scholarly journals PENATALAKSANAAN IMPAKSI GIGI MOLAR TIGA BAWAH (WISDOM TEETH) DENGAN KOMPLIKASINYA PADA PASIEN DEWASA MUDA

2013 ◽  
Vol 3 (3) ◽  
Author(s):  
Krista Veronica Siagian

Abstract: In daily practice, we often found the third mandibular impacted teeth that  popular called the wisdom teeth, with the complication, such as dentoalveolar abses, sub cutans abses n caries at distal second mandibular teeth .  The frequencies is  about 88,8% and mostly found in the young adult ages between 18 to 30 years old.  A general dentist is needed to know about the symptom and management of the simple third mandibular impacted teeth that found in the young adult ages.  This paper reported a case in the young women with ages 24 years old with the third mandibular impacted teeth with abses dentoalveolar and caries at distal second mandibular teeth. Keywords: Wisdom teeth, impacted.     Abstrak: Dalam praktek dokter gigi sehari-hari, sering kali ditemukan pasien  dewasa muda yang  memiliki gigi molar tiga bawah yang impaksi ataupun  malposisi, yang sering disebut `Wisdom Teeth`.   Frekuensi terjadinya gigi gigi molar tiga bawah yang impaksi ataupun  malposisi yaitu 88.8 %, dan paling banyak ditemukan pada umur dewasa muda, 18-30 tahun.  Seorang dokter gigi harus memiliki pengetahuan mengenai gejala dan penatalaksanaan pengambilan bedah sederhana dari gigi molar tiga bawah yang impaksi ataupun  malposisi . Tulisan ini dilaporkan seorang wanita dewasa muda berumur 24 tahun dengan kasus gigi molar tiga bawah kanan yang impaksi dengan komplikasinya, abses dentoalveolar dan karies di bagian distal gigi molar dua mandibula. Kata kunci: wisdom teeth, impaksi.


1975 ◽  
Vol 74 (2) ◽  
pp. 283-287 ◽  
Author(s):  
P. P. Mortimer ◽  
P. Cunningham

SUMMARYA total of 292 children's sera and 706 antenatal sera from different parts of England were tested for the presence of poliovirus neutralizing antibodies. Little variation was found between different areas and types of community, but a lower proportion of the 5–14 year old children had antibody than younger children and young adult women. The proportion of the young population with antibody, and the current acceptance rates for oral poliovirus vaccine are barely satisfactory.



Author(s):  
Domino Pérez

In the young adult novels Shadowshaper (2015) by Daniel José Older and Labyrinth Lost (2016) by Zoraida Córdova, Sierra Santiago and Alejandra Mortiz are the inheritors of great power in their respective cultural communities: shadowshaping, the ability to provide spirits with a physical form through drawing, murals, sculpture, or storytelling; and the Deathday, a ceremony to celebrate a bruja (or brujo) receiving her particular ability, including elemental control, healing, and/or defense, among others. Yet initially, through acts of refusal, the young women are outside of the material, ritual, and cultural practices of their communities.



2008 ◽  
Vol 38 (1) ◽  
pp. 15-15
Author(s):  
Nakul Uppal

Surgery for removal of wisdom teeth requires bone cutting under a constant stream of saline to cool the site of surgery. Any interruption in irrigation may predispose to thermal necrosis of bone which delays healing. A gravity-assisted saline irrigation system is easily fabricated from a sterile intravenous drip-set. Economics, availability, ease of use and sterility are its advantages as compared to expensive electromechanical saline dispenser pumps. The system also permits the surgeon's assistant to concentrate on other tasks during the operation.



2020 ◽  
Vol 12 ◽  
pp. 175883592095686
Author(s):  
Fotios Loupakis ◽  
Lorenzo Antonuzzo ◽  
Jean-Baptiste Bachet ◽  
Feng-Che Kuan ◽  
Teresa Macarulla ◽  
...  

