Appearance of clinical signs and symptoms on the contralateral side with asymptomatic disc displacement in patients with unilaterally painful nonreducing disc displacement of the temporomandibular joint: Follow-up for 12 months

This case report describes root canal filling performed over a large S1 ProTaper file fragment in a second mandibular molar with irreversible pulpitis. An S1 ProTaper file was fractured during the instrumentation of the mesiobuccal canal. Approximately 10 mm of file fragment remained in the apical and middle thirds of the canal. The obturation was performed over this fragment using thermomechanically compacted gutta-percha and sealer. Radiographic findings and the absence of clinical signs and symptoms at 3-year follow up indicated successful treatment. Cone-beam computed tomography images revealed absence of periapical lesion and details of intracanal file fragment related to root fillings and apex morphology. In this case, the presence of a large intracanal fractured instrument did not have a negative impact on the endodontic prognosis during the follow up evaluation period.

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SIDE EFFECTS OF ASCENDING VENOGRAPHY

10.1055/s-0038-1644198 ◽

1987 ◽

Author(s):

M Vigo ◽

A W A Lensing ◽

F Corbetti ◽

P R Biondetti ◽

P Tropeano ◽

...

Keyword(s):

Side Effects ◽

Contrast Medium ◽

Clinical Signs ◽

Signs And Symptoms ◽

Impedance Plethysmography ◽

Contrast Extravasation ◽

Local Skin ◽

Ionic Contrast ◽

Clinical Signs And Symptoms

Two hundred and sixtyeight (268) consecutive out-patients with clinical features compatible with deep venous thrombosis (DVT) were referred to our Department for contrast venography, which was carried out according to standard methods, employing 120-160 ml of a non-ionic contrast medium (Iohexol). All side effects probably related to venography were recorded during the test, immediately after its execution, at one day and during long-term follow-up (1 week, 1 month and 6 months), including impedance plethysmography (IPG) evaluation in patients with normal venograms. Eighteen patients (7%) did not undergo venography because of severe edema of the dorsum of the foot (3), impossibility to find a vein (7), patient refusal (1), known hypersensibility to radiopaque dye (4) and allergic reactions after injection of contrast medium (3). Our analysis therefore included 250 patients. Hypersensitivity reaction to the contrast medium following the venography were encountered in 3 patients (1%) of whom two had severe reactions. Pain and tenderness of the foot and calf after the test was observed in 15 patients (6%). No clinical signs and symptoms of pulmonary embolism were observed during and after the procedure and all serum creatine levels, assessed before venography, at day 1 and day 7, remained unchanged. There were 7 instances of contrast extravasation (3%) which did not result in local skin or tissue damage. In none of the patients was there any evidence to suggest the presence of post-venographic phlebitis and no patients with negative venograms developed a positive IPG during the period of follow-up.

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10-Year natural course of early hip osteoarthritis in middle-aged persons with hip pain: a CHECK study

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-218625 ◽

2021 ◽

pp. annrheumdis-2020-218625

Author(s):

Annemaria C. van Berkel ◽

Dieuwke Schiphof ◽

Jan H. Waarsing ◽

Jos Runhaar ◽

John M. van Ochten ◽

...

Keyword(s):

