scholarly journals Clinical and Radiographic Evaluation of the Healing After MTA Application on Mechanical Furcal Perforations in Primary Molars-part2

2019 ◽  
Author(s):  
Baraa Aldayri ◽  
Abdul Wahab Nourallah ◽  
Faek Badr
Keyword(s):  
Success Rate ◽  
Mineral Trioxide Aggregate ◽  
Statistical Analyses ◽  
Radiographic Evaluation ◽  
Primary Molars ◽  
P Value ◽  
Success Rates ◽  
Favorable Prognosis

Aim: aim of this study is to evaluate the clinical and radiographic healing after repairing mechanical furcal perforations that occurred in primary molars by using MTA (Mineral Trioxide Aggregate) and search in some factors that may affect the prognosis of the treatment. Materials & Methods: we had 34 primary molars in 32 children aged 5–10 years, were treated by using MTA material after the occurrence of furcal perforation during pulpotomy procedure. Cases had been followed clinically and radiographically within 12 months. Statistical analyses were performed at p-value = 0.05. Results: All teeth were asymptomatic at the first week. Overall success rate was 79.3%. There was no significant statistically differences between overall-success rates according to the perforation size and continues bleeding in the furcation area (p-value > 0.05). Conclusions: Iatrogenic furcal perforations that may occur during pulpotomy in primary molars can be treated successfully by using MTA, and small sized-perforations may have more favorable prognosis than the large ones.  Iatrogenic furcal perforations that may occur during pulpotomy in primary molars can be treated successfully by using MTA, and small sized- perforations may have more favorable prognosis than the large ones.

scholarly journals Clinical and Radiographic Evaluation of the Healing after MTA Application on Mechanical Furcal Perforations in Primary Molars-part2

2019 ◽  
Author(s):  
Baraa Aldayri ◽  
Abdul Wahab Nourallah ◽  
Faek Badr
Keyword(s):  
Success Rate ◽  
Mineral Trioxide Aggregate ◽  
Statistical Analyses ◽  
Radiographic Evaluation ◽  
Primary Molars ◽  
P Value ◽  
Success Rates ◽  
Favorable Prognosis

Aim: aim of this study is to evaluate the clinical and radiographic healing after repairing mechanical furcal perforations that occurred in primary molars by using MTA (Mineral Trioxide Aggregate) and search in some factors that may affect the prognosis of the treatment. Materials & Methods: we had 34 primary molars in 32 children aged 5–10 years, were treated by using MTA material after the occurrence of furcal perforation during pulpotomy procedure. Cases had been followed clinically and radiographically within 12 months. Statistical analyses were performed at p-value = 0.05. Results: All teeth were asymptomatic at the first week. Overall success rate was 79.3%. There was no significant statistically differences between overall-success rates according to the perforation size and continues bleeding in the furcation area (p-value > 0.05). Conclusions: Iatrogenic furcal perforations that may occur during pulpotomy in primary molars can be treated successfully by using MTA, and small sized-perforations may have more favorable prognosis than the large ones. Iatrogenic furcal perforations that may occur during pulpotomy in primary molars can be treated successfully by using MTA, and small sized- perforations may have more favorable prognosis than the large ones.

Success of mineral trioxide aggregate in pulpotomized primary molars

2005 ◽  
Vol 29 (4) ◽  
pp. 307-311 ◽  
Author(s):  
Najat Farsi ◽  
Najlaa Alamoudi ◽  
Khalid Balto ◽  
Abdullah Mushayt
Keyword(s):  
Success Rate ◽  
Primary Teeth ◽  
Mineral Trioxide Aggregate ◽  
Random Selection ◽  
Radiographic Evaluation ◽  
Primary Molars ◽  
Evaluation Period ◽  
Selection Technique ◽  
Radiographic Outcomes ◽  
The Difference

The aim of the present study was to compare, clinically and radiographically, the mineral trioxide aggregate (MTA) to formocresol (FC) when used as medicaments in pulpotomized vital human primary molars. Methods: The sample consisted of 120 primary molars, all teeth were treated with the same conventional pulpotomy technique. Sixty molars received FC and 60 received MTA throughout a random selection technique. Results: At the end of 24-month evaluation period, 74 molars (36 FC, 38 MTA) were available for clinical and radiographic evaluation. None of the MTA treated teeth showed any clinical or radiographic pathology, while the FC group showed a success rate of 86.8% radiographically and 98.6% clinically. The difference between the two groups in the radiographic outcomes was statistically significant. It was concluded that MTA treated molars demonstrated significantly greater success.MTA seems to be a suitable replacement for formocresol in pulpotomized primary teeth.

