Avaliação do potencial de modifcação labial do ácido hialurônico em pacientes reabilitados com próteses híbridas implantossuportadas de maxilas totais

2020 ◽  
Vol 2 (5) ◽  
pp. 48-62
Author(s):  
Marcelo Luis Samistraro Turella ◽  
Marcos André Duarte da Silva ◽  
Isabela Almeida Shimizu ◽  
Ivete Aparecida Mattias Sartori ◽  
Ricarda Duarte da Silva
Keyword(s):  
Hyaluronic Acid ◽  
Self Esteem ◽  
Inclusion Criteria ◽  
Upper Lip ◽  
Lower Lip ◽  
Before And After ◽  
Degree Of Satisfaction ◽  
Angular Measurements ◽  
Fixed Prosthesis ◽  
The Mean

Understanding the problem of upper arches rehabilitation with implants in relation to the complain of lack of lip support, this study was designed to assess the potential of hyaluronic acid (HA) to increase lips volume and to fill the nasogenian groove in this group of patients. One hundred patients with rehabilitated maxilla with implant-supported hybrid fixed total prosthesis were selected. Of these, 86 attended the initial consultation and eight individuals were included in the study. The sample inclusion criteria were use of implant-supported fixed prosthesis in the maxilla with complaint of thin lips and deepening of the nasogenian groove and patients who agreed to participate of the study. Linear and angular measurements were drawn on initial an after procedure teleradiographies in order to assess lip protrusion before and after hyaluronic acid filling. Also standardized photographs were taken before and after the procedures, which were assessed by dentists and lay people. The participants of the study answered a questionnaire in order to assess the degree of satisfaction with the procedure. Hyaluronic acid filling presented significant differences (t1-t2) for upper and lower lip protrusion p= 0.001 and p=0.02, respectively. For the upper lip, the mean protrusion was 0.76mm + 1.88 (t1) before the filling with hyaluronic acid procedure and after filling the mean protrusion was 3.45mm + 1.58 (t2). Independent evaluators and practitioners assessed the facial profiles after the filling with HA, mostly as medium and significant better alterations. It can be concluded that lip and nasogenian sulcus filling in individuals rehabilitated with implant-supported total fixed implants increased self-esteem and provided close to normal lip protrusion.

scholarly journals “Yokoyama procedure” efficacy on non-highly myopic patients with acquired esotropia and hypotropia

2019 ◽  
Vol 30 (4) ◽  
pp. 676-679
Author(s):  
Massimiliano Serafino ◽  
Matteo Scaramuzzi ◽  
Edoardo Villani ◽  
Paolo Nucci
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Axial Length ◽  
Lateral Rectus ◽  
Inclusion Criteria ◽  
Resonance Imaging ◽  
Spherical Equivalent Refraction ◽  
Before And After ◽  
Weighted Magnetic Resonance Imaging ◽  
The Mean

Objective: To assess the efficacy of “Yokoyama Procedure,” on non-highly myopic patients with acquired esotropia and hypotropia. Methods: The study involved 10 eyes of 5 patients with eso-hypotropia. Inclusion criteria were acquired esotropic-hypotropic strabismus with lateral rectus inferior displacement and superior rectus nasal displacement confirmed by magnetic resonance imaging, refractive errors between ±6 D, and axial length < 27 mm. Range of full duction movements and maximum angles of abduction-sursumduction was measured in each eye before and after surgery. All patients underwent T1- and T2-weighted magnetic resonance imaging. The surgery was aimed at creating a junction between the muscle bellies of the superior and lateral rectus muscles. This junction was made approximately 14 mm behind the insertions using a non-absorbable mersilene 5/0 suture (Yokoyama procedure). Results: Mean patient age was 64.8 ± 4.8 years. The mean globe axial length was 25.4 ± 0.76 mm and a mean corresponding spherical equivalent refraction of −3.7 ± 1.7 D was observed. Eight eyes on 10 had mild limitation in abduction, while the remaining 2 had no limitation. Three out of 10 eyes showed a moderate limited sursumduction, 5 eyes were categorized as mild, and the remaining 2 had no limitation. No evident post-operative limitation was present in any eye, in both abduction and sursumduction (p < 0.01). Pre-operative esotropia and hypotropia were, respectively, 32 ± 11 prismatic diopters and 25 ± 5 prismatic diopters, and they were significantly reduced after surgery as 9 ± 1.7 prismatic diopters and 6 ±1 prismatic diopters (p = 0.043), respectively. Conclusion: Yokoyama procedure is an effective, fast, reversible procedure to face eso-hypotropic acquired strabismus, even in patients with a clear magnetic resonance imaging displacement of superior and lateral rectus muscles, and absence of globe dislocation and of elevated myopia.

