EVALUATION OF LOWER WISDOM TEETH SURGERY RESULTS AT THAI BINH MEDICAL UNIVERSITY HOSPITAL

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Nguyen Thi Sen ◽  
Le Xuan Hung

Objective: Evaluation of lower wisdom teeth surgery results at Thai Binh Medical University Hospital.Subjects and methods: Progressive study on 143 subjects with lower wisdom teeth surgery at Thai Binh Medical University Hospital from November 2019 to June 2020.Results: Parant type II surgery accounted for the highest rate 44.76%. Surgery time from 30-60 minutes accounts for the majority of 48.25%. In the process of surgery, the most common accident isfracture/rupture of the bone in the lower wisdom teeth accounting for 57.34%, root fracture accounts for 11.89%, a case of mild late anesthetic allergy is recorded. Long-term bleeding complicationsaccounted for 11.19%; dry alveolar acupressure and wet alveolar acupressure accounted for 8.39% and 7.69% respectively.Conclusions: According to Parant dividing lower wisdom teeth surgery into 4 types, the rate of type II surgery, ie tooth extraction needs to open a part of the alveolar bone and cut the neck of the teethfor the majority.

2021 ◽  
Vol 62 (4) ◽  
Author(s):  
Nguyen Thi Sen ◽  
Le Xuan Hung

Objective: Evaluate the difficulty of extraction of lower wisdom teeth according to Parant at ThaiBinh Medical University Hospital.Subjects and methods: Descriptive study through cross-sectional investigation of 143 subjects withlower wisdom teeth surgery at Thai Binh Medical University Hospital from November 2019 to June2020.Results: The percentage of missing wisdom teeth was about 57.34%; stuck (position A2) for 47.55%;Far/horizontal deviation accounted for 37.06%, proximal deviation accounted for 33.57%, there wasno case of inverted lower wisdom teeth; The morphology of lower wisdom teeth has 1 foot or manylegs bunched for 41.96%; density of lower jaw bone is mainly type II (normal) for 86.01%; ligamentlight around the teeth at normal level accounted for the most with 93.71%.Conclusions: The level of difficulty in extraction of lower wisdom teeth has an average score of11.83 ± 2.09.


2017 ◽  
Vol 16 (1) ◽  
pp. 127-137
Author(s):  
Bida Oleksiy ◽  
Bida Vitaliy ◽  
Kuzenko Yevhen ◽  
Diachenko Olena ◽  
Lyndin Mykola ◽  
...  

Purpose: The main sign of osteoporosis is a significant decrease of bone mass that is caused by imbalance between resorption and osteogenesis. There are two main factors that contribute to the genesis of this illness. All these factors bring todecrease of thickness of bone and its destruction doesn’t depend on their combination. Therefore, our objective was to study the changes in the alveolar bones of elderly people in secondary edentulous. Material and Methods: For deeper study of morphological changes in segments of teeth we have conducted pathological researches of biopsy material of dead patients at the Center of Pathological Studies of the Sumy Medical University. The first group of patients included n=7 who died of various somatic abnormalities and had no significant atherosclerotic lesions. The second group includes segments of teeth and jaws of patients n=7 who died from complications of atherosclerosis In our studies, we used: Histological study; Fluorescence microscopy; Immunohistochemistry; Microphotography and image analysis; Mathematical calculations. Results: Based on the statistical analysis we can see a downward trend in the number of osteocytes in trabeculae of the periapical third part of the tooth at atherosclerosis 26.85±7.44; P=0.05. We can also see the dependence of trabecular thinning of toothless area of the alveolar bone 226.57±70.53; P=0.02 from losing of teeth against the background of atherosclerosis with hypertension. The osteopontin expression and fluorescencetion of toothless bone area also tend to decrease in atherosclerosis and hypertension 42.81±16.24; P=0.048. Conclusion: The cause of tooth loss is difficult to determine, since it is not clear whether it is due to osteoporosis or some forms of periodontitis in patients. The bone resorption has actived by reactive oxygen species both during atherosclerosis. Through our research found out that in order to reduce changes in the toothless bone we should reduce the pressure on chewing toothless alveolar sprout by dental implants. Bangladesh Journal of Medical Science Vol.16(1) 2017 p.127-137


PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251749
Author(s):  
Sheng-Ta Tsai ◽  
Fu-Yu Lin ◽  
Pei-Shan Chen ◽  
Hsiu-Yin Chiang ◽  
Chin-Chi Kuo

Existing evidence revealed grave prognosis for cryptococcal meningitis (CM), particularly its short-term mortality. However, its long-term survival and prognostic factors remained unknown. This study investigated 3-year mortality and analyzed its predictive factors in patients with CM. This retrospective cohort study with 83 cerebrospinal fluid culture-confirmed CM patients was conducted at China Medical University Hospital from 2003 to 2016. The 3-year mortality rate in patients with CM was 54% (45 deaths among 83 patients). Advanced age, human immunodeficiency virus (HIV) seronegative state, low Glasgow Coma Scale score on admission, decreased hemoglobin and hyperglycemia on diagnosis were associated with 3-year mortality. After multivariate adjustment in the Cox proportional hazard model, only severe hyperglycemia (serum glucose ≥200 mg/dL) on diagnosis could predict 3-year mortality.


