Prospective Clinical Evaluation of Posterior Monolithic Zirconia Fixed Partial Dentures Using a Complete Digital Workflow: Two‐Year Follow‐Up

2020 ◽  
Author(s):  
Paula Pontevedra ◽  
Carlos Lopez‐Suarez ◽  
Jesus Pelaez ◽  
Sara Garcia‐Serdio ◽  
Maria J Suarez
Keyword(s):  
Clinical Evaluation ◽  
Digital Workflow ◽  
Monolithic Zirconia

scholarly journals Digital versus Analog Procedures for the Prosthetic Restoration of Single Implants: A Randomized Controlled Trial with 1 Year of Follow-Up

2018 ◽  
Vol 2018 ◽  
pp. 1-20 ◽  
Author(s):  
Francesco Mangano ◽  
Giovanni Veronesi
Keyword(s):  
Treatment Time ◽  
Controlled Trial ◽  
Marginal Bone Loss ◽  
Digital Workflow ◽  
Digital Impressions ◽  
Monolithic Zirconia ◽  
Ceramic Crown ◽  
To Receive ◽  
Single Implant

Aim. To compare the outcome of digital versus analog procedures for the restoration of single implants. Methods. Over a two-year period (2014-2016), all patients who had been treated in a dental center with a single implant were randomly assigned to receive either a monolithic zirconia crown, fabricated with digital workflow (test group), or a metal-ceramic crown, fabricated with analog workflow (control group). All patients were followed for 1 year after the delivery of the final crown. The outcomes were success, complications, peri-implant marginal bone loss (PIMBL), patient satisfaction, and time and cost of the treatment. Results. 50 patients (22 males, 28 females; mean age 52.6±13.4 years) were randomly assigned to one of the groups (25 per group). Both workflows showed high success (92%) and low complication rate (8%). No significant differences were found in the mean PIMBL between test (0.39±0.29mm) and control (0.54±0.32mm) groups. Patients preferred digital impressions. Taking the impression took half the time in the test group (20±5min) than in the control (50±7min) group. When calculating active working time, workflow in the test group was more time-efficient than in the control group, for provisional (70±15min versus 340±37min) and final crowns (29±9min versus 260±26min). The digital procedure presented lower costs than the analog (€277.3 versus €392.2). Conclusions. No significant clinical or radiographic differences were found between digital and analog procedures; however, the digital workflow was preferred by patients; it reduced active treatment time and costs. The present study is registered in the ISRCTN (http://www.isrctn.com/ISRCTN36259164) with number 36259164.

Clinical evaluation of the incidence of prosthetic complications in implant crowns constructed with UCLA castable abutments. A cohort follow-up study

2012 ◽  
Vol 40 (12) ◽  
pp. 1081-1089 ◽  
Author(s):  
Javier Montero ◽  
Guillermo Manzano ◽  
David Beltrán ◽  
Christopher D. Lynch ◽  
María-Jesús Suárez-García ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Follow Up Study ◽  
Prosthetic Complications

scholarly journals Clinical evaluation of monolithic zirconia crowns: a failure analysis of clinically obtained cases from a 3.5-year study

2021 ◽  
Author(s):  
Shoko Miura ◽  
Shinobu Yamauchi ◽  
Shin Kasahara ◽  
Yusuke Katsuda ◽  
Masanori Fujisawa ◽  
...  
Keyword(s):  
Failure Analysis ◽  
Clinical Evaluation ◽  
Zirconia Crowns ◽  
Monolithic Zirconia

scholarly journals CLINICAL EVALUATION OF THE EFFICACY OF LEKHANBASTI AND MEDOHARAVIDANGADILAUHA IN THE MANAGEMENT OF DYSLIPIDEMIA

2021 ◽  
Vol 9 (7) ◽  
pp. 1362-1365
Author(s):  
Noor Sayeda Shabnam Ahmed ◽  
Om Prakash Gupta ◽  
Bishnu Prasad Sarma
Keyword(s):  
Lipid Profile ◽  
Clinical Evaluation ◽  
Oral Intake ◽  
Before And After ◽  
Significant Change ◽  
Ethical Clearance