Clinical and Radiographic Outcomes Of Pulpotomized Primary Molars Treated with White or Gray Mineral Trioxide Aggregate And Ferric Sulfate -Long Term Follow-Up

2012 ◽  
Vol 37 (2) ◽  
pp. 137-141 ◽  
Author(s):  
G Frenkel ◽  
A Kaufman ◽  
M Ashkenazi
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Cost Effective ◽  
Ferric Sulfate ◽  
Radiographic Evaluation ◽  
Primary Molars ◽  
Success Rates ◽  
Radiographic Outcomes ◽  
Cost Effective Treatment ◽  
Multiple Treatments

Aim: To compare the long term clinical and radiographic outcomes of pulpotomies in primary molars per-formed with white or gray Mineral Trioxide Aggregate (MTA) in combination with ferric sulfate (FS), when one package of MTA is used for multiple treatments. Design: Sixty eight children with 86 vital carious primary molars underwent pulpotomy with FS, and grey or white MTA. One package of MTA was used for 7-8 treatments. Clinical and radiographic evaluation was performed before and 6 to 47 months after treatment. Results: Success rates were similar for pulpotomies performed with white (60-teeth) and grey MTA (16 teeth) (p>0.05), and for those performed with the addition of FS to white or gray MTA when one package of MTA was used for multiple pulpotomies compared to one package of MTA alone. Conclusion: Gray and white MTA in conjunction with FS induce comparable clinical and radiographic success rate. The use of one package of MTA for multiple pulpotomies, combined with FS, is a cost-effective treatment.

scholarly journals Endotracheal Intubations in Emergency Department: A Clinical Audit at a Tertiary Health Centre in South India

2021 ◽  
Vol 5 (2) ◽  
pp. 842-848
Author(s):  
Linu SM ◽  
Roopasree Sivam ◽  
Nikhil Paul ◽  
Mathen P George ◽  
Suresh Babu
Keyword(s):  
Emergency Department ◽  
Airway Management ◽  
Success Rate ◽  
Health Centre ◽  
Dental Trauma ◽  
Rapid Sequence Intubation ◽  
P Value ◽  
Success Rates ◽  
Management Skills ◽  
Cross Sectional

Background: Endotracheal intubation in the emergency department is challenging. Hence, regular audits can help us improve our critical airway management skills. Our study aimed to evaluate the practice of endotracheal intubations performed in the emergency department. Materials and Methods: A retrospective cross-sectional study was conducted among the patients intubated in our teaching hospital's emergency department. The study period was from November 1, 2019, to August 31, 2020. We analyzed first attempt success rates, drug use, indication, and complications. Results: We analysed 90 endotracheal intubations, out of which 70(77.8%) were performed by emergency physicians and 20(22.2%) by anaesthetists. The first attempt success rate was 81.11% (n=73) and had significant differences between the both departments. (p value= 0.003,  χ2= 7.48). More patients had medical indications compared to trauma for intubation (n=88 vs n=32) among which respiratory failure (n=25, 27.78%) was the most common indication. Rapid Sequence Intubation( RSI) adherence was 82.22% (n=74). Lignocaine (n=16, 19.75%), etomidate (n=35, 43.2%) and succinylcholine (n=65, 80.25%) were the commonly used drugs for premedication, induction and as relaxants respectively. 17(18.89%) out of 90 intubation had complications. Desaturation (n=10, 11.11%), bradycardia (n=1, 1.11%), hypotension (n=4, 44%), dental trauma (n=5, 5.55%) and oesophageal intubation (n=3, 3.33%) were observed in our study. Conclusion: Our study is the first  from India which describes the characteristics of endotracheal intubations done in the Emergency Department along with data on RSI adherence. The first attempt success rate, indications, and complications were comparable with other studies in the literature. We recommend future prospective studies to analyze success rates between different specialties and resident doctors to improve the airway management skills in the Department

scholarly journals Role of silicone stenting in endoscopic dacryocystorhinostomy

2020 ◽  
Vol 6 (2) ◽  
pp. 248
Author(s):  
Abdussalam M. Jahan ◽  
Yousef M. Eldanfur ◽  
Abdulhakim B. Ghuzi
Keyword(s):  
Success Rate ◽  
Medical Center ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
P Value ◽  
Success Rates ◽  
Duct Obstruction ◽  
Significant Difference ◽  
Silicone Stent ◽  
Endoscopic Dcr

