scholarly journals Management of suction cup induced palatal bone resorption in xerostomia patient with sunken cheek appearance: A therapeutic and esthetic treatment option- A case report

2021 ◽  
Vol 7 (4) ◽  
pp. 220-225
Author(s):  
Prakash Nidawani ◽  
Arjita Dutta ◽  
Rohit Kumar Singh ◽  
Sidhartha ◽  
Nidhi K. Momaya ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Resorption ◽  
Treatment Option ◽  
Large Volume ◽  
Release Mechanism ◽  
Invasive Approach ◽  
Non Invasive ◽  
Suction Cup ◽  
Edentulous Patients ◽  
Palatal Bone

Salivary reservoir in maxillary denture offers an effective, non-invasive approach in the treatment of edentulous patients afflicted with xerostomia. It is always desirable to have large volume reservoir in order to decrease the inconvenience of repeated refilling, however, increased bulk of palatal reservoir often leads to discomfort in speech, swallowing and acceptance of such prosthesis. In designing of size and shape of reservoir in the present case, large volume was achieved utilizing circular palatal resorption area, and proper shape was ensured by duplication of functional palatal contour. Adequate voluntary wetting of mouth was effected by “swallowing control saliva release” mechanism of the flexible reservoir lid. Sunken cheek appearance was addressed by using an easy, economical, and effective method of detachable cheek plumpers.

scholarly journals Mandibular Full-Arch Rehabilitation over 3 Straight Immediately Loaded Implants: 8 Years of Follow-Up

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Márcio de Carvalho Formiga ◽  
Magda Nagasawa ◽  
Jamil Awad Shibli
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Treatment Option ◽  
Successful Treatment ◽  
Treatment Plan ◽  
Adequate Treatment ◽  
The Past ◽  
Technical Complications ◽  
Edentulous Patients

Mandibular full-arch restoration is a good and successful treatment option for totally edentulous patients. In the past years, several studies have described the placement of 4 to 6 implants to restore this type of case; however, an option using 3 dental implants placed in strategic and specific positions could also be an alternative. Therefore, this case report describes a full-arch rehabilitation on 3 straight, immediately loaded implants after 8 years of follow-up. The restoration presented no biological or technical complications during this follow-up period, showing that an adequate treatment plan was able to allow good results using this treatment option.

scholarly journals A SYSTEMATIC NON-INVASIVE APPROACH FOR REHABILITATION OF TRAUMATIZED MAXILLARY LATERAL INCISOR – A CASE REPORT.

2021 ◽  
pp. 1-2
Author(s):  
P Karunakar ◽  
M.S. Rangareddy ◽  
Basa Srinivas Karteek ◽  
Chavva Lakshmi Charan Reddy ◽  
Gandikota Akshara
Keyword(s):  
Case Report ◽  
Core System ◽  
Invasive Approach ◽  
Non Invasive ◽  
Anterior Teeth ◽  
Social Communications ◽  
Maxillary Lateral Incisor ◽  
Post And Core ◽  
Type Of Injury ◽  
To Receive

Coronal fractures of permanent anterior teeth by trauma are the most common type of injury. Many factors are considered in the attempt to provide optimal mechanical properties, aesthetic, and longevity. Discomfort, serious psychological, esthetic, functional, and phonetic problems are related with anterior crown fracture, this may also affect social communications and it poses a challenge for the dentist, to save these teeth. The restoration of traumatically injured teeth with substantial loss of coronal structure necessitates endodontic treatment followed by post insertion into canal space so that foundation restoration can be strengthened to receive the crown. In this case report, such case is described with fiber-reinforced post and core system.

scholarly journals Management of Flabby Ridges using Liquid Supported Denture

2021 ◽  
Vol 11 (1) ◽  
pp. 27-31
Author(s):  
Hawraz S. Abdulkareem ◽  
Salem A. Salem
Keyword(s):  
Soft Tissue ◽  
Bone Resorption ◽  
Treatment Option ◽  
Complete Denture ◽  
Major Drawback ◽  
Denture Base ◽  
Tissue Changes ◽  
Soft Liner ◽  
Edentulous Patients ◽  
Soft Tissue Changes