scholarly journals The effect of methadone on depression among addicts: a systematic review and meta-analysis

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Masoud Mohammadi ◽  
Mohsen Kazeminia ◽  
Nasrin Abdoli ◽  
Behnam Khaledipaveh ◽  
Shamarina Shohaimi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Web Of Science ◽  
Treatment Plan ◽  
Meta Analysis ◽  
Intervention Group ◽  
Depression Score ◽  
Inclusion Criteria ◽  
The World ◽  
Before And After ◽  
The Mean

Abstract Background Opioids addiction and misuse are among the major problems in the world today. There have been several preliminary studies examining the effect of methadone on depression among addicts, however, these studies have reported inconsistent and even contradictory results. Therefore, the aim of the present study was to determine the effect of methadone on depression in addicts in Iran and around the world, using a meta-analysis approach. Methods This study was a systematic review and meta-analysis including articles published in the SID, MagIran, IranMedex, IranDoc, Cochrane, Embase, ScienceDirect, Scopus, PubMed and Web of Science databases were searched systematically to find articles published from 2006 to March 2019. Heterogeneity index was determined using the Cochran's test (Qc) and I2. Considering heterogeneity of studies, the random effects model was used to estimate the standardized difference of mean score for depression. Subsequently, the level of depression reduction in Iran and worldwide in the intervention group before and after the testwas measured. Results A total of 19 articles met the inclusion criteria, and were therefore selected for this systematic review and meta-analysis. The sample size of the intervention group in the selected studies was 1948. According to the meta-analysis results, the mean depression score in the intervention group was 26.4 ± 5.6 and 18.4 ± 2.6 before and after intervention respectively, indicating the reducing effect of methadone on depression, and this difference was statistically significant (P < 0.01). Conclusion The results of the present study show that methadone significantly reduces depression in addicts. Therefore, regular methadone use can be part of a drug treatment plan.

scholarly journals Photoanthropometry in forensics: Comparison of facial images with frontal and lateral views

2021 ◽  
Vol 10 (5) ◽  
pp. e27610514795
Author(s):  
Tainá Nascimento Falcão ◽  
Yanka Barbosa Alves ◽  
Lidiane Gonçalves do Nascimento ◽  
Rachel Lima Ribeiro Tinoco ◽  
Laíse Nascimento Correia Lima ◽  
...  
Keyword(s):  
Intraclass Correlation ◽  
Upper Lip ◽  
Lower Lip ◽  
Facial Analysis ◽  
Kolmogorov Smirnov ◽  
Facial Proportions ◽  
The Mean ◽  
Analysis System ◽  
Facial Images ◽  
Smirnov Test

