scholarly journals Long-Term Retention of Avulsed Maxillary Incisors with Replacement Root Resorption: A 9-Year Follow-Up

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Hyunjung Yoon ◽  
Minju Song
Keyword(s):  
Root Resorption ◽  
Young Patients ◽  
Storage Conditions ◽  
Additional Treatment ◽  
Term Retention ◽  
Dry Conditions ◽  
Long Term Retention ◽  
Maxillary Incisors

The purpose of this case report is to present a case of long-term retention of avulsed upper maxillary incisors with external replacement root resorption in a 15-year-old boy. The avulsed teeth, #11, 21, and 22, were stored under dry conditions for 40 min and replanted. Endodontic treatment was initiated after two weeks, and the nonrigid splint was removed after 3.5 months. A year after replantation of the teeth, replacement root resorption was detected radiographically. For the following 9 years, the resorption progressed slowly, but the teeth were maintained without any adverse effects on esthetic appearance. Under dry storage conditions, replacement root resorption was expected. In this case, the patient was a growing 15-year-old boy; thus, replantation was performed despite a possible poor prognosis. Consequently, root resorption progressed. Nevertheless, maintenance of the tooth crowns led to satisfying results for the patient both esthetically and psychologically. Ankylosis or replacement root resorption is a complication occurring after replantation of avulsed teeth, which could require additional treatment. However, in young patients, replantation could be considered to maintain the teeth until growth is complete.

scholarly journals Ill Effects of Smoking: Baseline Knowledge among School Children and Implementation of the “AntE Tobacco” Project

2011 ◽  
Vol 2011 ◽  
pp. 1-7
Author(s):  
Salim Surani ◽  
Raghu Reddy ◽  
Amy E. Houlihan ◽  
Brenda Parrish ◽  
Gina L. Evans-Hudnall ◽  
...  
Keyword(s):  
Educational Program ◽  
Short Term ◽  
Educational Objectives ◽  
Item Questionnaire ◽  
Term Retention ◽  
Baseline Knowledge ◽  
Long Term Retention ◽  
Tobacco Education

Introduction. Cigarette smoking contributes to the deaths of more than 400,000 Americans annually. Each day >3,000 children and adolescents become regular smokers. This paper details a new antitobacco educational program titled “AntE Tobacco”Method. Children in grades 1–3 were administered a 10-item questionnaire to ascertain their baseline knowledge about the ill effects of smoking, shown an educational cartoon video depicting the ill effects of tobacco, and given a story book based on the video. At the end of video, children were administered a questionnaire to determine short-term recall of the antitobacco educational objectives of the program. Four to 6 weeks later, the children were then administered a follow-up survey to determine long-term retention of the anti tobacco educational program.Result. Eighty two percent of the children answered the outcome questions correctly immediately following the video. At follow-up, 4–6 weeks later, 83% of children answered all questions correctly.Conclusion. The anti tobacco education program used in this study effectively conveyed most of the educational objectives. The results of this study indicate that a multimedia (i.e., video and book) educational program can be used to educate and reinforce anti tobacco messages. This program may be very useful as a part of a comprehensive anti tobacco curriculum in school systems.

scholarly journals Incisor Root Resorption Due to Ectopic Maxillary Canines

2008 ◽  
Vol 78 (5) ◽  
pp. 778-785 ◽  
Author(s):  
Babak Falahat ◽  
Sune Ericson ◽  
Rozmary Mak D'Amico ◽  
Krister Bjerklin
Keyword(s):  
Computed Tomography ◽  
Children And Adolescents ◽  
Root Resorption ◽  
Ct Scans ◽  
Radiographic Examination ◽  
Orthodontic Appliance ◽  
Maxillary Incisors