The concept of conditioning edentulous ridge mucosa has gained momentum over the last several years. Frequent relining of the complete denture may be required because of soft tissue changes arising from underlining bone resorption. Patients with the maxillary flabby ridge had difficulty in tolerating hard denture, inadequate retention, and stability of a complete denture are often encountered, so the denture can be made more comfortable using soft liner. Hardening of the soft liner with time, harboring of bacteria, and debonding from denture base is a major drawback of soft lining materials. Introduction of liquid-supported dentures, to be an alternative to conventional complete denture prosthesis in cases suffered from inflamed tissues and severely resorbed edentulous ridges. A liquid supported denture provides an alternate treatment option due to its soft and flexible intaglio surface allows better distribution of masticatory load stress since in such cases. Liquid supported acrylic complete denture can be useful as a permanent solution in edentulous patients with the atrophied ridge. Liquid supported denture could be a useful alternative for soft relining materials.

Minimally Invasive Approach for Wilms Tumor Treatment in a Small Child - A Case Report

Urology ◽  
2020 ◽  
Author(s):  
Alexandre Azevedo Ziomkowski ◽  
João Rafael Silva Simões Estrela ◽  
Nilo Jorge Carvalho Leão Barretto ◽  
Nilo César Leão Barretto
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Wilms Tumor ◽  
Small Child ◽  
Tumor Treatment ◽  
Minimally Invasive Approach ◽  
Invasive Approach

scholarly journals Salivary cortisol as a non-invasive approach to assess stress in dystocic dairy calves

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Levente Kovács ◽  
Fruzsina Luca Kézér ◽  
Szilárd Bodó ◽  
Ferenc Ruff ◽  
Rupert Palme ◽  
...  
Keyword(s):  
Birth Weight ◽  
Body Condition ◽  
Salivary Cortisol ◽  
Sampling Period ◽  
Dairy Calves ◽  
Birth Process ◽  
Invasive Approach ◽  
Non Invasive ◽  
Saliva Cortisol ◽  
Cortisol Levels

AbstractThe intensity and the magnitude of saliva cortisol responses were investigated during the first 48 h following birth in newborn dairy calves which underwent normal (eutocic, EUT, n = 88) and difficult (dystocic, DYS, n = 70) calvings. The effects of parity and body condition of the dam, the duration of parturition, the time spent licking the calf, the sex and birth weight of the calf were also analyzed. Neonatal salivary cortisol concentrations were influenced neither by factors related to the dam (parity, body condition) nor the calf (sex, birth weight). The duration of parturition and the time spent licking the calf also had no effect on salivary cortisol levels. Salivary cortisol concentrations increased rapidly after delivery in both groups to reach their peak levels at 45 and 60 min after delivery in EUT and DYS calves, respectively supporting that the birth process means considerable stress for calves and the immediate postnatal period also appears to be stressful for newborn calves. DYS calves exhibited higher salivary cortisol concentrations compared to EUT ones for 0 (P = 0.022), 15 (P = 0.016), 30 (P = 0.007), 45 (P = 0.003), 60 (P = 0.001) and 120 min (P = 0.001), and for 24 h (P = 0.040), respectively. Peak levels of salivary cortisol and the cortisol release into saliva calculated as AUC were higher in DYS than in EUT calves for the 48-h of the sampling period (P = 0.009 and P = 0.003, respectively). The greater magnitude of saliva cortisol levels in DYS calves compared to EUT ones suggest that difficult parturition means severe stress for bovine neonates and salivary cortisol could be an opportunity for non-invasive assessment of stress during the early neonatal period in cattle.

scholarly journals Endoscopic Surgery of Congenital Cholesteatoma in the Anterior Epitympanic Recess: A Case Report of a Rare Location