Photoanthropometry quantify the facial proportions of an individual facilitating the comparison of facial patterns for human identification. The coordinates and vertical distances in pixels of the photoanthropometric landmarks on images of the same individual in frontal and profile views were analyzed and compared. A total of 116 pairs of photographs of Brazilian individuals were evaluated. The photographs were adjusted in size and rotation, and marked in the software Two-dimensional Forensic Facial Analysis System. For each face, 16 landmarks were considered: glabella (g), nasion (n), ectocanthion (ec), pronasale (prn), subnasale (sn), alare (al), cheilion (ch), upper lip (ls), lower lip (li), stomion (sto), labiomental (lm), gnathion (gn), superaurale (sa), subaurale (sba), postaurale (pa) and upper ear lobe (slb); the x- and y-coordinates of each landmark were obtained. Twenty-seven vertical distances between the points were proposed, which were measured by subtracting the values of the y-coordinate. The data were analyzed descriptively and inferentially using the Kolmogorov-Smirnov test, intraclass correlation coefficient (ICC) and Mann-Whitney test (α=5%). The mean age of the sample was 25.9 years (± 4.7), and 50.9% (n=59) were males. When the coordinates were evaluated, a low correlation was obtained between the images (ICC<0.4). Of the 27 proposed measures, 77.7% (n=21) indicated agreement between the images in the two views (p>0.05). A comparison of ls-g, sa-ec, pa-ec, slb-ec, sba-sa and slb-sa showed disagreement between the images. Therefore, there is agreement between the facial measures in the frontal and lateral images, except for ls-g and for the distances between the ear landmarks.

Effect of Syndesmotic Implant Removal on Dorsiflexion

2019 ◽  
Vol 40 (5) ◽  
pp. 499-505 ◽  
Author(s):  
Jorge Briceno ◽  
Timilien Wusu ◽  
Philip Kaiser ◽  
Patrick Cronin ◽  
Alyssa Leblanc ◽  
...  
Keyword(s):  
Final Analysis ◽  
Ankle Dorsiflexion ◽  
Implant Removal ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Level Ii ◽  
Significant Difference ◽  
Before And After ◽  
The Mean

Background: There is limited evidence that syndesmotic implant removal (SIR) is beneficial. However, many surgeons advocate removal based on studies suggesting improved motion. Methodologic difficulties make the validity and applicability of previous works questionable. The purpose of this study was to examine the effect of ankle dorsiflexion after SIR using radiographically measured motion before and after screw removal utilizing a standardized load. Methods: All patients undergoing isolated SIR were candidates for inclusion. Dorsiflexion was measured radiographically: (1) immediately before implant removal intraoperatively, (2) immediately after removal intraoperatively, and (3) 3 months after removal. A standardized torque force was applied to the ankle and a perfect lateral radiograph of the ankle was obtained. Four reviewers independently measured dorsiflexion on randomized, deidentified images. A total of 29 patients met inclusion criteria. All syndesmotic injuries were associated with rotational ankle fractures. There were 11 men (38%) and 18 women (62%). The mean, and standard deviation, age was 50.3 ± 16.9 years (range 19-80). Results: The mean ankle dorsiflexion pre-operatively, post-operatively, and at a 3-month follow-up was 13.7 ± 6.6 degrees, 13.3 ± 7.3 degrees and 11.8 ± 11.3 degrees, respectively ( P = .466). For subsequent analysis, 5 patients were excluded because of the potential confounding effect of retained suture button devices. Analysis of the remaining 24 patients (and final analysis of 21 patients who had complete 3-month follow-up) demonstrated similar results with no statistically significant difference in ankle dorsiflexion at all 3 time points. Conclusion: Removal of syndesmotic screws may not improve ankle dorsiflexion motion and should not be used as the sole indication for screw removal. Level of Evidence: Level II, prospective cohort study.

