scholarly journals Gum recession as a medical and social problem of marine medicine

2022 ◽  
Vol 7 (4) ◽  
pp. 49-53
Author(s):  
A. K. Iordanishvili ◽  
A. A. Serikov

Introduction. An important role in ensuring the aesthetics of the face and smile is played by the integrity of the teeth, dentition, the absence of dentoalveolar anomalies, as well as periodontal health, including the presence of gum recessions. If there are separate publications for inflammatory periodontal diseases in the crew, then there is no information on the occurrence of gum recessions in the crew.The aim of the study was to study the incidence of gingival recessions in the crew, to assess the features of their clinical course and the possibility of eliminating them during the voyage.Material and methods. To identify gingival recessions and the peculiarities of their clinical course after oral sanitation and before a long sea voyage, a dental examination was carried out on 156 men aged 22 to 52 years, who were divided into 2 groups: young (group 1, 105 people) and middle (group 2, 51 people) age. To determine the type of gum recession in the crew, the generally accepted Miller classification was used.Results and its discussion. The high incidence of gingival recessions among the ship crew was determined, amounting to 33,97%. It was found that gum recessions are more often detected in middle-aged sailors (72,55%) than in young sailors (15,24%). Regardless of the age group of sailors, most often, in 90,57% of cases, there were such clinical forms of gum recessions (I, II and III A classes), with surgical removal of which a favorable treatment result is noted.Conclusion. The recession of the gums in the ship’s crew is a medical and social problem, which can be solved during a long sea voyage with the presence of a specialist — a dentist-surgeon.

1986 ◽  
Vol 42 (2) ◽  
pp. 257-268 ◽  
Author(s):  
G. M. Cronin ◽  
J. M. F. M. van Tartwijk ◽  
W. van der Hel ◽  
M. W. A. Verstegen

ABSTRACTIn response to tethering, many sows develop seemingly non-functional repetitive behaviour (stereotypies), which may be performed for several hours in a day.The quality and quantity of activity performed by sows with different degrees of adaptation to tethering was studied in relation to energy expenditure. Three groups of five sows were recognized: (1) High, sows which showed a high incidence of stereotyped activity after prolonged tethering; (2) T/Low, sows with limited experience of tethers; and (3) G/Low, the same sows as in group 2 after regrouping.High sows were about three times more active than T/Low sows: the proportions of time involved in 24 h were 0·35 and 0·13 respectively. Most of the former sows' activity was in the form of sterotypies. The activity level of the G/Low sows was between that of the two tether treatments (proportionately 0·17 of 24 h). Both tethered treatments spent proportionately about 0·05 of 24 h in using drinkers compared with proportionately less than 0·02 of the time for the G/Low sows.High sows produced proportionately 0·36 more heat than T/Low sows during the 12-h light period in each day. During this period, proportionately 0·40 and 0·20 of heat production from High and T/Low sows was associated with activity. The diurnal activity of the G/Low sows was associated with proportionately 0·24 of heat production.Stereotypies and excessive drinker use accounted for proportionately 0·86, 0·52 and 0·24 of the activity of High, T/Low and G/Low sows. The proportions of metabolizable energy intake required for these activities were 0·23, 0·07 and 0·04 respectively for the three treatments. The study concludes that tethering is stressful when sows develop, and then indulge in frequent coping behavioural patterns which increase metabolic rate.


2021 ◽  
Vol 11 (2) ◽  
pp. 118-122
Author(s):  
Marietta Sukhorukikh ◽  
Marina Kozlova ◽  
Ekaterina Gorbatova ◽  
Larisa Dzikovitskaya ◽  
Alexey Bashtovoy

The aim of the study was to assess the state of the clinical course of periodontal diseases in patients with postmenopausal osteoporosis (OP), depending on the long-term oral administration of various groups of bisphosphonates (BP). The study included 120 women aged 55–65 years with postmenopausal OP for at least three years who took complex antiosteoporetic therapy, including BP in tablet form. The dental examination included an examination of the oral cavity, the study of the pH of the oral fluid, the hygienic state of the mouth (the "Florida Probe" system). According to the results of the study, it was revealed that prolonged treatment of BP in tablets can provoke the development of inflammatory reactions in periodontal tissues. This phenomenon is associated with a shift in the pH of saliva to the acidic side, at which its buffer properties change.