Abstract Objective: To document the long-term fate of maxillary incisors with resorbed roots after correction of the associated ectopic canines. Materials and Methods: The subjects were recruited from 107 children and adolescents age 9–15 years (mean 12.5 years) at initial registration, with 156 ectopically positioned maxillary canines. The children were referred to the specialist orthodontic clinic for consultation because of the risk of incisor root resorption. Of 51 patients contacted, 16 failed to attend. Eight of the remaining 35 were excluded because their lateral incisors had been extracted, leaving 27 subjects for follow-up registration. At initial consultation, all subjects had undergone radiographic examination, including computed tomography (CT) scans. At the follow-up consultation, the radiographic examination was limited to intraoral films. Results: No resorbed incisor was lost during the 2- to 10-year follow-up period. The resorptive lesions had undergone repair in 13 teeth, remained unchanged in 12 teeth and progressed in 7 teeth. In the 13 teeth exhibiting signs of repair, no resorption was detectable in 11 teeth and minor resorption was detected in 2 lateral incisors. At the initial registration, severe or moderate resorption had been diagnosed in 12 lateral and 5 central incisors, compared with 11 lateral and 6 central incisors at follow-up. In 10 subjects initially diagnosed with resorption of 13 incisors, the lesions were no longer discernible on intraoral radiographs at follow-up. Conclusions: Even in cases of severe resorption, the incisor roots show good long-term healing. Incisors with root resorption can be used in an orthodontic appliance system.

scholarly journals Orthodontic Retention—Protocols and Materials—A Questionnaire Pilot Study among Polish Practitioners

Materials ◽  
2022 ◽  
Vol 15 (2) ◽  
pp. 666
Author(s):  
Maciej Jedliński ◽  
Marta Mazur ◽  
Krzysztof Schmeidl ◽  
Katarzyna Grocholewicz ◽  
Roman Ardan ◽  
...  
Keyword(s):  
Treatment Results ◽  
Reinforced Composite ◽  
Term Retention ◽  
Chi Squared ◽  
Round Wire ◽  
Long Term Retention ◽  
Different Characteristics ◽  
Fixed Retainers

The aim of the study was to analyze retention protocols and materials for fixed retainers used by clinicians providing orthodontic treatment in Poland. The survey was carried out from February to April 2021. The questionnaire was designed using the Google Forms tool. After validation, the questionnaire was delivered to verified active orthodontists gathered in a closed social media group of 615 members. Finally, 104 answers were received. Answers to individual questions were provided in percentages and tabularized. A chi-squared test of proportion was used to compare: the proportion of clinicians using retainers of different characteristics and the proportions of clinicians indicating the superiority of a given clinical solution. Rectangular steel braided wire was rated as most reliable. However, doctors who declared to use gold chain were mostly solely using this type of wire. Multistranded round wire was rated the worst. Fiber-reinforced composite was mainly used in periodontal patients. The protocols used by Polish orthodontic practitioners relied on double long-term retention with regular follow-up. The most popular material was stainless steel braided rectangular wire bonded with a flowable composite. Most clinicians believed they could maintain the treatment results, but they declared that patients’ cooperation was a challenge.

scholarly journals 998. Understanding Retention in PrEP Care in the South: Insights from an Academic HIV Prevention Clinic

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S528-S528
Author(s):  
Charles Burns ◽  
Monica Borges ◽  
Justin Frye ◽  
Kathryn V Keicher ◽  
Scotty Elliott ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Retention In Care ◽  
Odds Ratios ◽  
The South ◽  
Short Term ◽  
Term Retention ◽  
Long Term Retention ◽  
Over Time

