bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of 4% Sodium Hypochlorite in eliminating Enterococcus faecalis from the Root Canal when Used with Three Irrigation Methods: An in vitro Study
Authors: Pandey Vinisha , Priyank Harsh , Bagul Abhishek , Majety Kishore Kumar , Verma Parul , Choudhury Basanta Kumar
Published: July 2019

Introduction

Endodontic treatment removes all pathogens, such as Enterococcus faecalis from pulp and root canals. The aim of this study is to assess the usefulness of sodium hypochlorite (NaOCl) in removing E. faecalis from the root canal used with three different irrigation methods.

Materials and methods

This study was conducted on freshly extracted maxillary incisors. After biomechanical preparation, root canals were injected with E. faecalis. Three groups were made which contained 30 teeth in each group; 2 mL of NaOCl solution was used for irrigation followed by agitation with K-files in group I; 2 mL of NaOCl solution was used for irrigation and ultrasonic agitation was done in group II. In group III, an alternate irrigation with NaOCl and 3% hydrogen peroxide was done. The fourth group (control) was irrigated with sterile saline solution. E. faecalis bacteria were sampled to the root canals with paper points and were transferred to tubes that contained 5 mL of brain heart infusion broth. Tubes were incubated and the presence of broth turbidity was suggestive of bacteria remaining in the root canal.

Results

All three groups showed no statistically significant difference. However, difference existed between experimental groups and control groups.

Conclusion

The author concluded that all three methods of application of NaOCl were effective in disinfecting the root canal than the saline solution.

Clinical significance

No single irrigant has 100% efficiency. Thus by this study, a best irrigating solution with maximum properties can be established.

How to cite this article

Priyank H, Pandey V, Bagul A, Majety KK, Verma P, Choudhury BK. Evaluation of 4% Sodium Hypochlorite in eliminating Enterococcus faecalis from the Root Canal when Used with Three Irrigation Methods: An in vitro Study. J Contemp Dent Pract 2017;18(3):214-217.
Nonconventional Therapeutic Protocol for Type III Dens Invaginatus
Authors: Estrela Carlos , de Figueiredo José AP , Kunert Gustavo G , Kunert Itaborai R , Barletta Fernando B
Published: July 2019

Introduction

This study discusses a nonconventional therapeutic protocol for type III dens invaginatus. This condition is a disorder of dental development, caused by the invagination of enamel into coronal and/or radicular dentin structure. This promotes several structural alterations within the dental organ, which offers challenges and difficulties to perform the endodontic treatment when needed. This article reports a clinical case where a conservative approach was adopted to preserve the invaginated tooth, and endodontic treatment was performed in the main necrotic canal. Following 21 years of observation, a complete root formation could be seen, with dental pulp preservation of the pulpotomized tooth. Considering the reported difficulties for the treatment of dens invaginatus, conservative measures, such as pulpotomy to preserve the remaining dental pulp may be an excellent alternative to allow less invasive procedures, thus avoiding endodontic surgery. This study discusses a nonconventional therapeutic protocol for type III dens invaginatus. A conservative approach adopted preserved the invaginated tooth, and root canal treatment was performed in the main necrotic canal. Following 21 years of observation, there was complete root formation, with dental pulp preservation of the pulpotomized tooth.

How to cite this article

Kunert GG, Kunert IR, de Figueiredo JAP, Barletta FB, Estrela C. Nonconventional Therapeutic Protocol for Type III Dens Invaginatus. J Contemp Dent Pract 2017;18(3): 257-260.
Management of Acanthamoeba and Candida Keratitis in a Young Female: Our Experience at Princess Haya Military Hospital
Authors: Raqqad Nancy Al , Fgara Naser Al
Published: July 2019

Aim

We aim to share our experience in the management of a 19 years old female patient, who presented to Princess Haya Military Hospital in Aqaba, Jordan, with a very aggressive keratitis.

Patients and methods

A 19 years old female patient with 1 year history of keratitis that did not resolve despite several treatment strategies tried elsewhere, presented to the eye clinic in Aqaba.

Ocular examination showed signs of Acanthamoeba keratitis with perineuritis.

Corneal cultures were not informative. Corneal biopsy showed a mixed Candida and Acanthamoeba growth.

Results

The patient was started on topical and oral anti-amoebic and antifungal treatment (antiamoebic drops brought from UK). Improvement was drastic after 2 weeks of treatment. The patient maintained a chronic low infective state and scarring of the cornea. She received therapeutic and visual karatoplasty 3 months later.

Patient is now 12 months after her PKP. The cornea is clear and vision is 6/12 unaided.

Conclusion

Cases of mixed fungal and amoebic keratitis are very rare. Prompt treatment and diagnosis is essential for recovery. Controversy still exists on the use of steroids after corneal transplantation for treatment of chronic fungal keratitis. Management should be tailored to each individual case.

