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Management of a Mutilated Molar Using Custom Cast Post: A Case Report 自定义铸造桩治疗磨牙残缺1例
Pub Date : 2021-02-28 DOI: 10.5005/jp-journals-10057-0182
A. Prasad, Deepak Raisingani, D. Khurana, Asha Jetwani
Tooth number 47 the concerned tooth here was ideally indicated for extraction but the patient was keen to save the tooth, so the treatment plan decided was the rehabilitation of the tooth with custom-designed cast post followed by a metal crown. Informed consent was obtained from the patient. Access cavity was prepared and all caries from the pulp floor were excavated in relation to tooth number 47. Working length was determined using 15K ss hand files (Fig. 2A). Thorough cleaning and shaping was done till size F3 ProTaper files with copious irrigation using 2% chlorhexidine, normal saline, 5% sodium hypochlorite, and then final rinse with saline. Intracanal dressing of calcium hydroxide dressing was placed for 7 days. In the next appointment, obturation was done with F3 ProTaper cones using resin-based sealer (Figs 2B and 3A). While excavating caries during access cavity preparation, a very thin layer of dentin remained as caries were almost involving the furcation. So to reinforce the floor, a layer of MTA was placed on pulpal floor (Fig. 3A) (keeping the canals patent) and on the weakened mesial wall as well. It was then covered with moist cotton followed by placement of a temporary restoration. In the next visit, post space preparation was done in the distal canal with the help of Peeso Reamer up to number 3 (1.1 mm diameter) leaving 5 mm gutta-percha apically (Fig. 3B). GIC was IN T R O D U C T I O N
47号牙齿,也就是这里所涉及的牙齿,理想情况下适合拔牙,但患者急于保住这颗牙齿,所以治疗计划是用定制设计的铸造桩和金属冠修复牙齿。获得患者的知情同意。预备通道腔,并从牙髓底挖出与第47颗牙有关的所有龋。使用15K s手锉确定工作长度(图2A)。用2%氯己定、生理盐水、5%次氯酸钠大量冲洗,彻底清洗定型至F3尺寸ProTaper锉,最后用生理盐水冲洗。管内敷料氢氧化钙敷料放置7天。在下一次预约中,使用树脂基密封剂使用F3 ProTaper椎体进行封闭(图2B和3A)。在预备接入孔的过程中,由于龋几乎累及分叉,在挖掘龋的过程中,牙本质只剩下很薄的一层。因此,为了加固地板,在髓底(图3A)(保持管通畅)和弱化的中侧壁上放置一层MTA。然后用湿棉覆盖,然后进行临时修复。在下一次访问中,在Peeso扩孔器(直径1.1 mm)的帮助下,在远端根管中进行桩位准备,最多3号(直径1.1 mm),顶端留下5 mm的杜胶(图3B)。GIC在纽约,但在纽约
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引用次数: 0
Placental Site Trophoblastic Tumor: A Rare Pathological Entity 胎盘部位滋养细胞瘤:一种罕见的病理实体
Pub Date : 2021-02-28 DOI: 10.5005/jp-journals-10057-0180
N. Sethi, Anitha Seervi, Sangeeta Hudda, J. Choudhary, M. Vijay, Chetna Mehrol, M. Yadav, M. Raghava
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引用次数: 0
Solitary Plasmacytoma: A Case Report 孤立性浆细胞瘤1例报告
Pub Date : 2021-02-28 DOI: 10.5005/jp-journals-10057-0189
H. Mishra, N. Choudhary, Jai Chowdhary, P. Chandra
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引用次数: 0
Accessibility of Oral Healthcare Treatment Packages under Government Health Schemes in Rajasthan: A Critical Appraisal 拉贾斯坦邦政府卫生计划下口腔保健治疗包的可及性:一项关键评估
Pub Date : 2021-02-28 DOI: 10.5005/jp-journals-10057-0184
M. Batra, Hansika Popli, D. Gijwani, Drishti Chopra, Nivedita Yadav, Kartik Sokhal
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引用次数: 1
Unusual Presentation of Central Neurocytoma in Posterior Part of Third Ventricle Extending into Fourth Ventricle 第三脑室后部中枢神经细胞瘤的不寻常表现,并延伸至第四脑室
Pub Date : 2021-02-28 DOI: 10.5005/jp-journals-10057-0188
V. Mishra, H. Mishra, Vishwajeet A Burungale, Anjaneya S Kathait, R. Champawat
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引用次数: 0
Maxillary Second Molar with a Rare Palatal Root Canal Morphology: A Case Report 上颌第二磨牙伴罕见腭根管形态1例
Pub Date : 2021-02-15 DOI: 10.5005/JP-JOURNALS-10057-0118
A. Prasad, Deepak Raisingani, D. Khurana, Prachi Mital, Harshit Srivastava, P. Sen
Knowledge of the root canal anatomy and its variations is essential for successful completion of the endodontic treatment. Root canal treatment of maxillary second molars with aberrant canal configuration can be challenging. The incidence of two palatal canals in a palatal root is quite rare in maxillary molars. The novel diagnostic aids such as cone-beam computed tomography (CBCT) help in the successful management of such cases. This case report describes the successful diagnosis and treatment of a maxillary second molar with two palatal canals, merging at the apical third of the root.How to cite this article: Sen P, Prasad AB, Mital P, et al. Maxillary Second Molar with a Rare Palatal Root Canal Morphology: A Case Report. J Mahatma Gandhi Univ Med Sci Tech 2020;5(1):23–25.
