Buccal Bone Thickness in Anterior and Posterior Teeth—A Systematic Review

(1) Background: Immediate dental implant placement has been a subject of great interest over the last decade. Here, information regarding the anatomy and bone thickness of the jaw prior to dental implant placement is crucial to increase the surgery’s success and the patient’s safety. The clinical premises for this approach have been controversially discussed. One of those heavily discussed premises is a buccal bone thickness of at least 1 mm thickness. This meta-analysis aims to systematically review buccal bone thickness (BBT) in healthy patients. Thus, the feasibility of immediate dental implant placement in daily practice can be assessed. (2) Methods: A search in the electronic databases was performed to identify articles reporting on BBT that was measured by computed tomography in adults. (3) Results: We were able to find 45 studies, including 4324 patients with 25,452 analyzed teeth. The analysis showed a BBT at the alveolar crest of 0.76 ± 0.49 mm in the maxillary frontal and of 1.42 ± 0.74 mm in the maxillary posterior region. In the mandible, the average measured values were similar to those in the maxilla (front: 0.95 ± 0.58 mm; posterior: 1.20 ± 0.96 mm). In the maxillary frontal region 74.4% and in the mandibular frontal region 61.2% of the crestal buccal bones showed widths <1 mm. (4) Conclusions: In more than 60% of the cases, the BBT at the alveolar crest is <1 mm in maxillary and mandibular frontal regions. This anatomic data supports careful pre-surgical assessment, planning of a buccal graft, and critical selection of indication for immediate implant placement, especially in the maxillary and mandibular frontal and premolar region.

EEG based emotion recognition using entropy features and Bayesian optimized random forest

Electroencephalography (EEG) based emotion recognition is a widely preferred technique due to its noninvasiveness. Also, frontal region-specific EEG signals have been associated with emotional processing. Feature reductionbased optimized machine learning methods can improve the automated analysis of frontal EEG signals. In this work, an attempt is made to classify emotional states using entropybased features and Bayesian optimized random forest. For this, the EEG signals of prefrontal and frontal regions (Fp1, Fp2, Fz, F3, and F4) are obtained from an online public database. The signals are decomposed into five frequency bands, namely delta (1-4 Hz), theta (4-8 Hz), alpha (8-13 Hz), beta (14-30 Hz), and gamma (30-45 Hz). Three entropy features, namely Dispersion Entropy (DE), Sample Entropy (SE), and Permutation Entropy (PE), are extracted and are dimensionally reduced using Principal Component Analysis (PCA). Further, the reduced features are applied to the Bayesian optimized random forest for the classification. The results show that the DE in the gamma band and SE in the alpha band exhibit a statistically significant (p < 0.05) difference for classifying arousal and valence emotional states. The selected features from PCA yield an F-measure of 73.24% for arousal and 46.98% for valence emotional states. Further, the combination of all features yields a higher F-measure of 48.13% for valence emotional states. The proposed method is capable of handling multicomponent variations of frontal region-specific EEG signals. Particularly the combination of selected features could be useful to characterize arousal and valence emotional states.

Congenital Cyst and Fistula of the Dorsum of the Nose: A Case Report and Literature Review

Congenital cyst and fistula of the dorsum of the nose is a rare congenital entity. We report a new case of dorsum nasal fistula in a 5 years old male patient that communicates the frontal region with the subcutaneous surface. Radiologic imaging showed a median 5mm defect, in the projection of the metopic suture that leads to a communication between the frontal region and the skin figure. Complete resection was performed by an external approach with vertical incision of the cyst. The histological diagnosis was consistent with a dermoid fistulized cyst. The follow-up displayed unremarkable finding, the patient did not present any diplopia nor decreased visual acuity, or any signs of meningitis or cerebrospinal fluid rhinorrhoea, or saddle nose.

Gross Anatomical Study of Congenital Meningoencephalocoele and Craniofacial Deformities in A Kid

Background: Occurrence of congenital anomalies are less common in small ruminants, especially in goats compared to sheep. Most common cause for the congenital deformities in new born ruminants is due to the ingestion of toxic plants during gestation. Congenital meningoencephalocoele with associated craniofacial deformities is a rare occurrence in goats. Materials: A day old crossbred kid was presented with cranial defects and protrusion of brain through the defect. Detailed examination of the animal revealed cranioschisis in the frontal and parietal region along with presence of cleft lip, cleft palate and accessory ear lobe on the right side. Herniation of meninges and brain was exposed directly and was not covered by skin. There were two parietal cranial defects separated by a plate of bone. Result: Postmortem examination of the animal showed bilateral cleft lip and cleft palate with lateral deviation of nasal septum and deformation of premaxillary region. On reflection of skin over the frontal region, revealed frontal cranioschisis and the brain was situated subcutaneously. There were total of three cranial defects (two in the parietal and one in the frontal region) separated by small plates of bone in between them. This present study explains the anatomical aspects of cranioschisis, meningoencephalocoele, cleft lip, cleft palate and associated craniofacial abnormalities in a day old kid.

