Evaluation of Changes in the Occlusion and Occlusal Vertical Dimension in Children Following the Placement of Preformed Metal Crowns Using the Hall Technique

2020 ◽  
Vol 44 (2) ◽  
pp. 130-134
Author(s):  
Rose Maria Joseph ◽  
Ashwin P Rao ◽  
N Srikant ◽  
YM Karuna ◽  
Anupama P Nayak
Keyword(s):  
Signs And Symptoms ◽  
Post Treatment ◽  
Vertical Dimension ◽  
P Value ◽  
Preformed Metal Crowns ◽  
Significant Difference ◽  
Occlusal Vertical Dimension ◽  
Secondary Objective ◽  
Baseline Values ◽  
Hall Technique

Objectives: To evaluate the time taken and the mechanism through which the occlusion settles following the placement of a preformed metal crown (PMC) using the Hall technique. The secondary objective was to assess any temporo mandibular joint dysfunction (TMD) resulting from the Hall technique through a questionnaire. Study Design: 44 children fulfilling the inclusion criteria were evaluated for changes in overbite and occlusal vertical dimension (OVD) following the placement of preformed metal crowns (PMCs) using the Hall technique. The overbite and OVD measurements were taken before treatment, immediately post treatment, then at one, two, three and four weeks post treatment. After four weeks, a questionnaire recorded the occurrence of any signs or symptoms of TMD. Results: At the fourth week, the overbite measurement did not show a statistically significant difference (p value= 0.58) compared to baseline values indicating that the occlusion settled by the fourth week. By the third week the OVD values obtained did not show a significant difference compared to the baseline (p value= 0.42) indicating that the OVD had been restored. The questionnaire provided at the end of four weeks showed negative response for signs and symptoms of TMD in all the children. Conclusion: Any changes in occlusion following the placement of a Hall crown settles in four weeks. The OVD settles three weeks post placement implying that extrusion of teeth do not play a role in settling of the occlusion. The children do not develop any signs or symptoms of TMD post a Hall crown.

scholarly journals Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment

2013 ◽  
Vol 7 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Teresa Sierpinska ◽  
Joanna Kuc ◽  
Maria Golebiewska
Keyword(s):  
Tooth Wear ◽  
Post Treatment ◽  
Vertical Dimension ◽  
Cephalometric Analysis ◽  
Activity Levels ◽  
Facial Skeleton ◽  
Facial Aesthetics ◽  
Facial Height ◽  
Occlusal Vertical Dimension ◽  
Pre Treatment

Advanced tooth wear often results in lost vertical dimension and impacts facial aesthetics. Complex restorative treatment can replace the lost tooth structure and improve functional occlusal and facial skeleton parameters. Purpose: The aim of the study is to assess changes in the morphological and functional occlusal parameters of the facial skeleton after prosthetic rehabilitation that increased lost occlusal vertical dimension. Material and Methodology: 50 patients with advanced tooth wear were clinically examined, to assess the degree of wear. Each subject underwent cephalometric analysis, digital occlusal analysis, and electromyographic analysis, of the anterior temporalis, superficial masetter, anterior digastric, and the sternocleidomastoid muscles. Prosthodontic treatment was performed to restore the occlusal vertical dimension of each subject’s occlusion, which was followed by repeating the pretreatment analyses. Pre and post treatment parameters were statistically compared. Results: Pre-treatment cephalometric analysis showed that lost vertical dimension reduced anterior facial height and resulted in small angular skeletal parameters. Post treatment anterior facial height increased from the increased occlusal vertical dimension. The mean value of functional electrical activity during clenching post treatment, increased compared to pretreatment. Conclusion: Increasing the vertical dimension of occlusion improved facial aesthetics by positively affecting facial skeletal angles. The restored occlusal surface morphology changed the pre treatment flat broad occlusal contacts into more point contacts. The increased vertical dimension of occlusion after treatment also increased muscle activity levels over the pretreatment levels after three months period of adaptation.

scholarly journals A Study on the Efficacy of Saline Nasal Irrigation in Chronic Rhinosinusitis

2021 ◽  
Vol 10 (30) ◽  
pp. 2266-2270
Author(s):  
Rachana Ramachandran ◽  
Santhi Thankappan Pillai
Keyword(s):  
Quality Of Life ◽  
Chronic Rhinosinusitis ◽  
Post Treatment ◽  
Oral Drug ◽  
P Value ◽  
Saline Irrigation ◽  
Nasal Irrigation ◽  
Significant Difference ◽  
Chronic Rhino Sinusitis

