M. Shivakumar, Melwin Mathew, Pushpalatha Govindaraju, Pabbu Suvarchala Deepthi
Gingival enlargements are a common clinical entity and most of them manifest as a part of developmental, reactive and inflammation or neoplastic diseases. Among these reactive lesions, fibroepithelial hyperplasia is a histological variant of fibroma and a proliferative fibrous lesion of the gingival tissue. The enlargement affects the regular oral hygiene procedure, esthetic appearance, speech, mastication, quality of life and also increases the chances of more inflammation and infection of the gingiva. These lesions are due to chronic irritation and trauma. Many of these lesions are difficult to diagnose because of similar clinical presentation. This case report discusses the clinical presentation, histological evaluation and management of fibroepithelial hyperplasia of gingiva. Keywords: Gingival enlargement, Reactive lesion, Fibroepithilial hyperplasia
{"title":"Gingival Hyperplasia And Quality Of Life","authors":"M. Shivakumar, Melwin Mathew, Pushpalatha Govindaraju, Pabbu Suvarchala Deepthi","doi":"10.24896/JRMDS.V4I1.179","DOIUrl":"https://doi.org/10.24896/JRMDS.V4I1.179","url":null,"abstract":"Gingival enlargements are a common clinical entity and most of them manifest as a part of developmental, reactive and inflammation or neoplastic diseases. Among these reactive lesions, fibroepithelial hyperplasia is a histological variant of fibroma and a proliferative fibrous lesion of the gingival tissue. The enlargement affects the regular oral hygiene procedure, esthetic appearance, speech, mastication, quality of life and also increases the chances of more inflammation and infection of the gingiva. These lesions are due to chronic irritation and trauma. Many of these lesions are difficult to diagnose because of similar clinical presentation. This case report discusses the clinical presentation, histological evaluation and management of fibroepithelial hyperplasia of gingiva. Keywords: Gingival enlargement, Reactive lesion, Fibroepithilial hyperplasia","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"75-78"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69148541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Benign Breast disease constitute a significant entity, since these lesions are far commoner than malignant breast lesions and some of them pose risk of developing malignancy in later life. Aim: To study the frequency of various benign breast diseases in the females, to analyse the percentage of incidence of various benign breast lesions, the age distribution and different mode of presentation. Materials and Methods: A total of 74 patients were diagnosed with benign breast lesions both by fine Needle Aspiration cytology (FNAC) and Histopathology over a period of one year in a tertiary care centre were the participants of this study. The findings were tabulated in excel sheet and analyzed for the frequency of each lesion, their distribution in various age group. Results:The spectrum of Benign breast diseases diagnosed were Fibroadenoma - 55.4% (n=41), Fibrocystic disease – 27% (n=20), Phyllodes Tumour – 5.4% (n=4), Florid Ductal hyperplasia of the usual type – 4% (n=3), Intraductal papilloma – 2.7% (n=2), Breast abscess – 2.7% (n=2), Granulomatous mastitis – 1.4% (n=1) and Lactating adenoma – 1.4% (n=1). The mode of presentation of the patients was Lump in the breast - 54% (n=40), Vague mass with pain - 23% (n=17), discharge from nipple 12% (n=9) and pain in the breast-11% (n=8). Regarding the laterality of the breast disease, 47.2% (n=35) were on right side, 50% (n=37) were on left side and 2.8% (n=2) were bilateral. Conclusion: It is essential to recognize the significance of Benign Breast disease to segregate the high risk group of patients for whom a regular surveillance is needed for an appropriate management. Key words: Spectrum, Breast disease, Benign, Lump, Risk, Management
{"title":"Spectrum of Benign Breast Diseases in Females of Reproductive Age Group","authors":"M. Vimal, T. Chitra","doi":"10.24896/JRMDS.V4I2.191","DOIUrl":"https://doi.org/10.24896/JRMDS.V4I2.191","url":null,"abstract":"Background: Benign Breast disease constitute a significant entity, since these lesions are far commoner than malignant breast lesions and some of them pose risk of developing malignancy in later life. Aim: To study the frequency of various benign breast diseases in the females, to analyse the percentage of incidence of various benign breast lesions, the age distribution and different mode of presentation. Materials and Methods: A total of 74 patients were diagnosed with benign breast lesions both by fine Needle Aspiration cytology (FNAC) and Histopathology over a period of one year in a tertiary care centre were the participants of this study. The findings were tabulated in excel sheet and analyzed for the frequency of each lesion, their distribution in various age group. Results:The spectrum of Benign breast diseases diagnosed were Fibroadenoma - 55.4% (n=41), Fibrocystic disease – 27% (n=20), Phyllodes Tumour – 5.4% (n=4), Florid Ductal hyperplasia of the usual type – 4% (n=3), Intraductal