bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of Sensory and Motor Strategies for Recovery in Patients with Type 2 Diabetes Mellitus: A Quasi-experimental Study
Authors: Deshmukh Mayura Prashant , Hase Shruti , Palekar Tushar J. , Baxi Gaurang , Wadhokar Om C. 
Published: March 2024

Abstract

Background:
Among the late microvascular complications of diabetes mellitus, the growth and degeneration of such complications are responsible for much of the morbidity and mortality in terms of gangrene, diabetic ulcer, amputations, etc., Sensory and motor treatments are effective ways to cope up with complications.

Aims and Objectives:
To check the effect of sensory and motor strategies on type 2 diabetes mellitus (T2DM).

Materials and Methods:
There were 40 (n = 40) individuals who were diagnosed T2DM from the past 5 years. Participants were screened by monofilament testing, neuropathy total symptom score-6 (NTSS-6) scale, and manual muscle testing (MMT). Time up and go test was done before the intervention. Individuals were received transcutaneous electrical nerve stimulation (TENS) and sensory–motor exercises for 24 days.

Result:
After 4 weeks, outcome measures were assessed, the monofilament testing showed very positive impacts as all individuals were found negative after the intervention. The NTSS-6 (P < 0.001) showed a substantial change between the pre- and postassessment. The MMT showed a significant difference in all individuals (P < 0.001) and Time up and go test also showed significant improvement (P < 0.001).

Conclusion:
TENS and sensory–motor exercises demonstrated effectiveness in enhancing of T2DM.
Management of Residual Gingival Defect in Esthetic Zone after Excision Fibroepithelial Hyperplasia Using Platelet-Rich Fibrin Membrane: A 12-Month Follow-Up Case Report
Authors: Kale Preeti Prakash , Mani Amit , Anarthe Raju , Pendyala Gowri , Vadvadgi Vinay , Sachdeva Shivani 
Published: March 2024

Abstract
The nonneoplastic entity that occurs on gingiva which is of fibrous connective tissue origin is fibrous epithelial hyperplasia which is also considered to be histologic variant of fibroma that causes esthetic and functional problems. It is thought to occur in response to chronic recurring tissue injury which stimulates an exuberant or extreme tissue response. Surgical excision is treatment of choice with recurrence being rarely reported. The soft-tissue defect after excision can be treated using various periodontal plastic surgical treatment modalities available. This case report discusses excision of fibroepithelial hyperplasia, followed by treatment of soft-tissue defect using platelet-rich fibrin membrane with 12-month follow-up.
Clinical Outcomes of Anatomic, Anterior Cruciate Ligament Reconstruction through All-inside Technique in Armed Forces Personnel
Authors: Chauhan Ravindra , Pande Ashish , Shukla Ashis , Mishra Anil Kumar , Yadav Ashok Kumar 
Published: March 2024

Abstract

Context:
Reconstruction of the anterior cruciate ligament (ACL) allows patients to resume their sports activity and delay the onset of osteoarthritis associated with loss of meniscal function. The all-inside approach for ACL reconstruction (ACLR) is to increase the graft diameter by folding several strands when sufficient graft diameter is not secured.

Aims:
The aim of this study is to evaluate the clinical and functional outcomes in patients undergoing of anatomic, all-inside ACLR procedure.

Settings and Design:
This was a prospective clinical study conducted in a Tertiary Care Hospital for 12 months on patients undergoing all-inside anatomic arthroscopic ACLR with hamstring autograft using BUTTONFIX® fixation button with adjustable loop (Chetan Meditech Pvt. Ltd., Ahmedabad, Gujarat, India).

Subjects and Methods:
Patients were evaluated for functional status using Lysholm Knee Score, Knee Injury and Osteoarthritis Outcome Score (KOOS), and Tegner Activity Scale at 3-month, 6-month, and 12-month postsurgery.

Statistical Analysis Used:
All the statistical analyses were performed using SPSS version 23 (IBM 2013).

Results:
Forty patients were included in the study with a mean age of 29.38 ± 5.47. There was a gradual increase in the scores at the follow-up starting from baseline with a mean difference of Lysholm knee score from 43.58 ± 5.23 to 93.50 ± 3.00 at the 12-month follow-up period. Similarly, the KOOS at baseline showed a mean of 44.03 ± 5.20, which increased gradually up to 93.05 ± 2.83 at 12 months, and the Tegner activity score at baseline was 3.55 ± 0.6 and gradually increased to 7.28 ± 0.85 at 12-month period.

