bluuebunny/crossref_metadata_2025_split huggingface dataset:
Study of Effectiveness of Shoulder Elbow Wrist Hand Orthosis in the Management of Glenohumeral Subluxation in Post-stroke Hemiplegic Patients
Authors: Sharma G. Sonachand , Touthang Alex T , Singh Y. Nandabir , Joy Ak. , Singh Bimol , Devi Tamphaleima 
Published: July 2019

AbstractObjectiveStudy of effectiveness of shoulder elbow wrist hand orthosis in the management of glenohumeral subluxation in post-stroke hemiplegic patients.MethodsDesign: Randomised control trial.SettingDepartment of Physical Medicine and Rehabilitation, Regional Institute of Medical Sciences (RIMS), Imphal.ParticipantsPost-stroke hemiplegic patients (n=120) having glenohumeral subluxation (GHS) as confirmed by x-ray.DurationOne and half years (August 2010 to January 2012).InterventionControl group (n=60) received routine rehabilitation programme for hemiplegic practice in the Department of PMR, RIMS while the experiment group (n=60) received shoulder elbow wrist hand orthosis in addition to rehabilitation programme.OutcomesGrade of glenohumeral subluxation using x-ray.ResultsExperiment group showed reduction in the glenohumeral subluxation which is statistically significant when compared to control group (p<0.001).ConclusionsUse of upper limb orthosis in addition to routine rehabilitation programme can effectively reduce glenohumeral subluxation in post-stroke hemiplegic patients.
When a Safety-Valve Became a Ticking Time-Bomb: Fractured Tracheostomy Tube as a Tracheobronchial Foreign Body in a Child
Authors: Viswanathan Anand , Esakkimuthu Subbian 
Published: July 2019

AbstractTracheostomy Tube care is a part of respiratory rehabilitation in acquired brain injury but just tracheostomy tube insertion is not enough. Checking for Pre-requisites including manufacturing details, and regular follow – up is important. Here we present a rare case of fracturing of the tracheostomy tube in a traumatic brain injury which was managed timely.
The Response of Rehabilitation Management in Patients Presenting with Locomotor Symptoms of Benign Joint Hypermobility Syndrome
Authors: Wadhwa Sanjay , Das Pallab , Singh Naorem Ajit , Suresh R , Araf Mahiuddin , Singh U. 
Published: July 2019

AbstractThe benign joint hypermobility syndrome (BJHS) was first addressed by Kirk as a distinct pathology in 1967, as the presence of rheumatic symptoms with generalised joint laxity in the absence of any demonstrable systemic rheumatic disease.In this prospective, longitudinal, analytical study, we tried to find out the response of rehabilitation therapy in patients presenting with locomotor symptoms of BJHS and selected 61 patients randomly. The rehabilitation protocol followed: Explanation and reassurance, teaching of joint protection techniques and work modification, isometric muscle strengthening exercise (both extensor and flexor muscles), endurance exercise. Clinically most of the patients showed significant overall response quantitatively, in all the parameters.It can be concluded that the rehabilitation protocol prescribed here is very much suitable both quantitatively and qualitatively for the patients of BJHS.
Granular Cell Ameloblastoma
Authors: Kumar Shwetha 
Published: July 2019

AbstractAmeloblastoma is an epithelial odontogenictumour of the jaw and exhibits diverse histopathologic subtypes like follicular, plexiform, acanthomatous and desmoplastic variantswhich occurs either singly or in combination. Granular cell ameloblastoma is a rare histological subtype of ameloblastoma accounting for less than 5% of the total. The rare granular cell variant is seen in combination usually with follicular or plexiform subtypes. The aim of this paper is to describe clinical and microscopic features of Ameloblastoma of a pure granular cell histopathological subtype occurring in a seventeen year old adolescent female patient in the lower right region of the mandible.
Neutrophil Exodus From The Gingival Crevice - A Novel Method of Quantification Using Durapore Filter Strips: A Cross Sectional Study
Authors: Kulkarni Sudhindra , Kanagotagi Sachin 
Published: July 2019