了解根管解剖及其变异是成功完成根管治疗的必要条件。上颌第二磨牙根管结构异常的根管治疗是具有挑战性的。在上颌磨牙中,双腭根管的发生率是相当罕见的。锥束计算机断层扫描(CBCT)等新型诊断辅助手段有助于成功治疗此类病例。这个病例报告描述了成功的诊断和治疗上颌第二磨牙与两个腭管,合并在根尖的三分之一。如何引用本文:Sen P, Prasad AB, mittal P等人。上颌第二磨牙伴罕见腭根管形态1例。圣雄甘地医学科技大学学报;2020;5(1):23-25。
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引用次数: 0
Sexual Dimorphism in the Permanent Maxillary First Molar Teeth in the Rajasthan Population 拉贾斯坦邦人群上颌第一磨牙的性别二态性
Pub Date : 2021-02-15 DOI: 10.5005/JP-JOURNALS-10057-0119
S. Sharma, Shantnu Sharma
Sex estimation in forensic science is an essential step for medicolegal purposes. Teeth are an excellent material for anthropological, odontological, genetic, and forensic investigations as they are known to resist a variety of ante-mortem and post-mortem insults. Sexual dimorphism is an indicator of gender differences that can be observed in several aspects of the human skeleton such as the pelvis, cranium, femur, humerus, canines, and other structures. Maxillary first molars are the first permanent teeth to erupt into the oral cavity at the mean age of 6–7 years and are less commonly impacted as compared to canines. The purpose of this study was to indicate whether sexual dimorphism also exists in the first maxillary molar of humans.To determine the sexual dimorphism in the permanent maxillary first molar teeth using the mesiodistal and buccolingual crown width.The present study was performed on 80 patients from the National Institute of Medical Sciences and Research, Jaipur. Mesiodistal and buccolingual width were measured on the basis of intraoral examination and plaster modal with the help of Vernier caliper. Sexual dimorphism (in percentage) was calculated from these measured parameters.The mean values of right and left mesiodistal width and buccolingual width were less for females than for males and the differences were statistically significant for buccolingual width but nonsignificant for mesiodistal width. The sexual dimorphism was slightly greater on the right side than the left side. Buccolingual width of right maxillary molar teeth shows maximum sexual dimorphism among all measurements (both intraoral 5.13% and cast 5.18%).This study signifies the possible role of morphometric study of canine teeth in estimation of gender and it can be used in forensic investigations where gender determination of skeletal remains is difficult.Sharma S, Sharma S. Sexual Dimorphism in the Permanent Maxillary First Molar Teeth in the Rajasthan Population. J Mahatma Gandhi Univ Med Sci Tech 2020;5(1):4–8.