Intra-articular Injections of Hyaluronic Acid on Osteochondral Lesions of the Talus After Failed Arthroscopic Bone Marrow Stimulation

2020 ◽  
Vol 41 (11) ◽  
pp. 1376-1382
Author(s):  
Yeok Gu Hwang ◽  
Jin Woo Lee ◽  
Kwang Hwan Park ◽  
Chang Hsienhao ◽  
Seung Hwan Han
Keyword(s):  
Hyaluronic Acid ◽  
Operative Treatment ◽  
Functional Outcomes ◽  
Short Form ◽  
Osteochondral Lesions ◽  
Aofas Score ◽  
Functional Scores ◽  
Before And After ◽  
The Mean

Background: The purpose of the study was to compare clinical and functional outcomes before and after hyaluronic acid (HA) injections in patients with osteochondral lesions of the talus who experienced a failure of their primary treatment with arthroscopic microfracture surgery. Methods: A total of 40 patients were included in the final study. These patients had received microfracture surgery but continued to experience postoperative pain over an average of 13.0 months (range, 0-81 months) and were available for investigation with a mean follow-up for 29.1 months (SD 14.7; range 2.6-79.6 months). All patients received intra-articular injections of HA once per week for 3 weeks. We assessed clinical and functional outcomes before and after injection using the American Orthopaedic Foot & Ankle Society (AOFAS) score, Foot and Ankle Outcome Score (FAOS), Short Form Health Survey (SF-36), the visual analog scale (VAS) for pain, and the Alexander subjective scale. Results: The AOFAS score significantly increased from 50.7 ± 13.8 to 79.9 ± 13.8 and the FAOS scores for symptom, pain, daily living, and sports were significantly higher postinjection compared to preinjection (all P < .001). Similarly, the mean VAS for pain was significantly decreased after 6 weeks following injection and continued to decrease over the follow-up period; the mean VAS was significantly lower postinjection compared to preinjection at 12 months ( P < .001). Conclusion: Intra-articular HA injections on average significantly improved clinical and functional scores after failed primary operative treatment. HA injections may provide an alternative to secondary operative treatment and provide better clinical outcomes than other conservative treatments. Level of Evidence: Level II, prospective observational cohort study.

scholarly journals Effects of Bimax and Segmental Surgeries for Correction of Bimaxillary Dentoalveolar Protrusion Class I on Soft Tissue Parameters: Upper lip Thickness and Curvature, Nasolabial Angle and Nasal Prominence

2013 ◽  
Vol 14 (6) ◽  
pp. 1087-1093 ◽  
Author(s):  
Amin Rahpeyma ◽  
Saeedeh Khajehahmadi
Keyword(s):  
Soft Tissue ◽  
Group Treatment ◽  
Anterior Segment ◽  
Class I ◽  
Upper Lip ◽  
Perpendicular Line ◽  
Lower Jaw ◽  
Nasolabial Angle ◽  
Before And After ◽  
The Mean

ABSTRACT Aim Results of this study can show if bimax surgery for posterior repositioning of maxilla and correction of BPCLI has priority to the currently used segmental orthognathic surgery or not. Materials and methods This study was done on 40 whiteskinned Iranian patients with bimaxillary dentoalveolar protrusion class I (BPCLI) who sought treatment for their deformity. In the first group, treatment includes segmental surgery for backward replacement of anterior segment of the upper and lower jaw. In the second group, treatment was bimax surgery, in which whole upper and lower jaw moved backward. Twenty patients were included in each group. For this purpose, we measured upper lip thickness (ULT, distance between LS and IA), nose prominence (NP, distance between nasal tip and the perpendicular line from upper lip vermilion on FHP), subsulcus depth (SSD, distance of SLS from this perpendicular line), SN to H line distance and finally, nasolabial angle (NLA) before and after surgery. Results In our study, 65% of patients were female and the mean of age was 27 (17-39) years old. The mean of SNA, SNB, ANB and INA in our patients were 81.7 ± 2.9, 78.8 ± 2.8, 4.50 ± 1.4 and 120 ± 8.7, respectively. All variables except SSD were analyzed with t-test to compare the results of two methods of surgery. Differences in the values of NP, NLA, SN to H line distance and ULT before and after segmental and bimax surgeries between before and after surgery were significant. After surgeries, ULT and the SN to H line distance reduced significantly, and NLA became corrected to its normal range (90-110). Conclusion The results of this study showed that bimax and segmental surgeries can effectively correct BPCLI. Because of possible dental and periodontal complications of segmental surgery, we highly recommend bimax surgery for treatment of BPCLI. How to cite this article Rahpeyma A, Khajehahmadi S. Effects of Bimax and Segmental Surgeries for Correction of Bimaxillary Dentoalveolar Protrusion Class I on Soft Tissue Parameters: Upper lip Thickness and Curvature, Nasolabial Angle and Nasal Prominence. J Contemp Dent Pract 2013;14(6):1087-1093.