2001 ◽  
Vol 8 (5) ◽  
pp. 503-510 ◽  
Author(s):  
Frank R. Arko ◽  
Geoffrey D. Rubin ◽  
Bonnie L. Johnson ◽  
Bradley B. Hill ◽  
Thomas J. Fogarty ◽  
...  
Keyword(s):  
Type Ii ◽  

Author(s):  
O.P. Kovtun ◽  
S.V. Kuzmin ◽  
O.V. Dikonskaya ◽  
B.I. Nikonov ◽  
V.B. Gurvich ◽  
...  

The paper presents long-term experience of interaction between practitioners of the State Sanitary and Epidemiological Service (until 2005) and Rospotrebnadzor (since 2005), the institutions of science for Rospotrebnadzor, Ural State Medical University in preparing graduates of a medical-preventive profile, starting from pre-university work with schoolchildren to the introduction of modern technologies of practice-oriented training of students, specialists post-graduate training of the State Sanitary and Epidemiological Service and Rospotrebnadzor.


2021 ◽  
Vol 46 (4) ◽  
pp. 367-372
Author(s):  
Kousuke Iba ◽  
Akira Saito ◽  
Megumi Hanaka ◽  
Toshihiko Yamashita

We report greater than 10-year outcomes in duplicated thumbs following corrective cartilaginous resection during the growth period. We have undertaken corrective resection of cartilaginous joint connections based on intraoperative arthrographic findings to reconstruct favourable alignment in six Wassel Type II and IV thumb duplication in six patients. The age at surgery was 13 months (range 10–15), and the average post-surgical follow-up was 134 months (range 120–160). We observed five excellent and one good outcome using the Japanese Society for Surgery of the Hand scoring method. Favourable joint congruency and alignment were preserved, and no growth plate arrest or joint space narrowing was present more than 10 years after surgery. We conclude that corrective resection of the cartilaginous joint based on intraoperative arthrographic findings has long-term reliability for duplicated thumbs, especially those of Wassel Type II and IV, which have a cartilaginous joint connection. Levels of evidence: IV


2020 ◽  
Vol 2 (Supplement_3) ◽  
pp. ii3-ii3
Author(s):  
Yoshihiro Muragaki ◽  
Masayuki Nitta ◽  
Taiichi Saito ◽  
Shunichi Tutsuki ◽  
Atsushi Fukui ◽  
...  

Abstract INTRODUCTION: The tumor treatment field induces apoptosis of tumor cells by providing a low intensity, intermediate frequency, alternating current electric field via a transducer array. TTFields is based on Phase 3 EF-11 and EF-14 trials for glioblastoma in the US FDA and Japan PMDA. Therefore, I will report the statistics of TTFields use in Japan along with recent papers. METHODS: 410 patients were treated with TTFields in Japan (December 2017-), of which 17 were at Tokyo Women’s Medical University. We also referred to papers about global post-marketing surveillance and recent studies. RESULTS: Of the 410 patients, 409 (99.8%) were diagnosed with ndGBM(male: female, 66.8%: 33.2%). As of June 2020, 222 patients (54.1%) were on treatment and 188 (45.9%) were discontinued. In 17 cases at TWMU, the average age was 46.3 years. The average treatment period was 218 days, with 6 patients (35%) continuing treatment, 6 patients (35%) discontinuing due to patient wishes, and 5 patients (30%) discontinuing treatment due to recurrence. Side effects were contact dermatitis under the array in 9 patients (57%) and mild malaise in 7 patients (43%). We experienced long-term progression-free cases with TTF use of 25 months (survival 30 months after surgery) with a glioma partially resected and 21 months (survival 27 months after surgery) with a biopsied glioma. In the biopsy case, bevacizumab was used in combination during the treatment. Conclusion: In global surveillance, use for rGBM accounts for 39%, but Japan is limited to use for ndGBM due to insurance coverage. In terms of side effects, it showed a good safety profile comparable to previous trials. Long-term progression-free cases have been observed, and it is necessary to examine the characteristics of patients who respond to treatment and the effect of concomitant use with bevacizumab by prospective studies


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