This study was conducted to evaluate the efficacy of lekhanbasti and medoharavidangadilauha in the management of dyslipidemia. Consent from all the selected patients was taken before the study after explaining to them about the disease and the procedure. Ethical clearance was accredited by the ethical committee of Government Ayurvedic College and Hospital Guwahati, Assam. Patients from IPD and OPD of the department of Kayachikitsa of the aforesaid institute were chosen. Lekhanbasti niruha and tiltaila anuvasana on alternate days was administered for 8 days Follow up was done at an interval of 30,60 and 90 days. Oral intake of medoharavidangadilauha was advised during these 90 days. The basti was repeated in the follow-up period. After comparing the fasting lipid profile before and after treatment it was found that there was a significant change in it. Keywords: Dyslipidemia, Lekhanbasti, Medoharavidangadilauha, Medoroga, Fasting lipid profile.

RADIOLUNATE FUSION WITH DISTRACTION USING CORTICOCANCELLOUS BONE GRAFT FOR MINIMIZING DECREASE OF WRIST MOTION IN RHEUMATOID WRISTS

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 15-21 ◽  
Author(s):  
Tatsuya Masuko ◽  
Norimasa Iwasaki ◽  
Jun-ichi Ishikawa ◽  
Hiroyuki Kato ◽  
Akio Minami
Keyword(s):  
Rheumatoid Arthritis ◽  
Bone Graft ◽  
Range Of Motion ◽  
Clinical Evaluation ◽  
Radiological Assessment ◽  
Wrist Flexion ◽  
Wrist Motion ◽  
Fusion Procedure ◽  
Radiocarpal Joint

Radiolunate fusion is a limited carpal fusion procedure used for patients with rheumatoid arthritis. However, this procedure inevitably causes decreases in range of motion, especially wrist flexion. Linscheid and Dobyns described the possibility of minimizing the decrease in motion at the radiocarpal joint by slight distraction of the joint. We hypothesized for our modified procedure that a corticocancellous bone graft was inserted between the radius and the lunate with a small amount of over-correction could provide slight distraction of radioscaphoid joint and protect the joint from decreased range of motion after arthrodesis. Twelve wrists in ten patients with rheumatoid arthritis underwent radiolunate fusion. Mean age at operation was 53 years old and mean follow-up period was 5.7 years. Clinical evaluation and radiological assessment showed that decrease in range of motion was minimized compared with other procedures. Because our modified procedure can minimize decrease in motion, it is recommended.

scholarly journals S123. EARLY DETECTION OF PSYCHOSIS: DIAGNOSTIC TRAJECTORIES

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S82-S82
Author(s):  
Line Lindhardt ◽  
Morten Lindhardt ◽  
Ulrik Haahr ◽  
Lene Halling Hastrup ◽  
Erik Simonsen ◽  
...  
Keyword(s):  
Early Detection ◽  
Clinical Evaluation ◽  
Help Seeking ◽  
False Negative ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Psychiatric Research ◽  
One Year ◽  
Detection Unit