scholarly journals Evaluation of long-term sagittal lip changes using Burstone line: Pilot Study

2021 ◽  
Vol 7 (2) ◽  
pp. 32-37
Author(s):  
Rachel Sathekge ◽  
Colin Lesar
Keyword(s):  
Soft Tissue ◽  
Upper Lip ◽  
Short Term ◽  
Time Intervals ◽  
Lower Lip ◽  
Linear Distance ◽  
Long Term Follow Up ◽  
The Mean

Objective Lip position has become one of the most important soft tissue analyses as it influences the occlusion, tooth stability and facial aesthetic. Hence, the objective of this study was to compare the short-term and long-term sagittal lip positions/changes using the Burstone line (B-line).   Methods The sample consisted of 18 Caucasoid females only (14 extractions, 4 non-extractions) who were successfully treated with edgewise appliances. All the patients were evaluated before treatment (T1),at the end of active treatment (T2), and at a long-term follow-up observation (T3). The mean age at commencement was 13.2 years with the range of 10.5-19 years. The linear distance between the tip of the lips and the B-line were measured.   Results T1-T2 time intervals showed the upper lip underwent a mean change of 1.272 mm relative to the B-line (-32.8%) which was statistically significant. The lower lip showed a mean change of 1.549 mm (-22.2%), but these changes were not statistically significant. Lip protrusion relative to the B-line continued to reduce during the long term follow up period. The upper lip showed slight changes (-9.2%), whereas the lower lip demonstrated greater change (-53.8%).   Conclusion Using B-line, the sagittal soft tissue lip positions were more retrusive on the long-term follow-up records for both extraction and non-extraction cases, their values were not very different from the normal values of the untreated cases. Although the differences were not statistically significant,  upper lips were retrusive post treatment from T1-T2, while were statistically significant the lower lips were retrusive from T1-T2.

scholarly journals Antimicrobial Effect of Honey on Streptococcus Mutans of Dental Plaque

2014 ◽  
Vol 8 (2) ◽  
pp. 72-75
Author(s):  
NR Yadav ◽  
BK Garla ◽  
VK Reddy ◽  
S Tandon ◽  
S Prasad
Keyword(s):  
Streptococcus Mutans ◽  
Dental Plaque ◽  
Antimicrobial Effect ◽  
Bacterial Count ◽  
Time Interval ◽  
Inclusion Criteria ◽  
Definite Time ◽  
Before And After ◽  
Ancient Times ◽  
The Mean

ABSTRACT Purpose Dental plaque consists of various pathogenic microorganisms like streptococcus mutans. Since ancient times it has been proved that honey has anti-inflammatory, antimicrobial, antiviral, antiparasitic, antimutagenic and antitumour effect. So, this study was conducted to evaluate the antimicrobial effect of honey on streptococcus mutans count before and after application of honey at a definite time interval. Material and Method The antimicrobial effect of Honey (Dabur honey, Dabur India) was tested on 20 volunteers from SGT Dental College who fulfilled the inclusion criteria. Plaque samples were collected from 6 teeth of all 20 individuals at baseline. Then, after 2 hours honey was applied with cotton applicator using paint on technique. After one hour of application, plaque samples were collected again from the same teeth. All the collected plaque samples were cultured on MSA agar plates and colonies were counted. Results Paired T test was applied to compare the mean bacterial count before and after application. After honey application, it was observed that the colony count of streptococcus mutans was reduced in significant amount. Conclusion - It was concluded from the study that honey has antimicrobial effect on streptococcus mutans.