BACKGROUND The objective of this study was to test as to whether daily saline nasal irrigation improved sinus symptoms in adult subjects with chronic rhino sinusitis, and also study the safety of saline irrigation, incidence of any complication and improvement in quality of life in these patients. METHODS This was a prospective observational study conducted between two groups of patients at Government TD Medical College, Alappuzha. Patients who satisfied the criteria for diagnosing chronic rhino sinusitis were included in the study. The first group was given saline nasal irrigation with oral drug therapy while the second group was put on oral drugs alone. Each subject was given a pretested, structured questionnaire. Along with socio-demographic information, the questionnaire also contained queries of quality of life measure, compliance of nasal irrigation and adverse effects following its use. RESULTS The pre-treatment scores and post treatment scores were analysed and the results were statistically significant with P values of < 0.001 in all. 77 % of the patients in the saline irrigation group were strictly using saline nasal irrigation which meant a satisfactory compliance and the improvement in post treatment scores was statistically highly significant with a P value of < 0.001. Also there was a statistically significant difference between the mean pre-test and post test scores of the two groups with P value of < 0.001 and t value of 51.942 using the paired t test. CONCLUSIONS Chronic rhinosinusitis has a major negative impact on the healthcare and economy of not only the patients but also of the society. Saline nasal irrigation is an effective yet easy method of therapy in alleviating the symptoms of chronic rhinosinusitis and improving the quality of life in these chronic sufferers. KEY WORDS Chronic Rhinosinusitis, Saline Nasal Irrigation, Quality of Life, Economic Burden

scholarly journals Correlation between the occlusal vertical dimension and the pupil rima oris distance among Sundanese population

2017 ◽  
Vol 29 (2) ◽  
Author(s):  
Nur Emalina Akhma ◽  
Taufik Sumarsongko ◽  
Rasmi Rikmasari
Keyword(s):  
Rank Correlation ◽  
Vertical Dimension ◽  
Strong Correlations ◽  
Cross Sectional ◽  
Spearman’S Rank Correlation ◽  
Measuring Devices ◽  
Significant Difference ◽  
Occlusal Vertical Dimension ◽  
Males And Females ◽  
Correlation Statistic

Introduction: Among the most complex restorative challenges for a dentist is that related to determine the occlusal vertical dimension (OVD). Objective methods of determining the OVD offers significant advantages because no radiographs or other special measuring devices are required. Previous review said that the OVD is similar to the pupil-rima oris distance among the population of India. The purpose of this study was to compare whether there was differences between the OVD and the pupil-rima oris distance among Sundanese population. Method: This study was an analytical cross sectional approach. A total of fifty Sundanese students of Faculty of Dentistry, Universitas Padjadjaran who have fulfilled all criteria were chosen randomly to be measured the OVD and the pupil-rima oris distance. Result: Results showed that there was no significant difference between the OVD and the pupil-rima oris distance (α=5%). There were strong correlations between the OVD and the pupil-rima oris distance (p<0.05). An analysed with Spearman’s rank correlation statistic (α=5%) reveals that there was a significant difference between males and females in the OVD and the pupil-rima oris distance. Conclusion: Based on the analysed data, we can conclude that there wass no significant difference between the OVD and the pupil-rima oris distance, thus, the pupil-rima oris distance can be suggested as an objective method to determine the length of OVD in Sundanese population.

scholarly journals The Feasibility of a Novel Dose Painting Procedure to Treat Prostate Cancer Based on mpMR Images and Hierarchical Clustering

2021 ◽  
Author(s):  
Seyed Masoud Rezaeijo ◽  
Bijan Hashemi ◽  
Bahram Mofid ◽  
Mohsen Bakhshandeh ◽  
Arash Mahdavi ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Hierarchical Clustering ◽  
Post Treatment ◽  
P Value ◽  
Agglomerative Clustering ◽  
Dose Painting ◽  
Significant Difference ◽  
Target Volumes ◽  
Adc Values