法医学性别鉴定是法医鉴定的重要环节。牙齿是人类学、牙科学、遗传学和法医调查的极好材料,因为它们能够抵抗各种死前和死后的侮辱。两性二态性是性别差异的一个指标,可以在人类骨骼的几个方面观察到,如骨盆、头盖骨、股骨、肱骨、犬类和其他结构。上颌第一磨牙是第一颗长出口腔的恒牙,平均年龄为6-7岁,与犬科动物相比,第一磨牙较少受影响。本研究的目的是表明两性二态性是否也存在于人类上颌第一磨牙。利用中远端冠宽和颊舌冠宽测定上颌第一恒磨牙的性别二型性。本研究是对斋浦尔国家医学科学研究所的80名患者进行的。采用游标卡尺根据口腔内检查和石膏模型测量中远端和颊舌宽度。性别二态性(百分比)是根据这些测量参数计算出来的。右、左近端宽度和颊舌宽度的平均值女性小于男性,颊舌宽度差异有统计学意义,而中远端宽度差异无统计学意义。性别二态性在右侧略大于左侧。右上颌磨牙颊舌宽度在所有测量中表现出最大的性别二态性(口内5.13%和铸型5.18%)。这项研究表明,在估计性别犬齿形态计量学研究的可能作用,它可以用于法医调查,其中骨骼遗骸的性别确定是困难的。中国人口上颌第一磨牙性别二态性研究。圣雄甘地医学科技大学学报;2020;5(1):4-8。
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引用次数: 2
Role of C-reactive Protein and Serum Magnesium in Preterm Labor c反应蛋白和血清镁在早产中的作用
Pub Date : 2020-12-22 DOI: 10.5005/jp-journals-10057-0110
Bushra Fiza, Maheep Sinha, P. Kumawat, J. Yogi
Aim: The present study was planned to evaluate C-reactive protein and serum magnesium in preterm labor compared to healthy subjects. Introduction: Preterm labor is defined as the onset of labor before the completion of 37 weeks of gestation in a pregnancy beyond 20 weeks of gestation. Preterm is one of the leading causes of perinatal morbidity and mortality. It has approximately 70% of newborn deaths and 50% long-term neurological sequelae. The main cause of preterm labor is the preterm rupture of the membrane. In addition to that, there are some other risk factors too, such as multiple gestations, hypertension, anemia, cervical incompetence, prepartum hemorrhage, anomalies of fetus or uterine, heavy work, and smoking. Materials and methods: Fifty diagnosed preterm labor patients and 50 healthy subjects were enrolled for the study and subjected to analysis, including C-reactive protein and serum magnesium using Vitros 5600- Dry Chemistry Analyzer. Result: The present study reported significantly low levels of serum magnesium and higher levels of serum C-reactive protein in preterm labor patients when compared to healthy subjects. Conclusion: Findings of the present study suggest that serum C-reactive protein and serum magnesium levels can be used as a predicting tool of preterm labor.
目的:本研究旨在评价早产儿与健康人血清c反应蛋白和镁水平。前言:早产是指妊娠超过20周的孕妇在妊娠37周结束前发生的分娩。早产是围产期发病和死亡的主要原因之一。它造成约70%的新生儿死亡和50%的长期神经后遗症。早产的主要原因是胎膜过早破裂。除此之外,还有一些其他的危险因素,如多胎妊娠、高血压、贫血、宫颈功能不全、孕前出血、胎儿或子宫异常、工作繁重、吸烟等。材料与方法:选取50例确诊的早产患者和50例健康受试者,采用Vitros 5600型干化学分析仪对c反应蛋白和血清镁进行分析。结果:本研究报告早产患者血清镁水平明显低于健康人群,血清c反应蛋白水平明显高于健康人群。结论:本研究提示血清c反应蛋白和血清镁水平可作为早产的预测工具。
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引用次数: 0
To Study the Effect of Laparoscopic Sleeve Gastrectomy on BMI and Metabolic Parameters in Morbidly Obese Patients 目的:探讨腹腔镜袖胃切除术对病态肥胖患者BMI及代谢指标的影响
Pub Date : 2020-12-22 DOI: 10.5005/jp-journals-10057-0108
Shireesh Gupta, Rajkamal Kanojiya, Aayushi Kedawat, Sanjay Singhal
Introduction: Obesity for centuries has had myriad implications on physical, mental, and psychosocial health. Various therapies like nutritional therapy, physical activity, pharmacotherapy, and cognitive-behavioral therapy have failed in managing obesity and lead to disappointing results. Contrary to these results, bariatric surgery has shown to have a decrease in weight of 50–75%. Not only has bariatric surgery been effective in morbid obesity but it also plays a significant role in a high rate of remission of type 2 diabetes mellitus and other obesity-related comorbidities like dyslipidemia, hypertension, and obstructive sleep apnea (OSA) syndrome. Materials and methods: This is a prospective study, undertaken in Mahatma Gandhi Medical College and Hospital, Jaipur, from July 2017 to September 2019 after taking clearance from the Institution ethics committee. A total of 30 patients were included in this study who were morbidly obese with metabolic syndrome. The indications for surgery were according to the latest guidelines issued by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) for the Asian population. Results: There was a significant fall in all parameters like weight, body mass index (BMI), fasting blood sugar (FBS), HbA1c, hypertension, and dyslipidemia. The weight loss and BMI baseline were seen by the end of 12 months were 40 ± 9.3 kg and from 43.23 to 29.75, respectively, showing its statistical significance. There was a substantial decrease in baseline fasting sugar from 172 ± 19.7 to 139 ± 17.2 mg/dL. Simultaneously, a fall in HbA1c values was seen from the mean of 8.67 ± 1.1 to 6.18 ± 0.4 at the end of 1 year. There is a noteworthy improvement seen in hypertension by the end of 3rd month with mean systolic coming down to 131 ± 14 mm Hg and diastolic to 77 ± 11 mm Hg. Dyslipidemia seen in 21 patients out of 30 patients saw a 100% improvement. Therefore, laparoscopic sleeve gastrectomy (LSG) plays a vital role in reducing morbidity and mortality by effective weight loss and control of comorbid diseases.