Conclusions:
All-inside surgical techniques for the anatomic ACLR showed favorable clinical and functional outcomes.
Assessment of Knowledge and Awareness of Brushing Teeth among Young Future Dentists
Authors: Gattani Ritika , Gattani Deepti , Puri Sneha 
Published: March 2024

Abstract

Aim:
Attitudes of dental students toward their own oral health affect their oral health habits and also have a possible influence on the improvement of the oral health of their patients and society. The aim of this study was to gauge the extent of knowledge and awareness associated with brushing of teeth among young upcoming dentists.

Materials and Methods:
In this study, a self-administered structured questionnaire consisting of 15 questions on attitudes toward dental care, oral health practice, and knowledge of oral health was distributed to 100 dental students of first-year BDS course.

Results:
A total 100 students participated in the present study. Most of the students brushed their teeth once daily for 2 min following roll technique of brushing before breakfast using only toothpaste as a cleaning agent. All students from clinical years routinely examined their oral cavity, while most of the students visited the dentist only when required. Majority of the students considered oral health as important as general health and believed that oral health affects the general health.

Conclusions:
Within the limits of the current study, it can be concluded that students are concerned about their oral health. If proper guidance is provided and meticulously followed, oral health can be preserved at its best so that students do not ignore these serious issues.
Prolong Submersion in the Swimming Pool without Neurological Outcome
Authors: Lamture Varsha Y , Lamture Yashwant R 
Published: March 2024

Abstract
Drowning can be defined as a chain of events of respiratory disability due to submersion or immersion in liquid with sequelae such as irreversible brain damage, heart failure, and death. The main organ in a drowning subject is the brain, which has almost zero energy and oxygen stores and hence needs a continuous supply of blood to fulfill its need for oxygen and loss of laryngospasm. This leads to massive aspiration, lung atelectasis, and edema. This unique and miracle case was a child submerged in a swimming pool for a prolonged period without receiving CPR, traveling from the drowning place to the present hospital around 30 km. The patient came from a small village where there were no facilities of ambulance inbuilt basic facilities or advanced life support. He was on a mechanical ventilator in the pediatric intensive care unit in the present institute. He was unconscious on admission. Recovered from all complications and was discharged without any neurological abnormalities. A 13-year-old boy was admitted to the pediatric emergency department with a history of drowning in a swimming pool; he was a nonswimmer and went with his friends who were swimmers, where he accidentally fell into the water without notice from other friends. After not finding him around, his friends searched for him. They found him immersed in water at the bottom of the pool for about 10–15 min, not receiving cardiopulmonary resuscitation (CPR) as nobody was trained. The primary diagnosis was drowning without neurological complications. Therapeutic interventions included a mechanical ventilator, intravenous antibiotics, intravenous steroids, chest physiotherapy. On discharge patient had no neurological complication except limping of right foot. After 1 month of follow up, central nervous system examination was within the normal limits. No limping was seen. No neurological deficit was observed. Drowning is a common etiology of accidental mortality in the pediatric age group. Most victims not treated with CPR at the site develop permanent neurological deficits. Proper and effective management can improve many complications caused due to drowning. Guidelines should be strictly followed in private/public swimming pools to have all duties of lifeguards who are trained in CPR. Drowning patients should be managed in hospitals with well-equipped mechanical ventilators, including trained staff.
Disinfection Ability of Aqueous Ocimum sanctum (Tulsi) Extract against Candida albicans and Staphylococcus aureus Inoculated on Maxillofacial Silicone - An In Vitro Study
Authors: Das Priyanka , Mahajan Neerja , Thanneeru Shravani 
Published: March 2024

Abstract

Background:
Patients who use maxillofacial prostheses often encounter difficulties cleaning them thoroughly daily. Traditional cleaning methods may not work and could change the prostheses’ physical properties. Therefore, it is essential to look for alternative disinfection methods.

Aim:
The aim of this study was to evaluate the efficacy of aqueous extract of Ocimum
sanctum (tulsi) against Candida
albicans and Staphylococcus aureus inoculated on maxillofacial silicone.

