scholarly journals Missing maxillary first molar in young adult and it’s replacement – A retrospective study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1298-1303
Author(s):  
Shreya Svitlana Anand ◽  
Ashok Velayudhan ◽  
Jaiganesh Ramamurthy

Retrospective research was performed among patients attending one of Chennai's private hospitals. The purpose of the research is to examine the incidence of missing maxillary first molar and its replacement in the young adult population. The patients were assessed using the records from the university between June 2019 and March 2020. The data were entered into Microsoft Excel and tabulated. Following which data was imported into the SPSS software by IBM. Data analysis was performed in the statistical software SPSS and data were analyzed by descriptive analysis and Pearson correlation. Patients belonging to the age group, 18-35 with missing maxillary first molar, were selected for the study. The patients undergoing replacement of the missing teeth were evaluated. In this study, we observed that a total of 358 patients had missing maxillary first molar. From a total of 358 patients, 95 patients (26.5 %) underwent replacement of the missing teeth, and 263 (73.46%) did not undergo replacement. The patients who underwent replacement treatment predominantly belonged to the age group 26 to 35 years. A maximum number of patients who underwent treatment belong to the male population (15.92%)[p-value ﹥0.05]. The type of replacement procedure underwent mostly Temporary partial denture(11.7%), followed by Fixed partial Denture. The maximum number of patients with missing maxillary first molar belongs to the male population of the patients aged 26 to 35 years (42.18%) [P-value ﹤0.05].

2013 ◽  
Vol 01 (01) ◽  
pp. 001-003
Author(s):  
Aruna Singh ◽  
Nymphea Pandit ◽  
Monica Sharma

Abstract Aim- 1. The aim of this study was to investigate the average maximum range of inter-incisal mouth opening in a representative sample of the adult subjects of Haryana. 2. To see any correlation between maximal inter-incisal opening with age. Methods- Maximum mouth opening was studied in 756 adult subjects with age range of 20-50 years in Yamunanagar, Haryana. Age limit was further divided into three groups (20-30, 31-40, 41-50). Those with clinical history of TMJ involvement, OSMF, any trauma, odontogenic and non-odontogenic infections, dental prosthesis on the anterior teeth, congenital anomalies in the maxillofacial region were excluded from this study. The measurements were recorded twice and mean of the two values were taken. Statistical Analysis- Independent sample t-test was calculated to compare age and mouth opening in both male and females respectively. Bivariate pearson correlation was used to see any relationship between age and mouth opening. P-value ≤ 0.05 and CI (confidence interval) at 95% were considered statistically significant. The Results- The average mouth opening of males (45.36±6.70 mm) subjects was higher as compared to female (41.27 ± 6.75 mm) with significant, p-value 0.000. The mean mouth opening ± SD for both sexes combined was 43.39 ± 7.02 mm. The corresponding values for mean inter-incisal opening in male population aged 20-30, 31-40, 41-50 were 45.52 ± 7.15, 46.16 ± 5.47, 42.96 ± 6.82 mm and in female population aged 20-30, 31-40, 41-50 were 41.40 ± 7.08, 41.60 ± 6.29 and 40.03 ± 6.38 mm respectively. Conclusion- Maximal mouth opening differ significantly with gender. There is a decrease in MMO with older age group.


2021 ◽  
Vol 15 (7) ◽  
pp. 1752-1754
Author(s):  
Muhammad Shairaz Sadiq ◽  
Fareed Ahmad ◽  
Ali Anwaar ◽  
M. Salman Chisthy ◽  
Bilal Abdul Qayum Mirza ◽  
...  

