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To mark the 25th anniversary of the journal, each issue in 2020 will include an interview with a health care thought leader. The October issue features a conversation with Kavita K. Patel, MD, MS, nonresident fellow at The Brookings Institution and editorial board member of AJMC®.
Dental practice is subjected to biologic risk on a daily basis, a risk that could affect both operators and patients. The use of protective devices and medical devices allows to limit and eliminate this risk, especially in the case of cross infections.
The methods of disinfection of surfaces and instruments are different, and could include both physical and chemical methods. In this in vitro study the effectiveness of sterilization of microwave methods was assessed. In this study microwave sterilization with a 1800W protocol for 5 minutes has been performed.
Once the bacterial contamination of some dental instruments was carried out, and left the latter in culture medium, the disinfection phase was carried out, by inserting the instruments in a microwave chamber. These new sterilization protocols allow to obtain surfaces or instruments sterilization in a short time.
The use of this method, although it cannot be used with all materials, has excellent properties for the sterilization of dental medical instruments, even if with lower performance than the conventional autoclave.
The use of this method, although it cannot be used with all materials, has excellent properties for the sterilization of dental medical instruments, even if with lower performance than the conventional autoclave.
Odontogenic keratocyst (OKC) can be classified as an oral lesion representing the third most common cyst of the jaws characterized by a high rate of recurrence. OKC was accepted as a neoplastic lesion in the 2005 WHO classification and it was called keratocystic odontogenic tumor (KCOT). However, in the 2017 classification of odontogenic tumors, OKC was moved back into the cyst category. This study aims to evaluate clinically, radiographically and through the histological examination the healing of a patient with OKC who underwent surgery with a marsupialization approach.
An 83-year-old female patient, presented deformation of the right hemi-mandibular region and paresthesia of the right hemi-labium, during intraoral examination it was possible to detect an eggshell crackle on palpation of the anterior edentulous mandible, moreover, the patient reported a growth of the lesion over time that prevented her from using the removable prosthesis.
At the OPT it was possible to appreciate a unilocular area that extended from the parasymphyseal region to the right hemi-mandible. The CT scan showed massive erosion that only partially spared the lower cortex and involvement of the mental foramen.
Checks following surgery show healing also confirmed by instrumental check-ups.
Surely this study offers a valid alternative to more invasive and debilitating surgical treatments.
Surely this study offers a valid alternative to more invasive and debilitating surgical treatments.
in dentistry, clinical problems could be resolved using many therapeutic approaches that may results in very different therapies. In order to choose the best option, a good evaluation of therapy long-term survival and success rate is mandatory. The routine use of a decision support analysis software is nowadays limited due to the lack of software's flexibility especially when a variety of possible therapeutic option are present. The aim of this research is to develop a new algorithm model for a Decision Support System software to give diagnosis support in dentistry.
Beta tests were designed to study the computer software in different clinical situations based on clinical data. The therapeutic options can be conservative/endodontic or extractive/prosthetic therapies. In two of clinical situation selected could be possible to choose both therapies.
in clinical situations tested, the DDS software correctly identified the several therapeutic options.When multiple treatments were possible the beta test showed an output mask that correctly showed a range of options with their corresponding survival and success rate.
The software architecture proposed by the Authors is technically feasible, can support the clinician choices based on scientific evidences and up-to-date references and gain informed consent based on data easily understandable for the patient.
The software architecture proposed by the Authors is technically feasible, can support the clinician choices based on scientific evidences and up-to-date references and gain informed consent based on data easily understandable for the patient.
The effectiveness of Gabapentin in tobacco dependence has been evaluated by many researchers.The randomized control trials, testing the efficacy of gabapentin in quitting the habit in smokers and users of smokeless tobacco have not been published yet.We attempt to address this lacuna in knowledge in reducing dependence on tobacco use by Gabapentin.
Our study involves 150 study subjects, 75 of whom were identified as chronic users of tobacco and assigned randomly to one of the three groups consisting of 25 subjects each. Gabapentin in tablet form was prescribed thrice a day for 8 weeks wherein Group 1 received a dose of 300mg, Group-2 received 600mg, and Group-3 was prescribed 900 mg. An age and sex matched control group have received calcium tablets as placebo in three times daily dose for a period of 8 weeks.
Among the three doses of Gabapentin, stoppage of habit was reported to be highest in the group-2 followed by group 1 and group 3 respectively. In our study, we found differences in response to quitting tobacco use between duration of habit prior to pharmacologic intervention amongst both smokers and the users of smokeless tobacco.
Gabapentin at dose of 600mg TDS has optimum effect. selleck Smokers having smoking for more than ten years showed notable benefit with Gabapentin. Among smokeless tobacco users who quit tobacco dependence was better having history of habit less than 2 years.
Gabapentin at dose of 600mg TDS has optimum effect. Smokers having smoking for more than ten years showed notable benefit with Gabapentin. Among smokeless tobacco users who quit tobacco dependence was better having history of habit less than 2 years.
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