How to cite this article

Al Raqqad N, Al Fgara N. Management of Acanthamoeba and Candida Keratitis in a Young Female: Our Experience at Princess Haya Military Hospital. Int J Kerat Ect Cor Dis 2015;4(3):120-122.
Acanthamoeba Keratitis: Different Surgical Approaches
Authors: Bikbov Mukharram , Surkova Valentina , Usubov Emin
Published: July 2019

The features of acanthamoeba keratitis (AK) progression, clinical cases, and results of early and delayed penetrating keratoplasty as the main method of severe AK treatment are presented. It is described as two clinical cases with different surgical approaches: Case 1 – delayed keratoplasty after remission and case 2 – early keratoplasty during a severe flare up of the disease.

In the 1st case the keratitis led to the development of chronic keratouveitis, secondary glaucoma, complicated cataract, and vision loss. The received keratoplasty was of only anatomic effect. In the 2nd case early keratoplasty allowed avoiding secondary complications and retaining a satisfactory visual acuity along with avoiding reoperations.

How to cite this article

Bikbov M, Surkova V, Usubov E. Acanthamoeba Keratitis: Different Surgical Approaches. Int J Kerat Ect Cor Dis 2016;5(2):77-80.
Clinical Dilemmas in the Management of a Monocular Patient with Down's Syndrome, Dementia, Advanced Keratoconus, and a Mature Cataract
Authors: Nanavaty Mayank A , Ali Hala
Published: July 2019

There are reports on the successful management of mild to moderate keratoconus in patients with Down's syndrome. However, when Down's syndrome is coexistent with Dementia, poor general health, and very advanced keratoconus in only one eye, then clinicians may face challenges at all stages from diagnosis, treatment, and follow-up. Our case is one such example of a combination of Down's syndrome, Dementia, poor general health, and very advanced keratoconus with a white cataract in the only functioning eye. This report highlights the dilemmas which were encountered and learning points on selection of the safest, yet effective management options in such patients.

How to cite this article

Ali H, Nanavaty MA. Clinical Dilemmas in the Management of a Monocular Patient with Down's Syndrome, Dementia, Advanced Keratoconus, and a Mature Cataract. Int J Kerat Ect Cor Dis 2016;5(2):81-84.
ISW Treatment for the Skeletal Class III with Anterior Crossbite and Minor Facial Asymmetry
Authors: YU Jian-hong , Tseng Chi-Hsin
Published: July 2019

Skeletal class III with anterior crossbite is a very common orthodontic problem in Taiwan. Early diagnosis and treatment are very important to achieve effective correction. This article reports the treatment outcomes using improved superelastic TiNi alloy wire (ISW; developed by Tokyo Medical and Dental University) for a case of skeletal class III malocclusion with anterior crossbite and lower anterior crowding combined minor facial asymmetry. ISW allowed relief of crowding to facilitate correction for this case. In comparison with the traditional treatment with SSW multiple L loops of class III patient, ISW multiloop edgewise archwire (MEAW) can provide a more efficient and easier way for the patient. After 16 months of treatment, a desirable outcome was achieved and patient was satisfied with the treatment procedure and result.

How to cite this article

Tseng CH, Jian-Hong YU. ISW Treatment for the Skeletal Class III with Anterior Crossbite and Minor Facial Asymmetry. Int J Experiment Dent Sci 2013;2(1):53-59.
Assessment of Implant Stability of Two-piece Zirconium Dioxide Implants using the Resonance Frequency Analysis: A Pilot Study
Authors: Tattan Mustafa , Kokovic Vladimir , Rahman Muhammed Mustahsen , Rahman Betul
Published: July 2019

Objective

The aim of this pilot study is to evaluate to value of primary implant stability for two-piece zirconia implants and longitudinally stability changes of implants during the healing period of 16 weeks.

Materials and methods

Ten patients treated with 12 two-piece non metallic zirconia dioxide root shape implant (4/10 mm, Axis Biodental, Les Bios, Switzerland) for single tooth replacement in the upper premolar area. Resonance frequency analysis (RFA) was used for assessment of longitudinally changes of implant stability during 16-weeks observing period. All patients have been re-evaluated 1 year after loading.

Results

Mean implant stability quotient (ISQ) value of initial implant stability for 12 implants was 60.25 (3.72). Statistically, significant decrease was noted in the first 3 weeks after insertion (p = 0.000). Also, statistically significant increasing of implant stability was recorded for observing period for 6th to 16th week.

Conclusion

Increasing of ISQ value during observing period suggests loading of two-piece zirconia dioxide root shape implant for single tooth replacement in the upper premolar area, after healing period of 4 months.

How to cite this article

Kokovic V, Rahman MM, Rahman B, Tattan M. Assessment of Implant Stability of Two-piece Zirconium Dioxide Implants using the Resonance Frequency Analysis: A Pilot Study. Int J Experiment Dent Sci 2015;4(2):87-94.
Management of Invasive Cervical Resorption Involving the Pulp by Surgical and Restorative Therapy
Authors: Ranna Vinisha , Sayed Abrar
Published: July 2019

Invasive cervical resorption (ICR) is a form of external resorption which affects the cervical area of permanent teeth and may progress to involve the pulp. It can cause insidious loss of tooth structure, which often is undetected until late in the process. Two cases, both involving the maxillary left central incisor where cone-beam computed tomography (CBCT) revealed an invasive cervical resorptive lesion, extending from the cervical to mid root region and perforating the pulp chamber. The cases were managed surgically with the help of a dental operating microscope (DOM). Nine months follow-up revealed resolution of the lesion and restoration of the affected teeth to functional occlusion. This report emphasizes the restorability of advanced lesions of ICR, if adequate diagnostic and treatment equipment is used.