Author(s):  
Mir Obaidur Rahman

Financing educational programmes in Less Developed Countries (LDCs) is at the cross-roads. The clamour for socialization of higher education in the face of large number of uncmployeci university graduates vis-a-vis dearth of adequate manpower to feed the development aciivities deserves consideration in a clearer perspectivc. The relatively high incidence of unemployment points out thc econotnic waste involved in using scarce resource. Moreover, for each occupation there is an optimum amount of formal schooling. Thus in some cases, labour productivity declines as schooling increases.


2021 ◽  
Vol 2 (7) ◽  
pp. 68-72
Author(s):  
Yuri Marcel Estevam Menezes ◽  
Allyssia Vitória Souza da Silva ◽  
Vivian Eduarda de Lemos Cordeiro ◽  
Ana Karina Fonseca de Carvalho Calderan Correa

The surgical removal of the buccal fat pad or Bichectomy is an aesthetic-functional procedure with aesthetic attributions associated with the face contour, smoothness and symmetry of facial lines, in addition to its therapeutic performance linked to the reduction of intraoral lesions caused by repetitive masticatory stress, as well as aid in the closure of spaces created by tumors, oral-sinus communication and others; this tissue also offers the possibility of being used as a graft for the treatment of intraoral pathologies and covering bone exposures in defective implants. The performance of this procedure is by intraoral access and its final result can be observed after approximately three months.


2020 ◽  
Vol 22 (3) ◽  
pp. 8-11
Author(s):  
K. S. Shulenin ◽  
D. V. Cherkashin ◽  
G. G. Kutelev ◽  
V. A. Kachnov ◽  
V. S. Ivanov ◽  
...  

Abstract. Clinical and epidemiological and electrocardiographic features of Wolf Parkinson White syndrome in men of military age were studied. The study was a retrospective study with a solid sample of patients. Of the 1,9056 men residents of St. Petersburg between the ages of 18 and 27, Wolf-Parkinson-White syndrome was identified in 107 (0,56%) people. The disease was asymptomatic in 38 (35,5%) patients. All identified individuals with Wolf Parkinson White syndrome, in addition to asthenic Constitution type, which was observed in 68,2% of cases, were assessed for signs of systemic connective tissue involvement. It was found that flat feet, scoliosis or kyphosis, myopia, as well as mitral valve prolapse and abnormally located chords in the left ventricle of the heart are detected in almost every second man of military age. Due to the inability to assess the presence of all signs of systemic connective tissue involvement, the isolation of specific variants of dysplastic phenotypes in patients with Wolf Parkinson White syndrome was not performed. It was found that in the presence of increased dysplastic stigmatization, the clinical course of Wolf Parkinson White syndrome is characterized by a lower number of asymptomatic cases (6,3 and 16,7%, respectively; p0,05), an increase in the frequency of paroxysmal tachyarrhythmias (81,5 and 63,1%, respectively; p0,05) and a high incidence of vegetative-vascular disorders (82,8 and 15,4%, respectively; p0,05).