papilloma – 2.7% (n=2), Breast abscess – 2.7% (n=2), Granulomatous mastitis – 1.4% (n=1) and Lactating adenoma – 1.4% (n=1). The mode of presentation of the patients was Lump in the breast - 54% (n=40), Vague mass with pain - 23% (n=17), discharge from nipple 12% (n=9) and pain in the breast-11% (n=8). Regarding the laterality of the breast disease, 47.2% (n=35) were on right side, 50% (n=37) were on left side and 2.8% (n=2) were bilateral. Conclusion: It is essential to recognize the significance of Benign Breast disease to segregate the high risk group of patients for whom a regular surveillance is needed for an appropriate management. Key words: Spectrum, Breast disease, Benign, Lump, Risk, Management","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"137-140"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69149764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aditya Pundkar, Modiaeva Ns, R. Baitule, Ganesh N. Pundkar
Background: Intertrochantric fracture is most common fracture around hip joint in elderly patients. Dynamic Hip Screw (DHS) plate is gold standard treatment for stable Intertronchantric fracture but it has its own complication in unstable intertronchantric fracture. So newer implant was introduced “Proximal Femoral Nail (PFN)” but it has its own complication. We studied 100 cases of unstable intertrochantric fracture to know which implant is better and was clinically assessed by Kyles criteria. Aims and objectives: To compare the short term result in DHS and PFN in all type of IT fracture and to set guidelines for managements of these fracture Methodology: This was Prospective randomized study comprised of unstable Fracture Intertronchantric treated by DHS and PFN. The cases were selected by envelop method for fixation unstable IT Fracture. The series consist of 100 cases were divided into 2 groups of patient treated by DHS and PFN . These cases where followed up for 6 months. Fracture stability was assessed by according to EVANS classification. Results: The mean time needed for the two procedures was 56.6 minutes (range 45-65 min) in Group A (DHS) and 40.8 minutes (range 35-51 min) in Group B (PFN). The period of hospitalization in Group A (DHS) was 9-12 days mean of days while in Group B (PFN) was 5-7 days with mean of days. Conclusion: Any modality of treatment done with proper expertise maintaining ideal surgical steps and principle, PFN carries slightly better result than DHS but which was not statically significant. Keywords: Intertronchantric Unstable Fracture, Proximal Femoral Nail (PFN), Dynamic Hip Screw Plate (DHS)
{"title":"Evaluation of dynamic hip screw plate v/s proximal femoral nail for unstable inter-trochanteric fracture femur","authors":"Aditya Pundkar, Modiaeva Ns, R. Baitule, Ganesh N. Pundkar","doi":"10.24896/JRMDS.V4I3.222","DOIUrl":"https://doi.org/10.24896/JRMDS.V4I3.222","url":null,"abstract":"Background: Intertrochantric fracture is most common fracture around hip joint in elderly patients. Dynamic Hip Screw (DHS) plate is gold standard treatment for stable Intertronchantric fracture but it has its own complication in unstable intertronchantric fracture. So newer implant was introduced “Proximal Femoral Nail (PFN)” but it has its own complication. We studied 100 cases of unstable intertrochantric fracture to know which implant is better and was clinically assessed by Kyles criteria. Aims and objectives: To compare the short term result in DHS and PFN in all type of IT fracture and to set guidelines for managements of these fracture Methodology: This was Prospective randomized study comprised of unstable Fracture Intertronchantric treated by DHS and PFN. The cases were selected by envelop method for fixation unstable IT Fracture. The series consist of 100 cases were divided into 2 groups of patient treated by DHS and PFN . These cases where followed up for 6 months. Fracture stability was assessed by according to EVANS classification. Results: The mean time needed for the two procedures was 56.6 minutes (range 45-65 min) in Group A (DHS) and 40.8 minutes (range 35-51 min) in Group B (PFN). The period of hospitalization in Group A (DHS) was 9-12 days mean of days while in Group B (PFN) was 5-7 days with mean of days. Conclusion: Any modality of treatment done with proper expertise maintaining ideal surgical steps and principle, PFN carries slightly better result than DHS but which was not statically significant. Keywords: Intertronchantric Unstable Fracture, Proximal Femoral Nail (PFN), Dynamic Hip Screw Plate (DHS)","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"283-287"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69150494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Congenital dislocation of knee is a rare anomaly. It occurs as an isolated anomaly or associated with multiple joint dislocations and syndromes. We report a case of a 40 year old female with neglected bilateral congenital dislocation of knee. She had hyperextension of both knees with minimal flexion. Patient opted for conservative management and was maintained in a knee brace. Keywords: Adult, Congenital dislocation, Conservative.