How to cite this article

Ranna V, Sayed A. Management of Invasive Cervical Resorption Involving the Pulp by Surgical and Restorative Therapy. Int J Experiment Dent Sci 2015;4(2): 130-133.
Efficacy of “Oil Pulling” on Gingival Health and Biofilm Accumulation in a Group of Young Adults: A Pilot Study
Authors: Rayner Sara , Herrick Trislyn , Chiesa Christina
Published: July 2019

Aims

The aim of this pilot study was to assess changes in gingival bleeding and biofilm accumulation in young adults undergoing oil-pulling treatment together with standardized oral hygiene practices, compared to a control group of patients that did not undergo oil pulling but maintained the standard oral hygiene practices outlined in the study.

Materials and methods

The experiment was designed as a randomized, two-way, single-blind, crossover with a 2-month washout period between two, 10-day experimental periods. A total of 28, randomly selected dental students who met the inclusion criteria were assessed for gingival bleeding and biofilm on six teeth before and after rinsing with sesame oil for 10 minutes per day, for a period of 10 days. The mean difference between the test and control group's reduction in scores was analyzed using the paired t-test. The level of significance was set at ? (alpha) = 0.05.

Results

There were no statistically significant differences on plaque biofilm accumulation and bleeding when compared with the control group. There was a higher reduction in gingival bleeding scores (albeit not statistically significant) among those who used sesame oil compared to those who did not.

Conclusion

Based on the current study, it appears that oil pulling for 10 minutes and for a period of 10 days using sesame oil has no significant benefit over brushing and flossing alone, on a sample of 28 dental students.

How to cite this article

Rayner S, Herrick T, Chiesa C, Hoover J, Karunanayake C. Efficacy of “Oil Pulling” on Gingival Health and Biofilm Accumulation in a Group of Young Adults: A Pilot Study. Int J Experiment Dent Sci 2016;5(2):113-117.
Evaluation of the Intermental Foramina Distance among Malaysian Population by using Orthopantomogram Radiograph
Authors: Aljuboori Mohammed Jasim , Al-Wakeel Hussien Ali , Fang Lor Yen , Eirutharajan Navenithamaria , Balachandran Santhanalaxmi A
Published: July 2019

Objectives

Previous studies showed there were variations in the interforamina distance of mental foramen between races. The aim of our study is to determine the interforamina distance of mental foramen among Malaysian populations.

Materials and methods

A total of 503 orthopantomogram (OPG) radiographs were observed. Interexaminer calibration was estimated using the Kappa-Cohen formula. A sheet of transparent paper was superimposed on the panoramic film and the mental foramen was traced on it by using a fine marker pen. A vertical line marking the midline was drawn passing between the maxillary central incisors, the mandibular central incisors, or the nasal septum by using a ruler. The distance of the mental foramen from the midline was then recorded from both the left and the right side. The data were analyzed using chi-square test.

Results

According to our inclusion and exclusion criteria, 110 OPGs have been excluded and 393 OPGs were selected. In the Malay population, the most common interforamina distance for a male is between 55 and 60+ mm (n= 73, 54.8%). Also, the most common interforamina distance for a female is 55 to 60+ mm (n = 84, 50%). In the Chinese population, the most common interformina distance for a male is between 55 and 60+ mm (n=60, 66.8%). Similarly, the most common interforamina distance for a female is between 55 and 60+ mm (n= 73, 53.8%). Among the Indian population, the most common interforamina distance for a male falls between 55 and 60+ mm (n= 53, 43.4%) and for a female as well (n=50, 54%). According to the chi-square test, the results show that the study is statistically insignificant since the p-value is >0.05 for both the male and female population.

Conclusion

There is no relationship between the interforamina distance and the ethnicity. The most common interforamina distance for all the races falls between 55 and 60+ mm.

How to cite this article

Al-Juboori MJ, Saini R, Al-Wakeel HA, Fang LY, Eirutharajan N, Balachandran SA. Evaluation of the Intermental Foramina Distance among Malaysian Population by using Orthopantomogram Radiograph. Int J Experiment Dent Sci 2016;5(2):118-122.
Effects of Periodontal Disease and Periodontal Treatment on the Lipid Profile: A Sri Lankan Study
Authors: Perera WKL , Amaratunga EAAP , Sivakanesan R
Published: July 2019

Aims

To compare the blood lipid levels of periodontitis group (of different severities) with a nonperiodontitis group and to evaluate any influence of periodontal treatment in altering blood lipid levels.

Materials and methods

The study sample consisted of 83 patients with periodontitis in the “test” group and a matched “control” group of 40, free of periodontitis according to predetermined selection criteria. All subjects underwent periodontal assessments and blood lipid estimation prior to treatment planning, following which they received active periodontal treatment/oral prophylaxis. Twelve weeks after treatment, periodontal reevaluations were carried out and blood lipids were reassessed for preand posttreatment comparisons.