<p class="abstract"><strong>Background:</strong> Dacryocystorhinostomy (DCR) is a surgical procedure performed to relief nasolacrimal duct obstruction, which involves the creation of ostium at the lacrimal bone to form a shunt in the nasolacrimal pathway. Closure of the rhinostomy opening was considered a major factor for surgical failure. Use of silicone stent in endoscopic DCR to improve the success rate of the operation have been tried by many surgeons. In this study we assess the success rates of endoscopic DCR with and without silicone stents.</p><p class="abstract"><strong>Methods:</strong> Prospective study includes 30 patients were operated in the Department of ENT, Misrata Medical Center, from April 2017 to March 2018. They underwent endonasal endoscopic DCR for primary acquired nasolacrimal duct obstruction.<strong> </strong>These patients were randomly divided in two groups: A and B with 15 patients in each group. The group A patients underwent endoscopic DCR with silicone stent and group B patients underwent endoscopic DCR without stent. The results were statistically analyzed by chi-square test.  </p><p class="abstract"><strong>Results:</strong> 30 patients were included in this study, their age ranged from 17 to 60 years, complaining of epiphora, 24 (80%) were females and 6 (20%) were males. The success rate was higher in patients with silicone stent (93.33%) as compared to patients without silicone stent (86.67%) but this difference in the results is not statistically significant (As p value is 0.542 which is &gt;0.05).</p><p><strong>Conclusions:</strong> Endoscopic DCR is safe, successful procedure for treatment of nasolacrimal duct obstruction and there was no significant difference in the success rates of performing endonasal DCR with silicone or without silicone stents.</p>

scholarly journals 957. Efficacy of Using Disease Intervention Specialists (DIS) to Re-engage Out of Care HIV/HCV Co-Infected Persons into HCV Treatment

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S509-S510
Author(s):  
Maximilian D Wegener ◽  
Ralph P Brooks ◽  
Suzanne Speers ◽  
Deborah Gosselin ◽  
Merceditas Villanueva
Keyword(s):  
Success Rate ◽  
Baby Boomers ◽  
Disease Surveillance ◽  
P Value ◽  
Success Rates ◽  
Intervention Specialists ◽  
Care Access ◽  
Disease Surveillance System ◽  
Intervention Measures ◽  
Care Approach

Abstract Background Published treatment cascades for HIV/HCV co-infection show WHO goals for HCV micro-elimination are not being met. Barriers include entry to care, access to DAA, treatment adherence, and out of care (OOC) patients. A Data to Care approach used to define persons with HIV (PWH) who are OOC, together with DPH-employed DIS to promote re-engagement has been successful for re-engaging OOC PWH. We modified this approach to re-engage OOC HIV/HCV coinfected persons. Methods Surveillance databases used: CTEDSS (CT Electronic Disease Surveillance System used for HCV) and eHARS (electronic HIV/AIDS Reporting System). Two OOC cohorts studied: HIV OOC for 12 months (no HIV lab 10/2018-10/2019) and 18 months (no HIV lab 12/2017-6/2019). Lists generated for the 2 cohorts matched to CTEDSS to determine the coinfected OOC. DIS supervisor performed pre-work/case conferencing on lists to assess DIS intervention eligibility. DIS success was defined as those who reengaged (made/kept appointment) out of those successfully contacted. Analysis: tests of homogeneity performed between those OOC and not OOC; evaluation of cases at each level of the intervention; measures of dispersion/central tendency performed illustrating reengagement workload. Project Flow Chart Results 12-month OOC: Non-baby boomers (p-value 0.05) and those with detectable HIV VLs (0.04) were more likely to be OOC; 53.7% were DIS-eligible; DIS initiation to client contact, 7 days average (range 4-11); 75 calls and 31 field visits for those successfully contacted; reengagement success rate, 39%. 18-month OOC: Non-baby boomers (0.017), Hispanic and Black race/ethnicity (0.043), and those with detectable HIV viral loads (0.002) were more likely to be OOC; 44% were DIS-eligible; DIS initiation to client contact, 12 days average (range 8-18); 74 calls and 36 field visits for those successfully contacted; reengagement success rate, 43%. Results for the Two Cohorts Out of Care and Workload Results Conclusion A data-to-care approach successfully identified, characterized, connected OOC HIV/HCV coinfected patients. DIS provided patient education, facilitating reengagement to care. DIS Success rates are encouraging but small; efforts were labor intensive. Additional strategies focused on preventing non-baby boomers, persons of color, and those with detectable HIV VLs from becoming OOC should be studied. Disclosures All Authors: No reported disclosures

scholarly journals Materials for pulpotomy in immature permanent teeth: a systematic review and meta-analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yuan Chen ◽  
Xinlei Chen ◽  
Yali Zhang ◽  
Fangjie Zhou ◽  
Jiaxin Deng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Success Rate ◽  
Meta Analysis ◽  
Mineral Trioxide Aggregate ◽  
Systemic Review ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Success Rates ◽  
The Cochrane Library