Giant Primary Apocrine Carcinoma of Frontal Region: Clinical Presentation, Surgical Treatment and Review of the Literature

Background: Primary cutaneous apocrine carcinoma (PCAC), a subtype of sweat gland carcinoma, is an extremely rare malignant neoplasm. Distinguishing apocrine carcinoma from breast carcinoma metastasis is difficult even for pathologist. Most arise in regions of high apocrine gland density like axilla, and rarely on the scalp and eyelid, but it’s possible to occur elsewhere on the skin. Primary cutaneous apocrine carcinoma of the scalp is a rare malignancy most often reported in the literature as case reports or small case series. Giant form of primary cutaneous apocrine carcinoma in frontal region is not described in literature, to the best of our knowledge. There no established protocols for primary cutaneous apocrine carcinoma treatment.Case presentation: We report a case giant primary cutaneous apocrine carcinoma localized in frontal region. Definitive diagnosis of primary cutaneous apocrine carcinoma is made by biopsy with microscopic and immunohistochemical analysis. Wide surgical excision and reconstruction with large local transposition flap and split thickness skin grafts for secondary defect were our therapy of choice.Conclusion: Primary cutaneous apocrine carcinoma is very rare malignancy and giant form in not described yet. Surgical treatment provided the patients with the tumor free status as well satisfactory aesthetical appearances and quality of living.

Flushing episodes in the context of frontal fibrosing alopecia with facial papules

Frontal fibrosing alopecia (FFA) is a progressive frontotemporal hairline recession with eyebrow loss. Facial papules are present in up to 14% of FFA cases and can start with facial flushes. Nevertheless, these flushes are commonly associated with rosacea, a much more prevalent disease. In this case, a woman with FFA had, at first, clinical and histopathological findings of rosacea and was treated with ivermectin 1% cream with no improvement. She returned reporting new papules in the frontal region, reaching the frontotemporal hairline. Trichoscopy of the scalp showed mild perifollicular erythema and follicular scale. The new skin biopsy was compatible with FFA, and oral finasteride (5 mg/day) and hydroxychloroquine were introduced to stabilise the disease.

Non-Linear Processes in the Gironde River Plume (North-East Atlantic): Instabilities and Mixing

Instability and mixing are ubiquitous processes in river plumes but their small spatial and temporal scales often limit their observation and analysis. We investigate flow instability and mixing processes in the Gironde river plume (Bay of Biscay, North-East Atlantic ocean) in response to air-sea fluxes, tidal currents, and winds. High-resolution numerical simulations are conducted in March (average river discharge) and in August (low discharge) to explore such processes. Two areas of the Gironde river plume (the bulge and the coastal current) experience different instabilities: barotropic, baroclinic, symmetric, and/or vertical shear instabilities. Energy conversion terms reveal the coexistence of barotropic and baroclinic instabilities in the bulge and in the coastal current during both months. These instabilities are intensified over the whole domain in August and over the inner-shelf in March. The Hoskins criterion indicates that symmetric instability exists in most parts of the plume during both periods. The evolution of the Gironde plume with the summer stratification, tidal currents and winds favors its development. During both seasons, ageostrophic flow and large Rossby numbers characterize rapidly-growing and small-scale frontal baroclinic and symmetric instabilities. The transition between these instabilities is investigated with an EKE decomposition on the modes of instability. In the frontal region of the plume, during both months, symmetric instabilities grow first followed by baroclinic and mixed ones, during wind bursts and/or high discharge events. In contrast, when the wind is weak or relaxing, baroclinic instabilities grow first followed by symmetric and then mixed ones. Their growth periods range from a few hours to a few days. Mixing at the ocean surface is analyzed via Potential Vorticity (PV) fluxes. The net injection of PV at the ocean surface occurs at submesoscale buoyant fronts of the Gironde plume during both months. Vertical mixing at these fronts has similar magnitude as the wind-driven and surface buoyancy fluxes. During both months, the frontal region of the plume is restratified during wind relaxation events and/or high river discharge events through frontogenetic processes. Conversely, wind bursts destratify the frontal plume interior through non-conservative PV fluxes.

Evolutionary morphology of the antennal heart in stick and leaf insects (Phasmatodea) and webspinners (Embioptera) (Insecta: Eukinolabia)

The morphology of the antennal hearts in the head of Phasmatodea and Embioptera was investigated with particular reference to phylogenetically relevant key taxa. The antennal circulatory organs of all examined species have the same basic construction: they consist of antennal vessels that are connected to ampullae located in the head near the antenna base. The ampullae are pulsatile due to associated muscles, but the points of attachment differ between the species studied. All examined Phasmatodea species have a Musculus (M.) interampullaris which extends between the two ampullae plus a M. ampulloaorticus that runs from the ampullae to the anterior end of the aorta; upon contraction, all these muscles dilate the lumina of both ampullae at the same time. In Embioptera, only the australembiid Metoligotoma has an M. interampullaris. All other studied webspinners instead have a M. ampullofrontalis which extends between the ampullae and the frontal region of the head capsule; these species do not have M. ampulloaorticus. Outgroup comparison indicates that an antennal heart with a M. interampullaris is the plesiomorphic character state among Embioptera and the likely ground pattern of the taxon Eukinolabia. Antennal hearts with a M. ampullofrontalis represent a derived condition that occurs among insects only in some embiopterans. These findings help to further clarify the controversially discussed internal phylogeny of webspinners by supporting the view that Australembiidae are the sister group of the remaining Embioptera.