Over the past 20 years, management of patients with metastatic colorectal cancer (mCRC) has improved considerably, leading to increased overall survival and more patients eligible for third- or later-line therapy. Currently, two oral therapies are recommended in the third-line treatment of mCRC, regorafenib and trifluridine/tipiracil. Selecting the most appropriate treatment in the third-line setting poses different challenges compared with treatment selection at earlier stages. Therefore, it is important for physicians to understand and differentiate between available treatment options and to communicate the benefits and challenges of these to patients. In this narrative review, practical information on regorafenib is provided to aid physicians in their decision-making and patient communications in daily practice. We discuss the importance of appropriate patient selection and adverse events management through close patient monitoring and dose adjustments to ensure patients stay on treatment for longer and receive as much benefit as possible. We also highlight key physician–patient communication points to facilitate shared decision-making.



Author(s):  
Davin L. Helkenberg

This paper investigates Young Adult (YA) Literature as a source of information on sexuality for young women readers. The data for this study is derived from semi-structured interviews (Seidman, 2006) that were conducted with 11 female participants. Six major categories of information on sexuality were found within the interview data: sexual acts, types of relationships, relationship realities, strategies for dealing with relationship problems, sexual abuse, and consent. These findings provide empirical evidence that YA Literature can act as a valuable source of information on sexuality and may promote the sexual agency and well-being of young people, especially young women.



2019 ◽  
Vol 42 (3) ◽  
pp. 423-451
Author(s):  
Miranda Sachs

Abstract During its first decades the Third Republic's relationship with the Catholic Church soured. While the Republic notoriously recast itself as a secular regime through removing clerics from the classroom, laicization also drove the development of public welfare. By examining the case of ouvroirs, charitable ateliers run by female religious orders to train and employ young women, this article explores the consequences of new ideas about welfare for working-class girlhood. In the context of rising anticlericalism, the Republic mobilized labor law and sent labor inspectors to scrutinize the nuns' treatment of their charges. The Republic's efforts to regulate these spaces represent a transformation in its treatment of girlhood, a recognition that girls' care could not be left to the private sphere. Instead, not only was it the Republic's responsibility to protect these girls, but this protection had a larger, societal imperative. Durant ses premières décennies, les relations entre la Troisième République et l'Eglise catholique se détérioraient. Si l'écartement du clergé des salles de classe est un exemple notoire de la laïcisation républicaine, l'avènement de l'assistance sociale n'en est pas moins un. En examinant le cas des « ouvroirs », ces ateliers dirigés par des religieuses afin de former et employer des jeunes filles, cet article s'intéresse aux conséquences des conceptions nouvelles de l'assistance sociale pour les filles de la classe ouvrière. Alors que l'anticléricalisme devient de plus en plus présent, la République fait appel aux lois sur le travail et demande aux inspecteurs de vérifier le bon fonctionnement des actions entreprises par les religieuses. Cet effort croissant de la République pour réglementer ces locaux marque un refus de laisser le sort des jeunes filles à la sphère privée ainsi qu'une transformation de la politique sur l'enfance. Quand la République accepte la responsabilité de protéger ces filles des ouvroirs, la protection de l'enfance devient un devoir politique.