Materials and Methods:
One hundred and twenty silicone discs, 5 mm diameter, 2 mm thick, were made with maxillofacial Factor II A-2000. Samples were divided into four main groups, each with three subgroups of 10 samples. Each subset was inoculated with C. albicans, S. aureus clinical strains, and the American Type Culture Collection (ATCC) strains. The specimens were incubated at 37°C for 72 h and then soaked in three disinfectant solutions: a neutral soap solution for 30 s, 0.2% chlorhexidine for 10 min, and aqueous tulsi for 10 min. The disinfection ability was determined based on the number of surviving cells by methoxy-nitro-sulfophenyl-tetrazolium carboxanilide assay, and the results were analyzed using a one-way analysis of variance and the post
hoc Tukey’s test.

Results:
There were no significant differences in the ability to disinfect between neutral soap, 0.2% chlorhexidine, and tulsi extract when tested against clinical and ATCC C. albicans and clinical S. aureus. The P > 0.05 indicates that the differences between the disinfection abilities were not statistically significant. However, the 0.2% chlorhexidine disinfectant showed better results when used on Staphylococcus ATCC strains, with a P < 0.001.

Conclusion:
A 10% aqueous extract of tulsi can be used as a disinfectant for clinical and ATCC strains of C. albicans and the clinical strain of S. aureus.
Effect of meditation and relaxation therapy on preoperative anxiety and stress in oral squamous cell carcinoma patients scheduled for oral and maxillofacial surgery: An experimental study
Authors: Raut Shreya J. , Shetty Lakshmi , Chhatriwala Adnan , Domah Trivina K. , Camblay Gauri 
Published: March 2024

ABSTRACT

Context:
The diagnosis of oral squamous cell carcinoma [OSCC] and its treatment phase is emotionally demanding for the patient and challenging for the surgeon. The induction of stress and anxiety is unavoidable in these patients. It becomes very important for the patient to have psychological as well as physical stability during this treatment phase. Various studies have reported the beneficial effect of meditation along with relaxation therapy on healthy individuals but the beneficial effect of meditation and relaxation therapy [MRT] to reduce stress and anxiety preoperatively in OSCC patients has not been reported in scientific literature.

Aim:
The aim of this study was to study the effect of MRT on preoperative anxiety and stress in OSCC patients undergoing for oral and maxillofacial surgery.

Settings and Design:
An experimental, parallel study design was carried out with randomization of patients into experimental[25] and control group[25] with allocation ratio 1:1 in 50 patients diagnosed with OSCC [stage II or III] scheduled for oral and maxillofacial surgery with general anesthesia.

Materials and Methods:
The biopsy which was the prerequisite for the diagnosis was taken. Twenty-one days before surgery in experimental group, patients were oriented about meditation and relaxation exercises. The reorientation of MRT was done from the day of admission twice a day till the day of surgery. Physiological parameters for stress and anxiety like heart rate [HR], blood pressure [BP], pulse rate [PR], and respiratory rate [RR] were evaluated on 1st day of MRT at 9 am and on the day of surgery. The serum cortisol which was quantitative parameter for stress was evaluated 1st day of MRT at 9 am fasting and on the day of surgery. The qualitative analysis for anxiety was done preoperatively using visual analog scale on the 1st day before MRT and compared with the values on the day of surgery after MRT at a specific time.

Statistical Analysis:
Paired t-test analysis was used intragroup whereas unpaired t-test was used intergroup between experimental and control groups with significance at P = 0.05 and highly significant at P = 0.0001.

Results:
The serum cortisol was significantly less in the experimental group over control group with t = 7.04 and P = 0.0001. The systolic and diastolic BP, pulse rate, respiratory rate, and anxiety in the experimental group reported significantly less rate compared to the control group with t = 5.66, t = 22.2, t = 11.93, t = 27.71, and P = 0.0001.

