bluuebunny/crossref_metadata_2025_split huggingface dataset:
Retrospective Research of Cases of Oral Mucosal Diseases: Diagnosis and Management Trends
Authors: Prakash Sasankoti M. Ravi , Verma G. R. Raveendra , Kaur Harveen , Karankot Gouthami , Ausare Surabhi S. , Mujoo Sheetal , Bagewadi Shivanand 
Published: August 2024

ABSTRACT

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

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

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

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

ABSTRACT

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

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

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

ABSTRACT

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

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

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

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

ABSTRACT

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

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

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

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

ABSTRACT

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

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

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

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

ABSTRACT

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

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

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

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

ABSTRACT

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

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

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

ABSTRACT

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

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

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

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

ABSTRACT

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

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

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

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

ABSTRACT

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

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

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

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

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

ABSTRACT

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

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

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

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

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

ABSTRACT

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

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

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

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

Conclusion:
Green tea was found to be more effective than black tea in reducing the level of hypertension among the hypertensive clients.
Effect of Intracanal Cryotherapy and Curcuma Longa as a Final Irrigant in Reducing Post Operative Pain: An In-Vivo Study
Authors: Mitra Patatri , Mishra Praveen , Sharma Shruti , Pal Abhishek , Banjare Vinita , Mondal Jayatri 
Published: August 2024

ABSTRACT

Aim:
The point of search of present study was to assess intracanal viability of cold saline, curcumin as an irrigant, and ordinary saline as last irrigant in lessening post endodontic torment.

Material and Method:
In total, 60 individuals were chosen and divided into 3 groups: Group I: intracanal cryotherapy using 2.5°C cold saline, Group II: curcumin irrigant, and Group III: ordinary saline. After the biomechanical preparation, the above mentioned irrigant was used. On the visual analogue scale, participants were asked to rank the intensity of their discomfort following the procedure before, after 6 h and 24 h after the procedure. The outcomes were dissected utilizing ANOVA test.

Result:
Both the regimens were successful in reducing post endodontic soreness associated with infected teeth.

Conclusion:
Curcumin and cryotherapy both the regimens were successful in lessening post endodontic torment.
Information sharing following discharge of psychiatric inpatients: Improving the quality of discharge summaries
Authors: Kar Nilamadhab 
Published: August 2024

Abstract:

BACKGROUND:
Discharge summaries are valuable clinical documents providing information not only about the acute presentation and progression but also suggestions for future management to maintain the continuity of care. This is important in multidisciplinary, multiagency mental healthcare.

AIM:
It was intended to evaluate the discharge summaries for adult psychiatric inpatients, about the information shared such as the reason for admission, diagnoses, medications, progress in the ward, and legal status with an overarching aim to inform about the quality improvement of discharge summaries.

METHODS:
It was a service evaluation of a stratified random sample of 86 discharges from younger adult psychiatry wards, from which 73 discharge summaries were evaluated.

RESULTS:
The sample had 44 male and 42 female patients, with an average inpatient stay of 27.3 ± 40.8 days. Most (81.4%) of the patients had informal admission. Most patients (96.5%) had a psychiatric diagnosis; the common diagnoses were schizophrenia (24.4%), bipolar disorder (15.1%), personality disorder (17.4%), and depression (11.6%). Discharge summaries were sent on an average of 21.3 + 17.7 days (median 15 days). Most discharge summaries mentioned psychiatric diagnoses (97.3%), list of medications and dosage (95.9%), legal status during admission (74.0%), reason for admission (97.3%), and progress in the ward (97.3%).

CONCLUSIONS:
There is a scope to improve discharge summaries by adopting an appropriately structured format containing essential clinical information, which can be useful for maintaining continuity of patient care.