Abstract BackgroundWe aimed to assess the feasibility of a novel dose painting (DP) procedure for treating prostate cancer with dominant intraprostatic lesions (DILs) based on mpMR images and hierarchical clustering with a machine learning technique. MethodsThe mpMR images of 120 patients were used to create hierarchical clustering and draw a dendrogram. Three clusters were selected for performing agglomerative clustering. Then, the DIL acquired from the mpMR images of 20 patients were categorized into three groups to have them treated with a novel DP procedure being composed of three planning target volumes (PTVs) determined as PTV1, PTV2, and PTV3 in treatment plans. The DP procedure was carried out on the patients wherein a total dose of 80, 85, and 91 Gy were delivered to the PTV1, PTV2, and PTV3, respectively. Dosimetric and radiobiologic parameters (TCP & NTCP) of the DP procedure were compared with those of the conventional IMRT and 3DCRT procedures carried out on another group of 20 patients. A post-treatment follow-up was also made four months after the radiotherapy procedures.ResultsAll the dosimetric variables and the NTCPs of the organs at risks revealed no significant difference between the DP and IMRT procedures. Regarding the TCP of three investigated PTVs, significant differences were observed between the DP vs. IMRT and also DP vs. 3DCRT procedures. At post-treatment follow-up, the DIL volumes and ADC values in the DP group differed significantly (p-value<0.001) from those of the IMRT. However, the whole prostate ADC and PSA indicated no significant difference (p-value>0.05) between the DP vs. IMRT. ConclusionsThe results of this comprehensive clinical trial illustrated the feasibility of our novel DP procedure for treating prostate cancer based on mpMR images validated with acquired patients’ dosimetric and radiobiologic assessment and their follow-ups. This study confirms significant potential of the proposed DP procedure as a promising treatment planning to achieve effective dose escalation and treatment for prostate cancer.Trial registrationIRCT20181006041257N1; Iranian Registry of Clinical Trials, Registered: 23 Oct. 2019, https://en.irct.ir/trial/34305

Effect of Online Classes on Dry Eye Disease in Children: A Hospital Based Survey

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Sangameshwarayya Salimath ◽  
Salma Sultana ◽  
Brijesh Appasaheb Patil ◽  
Kalpana R Kulkarni ◽  
Shishir K. Nyamagoudar
Keyword(s):  
Dry Eye ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Dry Eye Disease ◽  
Eye Disease ◽  
P Value ◽  
Online Classes ◽  
Cross Sectional ◽  
Department Of Ophthalmology ◽  
Significant Difference

Purpose:  To determine the effect of online classes on dry eye disease in children. Study Design:  Cross sectional study. Place and Duration of Study:  Department of Ophthalmology HSK hospital, Navanagar, Bagalkot, India, from October 2020 to November 2020. Methods:  A total of 454 students attending online classes between the ages of 3 – 18 years were selected. Questionnaire was presented which included name, age, sex, residence, duration of online studies and duration in hours per day along with the various signs and symptoms according to SPEED questionnaire. Statistical analysis was performed using the IBM SPSS version 17. Quantitative variables were presented as mean ± standard deviation, while qualitative data was presented as frequency and percentages and compared by chi square test. P-value of < 0.005 was considered as significant. Results:  Of the 454 responses, 316 (69.6%) had symptoms of dry eye disease, of which 159 were girls and 157 boys. There was no significant difference between boys and girls. Children taking online classes for 2 – 3 hours and for 4 to 6 months duration were more affected by the dry eye disease. Based on severity of grading system, 246 (84.2%) had mild symptoms, 42 (9.3%) had moderate symptoms and 28 ([6.2%) had severe symptoms. One hundred and twenty children visited ophthalmologist and 28.5% had their treatment of dry eye started. Conclusion:  Online classes have resulted in increase in the frequency of dry eye disease in children. Proper education about the usage of screen time and educating parents about early treatment is essential. Key Words:  Dry eye disease, Symptoms, Headache, Online learning.

scholarly journals Stability comparison of two different dentoalveolar expansion treatment protocols

2017 ◽  
Vol 22 (5) ◽  
pp. 75-82 ◽  
Author(s):  
Ezgi Atik ◽  
Tülin Taner
Keyword(s):  
Transverse Dimension ◽  
Post Treatment ◽  
P Value ◽  
Treatment Protocols ◽  
Significant Difference ◽  
Pre Treatment ◽  
Group 2 ◽  
Quad Helix ◽  
Group 1