Results

Increases in lipid levels were observed in the periodontitis group compared to the nonperiodontitis group at baseline. The test group had 5% higher mean total cholesterol than the control group at pretreatment/preintervention (albeit not significant: Student's t), while low-density lipoprotein cholesterol (LDL-Ch) was 6.6% higher in the test group than the control group (95% confidence interval). Mean triglycerides (Tri-G) were 5.7% higher in the control group than the test group, yet without statistical significance. All types of lipids in both the groups had decreased following periodontal therapy, while Tri-G levels demonstrated an opposite effect.

Conclusion

Patients with generalized severe periodontitis had higher LDL-Ch values than those with generalized mildmoderate periodontitis. Periodontal care was effective in lowering unfavorable serum lipids. Prompt control of periodontal inflammation would minimize development of deep periodontal infection and cardiovascular risk.

How to cite this article

Tilakaratne A, Perera WKL, Amaratunga EAAP, Sivakanesan R. Effects of Periodontal Disease and Periodontal Treatment on the Lipid Profile: A Sri Lankan Study. Int J Experiment Dent Sci 2016;5(2):127-132.

Source of support

University of Peradeniya Sri Lanka (Research Grant Number RG/2009/40/D).
Antibacterial Efficacy of Neem, Triphala, Green Tea, and Combination of Neem with Triphala Extract against Enterococcus faecalis: An in vitro Study
Authors: Saini Neha , Singhal Abhinav C , Jain Aditi S , Tiwari Jayesh , Surana Pratik
Published: July 2019

Introduction

The main objective of root canal treatment is to disinfect the entire root canal system, and irrigation is an important step in reducing the bacterial load from the root canal system. However, irrigants currently used in the field of endodontics have their share of limitations, and the search for an ideal root canal irrigant continues. The use of herbal extracts as endodontic irrigants is today gaining popularity.

Aims and objectives

To evaluate and compare the antimicrobial potential of herbal extracts, such as neem (Azadirachta indica), triphala (Terminalia chebula), green tea (Camellia sinensis), and combination of neem and triphala as endodontic irrigants against Enterococcus faecalis.

Materials and methods

Freshly prepared extracts of neem, triphala, green tea, and 2% chlorhexidine were used to assess the antimicrobial efficiency against E. faecalis using the agar well diffusion test. Agar plates were incubated at 370°C for 24 hours in an incubator. The diameter of bacterial inhibition zones around each well was recorded to the nearest size in mm.

Results

Higher mean zone of inhibition was recorded in chlorhexidine followed by neem extract and combination of neem and triphala than triphala and green tea extract respectively. The lowest mean zone of inhibition was found in green tea extract.

Conclusion

From the present study, it can be concluded that neem leaf extract shows comparable zones of inhibition with that of chlorhexidine and combination of neem and triphala.

How to cite this article

Singhal AC, Jain AS, Tiwari J, Surana P, Saini N. Antibacterial Efficacy of Neem, Triphala, Green Tea, and Combination of Neem with Triphala Extract against Enterococcus faecalis: An in vitro Study. Int J Experiment Dent Sci 2017;6(2):65-67.
Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment
Authors: Machale Priyanka S , U Shenoy Vanitha , Phodse Kunal
Published: July 2019

Introduction

Dental anxiety may be defined as a state of unpleasant feeling combined with an associated feeling of impending doom or danger from within than from without. Anxious patients are difficult to manage and tend to avoid treatment.

Aim

The aim of the study is to evaluate the level of dental anxiety among patients undergoing endodontic treatment.

Materials and methods

Consent form and a pro forma of questionnaire [Modified Dental Anxiety Scale (MDAS)] in three different languages were used. The patients undergoing endodontic treatment were first explained about the study and how the study would be carried out with a sample size of 250 patients. The minimum score of 5 and the maximum score of 25 was considered for evaluation. Cut off at 19 or above indicates a highly dentally anxious patient.

Statistical analysis

Analysis was done using the Student’s t-test and Kruskal–Wallis test.

Results

There were significant differences in the level of anxiety between male and female patients when the tooth was about to be drilled, when the teeth were about to be scaled, and when the local anesthetic was to be administered (p = 0.05, 0.02, and 0.06 respectively), except for anxiety levels a day prior to treatment and when patients were in the waiting room, which was not significant (p = 0.46 and 0.14 respectively).

Conclusion

In general, it was observed that patients are slightly anxious related to dental appointments and fairly anxious when related to treatments. Female patients tend to be more anxious than men, and patients in age group below 25 years are more anxious than other age groups.

How to cite this article

Phodse K, Shenoy VU, Machale PS. Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment. J Contemp Dent 2017;7(2):91-96.
A Comparative Evaluation of Fracture Resistance of Endodontically Treated Teeth restored with Composite Resin Core using Two Different Designs of Prefabricated Metal Posts: An in vitro Study
Authors: Ram Sabita M , Shah Naisargi , Gaikwad Amit M
Published: July 2019

Aim

To comparatively evaluate the fracture resistance of endodontically treated teeth restored with light-cured composite resin core using two different designs of prefabricated metal posts.