2020 ◽  
pp. 014556132096924
Author(s):  
Hong Chan Kim ◽  
Hyung Chae Yang ◽  
Hyong-Ho Cho
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Middle Ear ◽  
Endoscopic Surgery ◽  
Minimally Invasive Approach ◽  
Ear Surgery ◽  
Invasive Approach ◽  
Congenital Cholesteatoma ◽  
Rare Location ◽  
Histopathological Type

Congenital cholesteatoma is a whitish mass in the middle ear medial to an intact tympanic membrane. It is often without symptoms and therefore incidentally diagnosed. Pediatric congenital cholesteatoma generally starts as a small pearl-like mass in the middle ear cavity that eventually expands to involve the ossicles, epitympanum, and mastoid. The location, size, histopathological type, and extent of the mass must be evaluated to select the appropriate surgical method. Although microscopic ear surgery has traditionally been performed to remove congenital cholesteatoma, a recently introduced alternative is endoscopic surgery, which allows a minimally invasive approach and has better visualization. Here, we report the first known case of a patient with congenital cholesteatoma in the anterior epitympanic recess and discuss the utility of an endoscopic approach in the removal of a congenital cholesteatoma in the hidden area within the middle ear.

scholarly journals A227 UMBILICAL HERNIA INCARCERATION IN LIVER CIRRHOSIS: A RARE COMPLICATION OF PARACENTESIS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 263-265
Author(s):  
A LAGROTTERIA ◽  
A Aruljothy ◽  
K Tsoi
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Large Volume ◽  
Umbilical Hernia ◽  
Rare Complication ◽  
Abdominal Wall Hernia ◽  
Refractory Ascites ◽  
Large Volume Paracentesis

Abstract Background Patients with decompensated liver cirrhosis with ascites frequently have umbilical hernias with a prevalence of 20% and are managed with large volume paracentesis (LVP). Common complications of LVP include hemorrhage, infection, and bowel perforation that occur infrequently with a frequency of less than 1%. However, incarceration of umbilical hernias has been reported as a rare complication of LVP and is speculated to be from ascitic fluid decompression that reduces the umbilical hernia ring diameter resulting in entrapment of the hernia sac. It is unclear whether the quantity or the fluid removal rate increases the herniation risk. Based on case series, this rare complication occurs within 48 hours of the LVP and requires emergent surgical repair and involves a high risk of morbidity and mortality due to potential infection, bleeding, and poor wound healing. Aims We describe a case report of an incarcerated umbilical hernia following a bedside large-volume paracentesis. Methods Case report Results A 59-year-old Caucasian male presented to the emergency department with a 24-hour history of acute abdominal pain following his outpatient LVP. His medical history included Child-Pugh class C alcoholic liver cirrhosis with refractory ascites managed with biweekly outpatient LVP and a reducible umbilical hernia. He reported the onset of his abdominal pain 2-hours after his LVP with an inability to reduce his umbilical hernia. Seven liters of clear, straw-coloured asitic fluid was drained. Laboratory values at presentation revealed a hemoglobin of 139 g/L, leukocyte count of 4.9 x109 /L, platelet count of 110 xo 109 /L, and a lactate of 2.7 mmol/L His physical exam demonstrated an irreducible 4 cm umbilical hernia and bulging flanks with a positive fluid wave test. Abdominal computed tomography showed a small bowel obstruction due to herniation of a proximal ileal loop into the anterior abdominal wall hernia, with afferent loop dilation measuring up to 3.4 cm. He was evaluated by the General Surgery consultation service and underwent an emergent laparoscopic hernia repair. There was 5 cm of small bowel noted to be ecchymotic but viable, with no devitalized tissue. He tolerated the surgical intervention with no post-operative complications and was discharged home. Conclusions Ultrasound-guided bedside paracentesis is a common procedure used in the management of refractory ascites and abdominal wall hernia incarceration should be recognized as a potential rare complication. To prevent hernia incarceration, patients with liver cirrhosis should be examined closely for hernias and an attempt should be made for external reduction prior to LVP. A high index of suspicion for this potential life-threatening condition should be had in patients who present with symptoms of bowel obstruction following a LVP. Funding Agencies None

scholarly journals The Cat Mandible (II): Manipulation of the Jaw, with a New Prosthesis Proposal, to Avoid Iatrogenic Complications

