Walking Molar – A radiographic Presentation

Dilaceration is the result of a developmental anomaly in which there has been an abrupt change in the axial inclination between the crown and the root of a tooth. It is seen involving both the permanent and primary dentitions. Root canal curvatures may be apical, gradual, sickle-shaped, severe-moderate-straight curve, bayonet / S-shaped curve and dilacerated curve. Curved root canals exhibit great difficulty in cleaning, shaping and obturation of the root canal system. This mandates routine periapical radiographs which aid the clinician in assessing these morphological variations in the root canal system. This article highlights a rare presentation of dilacerated distal root of left mandibular first molar resembling radiographically as walking molar in 17-year-male patient.

Giant juvenile ossifying fibroma from diagnosis to management: A rare case

Juvenile aggressive ossifying fibroma is a rare, benign tumor of the maxillofacial region that is aggressive and recurrent leading to multiple surgeries causing maxillofacial defect and deformities. The management of patients with ossifying fibroma is controversial. The aim was to report a case of huge ossifying fibroma involving maxilla, zygoma, and orbit in a young female with a duration of 15 years. The patient was operated multiple times but the lesion recurred. Patient-specific implant was fabricated to replace the defect area which would be created after surgery but with meticulous intraoperative decision the high morbid surgery was changed to conservative surgery. No recurrence was seen after two year follow up. The patient aesthetic has also improved. In conclusion it can be said in huge benign ossifying fibroma morbid surgery should be avoided.

Dermal Filler types, Effect on soft tissue and Life Style correlation

One of the most common manifestation in our time, especially among girls, is those procedures on the skin or maintaining or to modify some of the changes in the skin, such as those that come due to aging or any other cosmetic reasons. Fillers and Botox are two of the most popular procedures. Dermal fillers are effective treatments used to soften and reduce wrinkles and deep lines, fill out the cheeks and smooth facial contours. There are four main types of injectable dermal fillers, including fat, collagen, hyaluronic acid, and microsphere-containing carriers of another material such as polymethyl methacrylate (PMMA). So that to understand any type of injection, it is important to look at its history for valuable lessons and for successful progress. Honestly, it is very interesting to see what and where the world gets in the last 40 years of injectable. Today, we will be examining the brief history of dermal fillers from their bovine collagen roots, to the advanced fillers that are available today. In this review, we aimed to show some types of dermal fillers including a variety of its complication in soft tissue. Also, we try to correlate the factor of lifestyle with its variant effects.

“The Cliché to end all Clichés” – Test Tube Tooth

For quite a while now, experts in the field of tissue building have been endeavouring to bioengineer dental tissues and furthermore whole teeth. With the true objective to achieve a whole tooth through dental planning, that has the identical or about same natural, mechanical and physical properties of a trademark tooth, it's imperative to deal with all of the cells and tissues which are stressed over the course of action, upkeep, and fix of the tooth. In this article, we review the methods related with odontogenesis or organogenesis of a tooth and headway in the bioengineering of a whole tooth.

Present day medical education in India: Is it serving the purpose?

Medical Education in India is passing through multiple modifications. It is considered failing in producing well trained doctors to cater to our health needs. Doctors on the other hand, are facing problems from society, medical schools and due to consumer protection act. The etiology of this situation is multifactorial and requires serious consideration to improvement.

Isolated primary Hydatid cyst of kidney: A case report of asymptomatic patient

We report an isolated primary hydatid cyst of kidney in a pregnant asymptomatic woman. We also present salient diagnostic feature of asymptomatic patients of hydatid cyst.

Preeclampsia Biomarkers - The quest goes on

Preeclampsia (PE) is a multisystem disorder of pregnancy and a major cause of maternal morbidity and mortality worldwide. The disease is recently attributed to maternal endothelial dysfunction. The quest for ideal biomarker goes on. Pregnancy-associated plasma protein A (PAPP-A), Placental growth Factor (PLGF) and sFlt-1 (soluble fms-like tyrosine kinase-1) are the new biomarkers that hold promise for future. We present a short review on current biomarkers that would enable us to diagnose PE timely leading to reduced maternal morbidity and mortality , justifying the saying, ‘ a stitch in time saves nine’.

An Unusual case of flaccid Quadriplegia

This case describes a 47 years old Obese post menopausal lady with sudden onset flaccid quadriparesis with sparing of posterior column sensation .She has a prior history of Diabetes mellitus ,systemic hypertension ,Dyslipidemia , and hypothyroidism on regular .She was admitted for 1 day history of fever and malaise, laboratory parameters suggestive of a Possible a viral ethnology .She developed sudden onset of weakness, initially started on her Lower limb and progressing to her upper limb within few hours along with bladder involvement which appeared on the next day of hospitalisation prompt thinking of a demyelination like pattern after ruling out mechanical causes with a radiograph .In the background of a fever prompted thinking of a fast progressing demyelination like a GBS/ADEM and even started IVIG as there is always some time delay for MRI to arrive. The MRI report suggested of Thrombosis of ASA territory involving the anterior paramedian aspect of Medulla extending up to the upper cervical cord. She remained quadriplegic thereafter and 6 months later despite receiving antiplatelets, Physiotherapy and other supportive treatments. The case described here elaborates the clinical presentation and outcome of ASA thrombosis. ASA thrombosis though rare is be thought as a differential of acute onset flaccid quadriparesis in an acute setting .The clinical course and devastating nature of illness should be aware off. Its necessary to diagnose this syndrome in the earliest when patient presents with acute onset of motor weakness sparing the posterior column sensation

Monosodium glutamate induced histological change in the Zona Fasiculata of rats' adrenal and the possible amelioration effect of vitamin C supplementation

Monosodium glutamate in gesting (MSG) is steadily increasing worldwide as a flavour enhancer and food additive. On the other hand, vitamins C has antioxidant properties and can play an important role in preventing or improving many diseases. So, the aim of the present study is to study the impact of MSG administration on the histological structure of the zonafasciculata (ZF) of adult albino rat adrenal cortex and to clarify the possible amelioration effect of vitamin C cosupplementation. Thirty adult male albino rats were divided equally into three groups: group I; negative and positive (received100mg/kg vitamin C) control subgroups. MSG-treated group were administered 2 mg/g body weight MSG via gastric tube andascorbic acid supplemented group were given the same dose of MSG, followed by vitamin C at a dose similar to the positive control group. Tissue sections were obtained and proceeded for light and electron microscope examination. Plasma ACTH and cortisone were estimated. Morphometric and statistical analysis of the results were performed. Plasma ACTH and corticosterone levels in the MSG-treated group were significantly increased comparing to control and MSGtreated group receiving vitamin C. Histologically, in the MSG-treated group, ZF contained highly vacuolated cells and congested blood vessels. The reticular fibres were increased in MSG-treated group decreased in ascorbic acid supplemented group. Ultrastructurally, ZF contained cells with shrunken nuclei and numerous macrophages containing many lysosomes. On the other hand, the cellular architecture of ascorbic acid supplemented group was less affected and congested blood sinusoids were still detected. The reticular fibres were decreased in ascorbic acid supplemented group. Oral administration of MSG caused histological and functional degenerative changes in the ZF of adrenalin adult male albino rat which was ameliorated by supplementation of vitamin C. So, it is recommended to minimize consumption of foodstuffs containing MSG and to eat foods rich in vitamin C after performing more researchers to be sure of these effects on humans.MSG