Abstract Background Pulpotomy is one of the most widely used methods in preserving vital pulp in teeth, which is of great significance in achieving continue root formation in immature permanent teeth suffering from dental caries or trauma. The aim of this meta-analysis and systemic review is to synthesize the available evidences to compare different pulpotomy dressing agents for pulpotomy treatment in immature permanent teeth. Methods Electronic databases including MEDLINE (via Pubmed), EMBASE, the Cochrane library (CENTRAL) and the clinicaltrials.gov database were searched. The references of all included articles or relevant reviews were cross-checked. Only randomized controlled trials (RCTs) comparing two or more pulp dressing agent in permanent teeth with open apex would be included. Also, the studies should have at least 6 months of follow-up, report clinical and radiographic success in detail and publish in English. Results Five RCTs were included for a systematic review, and all of them had a high risk of bias. There is little difference in success rate between mineral trioxide aggregate (MTA) and calcium hydroxide (CH) at 6-month follow-up (risk ratio (RR) 1; 95% confidence interval (CI) 0.94 to 1.06) and 12-month follow-up (RR 1.04; 95% CI 0.96 to 1.13). There is no difference between MTA versus platelet-rich fibrin and MTA versus calcium-enriched mixture (CEM). There is only weak evidence of increased success rate in using MTA and triple antibiotic paste (TAP) rather than abscess remedy. Conclusions Based on the present evidence, similar success rates with MTA were found between the dressing agents CH, CEM, RPF and TAP as pulpotomy-dressing agents in the treatment of immature permanent teeth. More high-quality RCTs are needed in this field in future studies.

915ATP efficacy on terminating ventricular tachycardia by device type, indication, and ventricular median cycle length

EP Europace ◽  
2020 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
M Brown ◽  
T Kurita ◽  
L D Sterns ◽  
E J Schloss ◽  
A Auricchio ◽  
...  
Keyword(s):  
Primary Prevention ◽  
Secondary Prevention ◽  
Success Rate ◽  
Cycle Length ◽  
P Value ◽  
Success Rates ◽  
Device Type ◽  
The Difference ◽  
Ventricular Tachycardias ◽  
Rate Of Success

Abstract Funding Acknowledgements Medtronic OnBehalf PainFree SST Background Anti-tachycardia Pacing (ATP) is an established therapy that terminates VT without the need for painful ICD shocks. Here we use the data from PainFree SST clinical trial to evaluate the ATP success rate by device type, indication and MCL.  Methods Spontaneous episodes that were detected by ICD or CRT-D devices in the VT, fast VT and VF zones were included in the analysis. Episodes successfully terminated by ATP were deemed as having ATP success. Using the GEE method, ATP success rate and its 95% CI were calculated for device types, indications and ventricular MCL.  Results Of the 2770 enrolled patients (79% male, average age 65 years), 1699 (61%) were implanted with an ICD and 1071 (39%) with a CRT-D system; 1917 (69%) were reported as primary prevention and 847 (31%) were secondary prevention patients. For all MVT episodes, the ATP success rate was similar between ICD and CRT-D devices (82.3% vs 80.3%, p = 0.74). Patients with secondary prevention had a higher ATP success rate compared to those with primary prevention but the difference was not statistically significant (84.4% vs 76.8%, p = 0.16). Regardless of device type and indication, ATP success rate was significantly higher in the slower VTs (MCL ≥ 320 ms) compared to the faster VTs (MCL ≥ 240 to &lt; 320 ms) (89.2% vs 73.7%, p &lt; 0.0001).  Conclusion We found that ATP had a greater than 80% rate of success for terminating ventricular tachycardias overall. Slower VTs was significantly associated with a higher ATP success rate regardless of device type and indication compared to faster VTs. For faster VTs with a MCL ≥ 240 to &lt; 320 ms, the ATP success rate was still successful at terminating VT more than 70% of the time. Table 1. ATP Success Rates - No. of Enrolled Subjects (% of total) No. of Episodes Analyzed for ATP Success (No. of Subjects) GEE-estimated ATP Success Rate (95% CI) P-value* Overall 2770 (100%) 2277 (376) 81.5% (78.4%, 84.2%) - Device Type - - - 0.7440 ICD 1699 (61.3%) 1484 (229) 82.3% (78.3%, 85.6%) - CRT-D 1071 (38.7%) 793 (147) 80.3% (75.0%, 84.6%) - Indication - - - 0.1609 Primary Prevention 1917 (69.2%) 631 (160) 76.8% (71.2%, 81.6%) - Secondary Prevention 847 (30.6%) 1615 (212) 84.4% (80.7%, 87.6%) - Median Cycle Length - - - &lt;0.0001 (&gt;/=) 240 ms and &lt; 320 ms - 861 (257) 73.7% (69.2%, 77.7%) - (&gt;/=) 320 ms - 1416 (209) 89.2% (85.7%, 91.9%) - * Per a GEE main effect model for all episodes where device type, indication and median cycle length were considered.

