular molars. It is one of the treatment options for preserving the remaining part of the molar having sound periodontium. Careful case selection is necessary for long-term success. The present case report demonstrates the successful management of hemisection of 36 with a fixed partial denture.

Key Words: Fixed partial denture, Furcation involvement, Hemisection, Root resection
"Awareness and Practice of Periodontal Procedures performed in the General Dental Practice- A Survey."
Authors: Mitra Dipika , Rodrigues Silvia , Gurav Prachi
Published: February 2024

Aim: To evaluate the current status of periodontal treatment in clinics, the protocol for maintenance therapy, general awareness of the dentists towards periodontal care and to evaluate their attitude towards the need for accomplishment of periodontal procedures.

Methods and Material: The study was a cross-sectional descriptive survey, carried out in form of a questionnaire comprising 12 questions, distributed through google forms amongst 260 General Practitioners (GPs) in Mumbai. The questions ranged from chief periodontal complaints of the patients to the level of satisfaction of dentists after periodontal therapy. Statistical analysis was performed using SPSS software version 21.0.

Results: The results revealed that most GPs performed phase-one therapy, gingivectomy and crown-lengthening procedures. It was also seen that general dentists don’t carry out regular periodontal examination along with periodontal probing. In addition, there is no proper protocol for re-call.

Conclusions: Results of the survey revealed that some areas need to be emphasized like general dentist should carry out regular gingival examination along with probing, motivating the patients for periodontal treatment and devise a proper protocol for recall. He should be explained the benefits of the involvement of periodontist in phase-I therapy and the important role that a periodontist plays in multidisciplinary dentistry.

Key-words: General practitioner, general practice, periodontics, original article, survey.
Horizontal ridge augmentation by ridge split technique using
piezosurgery- exploring the techniques beyond prosthetic replacements for resorbed ridges
Authors: Rajendran Poornima , Bhat Subraya , Rangaraj Rajesh
Published: February 2024

Extraction of teeth leads to hasty ridge resorption. Alveolar ridge resorption occurs rapidly in horizontal direction than in vertical direction, thusdemanding ridge augmentation for implant placement.Conventional techniques such as block grafting shows increased post-operative morbidity and requires second surgical site. Horizontal ridge augmentation (HRA) by ridge split technique (RST) is a minimally invasive procedure that aids in ridge expansion, at the same time preventing the need for second surgical site. The case presented here had adequate ridge height but reduced ridge width in mandibular right quadrant. RST was accomplished using piezosurgery in combination with bioactive glass and platelet-rich fibrin (PRF), followed by implant placement. The patient was evaluated periodically at ten days, three months and six months before implant placement.RST provides promising results in terms of gain in ridge width. The use of piezosurgery, bone graft, PRF had added advantage in preservation of the alveolar ridge and post-operative healing.

Key words:Ridge augmentation, Ridge split technique, Piezosurgery, Bioactive glass, Platelet-rich fibrin.
Marpe - An Effective Treatment Modality for Transverse Discrepancy
Correction in Young Adults: A Case Report
Authors: Selvi A. Kalai , B. Saravanan , M. S. Kannan
Published: February 2024

Growth in maxilla occurs either by apposition of bone at the suture or by surface remodeling . Many studies have reported that by the late teens, interdigitation and areas of bony bridging across the suture develop to the point that maxillary expansion becomes impossible. Conventional expanders were effective in children and young adolescents but when used during late adolescent and adulthood it caused more of dental tipping and less to no skeletal expansion. The inclusion of mini screws in conventional rapid palatal expanders converts it into a MARPE appliance. The Mini screw warrants greater skeletal expansion, keeping the dental expansion and associated unwanted effects to a minimum. The objective of this case report is to show the correction of bilateral posterior crossbite in an adult patient using Miniscrew Assisted Rapid Palatal expansion followed by fixed orthodontic appliance therapy.

Keywords: MARPE; Rapid palatal expansion; Maxillary skeletal expansion
Oral complications with Covid-19 - A Review
Authors: Arasu Adhithi
Published: February 2024

Coronavirus disease is a communicable disease that started in Wuhan, China in December 2019. Then this disease spiralled into a pandemic and reached 220 countries and territories approximately. As per the WHO,‘the virus can spread from an infected person’s mouth or nose in small liquid particles when they cough, sneeze, speak, sing or breathe’. The incubation period for Covid-19 ranges between 2-10 days. Various prevention measures have been listed out such as wearing masks, sanitising hands, getting vaccinate, etc. The symptoms can be mild, moderate, severe and/or fatal. The tongue is the most commonly affected region among the oral manifestations and dry mouth has been reported as the most common manifestation. The treatment ranges according to the severity but fluid therapy and Vitamin-c supplementation being a basic management in all the cases.

Keyword: Covid-19, Oral manifestations, Pandemic
Comparison of clinical and photographic assessment of facial scars by three different professionals using SCAR scale- An Observational study
Authors: Chandrasekaran Balamanikandasrinivasan , K. C. Keerthana Sri , John Reena Rachel
Published: February 2024

Scars can have functional, cosmetic and psychological consequences. The impact becomes even more profound when these scars occur on the face. Assessment of scars forms the basis for understanding them. Scars can be assessed both clinically and photographically. Though such assessments are common after burns, they are least studied in the maxillofacial region. Results obtained through an interdisciplinary approach are more effective; this study intends to combine a plastic surgeon, a dermatologist, and two maxillofacial surgeons. This study aims to evaluate the facial scars through the SCAR scale.

Subjects and Methods:
After obtaining their consent, thirty patients with facial scars were included in this study. Clinically, two OMFS surgeons independently used the SCAR scale to evaluate the rating scale. Scars were photographed in a standardized manner and were evaluated by a plastic surgeon and dermatologist independently using the same scale.

Results:
The results were tabulated, and interobserver and intraobserver differences were statistically analyzed using an independent t-test, ANOVA test and Turkey B post Hoc test.

Conclusion:
Clinical assessment of scars is superior to photographs. Assessment of scars by different specialists helps achieve evidence-based research and promotes more sophisticated treatment. Besides that, we must educate the patients about scar revision, as many are unaware of such procedures.

Key-words: Facial Scars, Clinical assessment, Photographic assessment, SCAR scale
Malunion of Mandible Fracture: A Case Report
Authors: Kumar Chillakuru Manoj , Haripriya Chari , Kishore Kumar Rayadurgam Venkata , Devireddy Sathya Kumar
Published: February 2024

Radicular cysts are the most common odontogenic cystic lesions of jaws. They are asymptomatic lesions associated with the root apex of a non-vital tooth that slowly progresses rarely to large symptomatic swelling. Here we describe a patient with large radicular cyst involving maxillary sinus secondary to traumatized non-vital tooth 21 treated by surgical enucleation.

Key words: Maxillary sinus, Radicular cyst, Surgical enucleation