几个世纪以来,肥胖对身体、精神和心理健康有着无数的影响。营养疗法、体育锻炼、药物疗法和认知行为疗法等各种疗法在控制肥胖方面都失败了,结果令人失望。与这些结果相反,减肥手术显示体重减少了50-75%。减肥手术不仅对病态肥胖有效,而且对2型糖尿病和其他与肥胖相关的合并症(如血脂异常、高血压和阻塞性睡眠呼吸暂停综合征)的高缓解率也起着重要作用。材料和方法:这是一项前瞻性研究,经机构伦理委员会批准,于2017年7月至2019年9月在斋浦尔圣雄甘地医学院和医院进行。本研究共纳入30例伴有代谢综合征的病态肥胖患者。手术的适应症是根据国际肥胖和代谢疾病外科联合会(IFSO)为亚洲人群发布的最新指南。结果:体重、体重指数(BMI)、空腹血糖(FBS)、糖化血红蛋白(HbA1c)、高血压、血脂异常等指标均有显著下降。12个月后体重减轻40±9.3 kg, BMI基线43.23 ~ 29.75,差异有统计学意义。基线空腹血糖从172±19.7降至139±17.2 mg/dL。同时,1年后HbA1c值从平均8.67±1.1下降到6.18±0.4。3个月后,高血压有明显改善,平均收缩压降至131±14毫米汞柱,舒张压降至77±11毫米汞柱。30例患者中有21例患者的血脂异常100%改善。因此,腹腔镜袖胃切除术(LSG)通过有效减轻体重和控制合并症,在降低发病率和死亡率方面发挥着至关重要的作用。
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引用次数: 0
Comparative Study of Cartilage Shield Tympanoplasty vs Temporalis Fascia Graft Tympanoplasty: A Retrospective Study 软骨屏蔽鼓室成形术与颞筋膜鼓室成形术的回顾性比较研究
Pub Date : 2020-12-22 DOI: 10.5005/jp-journals-10057-0115
Vipasha Yogi, K. Sharma, T. Ojha, Anuj Kansara, S. Prasad
Background: This study was conducted to demonstrate a comparative study about graft uptake rate and hearing gain between cartilage shield tympanoplasty (CST) and tympanoplasty with temporalis fascia (TF) in patients with chronic otitis media (tubotympanic disease). Materials and methods: Cartilage shield tympanoplasty and TF tympanoplasty were studied in two groups. Group I containing 65 cases and group II having 80 cases with central perforations. Graft uptake rates and hearing improvement at 3 months postoperative follow-up were compared. Results: The graft uptake rates were 98.46 and 90% in groups I and II, respectively, at the end of 3 months. In total, 88% in group II and 90% in group I had improvement in hearing at 3 months of surgery. Conclusion: Conchal cartilage can be used effectively as a graft material for cartilage shield tympanoplasty. It has also shown superior autograft as compared to TF, not only because of better graft uptake rates and less partial failure rates but also due to the significant hearing improvement, talking in terms of mean AB gap in both types of graft materials.
背景:本研究对慢性中耳炎(管鼓炎)患者行软骨盾牌鼓室成形术(CST)和颞筋膜鼓室成形术(TF)的移植物吸收率和听力增益进行了比较研究。材料与方法:两组分别研究软骨盾状鼓室成形术和TF鼓室成形术。第一组65例,第二组80例。术后随访3个月,比较移植物摄取率和听力改善情况。结果:3个月时,I组和II组的移植物吸收率分别为98.46%和90%。总的来说,88%的II组和90%的I组在手术3个月时听力有所改善。结论:耳甲软骨可作为软骨屏蔽鼓室成形术的移植材料。与TF相比,自体移植物也表现出更好的优势,不仅是因为移植物吸收率更高,部分失效率更低,而且还因为两种移植物材料的平均AB间隙显著改善了听力。
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引用次数: 1
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Journal of Mahatma Gandhi University of Medical Sciences and Technology
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