{"title":"Neglected Bilateral Congenital Dislocation of Knee in an Adult","authors":"V. Senthil, S. Vijayan, M. Naik, Sharath K. Rao","doi":"10.24896/JRMDS.V4I3.223","DOIUrl":"https://doi.org/10.24896/JRMDS.V4I3.223","url":null,"abstract":"Congenital dislocation of knee is a rare anomaly. It occurs as an isolated anomaly or associated with multiple joint dislocations and syndromes. We report a case of a 40 year old female with neglected bilateral congenital dislocation of knee. She had hyperextension of both knees with minimal flexion. Patient opted for conservative management and was maintained in a knee brace. Keywords: Adult, Congenital dislocation, Conservative.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"288-290"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69150563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Stroke is the 3rd commonest cause of death in the world. It is a group of diseases that are of abrupt onset and causing neurologic damage due to vascular cause. Aims &Objectives: The study conducted to establish the value of the Brain Imaging (Computerized Tomography scan) and its advantages over traditional methods of clinical diagnosis of stroke. Hence its correlation with radiological findings helps in deciding the treatment guidelines. Material &Methods: 100 cases of Cerebrovascular accidents (excluding traumatic) were studied at Sir Takhatsinghji hospital, Bhavnagar from May 2006- April 2007. All cases were primarily diagnosed by clinical examination and further Evaluated by CT scan. Result : Out of 100 cases clinically diagnosed as a case of Cerebrovascular accident (CVA), diagnosis was confirmed by CT Scan in 84 cases (84%)[ infarct and hemorrhage] and in 16 cases (16%) had diagnosis other than Cerebrovascular accident. Potentially treatable conditions like hematoma, intracranial mass, meningitis or intracranial infections can be missed if we do not do Brain Imaging. Conclusion: CT scan (Brain Imaging Modalities) is better than clinical method (including scoring system) in diagnosis of Cerebrovascular accident and other stroke mimicking conditions. So it must be done in all cases whenever feasible for deciding the treatment guideline and for better outcome. Key words: Stroke (Cerebrovascular Accident), Clinical diagnosis, CT scan (Radiological investigation).
{"title":"Clinicoradiological study of stroke","authors":"Deepmala A Budhrani, P. Jha","doi":"10.24896/JRMDS.V4I3.214","DOIUrl":"https://doi.org/10.24896/JRMDS.V4I3.214","url":null,"abstract":"Background: Stroke is the 3rd commonest cause of death in the world. It is a group of diseases that are of abrupt onset and causing neurologic damage due to vascular cause. Aims &Objectives: The study conducted to establish the value of the Brain Imaging (Computerized Tomography scan) and its advantages over traditional methods of clinical diagnosis of stroke. Hence its correlation with radiological findings helps in deciding the treatment guidelines. Material &Methods: 100 cases of Cerebrovascular accidents (excluding traumatic) were studied at Sir Takhatsinghji hospital, Bhavnagar from May 2006- April 2007. All cases were primarily diagnosed by clinical examination and further Evaluated by CT scan. Result : Out of 100 cases clinically diagnosed as a case of Cerebrovascular accident (CVA), diagnosis was confirmed by CT Scan in 84 cases (84%)[ infarct and hemorrhage] and in 16 cases (16%) had diagnosis other than Cerebrovascular accident. Potentially treatable conditions like hematoma, intracranial mass, meningitis or intracranial infections can be missed if we do not do Brain Imaging. Conclusion: CT scan (Brain Imaging Modalities) is better than clinical method (including scoring system) in diagnosis of Cerebrovascular accident and other stroke mimicking conditions. So it must be done in all cases whenever feasible for deciding the treatment guideline and for better outcome. Key words: Stroke (Cerebrovascular Accident), Clinical diagnosis, CT scan (Radiological investigation).","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"243-247"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69149858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The age-old life saving procedures of intestinal stoma and exteriorization requires continuous scrutiny in the term of indications, success and failure to give benefit to patient. Aim: To assess relevance and validity of this technique in present era of advanced surgical techniques. Methodology: The study is carried out on indoor patients of a municipal general hospital of Ahmedabad. 25 patients were observed and data were collected in the prescribed proforma consisting details of patient’s history, clinical findings, pathological/radiological investigations, conservative management techniques, operative findings, post operative course &complications, and outcome. Results: Observation and analysis of the data of present series was interesting and important aspects were compared with standard series commonest indication was severe intra-abdominal sepsis and commonest site was right iliac fossa. Morbidity was significantly high as compared to other abdominal procedures. Conclusion: Even in the modern era, intestinal stoma and exteriorization remains an important tool of saving life of the patients from the lethal disease which they had. The success rate of the procedure to achieve its goal –that is to save life of patient, is 88%. Key Words: Intestinal stoma, Exteriorization