Materials and methods

A total of 30 single-rooted anterior teeth were selected for the study and endodontically treated. Teeth were sectioned 2 mm above the cementoenamel junction and were randomly divided into two groups (n = 15). Teeth in group I were restored with Parallel post—EG post and group II with parallel post with coronal flare—i post. Light-cured composite core buildup was done in all samples using a customized core former. Compressive load was applied at a 135° angle to the long axis of the tooth at a cross-head speed of 1 mm/minute until visible signs of fracture were observed. Levene's test and t-test were used to determine the difference of the failure loads between the groups (α = 0.05).

Results

The mean values (standard deviation [SD]) for fracture resistance were 295.55 N and 469.59 N for parallel post—EG post and parallel post with coronal flare—i post respectively. Since the p-value for thet-test is less than 0.05, it indicates that we should reject null hypothesis and conclude that the mean fracture load of parallel post with coronal flare—i post is significantly more than that of mean fracture load of parallel post—EG post.

Conclusion

The study conducted evaluated that the fracture resistance of endodontically treated teeth with parallel post with coronal flare—i post and core buildup had better strength as compared with parallel post—EG post and core buildup.

Clinical significance

The present study will help the clinician to select the appropriate prefabricated metal post that will fit exactly into the coronal flare of the canal improving clinical performance, thus increasing the longevity of the restoration.

How to cite this article

Gaikwad AM, Shah N, Ram SM. A Comparative Evaluation of Fracture Resistance of Endodontically Treated Teeth restored with Composite Resin Core using Two Different Designs of Prefabricated Metal Posts: Anin vitroStudy. J Contemp Dent 2017;7(2):97-102.
Association between Obesity and Periodontitis in a South Indian Population: A Cross-sectional Study
Authors: Patil Sudhir R , Walia Komal D , Gigras Surabhi , HR Veena
Published: July 2019

Aim

The aim of the study was to assess the relationship between obesity and periodontal status as well as evaluate its association with other demographic variables like age and gender among patients in KLE Society’s Institute of Dental Sciences, Bengaluru, Karnataka, India.

Materials and methods

A total of 200 patients (aged between 18 and 70 years) visiting the KLE Dental College in Bengaluru were analyzed for obesity and periodontal status. The body mass index (BMI) was used as an indicator of obesity and calculated as the ratio of the subject’s body weight (in kg) to the square of the height (in meters). Periodontal status was evaluated using community periodontal index (CPI). The relationship between BMI and periodontal status was assessed using binary multiple logistic regression analysis.

Results

Results indicated a positive correlation between BMI and periodontitis in the study group. Logistic regression analysis revealed that risk of periodontitis increases by 38% for each 1 kg/m2increase in BMI. The risk of periodontitis increases with increase in age and influence of gender is not found to be significant.

Conclusion

Obesity could be a potential risk factor for periodontitis. Estimation of the BMI could, thus, be used in periodontal risk assessment.

Clinical significance

Obesity, as measured by BMI, is hypothesized to be involved in immunoinflammatory alterations, including periodontitis. The study also showed that obesity can be a potential risk factor for periodontitis. The BMI measurement should be used regularly as a part of periodontal risk assessment. Moreover, periodontists should counsel obese persons regarding the possible oral complications of obesity, to diminish morbidity for these individuals.

How to cite this article

Gigras S, Patil SR, Veena HR, Walia KD. Association between Obesity and Periodontitis in a South Indian Population: A Cross-sectional Study. J Contemp Dent 2017;7(2):103-106.
Role of Perioperative TEE in Diagnosing and Management of a Case of Dynamic LVOT Obstruction/SAM
Authors: Puri GD , Rajkumar V
Published: July 2019

Systolic anterior motion (SAM) of the mitral leaflets can lead to hemodynamic instability in post bypass period. Perioperative transesophageal echocardiography (TEE) plays a crucial role in the management of SAM. Perioperative echocardiography helps to (a) identify cause of left ventricular outflow tract obstruction, (b) assess SAM and diagnose severity and (c) management of SAM. A case is presented illustrating identification and management of SAM in post bypass period.

How to cite this article

Kumar A, Rajkumar V, Kumar A, Puri GD. Role of Perioperative TEE in Diagnosing and Management of a Case of Dynamic LVOT Obstruction/SAM. J Perioper Echocardiogr 2015;3(2):58-61.
Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography
Authors: Kiran Usha , Irpachi Kalpna , Makhija Neeti , Chowdhury Ujjwal K
Published: July 2019

Left atrial myxomas are usually attached to the interatrial septum. This case highlights the unusual site of attachment of left atrial myxoma. The site of attachment was via a broad stalk at the junction of mitral valve annulus close to anterior mitral leaflet and adjacent left atrial wall. Transesophageal echocardiography helped in the detection of site of attachment as well as in postoperative evaluation.

How to cite this article

Makhija N, Irpachi K, Chowdhury UK, Kiran U. Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography. J Perioper Echocardiogr 2016;4(1):30-33.
Influence of Professional Oral Hygiene Procedures on Plasma Glucose Levels of systemically Healthy Individuals: A Short-term Study
Authors: Kulal Rithesh , Paul Shashwati , Sambhashivaiah Savita , Shivanand Shilpa
Published: July 2019

Aims

The treatment of gingival inflammation is associated with improved glycemic control in diabetic patients. The aim of this study was to test the short-term effects of professional oral hygiene procedures on plasma glucose levels in systemically healthy individuals with periodontal diseases.