Animals ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 683
Author(s):  
Matilde Lombardero ◽  
Mario López-Lombardero ◽  
Diana Alonso-Peñarando ◽  
María del Mar Yllera
Keyword(s):  
Imaging Techniques ◽  
Recovery Period ◽  
Prosthesis Design ◽  
Patient Specific ◽  
Mandibular Fractures ◽  
Rigid Fixation ◽  
Invasive Approach ◽  
Non Invasive ◽  
Iatrogenic Complications ◽  
Mandibular Body

The cat mandible is relatively small, and its manipulation implies the use of fixing methods and different repair techniques according to its small size to keep its biomechanical functionality intact. Attempts to fix dislocations of the temporomandibular joint should be primarily performed by non-invasive techniques (repositioning the bones and immobilisation), although when this is not possible, a surgical method should be used. Regarding mandibular fractures, these are usually concurrent with other traumatic injuries that, if serious, should be treated first. A non-invasive approach should also first be considered to fix mandibular fractures. When this is impractical, internal rigid fixation methods, such as osteosynthesis plates, should be used. However, it should be taken into account that in the cat mandible, dental roots and the mandibular canal structures occupy most of the volume of the mandibular body, a fact that makes it challenging to apply a plate with fixed screw positions without invading dental roots or neurovascular structures. Therefore, we propose a new prosthesis design that will provide acceptable rigid biomechanical stabilisation, but avoid dental root and neurovascular damage, when fixing simple mandibular body fractures. Future trends will include the use of better diagnostic imaging techniques, a patient-specific prosthesis design and the use of more biocompatible materials to minimise the patient’s recovery period and suffering.

scholarly journals Holistic description of new deep sea megafauna (Cephalopoda: Cirrata) using a minimally invasive approach

BMC Biology ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Alexander Ziegler ◽  
Christina Sagorny
Keyword(s):  
Minimally Invasive ◽  
Dna Barcoding ◽  
Deep Sea ◽  
Imaging Techniques ◽  
Structural Complexity ◽  
Micro Computed Tomography ◽  
Invasive Approach ◽  
Non Invasive ◽  
Additional Support ◽  
Holistic Description

Abstract Background In zoology, species descriptions conventionally rely on invasive morphological techniques, frequently leading to damage of the specimens and thus only a partial understanding of their structural complexity. More recently, non-destructive imaging techniques have successfully been used to describe smaller fauna, but this approach has so far not been applied to identify or describe larger animal species. Here, we present a combination of entirely non-invasive as well as minimally invasive methods that permit taxonomic descriptions of large zoological specimens in a more comprehensive manner. Results Using the single available representative of an allegedly novel species of deep-sea cephalopod (Mollusca: Cephalopoda), digital photography, standardized external measurements, high-field magnetic resonance imaging, micro-computed tomography, and DNA barcoding were combined to gather all morphological and molecular characters relevant for a full species description. The results show that this specimen belongs to the cirrate octopod (Octopoda: Cirrata) genus Grimpoteuthis Robson, 1932. Based on the number of suckers, position of web nodules, cirrus length, presence of a radula, and various shell characters, the specimen is designated as the holotype of a new species of dumbo octopus, G. imperator sp. nov. The digital nature of the acquired data permits a seamless online deposition of raw as well as derived morphological and molecular datasets in publicly accessible repositories. Conclusions Using high-resolution, non-invasive imaging systems intended for the analysis of larger biological objects, all external as well as internal morphological character states relevant for the identification of a new megafaunal species were obtained. Potentially harmful effects on this unique deep-sea cephalopod specimen were avoided by scanning the fixed animal without admixture of a contrast agent. Additional support for the taxonomic placement of the new dumbo octopus species was obtained through DNA barcoding, further underlining the importance of combining morphological and molecular datasets for a holistic description of zoological specimens.

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