2021 ◽  
Vol 25 (2) ◽  
pp. 238-246
Author(s):  
I. Yu. Drachevska

Annotation. Anomalies of the dental-jaw system are one of the most difficult challenges of modern orthodontics, and accordingly require the use of modern and evidence-based therapy. To predict the results of treatment and proper planning of orthodontic interventions, a reliable tool in the hands of an orthodontist is cephalometric analysis by the Ricketts method. An important step in the successful implementation of this method of analysis is to conduct a study taking into account ethnicity, age, sex and the influence of facial type on teleradiographic indicators calculated by this method. The aim of the study is to build and analyze regression models of teleradiographic indicators used in the Ricketts method for Ukrainian young men and young women with orthognathic occlusion with different face types. Ricketts teleradiography was performed for 49 young men and 76 young women with orthognathic occlusion. Cephalometric analysis was performed using OnyxCeph³™ software, 3DPro version, Image Instruments GmbH, Germany (software license URSQ-1799). The division into facial types was performed by determining the morphological index of Garson. All indicators were divided into three groups: the first group included the main cephalometric points and measurements used in modern cephalometric analyzes Schwartz, Ricketts, Steiner, Roth-Jarabak, Burstone and Bjork and are parameters that usually do not change during surgery and orthodontic treatment; to the second group – metric dental-jaw characteristics by the Ricketts method by which surgical methods can change the length, width, angles and position of the jaws; to the third group – indicators according to the Ricketts method which characterize the position of each individual tooth relative to each other, cranial structures and the profile of the soft tissues of the face. Regression models of individual teleradiographic indicators are built using the license package "Statistica 6.0". Only reliable models with a coefficient of determination higher than 0.6 were subject to analysis. Of the 13 possible facial features, 9 models of teleradiographic indicators (R² = from 0.691 to 0.834) were included to the second group, depending on the indicators of the first group, and 9 (R² = from 0.640 to 0.910) of the 15 possible models of indicators were included to the third group depending on the indicators of the first and second groups. In young men with a wide type of face, the constructed models of indicators included to the second group, depending on the indicators of the first group, most often include the distance Ar-Go (20.7 %), angle POr-NBa (13.8 %), distances N-S and S-E and the ratio N-S:S-Ar' (10.3 % each); and to the models of indicators included in the third group depending on the indicators of the first and second groups – the angle N-CF-A (12.8 %), the distance Ar-Go (10.3 %), the distances N-CC and A-NPog and angle ANS- Xi-Pm, POr-ANSPNS and DC-Xi-Pm (7.7 % each). In young women with a very wide type of face out of 13 possible built only 2 models of teleradiographic indicators (R² = 0.691 and 0.834) which were included to the second group depending on the indicators of the first group and 5 (R² = from 0.628 to 0.919) of 15 possible models of indicators which entered the third group depending on the indicators of the first and second groups. In young women with a very wide type of face, the constructed models of indicators included in the third group, depending on the indicators of the first and second groups, most often include the distance Xi-Pm (18.2 %), as well as the distance P-PTV and angles MeGo-NPog and POr-CFXi (9.1 % each). In young women with a wide type of face from 13 possible 5 models of teleradiographic indicators (R² = from 0.606 to 0.854) which were included in the second group depending on indicators of the first group and 7 (R² = from 0.607 to 0.888) from 15 possible models of indicators which were entered to the third group depending on the indicators of the first and second groups. In young women with a wide type of face, the constructed models of indicators included in the second group, depending on the indicators of the first group, most often include the distance Ar-Go (28.6 %) and the angle POr-NBa and the ratio S-ar:ar-Go (14.3 %), and to the models of indicators included in the third group depending on the indicators of the first and second groups – the distances A-NPog and Xi-Pm and the angle NBa-PtG (10.3 % each).



Author(s):  
G. V. Datsenko ◽  
A. V. Shayuk ◽  
I. M. Kyrychenko ◽  
T. M. Kyselyova ◽  
А. О. Ivanitsa