Materials and methods

Forty-five systemically healthy individuals visiting the RajaRajeswari Dental College & Hospital were randomly allocated into three groups, group I (gingivitis), group II (periodontitis), and group III (healthy control). The subjects of groups I and II were treated by scaling and root planning whereas the healthy control group did not receive any treatment. The plasma glucose levels were estimated at baseline for all the three groups. Plasma glucose levels were again assessed immediately following the oral hygiene procedures and at 1 week recall visit for groups I and II.

Results

All 45 patients completed the study. There were no dropouts. There was no statistically significant change in random blood sugar (RBS) level in group I (gingivitis) from baseline to postoperative whereas there was a statistically significant reduction in the mean RBS levels from postoperative to 1 week. In group II (periodontitis), there was a significant reduction in the mean values of RBS from baseline to postoperative and baseline to 1 week.

Conclusion

This short-term study showed that professional oral hygiene procedures are effective in improving the glycemic status of systemically healthy patients with periodontal diseases.

How to cite this article

Kulal R, Paul S, Sambhashivaiah S, Shivanand S. Influence of Professional Oral Hygiene Procedures on Plasma Glucose Levels of systemically Healthy Individuals: A Short-term Study. J Health Sci Res 2015;6(2):29-32.
Peripheral Ossifying Fibroma in Rare Site: A Clinicopathological Report
Authors: Kalburgi Nagaraj , Kamat Apoorva , Mary Jane , Kotecha Ankita
Published: July 2019

Peripheral ossifying fibroma (POF) is a slowly growing benign tumor with a high recurrence rate. It is a common occurrence in the maxilla. A nodular mass, either pedunculated or sessile, usually emanating from the interdental papilla. Complete excision of the lesion, including the periosteum, is important to prevent recurrence.

Peripheral ossifying fibroma occurring in the mandible at the age of 50 in the posterior mandible is an occasional entity. This article describes a case of a female patient with a slowly growing pedunculated tumor in the posterior mandible, which was diagnosed as POF.

How to cite this article

Koregol AC, Kalburgi N, Kamat A, Mary J, Kotecha A. Peripheral Ossifying Fibroma in Rare Site: A Clinicopathological Report. J Health Sci Res 2015;6(2):60-64.
Traumatic Fibroma: A Case Series
Authors: Sambhashivaiah Savita , Singh Navnita , Bilichodmath Shivaprasad
Published: July 2019

Aims

This article addresses the clinical presentation, diagnosis, histological features, and treatment of two cases of fibroma.

Background

Fibromas are proliferative fibrous lesions of the gingiva and oral mucosa that may cause esthetic and functional problems. Fibrous hyperplasia and fibroepithelial hyperplasia are histological variants of these nonneoplastic lesions.

Case description

Case 1 demonstrated an overgrowth in the lower back tooth region. Case 2 was present at the corner of the lip mucosa. Both the growths were pale in color, sessile, painless, and firm in consistency. Lesions caused discomfort during chewing of food. Thus, both the lesions were excised using diode laser in continuous mode and sent for histopathological assessment.

Conclusion

These lesions are a result of trauma/chronic irritation and arise from cells of oral mucous membrane or periosteum.

Clinical significance

The cases demonstrate the need for proper diagnosis, role of biopsy, and histologic evaluation in the management of these lesions.

How to cite this article

Singh N, Bilichodmath S, Sambhashivaiah S. Traumatic Fibroma: A Case Series. J Health Sci Res 2016;7(1):28-31.
A Rare Case of Late Presentation of Congenital Diaphragmatic Hernia
Authors: Nagesh R , Shukla Anil K , Sanjay Sonam , Pramila VV Seetha
Published: July 2019

Congenital diaphragmatic hernia is a well-described condition that occurs in about 1 in 5,000 live births. A majority of the patients are diagnosed either antenatal or will present in the first few hours of life with respiratory distress. Presentation in adults is extremely rare and accounts for about 5 to 25% of diaphragmatic hernias. Patients, who present with late diaphragmatic hernias, complain of a wide variety of symptoms and diagnosis can be difficult. It consists of herniation of bowel, and occasionally solid organs, into the chest. It is more common on the left side (seen in 80% of cases), as the liver provides a relative barrier on the right side. The major clinical problem is pulmonary hypoplasia, a result of the lung having failed to developin uteroas the thoracic cavity is filled with abdominal contents. These congenital diaphragmatic defects have also been described in the adult population, and the widespread use of computed tomography has led to the recognition that these hernias are not uncommon and are often asymptomatic.