{"title":"Clinical profile of patients with intestinal stoma and exteriorization of bowel anastomosis","authors":"S. Parikh, P. Mukadam, Vinod S Kansara","doi":"10.24896/JRMDS.V4I3.213","DOIUrl":"https://doi.org/10.24896/JRMDS.V4I3.213","url":null,"abstract":"Background: The age-old life saving procedures of intestinal stoma and exteriorization requires continuous scrutiny in the term of indications, success and failure to give benefit to patient. Aim: To assess relevance and validity of this technique in present era of advanced surgical techniques. Methodology: The study is carried out on indoor patients of a municipal general hospital of Ahmedabad. 25 patients were observed and data were collected in the prescribed proforma consisting details of patient’s history, clinical findings, pathological/radiological investigations, conservative management techniques, operative findings, post operative course &complications, and outcome. Results: Observation and analysis of the data of present series was interesting and important aspects were compared with standard series commonest indication was severe intra-abdominal sepsis and commonest site was right iliac fossa. Morbidity was significantly high as compared to other abdominal procedures. Conclusion: Even in the modern era, intestinal stoma and exteriorization remains an important tool of saving life of the patients from the lethal disease which they had. The success rate of the procedure to achieve its goal –that is to save life of patient, is 88%. Key Words: Intestinal stoma, Exteriorization","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"237-242"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69150240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Approximately 47000 pregnancy related deaths occur due to complication of unsafe abortion. To correct this Ministry of Health and Family Welfare had appointed the expert group for MTP Act and amend it to enable increased access to safe abortion services for all women. The WHOs preferred methods to safely and effectively terminate pregnancy during the first trimester of pregnancy are vacuum aspiration and medication abortion. Objectives: To evaluate and compare the efficacy of MVA and EVA in first trimester pregnancy termination. Methods: Study includes cases of pregnancy with less than or equal to 12 weeks of gestation. After receiving consent, cases allocated in two groups Group A followed Manual Vacuum Aspiration while Group B followed Electric Vacuum Aspiration. Each group contains 75 cases. During these procedures, relation of uterine size, blood loss, post-operative pain score, complications were noted and compared between two procedures. Results: The average blood loss was significantly higher in MVA group in more than 10 weeks of gestation. MVA is comparatively less painful than EVA. There is no major difference in complications. Conclusion: MVA is best suited for infra-structure in rural areas and is very useful in poor resource setting hence It is best suited for rural setting, where there is an unmet need for abortion services. Key words: Manual Vacuum Aspiration (MVA), Electric Vacuum Aspiration (EVA), Medicaltermination of pregnancy
{"title":"Manual Vacuum Aspiration (MVA) versus Electric Vacuum Aspiration (EVA) in first trimester medical termination of pregnancy (MTP)","authors":"Trishala Anil Patil","doi":"10.24896/JRMDS.V4I3.221","DOIUrl":"https://doi.org/10.24896/JRMDS.V4I3.221","url":null,"abstract":"Background: Approximately 47000 pregnancy related deaths occur due to complication of unsafe abortion. To correct this Ministry of Health and Family Welfare had appointed the expert group for MTP Act and amend it to enable increased access to safe abortion services for all women. The WHOs preferred methods to safely and effectively terminate pregnancy during the first trimester of pregnancy are vacuum aspiration and medication abortion. Objectives: To evaluate and compare the efficacy of MVA and EVA in first trimester pregnancy termination. Methods: Study includes cases of pregnancy with less than or equal to 12 weeks of gestation. After receiving consent, cases allocated in two groups Group A followed Manual Vacuum Aspiration while Group B followed Electric Vacuum Aspiration. Each group contains 75 cases. During these procedures, relation of uterine size, blood loss, post-operative