Conclusion:
In our study, MRT in the form of Sukhasana, Anulom Vilom, Omkar chanting, and Shavasana for 30 min twice daily has shown positive effect to reduce stress and anxiety. The serum cortisol as a quantitative parameter has been effectively evaluated in this benchmark study.
Dysontogenic cyst of the oral floor excision by preserving Wharton’s duct by micro-surgical repair and relocation to floor of the mouth – A clinical case report
Authors: Balasubramaniyan Nathiya , Kurian Rinku G. , Somasundaram Umesh R. , Sivanandham Shamala 
Published: March 2024

ABSTRACT
A 20-year-old female presents with a painless, progressive, normal color smooth surface sublingual swelling extending to chin that had gradually increased in size over the preceding 2 months, which severely impaired her speech and swallowing. Fine-needle aspiration biopsy was suggestive of benign cystic lesion. Following surgical excision, the mass was found to contain a large amount of sebaceous keratin material removed along with the entire capsule of the cyst. Definitive diagnosis was confirmed with histological examination. We report a case of dermoid cyst treated surgically through an intra-oral approach by preserving and relocating the Wharton’s duct using micro-surgical repair to the floor of the mouth, thereby leading to a good cosmetic and functional result for the patient.
Comparative efficacy of pre-operative and post-operative administration of amoxicillin in third molar extraction surgery – A systematic review and meta-analysis
Authors: Karemore Tapasya V. , Ashtankar Kanchan A. , Motwani Mukta 
Published: March 2024

ABSTRACT
To compare the effectiveness of pre-operative and post-operative administration of amoxicillin in patients undergoing third molar extraction surgery. A systematic search was executed according to PRISMA guidelines for studies published till December 2021. Studies were included based on the pre-eligibility criteria. The risk of bias was assessed using the Cochrane risk of bias tool. The heterogeneity was evaluated, and a random effect model was used for meta-analysis. A total of five studies were included from an initial search of 96 studies. The included studies were randomized controlled trials and comparative studies assessing pre-operative and post-operative administration of antibiotics among patients undergoing third molar extraction surgery. For comparison between pre-operative and post-operative groups, interincisal distance, complications, pain, and swelling were systematically reviewed and meta-analysis was done for interincisal distance and complications. The mean change in interincisal distance ranged from 5.5 to 47.9 and from 4.56 to 46.1 in the pre-operative and post-operative amoxicillin groups, respectively. Complications reported were infections, alveolar osteitis, nausea, diarrhea, gastric pain, rash, and headache with a pooled incidence of 4.3–33% in the pre-operative amoxicillin group and 0–22.7% in the post-operative amoxicillin group. Quantitative synthesis of data carried out from meta-analysis shows a significant difference in the pre-operative and post-operative amoxicillin groups in improving the interincisal distance and incidence of complications post surgery. The qualitative synthesis of data derived from systematic review for pain provides favoring results for post-operative amoxicillin administration. In case of swelling, a non-conclusive result was obtained.
Guidelines for dental implants in the times of COVID-19
Authors: Solanki Neeti , Yadav Lakshya Kumar , Singh Mayank , Chand Pooran 
Published: March 2024

ABSTRACT
Since the first reported case in December 2019, COVID-19 has become a worldwide pandemic. Although primarily a zoonotic infection, human-to-human transmission is well reported now and the mode of spread is mainly via respiratory droplets during direct contact or via surfaces contaminated with the virus as it remains viable on the surfaces for a long time. Direct communication and consistent exposure to body fluids such as blood and saliva and the fact that routinely done dental procedures generate aerosols predisposing dental professionals to serious risk for COVID-19 infection. Hence, to ensure the smooth working and safety of dental professionals as well as the patients, a set of directives are of paramount importance. Various guidelines have been released for the efficient operation of dental professionals; however, no such recommendations/directives have been laid out pertaining to dental implants in particular. Here, we are presenting a set of recommendations for managing urgent implant-related treatment procedures.
Comparative evaluation of different osteosynthesis modalities with respect to lingual splaying in mandibular interforaminal fractures using CBCT: A prospective study
Authors: Mittal Gaurav , Garg Ritesh , Rathi Abhishek , Ghatak Debi Prasad , Biswas Jhilik 
Published: March 2024

ABSTRACT

Introduction:
The management of interforaminal fracture can prove to be challenging because of its unique anatomy and muscular forces. Often, lingual splaying has been found either postoperatively or even during the procedures in such fractures and can be challenging when it comes to managing them. Various modalities such as miniplates, lag screws, and three-dimensional (3D) miniplates have been utilized to manage these fractures. This article compares these three modalities in the management of lingual splaying.