AbstractObjectivesNeutrophils play a critical role as a part of the innate immune response. Although neutrophils are primarily protective, they release products partly responsible for the destruction seen in periodontal disease. The techniques presently available for counting neutrophils require special equipment and are only semi-quantitative. The aim of the present investigation was to check the efficacy of a single, rapid, non-invasive assay to enable the expedient quantification of oral neutrophils, and utilize the assay to quantify the number of neutrophils in periodontal disease.Materials and MethodsForty five subjects were recruited in the study. They were put into three groups based on the Gingival Index and Russell's Periodontal Index as clinically healthy (Group 1), gingivitis (Group 2) and periodontitis (Group 3). GCF samples were collected using a durapore filter and the number of neutrophils counted using an improved Neubaeur's Chamber.ResultsNeutrophils were present in GCF of all the samples. There was statistically significant difference between the neutrophil numbers in all the samples with respect to severity of periodontal disease. The strength of association was the strongest between probing pocket depth and neutrophil counts.ConclusionThis study demonstrates that it is possible to collect and quantify oral neutrophils by a single, rapid, noninvasive assay using durapore strips.
Pediatric Obturating Materials And Techniques
Authors: Sevekar Shrirang , Shingare Poonam , Jogani Vivek , Jha Mihir , Patil Sonal D. 
Published: July 2019

AbstractPulp therapy helps in preserving a pulpally involved primary tooth by eliminating bacteria and their products and ensures hermetic seal of the root canals so that the primary tooth can complete its function without harming the successor or affecting the health of the patient. A thorough understanding of the pulp morphology and root formation and resorption in primary teeth as well as different materials and techniques used is imperative for a successful pulp therapy. One of the major areas of continued research is in the area of finding obturating materials to suit the specific properties of these teeth. This article seeks to present a review of the major obturating materials and techniques with their modifications as well as their advantages and disadvantages.
Factitious Injury of The Periodontal Tissues - CASE REPORT
Authors: Kini Vineet , Padhye Ashvini M. , Kadam Sudarshan G. 
Published: July 2019

AbstractFactitious or self-induced injuries are inflicted based on habit, frequently associated with psychogenic background; related only in manner by which they are produced, bearing no particular anatomic, etiologic or microscopic similarities. The following case report attributes a suspicious periodontal lesion to self-induced injury.
Assessment of the Effect of Selected Snack Foods on the Remineralization/Demineralization of Enamel and Dentin
Authors: Jensen Mark E. , Donly Kevin , Wefel James S. 
Published: July 2019

Abstract
This study utilized volunteer subjects to examine caries-like lesions for remineralization and demineralization patterns in dentin and enamel when nine different snack foods were eaten between meals. Caries progression was observed in enamel and dentin when apple juice, a cola beverage, and sweetened (strawberry) yogurt were consumed as snacks. Remineralization of enamel was observed when cheddar cheese, skim milk, 2% milk, whole milk, chocolate milk, and orange juice were used as between meal snacks. Dairy products, with the exception of the sweetened yogurt, generally reduced the amount of demineralization produced in dentin. This study helps establish a scientific basis for appropriate between-meal snacks for patients who are concerned about their dietary habits as a part of their overall preventive oral health plan.
Coaching for a Winning Dental Team
Authors: Schvvartz Steven 
Published: July 2019

Abstract
In 1943, Abraham Maslow, the “father of humanistic psychology,” formulated his “Hierarchy of Needs Theory.” Maslow proposed people have needs that must be satisfied, and these needs will motivate until they are satisfied. The needs are arranged in a hierarchy or pyramid ranging from basic needs to higher needs with an individual needing to satisfy a lower need before a higher need can motivate. The five needs of the hierarchy are: physiological needs, safety needs, social needs, esteem needs, and self-actualization. This article discusses adaptation of the hierarchy of needs to the dental practice to motivate staff to perform at a higher level.
Effectiveness of Dentist-Prescribed, Home-Applied Tooth Whitening, A Meta-analysis
Authors: Niederman Richard , Tantraphol Maggie C. , Slnin Patricia , Hayes Catherine , Conway Suzy 
Published: July 2019

Abstract

Introduction
Common clinical experience suggests that tooth whitening agents are 100% effective. This study uses meta-analysis of data from published randomized controlled clinical trials to determine the efficacy of tooth whitening agents.

Methods
A MEDLINE search strategy was developed and implemented to systematically identify clinical trials on dentist-prescribed, home-applied tooth whitening agents, using 10% carbamide peroxide, published between 1989-1999. Inclusion criteria (e.g., in English, human clinical trials) and exclusion criteria (e.g., not placebo controlled) were established and clinical trials that met these criteria were critically appraised for validity and clinical applicability. Meta-analysis was then used to quantitatively integrate the findings.