According to the data of modern scientific literature, to determine the risk groups of vascular diseases of the brain at the stage before the development of the disease, it is necessary to study the dependence of cerebral functional indicators of the population on their constitutional status, age, region of residence. The purpose of the study was to determine the features of correlations of cerebral blood circulation with anthropo-somatotypological characteristics of practically healthy young women of the middle intermediate somatotype. On the base of the research center of the National Pirogov Memorial Medical University, Vinnytsya conducted a comprehensive study of 30 practically healthy urban young women of the middle intermediate somatotype, in the third generation of residents of the Podillia region of Ukraine. All young women undergo rheoencephalography using a computer diagnostic complex; anthropometric research according to the scheme of V. V. Bunak; craniometry; determination of somatotype by J. Carter and B. Heath method and components of body mass index by J. Matiegka and American Institute of Nutrition (AIN) methods. The analysis of correlations of the obtained results was carried out using the Spearman method in the licensed statistical package “STATISTICA 6.1”. In practically healthy young women of the middle intermediate somatotype, the following multiple connections of indicators of cerebral circulation with anthropo-somatotypological parameters of the body are established: direct, mostly unreliable, average strength (r = 0.31 to 0.36) connections of most time indices with girth the thighs and time of rapid blood filling with one third of the indexes of the thickness of skin and fat folds (TSFF), the endomorphic component of the somatotype and fat component of the body mass using the Matiegka method; direct, mostly reliable, average strength (r = 0.36 to 0.51) connections of the index of tone of all arteries, tone of arteries of large diameter and tone of arteries of medium and small diameter with a third of the circumferential body sizes, most of the pelvic diameter and muscular component of the body mass by the AIN method, as well as the inverse, mostly reliable, mean strength (r = -0.37 to -0.41) connections of the artery tone ratio with the third of the indices of the TSFF and the endo- and mesomorphic components of the somatotype. Attention is drawn to the lack of reliable and average strength false correlations of amplitude indices with total body sizes, the parameters of the width of distal epiphyses of long limb bones and components of the somatotype; as well as time and derivative indicators - with total and longitudinal dimensions of the body. In the analysis of correlations of indices with rheoencephalogram with anthropo-somatotypological indicators in practically healthy young women of the middle intermediate somatotype among all groups of indicators of cerebral blood circulation for the derived indicators, the greatest number of reliable and average strength connections mainly found with body diameters (21.9%), components somatotype (16.7%), cephalometric indices (12.6%), girths of the body (11.6%), and components of the body composition (9.4%). For amplitudes indexes, the highest percentage of connections with cephalometric indices (14.3%), components of body composition (10.0%), body length (8.0%) and body diameters (7.5%) were established; and for time indicators - with TSFF (11.0%), with the circumferential dimensions of the body (10.7%), the width of distal epiphyses of long limb bones (10.0%).



Author(s):  
V. V. Vakhovskyi ◽  
М. М. Shinkaruk-Dykovytska ◽  
A. V. Pogorila ◽  
O. O. Likhitskyi ◽  
I. V. Gunas

The widespread use of methods of cephalometric analysis in practical orthodontics requires the adaptation of normative indicators for members of the local ethnic group. It is also important to study the relationships between cranial and odontometric parameters to understand the effects of these components on each other. The aim of the study was to establish the peculiarities of correlations between the characteristics of basal cranial structures determined by Bjork and Jarabak methods with teleradiographic parameters of the upper and lower jaws and the location of teeth in Ukrainian young men and young women with orthognathic occlusion. Teleradiography was performed in the mode of cephalometric examination of 49 young men (aged 17 to 21 years) and 76 young women (aged 16 to 20 years) who had a physiological bite as close as possible to orthognathic. Cephalometric analysis according to modifications of Jarabak J. R. – Roth-Jarabak and Bjork A. – CFT-Bjork methods, performed using OnyxCeph³™ software, 3DPro version, Image Instruments GmbH, Germany (software license № URSQ-1799). All indicators were divided into three groups according to Dmitriev M. O. (2017): the first group included metric characteristics of the skull, which are used as basic indicators in the methods of cephalometric analysis; to the second group – dental-maxillary in which the skeleton has already been formed and which surgical methods can change the length, width, angles and positions of the upper and lower jaws; to the third group – indicators that actually characterize the position of each individual tooth relative to each other, cranial structures and the profile of the soft tissues of the face. Correlation assessment was performed in the license package "Statistica 6.0" using the non-parametric Spearman method. As a result of the conducted researches in Ukrainian young men and young women with orthognathic occlusion the peculiarities of multiple correlations of characteristics of basal cranial structures determined by CFT-Bjork and Roth-Jarabak methods with teleradiographic parameters of upper and lower jaws and tooth location were established. Both the CFT-Bjork method and the Roth-Jarabak method have more reliable correlations in both young men and young women between the first and second groups (23.3 % for young men and 50.0 % for young women for CFT-Bjork and 48.4 % for young men and 41.1% for young women according to Roth-Jarabak) than between the indicators of the first and third groups (respectively 12.8 % for young men and 7.7 % for young women for CFT-Bjork and 22.5 % for young men and 12.5 % for young women for Roth-Jarabak). The expressed manifestations of sexual dimorphism of the received correlations between the indicators defined by CFT-Bjork and Roth-Jarabak methods both on quantity and force, and in some cases on a direction of correlations are established.



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