2021 ◽  
Vol 74 (10) ◽  
pp. 2614-2619
Author(s):  
Anatoliy M. Potapchuk ◽  
Yevhen L. Onipko ◽  
Vasyl M. Almashi ◽  
Csaba Hegedűs ◽  
Oleksandr Ye. Kostenko

The aim: Improving the method of immediate implantation in the aesthetic zone in case of bone deficiency to obtain the highest aesthetic and predictable treatment result. Materials and methods: Under clinical observation were 32 patients with different clinical diagnoses in the anterior part of the upper jaw aged 30 to 55 years. In the course of recent advances, the following methods have been used: clinical protocol of immediate implantation with passive exceptional loads by temporary orthopedic constructions, X-ray method using cone-beam computed tomography, statistical analysis. Results: After surgical treatment of patients 1 year after surgery, the distribution of biotypes was as follows: in group 1 – thick biotype 12.87%, medium – 87.13%; in group 2 – thick biotype 27.04%, medium – 72.96%, with p <0.05. According to the results of CT, the distance between the implant and the vestibular in the first group was after 6 months – 1.67 ± 0.04 mm (p <0.05); in the second group of the study we obtained the following results after 6 months – 1.59 ± 0.06 mm (p <0.05). Conclusions: The advanced method of immediate implantation in the anterior part of the upper jaw allows to change the biotype of soft tissues, improve the color spectrum of the gums, increase the thickness of soft tissues with connective tissue autograft, and increase gum density and fixation of osteoplastic material in the presence of defect ), as well as reduce the risk of recession.


1989 ◽  
Vol 71 (6) ◽  
pp. 805-809 ◽  
Author(s):  
Youichi Itoyama ◽  
Syouzaburou Uemura ◽  
Yukitaka Ushio ◽  
Jun-Ichi Kuratsu ◽  
Nobuhito Nonaka ◽  
...  

✓ The clinical course of 50 patients with conservatively treated intracranial arteriovenous malformations (AVM's) was followed, most of them for more than 5 years. The average follow-up period was 13.4 years. The initial symptom was intracranial bleeding in 29 patients (58%) and seizure in 15 patients (30%). Small and deep-seated AVM's were associated with a high incidence of bleeding; however, repeated hemorrhages were not necessarily indicative of a poor prognosis. Children younger than 15 years had a better prognosis than adults. There was no correlation between pregnancy and bleeding. In the hemorrhage group, the incidence of rebleeding was 6.9% in the 1st year after initial rupture, 1.91% per year after 5 years, and 0.92% per year after 15 years. The overall incidence of rebleeding was 34.5% in the hemorrhage group. Of the 50 patients, 37 (74%) had a good clinical outcome, four (8%) had a fair outcome, and four (8%) had a poor outcome; five patients died.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Arun Kr. Mahat ◽  
Ram Yadav ◽  
Anjani Kr. Yadav ◽  
Pradeep Acharya ◽  
Ashok Dongol ◽  
...  

Objective. To compare the effect of sutureless versus multiple sutures technique on postoperative variables such as pain, swelling, and trismus after surgical removal of the third molar in Nepalese subpopulation. Materials and Methods. Forty-eight patients were equally grouped into multiple sutures (group 1) and sutureless (group 2) groups using a computer-generated random table. The same operator performed all the surgical procedures. Postoperative variables such as pain, swelling, and trismus were measured by a single concealed observer using a 10 cm Numerical Rating Scale (NRS), flexible plastic measuring tape, and vernier caliper preoperatively and on 1st, 2nd, and 7th postoperative days. Results. This study showed significantly more swelling measured from the gonion to lateral canthus in group 1 than in group 2 on all postoperative periods (P<0.05). The mean NRS score was significantly higher in group 1 on the 1st postoperative day (P=0.01). Though mean duration of surgery, swelling as measured from tragus to commissure, trismus, NRS score except on the 1st postoperative day, total number of analgesics consumed, and complications were noted more in the multiple sutures group, the difference was not statistically significant. Conclusion. Our results support the use of sutureless technique after third molar surgery to minimize postoperative morbidity and the overall operative time and reduce the cost within the Nepalese subpopulation.