Objective: To determine the maximum mouth opening (MMO) in Pakistani adult population and its possible correlation with sex and age. Design of the Study: It was a cross-sectional study. Study Settings: This study was carried out at Outpatient Department of Dentistry Combined Military Hospital, Lahore from January 2019 to July 2019. Material and Methods: The study involved 894 adults’ patients having 463 males and 431 females patients age in the range of twenty one year to seventy years. The patients were asked maximally open their mouth and keep it open until no further opening of mouth possible. Then with the help of calibrated fiber ruler distance was measured from incisal edge of the upper incisor teeth to the incisal edge of the lower incisor teeth. To check the correlation of mouth opening with age a Pearson correlation analysis was done and significance of the test was checked by applying the independent sample T-test will be applied taking p value of ≤0.05 as statistically significant. A written informed consent was obtained from every patient. Results of the Study: For males mean maximum opening of mouth was observed as 51.4±8.1 mm having its range 38 to 70. Mean maximum opening of mouth for females was observed as 43.1±5.9 mm having age range 37 to 55 mm. In 21 to 30 years age group the opening of mouth was 39.90 ± 5.02 mm for female’s patients and 40.26 ± 5.26 mm for male patients. In 31 to 40 years age group the opening of mouth was 39.54 ± 4.69 mm for females and for female’s patients it was 40.24 ± 4.55 for male patients. In 41 to 50 years age group MMO was 40.24 ± 5.02 mm for females and was 40.97 ± 4.79 mm for males. In age 51 to 60 years age group the equivalent values for males were 41.54 ± 5.49 and for females41.04 ± 5.63 mm. In 61 to 70 years age group the corresponding values for females and males were 40.33 ±5.55 mm and41.25 ± 6.04 respectively. Conclusion: The mean MMO for males was 51.4 ± 8.2 and for females was 43.1 ± 6.7. The opening of the mouth looks to reduce with age. The opening of mouth of females is not as much of the males in the all groups of age. Keywords: Maximum mouth opening (MMO), Age, Sex


2019 ◽  
Vol 9 (02) ◽  
Author(s):  
Haider S Al-Hadad ◽  
Aqeel Abbas Matrood ◽  
Maha Abdalrasool Almukhtar ◽  
Haider Jabur Kehiosh ◽  
Riyadh Muhi Al-Saegh

Background: Systemic lupus erythematosus (SLE) is an autoimmune disease. Few biomarkers for SLE have been validated and widely accepted for the laboratory follow-up of inflammatory activity. In SLE patients, with lupus nephritis (LN), complement activation leads to fluctuation of serum C3 and C4 that are frequently used as clinicalm biomarker of disease activity in SLE. Patients and Methods: In this study the number of patients were 37, seven patients were excluded for incomplete data collection, 28 were females ,2 were males. The duration of the study is two years from 2015 to 2017. Patients were considered to have SLE and LN according to American College of Rheumatology (ACR) criteria, and International Society of Nephrology/ Renal Pathology Society (ISN/RPS). All patients were evaluated withm clinical presentation, laboratory investigations. Our patients underwent kidney biopsy according to standard procedure by Kerstin Amann, and their tissue specimens were studied in the laboratory with light microscope (LM) and immunofluorescence microscope reagents. The relationship between the serological markers and immunofluorescence deposits in kidney biopsy of all patients were studied using the statistical analysis of Pearson correlation and single table student's T test. A P value 0.05 was considered statistically significant. Results: The granular pattern of IF deposits was present in all LN patients, and in more than two third of patients these IF deposits presented in glomerular, tubular, and mesangium sites. While less than one third of patients had IF deposits in the mesangium only. There was no statistically significant correlation between serum ANA, anti-dsDNA, and IF deposits of different types. There was significant correlation between serum C3 and C4 hypocomplementemia and IgG immune deposits in kidney biopsy, and there was significant relationship between serum C3 hypocomplementemia and full house immunofluorescence (FHIF) deposits inm kidney biopsy.Conclusions:Immunofluorescence deposits is mainly granular pattern in LN patients. There was no significant association between serum ANA, anti-dsDNA, and immune deposits in kidney tissue. Immunofluorescence deposits of IgG type correlates significantly with serum C3 and C4 hypocomplemetemia, and these immune deposits in association with low complement levels correlates with LN flare. There was significant correlation between C3 hypocomplementemia and FHIF.