Physical Functioning ◽

Clinical Signs ◽

Hip Osteoarthritis ◽

Signs And Symptoms ◽

Natural Course ◽

Radiographic Osteoarthritis ◽

American College Of Rheumatology ◽

Clinical Signs And Symptoms ◽

First Time

ObjectiveTo explore the natural course of hip osteoarthritis (OA) in a population of first-time presenters with hip complaints.MethodsData were collected at baseline and after 2, 5, 8 and 10 years on participants from the Cohort Hip and Cohort Knee study with early symptomatic hip OA. Descriptive statistics were used to analyse the natural course of the hip complaints with respect to clinical signs and symptoms, physical functioning and radiographic osteoarthritis (ROA) features.ResultsIn total, 588 participants were included with hip complaints and 86% completed the 10-year follow-up. The 10-year follow-up showed that 12% (69 participants) underwent hip replacement (HR), an increase of ROA of the hip (Kellgren and Lawrence score≥2) from 19% to 49%, and an increase in clinical hip OA according to the American College of Rheumatology criteria from 27% to 43%. All Western Ontario and McMaster Osteoarthritis Index subscales and physical activity remained on average constant during the 10-year follow-up for those who did not undergo an HR. The use of pain medication increased from 43% at baseline to 50% after 10 years.ConclusionOne out of nine participants with early hip problems received an HR during the 10-year follow-up. Prevalence of clinical hip OA and hip ROA increased steadily during the 10-year follow-up. Overall, we observed more hip OA, but fewer or stable complaints with respect to clinical signs and symptoms, and physical functioning. So it could be cautiously concluded that after 10 years, first-time presenters with hip complaints either received an HR or their symptoms remained stable.

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ADD ON EFFECT OF GR̥ ÑJANAKA PĒYA ALONG WITH A THERAPEUTIC DIETARY PROTOCOL IN RAKTĀRŚAḤ (BLEEDING PILE) – A NON-RANDOMIZED CONTROLLED TRIAL

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj1109072021 ◽

2021 ◽

Vol 9 (7) ◽

pp. 1393-1397

Author(s):

Bindu K.T ◽

Shobhana M. C. ◽

Prema P. E

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Clinical Signs ◽

Signs And Symptoms ◽

Study Group ◽

Randomized Controlled ◽

Therapeutic Protocol ◽

Before And After ◽

Clinical Signs And Symptoms

A non-randomized controlled trial was carried out in 40 participants with intervention for 15 days and a follow up of 7 days. Clinical signs and symptoms of raktārśaḥ were assessed before and after the intervention and after fol- lowing up, by using the subjective parameters scale including, Frequency of bleeding, Nature of bleeding, Change in colour of the mucosa of pile mass, Character of defecation and Period of straining. Grñjanaka pēya along with a therapeutic protocol in raktārśaḥ has shown significant positive changes in subjective parameters like frequency of bleeding (p<0.01 level), nature of bleeding (p<0.01 level), changes in the mucosa, period of straining and char- acter of defecation after the 15 days of intervention in the study group. Keywords: Raktārśaḥ, Gr̥ ñjanaka pēya, Therapeutic dietary protocol, Subjective parameters

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CONSERVATIVE MANAGEMENT OF ACUTE LUMBAR DISC HERNIATION WITH ASSOCIATED RADICULOPATHY: A STUDY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2021.v14i12.43020 ◽

2021 ◽

pp. 57-59

Author(s):

RAPPAI TJ ◽

SURENDER ◽

NEERAV PORWAL ◽

ASHOK KUMAR ◽

SAPNA CHAUHAN

Keyword(s):

Conservative Treatment ◽

Disc Herniation ◽

Lumbar Disc ◽

Clinical Signs ◽

Indirect Costs ◽

Poor Response ◽

Signs And Symptoms ◽

Disability Score ◽

Clinical Signs And Symptoms

Objective: Acute disc herniation (DH) is a common cause of low back pain (LBP). It ranks fifth in the category of diseases in terms of cost of hospital care. It has higher indirect costs due to absenteeism from work and disability than any other disease. The present study was performed to assess the clinical outcomes of non-surgically treated LBP patients after 6 months of follow-up. Methods: The present study was prospective study which was performed on 450 lumbar radicular patients visiting the neurosurgery outpatient department having clinical signs and symptoms of acute lumbar DH of less than 3 month duration. Their diagnosis was confirmed by magnetic resonance imaging. The patients were treated conservatively during 6 months. Pain and disability were assessed by visual analog scale (VAS) and Oswestry disability questionnaire, respectively. Results: About 135 (30%) female and 315 (70%) male participated in the study. During the follow-up period, 27 (06%) patients (21 male and 6 female) showed poor response to conservative treatment and motor weakness and underwent surgical intervention. A significant improvement in the VAS Score was seen after 6 months of conservative treatment than initial evaluation of patients (3.12±1.84, 7.1±1.43, p=0.00). Furthermore, significant improvement in disability score of patients was seen in follow-up period (25.82±16.92, 53.66±17.66; p=0.00). Conclusion: Results of our study showed that conservative treatment in patients of acute lumbar DH have significant improvement in pain relief and disability without any notable side effect.