Material and Methods:
Thirty patients were allotted randomly to either of the aforementioned modalities randomly in this prospective study. The patients were operated and followed up for the period of 6 months.

Results:
It was found that no significant difference exists between the modalities in terms of reduction in lingual splay.

Conclusion:
All three modalities have different ventures to offer. A larger sample size study may be warranted to elucidate the obtained results.
Correlation of mandibular third molar orientation and available retromolar space with arch length discrepancy in subjects with different growth pattern
Authors: Verma Sneh Lata , Tikku Tripti , Khanna Rohit , Srivastava Kamna , Maurya Rana Pratap , Rai Priyanka 
Published: March 2024

ABSTRACT

Aim and Objective:
To evaluate, compare, and correlate the mandibular third molar orientation and available retromolar space with arch length discrepancy in subjects with skeletal class II malocclusion and different growth pattern.

Material and Method:
A total of 250 patients (age >18 yrs) having skeletal class II malocclusion (based on YEN angle and WITS appraisal) were divided into two groups. Both the groups (Group I with erupted mandibular third molars {N = 150} and Group II with impacted mandibular third molars {N = 100}) were subdivided into subgroups IA (n = 71), IB (n = 19), IC (n = 71) and Group IIA (n = 54), IIB (n = 30) and IIC (n = 16) for normo-, hypo- and hyperdivergent growth patterns, respectively (based on Jarabak ratio and Sn-Go-Gn angle). Four parameters, that is, retromolar space, width of third molar, third molar angulation, and mandibular incisor angulation were measured on orthopantomogram whereas arch length discrepancy was calculated with the help of lateral cephalogram and study model. Intragroup, intergroup comparisons (using unpaired Student’s ‘t’ test), and Pearson’s correlation coefficient for assessed parameters were obtained.

Result:
Third molar angulation and retromolar space were significantly higher in Group I than in Group II (hyperdivergent pattern of Group II had highest value). The width of third molar was less than retromolar space in Group II and vice versa for Group I. Mandibular incisor angulation and arch length discrepancy were more in Group II than in Group I, but difference was statistically nonsignificant. Strong positive correlation was observed for mandibular third molar angulation and available retromolar space in normo- and hyperdivergent growth patterns.

Conclusion:
Lack of retromolar space along with increased amount of arch length discrepancy and mandibular incisor angulation is responsible for increased chances of third molar impaction in some subjects with class II malocclusion.
Renal cell carcinoma metastasizing to salivary glands: Systematic review
Authors: Gupta Sonia , Alruwaili Khalid Hussain A , Escobedo Rosa Llisel Ocampo , Pangarkar Manasi , Chawla Jatinder Pal Singh , Sunitha S. , Qureshi Kinza , Yadav Achla Bharti 
Published: March 2024

ABSTRACT
Distant metastasis to salivary glands is a very rare event. Renal cell carcinoma (RCC) has been known for its high propensity of metastasis to unusual locations and salivary glands are one among those sites. Approximately 0.1% of all salivary gland metastatic neoplasms originate from renal malignancies Literature has reported several studies analysing the metastatic tumors to the oral region. However, very little research work has been published to date to analyse solely the RCC metastasizing to the salivary glands. Thus, this review was conducted to examine the published cases of RCC metastasizing to salivary glands in the literature to date and to learn about their characteristics. An electronic search of the published literature was performed without publication year limitation in PubMed/ Medline, Scopus, Google Scholar, Web of Science, Science Direct, Embase, and Research Gate databases, using mesh keywords like (‘Renal cancer’, OR ‘Renal carcinoma’ OR ‘Renal cell cancer’ OR ‘Renal cell carcinoma’), AND (‘Metastasis’ OR ‘Metastases’), And (‘Salivary glands’ OR ‘Parotid gland’ OR ‘Submandibular gland’ OR ‘Sublingual gland’). We also searched all related journals manually. The reference list of all articles was also checked. Our research revealed a total of 83 relevant papers (1965-2022) with 100 patients. Parotid was the most predominant gland affected. 8% of patients died with a mean survival time of 1.3 yr. From this research, it can be concluded that RCC metastasizing to salivary glands is a rare occurrence. Careful evaluation of these cases is needed in order to raise awareness of these lesions and gain a better understanding of their characteristics for clinical as well as global implications.