scholarly journals COMPARATIVE EVALUATION OF EFFICACY OF GINGIVAL RETRACTION USING CHEMICAL AND MECHANICAL METHODS: AN IN VIVO STUDY

2018 ◽  
Vol 11 (2) ◽  
pp. 128
Author(s):  
Parampreet Kaur Kohli ◽  
Veena Hegde
Keyword(s):  
Comparative Evaluation ◽  
In Vivo Study ◽  
Control Methods ◽  
Hemorrhage Control ◽  
Mechanical Methods ◽  
Significant Difference ◽  
Before And After ◽  
Fixed Prosthesis ◽  
The Mean

 Objective: The purpose of this in vivo study was to compare and evaluate the clinical efficacy of two gingival retraction systems; Ultrapak and Traxodent, on the basis of the amount of gingival retraction achieved in vertical and horizontal direction and their hemorrhage control. Methods: A total of 60 subjects were selected requiring fixed prosthesis. The two gingival retraction systems were used on the prepared abutments randomly. The vertical gingival retraction was measured before and after retraction using flexible measuring strip with 0.5 mm grading. The horizontal retraction was measured on the casts poured in polysilicone impressions made before the retraction and after retraction. Results: Statistically significant difference (p<0.05) was found between the amount of the retraction (vertical and horizontal) achieved by Ultrapak as compared to Traxodent. However, in achieving hemostasis Traxodent showed better efficiency than Ultrapak (p<0.05). Conclusion: The mean retraction width and depth achieved with retraction cord (Ultrapak) was significantly greater when compared with retraction paste. Although retraction paste (Traxodent) showed bleeding index significantly less when compared to that of retraction cord (Ultrapak).

scholarly journals Transendocardial CD34+ Cell Therapy does not Increase the Risk of Ventricular Arrhythmias in Patients with Chronic Heart Failure

2019 ◽  
Vol 28 (7) ◽  
pp. 856-863 ◽  
Author(s):  
Gregor Poglajen ◽  
Gregor Zemljič ◽  
Andraž Cerar ◽  
Sabina Frljak ◽  
Martina Jaklič ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cell Therapy ◽  
Ventricular Arrhythmias ◽  
Serum Bilirubin ◽  
Inclusion Criteria ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Average Serum

Ventricular arrhythmias (VA) are of major concern in the field of cell therapy, potentially limiting its safety and efficacy. We sought to investigate the effects of CD34+ cell therapy on VA burden in patients with chronic heart failure (CHF). We performed registry data analysis of patients with CHF and implanted ICD/CRT devices treated with transendocardial CD 34+ cell therapy. Demographic, echocardiographic, and biochemical parameters were analyzed. Device records were reviewed and the number and type of VA 1 year prior to and 1 year after cell therapy were analyzed. All patients underwent electroanatomical mapping, and myocardial scar was defined as unipolar voltage (UV) <8.3 mV and linear local shortening (LLS) <6%. Of 209 patients screened, 48 met inclusion criteria. The mean age of the patients was 52 years and 88% were male. Nonischemic and ischemic cardiomyopathy were present in 55% and 45% of patients. The average serum creatinine was 91±26 µmol/L, serum bilirubin 18±9 µmol/L, NT-proBNP 1767 (468, 2446) pg/mL, LVEF 27±9% and 6’ walk test 442±123 m. The average scar burden in patients with nonischemic and ischemic DCM was 58±15% and 51±25% (P=0.48). No significant difference in VA burden was observed before and after cell therapy (48% vs. 44%; P=0.68). ICD activation occurred in 19% and 27% of patients before and after cell therapy (P=0.33). According to our results, transendocardial CD34+ cell therapy does not appear to increase the risk of VA in chronic heart failure patients.

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