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Temporomandibular Joint Monoarthritis in Rheumatoid Arthritis - A Rare Case Report

Bangladesh Medical Journal ◽

10.3329/bmj.v48i3.51797 ◽

2021 ◽

Vol 48 (3) ◽

pp. 43-45

Author(s):

Md Abu Shahin ◽

Sudhir Karmacharya ◽

Md Ariful Islam ◽

Mamun Khan ◽

Abdulla Al Morshed ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Temporomandibular Joint ◽

High Titer ◽

Clinical Signs ◽

Joint Stiffness ◽

Signs And Symptoms ◽

Joint Inflammation ◽

Joint Involvement ◽

Inflammatory Disorder ◽

Clinical Signs And Symptoms

Rheumatoid arthritis (RA) is a chronic, systemic, autoimmune inflammatory disorder that is characterized by joint inflammation, erosive properties and symmetric multiple joint involvement. Temporomandibular joint (TMJ) is very rare to be affected in the early phase of the disease, thus posing diagnostic challenges for the rheumatologist. TMJ complaints are present in about more than 50% of patients of RA. TMJ is usually among the last joint to be involved and is associated with many clinical signs and symptoms of which pain is a major problem leading to inflammation, limited movements, swelling, joint stiffness, and muscle spasm. Here reported case is 64 years old male, ex-smoker, diagnosed case of diabetes mellitus for 7 years, hypertension for 2 years, came to hospital with the complains of pain in left jaw for 1 year. He had no history of other joint pain, morning stiffness or any deformities. The patient was diagnosed as a case of rheumatoid arthritis on the basis of inflammatory monoarthritis with high titer positive RA factor and anti CCP. The patient gradually improved after treatment with methotrexate. Inflammatory markers like ESR dropped down with the clinical improvement. TMJ is seldom joint to be affected first in the disease course. Bangladesh Med J. 2019 Sep; 48 (3): 43-45

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Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in brazilian dental undergraduates

Brazilian Dental Journal ◽

10.1590/s0103-64402007000200015 ◽

2007 ◽

Vol 18 (2) ◽

pp. 163-167 ◽

Cited By ~ 51

Author(s):

Kariny Nomura ◽

Mathias Vitti ◽

Anamaria Siriani de Oliveira ◽

Thaís Cristina Chaves ◽

Marisa Semprini ◽

...

Keyword(s):

Early Diagnosis ◽

Neck Pain ◽

Temporomandibular Joint ◽

Temporomandibular Disorders ◽

Clinical Signs ◽

Signs And Symptoms ◽

Public University ◽

Men Students ◽

Young Population ◽

Clinical Signs And Symptoms

This study to assessed the prevalence of signs and symptoms of temporomandibular disorders (TMD) by means of the frequency distribution of data for 218 dentistry students from a Brazilian public university using the Fonseca's questionnaire. The group consisted of 96 men and 122 women, with an average age of 20 years. Of the students, 53.21% showed some level of TMD: 35.78% mild TMD 11.93% moderate and 5.5% severe. Women were the most affected group, with 63.11% showing some level of TMD, against 40.62% of men. When considering only severe TMD, women are approximately 9 times more affected than men. Students with any level of TMD showed marked characteristics: 76.72% considered themselves tense people; 71.55% reported to clench or grind their teeth; 65.52% reported clicking of the temporomandibular joint; 64.66% reported frequent headache and 61.21% neck pain. In conclusion, clinical signs and symptoms of TMD can occur in young population and this information is of great importance for the early diagnosis of the dysfunction.

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