2019 ◽  
Vol 40 (6) ◽  
pp. 605-616 ◽  
Author(s):  
Süleyman Taş

Abstract Background The early postoperative period can be distressing for the patients undergoing rhinoplasty since edema and ecchymosis are common complications. Objectives To analyze the effects of the vibration and pressure treatments in the early postoperative period of rhinoplasty. Methods Sixty patients, who had undergone rhinoplasty, were randomized into 3 groups: group 1 (control group, n = 20) received classic nasal casting, group 2 (n = 20) received nasal cast with an elastic bandage to hold it on the face, and group 3 (n = 20) received vibration treatment in addition to that in group 2 following the rhinoplasty. They were evaluated preoperatively and postoperatively at 3 and 7 days in a prospective study. The postoperative edema and ecchymosis were scored by 2 independent surgeons. The postoperative pain was measured using the visual analog scale, and the necessity of anti-inflammatory medication (and the dose needed) and the cast comfort was questioned. The sebaceous activity of the nose skin was examined. A preoperative and postoperative seventh day sonographic study was performed to evaluate the tissue edema objectively. Results The pressure treatment decreased the edema and ecchymosis significantly compared with the control group. The vibration treatment minimized edema, ecchymosis, sebaceous activity of the nose skin, pain score, and the need for anti-inflammatory medication, and increased the cast comfort significantly compared with the other groups (P &lt; 0.0001). Conclusions Rapid regression of edema and ecchymosis may be achieved using the vibrating nasal cast technique that may minimize patient discomfort, pain, and sebaceous activity following rhinoplasty. Level of Evidence: 1


2002 ◽  
Vol 97 (2) ◽  
pp. 307-314 ◽  
Author(s):  
Arun P. Amar ◽  
William T. Couldwell ◽  
Joseph C. T. Chen ◽  
Martin H. Weiss

Object. Prolactin-secreting pituitary adenomas may be managed by surgery, medication, radiotherapy, or observation. The authors reviewed a consecutive series of patients who were followed for at least 5 years after surgery to assess the prognostic significance of preoperative factors (tumor size and prolactin level) and an immediate postoperative factor (prolactin level obtained the morning after surgery) on long-term hormonal outcome, thereby clarifying the indications for surgical removal of tumor, the definition of successful treatment outcomes, and the nature of “recurrent” tumors. Methods. Between 1979 and 1991, 241 patients with prolactinomas underwent transsphenoidal resection. Nineteen patients were lost to follow-up review, whereas the remaining 222 patients underwent measurement of their prolactin levels on postoperative Day 1 (POD 1), at 6 and 12 weeks, and every 6 months thereafter for a minimum of 5 years. On POD 1, prolactin levels in 133 patients (Group 1) were lower than 10 ng/ml, in 43 patients (Group 2) between 10 and 20 ng/ml, and in 46 patients (Group 3) higher than 20 ng/ml. At 6 and 12 weeks, normal prolactin levels (≤ 20 ng/ml) were measured in 132 (99%) of the 133 patients in Group 1 but only in 32 (74%) of the 43 patients in Group 2. By 5 years postoperatively, normal levels of prolactin were still measured in 130 patients (98%) in Group 1 compared with only five patients (12%) in Group 2. No patient with a prolactin level lower than 3 ng/ml on POD 1 was found to have an elevated hormone level at 5 years. The likelihood of a long-term chemical cure was greater for patients with microadenomas (91% cure rate) than for those with macroadenomas (33%). Preoperative prolactin levels also correlated with hormonal outcome. Conclusions. Prolactin levels lower than 10 ng/ml on POD 1 predict a long-term chemical cure in patients with microadenomas (100% cure rate) and those with macroadenomas (93% cure rate). In contrast, a cure is not likely to be obtained in patients with normal levels ranging between 10 and 20 ng/ml on POD 1 if they harbor macroadenomas (0% cure rate). A recurrence reported several years after surgery probably represents the presence of persistent tumor that was not originally removed. If the initial operation was performed by an experienced surgeon, however, reoperation is not likely to yield a chemical cure.


Sign in / Sign up

Export Citation Format

Share Document