ABSTRACT Objective: The aim of this study was to compare the longitudinal stability of the conventional straight-wire system after the use of a quad-helix appliance with Damon self-ligating system in patients with Class I malocclusion. Methods: 27 adolescent patients were evaluated at three different periods: pre-treatment (T1), post-treatment (T2) and three years post-treatment (T3). Group 1 included 12 patients (with a mean age of 14.65 year) treated with Damon 3MX bracket system; and Group 2 included 15 patients (with a mean age of 14.8 year) who underwent orthodontic treatment with Roth prescribed brackets after expansion with Quad-Helix appliance. Relapse was evaluated with dental cast examination and cephalometric radiograph tracings. Statistical analysis was performed with IBM-SPSS for Windows software, version 21 (SPSS Inc., Chicago, IL). A p-value smaller than 0.05 was considered statistically significant. Results: There were significant increases in all transverse dental and postero-anterior measurements (except for UL6-ML mm in Group 1) with active treatment. There was some significant relapse in the long-term in inter-canine width in both groups and in the inter-first premolar width in Group 2 (p< 0.05). Significant decrease in all frontal measurements from T2 to T3 was seen for both groups. Upper and lower incisors significantly proclined in T1-T2 (p<0.05), however no relapse was found for both groups. When two systems were compared, there was no significant difference for the long-term follow-up period. Conclusion: Conventional (quad-helix appliance with conventional brackets) and Damon systems were found similar with regard to the long-term incisor positions and transverse dimension changes of maxillary arch.

scholarly journals Analysis of Occlusal Vertical Dimension and Mandibular Basal Bone Height in a Nigerian Population

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Babatunde O. Akinbami ◽  
Prince E. Nsirim
Keyword(s):  
Bone Grafts ◽  
Vertical Dimension ◽  
Lower Lip ◽  
Basal Bone ◽  
Occlusal Vertical Dimension ◽  
Nigerian Population ◽  
Baseline Values ◽  
The Mean ◽  
Age Range ◽  
Bone Height

Background. The actual basal bone height of the reconstructed mandible is relevant to achieve normal occlusal vertical dimension for the prosthesis fabricated. The purpose of the study was to determine the mean and baseline values of the occlusal vertical dimension and height of the mandibular basal bone in a Nigerian population. Method. Each participant was asked to bring the upper and lower teeth into contact, while the distance between the nasal sill and dimple on the lower lip was measured (OVD). The skin at lower border of the mandible was marked and the distance between this point and the landmark on the lower lip was measured, MBH. Result. 200 subjects were evaluated. Age range was 16–30 years, mean ± (SD), 21.6 ± (3.1) years. Males had mean ± (SD) of 42.10 ± (5.34) mm for OVD and females 39.72 ± (5.25) mm; acceptable baseline range of OVD for any population will be 34–48 mm (3.4–4.8) cm. All the males had a mean ± (SD), 30.54 ± (6.13) mm for MBH, and all the females 29.63 ± (5.23) mm. Acceptable baseline range of MBH for any population will be 24–37 mm (2.4–3.7) cm. Conclusion. To reconstruct the mandible and still maintain the OVD, heights of bone grafts must not be less than 2 cm or greater than 4 cm.

scholarly journals Evaluation of Electrolytes Disturbances in Iraqi Chronic Myeloid Leukemia Patients treated with Nilotinib with Monitoring of Response by FISH Study

2015 ◽  
Vol 12 (1) ◽  
pp. 110-118
Author(s):  
Baghdad Science Journal
Keyword(s):  
Chronic Myeloid Leukemia ◽  
Myeloid Leukemia ◽  
Cytogenetic Response ◽  
Post Treatment ◽  
Control Group ◽  
P Value ◽  
Female Ratio ◽  
Molecular Cytogenetic ◽  
Significant Difference ◽  
And Control