pain score, complications were noted and compared between two procedures. Results: The average blood loss was significantly higher in MVA group in more than 10 weeks of gestation. MVA is comparatively less painful than EVA. There is no major difference in complications. Conclusion: MVA is best suited for infra-structure in rural areas and is very useful in poor resource setting hence It is best suited for rural setting, where there is an unmet need for abortion services. Key words: Manual Vacuum Aspiration (MVA), Electric Vacuum Aspiration (EVA), Medicaltermination of pregnancy","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"278-282"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69150412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Viral G. Prajapati, Pratik Prajapati, P. Patel, Ketan Kakani, S. Patil
Background: Osteoporosis, the silent disease with no symptoms until the first fracture, is a major health problem worldwide. To reduce the number and impact of hip fracture-fragility fracture, early detection and treatment of osteoporosis is needed. Objectives: Evaluate BMD (bone mineral density) with DXA (Dual energy X-ray absorptiometry) scan in geriatric patients age>60 years having proximal femur fracture and compare them with similar group of patients without any fragility fractures. Material and Methods: The study was prospective study conducted on patients age of >60 years. Study Population Group A: 50 Patients having proximal femur fracture admitted and operated in our hospital. Group B: 50 age and sex adjusted persons having no fragility fracture. All were assessed for BMD at hip with DXA scanner. Data collected and both groups were compared statistically. Results: 60-65years is the most frequent affected age group. Significant low level of BMD or T-score as per WHO classification at hip scanned with DXA scan in group A patients than group B. Conclusion: In India patients having hip fracture is 10 years earlier than western population. Patients with low BMD at hip are more likely to develop proximal hip fracture. BMD may serve as a guidance to initiate early assessment of BMD as preventive measure of osteoporosis and fractures among ageing men population. Key words: Fragility fracture, Bone Mineral Density (BMD), Hip fracture
{"title":"Assessment of Bone Mineral Density in old age patients ( >60yrs) having proximal femur fracture","authors":"Viral G. Prajapati, Pratik Prajapati, P. Patel, Ketan Kakani, S. Patil","doi":"10.5455/jrmds.20164321","DOIUrl":"https://doi.org/10.5455/jrmds.20164321","url":null,"abstract":"Background: Osteoporosis, the silent disease with no symptoms until the first fracture, is a major health problem worldwide. To reduce the number and impact of hip fracture-fragility fracture, early detection and treatment of osteoporosis is needed. Objectives: Evaluate BMD (bone mineral density) with DXA (Dual energy X-ray absorptiometry) scan in geriatric patients age>60 years having proximal femur fracture and compare them with similar group of patients without any fragility fractures. Material and Methods: The study was prospective study conducted on patients age of >60 years. Study Population Group A: 50 Patients having proximal femur fracture admitted and operated in our hospital. Group B: 50 age and sex adjusted persons having no fragility fracture. All were assessed for BMD at hip with DXA scanner. Data collected and both groups were compared statistically. Results: 60-65years is the most frequent affected age group. Significant low level of BMD or T-score as per WHO classification at hip scanned with DXA scan in group A patients than group B. Conclusion: In India patients having hip fracture is 10 years earlier than western population. Patients with low BMD at hip are more likely to develop proximal hip fracture. BMD may serve as a guidance to initiate early assessment of BMD as preventive measure of osteoporosis and fractures among ageing men population. Key words: Fragility fracture, Bone Mineral Density (BMD), Hip fracture","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"275-277"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: The purpose of this article was to put forward the management of teeth with failed endodontic treatment. Methods: Apart from the case reports, the text included electronic searches of medline, pubmed, google scholar, science direct followed by hand searching and citation mining of many articles. Results: Healing of the periapical infection was clinically and radiographically confirmed at a 9-month follow-up. Endodontists should know the anatomical variations of human teeth and be vigilant about them when approaching treatments. More than a single radiographic projection is recommended in the diagnostic phase. Conclusion: Careful procedures related to instrumentation, cleaning and filling of the entire root canal system enhance the potential for healing of apical lesions.