Results
Seven studies were identified that met the inclusion and validity criteria. These studies indicated that:

Whitening results in a significant mean change of 6 4 shade guide units (p < 0.01), while the placebo control group exhibited little change (0.7 0.6, p > 0.05).
93% of the bleached patients exhibited 2 shade guide unit change, while 20% of the placebo control group exhibited this change.
The brand of bleaching agent had a significant effect on tooth whitening, but the daily application time and duration of treatment did not.
Whitening is maintained for 6 months for 1/2 of the people treated.
Neither gingival indices nor plaque indices were adversely or favorably affected by bleaching.

Clinical Applicability
The data from the reviewed studies indicate that rather than being 100% effective, on average:

73% (93% for bleached group minus 20% placebo group) of people who whiten their teeth will exhibit a whitening that is 2 shade guide units greater than the placebo.
20% of the people who use dentist-prescribed, home-applied bleaching will achieve a mean whitening effect of 5 shade guide units.
Re-treatment for 50% of people may be necessary to maintain this effect longer than 6 months.
The methods used here are Internet applicable for other clinical topics.
Thermal Variations in the Pulp Chamber Associated with Composite Insertion Techniques and Light-curing Methods
Authors: Sinhoreti Mário Alexandre Coelho , Guiraldo Ricardo Danil , Consani Simonides , Correr-Sobrinho Lourenço , Schneider Luis Felipe Jochims 
Published: July 2019

Abstract

Aim
The aim of this study was to investigate the effect of different incremental insertion techniques, photoactivation, and restorative phases on thermal variations occurring during the polymerization of Filtek Z250 composite resin.

Methods and Materials
The experiment was conducted using 90 bovine incisor teeth. The teeth were randomly assigned to three groups according to the technique used for photoactivation with a halogen light (continuous, soft-start, or intermittent). The groups were further separated into three subgroups according to method of increment placement (bulk, oblique, or horizontal/vertical) for a total of nine groups (n=10). Restorations were placed in a controlled environment (37°C and 50±10% RU) and the temperature recorded using a digital thermometer coupled to a Type-K thermocouple inserted in the pulp chamber through the root canal in contact with the dentin. Data were analyzed using an analysis of variance (ANOVA) and the Tukey's test.

Results
Higher temperature values were found for continuous light photoactivation in combination with the placement of horizontal/vertical composite increments and photoactivation of the adhesive using a continuous light exposure.

Conclusion
The light source is the most important factor producing temperature changes during photoactivation of resin composite.

Clinical Significance
Temperature increases in the pulp chamber due to light curing should be considered to avoid harming the delicate pulp tissue when large restorations or inlays/onlays require several consecutive light curing exposures for a complete cure.

Citation
Guiraldo RD, Consani S, Sinhoreti MAC, Correr-Sobrinho L, Schneider LFJ. Thermal Variations in the Pulp Chamber Associated with Composite Insertion Techniques and Light-curing Methods. J Contemp Dent Pract 2009 January; (10)1:017-024.
Oral and Maxillofacial Manifestations of Familial Adenomatous Polyposis (Gardner's syndrome): A Report of Two Cases
Authors: Martins Wilson Denis , de Oliveira Ribas Marina , Martins Guilherme , de Sousa Maria Helena , de Aguiar Koubik Ana Claudia Galvão , Åvila Lucia Fåtima Castro , Zanferrari Fernando Luis 
Published: July 2019

Abstract

Aim
The aim of this case report is to emphasize the importance of an early diagnosis of Gardner's syndrome through the detection of lesions appearing in the oral and maxillofacial area as well as to present two cases of the disease.

Background
Gardner's syndrome is an autosomal dominant disease characterized by gastrointestinal polyps that develop in the colon as well as in the stomach and upper intestine, along with multiple osteomas, skin, and soft tissue tumors. Cutaneous findings may include desmoid tumors, epidermoid cysts, and other benign tumors. Early diagnosis and therapy of the disease are critical because polyps have a 100% risk of undergoing malignant transformation. Craniomaxillofacial manifestations (osteoma formation, tooth impaction, diffuse opacities in the skull, mandible and maxilla, scalp tumors) usually precede polyposis.

Report
Case 1: Gardner's syndrome was diagnosed in a 25-year-old Caucasian man who was referred by his endodontist for evaluation of an uncommon radiographic image in the mandibular molar area. Further investigation revealed a familial adenomatous polyposis (FAP) complicated by adenocarcinoma of the colon. A colectomy and an ileorectal anastomosis were performed. Case 2: A 12-year-old Caucasian girl, who is a niece of the patient described in Case 1, presented with progressive difficulty with mouth opening but no complaints of digestive problems. Radiographic examination revealed multiple radiopacities in the maxilla, mandible left temporomandibular joint, and in the left mandibular angle. Multiple impacted teeth were present. A colonoscopy was suggested, but the patient's parents decided to continue the investigation and treatment with their own physician in their home town.