How to cite this article

Sanjay S, Pramila VVS, Shukla AK, Nagesh R. A Rare Case of Late Presentation of Congenital Diaphragmatic Hernia. J Med Sci 2016;2(4):65-67.
Oral Presentation I
Authors: Makay Özer , Yuksel Esra , Sargin Asuman , Ozdemir Murat , Erol Varlik , Bozbiyik Osman , Ulukaya Sezgin , Akyildiz Mahir
Published: July 2019

BACKGROUND AND AIMS

Minimally invasive surgery of the adrenal gland is widespread. Although reports demonstrate the safety and feasibility of robot-assisted adrenalectomy, the objective benefits are still unclear, compared to those of conventional laparoscopy. Recently, robot-assisted approach has also become possible for pheochromocytoma resection. Since cardiopulmonary changes during robot-assisted dissection of the pheochromocytoma patient has not been studied in detail, we aimed to assess these concerns, compared to the routine laparoscopic technique.

METHODS

In this case-control study, 19 consecutive robot-assisted adrenal resections were compared with a control group consisting of 14 conventional laparoscopic adrenalectomy. Patient characteristics and intraoperative hemodynamic and respiratory parameters were assessed. Groups were compared using the χ2 test for categorical variables and Student's t-test for continuous variables. Significance was considered p < 0.05.

RESULTS

The robot-assisted procedure was performed successfully in all patients, except one. The duration of the robot-assisted procedure, compared to the conventional laparoscopy group, was significantly longer (p < 0.05). Intraoperative blood loss was significantly less in the robot-assisted group (p < 0.05). Dissection of pheochromocytoma showed a significant difference between the groups, according to the incidence of intraoperative blood pressure fluctuations (p < 0.05). The robot-assisted approach resulted in less incidents. Other hemodynamic and respiratory parameters did not differ between groups significantly. There were no perioperative deaths. Complication rates and postoperative hospital stays were not significantly different.

CONCLUSION

Robot-assisted adrenalectomy is a safe and technically feasible procedure for a pheochromocytoma patient. Robot-assisted resection of pheochromocytoma minimized the occurrence of intraoperative blood pressure fluctuations and blood loss.
Poster Presentation on Adrenal, Pituitary, and Other Endocrine Glands, Parathyroid Gland, Thyroid Gland
Authors: Oe Hideaki , Doi Ryuichiro
Published: July 2019

BACKGROUND AND AIMS

Gastrointestinal and pancreatic neuroendocrine tumors (NET) are classified as low grade (G1), intermediate grade (G2), and high grade (G3) by mitotic rate and/or Ki-67 index. The basic treatment for neuroendocrine carcinoma (NEC, G3) with remote metastasis is platinum-based systemic chemotherapy. In contrast, for patients with NET G1 or G2 with remote metastasis, multidisciplinary treatment is necessary in order to prolong patients' survival and relieve symptoms. We report here a patient with pancreatic G1 gastrinoma and its multiple liver metastases.

METHODS

The patient was a 42 years old male who had been suffering from diarrhea for 2 years, and his serum level of gastrin was as high as 4200 pg/mL before treatment. Needle biopsy of the liver proved the tumor was positive for chromogranin A, gastrin, and somatostatin receptor type 2A.

RESULTS

First, we chose an induction drug therapy with sunitinib and octreotide. The size of the liver tumors decreased dramatically and the serum gastrin level became lower than 500 pg/mL. About 1 year after diagnosis, we performed distal pancreatectomy and right hepatic lobectomy. After surgery, the serum gastrin level was normalized, and the activity of daily living (ADL) of the patient was much improved by the consecutive therapies. During the 2-year postoperative follow-up time, the course was favorable and no recurrent lesion was found.

CONCLUSION

Even when there are remote metastases, multidisciplinary treatment including surgical resection should be considered for G1/ G2 NET. Further, it should be necessary to study in a larger number of patients if perioperative drug therapy for G1/G2 NET with remote metastases is effective.
Dispositivos móveis em sala de aula: uma jornada por Três Mundos da Matemática
Authors: Nogueira de Lima Rosana
Published: July 2019

Neste artigo, apresentamos um estudo sobre a utilização de dispositivos móveis em sala de aula, para o aprendizado do Sistema de Numeração Decimal. Trabalhamos com 26 alunos de Licenciatura em Pedagogia de uma faculdade particular na região oeste da grande São Paulo, que resolveram cinco problemas (aditivos ou multiplicativos) com a utilização do Multibase, um aplicativo para a plataforma Android que simula o Material Dourado. Para a análise dos dados, utilizamos os Três Mundos da Matemática, considerando a possibilidade de lidar principalmente com os mundos corporificado e formal no Multibase. Os resultados indicam que o casamento entre tecnologia e o Material Dourado é uma ideia frutífera para o desenvolvimento de características formais do Sistema de Numeração Decimal.
Bandung, 1955: ponto de encontro global
Authors: Dos Reis Raissa Brescia , Resende Taciana Almeida Garrido
Published: July 2019

O artigo aplica métodos e conceitos da história global e transnacional para pensar a Conferência Afro-Asiática de Bandung, realizada na Indonésia, em 1955, como um caso emblemático das relações globais que estiveram por trás da apropriação e da significação de denominações como Terceiro Mundo e movimento afro-asiático. Aposta-se na potencialidade desse evento para a construção de narrativas conectadas. Disputas pelo lugar de liderança, participações externas ao grupo oficialmente representado, assim como repercussões e intenções de inserção do evento em pautas de mobilizações não estatais, como o pan-africanismo, são trabalhadas por meio de fontes produzidas durante o congresso, bem como de artigos da imprensa e de analistas. Conclui-se pela importância de complexificar as análises sobre os participantes da política internacional introduzidos pela Conferência Afro-Asiática, problematizando categorias normalmente aceitas como dominantes para a ação política no período e ampliando a percepção do campo das Relações Internacionais como um todo.
Occupational Therapy Student Learning on Interprofessional Teams in Geriatric Primary Care
Authors: Halle Ashley D. , Kaloostian Carolyn , Stevens Gregory D.
Published: July 2019

Importance: Geriatric, interprofessional primary care training for occupational therapy students is needed.