Formocresol versus Calcium Hydroxide Direct Pulp Capping of Human Primary Molars: Two Year Follow-Up

2010 ◽  
Vol 34 (4) ◽  
pp. 317-321 ◽  
Author(s):  
Naser Asl Aminabadi ◽  
Ramin Mostofi Zadeh Farahani ◽  
Sina Ghertasi Oskouei
Keyword(s):  
Calcium Hydroxide ◽  
Root Resorption ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Radiographic Evaluation ◽  
Primary Molars ◽  
Spontaneous Pain ◽  
Success Rates ◽  
Direct Pulp Capping ◽  
Pulp Capping

Objectives: Clinical and radiographic evaluation of the premedicated direct pulp capping using formocresol(PDC) versus conventional direct pulp capping using calcium hydroxide (CDC) in human carious primary molars. Study design: A total of 120 vital primary molars with pinpoint exposure during caries removal in 84 patients aged 4-5 years were selected. In the PDC group (n = 60), 20% Buckley's formocresol solution, and in the CDC group (n = 60), calcium hydroxide powder were applied to the exposure sites followed by placement of zinc oxide-eugenol base. Teeth were restored with preformed stainless steel crowns. Clinical and radiographic evaluations of the treatment outcomes were performed at regular intervals of 6 and 12 months, respectively, for two years post-operatively. Results: The prevalence of spontaneous pain,sensitivity on percussion, and fistula were significantly higher in the CDC group compared to the PDC group (P &lt; 0.05). The number of teeth exhibiting periapical/furcal radiolucency or external/internal root resorption was also higher in the CDC group (P &lt; 0.05). The clinical success rate of the PDC was 90% compared to the 61.7% of the CDC (P &lt; 0.05). The radiographic success rates of the PDC and CDC groups were 85% and 53.3%, respectively (P &lt; 0.05). Conclusion: It seems formocresol premedicated direct pulp capping could safely be used as a substitute for conventional direct pulp capping.

scholarly journals Nonsurgical Management of Apical Root Perforation Using Mineral Trioxide Aggregate

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Omar Alzahrani ◽  
Faisal Alghamdi
Keyword(s):  
Success Rate ◽  
Mineral Trioxide Aggregate ◽  
Apical Part ◽  
Success Rates ◽  
Nonsurgical Management ◽  
Gutta Percha ◽  
Tissue Healing ◽  
Root Canal Retreatment ◽  
One Year ◽  
The One

This study illustrates a conservative approach to nonsurgical management of apical root perforation in maxillary first molars. A patient was referred for retreatment of a maxillary left first molar. Her chief complaint was dull pain while biting in her maxillary left first molar. Periapical radiography showed radiolucency related to the mesiobuccal root and overextended gutta-percha through a perforation in the apical part of the distobuccal root. A CBCT scan was acquired and revealed the location and size of the apical perforation. The clinical examination showed that the tooth has been endodontically treated and the canals were filled, tender to percussion and palpation. Thus, the nonsurgical root canal retreatment was done and the perforation site was repaired by using mineral trioxide aggregate (MTA). At the one-year follow-up, after the management of apical root perforation, we observed periapical tissue healing and no pain due to percussion and palpation, without any clinical/radiological signs or symptoms. The prognosis of this case has a higher success rate with the development of new materials such as MTA. The MTA not only can seal the site of the perforation but also has the ability to induce calcification. Many factors can contribute to the success rate of perforated cases, including time, size, and location of the perforation. With the use of this material and good tools like a microscope, there are those with having higher chances of repair and eventually higher success rates.

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