Summary
Since an early diagnosis is essential and general dental practitioners may be the first healthcare professionals to suspect the diagnosis, it is important for them to be familiar with the features of Gardner's syndrome.

Citation
de Oliveira Ribas M, Martins WD, de Sousa MH, de Aguiar Koubik ACG, Ávila LFC, Zanferrari FL, Martins G. Oral and Maxillofacial Manifestations of Familial Adenomatous Polyposis (Gardner's syndrome): A Report of Two Cases. J Contemp Dent Pract 2009 January; (10)1:082-090.
Correlation between Levels of Sulcular and Capillary Blood Glucose
Authors: Moeintaghavi Amir , Ardakani Mohammad Reza Talebi , Haerian Ahmad , Ardakani Mohammad Afkhami , Hashemzadeh Mahdi 
Published: July 2019

Abstract

Aim
The aim of this study was to evaluate the correlation between capillary blood glucose levels (CBGLs) and sulcular blood glucose levels (SBGLs) using blood obtained from gingival tissue during routine periodontal examinations to determine if sulcular blood samples can be used as a non-invasive means to diagnosis blood glucose levels.

Methods and Materials
Thirty non-diabetics and 30 diabetic patients with moderate to severe periodontitis were included in the study and subjected to routine clinical periodontal examinations. Blood was collected using a 1.6-1.8 mm diameter micro bite collection tube to transport the sample from the gingival sulci of anterior teeth following periodontal pocket probing to a test strip of a glucose self-monitoring device. As a control, capillary blood was taken with a finger-stick. Statistical analysis was performed using the Pearson's correlation coefficient and a t-test.

Results
The blood glucose levels in patients ranged from 58 mg/dl to 477 mg/dl, and the values of blood samples taken from gingival sulcus or finger tip of the same patient showed a very high intra-patient correlation (r =0.99, p< 0.0001).

Conclusion
The results of this study suggest sulcular blood from a routine periodontal examination may be used for diabetes mellitus screening.

Clinical Significance
Considering 50% of diabetics remain undiagnosed, testing sulcular blood may provide a suitable method for identifying potential diabetic patients during routine dental visits since there is a correlation with capillary blood. Appropriate referrals to a physician can then be made when warranted.

Citation
Ardakani MRT, Moeintaghavi A, Haerian A, Ardakani MA, Hashemzadeh M. Correlation between Levels of Sulcular and Capillary Blood Glucose. J Contemp Dent Pract 2009 March; (10)2:010-017.
Microleakage of an Adhesive System used as a Fissure Sealant
Authors: Imparato José Carlos Pettorossi , Raggio Daniela Prócida , Bonifacio Clarissa Calil , Navarro Ricardo Scarparo , Sardenberg Fernanda , de Carvalho Rubens Corte Real 
Published: July 2019

Abstract

Aim
The aim of this study was to investigate the microleakage of pit and fissure sealants in primary teeth and to determine if multi-step methods should produce better results in terms of microleakage prevention.

Methods and Materials
A total of 40 intact primary molars were randomly assigned to one of four sealant groups: resin based sealant Ultraseal XT (US – Ultradent) (Group 1, n=10); adhesive system Scotchbond Multi Purpose Plus (SBMP - 3M/ESPE) used as a sealant (Group 2, n=10); primer (SBMP) and US (Group 3, n=10); and primer, bond (SBMP) and US (Group 4, n=10). After thermocycling (x700, 5-55°C) all teeth surfaces were made impermeable with the exception of the occlusal surface. Samples were immersed in 50% silver nitrate for 8 hours, sectioned longitudinally with two cuts in the central fissure pit, and then immersed in photo development solution followed by 16 hours in fluorescent light. Pictures were obtained by light microscope (x40) and the degree of microleakage was evaluated by three blinded evaluators. The data were analyzed using the Kruskal Wallis test.

Results
Significant statistical differences (p<.05) were observed between Groups 1-3, Groups 2-3, Groups 2-4, and Groups 3-4. Group 3 showed higher microleakage scores.