Abstract Background Daily emtricitabine-tenofovir disoproxil fumarate has emerged as one of the most effective tools to prevent HIV transmission. However, it remains poorly utilized in the South. We report on PrEP retention in care and sexually transmitted infections (STIs) in a large academic PrEP clinic in Durham, North Carolina. Methods We conducted a retrospective chart review of patients in the Duke University PrEP Clinic from Jan. 1, 2015 through Oct. 15, 2019. Short-term retention in care was completion of a 3 month (mo) follow up as per CDC guidelines. Long-term retention was defined as completion of a 3 mo visit and an additional visit between 8 and 12 mo. Baseline STI was defined as a diagnosis at or within 1 year prior to initial PrEP visit. STI diagnosis while on PrEP was any subsequent diagnosis while retained in care. Odds ratios (OR) were generated using multivariable logistic regression. Kaplan-Meier curves were generated for retention in care and compared using the log rank test. Results A total of 255 patients attended at least one PrEP clinic encounter; 89% were men, 37% were Black, and 73% identified as men who have sex with men (MSM); 153 (60%) returned for at least one follow-up visit. Short and long term retention in care were met by 130/237 (55%) and 80/217 (37%) patients respectively. OR for retention are reported in Table 1. MSM are more likely to be retained in the short-term (OR 5.22 [95% confidence interval (CI) 1.57-17.32]). Self-referred patients were more likely to be retained in the long-term (OR 2.18 [95% CI 1.12-4.23]). Patients without insurance were less likely to attain long-term retention in care outcomes (OR 0.32 [95% CI 0.11-0.91]). STI diagnoses include 30 (12%) patients for a total of 42 unique infections at baseline and 44 (17%) for a total of 69 unique infections at follow up. Two new HIV diagnoses were made at first PrEP clinic encounter with no new diagnoses made at follow-up. Baseline STI was not associated with retention in care over time with disengagement defined as 6 mo post last visit (Figure 1). Table 1) Odds Ratios of Retention in Care at 3 and 12 Months Figure 1) Retention in Care for Patients with Baseline STI Diagnosis. Conclusion Our PrEP clinic shows a decline in patient retention over time. STIs were also prevalent, reinforcing that frequent STI testing and counseling should be part of each PrEP encounter. Further investigations into how to increase and improve PrEP utilization for HIV prevention are needed. Disclosures All Authors: No reported disclosures

scholarly journals Long-term retention on antiretroviral therapy among infants, children, adolescents and adults in Malawi: A cohort study

2019 ◽  
Author(s):  
Catrina Mugglin ◽  
Andreas Haas ◽  
Joep van Oosterhout ◽  
Malango Msukwa ◽  
Lyson Tenthani ◽  
...  
Keyword(s):  
Young Adults ◽  
Cohort Study ◽  
Antiretroviral Therapy ◽  
Early Years ◽  
First Year ◽  
Term Retention ◽  
Number Of Patients ◽  
Long Term Retention

Objectives: We examine long-term retention of adults, adolescents and children on antiretroviral therapy under different HIV treatment guidelines in Malawi. Design: Prospective cohort study. Setting and participants: Adults and children starting ART between 2005 and 2015 in 21 health facilities in southern Malawi. Methods: We used survival analysis to assess retention at clinic level, Cox regression to examine risk factors for loss to follow up, and competing risk analysis to assess long-term outcomes of people on antiretroviral therapy (ART). Results: We included 132,274 individuals in our analysis, totalling 270,256 person years of follow up (PYFU; median per patient 1.3, interquartile range (IQR) 0.26-3.1), 62% were female and the median age was 32 years. Retention on ART was lower in the first year on ART compared to subsequent years for all guideline periods and age groups. Infants (0-3 years), adolescents and young adults (15-24 years) were at highest risk of LTFU. Comparing the different calendar periods of ART initiation we found that retention improved initially, but remained stable thereafter. Conclusion: Even though the number of patients and the burden on health care system increased substantially during the study period of rapid ART expansion, retention on ART improved in the early years of ART provision, but gains in retention were not maintained over 5 years on ART. Reducing high attrition in the first year of ART should remain a priority for ART programs, and so should addressing poor retention among adolescents, young adults and men.

Long-term retention is greater following closed-book tests than open-book tests

2006 ◽  
Author(s):  
Pooja K. Agarwal ◽  
Jeffrey D. Karpicke ◽  
Sean H. Kang ◽  
Henry L. Roediger ◽  
Kathleen B. McDermott
Keyword(s):  
Open Book ◽  
Term Retention ◽  
Long Term Retention
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