Chronic myeloid leukemia (CML) is a myeloproliferative disorder characterized by the presence Philadelphia chromosome (Ph) which was created by a reciprocal translocation between chromosomes 9 and 22 (t [9;22] [q34;q11]. The approval of the 2nd generation TKI ( Nilotinib) takes the treatment of CML patients into new erea with more efficiency and mild to moderate adverse effects. This study was aimed at evaluation of molecular cytogenetic response by (FISH) for Nilotinib in Iraqi patients with assessment for electrolytes disturbances of Nilotinb by measuring a panel of electrolyte (Na+, K+, Ca++, PO4--- and Mg++) , where thirty Iraqi patients with CML who have resistance or no response to Imatinib treatment, attending to Baghdad Teaching Hospital/Hematology Department, have been submitted to this study. Blood samples have been taken pre and post starting treatment with Nilotinib, FISH study was done only for CML patients, while 30 normal healthy control volunteers submitted to the same panel of electrolytes measurements (Na+, K+, Ca++, PO4--- and Mg++) in addition to pre and post treatment Nilotinib patients. The results show out of 30 patients (17) males and (13) females with male to female ratio 1.3:1, FISH results for patients (pre and post) treatment mean±SD were(58.7%±26.2 % and 45.7%±29.9%) obviously significant with good cytogenetic response in resistance CML for Imatinib. Sodium levels in mmol/L pre, post treatment and control mean±SD were (139.2±6.9 , 142.4±9.2 and 140.4±2.52) respectively, with no significant difference between each other with P value > 0.05 in all comparisons. Potassium levels mean±SD in mmol/L results for patients (pre, post) and control were (4.6±0.69, 4.3±0.68 and 4.46±0.76) respectively, with no significant difference between each other with P value > 0.05 in all comparisons. Calcium levels in mg/dL results for patients (pre, post) and control as mean±SD were (8.68 ±1.68, 8.1±1.72 and 9.12±0.38) respectively with no significant differences except between post treatment and control group with P value > 0.05 in all comparisons. Phosphate levels in mg/dL results for patients (pre, post) and control as mean±SD were (2.5±0.84, 2.95±1.04 and 3.4±0.49) respectively with significant difference with P value < 0.05 in all comparisons. Magnesium levels in mg/dL results for patients pre, post and control as mean±SD were (1.93±0.34, 2.06±0.44 and 2.1±0.34) respectively with no significant difference between each other with P value > 0.05 in all comparisons. This study sheds a light on the molecular cytogenetic response for CML patients who have already resistance to Imatinib and Nilotinib that has much more potent effect as approved by studies and this study has used FISH technique. This study emphasizes on the importance of evaluation of electrolyte panel for CML patients before starting Nilotinib study taking in to consideration if these patients are already receiving Imatinib which can also affect bone metabolism and calcium and phosphate levels.

PENYERAPAN PENGETAHUAN TENTANG HIV/AIDS PADA SISWA DI SMK ENDANG DARMA AYU SEBELUM DAN SESUDAH PENYULUHAN

2018 ◽  
Vol 9 (2) ◽  
pp. 106-114
Author(s):  
Eko Budi Santoso ◽  
Hairil Akbar
Keyword(s):  
Signs And Symptoms ◽  
T Test ◽  
The Body ◽  
Vocational School ◽  
Bivariate Analysis ◽  
P Value ◽  
Significant Difference ◽  
Before And After ◽  
Paired T Test ◽  
Hiv Aids

Human Immunodeficiency Virus (HIV) is a virus (retrovirus) which belongs to the Lentifirus family. Retroviruses have the ability to use their RNA and host DNA to form DNA viruses and are recognized during long incubation periods. HIV infects the body with a long incubation period (clinic-latent), causing damage to the system and causing the appearance of signs and symptoms of AIDS. The purpose of this study was to determine the absorption of knowledge about HIV/ AIDS in students at Endang Darma Ayu Vocational School before and after counseling. The study applied pre experimental design and One Group Pretest-Posttest Design. The study population was all students of class XII at Endang Darma Ayu Vocational High School Indramayu totaling 140 students. Samples were taken by random sampling with a total of 63 students. The independent variable was counseling about HIV /AIDS. The dependent variable was knowledge concerning HIV / AIDS. Bivariate analysis was done using paired T-test. Based on the results of the paired T test, the p-value 0.000 was less than 0.05, so there was a significant difference in knowledge about HIV / AIDS in students at Endang Darma Ayu Vocational School before and after counseling. Parents are expected to supervise their children's friendship networking. It is also expected to the health department and related sectors to improve the implementation of the Information Center and Adolescent Reproductive Health Counseling Program so as to increase the knowledge and attitudes of adolescents towards HIV-AIDS

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