Author(s):  
Bhupinder Singh Walia ◽  
Pankaj Dugg ◽  
Kanwaldeep Singh Aulakh ◽  
Sanjeev Sharma ◽  
Venita Kapur

Introduction: Trauma has been the leading cause of mortality and morbidity. However, there are changes in pattern of trauma and their outcomes with time. Aim: To study the mode and nature of injury and mortality associated with trauma of head, chest and abdomen. Materials and Methods: A prospective cohort study was conducted on 1000 individuals that presented to emergency surgery ward from 2014 to 2019. Patients presented to emergency surgery of Government Medical College, Amritsar, Punjab, India were observed for various characteristics i.e., age group, mode of injury, site of injury, outcomes and management. Results: The mean age of patients was 33.91±16.29 years with significant male predominance (n=794, 79.4%) (p-value 0.00001). Road Traffic Injuries (RTIs) were the most common mode of trauma affecting 490 patients (49%). Head injury was the most common of all injuries (n=834). Overall mortality was 3.6% (n=36). Mortality was higher in males (p-value 0.00933) and mortality rate of 25% was seen in age group of 61-70 years. Conclusion: RTIs followed by assaults are the most common cause of trauma and it significantly affects young male population. However, mortality rate increases with increase in age group with higher rates in older age groups.


2021 ◽  
pp. 1-3
Author(s):  
Mishra Braja Mohan ◽  
Mishra Sandeep ◽  
Bedbak Biswajeet

Gall stone is the most common risk factor for carcinoma gall bladder. The aim of this study nds out the prevalence of malignancy in patients with Cholelithiasis. All the radiologically diagnosed cased of cholelithiasis underwent surgery were taken into consideration. All the cases of cholelithiasis operated of in General Surgery Department of VSSIMSAR, Burla were considered for study. The diagnosis conrmed by Ultrasonography /MRCP in Department of Radio diagnosis. Total numbers of patients operated are 347, out of which 279 undergone laparoscopic surgery, 58 cases undergone open surgery and 10 cases converted from laparoscopic to open surgery. Most number of patients belongs to age group 31-40, consisting of 32.85% of total number, followed by age group 41-50, and consisting of 25.07%. A female patient constitutes about 77.81 % of total number. Male: female ratio is 1: 3.5. The mean age of the patients of study group is 41 .71. Mean age of female patients is 41.09 and male is 43.88, p value 0.072 (no signicant deference between mean of female and male). The excised specimens sent for histopathological examination in Department of Pathology, VSSIMSAR, Burla. Out of 347 cases nine cases found to have carcinoma specically adenocarcinoma of gallbladder.


2019 ◽  
Vol 39 (1) ◽  
pp. 15-21
Author(s):  
Prem Lochan Prasad ◽  
Reetika Dawra ◽  
Surabhi Chandra

Introduction: Neurocysticercosis (NCC) is the most common parasitic disease of the nervous system caused by the larval stage of Taenia solium (also known as pork tapeworm). Clinical manifestations are pleomorphic and determined mainly by the location, number and viability of cysts as well as by the host response. Neuroimaging is the most useful diagnostic study for parenchymal disease.  Methods: The study was conducted in the Paediatric Ward of a tertiary care teaching institute, Bareilly, India. The study was conducted on 50 subjects. The study was a hospital based, prospective, observational study. All admitted children between one year to 18 years and diagnosed to have neurocysticercosis were included the study. Statistical analysis was done by single and double sample proportion test. P value of less than 0.05 was considered significant. Results: Maximum numbers of patients were in age group of five-14 years. Males (62%) were more commonly affected than females. Seizure was found to be the commonest presentation of NCC. In our study majority of cases were diagnosed by CT scan. 70% of the patients enrolled in this study demonstrated ring enhancing lesions on neuroimaging. Maximum number of patients had lesions in the parietal lobe followed by frontal lobe. Conclusions: NCC is common in the age group of five to 14 years. Focal seizures were the most common presentation. Other symptoms were headache and vomiting. Vegetarians were more commonly affected than non vegetarians. Single ring enhancing lesion in parietal area was the commonest neuroimaging findings.