Objective: To measure occupational therapy student–reported knowledge, attitudes, and skills after participation in interprofessional geriatric educational programs.

Design: Prospective, observational study with pre- and posttests for the three programs.

Participants: Fifty-nine entry-level and postprofessional occupational therapy master’s students.

Outcomes and Measures: Self-reported familiarity with other professionals’ roles, perceptions of interprofessional training, capabilities to conduct assessments, and attitudes of older adults.

Results: Students of the three programs (Interprofessional Geriatrics Curriculum [IPGC], Student Senior Partnership Program [SSPP], and Geriatric Assessment Program [GAP]) reported different improvements in familiarity of roles, capabilities of assessment, and Geriatric Attitudes Scale (GAS) scores. For example, IPGC and SSPP students had changes in total GAS score (3.91–4.08, p = .002, and 3.84–3.99, p = .003, respectively), but no change was found for GAP students (3.85–3.91, p = .523).

Conclusions and Relevance: More structured interprofessional education with older adults appeared to help prepare occupational therapy students to work on geriatric interprofessional teams in primary care.

What This Article Adds: This article expands on growing evidence to support occupational therapy’s role in primary care by addressing the need to train future generations to work on interprofessional geriatric primary care teams.
Graphic design and placement of map tools in mobile map application
Authors: Horbinski Tymoteusz , Medynska-Gulij Beata , Cybulski Paweł
Published: July 2019

Abstract. Research problem: The analysis of the user’s preferences concerning the layout and graphic design of mapping tools in the mobile mapping application is the problem touched upon in the research. The authors focused on six public web mapping services (Google Maps, Bing Maps, Here WeGo, ArcGis Maps and the Polish geoportal: geoportal.gov.pl), analyzing them in terms of their graphic variability and the functionality of their mapping tools.The aim of the research carried out was to test the user’s preferences concerning the number and layout of buttons in the web mapping service. The research also touched upon the issue of variability in graphic web design of mapping tools in mobile cartography. The authors concentrated on the following six mapping tools, also referred to as buttons: Geolocation, Change layers, Search, Default range maps, Measure, Route. Those functions most frequently occurred on selected web mapping services. The authors could learn about their usefulness through subjective choices of respondents.Method: One hundred respondents took part in the research and, by means of the anonymous online questionnaire, they answered some questions and decided upon the number, layout and visual aspect of buttons. The comparison of subjective user’s preferences in the layout of mapping tools to the system of public web mapping services has made the research innovative.The results obtained allow one to draw the conclusion that the user’s preferences differ from the solutions utilized on mapping portals and have been employed for the comparative analysis of the eight most popular global web mapping services. The study conducted by means of the eye-tracking method demonstrated that objective functionality (time and method of specific task execution) differs from subjective evaluation made by map users on smartphones and large desktop display screens.
Representations of Place in the Human Brain
Authors: Lobben Amy , Lawrence Megan , Limpisathian P. William
Published: July 2019

Abstract. Cartographers have been representing places and scenes for thousands of years. We know that there is not one single way to represent place. We can use a reference map, thematic map (not to mention all the different types), large scale, small scale, oblique and overhead remotely sensed image, hand-drawn cartoon maps, street view photographs, animated maps, and digital maps. We also know that the methods and then the resulting representations can be differentiated cartographically using established criteria. But, are these methods all equally effective in conveying a sense of place?We measure “effectiveness” by comparing activation differences in the parahippocampal place area when viewing different representations of place. The parahippocampal place area (PPA) is a region in the human brain that allows humans to recognize and characterize a place (or a representation of it) (Weiner et al., in press). The PPA is a functionally, as opposed to an anatomically, defined region. It overlaps several anatomical regions, including the parahippocampal cortex, the lingual gyrus, the collateral sulcus, and the fusiform gyrus (Figure 1) (Epstein, 2014). The place recognition function of the PPA has been well-documented (Weiner et al., in press; Epstein 2014, 2008; Baldassano et al. 2013; Aguirre et al., 1998; Epstein and Kanwisher, 1998), and we now know that this region is what allows humans to differentiate between a place and other objects such as faces, chairs, or apples.In this study, we measured the effect of cartographic representation on the human brain’s recognition of “place” by comparing the activation differences in the PPA. We compared four types of place representation: a street-view photograph of an urban environment, a drawn schematic similar to a subway-style map, a Google Maps street map, and a Google Maps satellite view. (Figure 2). The Google Maps images were used because they are common cartographic representations, and thus are likely representative of a general “map” condition.