{"title":"Endodontic re-treatment","authors":"Mridusmita Mukherjee, A. Bhuyan, C. Kalita","doi":"10.5455/jrmds.20164326","DOIUrl":"https://doi.org/10.5455/jrmds.20164326","url":null,"abstract":"Aim: The purpose of this article was to put forward the management of teeth with failed endodontic treatment. Methods: Apart from the case reports, the text included electronic searches of medline, pubmed, google scholar, science direct followed by hand searching and citation mining of many articles. Results: Healing of the periapical infection was clinically and radiographically confirmed at a 9-month follow-up. Endodontists should know the anatomical variations of human teeth and be vigilant about them when approaching treatments. More than a single radiographic projection is recommended in the diagnostic phase. Conclusion: Careful procedures related to instrumentation, cleaning and filling of the entire root canal system enhance the potential for healing of apical lesions.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"295-298"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Physical and mechanical properties are important during the selection of materials which is used for root repair and root end filling to ensure their success and longevity. Aim: The aim of this study is to compare the compressive and diametral tensile strengths and solubility of Biodentine and ProRoot Mineral Trioxide Aggregate (MTA). Material & Methods: Cylindrical samples of tested materials were constructed for compressive and diametral tensile strength. After then, it was immersed in distilled water for 24 hours or 21 days at 37oC before testing. Solubility was determined by preparing discs of each material, and then stored in 50ml distilled water at 37°C for 1, 7, and 21 days. Solubility was measured as the difference between the initial weight and the weight at the end of each storage period. Results were analyzed using One-way ANOVA, Student’s t-test, and Tukey’s HSD post-hoc test (P<0.05). Results: Biodentine showed significantly higher compressive and diametral tensile strength values compared with MTA after 1 day (P<0.01). Strength values of Biodentine significantly decreased after 21 days compared with day 1 (P<0.01). On the other hand, MTA showed a significantly higher diametral tensile strength after 21 days compared with day 1 (P<0.01). Biodentine showed higher solubility than MTA (P<0.05). In addition, the solubility of Biodentine and MTA significantly decreased after 21 days compared with 1 day (P<0.01). Conclusion: Although Biodentine showed higher initial strength than MTA, the values were not significantly different after 21 days. Biodentine was more soluble than MTA. Keywords: Biodentine, Compressive strength, Mineral trioxide aggregate, Tensile strength, Solubility.
{"title":"A comparison of Physical and Mechanical Properties of Biodentine and Mineral Trioxide Aggregate","authors":"H. Alzraikat, N. Taha, A. Salameh","doi":"10.24896/JRMDS.V4I2.188","DOIUrl":"https://doi.org/10.24896/JRMDS.V4I2.188","url":null,"abstract":"Background: Physical and mechanical properties are important during the selection of materials which is used for root repair and root end filling to ensure their success and longevity. Aim: The aim of this study is to compare the compressive and diametral tensile strengths and solubility of Biodentine and ProRoot Mineral Trioxide Aggregate (MTA). Material & Methods: Cylindrical samples of tested materials were constructed for compressive and diametral tensile strength. After then, it was immersed in distilled water for 24 hours or 21 days at 37oC before testing. Solubility was determined by preparing discs of each material, and then stored in 50ml distilled water at 37°C for 1, 7, and 21 days. Solubility was measured as the difference between the initial weight and the weight at the end of each storage period. Results were analyzed using One-way ANOVA, Student’s t-test, and Tukey’s HSD post-hoc test (P<0.05). Results: Biodentine showed significantly higher compressive and diametral tensile strength values compared with MTA after 1 day (P<0.01). Strength values of Biodentine significantly decreased after 21 days compared with day 1 (P<0.01). On the other hand, MTA showed a significantly higher diametral tensile strength after 21 days compared with day 1 (P<0.01). Biodentine showed higher solubility than MTA (P<0.05). In addition, the solubility of Biodentine and MTA significantly decreased after 21 days compared with 1 day (P<0.01). Conclusion: Although Biodentine showed higher initial strength than MTA, the values were not significantly different after 21 days. Biodentine was more soluble than MTA. Keywords: Biodentine, Compressive strength, Mineral trioxide aggregate, Tensile strength, Solubility.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"4 1","pages":"121-126"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69148895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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