Abstract Background Psychosis and signs of severe mental disorders such as schizophrenia often emerge in adolescence. Much attention has been devoted to identifying the individuals experiencing psychosis at an early stage. Implementation of early detection services is widely acknowledged as effective in reducing treatment delays. However, little is known about the diagnostic patterns of individuals entering an early detection service regardless of the initial psychopathological evaluation. The aim of the study is to investigate the diagnostic trajectories of individuals evaluated by an early detection of psychosis unit. Methods A real-life cross-sectional study coupling register data with information of diagnoses allocated by clinical evaluation in an early detection unit. All individuals clinically evaluated in the early detection unit from 2012 to 2015 were included. A Central Psychiatric Research Register was searched for lifetime allocated diagnoses. Register search allowed a minimum of one-year follow-up after evaluation. To determine the predictive ability of the early detection unit, diagnoses allocated by the initial clinical evaluation were compared to later diagnoses in psychiatric services. Results In total 450 individuals were clinically evaluated in the early detection unit during a period of 3 years. Previously 174 (39 %) patients had been in contact with mental healthcare services, and 28 (6.2%) had previously been diagnosed with psychosis. During follow-up, a diagnosis of psychosis was allocated in 146 (32.4%) of all evaluated individuals. In the clinical assessment by the early detection unit 107 (73.3 %) were diagnosed with psychosis. In total 39 (14.7%) were assessed false negative for psychosis by the early detection unit, they were later diagnosed with psychosis in mental healthcare services. The majority of psychosis diagnoses was allocated within one year after assessment in the early detection unit and half of individuals who were diagnosed with psychosis was re-diagnosed with schizophrenia (n=73). The hazard ratio of receiving a diagnosis of psychosis subsequently in mental healthcare services in individuals diagnosed with psychosis by the early detection unit was 4.73 (95 % CI: 3.01 – 7.44, p < 0.0001) compared to individuals not found psychotic by the early detection unit. Discussion That more than a third of the clinical evaluated has previously been help-seeking in mental healthcare system demonstrates a source of delay in treatment, suggesting that contact to other parts of mental healthcare services can delay detection of psychosis. Of the individuals not evaluated cases of psychosis 15 % later received a diagnose of psychosis. This suggests that an important subgroup of the help-seeking individuals undergoes transition to psychosis after contact or that detection of psychosis has not been possible by evaluation in the early detection unit. In conclusion, attention should be made to all individuals self-referred to an early detection unit, as diagnoses of psychosis is seen in the majority within the first year after contact. Also in individuals not initially suspected of psychosis.

Clinical Evaluation and Long-Term Follow-up in 16 Patients with Pseudotumour Cerebri

1990 ◽  
pp. 369-371
Author(s):  
C. Arienta ◽  
M. Caroli ◽  
S. Balbi ◽  
A. Parma ◽  
E. Calappi ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Pseudotumour Cerebri ◽  
Long Term Follow Up

scholarly journals Risk Factors of Arthropathy Change of the Lateral Side of Subtalar Joint After Calcaneal Fracture Surgery

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0021
Author(s):  
Naohiro Hio ◽  
Atsushi Hasegawa ◽  
Satoshi Monden ◽  
Masanori Taki ◽  
Kazuhiko Tsunoda ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Subtalar Joint ◽  
Calcaneal Fracture ◽  
Joint Surface ◽  
Lateral Side ◽  
Anterolateral Approach ◽  
Sinus Tarsi Approach ◽  
Mean Width ◽  
The Mean

Category: Hindfoot, Trauma Introduction/Purpose: As a result of arthropathy change on the lateral side of subtalar joint after intra-articular calcaneal fracture, the secondary disorders such as pain or restricted range of motion occasionally occur. The purpose of this study is to examine factors that cause such arthropathy change. Methods: We divided 23 joints into two groups according to arthropathy change of the lateral side of subtalar joint: the existence of such arthropathy (O) group included 8 joints, the absence of arthropathy (N) group included 15 joints. The patients’ mean age at the time of surgery were 49.1 years and 54.9 years respectively, and the mean follow-up period were 16.1 months and 12.4 months respectively. The anterolateral approach or the sinus tarsi approach was used for both groups, and the medial approach was combined as needed. The fixing materials were a plate or screws, and in some cases, staples and Kirschner wires were used in combination. We assessed Sanders classification, postoperative clinical evaluation using Creighton-Nebraska scale, and the width, height and dislocation of subtalar joint surface of calcaneus. Results: The breakdown of the Sanders classification is as follows: N group consists of 3 joints of type 2A, 7 of type 2B, 3 of type 2C, 1 of type 3BC, 1 of type 4. O group consists of 5 joints of type 2A, 2 of type 2B, 1 of type 2C. The proportion occupied by Sanders classification type 2A in O group was larger than in N group. The average of the postoperative clinical evaluation was 94.9points in N group, 86.9points in O group. In postoperative image evaluation, the mean width in the was 106.2% in N group, 117.1% in O group, the mean dislocation of the subtalar joint surface was 0.4 mm in N group and 1.1 mm in O group. Conclusion: It was suggested that Sanders type 2A and the residual dislocation of the subtalar joint surface may be a cause of arthropathy change on the lateral side of subtalar joint.

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