2020 ◽  
Vol 3 (2) ◽  
pp. 370-374
Author(s):  
Rajeeb Kumar Deo ◽  
Prakash G Chitalkar ◽  
Srijan Malla ◽  
Bikash Shrestha ◽  
Kunda B Shah ◽  
...  

Introduction: Colorectal cancer in the Adolescent and Young Adult population are increasing and are characterized by a more advanced stage at diagnosis, poorer cell differentiation, higher signet ring histology, and left-sided colon location of the primary tumor. This study aims to compare colorectal cancer data in the Adolescent and Young Adult population-based on tumor location.Materials and Methods: This is a retrospective cross-sectional study of colorectal cancer in the Adolescent and Young Adult population from April 2017 to September 2020 in Shree Birendra Hospital. Data were collected for age, sex, clinical features, histology, TNM stage, colonoscopy finding, radiologic features, treatment, and follow-up status based on tumor location. Data were analyzed using Excel 2010 and SPSS v 17.Results: The total number of patients was 61 with the mean age of 32.36 ± 6.24 years. There was a male preponderance of 63.93%. Right-sided colorectal cancer was 24.59% while left-sided colorectal cancer was 75.41%. For right-sided colorectal cancers, the most common symptoms were pain abdomen (73.3%) and diarrhea (53.3%) while for left-sided colorectal cancers, it was pain abdomen (80.4%) and bleeding per rectum (45.7%). The most common histology was adenocarcinoma (95.08%) with moderately differentiated being most common in both locations. Surgery, radiation and chemotherapy for right-sided and left-sided colorectal cancer were 86.66%, 0.0%, 86.66% and 58.67%, 28.26%, 89.13% respectively.Conclusions: Left-sided colorectal cancer was more common in the Adolescent and Young Adult population in our study. There were signifi cant differences in the clinical presentation of colorectal cancer as per the tumor location.


Author(s):  
Karunakar Bhoja Shetty ◽  
Elaf Mohammed Alshaqa ◽  
Abrar Bakri Koosa ◽  
Sara Faiz Jambi ◽  
Nouran Omar Jamal

Introduction: These days, individuals seem to have more expectations regarding their dental health compared to the past. There are various treatment options available for the replacement of missing teeth and associated structures, which include removable prosthesis, fixed prosthesis, and implant supported prosthesis. Most of the patients require aesthetics and functional comforts with prosthodontic treatment and it can be easily achieved with dental implants and tooth coloured restorations and prostheses. Aim: To assess the trends, awareness, and attitude of patients towards replacement of missing teeth in western region of Saudi Arabia. Materials and Methods: A cross‑sectional study was conducted among the 20‑60 years aged population of Western region of Saudi Arabia from 1st December 2018 to 1st March 2019. A questionnaire consisting of 11 close ended, pre‑tested questions was developed to determine patients’ attitude and need with regard to their dental prosthesis. The data were tabulated and analysed using Statistical Package for the Social Sciences (SPSS) version 21. Chi‑square test was used to assess the attitude and awareness among the patients towards replacement of missing teeth. The p‑value of less than 0.05 was considered statistically significant. Results: The study included 350 patients; 162 males (46.3%) and 188 females (53.7%). Among the participants, 233 (66.60%) of them desired fixed treatment and 115 (33.40%) of them desired removable treatment. Treatment options explained by clinicians were as follows: 67 (19.1%) were suitable for Fixed Partial Denture (FPD)/dental Implant, 11 (3.1%) suitable for FPD, Removable Partial Denture (RPD) and dental Implant and 272(77.7%) of them suitable for RPD and dental Implant. A total of 67 (19.1%) of them opted for FPD, 115 (32.9%) of them opted for RPD and 168 (48.0%) of them opted for dental Implant. Conclusion: Awareness and attitude of the participants towards prosthodontics treatment were mostly high. Majority of the participants wanted to replace missing teeth for mastication and aesthetics and had favourable knowledge and attitude towards implant as a mode of treatment for replacement of missing teeth. Participants preferred fixed treatment over removable.


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