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Isolated use of a chitosan-gelatin osteoconductive matrix promoted greater bone deposition and preserved the volume of the surgical site, irrespective of the presence of hyaluronic acid.
Isolated use of a chitosan-gelatin osteoconductive matrix promoted greater bone deposition and preserved the volume of the surgical site, irrespective of the presence of hyaluronic acid.
The purpose of this meta-analysis is to systematically evaluate published evidence literature pertaining to report the differences in the survival rate of immediate implant placement in infected sites and non-infected sites.
After the application of the search strategy in PUBMED, SCOPUS, and EMBASE research databases, a total of 1864 papers were found. Titles and abstracts were screened, yielding 77 full-text papers. After the overall assessment, 23 articles were recruited based on the inclusion criteria for analysis of data.
Out of 23 studies, 14 studies were combined to assess the risk ratio of survival rate of immediate implant placement between infected and non-infected sites, depicting no significant difference on the survival rate. Further pooled estimate of proportion of survival rates were 0.98 suggesting 98% survival rate of immediate implants placed in infected sockets when 9 retrospective and prospective studies (no control studies) were combined. These findings demonstrate that successful outcomes can be expected for immediate implants when placed into infected extraction sockets.
Within the limitations of this systematic review, equal predictability for successful osseointegration and long-term functioning of immediate implants was found in infected as well as in healthy extraction sites, but astringent antiseptic environment is mandatory for wound healing of immediate implants.
Within the limitations of this systematic review, equal predictability for successful osseointegration and long-term functioning of immediate implants was found in infected as well as in healthy extraction sites, but astringent antiseptic environment is mandatory for wound healing of immediate implants.
To test the hypothesis that higher periodontal inflamed surface area (PISA) positively correlates with the coefficient of variation of red cell distribution width (RDW-CV) in non-obese hypertensive patients.
Hypertensive subjects aged between 40-60 years with and without periodontitis were enrolled for the study. They completed a structured questionnaire that included gender, height, weight, and other variables. Body mass index was calculated to exclude obese individuals. Clinical periodontal parameters were recorded. PISA was calculated, and participants were divided into four groups Group 1 Non-hypertension without periodontitis, Group 2 Non-hypertensive with periodontitis, Group 3 Hypertensive without periodontitis, and Group 4 Hypertensive with periodontitis. The hematologic evaluation included red cell distribution width analysis.
ANOVA showed age and diastolic blood pressure were significantly related to RDW-CV at p < 0.001. Periodontal parameters showed significant association with RDW-CV in both hypertensive and non-hypertensive groups at p < 0.001. Pearson correlation test showed a significant association between RDW-CV and PISA. click here Multivariate regression models showed PISA to be a significant predictor for RDW-CV in the periodontitis group compared to a non-periodontitis group.
The increase in the RDW-CV in the periodontitis group in both hypertensive and non-hypertensive indicates the independent role of increased inflammation on pathogenic alteration of red cell morphology.
The increase in the RDW-CV in the periodontitis group in both hypertensive and non-hypertensive indicates the independent role of increased inflammation on pathogenic alteration of red cell morphology.
Gingival recession has been associated with dentin hypersensitivity and aesthetic impairment. The impact of gingival recession and periodontal surgical procedures on adult patients' quality of life are scarce. The aim of this study was to evaluate the quality of life of patients submitted to root coverage procedures with subepithelial connective tissue grafts and coronally advanced flap.
Patients were asked to use a numerical rating scale to classify their dentin hypersensitivity, aesthetics, pain/discomfort, chewing, and brushing abilities in gingival recession sites treated with subepithelial connective tissue grafts plus coronally advanced flap. The patients answered a self-administered questionnaire about quality of life-related to oral health (OHIP-14) after 7, 14, 30, 90, and 180 days. Descriptive statistics were used to synthesize the data recorded.
Mean percentage of root coverage was positively related to OHIP-14 (dimension 2- physical pain) in 90 days postoperatively. The quality of life (OHIP-14 total score) significantly improved from baseline to 90 and 180 days postoperatively. The numerical rating score analysis revealed significant improvement in the chewing and brushing abilities when period of 7 days was compared to 90 and 180 days and from 14 to 180 days.
Root coverage procedures with subepithelial connective tissue grafts plus coronally advanced flap result in a positive effect on adult patients' quality of life.
Root coverage procedures with subepithelial connective tissue grafts plus coronally advanced flap result in a positive effect on adult patients' quality of life.
A 27-year-old male pedestrian struck presented with left shoulder pain and weakness 4 months postinjury, with an isolated middle head of the deltoid tear. The patient's pain persisted despite extensive nonoperative management. The deltoid was primarily repaired to the lateral acromion using a transosseous suture repair technique.
Suture repair of the deltoid to the acromion using transosseous tunnel fixation is a successful treatment for traumatic, isolated tears of the middle head of the deltoid muscle that fail conservative treatment. After surgical repair and physical therapy, our patient recovered full, pain-free range of motion and strength at 6 months.
Suture repair of the deltoid to the acromion using transosseous tunnel fixation is a successful treatment for traumatic, isolated tears of the middle head of the deltoid muscle that fail conservative treatment. After surgical repair and physical therapy, our patient recovered full, pain-free range of motion and strength at 6 months.
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