Conclusion
The adhesive system and the resin based sealant demonstrated similar microleakage properties, suggesting the possibility that adhesives can be used in a clinical setting. Additionally, the increase in the number of clinical steps required by common application of resin based sealant, including use of primer or primer and bond, did not lead to better results in preventing microleakage.

Clinical Significance
The adhesive system can be used as a sealant without increasing the microleakage. Thus, the use of the adhesive system before the application of the sealant is not necessary to reduce the microleakage, although further research is warranted to support this conclusion.

Citation
Bonifacio CC, Navarro RS, Sardenberg F, Imparato JCP, Carvalho RCR, Raggio DP. Microleakage of an Adhesive System used as a Fissure Sealant. J Contemp Dent Pract 2009 March; (10)2:026-033.
Effect of Multiple Consecutive Applications of One-step Self-etch Adhesive on Microtensile Bond Strength
Authors: Arisu Hacer Deniz , Ömürlü Hüma , Eligüzeloğlu Evrim , Üçtaşli Mine 
Published: July 2019

Abstract

Aim
The aim of this study was to evaluate the effects of multiple consecutive coatings of a one-step self-etch adhesive system (Clearfil Tri-S Bond) on the microtensile bond strength (MBS) to dentin.

Methods and Materials
Nine caries-free human lower third molars were sectioned perpendicular to the long axis to expose the mid-coronal dentin. The teeth were separated into three experimental groups (n=3) according to the number of adhesive resin coats applied. In Group 1 one layer of Clearfil Tri-S Bond was applied according to the manufacturer's instructions. In Group 2 and Group 3 the adhesive was applied in two and three layers, respectively. In these two groups the first layer was applied according to the manufacturer's instructions but the second and third layers of adhesive were not light cured after application. After the placement of the composite, the teeth were sectioned to obtain approximately 1 mm2 beams for testing. Eighteen beams were prepared for each group using the ‘non-trimming’ method. The MBS values of all specimens were tested, and fracture modes were then determined using a stereomicroscope.

Results
The mean MBS values (in MPa) of Group 1 (one coat of the adhesive) was significantly lower (p=0.04) than those of Group 3 (three applied coats of the adhesive). There were no statistically significant differences between Groups 1 and 2 and Groups 2 and 3.

Conclusion
Within the limitations of this in vitro study the application of multiple coats of a one-step self-etch adhesive may provide an increase in bond strength compared to the application of only one coat of adhesive.

Clinical Significance
Three consecutive coats of one-step self-etching adhesive application can improve MBS.

Citation
Arisu HD, Eligüzeloğlu E, Üçtaşli M, Ömürlü H. Effect of Multiple Consecutive Applications of One-step Self-etch Adhesive on Microtensile Bond Strength. J Contemp Dent Pract 2009 March; (10)2:067-074.
Angulation of Mandibular Third Molars as a Predictive Factor for Pericoronitis
Authors: Bataineh Anwar , Hazza'a Abdalla , Odat Abd-albaset 
Published: July 2019

Abstract

Aim
The aims of this study were to investigate the association between pericoronitis and the angular position, state of eruption, and the depth of impaction of mandibular third molars as well as to compare these findings with similar studies.

Methods and Materials
A total of 242 patients ranging in age from 18 to 41 years of age suffering from pericoronitis were examined. Subjective and objective observations were recorded on a checklist that included the name, age, gender, type of pericoronitis and state of eruption, position of the affected tooth for each patient as well as any radiographic changes in the mandibular third molars.

Results
The peak age for the occurrence of pericoronitis was in the 21-25 year-old age group. The soft tissues adjacent to vertically inclined, partially erupted mandibular third molars at the level of or above the occlusal plane were the most commonly affected. There was a statistically significant association between radiographic changes and the mesioangular position of the tooth (p<0.002) and the age group of the subject (p=0.004), but the association was not statistically significant between the gender of the subject, type of pericoronitis, state of eruption, and depth of impaction.

Conclusion
The soft tissues adjacent to vertically inclined, partially erupted mandibular third molars were more frequently affected by pericoronitis than teeth that are soft tissue impacted or erupted. Mesioangular erupted third molars were the teeth most frequently associated with bone loss.

Clinical Significance
The soft tissues at highest risk of developing pericoronitis are those adjacent to mandibular third molars that are partially erupted, in a vertical position, and erupted to the level of or above the occlusal plane.

Citation
Hazza'a A, Bataineh A, Odat A. Angulation of Mandibular Third Molars as a Predictive Factor for Pericoronitis. J Contemp Dent Pract 2009 May; (10)3:051-058.